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B-2017-0896CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0896 11092 CANYON VISTA DR CUPERTINO, CA 95014-5405 (356 28 03 1) SHAWN P BETTEGA CONSTRUCTION INC CLOVERDALE,CA 95425 OWNER'S NAME: CLAYTON J B 3 AND LINDA G DATE ISSUED: 06/06/2017 OWNER'S PHONE: 408-257-9026 PHONE NO: (707) 884-4713 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class a Lic. #585905 Contractor SHAWN P BETTEGA CONSTRUCTION INC Date 09/30/2017 X BLDG X ELECT _PLUMB X MECH X RESIDENTIAL COMMERCLAL 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: KITCHEN REMODEL (143 ST.); INSTALL 28 (N) LIGHT FIXTURES I hereby affirm under penalty of perjury one of the following two declarations: AND 11 (N) SWITCHES; (N) HVAC 1. I have and will maintain a certificate of consent to self -insure for Worker's REVISION #1- SUBPANEL UPGRADE (200 AMPS)- ISSUED 7/6/2017 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 Sq. Ft Floor Area: Valuation: $50000.00 permit is issued. 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 356 28 031 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 Cup ipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 7/6/2917 Issued by: JASMINE ARCHBOLD Date: 06/06/2017 I 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 sale installed without fust 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) z. 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: 7/6/2017 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 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. 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. 1 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 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 the Health &Safety Code, S �%n 2 534. Labor Code, I must forthwith comply with such provisions or this permit shall%/5�0 / be deemed revoked. Owner or authorized agent:] / APPLICANT CERTIFICATION Date: 7/6/2017 ` j' I certify that I have read this application and state that the above information is CONST correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a nstr ion ending 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 7/6/2017 Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 1�1 I (408) 777-3228 • FAX (408) 777-3333 • buildingP-cupertino.org CUPERTINO [:1 NEW CONSTRUCTION [_-1 ADDITION ❑ALTERATION / TI V REVISION/ ORIGINAL PERMIT # PROJECT ADDRESS 11� (� ^ n ,.� � �c�^ (e J APN # OWNER NAME -t`- PHON %)_t1S E- IL STREET ADDRESS - CITY, STATE, Z[ FAX N n CONTACT NAME V,yok `W 0 E ac:si^� (,� E-MAIL STREET ADDRESS lJl \ �.• CI , STTE, ZIP 50 14 .FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE LICEr TYPE BUS. LIC # COMPANY NAME, Fmat E-MAIL �� 06 llbon FAX STREET ADDRE S g� t C TY, S ATE Z T �S T S PHONE Ilkr �� ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME ---- E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK w 0 l EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT E] YES SECOND STORY E] YES BEING ADDED? []NO ADDITION? ❑ NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVED BY: ION: PLANNING ADPL# NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO 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 onz representatives of Cupertino to enter the above-iden ified property for inspection purposes. Signature of Applicant/Agent: Z Date: SUPPLE D PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dw li ly�fordemo=itionpermit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW —Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 1-1STANDARD ElPUBLIC WORKS 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 El MAJOR El SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0896 11092 CANYON VISTA DR CUPERTINO, CA 95014-5405 (356 28 03 1) SHAWN P BETTEGA CONSTRUCTION INC CLOVERDALE,CA 95425 OWNER'S NAME: CLAYTON J B 3 AND LINDA G DATE ISSUED: 06/06/2017 OWNER'S PHONE: 408-257-9026 PHONE NO: (707) 884-4713 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class @ Lic. #585905 Contractor SHAWN P BETTEGA CONSTRUCTION INC Date 09/30/2017 X BLDG X ELECT —PLUMB X 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: KITCHEN REMODEL (143 S.F.); INSTALL 28 (N) LIGHT FIXTURES I hereby affirm under penalty of perjury one of the following two declarations: AND 11 (N) SWITCHES; (N) HVAC 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. z. 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: $50000.00 permit is issued. 