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14110108 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10860 JOHNSON AVE CONTRACTOR:AK CONSTRUCTION PERMIT NO: 14110108 ENTERPRISES INC OWNER'S NAME: 10860 JOHNSON AVE CUPERTINO LLC PO BOX 2043 DATE ISSUED:01/28/2015 OWNER'S PHONE: 6502835164 MORGAN HILL,CA 95038 PHONE NO:(408)666-1585 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL CONSTRUCT 1 STORY SFDWL LIVING(2808 SQ FT); License Class_____ Lic.# 8�_0 8 6L` ATTACHED GARAGE(412 SQ FT) Contractor /(/( of Date t __�_5 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 tinder 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$520000 1 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 APN Number:37530022.00 Occupancy Type: permit is issued. OAPPLICANT CERTIFICATION t 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 DA ERMIT 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=LED 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 kgranting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date--/� C_L _� 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 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(See.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(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 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,Sect ons 2575V5,23 nd 534. Section 3700 of the Labor Code,for the performance of the work for which this � —= – permit is issued. Owner or authorized agent: Date: 1 7 5 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,1 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,l 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. 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, ARCHITECT'S DECLARATION 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 (408) 777-3228• FAX(408)777-3333• building(o-)cupertino.crq CUPERTINO NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 1 APN# C -20, 02-2. OWNER NAME { N e e j � `n ` PHONE Q�r� �} 4 E-MAIL O ff I STREET ADDRESS v `C CITY,STATE,ZIP `D FAX CONTACT NAME PHONE E-MAIL \ G 40 r dah STREET ADDRESS CITY,STATE,ZIP Q S FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTORAGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS LIC k COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME } E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHON Q DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR.TYP #STORIES � USE TYPE OCC. SQQ.FT. VALUATION($) DE�46 TOTAL OOAREAS ET AR2EX1STG EW AREAb17 'Y/I/' BATHROOM KrFCHFN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH 7 KA17ACH #DWELLnQG UMTS: IS A SECOND UNIT s SECOND STORY ❑YES BEINGADDED? O ADDITION? NO PRE-APPLICATION ES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY: TOTAL VALUATION: PLANNINAPPL# PLANNING APPROVAL LEITER EICHLER HO1.4E? ANO -' ^ By my signature below,I certify to each of the following: I am the property owner or authorized agent togrrthe"property owner's behalf. I have reaJ 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 buildingl ti Ioeftrize representatives of Cupertino to enter the ab ov 'den'fled property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFO TI REQUIRED PLAN`cicx T' PE toiirlNG sir New SFD or Multifamily dwellings: Apply for demolition permit for (], ovER TFIE couNTEx iDrNG rLAN W existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ ExPxESS ❑ � c' iAn r:�viEv _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STA MARD ❑ P Icwoxxs 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. ©;rIAaoR= SAISITARY Ev\ER DISTRICT .E ❑:ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10860 Johnson ave DATE: 11/19/2014 REVIEWED BY: Mendez APN: BP#: �/ *VALUATION: 1$520,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY SFD or Duplex 2nd Unit? 0 Yes 0 No PENTAMATION 1R3SFDW USE: PERMIT TYPE: WORK construct 1 story sfdwl living 2808 sq ft); attached garage 412 sq ft SCOPE OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. R-3 (Custom) II-B,111-B,IV,V-B 3,220 $3,128.88 1R3PLNCK $3,155.04 IR3INSP TOTALS: 3,220 $3,128.88 $3,155.04 NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School District,etc. . These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn 7 info. FEE ITEMS (Fee Resolution 11-053 Eff .7,P"13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q) No $3,128.88 0 hours Plan Check, Hourly Suppl. PC Fee: Q) Reg. 0 OT 0.0 hrs $0.00 $0.001 1 PME Plan Check: $0.00 Permit Fee: Hourly Only? ®Yes Q No $3,155.04 Suppl. Insp. Feer Reg. () OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 #new Construction Tax: IBCONSTAXR 1 1 units $667.73 0 Work Without Permit? Q Yes (j) No $0.00 0 Advanced Planning Fee: IPLLONGR $450.80 L_� hours Inspections E) $0.00 Inspection, Hourly Strong Motion Fee: IBSEISMICR $67.