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07020066 - PUB1. A00elks `7/��" File Edit Actions Details Links Favorites Help — --- - -- —ram Permit Informatir_m Location Information Permit Number " 07020066 Address' 110208 CASS PL r OK Status ` E - Expired v City/State/Zip CUPERTINO -- - — -- - -- CA 95014 i�8acic Master Number Notes 0 APN 135701029.00 Project — ` Unit _ [ - � Contractors Apply Date ` 0211212007 Operator amyw -- L,;wner Entity Information l Fees Permit Issue Date 03/1212007 Operator suew Owner Name " LOIS KERSHNER j jPlan Reviews Certificate Issued i _ Operator ----� �- Use DefaultInspections Certificate Type - — - - - Address Ho Home - � Certificate Number -� - I I Print Permit City/State/Zip CUPERTINO CA 95014-2728 ;Adjustments Permit Property II Zoning II Applicant Contractor " fI Defined Fields I lei Holds Permit Details - ---- - Purpose/Special Conditions -- ---- Copy Permit Permit Type " SFDWL,4DD1 i 358' FAMILY ROOM ADDITION- No REMODEL OF EXISTING Close Permit DO NOT USE Usage Class _ !DWL-WNEW NO FINALS SCHEDULED PERMIT EXPIRED ON 11/03/07 ( Overrides l DWELLING TYPE 5 WOODNEW Irf� Supplementalfieids Applied Value 75000 FILMED — 2 011 I •'j Notes SQUARE FT. 35$1 Calculated Value 76744 I rt Attachments US C-404 Type I434 ADD: RESIDENTIAL Permit Form K AUTOPERM -PERMIT — Ownership 1 • Private Ve Project Size l [DAdd Default Text < You have chosen to bypass the holds for this permitiparcel OVR Enter the purpose or any special conditions for this permit I CITY OF CUPERTINO 13UILDING PERMIT BUILDING ADDRESS: 10208 CASS PL I CONTRACTOR: STEPHANO HOMES I PERMIT NO: 07020066 INC OWNER'S NAME: LOIS KERSHNER 14335 EL CAMINO I DATE ISSUED: 03/12/2007 I OWNER'S PHONE: PALO ALTO, CA 94306 PHONE NO: (650)949-1281 ❑ LICENSED CONTRACTOR'S DECLARATION r r r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic. N r r r MECH RESIDENTIAL COMMERCIAL Contractor 1 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. 1 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 1 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: 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 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 1 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, JOB DESCRIPTION: 358' FAMILY ROOM ADDITION. NO REMODEL OF EXISTING Sq. Ft Floor Area: I Valuation: $76744 APN Number: 35701029.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Date: 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 I 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 1 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: CONSTRUCTION LENDING AGENCY Date: 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 Date C. CITY OF CUPEf�TINO •CITY OF CUPERTINO• 010La� PERMIT APPLICATION FORM ADDITION/REMODEL APN # 3S1 - o l — O2f Date: I/o 7 Building Address: 1 p 7•0 B C.6, Mailing Address (if different from building address): Owner's Name: j.0 15 Phone #: Contractor: S j pt-kA-%Ap Qw%Q,S Phone: 4oe- LIJ -331io State License #: Fax: (PO -9cf6- g Contact: Phone: <wAut2_ Cupertino Busines Lic se#: Fax: Building Permit Info: S►Jc�� w�\�— :SVP A-00►-%A ov / h4w�\l� I" µ ,ArJ�D il�U✓ Bldg P - Elect ET— Plumb C" Mech Job Description: What is being added? i'�M tL,� -} op ►. 0� A001 llo.,J What q'bng remodeled? Residential 0 Commercial ❑ Remodel Includes Re -Roof: Yes ❑ No Remodel Includes Structural: Yes © No G?",- Square Footage: Addition: 35'8 Remodel: Garage: Porch: Deck: Other: Cost of Project: --t S ooG '• Occupancy Group: Type of Construction: W.V,-0 T- _ Please check this box if the project is a second -story addition: ❑ Project Size: Standard C9- Large ❑ Major ❑ *For office use only* ❑ Over the counter 1 of 3 Community Development 10300 Torre Avenue Cupertino CA 95014 E•�� Telephone (408) 777 3228 CITY OF Fax (408) 777-3333 CUPEkTINO Building Department JOB ADDRESS: c �, 1 v ZO V G4 S 9 Pt: .-(.- PERMIT #�� OWNER'S NAME: CAcS PHONE # GENERAL CONTRACTOR:S' - M[ S FAX # I am not using any subcontractors: Signature Date Please check applicable subcontra complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile /Contractor Signature �o%z,/o 7- Date