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B-2016-1524 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1524 10345 MORETTI DR CUPERTINO,CA 95014-3638(375 14 009) • UPRIGHT DEVELOPMENT CORPORATION • SAN JOSE,CA 95131 OWNER'S NAME: SU WALLACE AND AMY DATE ISSUED:09/01/2016 OWNER'S PHONE:408-627-2584 PHONE NO:(510)579-2281 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#1007355 Contractor UPRIGHT DEVELOPMENT CORPORATION Date 09/30/2017 X BLDG _ELECT _PLUMB MECH X 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: NEW 2 STORY SINGLE FAMILY HOME(2064 SQ FT)WITH I hereby affirm under penalty of perjury one of the following two declarations: ATTACHED 2-CAR GARAGE(437 SQ FT) 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 DEF#1-TRUSS CALCS-ISSUED02/01/2017 r performance of the work for which this permit is issued. REV#1-REVISE LANDSCAPE PLANS-ISSUED 10-20-2017 2.t' I have and will maintain Worker's Compensation Insurance,as provided for by 40 �; Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. . Sq.Ft Floor Area:2501 Valuation:$350000.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 375 14 009 Deferred Submittal(R-3),R-3(Custom) 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 against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. --Q -.--" Signatu k — = Date 10-20-2017 Issued by:Abby Ayende ----:-"' Date:09/01/2016 OWNER-BUILDER DECLARATION 1 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) • 2. 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: 10-20-2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I have and will maintaima 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. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District 1 Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I becomesubject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agen,_;r° _ _. APPLICANT CERTIFICATION Date:10-20-2017 • dir I certify that I have read this application and state that the above information is CON7:1' CTION LENDIN AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there s 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 and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Signature , Date 10-20-2017 LicenseProfessionald CONSTRUCTION PERMIT APPLICATION /� COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ft! 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 .4.sK.TD4.1. 2-D/0 - 4-2' ��� (408) 777-3228 • building@cupertino.orti PEMIT#B- CUPERTINO REV# I DEF# PRO ECT ADDRE EW CONSTRUCTION ❑ADDITION ALTERATION ❑T.I. AP❑MEP ❑RE-ROOF ❑SWIMMING POOL/SPA I 10 m � aY(�e `� p y N 34---/c(- 000 °/ OWNER NAME kiln 1(014,` S� PHONE /l.1� ,[ ,- 7 f E-MAIL^%t /07meh ', STREET ADDRESS•, ' L VVL•f,meq^ CTTY, STATE,ZIP ��/r ,,,071-11/74 41- /S o/ r COANK�� NAMEw❑OWNER-BUILD�R COMPANY� NAME�G � L� NER - -69 g8 LICENSETYPE C '� . , P~ y.-F Y) ke4 e STREET ADDRESS R O` % i 70CITY,STATE, ZIP g 0 i„t/ / op_ t , [E-MAIL Al) @ ylh�•U-� ,ww1 I PHON E 4 og, — (f3 _ ��� � 1BUS.LIC I 1/0 /1 evep 1)/0 ft:ARCHITECT�cOWNER ❑OWNER AGENT 0 CONTRACTOR AGENT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTACT NAME T_ E-MAIL 11.41, \ STREET ADDRESS CITY,STATE,ZIP PHONE DECRIPTON no,,,' (&4 (s ct e cc / 6A-- M/e.i-e/r -6-64Ncil -Pik- , 2 . ci-e '. ,Pe,Y.'41 ?INGLE-FAMILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL ❑COMMERCIAL I EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES I TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION(5) • REMODEL REMODEL KITCHEN REMODEL OTHR- GARAGE ❑ATTACHED BATHROOM SF SF SF SF ❑DETACHED EXISTNG ❑YES EICHLER 0 YES SECOND STORY ADDITION ❑YES FIRE SPRINKLERS 0 NO ❑ NO ❑NO DWELLING SECOND DWELLING ❑YES 0 ATTACHED DETACHED. OTHER UNITSI UNITADDITON: 0N SF POOLS' 0 FIBERGLASS 0 VINYL-LINED 0 GUNITE 0 PREFABRICATED POOL-SF SPA-SF I SPA ATTACHED OYES 0 NO I TOTAL-SF EIVED BY: RE V Il`illU1!