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14100129 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11072 CANYON VISTA DR CONTRACTOR:BROTHERS HOME PERMIT NO: 14100129 IMPROVEMENT OWNER'S NAME: ROSEVILLE,CA 95661 PHONE NO:(408)295-0680 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL REPLACE 15(E)WINDOWS&3(E)SLIDING GLASS License Class (/ Tic. ffdo 9 DOORS,LIKE FOR LIKE,NO STRUCTURAL CHANGES. WILL Contractor Date MEET EGRESS&BE TEMPERED WHERE REQUIRED BY I hereby affirm that I am licensed under the provisions of Chapter 9 CODE (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:$18255 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:35628033 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 CALLED 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 granting of this permit. Additionally,the applicant understands and will compl sue Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9 18. RE-ROOFS: Signature Date b �Z /y 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,Sect' 5505,2 and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent Date: `/o 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 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 v\ 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(d)cugertino.org \ [:]NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED O\RIG(IINNAL PERMIT# PROJECT ADDRESS SAPN# 'iZ � / OVITIER NAME STREET ADDRESS CITY,STATE,ZI -,V^ I q I FAX CONTACT NAME ' - PHONE '7 75 /`7 y /7 E-MAIL STREET ADDRESS V VWV CITY,STATE,ZIP ( t AX OWNER El OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER Wq LICENSE TYPE Q e' BUS.LIC k COMPANY NAME E-MAIL v FAX STREET ADDRESS l CITY.STATE,ZIP 2 PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK d od EXISTING USE PROPOSED USE CONSTR TYPE 1 #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 GARAGE AREA: DETACH []ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY [-]YES BEING ADDED? NO ADDITION? []NO PRE-APPLICATION ❑1 ES IF YES,PROVIDE COPY OF IS THE BLDG ANJKX . � § TOTAL VALUATION:_ PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME' NO = By my signature below,I certify to each of the following: I am the property owner or authoriz agent to act t half. I have read is application and the information I have provided is co t. I have read the Description of Work and verify i curate. I agree to comply with all applicable local ordinances and state laws relating ing conslpffction. I authorize representatives of Cupertino to enter the abo 'd mtijfied property for inspection purposes. Signature of Applicant/A Date: SUPPLE 0 ON.REQUIRED �� _ ��R vi cIJ�sP New SFD or Multifamily dwel mgs: Apply for demolition permit for »n � ;�� existing building(s). Demolition permit is required prior to issuance of building ovER z couA*rER Q�SBUILDING:POO REVIE permit for new building. PREs 1AN �V . _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure y ST ;DARD L "moo fo m if any Hazardous Materials are being used as part of this project. - E A E_ _Copy of Planning Approval Letter or Meeting with Planning prior to � - SIA OR AI�TT b}1RYSE{i RDISTRICT submittal of Building Permit application. �. .,� L��,Eli'VIROI�TII4ENTr�L�HEALTIi'..:...�c3 BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION W*PERMIT DDRESS: 11072 Canyon Vista dr DATE: 07/11/2014 REVIEWED BY: larrys PN: BP#: 'VALUATION: $18,255 PE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 GENRE WORK like for like 15 windows,3 patio doors (sliding). no structural changes SCOPE i9ci3. Pfa- F_177, s=' PTunt.`>. 1'Icrtr[_yxct 'r. Other 1'i fmb/ra)", o :.. : rLl tC<: ?V,' / Nwilb, hi sp. Fee: 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 prelimina information available and are only an estimate. Contact the De t or addn'1 info, FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13,1 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 18 # Window/Sliding Glass Door Suppl. PC Fee: 0 Reg. ® OT 0.0 hrs $0.00 $717.00 IWINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: __F_T $0.00 c ,r21i1if 7 s C1,'c't'e z: 0 Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential G Fees: Building or Structure 0 Strong Motion Fee: IBSEISMICR $2.37 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $3.37 $717.00 TOTAL FEE: $720.37 Revised: 07/10/2014 Rancho Deep Cliff Homeowners Association September 11, 2014 Subject: V00048914-Architectural Approval (Windows) Dear Homeowner(s), The Rancho Deep Cliff Architectural Committee reviewed your Application of the for the installation of windows at your unit. The Board of Directors has conditionally approved, in accordance with the details provided on your request form and subject to the window guidelines. Approval Affidavit.