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15020145I\ CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22830 SAN JUAN RD CONTRACTOR: CONRADO COMPANY PERMIT NO: 15020145 INC, THE OWNER'S NAME: QUEEN CARY L TRUSTEE 14363 SARATOGA AVE #206 DATE ISSUED: 04/24/2015 OWNER'S PHONE: 4084462691 SARATOGA, CA 95070 PHONE NO: (408)867 -2095 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ 2) J UPPER LEVEL: REMOVE AND REPLACE EXISTING License Class Lic.# y 1 VAULTED ROOF OVER THE INTERIOR CENTRAL STAIRWAY AND Contractor �(� tJ�O� Gi Date RELOCATE WINDOWS; CONSTRUCT NEW ELEVATED I hereby affirm that I am licensed under the provisions of Chapter 9 WALKWAY (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: 1 have and will maintain a certificate of consent to self - insure for Worker's ompensation, as provided for by Section 3700 of the Labor Code, for the p ormance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $135000 I ve and will maintain Worker's Compensation Insurance, as provided for by ection 3700 of the Labor Code, for the performance of the work for which this APN Number: 34221030.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating hereby this to enter WITHIN 180 DAYS P a T ISSUANCE OR to building construction, and authorize representatives of city upon the above mentioned property for inspection purposes. (We) agree to save ;OF 180 DAYS FR LED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses w may accrue against said City in consequence of the granting of this pe Additionally, the applicant understands and will comply Is a Z with all non -point ce regulations per the Cupertino Municipal 9,de, Se tion 9.18. / RE- ROOFS: Signature Date 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 all new materials for inspection. ❑ OWNER- BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self - insure for Worker's material. Additionally, should I use equip nt or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay a Air Quality Management District I performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by will maintain compliance with the Cup r ' o Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 2 , 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: permit is issued. 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 Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION u�✓'1 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • buildingCcDcupertino.org \� CUPERTINO �y 11\TCTTrnrNXI TDT7/"rTn1,T n AnnT -rTnhT IV ATT=T?A'rint,T/TT n RI:VTQTr)v /T)PPPPPT =TI npinrwAT PPTZMTTii PROJECT ADDRESS APN k OWNER NAME PHONE E -MAIL G A A Y cQ ./ O 8 - STREET ADDRESS CITY, STATE, ZIP FAX o Ll 08 - 1Y IV 6 -269 CONTACT NAME PHONE E -MAIL STREET ADDRESS CITY, STATE, ZIP FAX 9 OWNER ❑ ONTIER. BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC H COMPANY NAME E -MAIL FAX e tj IN it V 1 1. 0 9 A S P A v c A o Go M Lioo R - 9 6 7 - Zo STREET ADDRESS CITY, STATE, ZIP PHONE C 07-o - 1 O IS ARCHITECT /ENGINEER NAME LICENSE NUMBER BUS. LIC it 7. COMPANY NAME E-MAIL FAX (. t b O bs 4 O O STREET ADDRESS CITY, STATE, ZIP PHONE 7 DESCRIPTION OF WORK S / L L r- - ra A I p a riz -r FAC.g McAg ✓ i- 14 L. V L. E G A1_4 1o1_Are_ w /r o✓ S i i>d RAID,& c? P L oR F rZ. EXISTING USE PROPOSED USE CONSTR TYPE k STORIES USE TYPE OCC. SQ.FT. VALUATION (S) s i ti 6,A A PAM) 1. S1 wJ WOO EXISTG NEW FLOOR DEMO TOTAL AREA 2. AREA 0 AREA NET AREA 3 0 z ao o �s. I o BATHROOM KITCHEN OTHER o v'r S 1 D t E j% 1 p 6. A c a 6 S� / REMODEL AREA REMODEL AREA REN40DEL AREA 30 To ofic-At VJoc>Dl !i S O PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH / I [:]ATTACH 0 '300 Roo r 3 o J9 0 a; DWELLING UNITS: IS A SECOND UNIT ❑ YES I SECOND STORY ❑ YES BEING ADDED? gNO ADDITION? XLNO PRE- APPLICATION ❑ YES IF YES, PROVIDE COPY OFF IS THE BLDG AN [-I YES HOME? RECrEIVED $ ` ti iM 31,r } �; TOTAL VALUATION: PLAINNING APPL4 J,NO PLANNING APPROVAL LETTER EICHLER S.N0 c o 0 By my signature below, I certify to each of the following: I am the property owner or authorized agent t 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. Signature of Applicant/Agent: &L Date: '2/2S I S SUPPLEMENTAL INFORMATION REQUIRED ` ��sn ° ge-, PIiAT�CHEC.YICTYI'E New SFD or Multifalnil dwellin s: Apply for demolition permit for Y g PP Y P g existing building(s). Demolition permit is required prior to issuance of building for new building. a O�„VVER TH �COURTER � 3� r r T , , r �,R. 1� ❑ EAP. ESS o-,�'.. fi t� rLAN'�I'NCPLATRE�' ,- permit , �x� g CommercialBldgs: Provide a completed Hazardous Materials Disc losure T rpNnA>?D, xk� ��PuBtICwoRICSTa _ form if an Hazardous Materials are being used as part ofthis project._ y � Copy of Plannin g Approval Le er or Meetin g with Plannin g P rior to ntist� rt �1��LA Rrz .yyc {�"�'�r_k ;, Yi'e 1 ���•FI�.