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B-2017-0758CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21316 RUMFORD DR CUPERTINO, CA 95014-1334 (326 41 018) OWNER'S NAME: MURAI TOM TADAYOSHI AND ROBERTA CHIN ET AL OWNER'S PHONE: 408-499-0445 LICENSED CONTRACTOR'S DECLARATION License Class B Lie. #949588 Contractor B Y U CONSTRUCTION INC Date 07/31/2018 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. hereby affirm under penalty of perjury one of the following two declarations: 1. I have and will maintain a certificate of consent to self -insure for Worker's CONTRACTOR: PERMIT NO: B-2017-0758 BYU CONSTRUCTION INC DALY CITY, CA 94015 DATE ISSUED: 08/01/2017 PHONE NO: (415) 725-7844 BUILDING PERMIT INFO: X BLDG —ELECT —PLUMB MECH X RESIDENTIAL COMMERCIAL JOB DESCRIPTION: FIRST FLOOR ADDITION OF GUEST BATHROOM, BATHROOM AND LAUNDRY ROOM (347 S.F.) Compensation, as provided for by Section 3700 of the Labor Code, for the 0 otmance of the work for which this permit is issued. 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. Sq. Ft Floor Area: 347 Valuation: $75000.00 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 and state laws relating to buildings construction, and hereby authorize representatives of this city to enter'updn the above Mentioned property for inspection purposes. (We) agree;to save indemnify and keep harmless the City of Cupertino against liabi61es,1judgments, 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 erthe Cupertino Municipal Code, Section 9.18. hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. I, as owner of the;propert}l 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 8i Professions Code) z. I, 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: t. 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 permit is issued. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, Imust forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply with all �cityand 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 anon-point!source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date APN Number: Occupancy Type: 32641 018 R-3 (Custom) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: JASMINE ARCHBOLD RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining aq inspection, I agree to remove all new materials for �J inspection. "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: CONSTRUCTION LENDING 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 7-77-3228 • FAX (408) 777-3333 • bulldin-g@cupertino.orq ❑ NEW CONSTRUCTION 2 ADDITION ❑ ALTERATION/Ti ❑ REVISION /DEFERRED ORIGINAL PE+RMrf N PROJECT ADDRESS n �V O �D ID � 7APN b , �P # A! OWNERNAME JEAN P& Q v DQ VA LAS M U ILA 1 PHONE ('r ��'Ll/h/A- O�r' � EMAIL ST'REE'r' ADDRESS �J M 0 p l7 IZ CITY, STAGTE� U ✓r a� T U PAX CONTACT NAME P�6A S y1/9`rirj.DCG PHONE615` 4 - 1- ! 47 • 7 E-MAIL n�,�i-L D G ,oi�Aid �rr>kt STREET ADDRESS 1025 G co ulIT UN CITY, STATE, ZIP d s EK- C,i T Gro 9440 FAX ❑ OIVNER ❑ OWMR-BUUMER ❑ OWNER AGENT LJ CONTRACTOR ❑ CONTRACTOR AGENT *K ARCHITECT ❑ ENGINEER ❑ DEV=PER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCIII.TECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # A vtw� G - to 7 1/ COMPANY NAME, -ST YLATH DF -c b SI E-NLU , S7/2•AT'D6c C-00 IA11. 60AI FAX STREET ADDRESS d eouwi L CITY. STAT G6'p'YGro y4a $ PHONE -477-2147 DESCRIPTION Or WORK t i o n a A G v dsr P -K BVvy'W .. S L A V Iv JD lL lt, o DM EXISTING USE PROPOSED USE CONSTR. TYPE # 8TORIES slocti-r '�vltt:Y i sm4t.e rAAt1L y V it:. USE TYPE OCC. SQ.FT. VALUAT[ON(S) BXISTG AREA 2 8� NEIVFLOOR AREA 7,x'7 DEMO AREA ® TOTAL NE'r AREA ,7 BATHROOM --KITCHEN OTHER REMODELAREA REMODEL AREA REMODEL ARTA _ PORCHAREA DECKAREA TOTAL DECK/PORCIIAREA GARAGEAREA:DETACH , ,ur ATl'ACH' I #DWEW,INGUNITS: ISA SECOND UNIT []YES SECONDSTORY YES , DEINGADDED? WO ADDITION? Wo PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF 79 THE BLDG AN E] YES RECEIVED BY: TO VALVATION; PLANMNG APFL # []NO PLANNING APPROVAL LETTER EICHLER HOME? Q NO '1] b By my Signature below, I certify to each of the following: I am the property owner or authorized agent to act on a property owner's behalf. I have read this application and the information I'bave 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 inspectionpurposes. Signature of Applicant/Agent: 2rDate: 15 1'Z 17 SUPPLEMENTAL INFORMATION REQUIRED ` C.HECIC PIAN TYPE RovT G SLIP ❑ OVER-THE-CQI ❑ BUILDINGW VIEW New SFD or. Multifamily, dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building INTER AN permit for new building. ❑ EXPRESS El PLANNING PLAN VIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD ❑. PUB is WORK$ form if any Hazardous Materials are being used as part of flus project. ❑ LARGE ❑ FIRE DEPT Copy of Planning Approval Letter' or Meeting with Planning prior to _ submittal of Building Permit application. ❑ NIAJi)R ❑ $ANITARY'SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1dgApp_2011,doe rev ed 06121/11 017 —07,c: 1r e • F. R.STRATHDEE ARC HI TECT ciciv DESIGN AND DEVELOPME-NT SEPTEMBER 26, 2017 CITY OF CUPERTINO BUILDING DEPARTMENT RE: Ou MURAI RESIDENCE 21316 RUMFORD DRIVE CUPERTINO, CA 95014 • To WHOM IT MAY CONCERN: BECAUSE OF THE MINIMAL LOADING, IT IS ACCEPTABLE TO INSTALL A DIAGONAL BRACE RUNNING DOWN FROM EACH SIDE OF THE RIDGE AT ROUGHLY A 45 DEGREE ANGLE TO THE TOP OF THE SHEARWALL. THIS WOULD BE IN LIEU OF RUNNING THE SHEARWALL UP THROUGH-THE /147P5C TO THE BOTTOM OF THE ROOF FRAMING. CLIPS SHOULD BE INSTALLED WHERE THE BRACES MEET THE TOP OF THE SHEARWALL. SINCERELY, FREDERICK R. STRATHDEE ARCHITECT FRS ELS F;R A T , ac6991 :*62,://, 108 EAS1 COURT LANE• FOS RR CII Y,CA 94404• P:650 477 2147• F:650.581 1521 • FSTRATHDFEJ HOTMAILCOM •,1,:?ESTRATFIDEEeCOMCAST.N ET