{ UW4LQ-- TOTALVALUATION: in Comerciul or Mulfi=Fwnilu Buildings with Public Swimming Pools requires Department o(EuvirmEnvironmental Heath approval +� RE-RO OFI EXISTING ROOF TYPE: ❑BUILT-UP ROOF❑ASPHALT SHINGLES❑WOOD SHAKES❑WOOD SHING ES❑TILMOTHER(SPECIFY) REMOVE/REPLACE D NO IF NO PLYWOOD El 1/2" ❑3/8" PLYWOOD TYPE: PITCH: ROOF CLASS Dye FOFLAYERS THICKNESS❑5/8" OTHER EI OSB El COX OTHER '12 A PROPOSED ROOF TYPE:❑BUILT-UP ROOF DASPHALT SHINGLES 0 WOOD SHAKES❑WOOD SHINGLES 0 OTHER *Provide a signed copy of the Cupertino's Tear-Off Policy SF poi SQUARES By my signature below I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. I acknowledge and authorize all information contained on this application form to be made available for public record. / r / Signature of Applicant/Agent: / ` Date: ! - SUPPLEMENTAL INFORMATION REQUIRED *New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction. *Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. *HOA-Provide a letter of approval from the Home Owner's Association V 0 BldgApp_2017.doc revised 08/01//7 CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-1524 10345 MORETTI DR CUPERTINO, CA 95014-3638 (375 14 009) UPRIGHT DEVELOPMENT CORPORATION SAN JOSE, CA 95131 OWNER'S NAME: SU WALLACE AND AMY DATE ISSUED: 09/01/2016 OWNER'S PHONE: 408-410-7355 PHONE NO: (510) 579-2281 LICENSED CONTRACTOR'S DECLARATION BUILDING PEIRAHT INFO: License Class ]a Lie. #1007355 Contractor UPRIGHT DEVELOPMENT CORPORATION Date 09/30/2017 X BLDG _ ELECT _ PLUMB, MECH X RE EDENTIAL 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 DESCRH' ION: NEW 2 STORY SINGLE FAMILY HOME (2064 SQ FT) WITH I hereby affirm under penalty of perjury one of the following two declarations: ATTACHED 2-C GARAGE (4371, SQ FT) 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 DEF # 1 - TRUSS CALCS - ISSUED 02/01/2017 Jperformance of the work for which this permit is issued. �l 2. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: 2501 Valuation: $150000.00 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: 375 14 009 Occupancy Type: Deferred Submittal (R-3),R-3 (Custom) and state laws relating to building construction, and hereby authorize 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 against said City in consequence of the granting of this permit. WITHIN SO DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature ? Date 02/01/2017 Issuedby:�Ub z- Date: OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two All roofs shall be inspected RE-ROOFS: prior to any1,roofing material being installed. If a roof is reasons: 1. I, as owner of the property, or my employees with wages as their sole installed without st 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 ins i ection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature ofApplic t: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 02/01/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL RO F COVERINGS TO BE CLASS "A" OR BETTER 1. 1 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. 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the IAZARDOUS MATERIALS DISCLOSURE iazardous materialslrequirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Hea maintain complia th & Safety Code, Sections 25505, 25533, and 25534. I will ice with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safe Code' Section 255h(a) should I store or handle hazardous 3. I certify that in the performance of the work for which this permit is issued, I ally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the material. nts air contaminants is defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cuertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall, be