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07120235- PUB � X11110 �i �:�ii li ii��ii� ii�ii ii�� il��ii��ii�i x a) x v w o x L L) a Q dd a — U a CD LO o� n a m a � ' o 0 o pq o i LO 7q o o � .. U` i c R 11 N Z J O O in co H O J W F m [� 0LLI to 1 pa A O co Z f j 0 H .4 kk LO LL o � . J W p •{} m O W W H Lil p 07 O �_ d ifs O F \ LOM ~ Ci 7 � �2; W W �i — i. al L�CD 0 LO IL � cco CL CD (D ' ❑ = U a Z A k ¢n Mo � p [V 3 %( a f v y o w a) 0 o cn fi m cn m r a) _ 3 _J U Q Q Q U (U iZ � i I 1, m cn pS 3 ip Q ,0 +h _ M O O O _(- N a) N U IV I,' Ur IV I' IV li 1 a a a n — � 1 tz w Q7 i O m CL } oo N0 =O w >I Q J j Z iCL ii� w F p = O 0 0 CD a. ' —` - ,' u-, 0 0 0 � , w •�� J! � � � '�,�' 1 1 00 j I � � _j `` S 10 2.1 CV _ 07 O O N co N a) LO [.f1CD CD C) - __ - - --_ - '_ fl of a) fl CD x v j w o Q) a) a a ; a� �o a M y E ° xy o O x p y n w W E 0 ay - a� ui v `o s in o v ar d U v io U- C z x o 0 0 ay � a) - y v U t) L) c m OL t� U E c .4' N a. E ) —Ms � � (U ti n c fo cn a� � o � a wl n) 8 -S Q � M_ a� a� a� a� � a. � � � m U � a. p a_ c CL u CITY OF CUPERTINO BUILDING DIVISION PERMIT C�l£�TC7COR� ' KNiA7CIf7k * BUILDING DDRESS: PERMIT NO. %�!, 9 N STELLING RD LANDMARK DEVELOPMENT 07120235 OWNER'S NAME: cc PERMIT ISSUE DATE 1S PALMAS STELLING LLC 1307 S MARY AVE STE 120 09/03/2008 PHONE: SANITARY NO. CONTROL NO. ARCHITECTIENGiNEER: BUILDING PERMIT INFO NEW TWO STORY TOWNHOUSE BLDG ELECT PLUMB MECH o a LICENSED CONTRACTOR'S DECLARATION O r U P I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing Job Description i a awith Section 7000)ofDivt ton 3 of the Business and Professions Code,and my license is in full force and effect- Li 7 h Z License s Lic.p U E Date �^ '2— Contractor 4f`0C- ARCHITECTS DECLARATION` f i oe< 1 understand my plans shall he used as public records �nt 7yU y Licensed Professional y OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the CZ O following reason.(Section 103 1.5,Business and Professions Code:Any city or county which requires a permit to ennsuuct,alter,improve,demolish,nr repair any structure prior to its issuance,also requires the applicant for such permit to file a signed statement s< that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq,Ft.Floor Area Valuation 0 a F (commencing with Section 7000)of Division 3 of the Business and Professions Code)or y .. 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 mom than five hundred dollars($500). P Y YP ❑1,as owner of the property,or my employers with wages as thew 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.). ❑1,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. ❑f arr.exempt under Sec B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION 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 Worker's Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the wont for which this permit is issued. ❑I 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's Compensation Insurance carrier and Policy number are• Cartier:-fpdf923_ a Policy No.: .2 6 L/ a CERTIFICA OFEXEMP ION FROM WORKERS' COMPENSATION INSURANCE (this section need not he completed if the permit is for one hundred dollars($100) or less.) I certify thci 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 Workcrs'Compensation 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 of the Labor Code,you must Q O forthwith comply with such provisions or this permft shall be deemed revoked. - Z rA CONSTRUCTION LENDING AGENCY [-+ ►-� 1 hereby affirm that there is a