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15030126 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7453 HEATHERWOOD DR CONTRACTOR RF PERMIT NO: 15030126 DETERMINED OWNER'S NAME: MIKE PENNINGTON ;. ��7( o 1'f-L DATE ISSUED:03/20/2015 OWNER'S PHONE: 4088163285 r Z PHONE NO: ® LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:R 'SIDENTIAL ❑ COMMERCIAL REMODEL KITCHEN(300 SQ FT); (2)BATHROOMS(139 SQ License Class �2 Lic.# �L��� FT)TO INCLUDE M,E,P'S Contractor c;So(?(, A-N,t C,(A— Date 3 IS 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 thatmymy license is in full force and effect. I here4� f . nu der 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:$40000 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:35926047 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 DA O LAST 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 comply Issued by: Date. with all non-point source regulations per the Cupertino Municipal Code,Section 918. RE-ROOFS: SignatureCQA)1_Q_ 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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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 25505, 5533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this 3 Zd 16 Owner or authorized agent: Date: 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION (� 10300 TORRE AVENUE•CUPERTINO, CA 05014-3255 B. (408)77773228• FAX(408)777-3333•building aacupertino.org CUPERTINO F1 NEW_CONSTRUCTIO.N E_ADDITION [] ALTERATION/TI ❑. REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 3 �'H�le Wuu R QWTiO APN4So N'^ G t!/ OVINERNAME1 I PHOt E i y EMAIL / B 4,Coln STREET ADDRESS" 7,-4S- 3 t.{,ev+1lf�woo oo AD 0�I CITY. STATE,ZIP.�����b I FAX . CONTACT NAME U l � I PH01 E, ��� `I 1 �Q E-MAIL STREET ADDRESS CITY,STATE,,ZIP FAX - .. 'OWNER OWNER-BUILDER"' O'VANIERAGENT `� CONTRACTOR ❑CONTRACTORAGENr ❑ ,ARCHITECT ❑ENGINEER DEVELOPER TENANT CONTRACTOR NAME 660 . n S Ll L d LICENSE NUMBER ,q' LICENSE ME tL BL'S.LIC. COMPANYNAME V�t- r` E-MAIL I�w`�lG�a"/' / FAX STREET ADDRESS ' 3 �4J D ©�- CITY,STATE,ZIP S,�.\ �'�•� /� - 1�) PHOATB/ �'/ q^�qG I ARCMTECT/ENGINEER NAME LICENSE NUMBER 'lu' �Pt BUS.LIICC4 '-C COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK l/ F-1 ITGC�IT� L �tL►�$L� l�ur � \ t�per, 9 ^ " 'r EXISTING USE PROPOSED USE CONSTR TYPE -STORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMOTOTAL AREA AREA INET AREA BATHROOM KITCHEN KITCHEN OTHER REMODEL Rb 9 1 REMODEL U M40DEL AREA PORCH AREADECK AREA TOTAL DECK&ORCH AREA I GARAGE AREA: DETACH ❑ATTACH m DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF I 1S THE BLDG AN ❑YES \' Qzo TOTAL VALUATION: PLAN`1INGAPPLR ❑NO PLANI�TII�GAPPROVALLETTER EICHLERHONIE? ❑-NO � -- By my signature below,I certify to each of the following: I am the property owner or authorized age6.W_a-_t_.QA 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 la\vs relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. SignatureofApplicant/Agent: � ^-�/Qf- Date: ` c- SUPPLEMENTAL INFORMATION REQUIRED New SFD or Multifamily dwellings: Apply for demolition permit forLY x OVERTE>rCOUNTER BUIL7)L\GPL42�12E\�V1 existing building s), Demolition permit is required prior to issuance of building -7� � permit for new building. iff` Ess Commercial Bldgs: Provide a completed Hazardous Materials Disclosure �ss "� ` " Z � form if any Hazardous Materials are being used as part of this project. �` 4 s - e'- �L GS I-=r a=��+�? � I.k21•D�PT� `��'�'� .�� Copy of Planning Approval Letter or Meeting with Planning prior toJIM g 4x � sai�rtARY s{ E�T C� submittal of Building Permit application. '� � _ u BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 7453 heaterwood dr DATE: 03/20/2015 REVIEWED BY: Mendez 191APN: BP#: "VALUATION: 1$40,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1 R3SFDREM USE: p PERMIT TYPE: A WORK remodel kitchen 300 s ft 2 bathrooms 139 s ft to include m e 's SCOPE ,3 a w v x E ._.