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15110044CITY OF CUPERTINO BUILDING PERMIT BUIL ING.ADDRESS-..,,J026I ALPINE DR CONTRACTOR-�TBf3P"�E _PERMIT NO: 15110044 BE-TEIng= F OWNER'S NAME:; MUNTAINXIEW PROPS LLP DATE ISSUED: 11/06/2015 OWNEWSPHONE:�;4 8 4741: PHONE NO: : !.,.LtCE'NSEDCONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIALE] c�& 0 -7 Li N., if i0c., 30c Emergency site retaining wall replacement (47LF) 117, T Ile Con t�r, t� I her!eyy,ffiiid;th4i:l:.ani'liciiised finder.the provisions of Chapter 9 ' (commencing1660) of Division on 3 of the Business & Professions Code and that mjjicen§ejs-in full force and effect. I hereby,affrrmunder penalty of perjury one of the following two declarations: I have andlwill:m, a'Gertificate of consent to self -insure for Worker's Ii u rovi e c�qtion 3700 of the Labor Code, for the C ompensatiol jr�; yu,,$ Sq. Ft Floor Area: Valuation: $10000 rforni'a'n-pe of the ich this permit is issued. ::' 'br', 'Ir' '41 avd. andMill, maihtaiu,;, W.:6rker - s Compensation Insurance, as provided for by C d performance of the work for which this Secti6h;3700bfth6 ao e,; or the APN Number: 3261503 1.00 Occupancy Type: : '�i­ permiti§lmu6d, CERTIFICATION I certify that Ihaye-r'e'dthis i4pplicati6h and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree ,to: 7comply with with Al city and county ordinances and state laws relating to building co�n-s't"r:u'c't-i'o'n.,.:a:rid'fierleby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon!.the Eb'Q ...... 41 ,Aiqned 1 4. ' 1' ' ptooerty * for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify iandk&pifiirml6sg� ih6. City of Cupertino against liabilities, judgments, COS6j,andIxpenses. Whkh, Oidy accrue against said City in consequence of the granting of:&s: peAit Adaitlioriallyti applicant understands and will comply Issued by: Date: with"'a'll non-polrit!soiir'6:rtegul regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9. Si 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. ❑ J6iVNER-iitiffiDiR DECLARATION I hereby affirm thdtTam exempt from the Contractor's License Law for one of Signature of Applicant: Date: thitallow tw 9reasons:,:1 towne of the-p'ro ri, employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER pe. y williddthe'Witlrkand,th r6is not intended or offered for sale (Sec.7044, Business.& Pro,` fd�I§ions 6de , I! " I .' '. ..i ll.i" I I ��, ; exclusively contracting with licensed contractors to oWn'e�,of e prope I, �i HAZARDOUS MATERIALS DISCLOSURE cons 6t.,theprclJect(Sec.i,6,,4, Business ,&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the I hereby one of the following three California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will Cupertino Municipal Code, Chapter 9.12 the affirm under penalty of p'e*rj'ury maintain compliance with the and declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and i will'maintain a'Cdtificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Comi)ensationj hg pFovi e or y d d for b' Section 3 700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I perfo i ii 'W" cliklfor�;kfiillh this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maiitain'W6rke�4,s C6mll6rislaiioh Insurance, as provided for by the Health & Safety Code, Sections 25505 25533 and 25534. Secti6n 379,0.of the Labor,Code ifor the performance of the work for which this p ermitis-issue Owner oLrau Date: t ao� I certify,thl�d m"': �`e! o. etllof the work for which this permit is issued, I shall not employ iafiyJ brsol manner so as to