construction fending agency for the performance of fY. ' the work for which this permit is issued(Sec.3097.Civ.C.) QLender's Name Z Lender's Address [,Q 1 certify that I have read this application and state that the above information is correct 1 agree to comply with all city and county ordinances and state laws relating to QU building construction.and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. F (We)agree to save,indemnify and keep the City of Cupertino against by rA liabilities,judgments,costs and expenses which m to any way accrue against said City [J z !inceom" ncc of ti g of RS L COMPLY WITH ALL NON-POINT Issued by: DateULARe-roofspp¢anUC- tractor Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant store orhandlc hazardous material as defined by the Cupertino MunicipalCodc.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 applican or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove Cmlt hazardous air contaminants as defined by the Hay Area Air Quality Managcment all new materials for inspection. District? C]yes No I have read the hazardous materials re 'mm der Chapter 6.95ofThe Ca)ffor- niaHeallh& ctyCode 'ons 25505 5 4.1 understand that if the building dors n ll Tenn a s fbilfty to notify the occupant of the re c e must be uan a Certificate of Oc an� Date Signature of Applicant "ter Date All roof coverings to be Class'W'or better ON CI'T'Y OF CUPERTINO NEW SINGLE/MULTI FAMILY DWELLING CUPERTINO PERMIT APPLICATION FORM . Oz.3.3� APN# -2 b r p?j� Date:l Building Address: r,. C11111,114111111 1 11111111111!1111 11!�!? 2A LED Mailing Address (if different from building address): 3 0'? s a w 57-x- / Z0 n A v Csz 9 vv 7 O er's Name: Phone# -;;;>3 3 - Contractor: Phone#: Gt/V -7 3 3 (p F'3 L/V 0th AQ- Pc,(j Z/jG O Fax #: 'fv 7337-- 19 ZQ g Contractor License 3 y 51 Cupertino Business License# meq g Contact: ! ' / Phone#: -73 3 — (a 3 o � Fax#: �j 73s= g2`1 Alternate Contact: Phone#: .1/v,i Fax#: Single-Story Two-Story Three-Story ❑ Basement ❑ Hillside 0 Multi-family ❑ Apartment ❑ Condo ❑ Townhouse Sq.Ft. Living Area(Including Basement &Attached Garage: Sq. Ft. Garage (Detached Only): f�LD� 7 � Valuation: Job Description: Type of Construction (Usage Class): Occupancy Type: 1 FR, 11FR ❑ 11, 111, V-1HR ❑ 11, 111, 1V V-N 43 Project Size: Standardf 2Large Major F1 Green Building: 11Zust attach completed Green Building Checklist to the plans Green Building Points Achieved: For help, contact Build it Green at www.builditgreen.or� ' 1 1 1 CITY OF CUPERTINO NEW SINGLE/MULTI FAMILY DWELLING FEE SCHEDULE Quantity Fee ID Fee Description Fee Groep Permit Type 1,R.11-NSP Apt.Bldg.inspection fee B 1R1APT 1RIPLNCK Apt Bldg plan check.fee .B 1RIREINSP Apt Bldg repeat unit B 1RIAPTR Inspection fee 1RIREPLNCK Apt Bldg repeat unit plan B check fee lR31NSP Dwellings Inspection B 1R3SFDW 1R3PLNCK Dwellings Plan Check B . 1R3REPINSP Dwellings Repeat B 1R3SFI)R. (� K Inspection 1R3REPPLNC Dwellings Repeat Plan B Check 1R3HINSP Dwellings Hillside B 1R3FIII;I� Inspection TR3HPLNCK Dwellings Hillside an B Check . . 1R3HREINSP Dwellings Hillside B Repeat Inspection lR3HREPLNC Dwelling Hillside Repeat B Plan Check 1R3ALTINSP Dwellings Alternate B 1R3SFDALT Materials . 1R3ALTPLNCK Dwellings Alternate B Materials . 1GARDTW<=1K Detached Garage Wood B 1GARDTM<=1K Detached Garage B Masonry 1BCONSTAXR Constax Resi/Mobile B 113MITIGATR Residential Housing PL Mitigation Fee-chrg only if lot is vacant or it is a `a subdivision-see lannin g 2 of 3