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14050169
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7908 FESTIVAL CT CONTRACTOR:JOHN MOLINA PERMIT NO: 14050169 CONCRETE OWNER'S NAME: YUI LIN 30 CLAREVIEW AVE DATE ISSUED:05/30/2014 OWNER'S PHONE: 4082502233 SAN JOSE,CA 95127 PHONE NO:(408)729-3642 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL SFDWL POOL DEMO 468 SQ FT License Class B Lic.# 3� $9 Contract-L�)-(I.,� � r 1 C�1C.��le 7 I hereby affirm that I am licensed 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:$6000 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 APN Number:36213017 00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPHZES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 1 YS 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 LAST CALLED INSP T ON. indemnify and keep harmless the City of Cupertino against liabilities,judgments, �f costs,and expenses which may accrue against said City in consequence of the t,F/y Issued by: Date: granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations 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 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 W05,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this F' 3t1 y pOwner or authorized permit is issued. 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 SWIMMING POOL / SPA PERMIT APPLICATION k is COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO, CA 95014-3255 J S P (408)777-3228-FAX(408)777-3333-building(Qcupertino.org � CUPERTINO PROJECT ADDRESS G APN# //Js� 1 3 o r7 t)G OWNER NAMEu 1 PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# �a W1 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK ()VO, P60L, " ()1 PN1 4 tL va USE OF ❑ SFD or Duplex ❑ Multi-Family TYPE MATERIAL TYPE(CODE) AREA (SQ.FT.) VALUATION($) STRUCTURE: ❑ Commercial POOL u POOUSPA MATERIAL TYPE CODES: SPA V - VINYL-LINED F - FIB GLASS DEMO G GUNIT P - PREFABRICATED TO VALUATION: By my signature below,I certify to each of the following: I am the property owner or aut ent to act on the property owner's behalf. I have read this application and the information I have provided is correct. 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 buil construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL NFORMATION REQUIRED OFFICE USE ONLY _ PLAN CHECK TYPE ROUTING SLIP Commercial or Multi-Family Buildings with Public Swimming Pools: Department of Environmental Health approval required. ❑ OVER-TIIE-COUNTER. ❑ BALDING DEPT `❑ EXPRESS ❑ PLANNING DEPT � ❑ A]TDARD ❑ PIIBLIC WDRKS DEPT ❑-LARGE ❑ ENVIRONMENTAL HEALTH s i ❑ $ANITAAY SEWER DISTRICT SwimPoo lApp_201 1.doc revised 03/16/11 CITY OF CUPERTINO D FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 7908 festival ct DATE: 05/30/2014 REVIEWED BY: Mendez APN: BP#: ''VALUATION: 1$6,000 *PERMIT TYPE: Demolition Permit PIAN(311"'C'K PRIMARY PENTAMATION USE: Swimming Pool, Res. PERMIT TYPE: 1 SFPOOLDE WORK sfdwl ool demo 468 sq ft SCOPE FEE ID #POOLS 1DEMOPRES v.t 1 Mecb, Plow Cli=ck 11huO, Plan Cbreed: 1,3e,%I' Check ck Fech. I'etmif Fee: Plumb. Ilerimr Fee: tiles r<:t rr,=ar a: f),r'rcr l tic dr. trasrr. 0"",Piumf�7nspz. OtherI tt c.Inst-. Phin1h. Iran . Fes, h1cf-:lns'o Fee: 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'1 info. FEE ITEMS(Fee Resolution 11-053 Eff. 7/11131 FEE QTY/FEE MISC ITEMS i''larl (;hccl F';e: S11f)/)1. PC FCC I'170711;..;i1Lc•h. llc c Permit Fee: $319.00 Suppl. Insp. Fee:0 Reg. 0 OT 0.0 1 hrs $0.00 I'i`zft'trr`r.-'d 1��c•1z.:dies Pernfii Fee: (Consrrn.c•tion Tax: r7l r2ar irri.4tr xiive>Fcc,,: 14"ork ft`ilhovt Per mit? Y �3�-r YVU..art, Planning Fees: Tr'wvel Ooc ulylcnlaliorl Fees: Strong Motion Fee: IBSEISMICR $0.60 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 � r $320.60 $0.00 _ TOTAL FEE: $320.60 Revised: 04/01/2014 468 . Z,70 , 1243 P'o-a,�- f4468 ) 9,0. 44-, � CUPERTINOr�"` suilding'Department MAY 3 0 2014 ICU4 t ,..,•..... G i w E)E)E COMPLIANCE Reviewed r' C &ft Mau P UPI t " : T 618 OU La, J. , i : • a r r 4nd e.:,::2 .v 6. ...a ,>Qi i )ti' � ©t tt: d a r i 1 job site during c��s:,Uct,or.�lt is f , changes or slt r eUons c s r , or r therefrom, without appr�,' i The Stamping of dais pian and sr� parmi or to a an app 3 of any pro ' rs Df any City CBY u n_...v,F. ..w.an. DATE PERMIT NO.