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B-2016-1374 PERMIT, APP, FEE EST, HOA LETTER
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1374 11072 CANYON VISTA DR CUPERTINO, CA 95014-5405 (356 28 033) ( MOUNTAIN SERVICE COMPANY) FELTON, CA 95019 OWNER'S NAME: STONE STEVEN F AND KRISTINA S TRUSTEE DATE ISSUED: 02/16/2016 OWNER'S PHONE: PHONE NO: LICENSED(' CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License CIa�3"Lic. # �f�[" ©1A Contractor ( MOUNTAIN SERVICE COMPANY) Date X BLDG X ELECT _ PLUMB MECH X RESIDENTIAL COMMERCIAL 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. SOB DESCRIPTION: INSTALL (N) 16 KW GENERATOR IN BACK YARD AND INSTALL (N) I hereby affirm under penalty of perjury one of the following two declarations: GAS AND (N) ELECTRIC UNDERGROUND LINES FROM r. I have and will maintain a certificate of consent to self -insure for Worker's GENERATOR TO PROPERTY 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 Cade, for the performance of the work for which Sq. Ft Floor Area: Valuation: $8765.00 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 APN Number: Occupancy Type: ordinances and state laws relating to building construction, and hereby 356 28 033 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 PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City In consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply w' II non point source regulations per the Cupertino Municipal 180 DAYS FROM LAST CALLED INSPECTION. Code, S ctio 9.18 Date^ ����� Issued by: 1981 I Signature Date: e OWNER -BUR DER DECLARATION RF ROOFS_. I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for r. I, as owner of the properly, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sce.7044, Business & Professions Cade) Signature of Applicant: z. I, as owner of the property, am exclusively contracting with licensed Date: contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER L 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the z. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Cade, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Cade, Chapter 9.12 and the this permit is issued. Health & Safety Cade, Section 25532(a) should I store or handle hazardous 3. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance wit, t upertirm Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health & Safe t3/CodM505 ,and 25534. exemption, I become subject to the Worker's Compensation provisions of the �25 Labor Cade, I must forthwith comply with such provisions or this permit shall Owner or authorized agent: U be deemed revoked. Date, 2-1 APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above Information Is I hereby affirm that there Is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant ARCHITECT'S DECLARATION understands and will comply with all non -point source regulations per the I understand my plans shall be used as public records. Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date CUPERTINO GENERAL PERMIT APPLICATION COMMUNI T Y DEVELOPY ENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO. CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 • build! no0cuDer'Ino, Org ❑PLUl,MTNG ❑I✓,ECHP.NICAL ❑ELECTRICAL ❑MISCELLANEOUS PROJ-U ADDRESS 6fS0 1-4 1-5 6), S O ( ORlNcRNA1✓.E �"1 _ �� PHONE E-1Jit1L �- STjtFj.TM DRESS CITY ATE, ZIP G5ac I FAX v` U `gyp CONTACT NINE n n / S' c6 E?cJiF.IL �1 tf e) o�l1 t Sr13Ec?CAD�DREj$ , 1 w - CI sr T ZIP rAX ❑ ow, ❑ OWhc' -H=ER ❑ 07NERAGENT C4C0!rIR_kCTOR ❑ C0NTKACTORA=T ❑ ARcin ECI ❑ FNGDk—=ER ❑ DEvrLOPEt ❑ 7ENU,T CONTR4CIOAa.P.1,� ��'� 1�� CS�a L)C�ENSE NUMBER 4y9 O ( LICi,.SE i1YE IG'� •clo BUS, LICQ SSo� OIV ANY NA)✓,t ( I=& ,� E-MAIL M �.��- � � � •,.ear I �B 1)33 5- rvKQ 6T F. P.D?;RESS Y, cT.a.TE, ZIP A •E Ej 'O « ln_ , Q Q `�p � How 3 5� q r q 3 ARCWTEMENOWEER KUM LICENSE NUMBER BUS. LIC4 COW)ANY N'AhM — E-MAIL I FAX STREET.4UDRESS CITY, STATE, ZIP I PHONE USE OF JSID.IDUPLEX ❑ MULTI-FAMH.Y .PROTECT IN Wn_DL w ❑ Yrs I PROJECT IN ❑ YES Is iM13MOAN ❑YES BH,UU UG: ❑COI%�IERCIAL U29P?