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07120229- PUB 1`211101 10 I�I I'<<aml I�ZI��'I I€ I 1=1 ISI I IHS=I LI I-_I I{�71 �1d1 x U p x LO q CD N v a LO W m u, w a n� a a i o p w w W 0 M O N C3 N N J O O 00 -1 p ' J w F r r w c~n CA 1 0 C j a o k 4k Z ' J U7LO T F --I W H F J CX) U M O F W H LL, O O Z N O O \ U] {{j Z J r ~ UCL) Z — M % d N w (D F A w i! W W W � m (n cm O � 0 .`� W w �G W 0 0 N = U Z A k in W U OL = x� a x� rE u �V LL] qa H ip Lo p _v V) r 1 1 .J U Q 7) i_! p Q U +=` - > m J p j� xU I z v lei � Idl n u a a n — Z — — as O O O -p� -+- y�[ t C w !M (2 14tl�� co F- . �1 D ;lei i ULLJ V N� O (n .2 •C CL p v ZD O� - N 1 0 � u� LL g I.- fo Z t �4 f i CT) O O O CAlei :c N cs LLI CO m M m o u - LQLI wi m m o ,• �i NN M _ N IF- ice, _ O NLLJ O _ __ _ O O r- CD kA o x p y �, a xCL m �- v ~ xE CL N rn rt F- Z as U ? w v o o f LO o v ~ _O m ip V- �n 'o Z x Z "� ip ip iD �• -- a N Q 7 N U 41 'j, LL11 .L a� OL Or -ru LO �o 93 O a 0 '0 0 a`a � a. � O Q cn U O a. O CL c i n cn Q w U U U w (U�r ;iLl - a LL CITE.'OF CUPERTINO BUILDING DIVISION PERMIT BUILDING PDDRESS: PERMIT NO. 084s N STELLING RD LANDMARK DEVELOPMENT 07120229 OWNER'S NAME: PERMIT ISSUE DATE ' '1S I'ALMAS STELLING LLC 1307 S MARY AVE STE 120 09/03/2008 PHONE: SANITARY NO. CONTROL NO. ARCHLTECT/ENGINEER: BUILDING NEW TWO STORY TOWNHOUSE BLDG ETPERMIT O PLUMB MECH lop LICENSED CONTRACTOR'S DECLARATION r169 F O O I hereby affirm that I am licensed under provisions of Chapter 9(commencing Job Description iuE ul with Sectiona�nd'�rlffcL ' Business and Professions Code,and my license is N in full force Licenu ClasLic.3F„❑ Date r' Contractor ntDECI1sRAT10N � U I understand my plans shall be used as public records a Oct t� U.y Licensed Professional OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the t7 OC following reason.(Section 7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure a Z y prior to its issuance,also requires the applicant for such permit to file a signed statement E=G that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area Valuation x t— (commencing with Section 7000)of Division 3 of the Business and Professions Codc)or E R— 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 lumber Occupancy not mom than rive hundred dollars($500). P Y Type ❑I,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 Contractors License Law dots 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.). ❑I,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 dors not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractors)licensed pursuant to the Contractor's License Law. ❑I am exempt under Sec ,B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARA770N I hereby affirm under penalty of perjury one of the following declarations: ❑I have and will maintain a Certificate of Consent to self-insure for WorkersCompen- 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 Workers 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 Insurance carrier and Policy number are: Carrier. R",I I nrO.4 d V-0 PolicyNo.:_;�:� CERTIFICATE OF FROM WORKERS' COMPENSATION INSURANCE Cutis section need not be completed if the permit is forone hundred dollars($100) or less.) I certify thet 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 T'0 APPLICANT:If,after making this Certificate 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. CONSTRUCTION LENDING AGENCY E+ I hereby