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15040064 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19130 MEIGGS IN CONTRACTOR:THD AT-HOME PERMIT NO: 15040064 SERVICES,INC. OWNER'S NAME: CRITTENDEN KEVIN H AND KATHLEEN L 2690 CUMBERLAND PKWY STE 300 DATE ISSUED:04/08/2015 OWNER'S PHONE: 4082555632 ATLANTA,GA 30339-3913 PHONE NO:(510)731-1004 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL E] 36REPLACE 2(E)WINDOWS,LIKE FOR LIKE License Class ��i 7� Lic.# � Z I Contractor /-i 14yi 5r2t/Date 1-5 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 Valuation:$1372 Vpero6nance of the work for which this permit is issued. Sq.Ft Floor Area: Re and will maintain Worker's Compensation Insurance,as provided for by ion 3700 of the Labor Code,for the performance of the work for which this APN Number:37535045 00 Occupancy Type: p it 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 WITIIIN 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 DAY LA LED 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 ssued ate: granting of this permit. Additionally,the applicant unders d will comply with all non-point source regulations per the Cuperti unicipal 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. ❑ O ILDER DECLARATION Date: Signature of Applicant: I hereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER the following two reasons: 1,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) HAZARDOUS MATERIALS DISCLOSURE I,as owner of the property,am exclusively contracting with licensed contractors to 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 Dis performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Ch .12 and the Health&Safety Code,Sections 25505,25533,and 2553 I have and will maintain Worker's Compensation Insurance,as provided for by 1 S Section 3700 of the Labor Code,for the performance of the work for which this 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 CONSTRUC O DtAGENCY Compensation laws of California. If,after making this certificate of exemption,I I hereby affirm that there is a construction lending agency for the performance of become subject to the Worker's Compensation provisions of the Labor Code,I must work's for which this permit is issued(Sec.3097,Civ C.) forthwith comply with such provisions or this permit shall be deemed revoked. 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 �J ,r.11 b CONSTRUCTION PERMIT APPLICATION V COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION / A 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUpR"T`INO (408)777-3228•FAX(408)777-3333•building guaertino.org \� ❑NEW CONSTRUCTION ❑ ""A///D���DITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS i 9 O (� / A�� APN# �L 1 � C) y ` OWNER NAME t"'t (,�Fi- PHONE 7 E-MAIL J IgE GZ• -- �� a -ZS • S 3 z STREET ADDRESS ! IP FAX .- GG o- pea-TI/vDG'ALei CONTACT NAME JEFF RAINEY PHONE 510-427-4260 E-MAILJEFFREY.RAINEY@ATT.NET STREET ADDRESS 1069 EDGEMERE LANE CITY,STATE,ZIP HAYWARD, CA 94545 FAX 510-783-1041 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR `0 CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# 836021 B,C39,C13,C17 COMPANY NAME THD AT HOME SERVICES EMAIL FAX 510-783-1041 STREET ADDRESS 2456 VERNA COURT CITY,STATE,ZIP SAN LEANDRO,CA 94577 PHONE 510-7 8 5-6 3 4 0 ARCHITECT/ENGEVEER NAME LICENSE NUMBER BUS.LIC# COMPANYNAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP ` PHONE DESCRIPTION OF WORK I I�— I JQ r aM f 01 I;moo_ N Ir - O c r^7 L- 6-tt,4- EXISTING USE PROPOSED USE CONSTR.TYPE I #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM I KITCHEN OTHER REMODELAREA REMODELAREA REMODELAREA 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 PR&APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YESL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO , Z cJfl By my signature below,I certify to each of the following: I am the property owner or rized1gent to act the pro 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 Os ace . I agree to comply with all applicable local ordinances and state laws relating to building