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 356 28 031 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 p the Cu i unicipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 6/6/2017 Issued by: AbbyAvende 0 WN E R -BUILD E WC Li�ION Date: 06/06/2017 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 t. 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: 6/6/2017 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 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 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 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 C e; qpter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505 2 R 534. Labor Code, I must forthwith comply with such provisions or this permit shall 9 be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is Date: 6/6/2017 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. Signature Date 6/6/2017 Licensed Professional CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a-cupertino.org B_Z0k—+_C)$ ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION/ DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS g j V APN M "_% :{ //U- 06 {� O ER ME' {,.���( P NE E-MAIL6 ' C�X1L �a bG CMCiA . Okra ,C.�ci STREET ADDRESS C TY, STATE, ZI I 5V 146,9,alb-4- CONTACT NAME PH NE ahc_1\ie E-MAIL STREET ADD SS CITY, STATE, ZIP FA ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT RACTOR NAME aw 1l/lf LICENSE NUMBER O� C LICENSgYPE BUS- LIC # jy����'�� ` �r ty ) ,QPMPANY NAM rt ��� V E-MAIL a �o - cc FAX STREE ADDRESS- C , STAT , ZIP C I 1, -Al t PHONE 4i A T/BNGINEERNAME LICENSE NUMBER BUS COMPANY NAME FAX �1 STREET ADDRESS CITY, STATE, ZIP PHONE Y IA !k DESCRIPTION OF WORK� id \ `dffivin II ftoc' l i IST G USE PROPOSED USEJ CONSTR_ TYPE # STORIES USE T OCC. SQ.FT. VALUATION (S) NEW FLOOR DEMO TOT AREA 1 J BATHROOM REMODEL AREA KITCHEN REMODEL AREA OTHER REMODEL AREA 2 'SOL) yF,�s 41 AS ` Ouo ' PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACHFl ❑ ATTACH # DWELLING UNITS IS A SECOND UNIT E]YES BEING ADDED? 'DIO SECOND STORY ❑YES ADDITION? TCU (� PCO. PRE -APPLICATION ❑ S IF YES, PROVIDE COPY OF PLANNING APPL # XO PLANNING APPROVAL LETTER IS THE BLDG ANEl YES EICHLER HOME? RKEIVED BY: TOTAL jVALUATION- Ks g Sum By my signature below, I certify to each of the following: I am the property owner or authorized agent IP act oA the property owner's behalf. I have read this application and the information I have provided is correct. I have rpdTffiLPescription of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buil n nstr 'on. I au o ep se tives of Cupertino to enter the above dentifi d property for inspection purposes. Signature of Applicant/Agent: Date:9101 SUPPLEMENT FO RE PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW —Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 1-1STANDARD ❑ PUBLIC WORKS 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 ❑ mAJoR ❑ SANrrARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVHIONMENTAL HF.AI.TH B1dgApp 2011.doc revised 06/21/11 t1 lecs�a�. Rancho Deep Cliff Homeowners Association June 5, 2017 Brad Clayton Linda Clayton 11092 Canyon Vista Drive Cupertino, CA 95014 REGARDING PROPERTY 11092 Canyon Vista Drive Cupertino, CA 95014 Subject: V00068978 - Architectural Approval (Kitchen Remodel/Patio/Recessed Lighting) Dear Homeowner(s), The Board of Directors reviewed your request to remodel and upgrade your kitchen, replace your existing bed and bench on the your patio and install new recessed lighting on your unit, located at 11092 Canyon Vista Drive. Please be advised that the Board of Directors has approved your application subject to the following conditions: • The unit owner assumes all responsibility for costs associated with this installation. • The unit owner assumes all responsibility, both legal and financial, for any and all damages to any exterior surfaces or damages of a structural or personal nature caused by the installation. • The unit owner is responsible for all future maintenance, repair and replacement work associated with such installation. The obligation runs with the lot and must be disclosed to any potential purchaser of the unit. If you have any questions regarding this approval please call me at (408) 226-3300. Sincerely, RAN O DEEP CLIFF HOMEOWNERS ASSOCIATION Jason Overhulse Association Manager Cc: Board of Directors Unit File Compass Management Group, Inc. 77 Las Colinas Lane, San 3ose, CA 95119 Business (408) 226-3300 Fax (408) 226-3406 Abby Ayende 06/06/17