15040152a
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 18650 RUNO CT
CONTRACTOR: PAB CONSTRUCTION
PERMIT NO: 15040152
INC
OWNER'S NAME: MORRIS MANDEL
21060 HOMESTEAD RD STE 216
DATE ISSUED: 08/10/2015
OWNER'S PHONE: 4082555905
CUPERTINO, CA 95014
PHONE NO:
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
CONSTRUCT (N) 2 STORY SFD WITH 1,170 S.F. ON THE
License Class_ Lic. #�
1ST STORY, 856 S.F ON THE 2ND STORY, 439 S.F.
Contractor \� ,.i n '� '� Uc �Pate� c— ` 6j
ATTACHED GARAGE & 343 S.F FOR
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
Sq. Ft Floor Area:
Valuation: $419000
erformance 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.
APN Number 37525030.00
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
WITHIN 180 DAYS O + T 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 DAYS FRONI-ILAST<AALLED 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
isstilr 8
granting of this permit. dditionally, the applicant understands and will comply
_ _
with all non -point sour c egu ti ns per the Cupertino Municipal Code, Section
9.18.
Signature Date S
�RNE- ROOFS:
All roofs shall be inspect 'rior 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.
13 O R- 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 (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 Ar Ai Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cupert' o n' ipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 25505 55 , nd 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent Date: ir°— —
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
CONSTRUCTIO 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
9.18.
Signature Date
CUPERTIINO
/ c7'_
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • building acupertino.org
[KNEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS 18650 Runo Court
APN � 375-25-030
OWNERNAME Shhuhong & Morris Mandel
PHONE (408) 255 -5905
E-MAILmorrismandel@aol.com
STREET ADDRESS 18650 Runo Court
CITY, STATE, ZIP Cupertino, CA 95014
FAX
CONTACT NAME Morris Mandel
PHONE(408) 255 -5905
E -MAIL morrismandel @aol -corn
STREET ADDRESS 18650 Runo Court
__
CITY, STATE, ZIP Cupertino, CA 95014 T.AX
PQ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME T� F
LICENSE NUMBER
LICENSE TYPE
BUS. LIC k
COMPANY NAME
E -MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
CHITECT /EN NAME
LICENSE NUMBER
BUS. LIC #
pGyINEEER
�I��y gy
COMPANYNAME
E-MAIL
1
FAx
• •
STREET ADDRESS W V3 a
CITY, STATE. LIP 615 811
��
PHONE Z'
l
DESCRIPTION OF WORK New two story residence � I C °7'® ° tt�"ers' f LA®p t �-
. r 3el dJl ai-. Q. 4g---4w cc r Q o
EXISTING USE
R -3 /U
PROPOSED USE CONSTA
R -3 /U
TYP9
V -B
# STORIES
2
USE
TYPE
OCC.
SQ.FT.
VALUATION (S)
p
EEG 1,258
A
AREAFL00�,465
DREG 1,258
I TOTAL
NET AREA 1,207
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: U DETACH.
145
198
343
1439 ® ATTACH
# DWELLING UNITS:
IS A SECOND UNIT 13-YES
SECOND STORY E3 YES
1
BEING ADDED? ®NO
ADDITION? IMNO
PRE - APPLICATION 29 YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
TOTAL VALUATION:
PLANNING APPL k NO PLANNING APPROVAL LETTER
R- 2014 -46 & -R
M- 2014 -34
EICHLER HONIE? ® NO
t,.
��ye
By my signature below, l certify to each of the following: I am the property owner or aut agent on pro owner's behalf. I have read this
application and the information I have provided is correct. I have read the Descripti ork an nfy i acc 1 agree to comply with all applicable local
ordinances and state laws relating to buil ing co structioll. uthorize representatives of Cupe IIO to en a identified property for inspection purposes.
��o //ve-
Signature of Applicant/Agent: c � ; Date: 6°-° a
r
SUPPLEMENTAL INFOR TION REQUIRED
PLAN &ECK TXPE
RowrtivG sl tr
OVER THE- COIJNTER �
-'
0 BI7II,pING PLAN REVIEW
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
i
permit for new building.
❑'F- 6ittSS'
I�' PLANNING PLAN REVIEW
Commercial .Bldgs: Provide a completed Hazardous Materials Disclosure
O- RTANDA. RD
PU$LIC lVORIfS .
form if any Hazardous Materials are being used as part of this project.
