14070114 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 18601 STARRETT CT CONTRACTOR:BABEL CONSTRUCTION PERMIT NO: 14070114
OWNER'S NAME: SAGE PROPERTY INVESTMENT LLC 3939 ARDEN FARMS PL DATE ISSUED:07/24/2014
OWNER'S PHONE: 4088212533 SAN JOSE,CA 95111 PHONE NO:(408)561-7041
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
�7
//' DEMO(E) 1,263 S.F.SFD
License Class Lie.# �q o"S7 9-�)
Contractor������. .fir a
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
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:37526016.00 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 D RMIT 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�RO CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
I----
costs,and expenses which may accrue against said City in consequence of the Z
granting of this permit. Additionally,the applicant understands and will co sue�te:
with all non-point source regulations per the Cupertino Municipal Code,Section
9 18.
A0
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.
El 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
1,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 25165,255 3,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: i' �/� Date:
permit is issued.
1 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
`v
DEMOLITION PERMIT APPLICATION
is COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 V
CUPERTINO (408)777-3228•FAX(408)777-3333•building cupertino.ora
PROJECT ADDRESS /Olnr / APN# 2751,-A P1 `
OWNER NAME _tH Ll �2 PHONE �� E-MAIL
STREET ADDRESS -/ CITY, STATE,ZIP D FAX
CONTACT NAME 0+,� PHOI� _ �j E-MAIL / OT '
/r q�J D
STREET ADDRESS ,I� CITY,STATE, ZIP FAX
Oar
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT /K ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR N v
LICENSE NUMBS LICENSE TYP BUS.LIC#
COMPANY NAME E-MAIL FAX
STREFT ADDRESS V CITY,STATE,ZIP O C:q PH NE �/� �y
DESCRIPTION OF WORK (u I
O Tll� �G 1-1-010 S
S C1jit v
RESIDENTIAL / / #DWELLING l OFFICE USE ONLY
FLOOR AREA ( 2-C/ UNITS • (JSE OCG. TYPE S .FT: VALUATION
COMMERCIAL £'
FLOOR AREA _
TYPE OF CONSTRUCTION #STORIES
AQMD JOB NUMBER TAL VALUATION:
J #: Ko.Gbo
By my signature below,I certify to each of the following: I am the property owner or authorized t to act on the property owner's alf. 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." omply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: 7 2
SUPPLEMENTAL INFORMAT171EQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY
_Provide Job Number from Bay Area Air Quality Management District www.bammd.org @R 415-749-4762. PLAN CHECK TYPE .
Provide three copies(Residential)or six copies(Commerical)of a site plan showing protection for any trees 10" O EXPRESS
in diameter or more at 3'above grade. 10 ST
_Provide letter from PG&E(408-725-3325)stating all gas and electric has been disconnected. L1 L`RG
_Provide a letter of inspection,tests,and abatement of any Hazardous Materials.Letter to be initiated by person(s) El MAJOR
certified in asbestos,mercury and/or hazardous material examination.
Planning Dept clearance to verify building is not considered an historical landmark.Allow 10 business days.
Provide letter of clearance of all vermin from a licensed pest control contractor.
Applicant shall call the Public Works Department at 408-777-3104 and schedule a"habitable dwelling"inspection.
Provide signed Debris Bin and Recyclable Materials form.
DemoApp_2013.doc revised 02/13/13
CITY OF CUPERTINO D
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 18601 STARRETT CT DATE: 07/24/2014 REVIEWED BY: MELISSA
APN: 37526016 BP#: *VALUATION: $6,000
*PERMIT TYPE: Demolition Permit PIAL`C'1/I CK ITI't:
PRIMARY SFD or Duplex PENTAMATION 1 SFDWL-DE
USE: PERMIT TYPE:
WORK DEMO E 1,263 S.F. SFD
SCOPE
FEE ID FLR AREA
s.f.
1DEMORES 1,263
Mo
1l�c1 i'an;'=�c x Plrritih. Plum C`hecti
07her Pit nsl;Irrsn-
CIx Plzuul,. fits;). Tei':
NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,eta). These ees are based on the relimina in ormation available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS(Fee Resolution 11-053 Eff.' 7/1/13) FEE QTY/FEE MISC ITEMS
Permit Fee: $574.00
Suppl. Insp.Feer Reg. ® OT 0,0 hrs $0.00
Strom Motion Fee: IBSEISMICR $0.78 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
� Y� € SLS $575.78 $0.00 TOTAL FEE: $575.78
t �.
Revised: 07/10/2014
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: O1 PERMIT# d el!4-
OWNER'S NAME: PHONE# Ae6—,f2-I — :7-57 3
GENERAL CONTRACTOR: Ion BUSINESS LICENSE#
ADDRESS: CITY/ZIPCODE: O
*Our municipal code requires all businesses wor g in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SU BC RA O S HAVE OBTAINED A CITY O CU ERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature Da
Please check applicable subcontractors complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE#
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring/Carpeting
Linoleum/Wood
Glass/Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting/Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date
REVISIONS BY
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SECOND FLOOR 19 18 94 i iI DIAGRAM
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COMM. CUPERTINO fI II 1,
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FLOOR AREA CALCULATION DIAGRAM �,re1,,-0, �J� ��� I FR�RYUNE �
APPROVED I
ILL,, rr�l 1 = S
This cel of plans and specifications MUST be kept at the {I ---
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construction. It is unlawful to make any ) II
job site during LLz=_z=-_=
changes or alterations on same,or to deviate
roval from the Building Official. ! -.
3= therefrom,without app
REMOVE JE)TREE�\ w
7h®stamping of this plan and specifications SHALLviolation
be held to permit or to be an r"I or State Law. i
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FEBRUARY.207/
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