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14030069CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11496 LINDY PL CONTRACTOR: SPRING CLEEK PERMIT NO: 14030069 OWNER'S NAME: RIPON, CA 95366 PHONE NO: (209) 599 -5502 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ % RESURFACE (E) POOL, ADD SPA, REPLACE (E) License Class Lic. d EQUIPMENT,INSTALL CONCRETE AND WOOD DECKS, INSTALL(N) ARBOR (6 X 17), 4' OR LESS RETAINING Contractor— Date ��/ WALL I hereby affirm that am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions 6/16/2014- REVISION #2- ADD DECK/WALKWAY TO FRONT Code and that my license is in full force and effect. OF SFDWL -ISSD 8/4/14 I hereby affirm under penalty of perjury one of the following two declarations: 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 Sq. Ft Floor Area: Valuation: $32200 rmance of the work for which this permit is issued. )haf a and w ill maintain Worker's Compensation Insurance, as provided for by on 3700 of the Labor Code, for the performance of the work for which this APN Number: 35624007.00 Occupancy Type: P. 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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the %,G Issued by: ��Jq /� / i /f7 Date: 7 granting of this permit. Additionally, the applicant understands and will comply , 7 with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. � RE- ROOFS: Signatur-._._ Date e.-_ / All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, 1 agree to remove all new materials for inspection. ❑ E ILDER DECLARATION Signature of Applicant: Date: I hereby of ar m th m •empt 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. 1 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(x) 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 equipment 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 Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Dater 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 Compensation laws of California. If, after making this certificate of exemption, I C 'STR LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must l hereby affirm that there is a constructs n 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. Date I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 11496 LINDY PL OWNER'S NAME: ❑ LICENSED CONTRACTOR'S DECLARATION License Class 4.,3 -:> Lic. # ;;) , , Contractor'�t =' "�' Da[eJ 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. I hereby affirm under penalty of perjury one of ro declarati I have and will maintain a certificate of con,00 -1 e for Wo Compensation, as provided for by Section 3700 gf',* e, for the performance of the work for which this permi ed. S�ave and will maintain Worker's Compensation Insurance, as provided for by �tri 3700 of the Labor Code, for the performance of the work for which this is issued. APPLICANT CERTIFICATION I 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 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.° Signature_ /_:'""-� Date'✓ ❑ '---`6WIYR- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 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. 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. [ 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 CERTIFICATION 1 certify that 1 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. Date CONTRACTOR: SPRING CLEEK 331 PINE ST RIPON, CA 95366 PERMIT NO: 14030069 DATE ISSUED: 03 /11/2014 PHONE NO: (209) 599 -5502 JOB DESCRIPTION: RESIDENTIAL El COMMERCIAL RESURFACE (E) POOL, ADD SPA, REPLACE (E) EQUIPMENT,INSTALL CONCRETE AND WOOD DECKS, INSTALL (N) ARBOR (6 X 17), 4' OR LESS RETAINING WALL 5/22/14 - REV # I - ADD STRUCTURAL STEEL, FIRE BOWLS & REVISE BOTH ELECTRICAL & PLUMBING LAYOUTS- ISSD 6/3/2014 Sq. Ft Floor Area: I Valuation: $32200 APN Number: 35624007.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 T'S OF PERMIT ISSUANCE OR 180 DAYS FRLAST CALLED INSPECT N. r l , a Issued by: Date: / 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: 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 1 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: 1-614,11111— Datef7 CO �2.,/VIJDING 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11496 LINDY PL CONTRACTOR: S�/� /v� ERMIT NO: 14030069 tPdUL S Pl� OWNER'S NAME: PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL RESURFACE (E) POOL, ADD SPA, REPLACE (E) License Class .Z3 Lic. tl L =� %` %/� EQUIPMENT,INSTALL CONCRETE AND WOOD DECKS, Contractor C111 t �+�� Date `// /�/ —Z , (N) ARBOR (6 X 17), 4' OR LESS RETAINING WALL I hereby affirm that 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. I hereby affirm under penalty of perjury one of the following two declarations: 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 Sq. Ft Floor Area: Valuation: $32200 performance of the work for which this permit is issued. t ave 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. APN Number: 35624007.00 Occupancy Type: 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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 D RQM A SPEC ION. 