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $21.00 SUBTOTALS: $7,491.05 $0.00 TOTAL FEE: $7,491.05 Revised: 10/01/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 ELI Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: e7 PERMIT# 4// 1 O 1 OWNER'S NAM : PHONE# — � GENERAL CONTRACTOR:/4 p BUSINESS LICENSE# .,5 tw ADDRESS: L' ,� CITY/ZIPCODE: � *Our municipal code requires all businesses working in the city to have a City of Cupertino busiueswidiie. � # � ED NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDUUNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millworks Cement Fi ing �G � 6 ;Ecavation ctIV' al C �� }/ j t,t5 Fencing Flooring / Carpeting V Linoleum/Wood Glass / Glazing Heating nsukation Landscaping 4Ye oAlwse I' P'r A , 5 ,j 1 Lathing Masonry V, Painting/Wallpaper 141 Paving AgeS Plastering -^ ' - Plumbing AKP i 2AII Roofing Septic Tank Sheet Metal -� Sheet Rock Tile �� Owner/Contractor Signature Date f� LANDSCAPE WATER-EFFICIENCY CHECKLIST Community Developrnent Department 10300 Torre Avenue 408.777.3308/Fax 408.777.3333 Cupertino, CA 95014 planninggcupertino.org CUPERTI NO http://cupertino.org/plaiiniiiE. Applicant Name: Email: CUE-CL 68AS2Sf,C 1,e , Project Site Address: to K, dk" Phone: Total Landscape Landscape. area: All the planting areas, turf areas, and water c features in a landseape installation. The. landscape area does Areas trate feet): ?i v not include footprints of buildings or ,structures, sidewalks, driveways, parking lots,decks,patios,gravel or stone walks, Turf Area: other pervious or non-pervious hardsca}�e.s. and tither non- irrigated areas designated for non-development (e.g., open spaces and existing wildland vegetation). r Ivor-Turf Plant Area: 1`urf: ;1 ground cover surface consisti.n}; of non-native grass species that is customarily mowed. .Annual bluegrass, Kentucky bluegrass, perennial rvegrass, red fescue, and tall Special Landscape Area: fescue are examples of cool-season turf grasses. Bermuda Water Feature Wet Surface Area: grass, kikuyu grass, seashore paspalum, St. Augustine grass, zoysia grass,and buffalo grass are warm-season. turf grasses. If>10%of landscaped area,water budget calcu- lation required with landscape project submittal. See reverse side for other definitions. NOTE: If landscape area exceeds 2,500 sq.ft.,a landscape project submittal shall be required. If no landscaping is proposed,enter "0" above and proceed directly to the signature block at the bottom of this form. Landscape Parameter Requirements Project Compliance Turf Total turf area shall not exceed 25% of the landscape Yes No area,or 1,250 square feet,whichever is lesser in area. .1f no, I'Vale't Hid gel cal(Maroon Iekiuired with landscape proljet.tsul—flittali All portions of turf areas shall be wider than eight(8)feet. yes Turf(if utilized)is limited to slopes not exceeding 15°6. i�Yes Non-Turf At least 80%of non-turf area shall consist of native or Yes U No low water use plants. ]if no, 'Aater bucle,�,tcalcttl<atio+r wcloj€od �e itEr Istn<isc,at - p:'oi "t.sllbinittali Hydrozones Plants with similar water needs shall be grouped within Yes No hyd.rozones. Each hydrozone shall be controlled by a (f'l arrt<s caf be separate valve. Table Irrigation System Systems shall be designed and maintained to minimize - Yes ❑ N water waste(e.g.,runoff,low head drainage,overspray). i Low-volume irrigation shall be utilized in non-turf areas. Irrigation shall only occur between the hours of 8:00 pm ill'no,P',ov isle e),,>i,lrralion 'm bo,,kl and 10:00 am. Soil A minimum of eight(8)inches of lion-compacted topsoil ir-yes ❑ No shall be available in planted areas. Of no,Proc'idc eA,I,L anon our back] Soil amendments,such as compost or fertilizer,shall be appropriately added according to the soil conditions at Yes ❑ Nf) the project site and based on what is appropriate for the selected plants. I,9i iz ,1'rwbi�_e-eA~l,_tr,ztsr�.rr:gin Mulch A minimum two(2)-inch layer of mulch shall be applied � \ on all exposed soil surfaces of planting areas,except in Yes o areas of direct seeding application(e.g.hydro-seed). (if€n" 1"'m J:3�-r­�pl,�,:Won on b„i:i�j 1 am aware of available informational resources regarding native and low water use plants,irrigation efficiency,and other aspects of water-efficient landsc ing. f certify that the information provided on this checklist is correct,and the installed landscape complies r m t f Ch with the requiapter 14.1o uPrtS -anc�and that any changes to the project will necessitate a new checklist. A-�)� I L/ 2AS Si Hato e of r t) owner or authorized representative Date Page 1 of o This checklist implements the requirements of Chapter 14.15,Landscape Ordinance,of the Cupertino Municipal Code. The responses provided will be