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15120135K El CITE' OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21915 EATON PL CONTRACTOR: BEST EXTERIORS PERMIT NO: 15120135 CONSTRUCTION INC OWNER'S NAME: CHRIS KRAU TSCHIK 5005 TRACY CT DATE ISSUED: 12/15/2015 OWNER'S PHONE: 408255064 SACRAMENTO, CA 95842 PHONE NO: (916) 308-3800 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL IREMOVE Ct 2-,3) 5 O 5 AND REPLACE WITH FIBER CEMENT SIDING License Class;�vJ4 ?, Lic. # a (2700 A ��Contractor 17ic �y G�R-�K�®(Lf�Q(t 2' "� SQ FT). I hereby affirm that I am licensed ander 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: $25000 performance of the work for which this permit is issued. teave and will maintain Worker's Compensation Insurance, as provided for by tion 3700 of the Labor Code, for the performance of the work for which this permit is issued. APN Number: 32619141.00 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 DAYS FROM LAST CALLED 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 �� /�� granting of this permit. Additionally, the applicant understands and will comply Issued by: Date:L with all non -point source atio per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: r, Signatu Date / J ^�� 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: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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) 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 Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino unicipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 2550,50A533, 33, and 25534. �/ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. •. i�Owner or authorized age Date: 2 P 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 Lender's Address 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, 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 regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION _ -- ------CONiIJiUNi iY DEVELO?1,I—NT DEPARTh4ENT BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 85014-3255 (4 8) 777-3228 - FAX (408) 777-3333 - buildino(c—l�cuDeltino.ora /J^/ � ( 1 �D j CUPERTINO• ( / ❑ 1\-.W CONSTRUC ioN. u AJD710N �LTEIRJLTION / TI ❑ R-viSION / DET —ERILD ORIGINAL PES ,—i PROitCf ADDRESS 2 1 Cf I L-- A +6 1'V FL I Ow.vgzk A m c1, ry (:r I ' z:2) _ O I :.t✓�,IL SiP ETADDP=552_1q ` ' A� ®) I CITY, STATE, Z��,ery�%IF1� I tX CON7.4CT .0/ LLa =+(Zdl; ESC. I P ^(v, SIL STRF._i ADDRESS®S Wiw � 5, L -/y + FAX ❑ ORIId-LR ❑. OR?MI-BU'II.DER ❑ Oi%,R,�RAC=n'C ❑ co,, -,t 4CTOR ❑ COI�� 4CTOtZ?.GTi ❑ f-RC=CT ❑ �C-L��R ❑ Dr- =L0 ?Z X ❑ 1=NAhi' CO C ❑ ATTACK LICE:SE T Yr I BUS. LIC R CO]JPAh �// I E-N4IL I FAX STP` ET ADD,t'SS C� Cp'fCr 6 W 1 -2,e �'l Q 4;'� 7G9 . AP.C:Ti -�CTFENGINZER X'W14E IS THE BLDG PK ❑ 1a EICHLERHOME?❑-.NO LICENSE NUIISEK BUS. LIC R COMPANY NAhL3 application and the information I have provided is co„P have d the Description of'\�%ork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building c .s', n. _L orize representatives -of Cupertino to enter the above-idem=led propelfor inspection purl. oses. I F-44AIL S Tj P P LE -1,�,D TAL..r0RI,2'ATI01N, REQUIRED Fh STREET F.DDRESS TZ - I CTI Y, STAT n, ZIP per -mit for Dew building. I P HOP r, DESCRTION OF WORK, iC V n Pr SC `"'_ !