14030091 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10329 MARY AVE CONTRACTOR:PRO-CRAFT BUILDERS PERMIT NO: 14030091
OWNER'S NAME: SHIRO KADOWAKI 669 COMMERCIAL ST DATE ISSUED:03/14/2014
OWNER'S PHONE: 4086091083 SAN JOSE,CA 95112 PHONE NO:(408)293-1411
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑
QQ ' /1 REMOVE AND REPLACE DECK AND BEAM 4X12
License ClassLic.# l6/ b
Contractor ,v1GlS 114 Date YW 10Y
I hereby affirm that I am liused under the provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business&Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$5000
1 have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this APN Number:32652008.00 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180dMYS-OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAS ALLED INS ECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which ay accrue against said City in consequence of the �_ / G
granting of this permit. ditionally,the applicant understands and will comply Issued by: Dat .
with all non-point s u e r ulations per the Cupertino Municipal Code,Section
9 18.
RE-ROOFS:
Signature Date All roofs shall be inspected prior to any roofing material being installed.If a roof is
installed without first obtaining an inspection,I agree to remove all new materials for
fle inspection.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. I will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25 5,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Datej/�
permit is issued.
I certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
I certify that I have read this application and state that the above information is
correct.I agree to comply with all city and county ordinances and state laws relating
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9 18.
Signature Date
CONSTRUCTION PERMIT APPLICATION
10COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION n
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 06"l
(408)777-3228•FAX(408)777-3333•building0-cupertino.org 0 3
CUP�R7iNQ l
❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS APN# 520 5 2 d 6 g- D o
OWNER NAME1 K 6� K , PHONE Q/ E MAII
STREET ADDRESS W, CITY, STATE,ZIP 7 FAX
b +
CONTACT NAME m PHONE E-MAIL,
Atz
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑-OwNER.BUIIAER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHnECr ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAM j5 LICENSE NUMBS 6 95-6/ LICENSE TYP BUS.LIC# n
COMPANY NAME E (� FAX r
STREET ADDRESS CITY,STATE,ZI PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK
EXISTING USE PROPOSED USE CONSTR;TOTAL
#STORIES
USE TYPE OCC. SQ.FT. VALUATION(S)
EXISTG NEW FLOOR DEMO AREA AREA AREA T AREA
BATHROOM KITCHEN OTHER'
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJDETACH
❑ATTACH
#DWELLING UNITS: IS A SECOND UNrF ❑YES SECOND STORY ❑YES
BEING ADDED? []NO ADDITION? ❑NO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES "REC•£t . _ ITAL VALUATION:
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? [:]NO 1j(I
By my signature below,I certify to each of the follng: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have providorrect. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to build' traction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMEN71KIL INFORMATION REQUIRED
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. g
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
form if any Hazardous Materials are being used as part of this project.
_Copy of Planning Approval Letter or Meeting withPlanning prior to
submittal of Building Permit application.
B1dgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR-BUILDING DIVISION
ADDRESS: 10329 mary ave DATE: 03/14/2014 REVIEWED BY: Sylvia
APN: BP#: *VALUATION: 1$5,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY SFD or Duplex PENTAMATION
USE: PERMIT TYPE:
WORK remove and replace deck and beam 4x12
SCOPE
2,2
/'lrrrr-1b.
rinii I'ee
of"I£er PlIr b lny, Oik r Elec£ Insp,
NOTE.This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc.). These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info,
FEE ITEMS (Fee Resolution 11-053 E . 7/1/13, FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 Select a Misc Bldg/Structure
Suppl. PC Fee: (D Reg. 0 OT 0.0 hrs $0.00 or Element of a Building
PME Plan Check: $0.00
Permit Fee: Hourly Only? 0 Yes Q No $0.00
Suppl. Insp.Fee: Reg. 0 OT Whrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Constru. .Won %x.
Work Without Permit? O Yes 0 No $0.00 G
Advanced Planning Fee: $0.00 hours Inspections
Fc vel I)oc:iimenra ion Fees: $139.00 ISTINSP Inspection,Hourly �
Strong Motion Fee: IBSEISMICR $0.50 0.5 hrs Admin./Clerical Fee
Bldg Stds Commission Fee: 1BCBSC $1.00 $44.00 IADMIN
OT nog', y
$1.50 $183.00 T $184.50
Revised: 01/15/2014
COMMUNITY MANAGEMENT SERVICES
February 27,2014
Re: Casa De Anna Homeowners Association
To Whom it May Concern:
I am writing of behalf of the Cg.D0>A 'j4pmeaw.aers Association. Pro Craft Builders
will be completing wood repaixs
,'t-
will4 e; or of thetr buildings. They are starting with
the building which houses units 10.31 .1`+ 329 Mary Ave.
If you have any questions or concerns please contact me at(408) 559-1977.
Sincerely,
Dustin Mannina.
Community Management Services,Inc.
Association Manager
Casa de Anza Homeowners Association
1935 Dry Creek Road, Suite 203■Campbell, CA■95008-3631 •voice (408) 559-1977 •fax(408) 559-1970