deemed revoked. <% Owner or authorized agent: APPLICANT CERTIFICATION Date: 1 I certify that I have read this application and state that the above information is I hereby affirm th CONSTRUCTION LENDING AGENCY t there is a construction lending agency for the performance 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 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, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal I understand my ARCHITECT'S DECLARATION tans shall be used as public records. Code, Section 9.18. Licensed Signature Date 02/01/2017 professional I CONSTRUCTIONS PFRr-.P1IT APPLICATION COMMUNITY DEVELOPMENT DEP` fMENT - BUILDING I I 10300 TORRE-AVENUE CUPERTiNO, CA 95014-3255 F -1 t �, ,� � _ (40�8) 777-3228 - FAX (408)' 777-333' • bulidin cu ertino.o "' I i NR.W C 11TSCTI?TTrTTr-wT i -• 1 A nn7T1n%T I�I x. mc�n . mrr,,., , .,,� �iI' ., �. ---" -- -W • - Vi1YAL 1"1r1LY111 }r PROJECT ADDRESS OwNERNAME MAB _ c M STREET ADDRESS - CITY, STATE, ZIP FAX CONTACT NAME r x j� V P L1 B MAIL Z r STREET ADDRESS CITY, STATE, ZIP I FAX ❑ OWNER '❑ OWNER -BUILDER ❑ OWNERAGENT CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER E] TENANT CONTRACTOR NAME 1 /l LICENSE NUM R LI ENSE TYPE BUS. LIC N COMPANY NAME 10 11 j _ j/}�� to I,l� o ,. E-MAIL 3w Z- FAX STREET ADDRESS CITS�' STATE,ZIP [�%Q PJ30 U �1 ARCEITECTIENOINEER NAME LICENSE NUMBER BUS. LIC 0 COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE EXISTING USE PROPOSED USE CONSTR. TYPE 0STORIES T USE TYPE OCC. SQ.FT. VALUATION M F.XISTG NEW FLOOR - DEiYIO TOTAL AREA AREA AREA NEPAREA BATLEtOOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODELAREA FORCHARFA DECKAREA TOTALDECKIPORCHAREA GARAGEAREA: ODETACH E] ATTACH I # DWELLING UNITS: ISASECONDUNIT ❑YES MOND STORY AYES BEINGADDED? []NO ADDITION? ❑NO PRE -APPLICATION EYES IFYES,PROVIDECOPY OF ISTH9131,13GAN ❑YES CE TOTAL N: PLANNING APPLI< ©NO PLANNING APPROVAL LETTER EICHLER HOD1&? E] NO By my signature below, I certify to each ofthe following: lam the property owner or authorized ager a property owner's behalf kfave read this application and the information I have provided is correct. I have read the Description of Rjork and veli it i accurate. I agree to wmply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupeatiaao to enter tl�e above -identified property for inspection purposes. Signature of Applicant/Agent: _ Date: SUPPLEMENTAL INFORMATION REQUIRED...:::_:- -:: _.:;_ ::.:__:.: = :::• _ :,::_ _=°:- _-:::i ....... E= `= 7=:-i;' `:=-:-- ...::.:ROUTn)G.SLIP.t ..:;.::..::-::r'.:.::....::::..:...::..:::::•<::»-:- :::c�:':'�_::::_::�:;.::;:,::..:.,:�;-:::�=�-;:-::: wSFDorMultifamii dwellings: Apply for demo.h.on permit for existing building(s). Demolition permit is required prior to issuance of buildin permit for new e ..__..-.::...-:::-::::..___,,.-._ ::.......:..... Commercial s: Bldg Prove a coin Hazardous Disclosure ____- completed leted HazardMaterials Discl :-.�_.-.:T_...........,:..:........:.:....:..... .....:..PUBLIC�iORKS:::::::::-.:::•.::::...,...... f any Haz rdous Materials are being used as pant of tins protect. -- LARGE _ - CoPY ofPlanning Approval Letter or Meeting with Planning Prior to Copy •...........:.__...:--:._..:..._. submittal of Building Permit application. - - _ ._ ._.... ___ .... .. ............. - -- .:CJ.;SANITARY.SEl1'ERDISTRICT:t::S`__.:p _ .,.:..--:.