affirm that there is a construction lending agency for the performance of R. 5 the work for which this permit is issued(Sec 3097,Civ.C.) QLenders Name Lenders Address U® 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 conswction,and hereby authorim representatives of this city to enter upon the ® 0 U above-mentioned property for inspection purposes. aQ. (We)agree to save,indemnify and keep harmless the Ci y of Cupertino against liabifities,'udgmems,costs and e3penses may illarty w accrue against said City in co of li this i _ GU pTRS DS 0 Y WITH ALL NON-POINT Issued by: Date �� J Re-roofs Signature ofApplicanUCon or 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 de,Chapter 9.12,and the Health and Safety Code,Section 25532(a)? Q Yes 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 Will the applicant or future building occupant use equipment or devices which g emit hazardous air conta7�7 d by the Bay Area Air Quality Management all new materials for inspection. District? ❑Ya 1have read the hazardousmaterialsrequirements ndcrChapter 6.95ofthe Califor- niaHealth&SafctyCodc,Sec6ons25505,25533 4.1 understandthai if the building does not current7aAlen t r ' ibility to notify the occupant of the rssuanc a Ccrificatc tr;"Pan Signature of Applicant Date �7 a O ,..., . Date All roof coverings to be Class'A"'or better CITY OF CUPERTINO NEW SIlNGLE/MULTI FAMILY DWELLING CUPEkTINO PERMIT APPLICATION FORM . 7/2 6 229 APN# Date: 32—(a /7- 07 building Address: 46 Mailing Address (if different from building address): 13 v7 1h S 12-p Sin n v (9— `r V0 67 C►wner's Naine: Phone# De_u• _f o Au-k r Coll '/'0 9 733 —C131, C'o ntractorP O ne #?33 9 (0 9 � 73 L-CL^_C�/ /.�1'L � V Q.. T C0� Fax.#: </v e 773 Contractor License#: ZI 93 3 9 Cupertino Business License#: �F Contact: Phone 9,'L1O Fax #: �/d 8 3S- �jZ 5, g Alternate Contact: Phone#: Za..`.�. C.�q..,IM • Fax#: Single-Story ❑ Two-Story Three-Story ❑ Basement ❑ Hillside. ❑ Multi-family ❑ Apartment ❑. Condo ❑ Townhouse Sq.Ft. Living Area(Including Basement &Attached Garage: Sq. Ft. Garage ( e ached Only): Valuation: C/ Jab Description: Tape of Construction (Usage Class): Occupancy T e: 1 FR, 11FR❑ 11, 111, V-lHR ❑ 11, 111, 1V V-N Project Size: Standar Larg Major❑ Green Building: Must attach corn leted Green wilding Checklist to the plans Green wilding Points Achieved: For help, contact Build it Green at wwwvw.builditj�reen.or2 CITY OF CUPERTINO NEW SINGLE/MULTI FAMILY DWELLING FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type 1RIINSP Apt.Bldg inspection fee B 1R1APT 1Rl:PLNCK Apt Bldg plan check.fee .B 1RYFEINSP Apt Bldg repeat unit B 1R1APTR Inspection fee 1RIREPLNCK Apt Bldg repeat unit plan B. check fee 1R3INSP Dwellings Iiispection B 1R3SFD.W 1R3:PLNCK Dwellings Plan Check B 1R3REPINSP Dwellings Repeat B 1R3SFDR. �- Inspection 1R3REPPLNC Dwellings Repeat Plan B 2 Check 1R3HINSP Dwellings Hillside B 1R3AIEL' Inspection 1R3HPLNCK Dwellings Hillside Plan .. B Check . . 1R3HREINSP Dwellings Hillside B Repeat Inspection 1R3HREPLNC Dwelling Hillside Repeat B Plan Check 1R3ALTINSP Dwellings Alternate B 1I23SFDALT Materials 1R3ALTPL7VCK Dwellings Alternate B Materials 1GARDTW<=1K Detached Garage Wood B 1GARDTM<=1K Detached Garage B Masonry l 1BCONSTAXR ConstaxResi/Mobile B / 1BMITIGATR Residential-Housing PL Mitigation Fee-chrg only if lot is vacant or it is a subdivision-see planning 2 of 3