�'J?mP3' r"� rs� _ submittal of Building Permit application., IN_ w� 'ENVIRON➢IE T BldgApp_2011.doc revised 06121111 ���.,�����,�,,�,,,,�� CITY OF CUPERTINO Fo—m— l FFF FctTIMATnR — RITILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.e. rtanntng, ruouc rrurna, /'lie, .run 'y �•�•• • •, 1' ma t don available and are only an estimate Contact the Dept or addn'l info. District, etc ). These ees are based on the re tmma FEE ITEMS (Fee Resolution 11 -053 Ef' T1,13) ADDRESS: 22830 san juan rd !'hunb. Plan Check DATE: 02/25/2015 REVIEWED BY: Mendez Plumb. Permit 1`ee: --t_ APN: BP #: � j (�a (j j "VALUATION: $135,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Du lex p $0.00 PME Plan Check: PENTAMATION 1 GENRES PERMIT TYPE: USE: Deck / Deck Railing Deck & Deck Railing Permit Fee: Hourly Only? Q Yes Q No $0.00 WORK remove corridor wall on upper level terrace reposition panramic view windo; replace outside bridge SCOPE I construct platform on deck for garden. NOTE: This estimate does not include fees due to other Departments (i.e. rtanntng, ruouc rrurna, /'lie, .run 'y �•�•• • •, 1' ma t don available and are only an estimate Contact the Dept or addn'l info. District, etc ). These ees are based on the re tmma FEE ITEMS (Fee Resolution 11 -053 Ef' T1,13) to or FEE !'hunb. Plan Check Elec. Plan Check Plumb. Permit 1`ee: --t_ hlec. Permit hee Othcr ;1lecYr. Insp. Other Plumb 7n�7r- oilier Elec. Insp. ET Mech. Insp. Fee: Plumb. lip, Vice: hrs $0.00 PME Plan Check: $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. rtanntng, ruouc rrurna, /'lie, .run 'y �•�•• • •, 1' ma t don available and are only an estimate Contact the Dept or addn'l info. District, etc ). These ees are based on the re tmma FEE ITEMS (Fee Resolution 11 -053 Ef' T1,13) to or FEE QTY /FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes Q No $0.00F_5__ hours $715.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 0 # $0.00 Deck / Deck Railing Deck & Deck Railing Permit Fee: Hourly Only? Q Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construetion Tax: I rlininistratiti c I'_"". E) Work Without Permit? © Yes Q No $0.00 Advanced Plannin& Fee: $0.00 Select a Non - Residential Building or Structure 0 A i i'ui>el Documentalion Fees: Strong Motion Fee: IBSEISMICR $17.55 5.0 hrs $715.00 Inspections ISTINSP Inspection, Hourly Bldg Stds Commission Fee: 1BCBSC $6.00 SUBTOTALS: $23.55 $1,430.001 TOTAL FEE: 1 $1,453.55 Revised: 02u,4i2wo Building Depo•tmeut Cify Of Cupeoino 10300 ['()rrc Avenue Cupertiilo. CA951014-3-155 2 'felephonr: 408-777-3228 CUPERTINO Fax: 403-777-3333 CONTRACTOR/ SUBCONTRACTOR UST JOB Al)DR1_:-,.S:2_28_36­Sa­n Juan Road PER Ntff t� 15020145 MVNYWS'`i,� VI : :Queen, Cary Trustee plfo,IL: f;(408)425-1130 GI EN L:RAL CON'!RXCI-To [,,..The Conrado Company, Inc. BUI;INESS LfC'F"'4SE #13-575695 1DDRESS14363 Saratoga Ave, Suite 206 CITYiZIPCODE:Saratoga, CA 95070 *Our municipal code requires all hushiehows, %iii'si-king, in thvtlly to ba-ve a City of Cuperf.1110 ijusiwss lierase. A0 BUILDING FINAL Oil YEN AL OCCUPANCY VNISPELTION(S) WILL RE SO4FIWINT) VNTIL *. ki (;L%*.ERAL CO.Ni'llAc,roi, . ND .,.kl-L SIACON-TRACTORS ILVVE 0131'.1INED A MY OF CUPERTIW IW;SINLVS LI•FNSVI. j am not usluguny sijbcoikttsadorb: Signature Please check applicable subcontractors and completr the- 1-01lowling information: Dare V SURCONTRACT01Z BUSINESS NAME, ........... . . . Bill Brown Construction BUSINE&S LICE!'N'SE A X Cabinets & Milhtior k #33457 --------- . . .... #19312 X Electrical Clausen Electric Excavation Foie incy Flooring / Caq)ctirig X Glass Glazing Heating G.W. Joel Construction.­­--- Keller Heating and AC #30623 #40243 X Insulation Landscaping Lathing ,Masonry R&P Painting #40006 #40153 X Painting Wallpaper X Paving Oliveira Plastering Plastering X Plumbing #27915 Roofing Bill Hamilton Roofing Septic Tank Drake Welding #25205 #33296 #28795 X X Sheet Rock .......... .......... . Barragan Drywall Preferred Tile X Tile 4/20/16 ------------- owlier / Cw1tractor siguallare Date