�v C Ct EMSTD2G USE PROPOSED USE C0NsTR i1?B I :• STOP.r's USE I TYPE OCC. I SQ.PT. VALUATION (S) F)OSTG NEW FLOOR DEh10 TOTF.L AR= A I kP.EA A Z=.A I X7--7 AREA I K •- BA T I-� 001J, Ki i C:-� OTHER REMODELAR2A Rb1,103DELAREA REMODEL` EA PORCH/ -R=A I DECKAR=A I TOTFLDECi /PORC ARRA I G.=Z.4GE,.aE-A: I ID-E-IACH I I I i B1a'gA'.ap_2011.aoc revised 06/21/11 ❑ ATTACK n Dl1TLLD,1G'u � 1i S: IS A SECOND UNIT ❑ YES SECOND STORY ❑ ITS BEING ADDED? ❑1;0 I I ADDITION? 0?.0 "L CzI«D TOT.A.L VA ,UAT D PP�•�?PLICATiO ❑1'=S L~ 1=5, PROVE=COPY OF PLfNN7NGA21iLR I]1\O PLA?,7N7aqGAPPROVAL L_1i R IS THE BLDG PK ❑ 1a EICHLERHOME?❑-.NO �J By my signature, below, I cer iy to each of the follo-w,ng: am the property ow;ler or authorized agent to act on the propel � ow;ler's behalf. I have lead this application and the information I have provided is co„P have d the Description of'\�%ork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building c .s', n. _L orize representatives -of Cupertino to enter the above-idem=led propelfor inspection purl. oses. Signafire of A �pplicanUAgent: Date: l 2 -) S Tj P P LE -1,�,D TAL..r0RI,2'ATI01N, REQUIRED �:OLG�LTP: TZ - New SFD or Multifamily d we-111'ngs: .^_pply for demoli`ion Dt=it'or12 _O�rRTCOL�TFRBUIIDL\GPT3�RS?�i existing building(s). Demolition per. -it IS re011lred Dr10r i0 1SSll_ CC OI bLlldi7Q per -mit for Dew building. E7�F�SS� PI 4 �,LlGYLL ��ZErt- Cornmercial Bldgs: Provide Hazardous Materials Discloses _ a completed e d� Ts>,DdRn PLEL�C_FGOIL ` fom. if any Hazardous Ma Lerlals are b--ing used as Bart ofthis ArojeCt. 1 I L_�2GI r — ,B�F.EDaYT Copy of Plan_ninz Approval Letter or Meeting with Planning prior to SLI T-1 OI Building Pe=it applicatio_ . b T L�70R _ -- B1a'gA'.ap_2011.aoc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION d ADDRESS: 21915 EATON PLACE DATE: 12/15/2015 REVIEWED BY: SEAN APN: BP#: 'VALUATION: 1$25,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Siding 1SIDEOT'HER All Other PENTAMATION 1 GENRES PERMIT TYPE: WORK REMOVE AND REPLACE WITH FIBER CEMENT SIDING 2700 SQ FT). SCOPE $0.00 rvvjP,: ilus estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District etc ). These fees are haled an the nrelirninam infnrmatinn availahla arid aro nnly na aefim"fo ih, rlanf f—-dd.,11 ;-,r- FEE -,r FEE ITEMS (Fee .Rgso1utiol9 1.1-053 .F,ft: 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 E7K s.f. $ 00 Siding 1SIDEOT'HER All Other Suppl. PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Pen -nit Fee: $0.00 Suppl. Insp. Feer Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 G Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Q 0 , it"LI`vt•;t� �.,�C7t�2€ir'tti�F!X/Tt1;='�.i t't'S; Strong; Motion Fee: IBSEISMICR $3.25 Select an Administrative Item 7 a5 Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS:. ' $4.25 $1 .00 TOTAL FEE: $ 7V ` Revised: 10/01/2015 (4.zQLPee. ��c.�L✓� vv oa 5Idkts Aid i(Lj P --t 1 w*%4L oeuo Fie ee-e- C<au�C LJ t,� All �.01�3 CA �1� codes APPty. COMMUNITY DEVELOPMENT �LOPNIENT DEP G DIVISION _ ARTiti9ENT CI�PERTINO 7 -his set of AppROVE Plan and sPecifications h;9UST Job site durng ;,,,nsfruction. changes It is unlawfulbo kept at the.. ges or alterations make any therefrom !without a on same! or to The c.arPing of ` lJs approval from the Building deviate be held to ,plan and specifications g Official. �. or to be SHALL NOT Ofanpru,,r� .-),- , approval of the violation of any City Or inarlCe or DATC N �c State Law. PE RNII T u D4rE ? PLLAA ►N - CUPERT►N®PT