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15120038
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15120038 10265 JUDY AVE CUPERTINO CA 95014 (375 08 043) CRAIGAROGERS CONSTRUCTION INC SAN JOSE, CA 95136 j OWNER'S NAME: DATE ISSUED: 07/15/2016 OWNER'S PHONE: ( PHONE NO: ( r� LICENSED CONTRACTOR'S n> rr AUATrnN . BUILDING PERMIT INFO: License Class GENERAL BUILnING CONTRACTOR Lie. #978553 Contractor CRAIG A ROGERS CONSTRUCTION INC Date 11130/2016 —BLDG _ELECT _ PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH — RESIDENTIAL — COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: CONSTRUCT (N) 2 STORY SFD WITH 3,774 S.F. I hereby affirm under penalty of perjury one of the following two declarations: HABITABLE AREA, 882 S.F COVERED PORCHES/BALCONIES 1. I have and will maintain a certificate of consent to self -insure for Worker's & 443 S.F. ATTACHED GARAGE (SUNNYVALE Compensation, as provided for by Section 3700 of the Labor Code, for the SANITARY) ' .performance of the work for which this permit is issued. REV #3 - (3-7-17) CHANGE DESIGN OF KITCHEN/LIVING /2. ` I have and will maintain Worker's Compensation Insurance, as provided for by ROONMINGING/STORAGE ROOM - ISSUED 4/24/2017 issued. REV #1 -INCREASE HEIGHT OF CEILING 9 FT TO 10 FT.; INCREASi APPLICANT CERTIFICATION HEIGHT OF ROOF LINE; ADD COFFERED I certify that I have read this application and state that the above CEILING 2ND FLOOR - ISSUED 9/27/2016 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize Sq. Ft Floor Area: Valuation: $555000.00 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 APN Number: Occupancy Type: may accrue against said City in consequence of the granting of this permit. 37508043 Additionally, the applicant understands and will comply with all non -point source regula ion per the pertino Municipal Code, Section 9.18. PERMIT EXPIRES IF WORK IS NOT STARTED Signature Date 4/24/2017 WITHIN 180 DAYS OF PERMIT ISSUANCE OR .II OWNER=BUILDER DECLARATION 180 DAYS FROM LAST CALLED INSPECTION..' I hereby affirm that I am exempt from the Contractor's License Law for one of the Issued by: ABBY AYENDE following two reasons: Date: 07/15/2016 1. 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 RE -ROOFS: sale (Sec.7044, Business & Professions Code) All roofs shall be inspected prior to any roofing _material being installed. If a roof is 'I 2. I, as owner of the property, am exclusively contracting with licensed installed without first obtaining an inspection, I agree to remove all new materials for[ contractors to construct the project (Sec.7044, Business & Professions Code). inspection. I hereby affirm under penalty of perjury one of the following three declarations: r. I have and will maintain a Certificate of Consent to self -insure for Worker's Signature of Applicant: Compensation, as provided for by Section 3700 of the Labor Code, for the Date: 4/24/2017 J performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE s. I certify that in the performance of the work for which this permit is issued, I I have read the hazardous materials requirements under Chapter 6.95 of the shall not employ any person in any manner so as to become subject to the California Health & Safety Code, Sections 25505, 25533, and 25534, I will ,I Worker's Compensation laws of California. If, after making this certificate of maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the j exemption, I become subject to the Worker's Compensation provisions of the Health & Safety Code, Section 25532(a) should I store or handle hazardous Labor Code, I must forthwith comply with such provisions or this permit shall material. Additionally, should I use equipment or devices which emit hazardous be deemed revoked. air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with tKe Cupertino M Code, Chapter 9.12 andl 25534. APPLICANT CERTIFICATION the Health &Safety o , Se tions 25 , 25 and 1 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 lawsIn C: Owner or authorized agent: relating to building construction, and hereby authorize representatives of this city Date: 4/2412017 16 to enter upon the above mentioned property for inspection purposes. (We) agree LENDINGAGENCY to save indemnify and keep harmless the City of. Cupertino against liabilities, L3�19 I hereby affirm