-:-.::-:::-::::•:::.:._-:_:._:::::__::_:;i�r.:. _ENS'IRONf19L.N"PAI;HEALT}I_;___:__:'a BldgApp 2011.doc revised 06121111 J CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1524 10345 MORETTI DR CUPERTINO, CA 95014-3638 (375 14 009) UPRIGHT DEVELOPMENT CORPORATION SAN JOSE, CA 95131 OWNER'S NAME: SU WALLACE AND AMY DATE ISSUED: 09/01/2016 OWNER'S PHONE: 408-410-7535 PHONE NO: (510) 579-2281 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class a Lic. #1007355 Contractor UPRIGHT DEVELOPMENT CORPORATION Date 09/30/2017 X BLDG —ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — _ MECH X 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: NEW 2 STORY SINGLE FAMILY HOME (2064 SQ FT) WITH I hereby affirm under penalty of perjury one of the following two declarations: ATTACHED 2-CAR GARAGE (437 SQ FT) i. I have and will maintain a certificate of consent to self-insure for Worker's �11 Compensation, as provided for by Section 3700 of the Labor Code, for the- performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: 2501 Valuation: $350000.00 APPLICANT CERTIFICATION certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 375 14 009 Deferred Submittal (R-3),R-3 (Custom) 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 against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non-point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source'regulations per the Cupertino Municipal Code, Section 9.111. 180 DAYS FROM LAST CALLED INSPECTION. Signature eo� Date 9/1/2016 Issued by: AbbyAyende OWNER-BUILDER. DRATION Date: 09/01/2016 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 toremove 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) 2. I, as owner of the property, am exclusively contracting with licensed Signature ofApplicant: contractors to construct the project (Sec,7044, Business & Professions Code). Date: 9/1/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE z. 1 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(a) should 1 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 the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the f the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorizedagent: APPLICANT CERTIFICATION i% Date: 9/1/2016 1 certify that I have read this application and state that the above information is . CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws 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 and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code; Section 9,18. 1 understand my plans shall be used as public records. Licensed Signature Date 9/1/2016 professional CUP ERTIN XNEW CONSTRUCTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (1108) 777-3228 • FAX (408) 777-3333 • building0cupertino.org ❑, ADDITION El ALTERATION / Ti ❑ REVISION / DEFERRED ORIGINAL PERMIT PROJECT ADDRESS `r Y , t APN If : 757-4-1)m 7 57 - 4 —1)m P A OWNERNAME / P14ONE. E•MAIC. STREET ADDRESS 10 � � %� Jy`/�n -��f � � CITY, STATE, ZIP {�9 �} ^ � �j �Xj / FAX CONTACT NAME PHONE 1 jy0)�,�MA�°` r 1 STREET ADDRESS 2 f ■,. l fJ J 7-11TY. • .STATLI,•Z�#1PVM , }�f.�� 44 !4 �...y,.. !7 "`©1 PAX .' ❑ OWNER 1 1 OWNER -BUILD M, XOwNERAGENTT t� ARCHITECT4f � CONTRACTOR 11 CONTRACTOR AGENT ARCHITECT WCENEER ❑ DEVELOPER. ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE - BUS. LIC # COMPANY NAME B MAIL FAX STREET ADDRESS CITY, STATE, ZIP - PRONE ARCHITECT/E'NGINEER:NAME - LICENSENUMBER - BUS. LTC it COMPANYNAME J /Jj i N / E-MAIL dW j _ I p,I- • PA` X STREET ADDRESS h 6` ).-. Ifd�xJ I`CY, STATE, ZIP PRONE ( 7O) A ( :Ug ^DESCIPTIQOF WORK __-C_ Vie- l`U1 1 aw) vlw HXFSTING USE 3 f / PROPOSED USE CONSTR 'Q:2) it- TYPE. it STOR1H5 -2 USE TYPE Oce, SQ,17, VALUATION {$) EXISTG+ AREA , i NHWP.i,p.00� AREA '4 j� DEMO AREA TOTAL NET AREA - BATHROOM KITCHEN OTHER REMODEL AREA REMODELAREA REMODEL AREA PORCHAREA -DECKf ? AREA •6 t (J/r -TOTALDECKIPORCH AREA ,5 "� 1,57 GARAGE AREA: [:1DETACH x-ATrACH 417 4DWELLING UNITS: IS A SECOND BNITYES BEING ADDED? �'21O SECOND S'rORY YES ADDITION? ONO PRE APPLICATIONYES IF YHS,PROVIDECOPY OP PLANNING APDL k NO PLANNING APPROVAL LETTER is THE BLDG AN [-]YES EICHLER