evaluated to determine whether the proposed landscape is generally consistent with the ordinance's water-efficiency goals. Applicant Comments 1'ia n:&fiem al paper if net-k�:ws;rr Staff Evaluation Staff Comments Approved Not Approved Signature Date Select Definitions Hydrozone: A portion of the landscaped area having plants with similar water needs. A.hydrozone may be irrigated or non-irrigated. Low-volume irrigation: The application of irrigation water through a system of tubing or lateral lines and low-volume emitters such as drip and bubblers, Certain rotary emitters designed for highly efficient water distribution,and.situated.to irrigate low water use plants,may also be included. in.this definition at the discretion of the Planning Office. Low water use plant: A plant species whose demonstrated water needs are compatible with local climate and soil conditions such that regular supplemental irrigation is not required to sustain the plant after it has be- come established. Any species classified as"very low water use" and"lore water use" by WUCOLS,having a regionally adjusted plant factor of 0.0 through 0.3,shall be categorically deemed a low water use plant. Native plant: A plant indigenous to a specific area of consideration. For the purpose of this division,the term will refer to plants indigenous to the coastal ranges of Central and Northern California,and more specifical- ly to such plants that are suited to the ecology of the present or historic natural community of the project's vicinity. Special landscape area: An area of the landscape dedicated solely-to edible plants, areas irrigated with re- cycled water,water features using recycled water and areas dedicated to active play such as parks,sports fields, golf courses,and where turf provides a playing surface. Turf: A ground cover surface consisting of non-native grass species that is customarily mowed. Annual blue- grass, Kentucky bluegrass,perennial ryegrass,red fescue,and tall fescue are examples of cool-season turf grasses. Bermuda grass, kikuyu grass;seashore paspahun,St. Augustine grass,zovsia grass,and buffalo grass are warm-season turf grasses. Water feature: A landscape design element where open water performs an aesthetic or recreational function. Water features include ponds,fountains, waterfalls and artificial streams. Also includes spas and swim- ming pools that are ancillary to single-family, two-family and multi-family residential uses. Wet surface area: The surface area of that portion of a water feature that functions to contain water,such as the water surface of a.swimming pool,spa,or garden pond. For a fountain or other feature with flowing water, .vet surface area shall be measured as a two dimensional plane bounded by the perimeter of the area there water has been designed to flow. UTILITY RELEASE REQUEST FORM COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408) 777-3333•buildinq@cupertino.om PURPOSE For residential single family or duplex construction, there are cases where gas and electric utilities are requested to be released prior to the issuance of the certificate of occupancy. Upon approval from the building inspector,the City of Cupertino is allowing both utilities to be released prior to the final sign-off of the building. INSTRUCTIONS 1. Download this form at: hitp.//www.cupertino.or�/index.asox?page=297. 2. Complete the form and obtain signatures from both the owner of the property and the primary contractor. 3. Fax, E-Mail, Mail or hand deliver the original signed form to: City of Cupertino Building Division Attn: Utility Release Request Form 408-777-3228 office 10300 Torre Ave. 408-777-3333 fax Cupertino,CA 95014 buildinga.cupertino.org, 4. Schedule a Gas Meter Release inspection(#403)and/or Electric Meter Release inspection(#404). Please note, a Gas Test inspection (#506) is required prior to or at the same time of the Gas Meter Release inspection. BUILDING INFORMATION (Please complete the following information): APN BLDG PERMIT#: DATE: Ll 5 7- SITE ADDRESS: Al OWNER'S NAME:r O 6 0 PHONE#: �+~' LLc_. FAX#: "7 MAILING DDRESS if dAR Different from site aaddress): CONTRAC OR: PHONE#: FAX#: Q CONTACT- PHONE* zi L Ln 4z FAX#: f 3/—,!S 1 request the City to release my utilities prior to obtaining a final inspection approval for the building. I fully understand the occupants of the building cannot move into the residence until they receive all of the required final sign-offs and the City has issued a certificate of occupancy for the building. Owner.....�... -e . ............Print:.... ...... .......Date:.O ...��?..2:ll. 0 } �� Z L Contractor: .......... .. . . ...............Print:... . ......... ��. b. �.... f........................Date:..s�..�. ..1. �.. UtilityReleaseForm 2011.doc revised 0&09/11