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15070196I CITY OF CUPERTINO BUILDING PERMIT IBUILDING ADDRESS: 10731 WUNDERLICH DR I NONTRACTOR: MAY CONSTRUCTION I PERMIT NO: 15070196 OWNER'S NAME: License Class Y, Lic. # S Zq 9 S Z Contractors lyi ty Date I Vi 11 ()_ I hereby affirm that 1 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. 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. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will com with all non -point source regulations per the Cupertino Municipal Code, ion 9.18. Signature Date % 7-4 S ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. 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. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the 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. Date I IS PHELAN AVE STE 3 1 DATE ISSUED: 07/29/2015 SAN JOSE, CA 95112 1 PHONE NO: (408)294 -6763 JOB DESCRIPTION: RESIDENTIAL [] COMMERCIAL ❑ CREATE NEW ADDITION OF MASTER BATHROOM, MASTER BEDROOM AND WARDROBE (450 S.F.), INSTALL NEW A/C UNIT IN SAME LOCATION Sq. Ft Floor Area: I Valuation: $95000 aPN Number: 37529002.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS ST D INSPECTION. by: Date: Z 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. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: / Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10731 WUNDERLICH DR CONTRACTOR: MAY CONSTRUCTION PERMIT NO: 15070196 INC OWNER'S NAME: License Class_ Lic. # S Z 9 '1S Z- Contractor MO'l Date '8 `1' 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 erfonnance of the work for which this permit is issued. 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. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the 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. Signature/ �__�— Date ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three 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. 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. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the 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. Signature Date SAN JOSE, CA 95112 1 PHONE NO: (408)294 -6763 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ CREATE NEW ADDITION OF MASTER BATHROOM, MASTER BEDROOM AND WARDROBE (450 S.F.), INSTALL NEW A/C UNIT IN SAME LOCATION REVISION #1: REVISE STRUCTURAL DETAIL FOR RAISED STEM WALL FOR CLEARANCE. ISSUED 8- 28 -15. Sq. Ft Floor Area: I % aluation: $95000 APN Number: 37529002.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, 1 agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, 25534. Owner or authorized agent: & /�- Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION 1A, ADDRESS: 10731 WUNDERLICH LANE DATE: 08/28/2015 REVIEWED BY: SEAN 1feeh. Permit Fee' APN: BP #: 0 � `f - VALUATION: $0 %PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: Elec. Insp. 14,, PENTAMATION 1GENRES I PERMIT TYPE: WORK REVISION #1: REVISE STRUCTURAL DETAIL FOR RAISED STEM WALL FOR GRADE SCOPE CLEARANCE. 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 Preliminary information available and are only an estimate. Contact the Deptjor addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 7/1/13) Hech. Plan Check '!ions. Plan (:'heck Elec. Plan Check 1feeh. Permit Fee' Plumb. Permit Fee: lilec- Per nir 1,ee: Other Alech. Insp. 'rncr Numb Insp- Other Elce. Insp 11ech. Insp. /nInh 1,;'p. Fc" Elec. Insp. 14,, 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 Preliminary information available and are only an estimate. Contact the Deptjor addn'l info. FEE ITEMS (Fee Resolution 11 -053 Eff 7/1/13) FEE QTY /FEE MISC ITEMS Plan Check Fee: Hourly Only? ® Yes (2) No $0.00 0 hours Plan Check, Hourly $143.00 ISTPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee a Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tar: Idininistrative Fee: O Work Without Permit? O Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential I Building or Structure 0 i 7'ruvel Documenlation Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.001 $143.00 TOTAL FEE: $143.00 Revised: 07/02/2015 �—��,�,�,� CITY OF CUPERTINO 1M/ I FEE ESTIMATOR — BUILDING DIVISION l'/ A 2 ADDRESS: 10731 WUNDERLICH DR DATE: 07/28/2015 REVIEWED BY: PAUL PC FEE ID APN: 375 29 002 BP #: � V2 'VALUATION: 1$95,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY USE: SFD or Duplex 2nd Unit? Yes • No OTC? © Yes (D No PENTAMATION PERMIT TYPE: 1 R3SFDADD WORK Create new addition of Master Bathroom Master Bedroom and Wardrobe 450 S.f. Install new A/c SCOPE unit in same location 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 450 $1,626.00 1ADDPLCK $1,323.00 IADDINSP 'cc. Insyl. $1, 323.00 Suppl. Insp. Fee a Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 Construction Tax: Idministrative Fee: O O Work Without Permit? O Yes Q No $0.00 TOTALS: 450 $1,626.00 Travel Documentation Fee: ITRAVDOC $1,323.00 Strong Motion Fee: IBSEISMICR MECH, HOURLY O Yes 0 No PLUMB, HOURLY Q Yes Q No F.LEC, HOURLY Q Yes Q No Mech. Plan Check 0.0 hrs $0.00 Phwih. Plan C h, Plan Check Mech. Permit Fee: IMPERMIT /'luml, 1, Ft. --IOther Mech. Insp. D hrs $48.00 Ocher Phirab hit /, Other /i /cc. Ins 1 -tech. Insp. / ,, PhImh. /us'p. / c", 'cc. Insyl. 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 Dreliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11 -053 E . 7`1 '13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,626.00 = # Mechanic 1 $72.00 IBREMAIR "001 A/C Units ( < =10K cfm) Suppl. PC Fee: Q Reg. © OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1, 323.00 Suppl. Insp. Fee a Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 Construction Tax: Idministrative Fee: O O Work Without Permit? O Yes Q No $0.00 Advanced Planning Fee. IPLLONGR $63.00 Select a Non - Residential O Building or Structure O i Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICR $12.35 Select an Administrative Item Bld,e Stds Commission Fee: IRCRSC $4.00 SUBTOTALS: $3,124.35 $72.00 TOTAL FEE: $3,196.35 Revised: 07/02/2015