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07120226- PUB Ill lel l ,l l¢xI Is�I lel l ul l� 5.l lyl lel l l_. It I kc'I x m x U � V W � Lr) Y U Q CT) a v EDLO w m to aa w L3 � a ni a a a o � w U O p -1 cw J u} O N Ur n -i N O J ' 0 O 11 N O O 0o -1 O J W F O [w LS 1LLJ-- H pq A a LO Z ud o at J LO LO m F II W H F J O U M W N H W d LC] M O a A F tl] PO 0 N f~ Q Lf) F A A Z PQ Fw P2; m a) W CD +On W - O :DN - A k EJ1 tri U L r U [7 2 �� xm a x E CJl a1 (J7 ' 0 0 V � l � i ) LL. R � t �7 m F O m O U ED •'- '� N aa) U Idl Ur Idl IcrI a ._a a a a 21 0 0 0 -57 J J _ I, W W LO tD W y Idl o 3 0 a- NI J �. _ LLI LL CO O O p mW L.L �, O W 0? C N '..i O O '� ( JI CD - '" �_W l.l. J p'] � !O �. ' m CD p �. f, �O U - — - I *- CC) N O DI as ,, x m -0 a x x xm a x o u o .n a`r O �n a o m ar 75 Lu ai -& x D, a m m _0 2 a N Q+ R �. m I— Z a� U > W as o 0 0 ¢I 3n a� a� v O v O o v t'- � " v t = Z U a`} m a O o E v N E ai aa`) yr a O +o cn ar � o r a i. wl t: `w m m o as ar .� a- O Q cn U O IL O a_ rj_ a- cn c d a- U U U r a w lLl d) � d LL CITY OF CUPERTINO ray BUILDING DIVISION PERMIT �� �1�Q�INFORM 11 1��i i BUILDING_(t DRESS: PERMIT NO. J: S N STEELING RD LANDMARK DEVELOPMENT 07120226 OWNER'S NAME: PERMIT ISSUE DATE .�S ]'AL,MAS STELLING LLC 1307 S MARY AVE STE 120 09/03/2008 PHONE: SANr2'ARY NO. CONTROL NO. ARCHITECT/ENGINEER: B NEW TWO STORY TOWNHOUSE BLDG EI�EUL'1'NTG PERMIT O PLUMB MECH 2, 169 GF a 0 0 0 cc LICENSED CONTRACTOR'S DECLARATION Lu i= I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing Job Description U w with Section 7000)of Division 3 of the Business and Professions Code,and my license is y in full force and effect / 4C Z Licenac ass Lic.p �p-,O Datc 9 Contractor „%h AR ITECTS DECLARATION j" a 1 understand my plans shall be used as public records U c �� .4 T- u.H Licensed Professional OWNER-BUILDER DECLARATION j< I hereby affirm that I am exempt from the Contractor's License Law for the :0 o following reason.(Section 703 1.5,Business and Professions Code:Any city or county which requires a permit to cnnsLmCL.alter,improve,demolish,or repair any structure t''w prior to its issuance,also requires the applicant for such permit to file a signed statement z _�Q that he is licensed pursuant to the provisions of the Conuacwr's License law(Chapter 9 Sq.Ft. ooh Area Valuation L F (commencing with Section 70D0)of Division 3 of dee Business and Professions Code)or that he is exempt therefrom and the basis for the alleged exemption.Any violation of -Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type not more than live hundred dollars(5500). P Y YP ❑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 and Professions Code:The Contractor's License Law does not apply to an owner of Required Inspections property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If. however,the building or improvement is sold within one year of completion,the owner. builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑L as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li. . cense Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. C-]1 am exempt under Sec ,B&P C for this mason Owner _Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of pejury one of the following declarations: ❑I have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,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 required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Worker' Compensation Insurance carrier and Policy number are: Carrier. • -1' Policy No.: CERTIFICATE OF EXEMPTION FROM WOR'KERS' COMPENSA71ONINSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) I certify Chet 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 Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Cenifreate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. - Z O CONSTRUCTION LENDING AGENCY 1 herchy affirm that there is a construction lending agency for the performance of LY. ►� the work for which this permit is issued(Sec.3097,Civ.C.) QLender's Name a Lender's Address U 0 1 testify that 1 have mad 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 0 U building construction,ction,and hereby authorize representativesof this city to enter upon the above-mentioned property for inspection purposes W P. (We)agree to save,indemnify and keep harmless the City of Cupertino against F-4 Cn liabilities,judgments,toss and expenses which may in any ay accrue against said City U Z in co tic c o granting of this 't. A 1 DERSTANDS 0 Y WITH ALL NON-POINT Issued by: Date S UL I S., Re-roofs - ignatum OfApplicanVConLpato Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532(a)? .Ifo All roofs shall be inspected prior to any roofing material being installed. Will the applican rr future building occupant rase equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove croft hazardous air con taminantsdefined by the Bay Area Air Quality Management all new materials for inspection. District? ED Yes No I have read the haza us material require cns Lind aprcr 6.95 of the Califor- niaHcalth&S 1,YC ,255 d dcrstandthhuifthcbuilding docs no n y havn -rat,th tit i s flit o notify the occupant of the req-' m ie st be et n It era .'cate of Occupancy. Signature of Applicant Date Own or auttibrizcd aacnt Date All roof coverings to be Class'A"or better At NEW OF CUPER TINO EW SINGLE/1V ULTI FAMILY DWELLING OF CUPERTINO PERMIT APPLICATION FORM . APN# 32 "� Date2 ©_;� • Building Address: , Mailing Address (if different from building address): 13 o-7 s7 4- /Z C) S J A A U� (f 9 (fo 87 Owner's Name: hone # C•.� ,s- 1iv o De.�� ,+�PnT C'02 -/68 Contractor: / Pho}V6 g �,33 - 1%,9 3 ZA V /9'1�o4z L vQ Vl-x. 0 �'j1;P/Z C© Fax #:: �o 35-- �'2 99 Contractor License# 83 3 t f C4ertino Business License Contact: Phone#: G fp g 733 -TLt3 k411� Fax #: V0 A Alternate Contact: Phone #: 7oml We-%_!nA / Fax #: ingle-Story ❑ Two-Story Three-Story ❑ Basement ❑ Hillside. ❑ Multi-family ❑ Apartinent ❑ Condo ❑ Townhouse Sq.Ft. Living Area(Including Basement &Attached Garage: Sq. Ft. Garage etached Only): ., 2 Valuation: 2 Lf(-f Job Description: Type of Construction (Usage Class): Occupancy Type: 1 FR, 1 1F ❑ 11, 111, V-1HR ❑ 11, 111, lV V-N Project Size: Standar Large Major 45, e Green wilding: Must attach compfeted Green wilding Checklist to the plans Green Building Points Achieved: For help, contact Build it Green at wvcw.buildit6reen.or2 CITY OF CUPER TINO NEW SINGLE/MULTI FAMILY DWELLING FEE SCHEDULE Quantity Fee ID Fee Description Fee.Group Permit Type. IRI INSP. Apt.Bldg:inspection fee B 1RIAPT 1RIPLNCK Apt Bldg plan check.fee .B 1RIREINSP Apt Bldg repeat unit B 1RIAPTR . 'Inspection fee 1R_1REPLNCK Apt Bldg repeat unit plan B check fee AR3INSP Dwellings hispection B I 3SFDW . IR3PLNCK Dwelliligs Plan Check B 1R3REPINSP Dwellings Repeat B 1R3SFDR. Inspection 1R3REPPLNC Dwellings Repeat Plan B Check 1R3HINSP Dwellings Hillside BI 1123TTML Inspection IR3HPLNCK Dwellings Hillside Plan B, Check . " 1R3HREINSP Dwellings Hillside B Repeat Inspection 1R3HREPLNC Dwelling Hillside Repeat B Plan Check 1R3ALTINSP Dwellings Alternate B 1I23'SFIDkLT Materials 1R3'ALTPLNCK Dwellings Alternate B ' Materials . 1GAR.DTW<=1K Detached Garage Wood B 1GAR.DTM<=IK Detached Garage B .Masonry j IBCONSTAXR 'Constax—Resi/Mobile B 1BMITIGATR Residential Housing PL ,�� Mitigation Fee-chrg only ./\ V, if lot is vacant or it is a subdi sion-see lannin � P g 2 of 3