that there is a construction lending agency for the performance judgments, costs, and expenses which may accrue against said City in of work's for which this permit is issued (Sec. 3097, Civ C.) consequence of the granting of this permit. Additionally, the applicant understands Lender's Name and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Lender's Address Signature Date 4/24/2017 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR! PERMIT NO: 15120038 10265 JUDY AVE CUPERTINO CA 95014 (375 08 043) CRAIG A ROGERS CONSTRUCTION INC SAN JOSE, CA 95136 OWNER'S NAME: DATE ISSUED: 07/15/2016 OWNER'S PHONE: ( PHONE NO: ( LICENSE] CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Ja Lic. _#978553 Contractor CRAIG A ROGERS CONSTRUCTION INC Date 11/30/2016 —BLDG _ELECT _ PLUMB MECH 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. JOB DESCRIPTION: CONSTRUCT (N) 2 STORY SFD WITH 3,774 S.F. I hereby affirm under penalty of perjury one of the following two declarations: HABITABLE AREA, 882 S.F COVERED PORCHES/BALCONIES 1. I have and will maintain a certificate of consent to self -insure for Worker's & 443 S.F. ATTACHED GARAGE (SUNNYVALE Compensation, as provided for by Section 3700 of the Labor Code, for the SANITARY) performance of the work for which this permit is issued. REV # 2 - REVISE FOUNDATION DETAIL - ISSUED 12/07/2016 read this application and state that the above information is correct. I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for 375 08 043 inspection purposes. (We) agree to s ve indemnify and keep harmless the City of Cupertino against liabilities, j gments, costs, and expenses which , may accrue against said City in co equence of the granting of this permit. PERMIT EXPIRES IF WORK IS NOT STARTED Additionally, the applicant under nnand will comply with all non -point s r the C rtino M ' ipal Code, Section 9.18. WITHIN 180 DAYS OF PERMIT ISSUANCE OR sourceI ' 180 DAYS FROM. LAST C INSPECTION. Date: 07/15/2016 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is compensation, will do the work, and the structure is not intended or offered for installed without first obtaining an inspection, I agree to remove all new materials for sale (Sec.7044, Business & Professions Code) inspection. 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). Signature of Applicant: I hereby affirm under penalty ofperjury one of the following three declarations: Date: 12/07/2016 1. 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by HAZARDOUS MATERIALS DISCLOSURE Section 3700 of the Labor Code, for the performance of the work for which this I have read the hazardous materials requirements under Chapter 6.95 of the permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will 3. I certify that in the performance of the work for which this permit is issued, I maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the shall not employ any person in any manner so as to become subject to the Health & Safety Code, Section 25532(a) should I store or handle hazardous Additionally, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of material. air contaminants as defined by the Bay Area Air Quality Management District I 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 will maintain compliance with the Cupertino Mun' upas Code Chapter 9.12 and the Health & Safetyod Se 'on 5, 25533, " '25534. be deemed revoked. &\ APPLICANT CERTIFICATION Owner or authorized agent: certify that I have read this application and state that the above information is Date: 12/07/2016 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 I hereby affirm that there is a nstruc on lending agency for the performance to enter upon the above mentioned property for inspection purposes. (We) agree of work's for which this permit is , d (Sec. 3097, Civ C.) to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Name judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands Lender's Address and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ARCurTFCT'c DECI ARATION I understand my plans shall be used as public records. Signature Date 12/07/2016 Licensed Professional TY OF s BUTT-DiNGADDRESS lti265 J LIDY AV F-CiIPjk3 N.,0 CA. 95014 (3 75 09 ¢sed underthe protisions or Chaliter o I (commencing 3 of the Business ,&- Professions code anti thsat