14020007CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20605 LAZANEO DR
CONTRACTOR: DEVCON PERMIT NO: 14020007
CONSTRUCTION INC
OWNER'S NAME: BOYER FAMILY PRTNERSHIP I LP
690 GIBRALTAR DR DATE ISSUED: 03/13/2014
OWNER'S PHONE: 4085198372
MILPITAS, CA 95035 PHONE NO: (408)942-8200
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
r.^
License Class_ Lic. #
APPLE - REMOVE AND RECONSTRUCT EXISITNG PATIO
AND
tT) � '10'+lAte
FREE STANDING WALLS (804 SQ FT).
Contrac. IAJI
1 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:
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: $50000
of the work for which this permit is issued.
reance
nd will maintain Worker's Compensation Insurance, as provided for by
3700 of the Labor Code, for the performance of the work for which thisAPN
Number: 32633096.00
Occupancy Type:
s 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 DAY T 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
3
granting of this p5p". Additionally, the applicant understands and will comply
Issued Date: J
with all non- nt so cc regulations r the Cuperti Municipal Code, S tion
9.18.
RE -ROOFS:
Signature Date v �d�
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:
1 hereby affirm that 1 am exempt 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(a) should 1 store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should 1 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 t pertino Municipal Cod hapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code 11 5505, 2553 ,and 255
Section 3700 of the Labor Code, for the performance of the work for which this
)
Owner or authorized age Date. /
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, 1
CONSTRUCTION LENDING 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
1 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
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(okupertino.orgX*e
❑ NEW CONSTRUCTION ❑ ADDITION ® ALTERATION/Ti ❑ REVISION/ DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS 20605 Lazaneo
APN#
326-33-096
OWNER NAME Boyer Family Partnership
W5 %p31V
E -MATE
STREET ADDRESS 1245 SW Stephenson St
CITY,, STATE, ZIP Portland, OR, 97219
FAX
CONTACT NAME
Sylvester Ramirez
PHONE
408-519-8372
E-MAIL
sramirez@devcon-const.com
STREET ADDRESS 690 Gibraltar Drive
CITY, STATE' ZIP Milpitas, CA, 95035
FAX408-946-5513
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT 14 CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME DEVCON Construction
LICENSE NUMBE
99163
LICENSE TYPE
B
BUS LIC #
COMPANYNAMEDEVCONConstruction
E-MAIL
SramireZ devcon-const.com
FAX408-946-7713
STREET ADDRESS 690 Gibraltar Drive
CITY, STATE,ZIPMilpitas, CA, 95035
PHONE408-519-8372
ARCHITECT/ENGINEER NAME Brent Downing
LICENSE NUMBERC-32444
BUS LIC #
COMPANY NAME
DEVCON Construction
E-MAIL
bdownin devcon-const.com
FAX
408-942-7713
STREET ADDRESS 690 Gibraltar Drive
CITY, STATE, ZIP Milpitas, CA, 95035
/'1
PHONE 408-942-8200
DESCRIPTION OF WORK
Demo Existing Patio enclosure and tree reconstruct new enclosure and add new tree.
EXISTING USE
B
PROPOSED USE B CONSTR
B
TYPE
# STORIES
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
V
-b
1
EXISTG
AREA
NEW FLOOR
AREA
DEMO
AREA
TOTAL
NET AREA
450,000.00
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECKIPORCH AREA
GARAGE AREA: DETACH
ATTACH
# DWELLING UNITS
ISA SECOND UNIT YES
SECOND STORY ❑YES
BEING ADDED" []NO
ADDITION" ❑NO
PRE -APPLICATION []YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
RECEIVED BY:
TOTAL VALUATION:
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER
EICHLER HOME" ❑ NO
By my signature below, l certify, to ach of the fallowing: 1 am the property owner or authorized agent to act on t e property owner's behalf. 1 have read this
it is I local
application and the information 1 hive pr vided forrect. I have read the Description of Work and verify accurate. agree to comply with all applicable
ordinances and state laws relating t �ui ins co uction. 1 authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent Date: 2/3/14
SUPPLEMEN A FORI�y(ATION UIRED
PLAN CHECK TYPE
ROUTING SLV .
New SFD or Multifamily dwellings: ply for demolition permit for
❑ OVER-TH&COUNTER
PLAN REVIEW
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
EXPRESS
PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ 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
11 MAJOR
El SANITARY SEWER DISTRICT
submittal of Building Permit application.
1 13 ENVIRONMENTAL HEALTH
BldgApp 2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Cf . 7i1i13)
ADDRESS: 20605 Lazaneo
QTY/FEE
DATE: 02/03/2014
REVIEWED BY:
Mendez
$0.00
APN:
BP#:
'VALUATION:
$50,000
'PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PME Plan Check:
PRIMARY Commercial BuildingPENTAMATION
USE:
PERMIT TYPE:
1GENC0
WORK
a le- demo and reconstruct exisitnq patio
enclosures and tree
hrs
$0.00
SCOPE
PME Unit Fee:
$0.00
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Cf . 7i1i13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? ® Yes (F) No
$0.00
hours
$278.00
Plan Check, Hourly
ISTPLNCK
Suppl. PC Fee: (F) Reg. 0 OTI
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee: Hourly Only? ()Yes E) No
$0.00
Suppl. Insp. Fee:G Reg. Q OT
F070
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
0
E)
Work Without Permit? 0 Yes No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential G
Building or Structure Q
Strong, Motion Fee: IBSEISMICO
$10.50
5.0 hrs
$695.00
Inspections
ISTINSP Inspection, Hourly
Bldg Stds Commission Fee: IBCBSC
$2.00
SUBTOTALS:
$12.50
$973.00
TOTAL FEE:
1
$985.50
Revised: 01/15/2014
B110(fiiiin Hf -I
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20605 Lazaneo Drive, Cupertino, CA 95014 14020007 - Patio Remodel
Y I,,: Boyer Family Partnership(LL) Apple, Inc.(Tenant) 11 408-996-1010
i 101' -Devcon Construction, Inc.
11068
690 Gibraltar Drive t) Milpitas, CA. 95035
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Digitally signed by Jim Leilbold
Jim Leibold
ON cn=Jim Ladbold o=Devcon Construction. Inc , ou,
emaiI=jIeiIbold@devcon-consJ.com, c=US 6/13/2014
Data 2013.07231029: D6-07'00'