Loading...
13100138CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 19944 HOMESTEAD RD CONTRACTOR: ADVANCED PERMIT NO: 13100138 CONSTRUCTION AND OWNER'S NAME: I PO BOX 474 DATE ISSUED: 12/01/2014 OWNER'S PHONE: PV LICENSED CONTRACTOR'S DECLARATION License Class Lic.# Contractor ^ Date 1 hereby affirm that I am licensed un provisions f Chapter (commencing with Section 7000) of Division 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 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. 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 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 ❑ OWNER -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) 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: 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. 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. 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, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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 inconsequence 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 CUPERTINO, CA 95014 1 PHONE NO: (408) 932-4411 JOB DESCRIPTION: RESIDENTIAL [] COMMERCIAL (FOR ADDRESSES 19944, 19948 & 19952) REMOVE (E) NON -LOAD BEARING WALL TO EXPAND EXISTING RETAIL STORE; CONSTRUCT A GARBAGE COVERING PORT TO COMPLY Sq. Ft Floor Area: Valuation: $10000 APN Number: 31603039.19944 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR ;180DAY F ALLED INSPECTION. Date: / RE -ROOFS: All roofs shall be ins d 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. 1 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: Dater / f 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional P������ CITY OF CUPERTINO IN_ //il FEE ESTIMATOR - BUILDING DIVISION 191 ADDRESS: 19952 HOMESTEAD RD FLR AREA s.f. DATE: 10/22 2013 REVIEWED BY: MELISSA BP FEES APN: 316 03 039.19952 1 '3BP#: -VALUATION: 1$10,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building USE: 1BTIINSP - PENTAMATION 1 B TI PERMIT TYPE: WORK OAKMONT PRODUCE - T.I. - REMOVE E NON -LOAD BEARING WALL TO INCORPORATE E SCOPE PRODUCE MARKET INTO UNIT 19952 (COMBINE UNITS 19944 & 19952) OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,111-B,IV,V-B 900 $2,066.66 IBTIPLNCK $969.22 1BTIINSP - $969.22 Suppl. Insp. Fee -0 Reg. Q OT F0.0Thrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruction Tint: A(lininistrative Fee: E) Work Without Permit? 0 Yes (F) No $0.00 TOTALS: 900 $2,066.66 1 1 $969.22 Strong Motion Fee: IBSEISMICO MECH, HOURLY ® Yes (j) No PLUMB, HOURLY © Yes Q No ELEC, HOURLY Q Yes Q No MISC ITEMS hecH PC. Plan Ch Select a Misc Bldg/Structure or Element of a Building PGu: h,lec. i Other Alech. Ina" Jtirer Plumb Insp.Ll hcrr Elec. Insp. E3 I � 'rh. Insp. h, : r; - NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, mire, sanitary sewer District, school nictrirt_ otr i_ Thoco foot aro hacod an the nreliminary information available and are onlv an estimate Contact the Dept for addn 7 info. FEE ITEMS (Fee Resolution 11-053 E f.' 7i1 %13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,066.66 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $969.22 Suppl. Insp. Fee -0 Reg. Q OT F0.0Thrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruction Tint: A(lininistrative Fee: E) Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure i Ti-crnel Documentation l°'cc Strong Motion Fee: IBSEISMICO $2.10 Select an Administrative Item Bids Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $3,038.98 $0.00 TOTAL FEE: $3,038.98 Revised: 10/01/2013 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:13100138 19944 HOMESTEAD RD(316 03 039) ADVANCED CONSTRUCTION AND REMODELING P O BOX 474 CUPERTINO CA 95014 OWNER'S NAME: DATE ISSUED:12/01/2014 OWNER'S PHONE:( PHONE NO:408-732-4411 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lie.#654 46 Contractor ADVANCED CONSTRUCTION AND REMODELING Date BLDG _ELECT _PLUMB MECH_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: (FOR ADDRESSES 19944,19948&19952)REMOVE(E) I hereby affirm under penalty of perjury one of the following two declarations: NON-LOAD BEARING WALL TO EXPAND EXISTING RETAIL i. I have and will maintain a certificate of consent to self-insure for Worker's STORE;CONSTRUCT A GARBAGE COVERING PORT TO COMPLY Compensation,as provided for by Section 3700 of the Labor Code,for the WITH CITY CODES. performance of the work for which this permit is issued. REV# 1 -CHANGE OUT TRASH ENCLOSURE POSTS FROM WOOD , is issued. Sq.Ft Floor Area: Valuation:$10000.00 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 316 03 039 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 the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 02/07/2019 Issued by:Legacy Date: 12/01/2014 OWNER-BUILDER DECLARATION 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 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(Scc.7044,Business&Professions Code). Date:02/07/2019 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 maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the permit is issued. 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 material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. Owns or authorized agent: APPLICANT CERTIFICATION (9ate:02/07/2019 -.. I certify that I have read this application and state that the above information is CONSTRUCTION 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 ARCHITECT'S DECLARATION and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. I understand my plans shall be used as public records. Licensed Signature Date 02/07/2019