nky- etetatr afiirliz ursder isenkTtc� of psrptart titae tar rise following two dcelaratinr,. _. I have. will maintain <t Certificate c€ cc)nsen to self—insure'—or workees Conipensat I oni as provided for by Section 3700 Of the Litor Code, for the Perf lance cafthe txpd fOr WhiCh this pert"Itis tsst.edw asp and stI mai stairs ' c rkex -t npevsai3can atasur zsa eos prolvidedferby SeCdc%370D of thCL,,hor code, for the performonee of the ;ori, for Iritich this Permit is issuers: _vV I edu crus aPPIMallOn and state: that the above orrect. I agree to comply =nidi all 01Y and countyr orriinances �elatinrd to building construction, and hereby authori?e of this city to enter capon the above. Mentioned property ;or mass_ N%i e) ag-a o. save indemnify and kt e� jlajtraless she p aegainst liabilities, judgments, costs, and expanses which iinst Maids"City In 0onsequenoe of the granting of this pecrri%t.- applicant understands and v llt carnply with all non -point ns Per the Cupertino Municipal Code, Section 9.18. 15,12 r3s AIt ISSUED --0711512016 alci3i titS: MUNHT LN FO: IAL _,C xnmt, MAL, STORY SFD WITH 3. sst 2 S.F C`Civar-i3 iaoRcH iF Li6 IES; ED GARAGE (SUMNI-y�,IALF- HEFC. HT OF CETUNG 9 Fl 3, its FT..; MICR ASE Ft Floor Area- P`t'Number `elreu�sattct Fi°pe: ._715ag043 f " PERMIT EXPMES IF WORK IS NOT Sj�.k�j) DAYS FROM LAST CALLED INSPECTION. yF htreb}° sifflrnt that i arta caetiapf frartt ztte Centrtstcrr's License Last• for one of the lir Rfl€iF q foltot ink two reasons, Ail roofs shall be i tspImed prior, to �ay roofing rnaterial bmiit� t s#allyd."Ira Mof is i, i. as <tL uer tf tiiep tapWr#y; t r toy enapfm ccs ceifla aYas s rseirs€ale i*ast3fied svi€iacazat Parse a btaiasin coan inspection1 awree to cern rs<e a:i raet' ntt tsais for t ual�.CISatatan, -Wil do tht, sroari . and the structurz is not irtetaded car pf3es; d for t' , " sale (Sec. r C 44S Business � F3rete�sao � Cr dei E sn�p�tinn. z: 1, as bwner ordl property", am exclusively ely contaac 3ng -, ittt licensed Slnnalure sfAligilicaM et arunctcsrs to crsi rum the pral"t (See.7044 hyssane�s & 1?tc3fessiatgs Code). , _ f i 'Date: 9i��a�ikt% i fxcr:hy affrmi under perdaltyo perjaars one of the foxgoIi ll; three declarations 1.Il .g sortriiiasstalaiaa Carlif cttcxfConsent t0self-insure for t'usi s ALL ROGITC€tVEkINGSTO BEC-&% S`:s"OR BF `FR ,. Comper soon. a, pro :hied tsar by -Secticsta 3 l}u iia" the t t:€ stir i ctdc, for the perfttrwuce %i Pc a f 111C work fat xa�itach ties pernit is Issued- f t A€ C3 � iE # i I haveand will maintain'w�o seer's C:otup nr aticaaz I3*sttz .uc .. as provided for Iib _ �I � CtFS�L�s i � SectionI hak=e read the hazardous aequirenae tits under'Ghtalger.&95 of the 37ii if attic Lnhoa Code, for tizrips�tiaatce €tf [lac tcvrk lar s`lesch this California Beatth Permit is iNmed.' � SafetS Code, Sections 25505, 25�33,'2nd 25534. l will rrtaintain stsznptlntace tt itls tits Cupertino Municilaal Code; Chapter 9:12 and the••.:' s. i ccrti% that in the ltet ibmi nce of the work for which this persasit is isstt d i Health &- Safety Cotes Section >'s:±32(a) should F siore rtr handle h spar-gt€stss shall io; ertplot a"t per c tt in tint='Panner ;o as to bec« stsW subject its lbe viaterial. Addltioludly, should 1 use equipment or 3taaarziozas :I Worker's Coulpensation hrws of California. Ii, a€`>^r zzaakisy chis ecrtiflcwe of I air OnVATninints ;is defined W the Day area Air Quality -NFarsa�ctrzcrst District exemption, I beeonse subject to lite t1'arl er's Corlipensatior proN is`ions o tI E Will tssaitr€ stn compliance sa atti the Cupertino hitnaieipal Code, Chapter 9,1 2 mad _a ER h arCaade, i rmst forthv� th costs• a �L ith s.uclt ovisioss oj—,. this !r matt shah titc ca3tit & stern cttrrr ct, i agree tea COMPlYlVIth all c ty as?d eatiniy ctrtltnancea and state Iatt+s I hereby affirm that there is a construction lending agency for rias performance irelatlst toiaulldlrtg ci astrttcti©rr, and hereby authcri t representatives o€ this csty ,�"mac work's ss"ortvhicts this permit isi issued (Sec.30097, Civ C:) tm enter sport the above mention property for inspection purposes. (We) agree Lender's Name to wins lndemnify and keep harmless tete Gley of Cupertino againsthabilides, judgment , costs, and expenses which may accrue against said city in Lencser's ddrssd t consequence 03 the granting of this pe=rmit. AdditiDnally, the applicant urderstaids and v rtI compH} vvith all non -Point regulations p rifle Cupertino €era rai�,'pal ?