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 by: Date: / with all non -point source regulations per the Cupertino Municipal Code, Section 9.13. RE- ROOFS: Signatur Dat 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. ❑ R UILDER DECLARATION Signature of Applicant: Date: [ hereby t I a exempt from the Contractor's License Law for one of the following two ns: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, 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) 1, 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(x) 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 equipment 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 Area ,Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. 1, Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent Date: / permit is issued. nJCTI 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 CONS END ING AGENCY 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___._.__ OWN CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District_ etc. )_ The.co feoc are hwwod on the nreliminary information availahle and are only an estimate_ Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 EJf 711!13) ADDRESS: 11496 LINDY PL DATE: 05/22/2014 REVIEWED BY: MELISSA Plan Check Fee: Hourly Only? ® Yes Q No APN: 356 24 007 BP #: 14030069 "VALUATION: Iso °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: PME Plan Check: PENTAMATION 1GENRES PERMIT TYPE: A WORK 5/22/14 - REV # 1 - ADD STRUCTURAL STEEL FIRE BOWLS & REVISE BOTH ELECTRICAL & SCOPE PLUMBING LAYOUTS NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District_ etc. )_ The.co feoc are hwwod on the nreliminary information availahle and are only an estimate_ Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 EJf 711!13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ® Yes Q No $0.00 2 hours Plan Check, Hourly $278.00 1STPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? C) Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential G Building or Structure 0 i Strom Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTAL$: $0.00 $278.00 TOTAL FEE: $278.00 Revised: 04/01/2014 CITY OF CUPERTINO do � r� FEE ESTIMATOR - BUILDING DIVISION f ADDRESS: 99496 LINDY PL DATE: 06/96/2094 REVIEWED BY: Mendez APN: BP #: 14030069 *VALUATION: 1$12,300 -PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION 1GENRE i USE: PERMIT TYPE: WORK ADD DECK/WALKWAY TO FRONT OF SFDWL SCOPE PME Plan Check: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc ). These fees are bused on the Dreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11 -053 Ef 7/12%13) FEE QTY /FEE MISC ITEMS Plan Check Fee: $0.00 1 # $488.00 Deck / Deck Railing IDECKWOOD Deck (wood) Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT O.O hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes l0 No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential Building or Structure Strong Motion Fee: IBSEISMICR $1.23 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: ` $2.23 $488.00 TOTAL FEE: $490.23 Revised: 04/01/2014 11WA CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District_ etc)_ These feet are hated on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolulion 11 -053 Eft 7i1 1'13) ADDRESS: 11496 LINDY PL DATE: 03/11/2014 REVIEWED BY: MELISSA APN: 356 24 007 BP #: / 0300(0 *VALUATION: 1$32,200 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION RBS ; USE: PERMIT TYPE: WORK RESURFACE E POOL ADD SPA REPLACE E EQUIPMENT INSTALL CONCRETE AND WOOD SCOPE DECKS, IN (N) ARBOR (6 X 17), 4' OR LESS RETAINING WALL, NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District_ etc)_ These feet are hated on the nreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolulion 11 -053 Eft 7i1 1'13) FEE QTY /FEE MISC ITEMS Plan Check Fee: $0.00 0 # $349.00 Swimming Pool ISPAPREF,4B Spa or Hot Tub (Pre -Fab) Suppl. PC Fee: 0 Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 35 1 l.f. $974.00 Retaining Wall 1RETSP310 Special Design, (3' -10') Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes (D No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential L I Building or Structure ) t 1 1)'' ­( "1 1, Strong Motion Fee: IBSEISMICR $3.22 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS: $5.221$1,323.00 TOTAL FEE: $1,328.22 Revised: 0111512014