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B-2016-3318CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3318 10591 GLENVIEW AVE CUPERTINO, CA 95014-4567 (369 26 022) CALDERON AND SON'S 1��5IIi/:llLiZ�1.It•07:��I7=fYsl:itY 7lj+yili� PHONE: 408-857-5442 License Class 5 Lic. #77 4 Contractor CALDERON AND SON'S -CON $TRUCtlbN-COMPANY Date 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 Iicense is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: L i have and will maintain a certificate of consent to self -insure for Worker's CONSTRUCTION COMPANY HAYWARD, CA 94544 ISSUED: 12/22/2016 NO: (650) 248-6470 PERMIT INFO: BLDG —ELECT —PLUMB MECH X RESIDENTIAL— COMMERCIAL JOB DESCRIPTION: KITCHEN REMODEL (200 SQ FT); REPLACE (5) WINDOWS AND (4) DOORS; REMOVE AND REPLACE STUCCO (1500 SQ FT). Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 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 Sq. Ft Floor Area: Valuation: $30000.00 permit is issued. 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 and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. Me) agree to save indemnify and keep harmless the City of Cupertino against liabilities, 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 Code, Section 9.18. Signature" Date 12.22.16 I 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 compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 2. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). APN Number: Occupancy Type: 136926022 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 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 3. 1 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 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 forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFIC TA ION ,, 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 indemnify and keep harmless the City of Cupertino against liabilities, 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 Code, Section 9.18. PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: ,SEAN HATCH RE -ROOFS: 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. Signature of Applicant; Date: 12.22J6 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: Date: 12.22.16 , CONS�UU LEU AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address AR HIT T'C n I RATION I understand my plans shall be used as public records. Licensed CONSTRUCTION PERM IT.APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO I (408) 777-3228 • FAX (408) 777<3333 • building(a)cupertino.ora ❑ NEW CONSTRUCTION n A T)TITTTr)NT T m A -T I — M 331b REVISION/DEFERRED ORIGINALPERMIT# PROJECT ADDRESS 1 �,y � I , -1 g - , L'I r J A U • APN # ?)0 eZr _ 02-Z �� VKe l ll <J OWNER NAME �� PHONE 9. f�,„� ^<9j(� C f r E-MAIL e FAX STREET ADDRESS (�� Its L7 1 ��Y3 j�d1Gr� f F �! CY, STATE, ZIP - �Y- A� %Z 1 CONTACT NAME }' � � ,n nq n 1 PHONE J��% ��_!�� E-MAII�LI®l�U'I ��(�.✓e�jQ STREET ADDRESS ® CITY, STATE, ZIP ��p PAJi e ni�es6d" 0* d�. 3� ' 1�j a!� ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICEhTSE NUMBER7� LIC NSE TYPE BUS. LIC # COMPQNY� 9 Ani p�� -` C EMAIL STREET ADDRESS lel CITY, STATE, ZIP cd PHONE C' 1 C-1 �L ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK tkw 1 cam' `^-cc� �"" /�••t�p®!d4`� I+iiiCs}� %ls'l nC.I TI - � move, e, s� �`��° C( U )K- ca/19 i%�4''1—�� j�� ' spa EY,ISTIN USE PROPOSED USE CONSTR TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXLSTG AREA NEW FLOOR AREA DEMO TOTAL AREA NETAREA - BATHROOM REMODEL AREA KITCHEN REMODEL AREA OTHER REMODELAREA ' PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEINGADDED? ❑NO ADDITION? ❑NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF - PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? ❑ NO - RE :EIVED.BY ;-'" TOTAL ALUATION: _ V9 - By my signature below, I certify to each of the following: I am the property owner or authorized agenV to act A the property owner's behalf.1have 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 bgove-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLAAT CHECI C TYPE ROiJTI1VGSLIP _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition is issuance E'ER -TETE Co SER v. II.,-rLAN R1 7 ". permit required prior to of building for new building. (J'I -- permit ❑. EXTRESS LJ- PLaIVIVINePLANREN71ENAI ` _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD -.. ❑ ; EUBLIc ivoxKs form if any Hazardous Materials are being used as part of this project. ❑ LARGE .,: ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal Of BuildingPernlltapplication. D7A?OR- ❑,SAIITARYSEti'SERnISTRICT °: -- ❑ ENVIRONitiENTAL HEALTH BldgApp_2011.doc revised 06/21/11 A-wC. & H. CIVIL ENGINEERS, INC. ASSOCIATION OF JOHN G. R. CLEGG & ALAN HUNTZINGER PO BOX 26893 SAN JOSE, CA 95159 Phone (650) 625-9151 Report No. 110417 Building DepartmentFILE April 13, 2017 City of Cupertino 1300 Torre Ave Cupertino, CA 9501 Re: RPN B-201603313 -- - - ------1 0591 Clen._Yjew Ave �- - ---------- -- This is to certify t.'.,&.t I have reviewed the 30 foot long factory built roof trusses over the living room and kitchen. They are designed to free span across the whole house and do not require interior support. The interior partition calls between the kitchen and living room may be removed, as shown on the approved plans. Sincerely, Alan Huntzinger Civil engineer c.c.. Kuo, Calderon RECEIVED APR 18 2Oli 13Y