cons thorize representatives of Cua ove-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL]NFORMATIO' D ROUTING SLIP New SFD or Multifamily dwellings: for demolition permit for ��, o" Tai cd nvTrR ❑ s DING PLAN;REVIEW existing building(s). Demolition permi is required prior to issuance of building permit for new building. EXP" S5" ; ❑`P111ANNINGPLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑= sTvnu� El PsLlcwox7es Toni if any Hazardous Materials are being used as part of this project. © tiGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ' submittal of Building Permit application. d MATOR El SANITARY SEWER DISTRICT aw- .w,.,r.,,.w.............A W.. ,❑ EIjV]RQNMFiNTAL.HEALTH_... BldgApp_2011.doc revised 06121111 CITY OF CUPERTINO IsFEE ESTIMATOR-BUILDING DIVISION ADDRESS: 19130 MEIGGS LN DATE: 04/08/2015 REVIEWED BY: MELISSA APN: 375 35 045 BP#: *VALUATION: $1,372 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PENTAMATION 1 GENRES USE: PRIMARY SFD or Duplex PERMIT TYPE: WORK REPLACE 2 E WINDOWS LIKE FOR LIKE SCOPE a a a I� t 'fiF : lm 1" SF:kiS `K leech. flan Check Plumb. Flan Check Eslec. Plan Check :blech. Pernfit Fee: }'lump. Permit F Fie: Flee- Permir Fce: Other..Wcch. Insp. ET-1— Other Plump Ing) ET_L_ Otlaer Elec.Insp. _Tech.Insp. I ice: Plumb. hasp. Tie: Glec.Imp,Eee: 2LJ 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 relimina in ormation available and are only an estimate. Contact the Dept or addn'1 info. FEE ITEMS (Fee Resolution 11-053 Ef. 7/f 1/13) FEE QTY/FEE MISC ITEMS # Window/Sliding Glass Door Plan Check Fee: $0.00 2 Suppl.PC Fee: Q Reg. ® OT 0.0 hrs $0.00 $431.001 IWINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-.0 Reg. ® OT O,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ('orlsiruetion lax: 0 Administrative Fee: Work Without Permit? ® Yes No $0.00 � Advanced Planning Fee: $0.00 Select allon-Residential Building or Structure 0 Travel Docilltiun Fees: A Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg_Stds Commission Fee: IBCBSC $1.00 . . $1.50 $431.00 T AT FEE:;, $432.50 Revised: 04/01/2015 LEGEND: SCOPE OF WORK:INSTALL(2)RETROFIT VINYL,DUAL = ® = RETROFIT WINDOW/PATIO DOOR LOCATION GLAZED,LOW E WINDOWS.NO(N)CONSTRUCTION, H--- (XO) = HORIZONTAL SLIDER FRAMES WILL NOT BE DISTURBED. C BATHROOM NOTE;WINDOWS/PATIO DOORS; w CE m WINDOW(XO) U-FACTOR=0.30 U o Q fiVITY PFV-wI neo., ,T Dr--pARTMENT 45'w x 35 h SHGC =0.25 �U BUiLD°i D14! 1 II CC- 45 Q J__.•_¢ (TEMPERED) w z o � _f Dhns anti �r��f r ;tic° nn[QCT Lm k,-pt at the O)�L tJ' t Cly 1 C I is -w.',.,dl'` I t0°T «ly BATHROOM PII T FILA S CLHC K D P`� _��I;; or ca.l< °: , or t_. rc r....., Q 'IQJ'`L u;?;ICAJc'!I f(L7fY1 iI,E? tS+tiiGlil official. DATE W fi• z.01 �' tIn v inn�s this In c . .a° � IS�..11��.;,o ._�, ifia��icn:,�E}/al,_I NOT PLANNING DEPT b it �^ri„it or>�a b,. , ro�•Jal of <. ` cvi��' ow 1• a;tce or aatc L�w. CUPERTINO Co py, ,1 0.FFl W LIVING ROOM z Q LO WINDOW(XO) J 14+#AQ ENTRY %, 59"w x 60"h 3 -:r, U _ GARAGE Iz 2E z B�Y � \\ SINGLE STORY HOME (FRONT YARD) _Lu o w FLOOR PLAN MEIGGS LANE � r T- U NOTE: 1).SMOKE DETECTORS:WHEN A BUILDING PERMIT IS REQUIRED,SMOKE DETECTORS SHALL BE INSTALLED;(a)IN EACH SLEEPING ROOM,(b)OUTSIDE EACH SEPARATE SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE a,TE ; 04.03.15 `cS ry. Cu BEDROOMS,(c)ON EACH ADDITIONAL STORY OF THE DWELLING,INCLUDING BASEMENTS AND HABITABLE ATTICS BUT NOT INCLUDING CRAWL SPACES AND UNINHABITABLE ATTICS.(CRC 314) BcuE NTS RF AA ��J�lalh�n�l/�A' 2).CARBON MONOXIDE ALARMS:WHERE A PERMIT IS REQUIRED FOR ALTERATIONS,REPAIRS OR ADDITIONS EXCEEDING$1,000.00,EXISTING DWELLINGS OR SLEEPING UNITS THAT HAVE ATTACHED GARAGES OR FUEL BURNING DRAWN By DKW �//�� R OV ry ��/Y,',V APPLIANCES SHALL BE PROVIDED WITH A CARBON MONOXIDE ALARM IN THE FOLLOWING LOCATIONS;(a)OUTSIDE OF EACH SEPARATE DWELLING UNIT SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOM(S),(b)ON ke vI- .U� EVERY LEVEL OF A DWELLING UNIT INCLUDING BASEMENTS.(CBC 420.4,CRC 8315), JOB 8139058 t (HOME OWNER.TO PROVIDE BEFORE FINAL INSPECTION). SHEET A-1 /@ ted By C(jP�7 CO