�F f 5 C Code, Section 8.18' l understand €rty.plans shall be Used as public records. S€arta$ctr fate 2LaZf2D-1j fLicansedf CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15120038 10265 JUDY AVE CUPERTINO CA 95014 (375 08 043) CRAIG A ROGERS CONSTRUCTION INC SAN JOSE, CA 95136 OWNER'S NAME: DATE ISSUED: 07/15/2016 OWNER'S PHONE: PHONE NO: ( LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class 51 Lic. #978553. Contractor CRAIG A'ROGERS CONSTRUCTION INC Date 11 /3012016 —BLDG —ELECT _ PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing MECI — — RESIDENTIAL— COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: CONSTRUCT (I) 2 STORY SFD WITH 3,774 S.F. I hereby affirm under penalty of perjury one of the following two declarations: HABITABLE AREA, 882 S.F COVERED PORCHES/BALCONIES r. 1 have and will maintain a certificate of consent to self -insure for Worker's & 443 S.F. ATTACHED GARAGE (SUNNYVALE Compensation, as provided for by Section 3700 of the Labor Code, for the SANITARY) is issued. Sq. Ft Floor Area: Valuation: $555000.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 375 08 043 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue agai st said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, thea plicant understands a l will comply with all non -point ni source Date 07/15/2016 Issued by: PAUL O'SULLIVAN OWNER -BUILDER DECLARATION Date: 07/15/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 07/15/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER r. 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the s. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(x) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by th y Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with th C pertino Municipal C e, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify, and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands ARCHITECT'S DECLARATION and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 07/15/2016 Professional CITY OF CUPERTINO FFF FSTIMAT01[Z RITII,7IIN(':IIIV14ZIf11V . ADDRESS: 10265 JUDY AVE DATE: 12/07/2015 REVIEWED BY: MELISSA APN: 375 08 043 BP#: *VALUATIQN: 1$495,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex USE:, T2nd Unit? :• Yes No PENTAMATION PERMIT TYPE: 1 R3SFDW WORK CONSTRUCT N 2 STORY SFD WITH 3,359 S.F. LIVING SPACE 882 S.F. COVERED SCOPE PORCH/BALCONY & 443 S.F. ATTACHED GARAGE OCCUPANCY TYPE: TYPE OF FLR AREA , PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. R-3 (Custom) dl-B,III-B,IV,V-B 4,241 $3,296.19 IR3PLNCK 1 $3,671.79 IR3INSP TOTALS: 4,241 $3,'296.19 �'$3,671.79 i e,'6. 4`10,rz f .;..,:: > QTY/FEE y 73t£r p>Ly.. �f7 rjgt Check, _ Plan Check Fee: $3,296.19 Select a Mise Bldg/Structure or Element of a Building r 0.0 hrs $0,00 PME Plan Check: gg. fi ?. F > -f. J i,.,.;'F. Permit Fee: $3,671.79 Suppl. Insp. Fee.(j) Reg. 0 OT 0.0 hrs £.i. r�:F _`vf:4 !, �p 1.'PT, PME, Unit Fee: $0.00 PME Permit Fee: $0.00 i.�Ff...!" `Y"f 4 � 1.`F"s ti.'3. Construction Tax: IBCONSTAXR 1 # new units. $687 1 �it .7.:➢` n.{t .., �77.'�>. 0 G Work Without Permit? 0 Yes 0 No $0,00 Advanced Planning. Fee: IPLLONGR $593.74 Select a Non -Residential G Building or Structure 0 D'rlve /.fir,{;<rmcanw1=on 1 _-es: NOTE. estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District. School u��ciccy ece.�. nese-Tees are pasea on the preummary information available ana are only an estimate. Contact the Dept for addn'I info. FEE ITEMS Fee Resolution 11-053M.' 7/!113 FEE QTY/FEE MISC ITEMS Plan Check Fee: $3,296.19 Select a Mise Bldg/Structure or Element of a Building Suppl. PC Fee: (j) Reg. Q OT 0.0 hrs $0,00 PME Plan Check: _ $0.00 Permit Fee: $3,671.79 Suppl. Insp. Fee.(j) Reg. 0 OT 0.0 hrs $0.00 PME, Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 1 # new units. $687 1 0 G Work Without Permit? 0 Yes 0 No $0,00 Advanced Planning. Fee: IPLLONGR $593.74 Select a Non -Residential G Building or Structure 0 D'rlve /.fir,{;<rmcanw1=on 1 _-es: Strong Motion Fee:_ 1BSEISMICR $64.35 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $20.00 SUI3TOT'AJ .' $8,333.17 $0.00 TOTAL FEE: $8,333,17 Revised: 10/01/2010