14120059 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7330 RAINBOW DR CONTRACTOR—TBP-40 BE PERMIT NO: 14120059
D£+E tVtTNED
OWNER'S NAME: THE BEEDLE FAMILY , 1 DATE ISSUED: 12/11/2014
OWNER'S PHONE: 4086748997 PHONE NO:
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL
REPLACE 11 (E)DOORS,4(E)SLIDING GLASS DOORS&
License Class C �� Lic.# 96`1 11 (E)WINDOWS,LIKE FOR LIKE,SAME LOCATIONS
Contractor�A %,�[e �z�n�'s Date �2 '��' A0110 REQUIRED
MEET EGRESS&BE TEMPERED WHERE
REQUIRED BY
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:$17500
I have and will maintain Worker's Compensation Insurance,as provided for by
Sect'on 3700 of the Labor Code,for the performance of the work for which this APN Number:36619079 00 Occupancy Type:
peissued.
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 1 OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives ofthis city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS O ST 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
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.
IZ_�i y 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(See.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 2550!5p533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this �2"�/�
permit is issued. Owner or authorized agent: Date:
/2
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
CONSTRUCTION PERMIT APPLICATION �O
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 \
08 7 -3228• FAX 408 777-3333-buildin cu ertino.or
CUPERTINO (4 )7 7 ( ) Qun p 4
❑NEW CONSTRUCTION ❑ ADDITION 52ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECTADDRESS 33� n I �/a. /�_ /�APN# — I D 1
OwNERNAME 21Le � &6ZCF �J / PHONE�j� E-MAIL
STREET ADDRESS/0 3 Z / �')' % Q' CITY, STATE,ZVIP�1/+ _�d ICd �SO I FAX
CONTACT NAMEbI�n1_a` 6' je��ev PHONE�`��&63-0639 ��'"re,{4,¢�iFdS`1'►��4 %�,ewf.ltyy
STREET ADDRESS y yl, jC �r 64 0246' CITY.STATE,zl 4utt ONT 11"102
FAX/'(� 4W-000
❑OWNER ❑ OWNER-BUILDER ❑ OwNEKAGENT 17 CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME/1 ,[.J / LICENSE NUMBER(�� r LICENSE TYPE ,/� BUS.LIC#
COMPANY NAME�Q�� �j SII` (� ^ E-MAIL / / FAX
S /C./TVI
STREET ADDRESS^ Ji// N' /��, L 20 6 CITY,STATE,ZIP ff �D�Tp4� PHONE/'�O
ARCHITECT/ENGTNE7ER7NAME F, LICENSE NUMBER (' BUS.LIC# v V
COMPANY NAME E-MAIL FAX
__TSTREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK {�„ n
zo/Z Z S.
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
4�S� ✓ A� ^AS.'Q7-�A� ��� USE TYPE OCC. SQ.FT. VALUATION(S)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NET AREA (�
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH
❑ATTACH
#DWELLING UNITS: IS A SECOND UNIT ❑YES ISECONDSTORY ❑YES
BEING ADDED? PONO ADDITION? PINO
PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES i REC 'YE s TAL VALUATION:
PLANNING APPL# []NO PLANNNGAPPROVAL LETTER EICHLERHOME? ❑NO ?;'' .._�^ k '� I_TJr)' CO�.00
By my signature below,I certify to each of the :followin I am the pr erty owner or authorized agent to n property owner's behalf. I have read this
application and the information I have provided is co I have re the Description of Work and verify it is curate. I agree to comply with all applicable local
ordinances and state laws relating to building cons n. ze representatives of Cupertino to enter the above-identified propertyfor inspection purposes.
Signature of Applicant/Agent: Date: 12 1 d1
SUPPLEMENTAL INFORMATION REQUIRED �_ralv,clrecltTi�E,..: - RovTiNcsLIP
New SFD or Multifamily dwellings: Apply for demolition permit for ❑OVER-THE couNTE ❑
R r -Buubmc PLAN REVIEW'
existing building(s). Demolition permit is required prior to issuance of building
permit for new building. 0�XPRESS k�""; ❑ rLANnmc PLAI\REVIEW "�
_ �
_Commercial Bldgs: Provide a completed Hazardous Materials DisclosureCOY
♦] sTAnnaRD+ ❑jPVBLIcwoRT<s
form if any Hazardous Materials are being used as part of this project. , 3
❑aI ATtGE x�
vv
_Copy of Planning Approval Letter or Meeting with Planning prior to
�Q��fAJOR,#� � 0 SAi�ITARYSE\VER-DISTRICT
submittal of Building Permit application. rY 4
J `„EI\�IROlYI�tEI1TAI:HEALTF[ -
Bldg4pp 2011.doc revised 06/21111
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 7330 RAINBOW DR DATE: 12/11/2014 REVIEWED BY: MELISSA
APN: 366 19 079 BP#: *VALUATION: 1$17,500
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY Multi-Family Dwelling Building is PENTAMATION 1GENRES
USE: >3 Stories 0 Yes (D No PERMIT TYPE:
WORK REPLACE 11 E DOORS 4 E SLIDING GLASS DOORS & 11 E WINDOWS LIKE FOR LIKE
SCOPE SAME LOCATIONS (WILL MEET EGRESS & BE TEMPERED WHERE REQUIRED BY CODE)
EJr. ! r.rr t drclr Ptrrruh. Pin Cfnuk Ph""""1 t nccC'{
F�17T'r>rrtrri Fee' Plumb. Pruni!lec
Other Pit rn17 Irt,sr?.
14c,,h. Mv)s P ccs Pha+rt r. Lull. Fees
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 De t or addn'l info.
FEE ITEMS (Fee Resolution 11-053 Ef. 711113) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 F-26-1 # Window/Sliding Glass Door
Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 $860.00 IWINREP Replacement
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp. Fee:Q Reg. 0 OT 0.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Work Without Permit? ® Yes (F) No $0.00
Advanced Planning Fee: $0.00 Select a Non-Residential
' tt��Ci� 77 Building or Structure
l F c,I ( V2+x tf'F2ILdt NJI'1 f`"Lf�.S`.
Strong-Motion Fee: 1BSEISMICR $2.28 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
$3.28 $860.00L'FEE: 863.28
TOT $
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Revised: 10/01/2014
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION - CUPERTINO
2 APPROVED - 2—;- N
This set of plans and specifications MUST be kept at the
w;NPm"' ev/se.
QAA%5 job site during construction. It is unlawful to make any
T° tA changes or alterations on same, or to deviate T'
(� therefrom,without approval from the Building Official. €K"'c';
The Stamping ofpthilannd specifications SHALL NOTbe held top rman approval of the violation
of any provisionity Ordinance or State Law.
BY
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ERTINO
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