__ .�its' _"'� _."----�MR,!,�f.. . . -r. 11ec7r. Plan Check Plumb. Plan Check Elec. Plan Check Fleck_ Permit Fee: Plumb. Pel-Mit Fee: Elec. Permit J ee CJXfaer :1/ech. lnsp. 0111er-Plump Insp_ 0 oflwf�Elec.Imp. E3--L- aleck. h j). Fee: Plumb. huh.Fee: Elec.Imp.Fee-, NOTE:This estimate does not include fees due to other Departments(Le,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'1 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 300 s.f. Remodel,Kitchen(<=300 sf) Suppl.PC Fee: (F) Reg. ® OT0.0 hrs $0.00 $645.00 IREMRESKIT 'Al PME Plan Check: $0.00 139 s.f. Remodel,Bath(<=300 sf) Permit Fee: $0.00 $645.00 IREMRESBAT Suppl. Insp.Fee-.0 Reg. ® OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (,'onsirnetian Zax: Administrative Fee: Work Without Permit? ® Yes 19 No $0.00 E) Advanced Planning Fee: $0.00 Select a Non-Residential 0 Building or Structure 0 Travel Doebonentation Fees: i Strong Motion Fee: IBSEISMICR $5.20 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 RLF $7.20 $1,290.00 " TO LTi $1,297.20 , Revised: 02/14/2015 135" 76" is C.7 s_ C.X E CI) > gn C" > 1804" low E 74," 1061, 02 ZG -7 -C:3 -C) CO CX 0- .,'.A- (U :-- to 4 N tk1 'n -_ :3 C)0- 9", EC:f, E MMUM7M CU V) LL. S3 LAM 1 0 @ Do� @ 0 ............ ........................ ..........--- CO 3 SISL 24.DISHW W2442 U ;�JRTINO UeOrtment 178 m 24" 24" A 2015 177-"' 24" F_ L-)Kie, �DE COMPLIANCF Reviewed By All dimensions-size designations given are This is an original design and must not be Designed: 2015-3-20 subject to verification on job site and released or copied unless applicable fee has Printed: 2015-3-20 adjustment to fit job conditions. been paid or job order placed. Lu-Kitchen-Existing IFp 1 Drawing#: 1 78•• sa'• i 1351, I 111" 24" i D ;€m 0 0 ---------------- IA I i A A O li N N II O 180x'• I D / I iim 744' 106" ii ITI I i it I I I I I N N N I I I i — e I N B27 DB303424 627 3 O ...; W(J I 0 0 O0 0I N I I W I I I 0 m n li .0, i / ___.__..._.____________--------------- .. ______________ I I I yn / OMW309424 DB303424 24.DISHW SB36 093 5 �i / W362424L O O 424ji N _ / W3042-GL 110" W. 30" �, 30" —f- 24" 354°4" ' 9iL" 36" -------- - -- ,29 _.....-- T—"--f" •------- - 2g�y - eK 62 1JRE TING _____._—._...__- 93" _ —___ 11141, 36" --7L 314" 30" �. 78" '-I� �•O ..Q�J�f�1'flen All dimensions_size designations given are .-This-is-an original design and must not be Designed: 2015-3-17 subject to verification on job site and released or copied unl, s �}r*t� tthas Printed: 2015-3-20 adjustment to fit job conditions. 68r7 part bi~jdior �Jc�v, r',i;�Iit?WE'CI BY Lu-Kitchen Fp 1 Drawing#: 1 901, 24" 66" 12" 7Z— 24" 12" 42" DB12 DB12 TOILET- 0 . .. .. .. .. .. . -4 NIS Remodel Hall Bath �65 Sqft C 0 LO CN 26-1 01 60R-BATH-1 K)J_ 39" 0 ,M @ -J, Uk ONO rtrn e r7 F _ __- 26" 60" .................... Fog,,. All dimensions-size designations given are This is 04b 'nal des'ilghitAof be Designed: 2015-3-20 ki, subject to verification on job site and released o N*WelMtl4f P Printed:2015-3-20 adjustment to fit job conditions. been paid or job order p . say Bathroom Hallway JFp 1 Drawing#: 1 Scale :0 1/2" = F 86 18'. /Z 68-IL" 86-L" 7 ............. 36 ---/.......... .... 33 54;.. 32" N J DB1734 B33 z 24 Co 0moi, F__ r7 jo,=w_� 0 O 6 0) CD 0 Existing Bathroom Layout 0 :3 74Sqft Q C @ N CD 4 N M 0 0 LO CI) __4 LO 00 4 CO ------- -4 (1) -4 CO -0 CO 00 OD I----------- C14 00 io L TO/ILETU1 A - 427"' 40" 18" 6871 ' 86-21-' 86 All dimensions-size designations given are TQ@ original design aid must not be Designed: 2015-3-17 subject to verification on job site and release ai[-.qolOcd unless applicable fee has Printed: 2015-3-20 adjustment to fit job conditions. been taid or jobb I ced. View ea CO&7�11 Bathroom IFp 1 Drawing 4: 1 Scale :0 3/8" = l'