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14040185 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20717 CELESTE CIR CONTRACTOR:SGK HOME SOLUTIONS, PERMIT NO: 14040185 INC. OWNER'S NAME: CHIEMI KATAYAMA 3801 CHARTER PARK CT STE B DATE ISSUED:04/28/2014 OWNER'S PHONE: 4085987184 SAN JOSE,CA 95136 PHONE NO:(408)264-6964 *that CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL �- REPLACE 11 WINDOWS& 1 SLIDING GLASS DOOR,ALL License Cla / Lic.#F TO MEET EGRESS&BE TEMPERED WHERE REQUIRED BY Contractor Dat CODE I hereby oensed nder the provisions o Cha ter 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:$9140 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:32658120 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 180 DAYS 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 FR LL ED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the �l granting of this permit. Additionally,the applicant understands and will corn sued by: ate: �e with all non-point source regulations per the Cupertino Municipal Code ectio 9 18. RE-ROOFS: Signature_ /��W7-7 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 inspection. ❑ OWNER-BUILLER 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/Areait Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupuni ' al Code,Chapter 9.12 a d I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections ,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this / permit is issued. Owner or authorized agent: Date: 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 918. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION �O 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•building aocupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ElALTERATION/TI El REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS fj� / /� �G APN# OWNER NAME (� C P / ' E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ��❑ OWNER-BURDER ❑ OWNER AGENT ❑�CONTRACTOR 60 CONTRACTORACENT ❑ ARCHITECT ElENGINEER ❑ DEVELOPER 11 TENANT CONTRACTOR, � V LICENS E r LIC s TYrt BUS.LIC# COMPANY NAME P /L Z_ E-MAIL FAX STREET ADDRES� D Q� Crt'Y,STATE, PHOT /j r ARCHITECT/ENGINEER NAME C LICENSE NUMBER BUS.LIC(#f COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,,ZIP PHONE DESCRIPTION OF WORK A EXISTING USE PROPOSED USE CONSTR TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: LIDErACH []ATTACH #DWELLING UNITS: IS A SECOND UNrr ❑YES SECOND STORY []YES BEINGADDED? []NO ADDITION? []NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES TO V U N? PLANNING APPL# ❑NO PLANNING APPROVAL LITTER EICHLER HOME? ❑NO t. By my signature below,I certify to each of the following: I am the property owner or thof t er's be a read this application and the information I have provided is orrect. I have read the Description o o co ly with all app I local ordinances and state laws relating to g struction. I authorize representatives of Cupertino to enter the above-identi ed ro rty for' spection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMAtICION REQUIREDPtiAIN'CHkl xKlYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit forTCouivTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. EORE ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure B sTaND ❑ ruBLrc woRxs fo_rm if any Hazardous Materials are being used as part of this project. ❑} LARGE " ❑ FIRE DEPT> Copy of Planning Approval Letter or Meeting with Planning prior to ❑' MAJOR'' 13 SANITARY SEWER DISTRICT submittal of Building Permit application `.; ❑ ENVIRONMENTAL HEALTH BldgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 20717 CELESTE CIR DATE: 04/28/2014 REVIEWED BY: MELISSA APN: 326 58 120 BP#: "VALUATION: 1$6,140 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1GENRE WORK REPLACE 11 WINDOWS & 1 SLIDING GLASS DOOR ALL TO MEET EGRESS & BE TEMPERED SCOPE WHERE REQUIRED BY CODE N5 Plan Gam e sr NaP s si Llc°<:Jt. Plan(fiu k 1'laznth. I'lart ";-w;1 Ft>e Other 11I1arr b Insp. 01hu r Elec,In'vr) ikce. Insp, F 111u ih. Insp. Tee El('(,Inv]) "-C(". NOTE.This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Theseees are based on the prelimina information available and are only an estimate. Contact the Dept-for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # Window/Sliding Glass Door Suppl. PC Fee: Reg. ® OT 0.0 hrs $0.00 $557.00 IWINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl.Insp.Fee:e) Reg. ® OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (,`olulnictiron I e7y.. ICtiniiii,5'ti"(mve Fee 0 Work Without Permit? ® Yes (F) No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential G Travel I�t,crrtri�>rzC��trrr7 Fees: Building or Structure 0 A Strong]Motion Fee: 1BSEISMICR $0.61 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 is $1.61 $557.00 TOTAL FEE: $558.61 Revised: 04/01/2014 De Anza Forge Association 4/3/2014 File Reference# A38965-SR1 Chiemi Katayama 20717 Celeste Circle Cupertino, CA 95014 RE: Architectural Application Approval --� Dear Chiemi Katayama, At the April 1, 2014 Board of Directors meeting for the De Anza Forge Association, the Board reviewed your request for the installation of twelve(12)vinyl windows, including the sliding door, at your unit, 20717 Celeste Circle. Please be advised that the Association approved your request as submitted,with the following conditions: 1)The windows are to be installed by the licensed contractor submitted with your request form_ 2)The vinyl trim for the windows must be tan in color to the exterior. 3)The glass panes must be the plain glass style or grid glass style as shown on your application and consistent with the windows in your building. In other words, if the existing window has grids, the replacement window must have grids. You must replace"like for like". 4) No tinting of the window is allowed. Low"E"glass is allowed. 5)The owner is responsible to repair any damage to the structure caused by the window installation. 6)All work is to be done during reasonable hours(8:30am-5:00pm). Homeowners are to notify neighbors and Management of dates of installation. 7) No construction debris is to be disposed of in the Association dumpsters. The Homeowner will be responsible if the contractor does not dispose of debris correctly. Charges for hauling any debris will be billed back to the unit owner. 8)The Homeowner is responsible for any permits required by the City of Cupertino. Please contact our office if you have any questions or need additional information. Thank you for your cooperation with the rules and regulations for the Association. Si erel*cGarry )A Jac i Association Manager cc: Board of Directors Unit File F,O. 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