HOME? KNO SiVED $y' - WX TOTAL VALUATION: jl By my signature below, I certify to cacti of the following: I am the property owner or authorized agentlo act oA the property owner's behalf have read this application and the information! have provide 's correct, I have read the Description o£ Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buildi nslnlction, iho apteseniatives of Cupertino to enter the above -id rfope�rty/for inspection purposes - -� Signature of Applicant/Agent: �(�rf Date:Ig SUPPLEMENTAL INFORMATION REQUIRED - PLe}N;Cffi:CK T:YP,E - ROU'PihTG SLIP ., _ © ovE[L'rT ...... NTGR = i37 BiiiLDING PI iNREvi w New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building = v' permit for new building. 0 xPnFss rLAPtNING PEAnrx vruw Commercial Bldgs: Provide a completed Hazardous Materials Disclosure D sTAIVD �xD � ,fierce wotixs _ form if any Hazardous Materials are being used as part of thus project. :� I,A1tG'E- �. IS�J "E'ii2E DEP"i' _ Copy of Planning Approval Letter or Meeting with Planning prior to MAdOIt iSANrrARY sItnTsT3tTCT submittal of Building Permit application. •. BldgApp 201 Ldoc revised 06/21111 11" ,0-10 CAPEX ENGINEERING INC. PO BOX 14198, 17WEMONT, CA 94539 Tel: (510) 668-1815 Fax: (510) 490-8690 Project No, 10498 Building epartment October 6, 2016 D City of Cupertino 10300 Torre Avenue Cupertino, CA 95014-33232 Subject: Proposed New Residence at 10345 Moretti Dr. Cupertino, CA FOOTING EX4CAVATION (GRAI)E BEAMS & SPREAD FOOTINGS) AND CONCRETE SLAB ON GRAIDE PREPARATION OBSERVATION REPORT Dear Sir: prCfaration. rouung Gepumiam aria concrete slab on gracle preparation in accordance with approved foundation plan, specifications and soil report. The exposed soil conditions of excavated foundation are beyond design bearing capacity and ,acceptable. Any questions, please call our office at your convenience. Sincerely, EX E INEERINO INTC., WaorY Principal WEC and Associates, Inc. October 5, 2016 City of Cupertino Community Development Building Division 10300 Torre Avenue Cupertino, CA 95014-3202 Subject: Survey Report 10345 Moretti Drive Cupertino, CA To Whom It May Concern: � 3oiL fsA This letter is to confirm in writing that WEC,andAssociates, Inc provided a staking survey for the foundation line on the subject property. The stakes have been placed in accordance with the plans approved by the City of Cupertino. The horizontal control is established by the county recorded tract map(s) and/or Record of Survey(s) and the monument line established along Moretti Drive. We subsequently paid a site visit on 10/3/2016. From our professional point of view, the contractor formed the foundation walls in accordance with the horizontal setback requirement as shown on the city's approved plan. We make no warranty, expressed or implied, as to the services rendered except that our services are performed in a manner consistent with that degree of care and skill ordinarily exercised by members of the same profession currently practicing under similar circumstances at the same time and in the same or similar locality. If you have any further questions regarding this matter, please contact me at your convenience. Sincerely, WEC and Associates, Inc. Yi-Ran Wu, PE., LLS 2625 Middlefield Road #658 • Palo Alto, CA 94306 • Tel: 650-823-6466 • Fax: 650-887-1294 yr- f✓ F b. o x f 188.00 MORETTI DRIVE (60' R/W ) 1. REFERENCE ELEVATION (SET NAIL ON POST) IS BASED ON JOBSITE BENCHMARK AS SHOWN ON THE TOPO SURVEY. 