15040140CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7946 CRANBERRY CIR
CONTRACTOR: LIN MICHAEL C AND
PERMIT NO: 15040140
ATHENA C
OWNER'S NAME: LIN MICHAEL C AND ATHENA C
7946 CRANBERRY CIR
DATE ISSUED: 07/14/2015
OWNER'S PHONE: 4083688966
CUPERTINO, CA 95014-4923
PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
CONSTRUCT ONE STORY ADDITION (282 SQ FT);
License Class Lic.#
REMODEL
Contractor&
Date
RECONFIGURE INTERIOR (450 S.F.); REMODEL
KITCHEN
I hereby affirm that I am licensed under the provisions of Chapter 9
(180 SQ FT); REMODEL (3) BATHS (150 SQ FT);
(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
Sq. Ft Floor Area:
Valuation: $200000
performance of the work for which this permit is issued.
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
permit is issued.
APN Number: 36203013.00
Occupancy Type:
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
to building construction, and hereby authorize representatives of this city to enter
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
180 D S FROM LAST CALLED INSPECTI N.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of thej
granting of this permit. Additionally, the applicant understands and will comply
Issued by: Date: J
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature Date
RE -ROOFS:
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:
I, as owner of the property, or my employees with wages as their sole compensation,
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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
I hereby affirm under penalty of perjury one of the following three
California, Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Health & Safety Code, Section 25532(a) should I store or handle hazardous
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 255505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
ermit is issued.
Owner or authorized agent: V" Date:
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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
ARCHITECT'S DECLARATION
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 r uI tions per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature
Date
CUPERTINO
ae
CONSTRUCTION PERMIT APPLICATION o`Ramak
COMMUNITY DEVELOPMENT DEPARTMENT •BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 �0
(408) 777-3228 • FAX (408) 777-3333 • building a().cupertino.orq
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PROJECT ADDRESS ,
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❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT � ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME ,T—,
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECT/ENGINEERNAME 77\\ ii�
LICENSE NUMBER
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DESCRIPTION OF WORK 4L
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CONSTR TYPE
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USE TYPE OCC.
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VALUATION (S)
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AREA .Z 4,c{
AREA i -7.75
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NET AREA
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REMODEL AREA LT7c�
REMODEL AREA 1 REMODEL AREA 4�'--
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
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GARAGE AREA: DETACH
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`ATTACH
# DWELLING UNITS:
1S A SECOND UNIT ❑ YES
SECOND STORY []YES
BEING ADDED? "t. O
ADDITION? []NO
PRE -APPLICATION ❑\YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑YES
u RECEI $ TOTAL VALUATION:
PLANNING APPL # WO PLANNING APPROVAL LETTER
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By my signature below, I certify to each of the following: I am the property owner or authoriz nt to act o property o ehalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify ' sac agree to comply with all applicable local
ordinances and state laws re to building construction. I authorize representatives of Cupertino to enter t e above -identified property for inspection purposes.
Signature of Applicant/Ag ' Date:
SUPPLEMENTAL INFORMA IO QE D°t
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4L��BUIIDINGPL�ATREVIEWx
New SFD or Multifamilydwellings: Apply for demolition permit for"
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existing building(s). Demolition permit is required prior to issuance of building�FVER&M
A- O�ERTH1rGOiTI�TER
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permit or newbuilding.
P if
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Bldgs: Provide a completed Hazardous Materials Disclosure
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_Commercial
form if any Hazardous Materials are being used as part of this project.
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Copy of Planning Approval Letter or Meeting with Planning prior to
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submittal of Building Permit application.
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BIdgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FF.F F.crrnvr A Tn-R _ R1TII .DING i11VISION
im,ADDRESS:
7946 cranberry cir
DATE: 04/21/2015
REVIEWED BY: melissa
PC FEE ID
APN: 362 03 013
BP#: S'0(1I?
*VALUATION:
J$200,000
%PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY
USE: SFD or Duplex
2nd Unit? Yes !) No
, OTC? 0 Yes E)No
PENTAMATION 1 R3SFDADD
PERMIT TYPE: A
WORK I
ADD 282 S.F. TO CREATE N ENTRY ADD N BATH & ENLARGE E BEDROOMS. REMODEL &
SCOPE IRECONFIGURE
INTERIOR (450 S.F.), REMODEL KITCHEN (180 S.F.) &3 (E) BATHS (150 S.F.), p
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
R-3 (Custom)
II-B,111-B,IV,V-B
282
$1,626.00
IADDPLCK
$1,323.00
1ADDINSP
PME Plan Check:
$0.00
150 s.f.
$645.00
Remodel, Bath (<=300 sf)
1REMRESBAT
Permit Fee: Hourly Only? 0 Yes (F) No
$1,323.00
Suppl. Insp. Fee:(j) Reg. 0 OT
0.0
hrs
$0.00
180 s.f. Remodel, Kitchen (<=300 sf)
$645.00 I MMRESKIT
PME Unit Fee:
$0.00
PME Permit Fee:
$48.00
200 amps Electrical
IBELEC200 Services
Construction :lax: -T7$48.00
TOTALS:
282
$1,626.00
> ,
$1,323.00
Window / Sliding Glass Door
1 WINREP Replacement
Xlech. Plan Check Phusb. Plant Check
Tech. Permit Fee: I Pkrmb. Permit Fee:
Ointer lfech. Irasp. I ' 0tker Plumb Insp.
Weelt. liup. Fee: u Phmib. hasp. Fee:
NOTE! Thic estimate dnes not include fees due to other Departments (Le.
Elec. Plan Check 10.0 1 hrs $0.00
Elec. Permit Fee: IEPERMIT
Other Elec. Insp. 0.0 hrs 1 $48.00
[Elec. Inst' -i. Lee: -
Public Works, Fire, Sanitary Sewer District, School
D' tr' t tG These ees are based on the relimina information available and are on1v an estimate. Contact the Dept for addn't to o.
is is , e
FEE ITEMS (Fee Resolution 11-053 E . 7f /f 1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$1,626.00
DKI s.f.
$503.00
Remodel, Other
IREMRESOTH
Suppl. PC Fee: (F) Reg. 0 OT 1
0.0
hrs
$0.00
PME Plan Check:
$0.00
150 s.f.
$645.00
Remodel, Bath (<=300 sf)
1REMRESBAT
Permit Fee: Hourly Only? 0 Yes (F) No
$1,323.00
Suppl. Insp. Fee:(j) Reg. 0 OT
0.0
hrs
$0.00
180 s.f. Remodel, Kitchen (<=300 sf)
$645.00 I MMRESKIT
PME Unit Fee:
$0.00
PME Permit Fee:
$48.00
200 amps Electrical
IBELEC200 Services
Construction :lax: -T7$48.00
Adininistrative> Fce:
I #
$574.001
Window / Sliding Glass Door
1 WINREP Replacement
0
0
Work Without Permit? 0 Yes (F) No
$0.00
Advanced Planning Fee: IPLLONGR
$39.48
Select a Non -Residential 0
Building or Structure 0
1
Travel Documentation Fee: ITRAVDOC
$48.00
Strong Motion Fee: 1BSEISMICR
$26.00
2.0 hrs
$286.00
Inspections
ISTINSP Inspection, Hourly
B1dgStds Commission Fee: IBCBSC
$8.00
j 3 SI7BTOTAI,S
uk.
$3,118.48
$2,701.00
TOTAL FEES
$5,819.48
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