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07120228- PUB Idl --I x o o rl 3 co T 0 x a) kM U d LO m m U Q a a P4 m a � A CD P4 LO M to kn a N [r a 0 d � � U o �D •-I E� LO J a .-I m J 0 N CO n N 0 J \ N _ O 00 '-I —j LUcz J F- F A 0 0 ` co z U a a a J UJ LO ' T F H F JO U zn P4 H w O m M o a to aw w Z Z M - 11 QY w Qy F C4 W LO a- o (Y] ZD cx) O S ( 1 C' W U W 0 U M CL _ n _ xa) g xy a � a) LoL4u Lr) o w Qy y +v a 3 A Q O v I � li a) C i ' i M T L d 7 J 5+ v 4 1. Cry n C i al O O O J _ � �q?;y w MLU LO�'� I� �� Lr) LLJ leLaLu ! LO CI- >1 ?0 OL 1 Q m N O d > J 7 Z LL_ cx) CDs CD CD LL CD ON ON •C LL d w �I 1 C"' O Lo G = m O rCD CD LU ZD �o o �' o o Lo —- - CD 0 �i o x 3 ay N fo a) (U O h Q7 T C,CL M V x� C ._ F- _ 4] 3 � 3 n _ ��� x N (Z +v d fa �O Uj v n N Q+ R E v a7 �, U 7 w a7 0 o s r u ¢� 3 n 47 47 a7 d F- _0 Q � v U -- xy a� d u U 0 E E = Z3 o U E ay E y ay —' E au a� a Of +v cn a�fa OLo a a. wl a� �o +v o a a� .� .� E d d ZD Q co U ZD d o d c (U CL a- CJ7 a- Q a- U U U d tLl ai C O_ LL CITY OF CUPERTINO BUILDING DIVISION PEPJVHT R Y TS© * 4: BUILDI f+ D��t ES : PERMIT NO. >i�y �V STELLING RD LANDMARK DEVELOPMENT 07120228 OWNER'S NAME: PERMIT ISSUE DATE ,�S PALMAS STELLING LLC 1307 S MARY AVE STE 12'0 09/03/2008 PHONE: SANITARY NO. CONTROL NO. ARCHITECTCENGINEER: BUILDING PERMIT INFO NEW TWO STORY TOWNHOUSE BLDG ELECT PLUMB MECH 0 Z0 LICENSED CONTRACTOR'S DECLARATION O O O O Lu E= I hereby affirm that I am licensed under provisions of Chapter 9(commencing Job Description .Z Wu a with Section 7000)of Division 3 of the Business and Prof Code,aye my license is infull force and effect. 4GY j 2 License Class t„wDate C, Contractor ✓4 4L.� t CIS DECLARATION((�� Zx< I understand my plans shall be used as public records �yU o H Licensed Professional „r OWNER-BUILDER DECLARATION ku e I hereby affirm that 1 am exempt from the Contractor's License Law for the a O following reason.(Section 703 1.5,Business and Professions Code:Any city or county < which requires a permit to construct,alter,improve,demolish,or repair any structure u Z y prior to its issuance,also requires the applicant for such permit to file a signed statement x Q Lhat he is licensed pursuant to the provisions of the contractors License Law(ChapieT 9 Sq.Ft. Floor Area Valuation (commencing with Section 7000)of Division 3 of the Business and Professions Code)or i .. 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 anC APN Number OCCU not more than rive hundred dollars($500). Occupancy Type El 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 docs 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 said 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.). 0 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractors 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. ❑I am exempt under Sec ,B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury 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. 0 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 Workers Compensation�In^surance carrier and Policy number are: r7 6 Carrier. W�oJ -�7)I S2�'Policy No.: CERTIFICATE OF EXEMPTION FROM WORkERS' COMPENSATION INSURANCE . (ibis section need not be completed if the permit is for one hundred dollars(3100) nr less.) 