- UWe understand the restrictions contained in the Declaration of Covenants and Restrictions and agree to abide by the decision of the Architectural Control Committee, including all conditions which may be put on this approval. UWe agree to be solely responsible for the events creating the improvements, maintaining the improvements in good condition, and any encroachment this improvement may make on adjoining unit owners'property and/or common elements areas. I/We agree responsibility for obtaining all permits that may be required, complying with building codes or regulations that apply, and will reimburse Rancho Deep Cliff Homeowners Association for any liability or costs arising because of this improvement. //We understand that final approval is conditional on an inspection of the completed improvement for compliance with the description and the conditions of approval. If'improvement does not meet the final inspection criteria, //We, at our sole expense, will restore the property to its condition before work began on improvement. If necessary for repair and maintenance of the structure and areas, I/We will be solely responsible for removing and replacing the improvement to make way for such repairs and maintenance. I/We will notify successive owner(s) of this property of this unique improvement, the conditions of the approval, the Rancho Deep Cliff Homeowners Association assumes no responsibility for this improvement, and of their duty to likewise notify further successive owner(s). If you have any questions regarding this conditional approval, please respond in writing to Board of Directors or attend the next Board meeting. Lyle Peddicord Association Manager Cc: Board of Directors Unit File Compass Management Group,Inc. 77 Las Colinas Lane,San Jose,CA 95119 Business(408)226-3300 Fax (408)226-3406 tor— ('f t--C:7 eltev6--50tOP6 1,5tV1A1P6P,4 5PAP6 JP,P,:�: jj()-77- Q-W�00 01" 91— Y-0 XO X13X CAV69Kt):-,Io 9501 LA i,. N 1 T LOr ^<`_N! ',; PARTMENT jVISI()N - CuIPERTINO APPROVED �, be kept at the -1-his set of plans and specific G-,ticF,s JUS7 jcb site during, c r tr ction. It is to make any changes or pjL�.,�r�jtions on sanie, or to deviate ��C i, E Cop,( -Irlerelrom, �Aitno�, -jproval from the Building Official. The Stampingof ;',S pian and speciti-Cahons SHALL NOT I eL0'F PLAINt te held to penn,;' an a-) .,�,,,al of the violation CHECKED By Q5 f or State Law.of a vis�onsu p'C y /,// W DAT PERMIT # PLANNING DEPT. DATE 0 DFPT CUPERTINO Building Department REViEVVE'D FOR CODE COMPLIANCE Reviewed BY: r RECEIV00, LQ&4 4XII, OCT 2 2 2014 BY ko Xu CUPERTINO Address SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingalcupertino.org FILE Permit No. r `q 1 D for _,Z PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: h -t dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. h ead and aree to comply with the terms and nditions of this statement aver g Owner (or Owner Agent's) Name: FIV .... .� —Sign ..:..... .................... ...:...........................................................................Date: /.- Contractor Name: Sinature...................................................................Lic.#...................................... Date: ................... Smoke and COform.doc revised 03/18/14 CUPERTINO Address SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building alcupertino.org FILE Permit No. r `q 1 D for _,Z PURPOSE This affidavit is a self - certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single - family and multi- family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel- burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: h-t dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. h ead and a ree to comply with the terms and nditions of this statement aver g Owner Agent's) Name: Owner (or Owner e ............. .....................FI —Sign ....... .Date: .... .. .� Contractor Name: Sinature ......................................... ..........................Lic.# ....... ............................... Date: ................... Smoke and COform.doc revised 03118114