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14060012
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10659 MAPLEWOOD RD CONTRACTOR:ABE CONSTRUCTION,INC PERMIT NO: 14060012 OWNER'S NAME: ESSEX THE POINTE LP 1233 MIDAS WAY DATE ISSUED:06/03/2014 OWNER'S PHONE: 6504943700 SUNNYVALE,CA 94085 PHONE NO:(408)734-8416 ❑ LICENSED CONTRACTOR'S DECLARATION r r r t/ BUILDING PERMIT INFO• BLDG ELECT PLUMB LicenseClass,9 CIdZC3� Lie.# �6-9��7 MECH RESIDENTIAL COMMERCIAL Contractor c0A,.-r&?,/CVM /NC Date 1 hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION-APT A-REMODEL BATHRROM(120 SQ FT);KITCHEN(160 (commencing with Section 7000)of Division 3 of the Business&Professions SQ FT);ADD NEW LAUNDRY ROOM,UPGRADE ELECTRICAL PANEL AND PLUMBING. 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. I 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 Sq.Ft Floor Area: Valuation:$24000 Jet is issued. 1jJ APPLICANT CERTIFICATION APN Number:31643003 10659 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM M LA CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9 18 < \ Signature DateIssued by: Date: ❑ OWNER-BUILDER DECLARATION RE-ROOFS: 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. wiI I do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(See.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must Owner or gent: f forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name Upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9 18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional r YT C MllUNfTY o EVEL0!�ME�TDEPAPTMFNIT E3U(LDING•'DFVI5I{1ivI . { � A ` (p3IlI1 tFt'F'�r`1E,i�tl1E ';(,lTJi>C3 G?95o 4 " 3228.-FA 1-DS}7.. 3333' Fwldsn��ic�cugatt 10-011Q $� -_• .r l\--Tw C01,1STP'LiCTIO 7 © xsDDITION Ill �T301v 1 r REWSION I DEF�ERREG ORIGRZA.L PPjzh, , II PRO �sITDTtESS �� i��nQ �- 3 5 STREc'T ADDRESS .� �.�, 4TE,� FAX CONTACT II E-MALT �E SME-ADDRESS Cl2Y,STATE,ZIP FAX I (( f!�oarNgt LJ owN �vILDZR Ll owNERaG � coNrxAcroR O'CON-RACTpRAGErm ❑ ARC�Cr 0 ENGa�t ❑ DEvsIOP=R ❑TMrxr CONTRACTOR NAME YI CENSE TYPE BUS.LIC' I braA . CO&iP N Zi:AL. _ f C i FAX r `7 STRIYT ADDRESSTA".fE,Z{P ARCIffifiCTIENG24EERNA11M LTCENSENUMBIIL BUS.LIC n } COMPANY"NAT E-MA1L FAX t i STREEI;TT ADDRESS C1TY,Mom M PHONE '.. DFS .TION OF V' $ t bo:LAIIMV� 6-60 ne:uo 1.0 Ovid ice ( - EYJSTINGUSE PROPOSED USE "CONSRLh'PE #STpRffS ij USE TYPE OCC. SQXT. VALUATION(S) ARE, TOTAL.G..t C.S,,.' NEW FiAOR TJEtdO'" AaZA ARE4 /' t6 AP.EA NETAREk ' - BATHROOM ICi C'j�tCO:'N ,.::OTT REMODEL AREA REMODJr AREA R$tdOl?ELARcA PORCH ARIDA DECICAR£,4 I OTALD*_.cKMMkcs.ARES `_GARAGEFRFA• DETACH #DwEL.LTNG UMTS: is AS6COTlaurz 'Q'YES ,SECONDSTORY YESSEWGADDEd?? QNO ADDTTYON" EpTO' - PRE-AP1uc-ArrON ❑YES Ivas,PROVIDECOPYOF' YS THEBLDGAN J�YES RECEIC�EDBY: PLANIvTA'G APPLt ANO ?L4NA'AIG APPROVALLI`T..B EICHLER roa?, ANO -TOTAL VALUATION: 7 2q I m signature below,I c S ProP3`, BY Y certify to each oftde foilowin I tmi,tfie owner or anthorizsd anent to act on the property owner's behalf. I have read this ? application and the information I have pl"--d is eome�T have read tau;Description of WOrk and verify it is accurate. I afire;to comply g ith all applicable local )rdinan=s and state laws relating to buil � reptesentafives OfCuPerduO to enter the above-identified property for inspection purposes Signature of Applicant/Agent D? SIJPPLEMEN TIQREC�UIl2F�D PL.4.NCEMCTCTYT'E Ro[ITL*IGSLIT New 5FD or A2ulfifamily,dwellings Apply for demolition peamit for sun Drive Pr nNaEv-I3 eoU1sIm ❑ w xistingabuilding(s)- Demofitionpermitis egwredpiortoissuanceofbuilding o ermit for new buT7dins. ❑ MRES9 ❑ rI AlamrrG PLAN RI VI E SV _Commercial Bldgs: Provide a completed]% dour Materials Disclosure O IIANDAxD ❑ P>size woRxs :am if any Hazardous Ivlateri&are beTraa Used as past oftlus pmjeef ❑•LARGE - ❑ FIRE DEPT _Copy of Planning Approval Leil_r Gr;Rleeting"with l'Ialmina prior to ibmittal of Building Permit appli ❑ n€4 roe D s��IrrARY srwt DISTRICT cation.. ❑ ENVMOhnMa*raLHRALTff Bldgrlpp 2Dll.docrevised 06121111 ........ CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10659 Maplewood rd#A DATE: 06/03/2014 REVIEWED BY: Mendez APN: BP#: *VALUATION: 1$24,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 REAP WORK APT A- REMODEL BATHRROM 120 SQ FT • KITCHEN 160 SQ FT • ADD NEW LAUNDRY ROOM SCOPE UPGRADE ELECTRICAL PANEL AND PLUMBING. iAF1,00, . bf4c7e. T'�are C'diE:cn phwlh. Alan L"hec Elec.Plan Check 0.0 hrs $0.00 ti1�>cl.. Peewit Fee: 1,11"M>. Fee: Elec.Permit Fee: IEPERMIT C1;hEr ;i�r ?. IYs�>. Other1)hinlhInsp. Li Other Elec.Insp. 0.0 hrs $47.00 phinih. h?sp, Fee El<c_Inst F,11v- NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Thesefees 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 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 120 amps Electrical Suppl. PC Fee: Reg. 0 OT 0.0 1 hrs $0.00 $47.00 1BELEC20,0 Services PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes (E)No $0.00 Suppl. Insp. Fee:(F) Reg. 0 OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $47.00 ('n,xaso-11clion ha:V: Administrative Fee: 1ADMIN $44.00 Work Without Permit? ® Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Travel Documentation Fee: 1TRAVDOC $47.00 1 Building or Structure 0 Strong Motion Fee: IBSEISMICR $2.40 5.0 hrs Inspections Bldg Stds Commission Fee: IBCBSC $1.00 $695.00 ISTINSP Inspection,Hourly z $141.40 $742.00 r' TOTAL FEE: $883.40 Revised: 04/01/2014