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14080154 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7330 RAINBOW DR CONTRACTOR:° PERMIT NO: 14080154 OWNER'S NAME: THE BEEDLE FAMILY .r',jot� '�j �p�5 ��I 0� DATE ISSUED:08/14/2014 OWNER'S PHONE: 4086291179 PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL E] REMOVE(E)REAR YARD WOOD PATIO COVER 14 X 28. License Class 6—C-10 Lic.#7)7S,fL_*S NO Contractor fl V,5 �j Co NbDate " � � REPLACEMENT 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:$2500 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:36619079 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 INSPECTI N. upon the above mentioned property for inspection purposes. (We)agree to save 180 DAY indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Date: granting of this permit. Additionally,the applicant understands and will c p y Issued by: with all non-point source regulations per the Cupertino Municipal Code,Section 9 18. ROOFS: Signatur Date All roofs shall be inspected prior to anyny 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,Sectio�255021534,Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized gt: Datq—L 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 CONSTRUCTION LENDING AGENCY 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 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 O� COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 0 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 \ b EUPi=RTlt10 (408)777-3228• FAX(408)777-3333•buildino mcupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINTAL PERI,2^IT PROJECT ADDRESS �, I APN R �Z / OWNERNF.ME e- I PH_P Zo e - 117 5 [ I E-N,AIL STREET ADDRESS CITY, STATE,ZiP I FAX e— STREET CT NP?c !�- G �) PHQ icy,,V O { 2 ��I UJ E MAIL STREET. D CITY,STATE,ZIP Gf r( 2 p l J \ J jj ❑ O\h= ❑ 011A14ER.BUILDER ❑ OVIX-ERi AGET? COXM- ACTOR ❑CONTRACTOR AGENT ❑ ARC rI-=CT ❑?GLNEE-M, ❑ DEVELOPER ❑ T.NA-,rr CI ( 1 OR NAME �t ' I LICENSENUA.BER LIC 'cE^E ,^ I BUS.LIC l 5-fb V COMPANY NAME � �G 1��/ w I L E-NAIL�Y�Y� r �G FAx 41 L STREET ADDRESS CITY,STATEN`i p C� AI PH U ( lo--5 o ARCHITECTIENGEER NAME I LICENSE NUMBER I BUS.LIC r' ITT COMPAXY NAME E-MAIL I FAX STREET ADDRESS CITY,STATE,ZIP I PHONE DESCRIPTION OF WORK EX STING USE PROPOSED USE I CONSTR 1YPE STORIES USE TYPE, I OCC. I SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMOTOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA I DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: ❑DETACH ❑.ATTACH s DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO -PR$-A-PPLIC�T-ION-0y-rS—F kTS„P1i0YIDECOPYOF ISTHEELDGAIN Y' By Y" TOT.kL-\ UATIOI\' ,- — PLAXMNGAPPLR ❑NO PLANTND\TGAPPROVAL LETTER £ICHLERHOME? ❑NO By my signature below,I certify to each of the follo%ving: I am the property owner or authorized agent to act onXhe pro rt),ommer's behalf. I have read this application and the information I have provided' - t. I have ad the Description of Work and verify it is cc I agree to comply,,with all applicable local ordinances and state laws relating to bu' In construction. u rite.representatives of Cupertino to enter the Above-irientifi-4 property for inspection purposes. Signature of Applicant/Ae Date: `— SU-PPLEMENTAL INFORMATION REQUIRED ter`" Ci{ i'II�'i CH'£ New SFD or Multifamily dwellings: Apply for demolition permit for VIII ice.--OULTER Q-BUIIDl1CrPEI ��TE� T � _ existing building(s). Demolition permit is required prior to issuance of building F-� K CRFs_ x ��INDNI I L R> permit for new building. s _Commercial BIdgs: Provide a completed Hazardous Materials Disclosure "T AAitn susL3C1�oRIs rte` 5r form if any Hazardous Materials are being used as part of this project. gn� � • w _Copy of Planning Approval Letter or Meeting with Planning prior to �❑ .❑��n3T�R�s��R�T,RIc ��: submittal of Buildin,Permit application. B1do9pp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 7330 RAINBOW DR DATE: 08/14/2014 REVIEWED BY: MELISSA APN: 366 19 079 BP#: *VALUATION: $2,500 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY Building is PENTAMATION 1GENRES USE: Multi-Family Dwelling >3 Stories Yes No PERMIT TYPE: i WORK REMOVE E REAR YARD WOOD PATIO COVER 14 x 28. NO REPLACEMENT SCOPE r t� L'fe;7� t' !'aril Feel. mb. Ljofil(r itch. =32sp_ 01/wr Numb fn'vr Ot-ter ';n'p' g ) ) phiml?, litsp. i ee, 0:C. L�z 'e>e: L�J� NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Re 11-053 E . 7ff /1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ®Yes No $0.00 = hours Plan Check,Hourly Suppl.PC Fee: Reg. ® OT 0.0 hrs $0.00 $143.00 1STPLNCK PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes (F) No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction TOx., Work Without Permit? ® Yes F) No $0.00 Advanced PlanningFee: $0.00 Select a Non-Residential E) Building or Structure Tn, el fac„tr rrt-}arrzrir,ra Fees: � Strong_Motion Fee: IBSEISMICR $0.50 1.0 hrs Inspections Bldg;Stds Commission Fee:. 1BCBSC $1.00 $143.00 ISTINSP Inspection,Hourly S $287.50 $1.50 $ 286.00 TOTAL FEE: s a� Revised: 07/10/2014 - fie V-P,t 0 bo CkD r ,�!�.�v� �t�-� 'Q��. Pie r_�� lU CUPERT11VO k0w-e-vk\�' '31-Jildirl q Deoa rtrnent -j REVIEVVED FOR CODEC' COMPLIANCE C:o 110AC,!",; Lm 777 �-215() I(kli-F-ML iS G14;41-3 Gq JSnn�, PL!2 -.-i a 4 2014 -F-c&�Vr