become subject to the Worker's I ''. .. i A s of' if6'i�.. If, after making this certificate of exemption, I Compensation CONSTRUCTION LENDING AGENCY ! ! become subject tol or ews -c ompensation 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 piovisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name j; APPLICANT CERTIFICATION Lender's Address I cc�'i tho,;t Ie46' i's.6' plication and state that the above information is correct. I agre comply withall city and county ordinances and state laws relating to building ci n Cho Hereby authorize representatives of this city to enter upon theA e o di property for inspection purposes. (We) agree to save , t, hove;' i , l 0� 1. � ind e'T'! nif�,;and ke6 h I s 'e i of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 1! e may' against said City in of the costs , an expenses which', I understand my plans shall be used as public records. of granting of i§4e'rmk.` Additionally;'the applicant understands and will comply with' all non-pointsource re lations: per the Cupertino Municipal Code, Section Licensed Professional 9.18 i nluid­ Date Signature)!. 'Vil r�[ CUPERTINO, CONSTRUCTION PERMIT APPLICATION COMIdiUNITY DEVELOPMENT DEPARTI\AENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 - buildinge.cuDertino.org ❑ NEW CONSTRUCTION ❑ ADDITION . ❑ ALTERATION / TI ❑ REVISION / DEFERRED 1 15 1 t oo`-1`'1 0RIGINTAL PER1vIIT PROTECT ADDRESS I /-'�I � I If1� �V I APN .. C)N'NERNAIYM1 ` I I PiiOhE Lf7 E -NAIL STREET ADDRESS I CITY, STATE, ZIP I FAX CONTACT NAJME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX E3 O'AgER ❑. OWNER -BUILDER ❑ OWNBR.ACrEN-r CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCI- 1 CT ❑ ENGLN zR ❑ DEN'ELOPEK ❑ TENANT CONiRACfORNAME�g- ; l nom, LICE ISENU]✓,,�ER ` 1` �//''y I LICENSE TYPE I SUS. LIC R COlaANY NAME 9 A E-Ni+IGL+ c FAX LCJ P+S V . ©lV tri N\ 1L0 STREET ADDRESS _ ^ CITY, STIi Z�L L) ?F P_T 1 ` C CA - I�;G PHONE _23 �G _ S ARCHIIECTIENGN-BBFR NAME I LICENSE NUNSER BUS. LIC R COMPANY h'?.1,M �j h E-MAIL FAX STREET ADDRESS � ` � _ � ) ,�J I CITY, STATE; ZIP � I PHONE ` � J � � DESCRIPTION OF WORK QjS �jC G�j 1 11s(? ® 1/V L-1-�.�Y� E)CSTINGUSE PROPOSED USE CONSTRTYPE ISTORLFS I USE TYPE I OCC. I SQ.FT. VALUATIONS) EMSTG NEW FLOOR DE1,40 TOTAL AREA AREA AREA NET AREA F-1 I BATHROOM KITCHEN OTHER REMODEL AREA REMODEL .AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH A.RSA i GARAGE AREA: LJ DETACH ❑ ATTACH DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑Y S BEING ADDED? ❑NO ADDITION? ❑NO PRt-APPLICATION ❑ 1 FS IF YES. PROMiD-- COPY OF IS THE BLDG AN ❑ Y rS Wit, T77 TOTALVALUATION: PLA.N'NINGAPPLR ❑NO PLANNII\IGAPPROVAL LTrER I EICHLERHOME? E] No � ` v By my signature below, I certify to each of the following: I am the property ovmer or authorized agent to act on the p ope,-ty o'wmer'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 a cur e. I a --Tee to comply vrith all applicable local ordinances and state laws relating to building construction. I authorize re esentatives -of Cupertino to enter the ,e-identi led propeny for inspection purposes. j Si�matureofADDlicant/A nt Date: SU -P -1 AL DFMRMATION REQUIRED e:£ PL�I>;CHECKTIYE, - 0ITIZ�GSLIP, New SFD or Multifamily d«-ellings: .Apply for demolition permit for ❑ OZ�R THE=COL-�TER,� ��BU�DLnGPL'�1QRE�SEii� x -i' existing building(s). Demolition permit is required prior to issuance of building permit for new building. EkY12ESS _ PL4\T�L>iGYL�T� RE�aE �' G _ON Commercial Bldgs: Provide a completed Hazardous Materials Disclosure NOT—, ARD cwoRics um' form if any Hazardous Materials are being used as part of this project. form - Copy of Planning Approval Letter or Meeting with Planning prior to NL470RESA�TTAiRYSE�I2�ISTRICT�xf submittal of Building Permit application. ��.F�YSROT�METtT4THEAUTFLs Y_....