`LARGE °
D .FIRE DEPT
Copy of Planning Approval Letter or Meeting with Planning prior to
p 'rvrAaoR y
❑ ,SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIROI`&'MENTAL HEALTH
BldgApp_2011.doc revised 0621111
,�� CITY OF CUPERTINO
1 IPFF 1.4Zrrnv4 A Tnu _ RTTTT .DING DIVISION
ii,
ADDRESS: 18650 RUNO CT
DATE: 04/21/2015
REVIEWED BY: MELISSA
PC FEE ID
APN: 375 25 030
BP #: �� � /,�c —
*VALUATION:
$419,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: New Construction
PRIMARY SFD or Du lex
USE: P
2nd Unit? Yes •F No
PENTAMATION 1 R3SFDW
PERMIT TYPE:
WORK
CONSTRUCT N 2 STORY SFD WITH 1 170 S.F. ON THE 1 ST STORY 856 S.F ON THE 2ND
SCOPE
STORY, 439 S.F. ATTACHED GARAGE & 343 S.F FOR PATIO /BALCONIES
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
2,808
$3,046.44
IR3PLNCK
$2,964.52
1R31NSP
Permit Fee:
$2,964.52
Suppl. Insp. Fee-IS Reg. Q OT
0.0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: 1BCONSTAXR 1
#
units new
$ 677.77
Administrative F,ee:
0
0
Work Without Permit? 0 Yes (F) No
$0.00
Advanced Planning Fee: IPLLONGR
TOTALS:
2,808
$3,046.44
$2,964 52
$54.47
,tech. Plan ('heck 11I117b. Plan ( "heck Elec. Plan Check
Lleclr. Permit Pere Plumb. Permir hire.: Islzc. 1'errrrir Fee:
Outer ;i /ec•h. lrrsp.
. -Wech, hisp. Fee:
Other Plumb Insp.
11herrrb. hisp. Fee:
Other E"Iee. InsE,. J
lslec. hvp, Fee:
NOTE: This estimate does not include fees due to other Departments (Le. rtanntng, ruDuc sr urns, r1re, 0urst[ury ueWC1 anus. wry
.. .. ___� --- ....1........s:...s.. /',..,s..nlsl.nl)onrfnrnd/In ' llnn_
U6sInct, etc.. l nese JcLa ure D[tseu ua trta
FEE ITEMS (Fee Resolution 11 -053 Ef f 7 11/13)
FEE
QTY/FEE
-
MISC ITEMS
Plan Check Fee:
$3,046.44
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: Q Reg. OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$2,964.52
Suppl. Insp. Fee-IS Reg. Q OT
0.0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: 1BCONSTAXR 1
#
units new
$ 677.77
Administrative F,ee:
0
0
Work Without Permit? 0 Yes (F) No
$0.00
Advanced Planning Fee: IPLLONGR
$393.12
Select a Non - Residential E)
Building or Structure 0
A
Trurel Doetanentation Fees:
Strong Motion Fee: IBSEISMICR
$54.47
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$17.00
SUBTQTALS;
$7,153.32
$0.00 TOxALFE..,
$7,153.32
Revised: 04/01/2015
Building Department
. City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014 -3255
Telephone: 408 - 777 -3228
C U P E RT I N O Fax: 408 - 777 -3333
CONTRACTOR / SUBCONTRACTOR LIST
JOB ADDRESS: V6&5(3 &5(3 12U j)a C t.
PERMIT # i 4 v I Z
OWNER'S NAME: m tr 1 g M C. 1
PHONE # 140, &- J� Q q— 95 Q S
GENERAL CONTRACTOR:
BUSINESS LICENSE # 14 i ' �rq
ADDRESS: 21n 60, NQ m e g kek<
CITY /ZIPCODE:C U Pe -r ',►a Q50 I
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature
Please check applicable subcontractors and complete the following information: -
Date
V
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Q Q_b eA Cc iyn s U CAN' QY)
Electrical
kl� \e S S l 1 eCA Y i C
2 8 R\ 1
Excavation
Q &1P e\ Cc nS b V C fi i Q»
3 3 5 L Q
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
//C 6 VN Cc.\ V, ea,� j »
3.(3 �56 t
Insulation
Landscaping
Lathing
d as e \ Ce.r Sfi C d al Q
Masonry
a� 2) ee r S f U ct j ery,
7S 3 5
Painting / Wallpaper
Paving
Plastering
(3 a,b e Ca,0 's, f v
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner intra for Signature
o2,'2 '+-�6
Date