`A7ERFACEAREA ENO FLOOD LOP_ g,No cICHLER HOME? �NO DESCRIPTION OF WORK L.1 J�Z TOTAL VALUA770N <6 r- By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. 1 haveread this - application and the information - e provided is correct. I hai read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and sate ]asi•s relzf .E to Dolo+g as do . u orize- representatives of Cupertino to enter the above -identified property for inspection purposes. Signztureof:ApplicaaU.Apent Date: SUPPLEMENTAL INTF _ MATION REQUIRED MOM — „ CE,LS�OTL1_ �-i ,�.".�-,,:�;._NOW hfEPT47sC.4pp_2011.doc revised 06121/11 -- CITY OF CUPERTINO �X16-1ey FEE ESTIMATOR - BUILDING DIVISION W7D7RESS: 11072 CANYON VISTA DR DATE: 02116/2016 REVIEWED BY: PAUL APN: 356 28 033 BP#: 'VALUATION: $8,465 "PERMIT TYPE: Electrical Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY SFD or Duplex USE: PENTAMATION 1 REAP8 PERMIT TYPE: WORK INSTALL N 16 KW GENERATOR IN BACK YARD AND INSTALL N GAS AND N ELECTRIC SCOPE UNDERGROUND LINES FROM GENERATOR TO PROPERTY APPLIANCE / EQUIP TYPE FEE ID QTY UNITS BP FEES Generators 1BREMPOWER 1 # $179 TOTALS: $179.00 Weeh.. Plant C'hwok Plumb. A7 Uu C7aeck Elec, Plan Check0.0 hrs $0.00 :I lech 1". rn =t Fee: Phor;b. P� f nw h ee; Elec. Permit Fee: I EPERMIT fh.Iui; A4<ch. ksp. ofiv, I hwd) Inw, Other Elec. Insp. 0.0 hrs $48.00 Nock Insp. .s ae: Plamb. fnsp. Iiav: L7ar:. hr.;p Pecr NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Server District, School Aietrtri ntr 1. Thmm fnm nra ham// nn ihn nrn/iminnnr in fnrnmlinn nvnilnhla and nra nnhr ma act/mntn. Cnntncl Ihn 1)nnt far n////n'! info_ FEE ITEMS (Fc e Rzsolulior ,11-053 Eft' Z/L/ 3 FEE QTY/FEE MISC ITEMS Pkin ("heAll ll Fee: 5'ujxpf. 7't." 1 G e PME Plan Check: $0.00 Sul:,/I. Insp Tee PME Unit Fee: $179.00 PME Permit Fee: $48.00 C'or/mwetion 7 4v Administrative Fee: IADMIN $45.00 Work Without Penn it? ® Yes (j) No $0.00 ."if1Y'G(i7CC'C(111fltPt?7)P} T'ee4, A Travel Documentation Fee: ITndVDOC $48.00 Strong Motion Fee: I BSEISMICR $1.10 Select an Administrative Item Bld& Stds Commission Fee: IRCBSC $1.00 _ 'SUBTOTALS:- $322.10 $0.00 T0TA ]C+]GI,.,- $322.10 Revise 10/01/2015 Rancho Deep Cliff Homeowners Association January 28, 2016 Steven Stone Kristina Stone 11072 Canyon Vista Drive Cupertino, CA 95014 REGARDING PROPERTY 11072 Canyon Vista Drive Cupertino, CA 95014 Subject: V00068801 - Architectural Approval (Back Up Generator Installation) Dear Homeowner(s), The Board of Directors reviewed your request to Install a natural gas powered back up generator in the back patio of your unit, located at 11072 Canyon Vista Drive. Please be advised the the Board of Directors is granting a use variance (CC&R 9.27) and has approved your application subject to the following conditions: The unit owner will need to remove their back up generator from their lot prior to the sale of their unit. The unit owner assumes all responsibility for costs associated with their installation. The unit owner Is responsible for all future maintenance, repair and replacement work associated with such installation. The unit owner assumes all responsibility, both legal and financiai,for any and all exterior or structural damages caused by the installation of their generator. The unit owner will be responsible for painting of any additional panels and conduit attached to the exterior to match the base color of the home. The installer of the generator should coordinate trenching with Common Ground Landscape Management to avoid conflicts with the irrigation system, and any expenses associated with irrigation relocation will be reimbursed by the unit owner. If you have any questions regarding this approval please call me at (408) 226-3300. Sincerely, RANCHO DEEP CLIFF HOMEOWNERS ASSOCIATION Jason Overhulse Association Manager Cc: Board of Directors Unit File Compass Management Group, Inc. 77 Las Colinas Lane, San Jose, CA 95119 Business (408) 226-3300 Fax (408) 226-3406