2. CONTRACTOR TO REVIEW AND CONFIRM DESIGN FINISH FLOOR AS SHOWN ON THE APPROVED PLAN STAKING DIAGRAM W E c 2625 MIDDLEFIELD RD #658 TEL: (650) 823-6466 10345 MORETTI DRIVE CUPERTINO CA & ASSOCIATES PALO ALTO, CA 94306 FAX: (650) 887-1294 N.0'23'00"W. 57.00' g z —Ymn"— 1 1 o 3 0 0 2 I I o ai -_T----- 1 , \/� `X 5 6i I SET NAIL @ I I I FENCE POST EL=189.85' NEW KE5IDENCE I w li i i i I w 1 CD o o m 1 5' 5' 1 1 000IX--- ----------- --7, 1 oo 1 z 10 ® 11 z 1 Ni n°q-�'nn"w 57 00' o x f 188.00 MORETTI DRIVE (60' R/W ) 1. REFERENCE ELEVATION (SET NAIL ON POST) IS BASED ON JOBSITE BENCHMARK AS SHOWN ON THE TOPO SURVEY. 2. CONTRACTOR TO REVIEW AND CONFIRM DESIGN FINISH FLOOR AS SHOWN ON THE APPROVED PLAN STAKING DIAGRAM W E c 2625 MIDDLEFIELD RD #658 TEL: (650) 823-6466 10345 MORETTI DRIVE CUPERTINO CA & ASSOCIATES PALO ALTO, CA 94306 FAX: (650) 887-1294 Min Building Department City of Cupertino 10300'rorre Avenue 13-orb-Isy Prqicct No. 10498 October 6, 201 ' Subject: Proposed New Residence -at 10345 Moretti Dr. Cupertino, CA SITE DEMOLITION AND BUILDING PAD GRADING OBSERVATION REPORT Dear Sir: C4M ENG&EERM INC., bas provided obsenation service for site demolition, Primary and final grading of building pad. On the basis of our observation and testing, -We concluded building pad, compaction operation was performed in general accordancewith recivi ;;; .1� If you have any questions, please contact our office at your convenience. Sincerely, CAPEX EIGfINEERING INC., Cary I , Hsu, PX Principal CIBOTTI ENGINEERING 12935 Alcosta Blvd, Unit #2025 San Ramon, Ca. 94583 SCOTT@CIBOTTI.COM April 13, 2017 File: 201 G-1 10.2 SU RESIDENCE NEW TWO STORIES SINGLE FAMILY NOME 10345 MORETTI DRIVE `y CUPERTINO, CA Dear Mr. Su : At your request, we have made a structural framing walk for the project mentioned above on 3/03/2017. To the best of our knowledge and based on our observations through accessible areas, the framing work for the project mentioned above , include shear wall nailing, hold-downs and shear transfer paths were in general conformance with the city approved plan dated on 5/02/201 G. This review is conceptual and qualitative. It 15 intended to verify the presence Of mayor structural connections and to identify mayor deficiencies. Accuracy of dimensions, number and location of fasteners, type and grading of materials and similar features of the work were not checked in detail. The above information constitutes the professional opinions of Cibottl Engineering, in accordance with generally accepted engineering principles and presented above are based on a limited reconnaissance. No physical testing examine areas not readily accessible. We do not undertake the guarantee of the construction, nor do we relieve the contractor from his responsibility to produce a completed project conforming to the plans. Should you have any questions regarding this matter, please feel free to call. Engineer of Record: Scott Cibotti P.E., CEE QROFESS/0y 12935 Alcosta Blvd, Unit #2025 �``�GojT CIBOTjeFy San Ramon, Ca. 94583 �= Bus (925) 829-0920 c62912 m Fax (925) 829-092 1 JUNE 30, 2018 5cott@cibotti.com sP T CIVI\- 9TF OF CA��F�� CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS to3q,5PERMIT #(3 1:K �- OWNER'S NAME �d!/c, l PHONE # 40& — o GENERAL CONTRACTOR. BUSINESS LICENSE # 40 2� ADDRESS 65-) 7-1tA�y�ey lt, CITY%ZIPCODE ✓0 d.— aaiun —pal vzuuc ji-eyuires an Dusinesses worxing in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am- not using any subcontractors Signature Please check applicable subcontractors and complete the following information: Date !-,rjL- F� at c'u-' I- F,-ve— py-O-A-cam ner Contractor Signature r o1W ,01!� /2--/ 2-611— Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical o w, Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping —r Wt%l -rco Lathing Masonry Painting / Wallpaper Paving Y�C4-n�i�Li-c4727n 403920 aZ Plastering Plumbing i 6� a 01 Roofing Septic Tank Sheet Metal Sheet Rock Tile !-,rjL- F� at c'u-' I- F,-ve— py-O-A-cam ner Contractor Signature r o1W ,01!� /2--/ 2-611— Date