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 Workers'Compensadon Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions or the Labor Code,you must Z forthwith comply with such provisions or this permit shall be deemed revoked. — z CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of Ri the work for which this permit is issued(Sec.3097,Civ.C.) WtL Q Lender's Name z Lenders Address U o I certify that I have read this application and state that the above infornadun is eonecL I agree to comply with all city and county ordinances and state laws relating to Ubuilding construction,and hereby authorize representatives of this city to enter upon the ' U ahove-mentioned property for inspection purposes. (We)agree to save,indemnify and keep harmless the City of Cupertino against nF,a cr) liabilities hidgMcnLs,costs and expenses which may in way accrue against said City V z in eo s nc f 'ng of this pe A STA S AN LY WITH ALL NON-POINT Issued by: Date R An OZN 9-20 Re-roofs S' azure of Applican Contracto Data HAZAR 'US MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipa ode,Chapter 9.12,and the Health and Safety Code,Section 25532(a)? ❑Yes All roofs shall be inspected prior to any roofing material being installed. o Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants as dancd by the Bay Area Air Quality Management all new materials for inspection. District? ❑Yes o 1 have read the h rdous materials requircmcmts under Cha ter 6.95 of the Califor- niaHcal ctyCadc,Sccdons25503and41un rstandthat ifthcbuilding d of Oy h n t,Iha��mW:st notify the occupant n(thc e must 7(tet ficatc of upancy. �j' ° �3_ Signature of Applicant Date All roof coverings to be Class" "or better f�iinrr nr authorized aecnt Date v ' g .�' n VL/ CITY OF CUPERTINO NEW SINGLE/MULTI FAMILY DWELLING CUPEkTINO PERMIT APPLICATION FORM . APN# Date: �02-0 -7- 07 Building Address: - Mailing Address (if different from building address): Owner's Name: Phone# C.>13 R-r--(-%Imp � �o A29N,T- Coqp Lf o b 733- ?C }3 . Contractor: ' Phone#: Lf 73 3— (o �✓�-� D AtL. �Qv.Q.� IST CoA- Fax#: Lto 73s'- ?Z27 Contractor License#: 4 8133.`f Cupertino Business License#: -C Q g Contact: ! / Phone#: 47co b 73 3 _ b 53 Fax#: 47oro 73 Alternate Contact: Phone#: 7-oV\ A cls M C Fax #: "S Single-Story ❑ Two-Story Three-Story ❑ Basement ❑ Hillside ❑ Multi-family ❑ Apartment ❑. Condo ❑ Townhouse Sq.Ft. Living Area(Including Basement &Attached Garage: Sq. Ft. Garage (Detached Only): Valuation: b a � � X33 Job Description: 5—T-6A./t -ra�h �ous� �q 7 7—pe.�.� j--e� Type of Construction(Usage Class): Occup ncy Type: X(1 FR, 11FR ❑ 11, 111,V-1HR ❑ 11, 1112 1V V-N Project Size: Standar Lary Major❑ „ Green wilding: Must atta h completed Green wilding Checklist to the plans Green wilding Points Achieved: For help, contact wild it Green at www.buildit2reen.org CITY OF CUPERTINO NEW SINGLE/MULTI FAMILY DWELLING FEE SCIIEDULE Quantity Fee ID ! Fee Deseription Fee.Group Permit 'Type lRIINSP Apt.Bldg inspection fee B 1R1APT 1RIPLNCK . j Apt Bldg plan check.fee .B i 1RIREINSP Apt Bldg repeat unit B 1R1AP'TR Inspection fee 1RIREPLNCK Apt.Bldg repeat unit plan B' check fee 1R31NSP Dwellings hispection B 1R3SFD.W 1R3PLNCK Dwellings Plan Check B 1R3REPINSP Dwellings Repeat B 1R3SFDR. 2 G Inspection 1R3REPPLNC Dwellivigs Repeat Plan B Check 1R3HINSP Dwellings Hillside B IR31ULL Inspection IR3HPLNCK Dwellings Hillside Plan B Check . 1R3HR.EINSP Dwellings Hillside B Repeat Inspection lR3HREPLNC Dwelling Hillside Repeat B Plan Check IR3ALTINSP Dwellings Alternate B 1R3SFDAL,'T Materials 1R3ALTPL]vCK Dwellings Alternate B Materials' 1GARDTW<=1K j Detached Garage Wood B i 1GARDTM<=1K Detached Garage B Masonry 1BCONSTAXR Constax—Resi/Mobile B ;-> 1BMITIGATR Residential Housing PL Mitigation Fee-chrg only if lot is vacant or it is a subdivision-see planning 2 of 3