The URL can be used to link to this page

14110053 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7955 RAINBOW DR CONTRACTOR:WYSE PROPERTY PERMIT NO: 14110053 SERVICE OWNER'S NAME: FREMONT,CA 94539 PHONE NO:(408)838-6904 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL E] ,// REMODEL HALLWAY AND MASTER BATHROOMS(115 SQ License Class_./—Lie.# 7 X Z (`� FT). Contractor e)j ewq,40 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: & )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:$7000 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:36211040 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 FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, l' / • , costs,and expenses which may accrue against said City in consequence of the Issued b �/� ��li� Date: �! granting of this permit. Additionally,the applicant understands and will comply Y' 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. 1 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 35505,25533, 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Dater/ 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 fL/1/ ao53 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINQ (408)777-3228•FAX(408)777-3333•building(c cupertino.org ❑NEW CONSTRUCCTTION ❑ ADDITION ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS ..ytn f f APN# OWNER NAME �'/ �J/ FAX �N CONTACT NAME )' PHONE 0 E-MAIL STREET ADDRESS O ��/_' II ITY,STATE,ZIP ❑ ye OWNER ❑ OWNER-BUILDER 11 OWNER AGENT VCO YNTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBE / ,,Z f_ LICENSE TYPE BUS.LIC# �O f,J w 1 �( (_ COMPANY NAME E-MAIL ® FAX STREET ADDRESS t - CITY,STATE,ZIP .Yoe 1W Q�� //� PHO E��R ARCHITECT/ENGINEER NAME LICENSE NUMBER lv BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK ��A,/ l•' r /�� EXIS SE PROPOSE�� CONST #ST07S V(�/j l/ USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL _ / AREA AREA AREA NET AREA ��4 t 3 1 3 BATHROOM KITCHEN OTHER ` ✓ r REMODE A v MODEL AREA REMODEL AREA I 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 ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ElYES �' GEIVEDJ3� y" a��i TOTAL VALUATION: PLANNING APPL# d NO PLANNING APPROVAL LETTER EICHLER HOME? NO " i '< ❑ ❑ ' 1 i .` By my signature below,I certify to each of the following: I am the property owner or authorized agent 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 building c truction. I au�tho a representatives of Cupertino to enter the above-ide fled propgrty for inspection purposes. Signature of Applicant/Agent: C. —�` Dater SUPPLEMENTAL INFORMATION REQUIRED °.;wwF P ccK rPE",` i„ xovTuvc SLIP t, _New SFD or Multifamily dwellings: Apply for demolition permit for k OYER`-000,KUNTER BUILDINGPLANREVIEW existing building(s). Demolition permit is required prior to issuance of building � � permit for new building. s � ❑, i ANnmlcrLa�v"REvtEw z �3 ; _Commercial Bldgs: Provide a completed Hazardous Materials Disclosures sTaNnaRD O puBLlcwoRxs _x form if any Hazardous Materials are being used as part of this project. ❑ iltE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑lJog ❑ TTY sEwER ntsTRrcT submittal of Building Permit application. �sG ��` �'� "n,..r�� ❑,;vENVIRON117ENTAL HEALTH•, B1dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 7955 Rainbow Dr DATE: 11/10/2014 REVIEWED BY: Sean APN: BP#: EVALUATION: $7,000 PPERMIT TYPE: _ Building Permit PLAN CHECK TYPE: Addition PRIMARYSFD or Du lex PENTAMATION 1 R3SFDREM USE: p PERMIT TYPE: WORK Remodel hallway and master bathrooms 115 sq ft). SCOPE k zL. ... i``'..�..3tG16::'i' .E'.. : Ytrr�trk. Pant C'hecir Fee: Plumb. Permit mit Ter; Off scdt. ' +, Other Plu+n!)fan 1 r t' 11"Vol -1x>ra I,<��_I�>:-:: f'i:arrrf.+ h�s��.Fee: t/cc.If s� f {: 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 Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Fi15 s.£ Remodel,Bath(<=300 sfl Suppl. PC Fee: (F) Reg. ® OT 0.0 hrs $0.00 $645.00 1REMRESBAT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 s;;Y`d12iF,14:t'1"tXttl z C"'F't' 0 Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee- $0.00 Select a Non-Residential 7� Building or Structure Strong Motion Fee: IBSEISMICR $0.91 Select an Administrative Item Bldg Stds Commission Fee:. 1BCBSC $1.00 ° $1.91 $645.001 'T0TAL FE9. $646.91 Revised: 10/01/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 C O P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR:LIST JOB ADDRESS: ? Q,,7f' ERMIT# OWNER'S NAME: _ ADDRESS: CITY/ZIPCODE:� *Our municipal code requires all businesses working 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 SUBCONTRACTORS HAVE OBTAINED A-`CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: "......... Signature Date Please check applicable subcontractors and 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 RECEIVED o _ NOV 1 2014 �3Y F M _ FIC a� ............ I 43' y DEV ^1c"1T_ ,IRTNIENT _.. ..,..� CONI&INGF - ,C TINO Di J N /� � gyp,_PT d O r ,kiST be,-0 at the This set of plans end spe,:D'gcatidns f�, job 31'LE during cdns'tFUCIIO91, St ks Unla%v`''I t0 I ' "�y c1-13r?y:5 or a lt0rations on O lC le,dr t0 u.: therefrom,without approval from tide 8ai14 ns Cilcial. The eL;roping of this plan and specifications S11,--ALL NOT be held to pe. alit or to be aiin C'PPl,crJai of jj)3 v:&'Z.On of any provisions df any City rdin"� e dr Scat`Law. 1yaOF !r1 Z BY--,.2 . Dt3.TE 110,9 PERMIT NO. 4 rl J