� Bids-App_2011.doc revised 06/21/11 )c !'ITTTT !\T !'IT TT\T\TITTAT!\ NOTE:: This estimate does not include fees due to other Departments (i.e. Planninv-. 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 Dept for addn'l info. FEE' ITEMS '(Fee` Resolution 11-053 Eff.` 7/1/13) %—I I I %jr %_ U r l`JJN Ili %J FEE ESTIMATOR - BUILDING DIVISION QTY/FEE ADDRESS: 10261 Alphine Dr DATE: 11/06/2015 REVIEWED BY: Phuong APN:. 326-15-031 BP#: 'EVALUATION: j$10,000 *PERMIT TYPE: : Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD, or Duplex hrs PENTAMATION �R USE.: $0.00 PERMIT TYPE: WORK Emergency site retaining wall replacement SCOPE $0.00 NOTE:: This estimate does not include fees due to other Departments (i.e. Planninv-. 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 Dept for addn'l info. FEE' ITEMS '(Fee` Resolution 11-053 Eff.` 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 47 l.f. $859.00 Retaining Wall IRETSTN Standard Retaining Wall Suppl: PC Fee: (E)Reg. -] OT 0.01 hrs $0.00 PNM Plan Check:: $0.00 Permit Fee: $0.00 ' Supp/. Insp., Feer, Reg. 0 OT 0.0 hrs $0.00 PM[E;Unit Fee:, $0.00 PMETermit Tee:' ' $0.00 �,t?J18iYtlC:ldtJ3'I'.ltX�: ' Work Without Permit?' 0 Yes (E) No $0.00 AdvancedTlanniiig Fee:. $0.00 Select a Non -Residential Building or Structure G 0 i r�I.f)r;rikri=.ratrirc3n.IQx�:, Strong Motion Fee:'; IBSEISMICR $1.30 Select an Administrative Item BldgStds Commission Fee: 1BCBSC $1.00 SUBTOTALS $2.30 $859.00 TOTAL FEE , $861.30 Revised: 10/01/2015 =C,-, 001�54- -1 [ 4-, Cir.• q?hip 9tc w a I P. 'JN177 BIIJLUIhICDELc[ r°f, �TiY1E •APPROVED v, O �-�O a ED TF?i;; set of plans lob :}itc� aurin and . Ap. ,�,. Ft,. �g601 rhanr_;�^� constr c.ic, I Is unlat�rful A p It 3 or alterati-e o m to m f�tier9from, without appr vy. ®tea ,. Th9 stamping Of this e uI c '19 Official. be hefci to plan and specifications SHALL of an permit or to be an approval of the violation NOT Y provisions of any City Ordinance or State Law. BY DATE d V PERMIT No.6 �, Q C� �' r�srit REa/1EWEQ FOR r COMPLIANCE C Iv Reviewed BY' �- OFFICE COPY ZSUTTY Job Name: Client Name: Date: Drawn by: Joseph Zsutty, PE Job address: Page 408.313.5363 Phone: Email: jzsutty@aol.com i I i 1 I -CUIPERTINO 4> Ruilding Department E D;;, OR CODE COMPLIANCE eview d By:, I I � , r , I 1 cp I , I ' I hl PLANS C -BV oQoFess►oyq� I 6 45370 2- - yrn JO PH - - DATE _ su �. PLANNING D P � 9-3 -16 �...�* *� -- CUPERTINO CIVIL r FOFCAL1F��� - -- _ -1 -82015 )-8-2015t �-- .ZSUTT� Job Name: _ Date: Client Name: Drawn by: Joseph Zsutty, PE Job address: Page 408.313.5363 Phone: Email: jzsutty@aol.com CUPERTIN — *' rtm �.._. Building p epa ent 71, e. W5. REVIEWED 6 2015 NOV REVIEWED FOR CODE COMPLIANCE Reviewed By: =� I /-1 } P G>�7 d rj� '0x� t -77 � u 6 �f � h r l7 // •a 0�2 % Z , I �CpESS14 45370 _ Y I JO PH C. ul u ZSU Y 2- 0T TaCn OF P 151.. , v '. +ate EXP. 9 6 1-4 C4 CIVIL 9pFoF CALX' 0 0 i� 4� CSP b Job Name: Date: ZSUTTY Client Name: Drawn by:, �7 Joseph Zsutty, PE Job address: Page_ 408.313.53631 Phone: Email: jzsutty@aol-com CUPERTINO Building Department P40V 0 6 2015 atAVINNOOR CODE COMPLIANCE Revie By: 4- 2 j Lo I 1 '3 L+ c------------- 2-t-ick L, 961>1, P r=Q qS 4T G -4,9C-3:74L- -2 3Z 9 c'96 0 OY, SEE-PI1. C. Z:U TT. .xp. 0 CIVIL OF C A,6i,