Loading...
13060200 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21764 REGNART CT CONTRACTOR:CASE HANDYMAN& PERMIT NO:13060200 REMODELING OWNER'S NAME: ARTHUR S MUTO 6155 ALMADEN EXPWY STE 400 DATE ISSUED:06/25/2013 OWNER'S PHONE: 4082577865 SAN JOSE,CA 95120 PHONE NO:(408)323-5300 ❑'� LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL El COMMERCIALU License Class_ Lie,# a F 1 REMODEL KITCHEN(325 S.F.)REPLACE 2(E)WINDOWS Contractor =Z, h ( Date —02 -t s 1 SLIDING GLASS DOOR IN KITCHEN AREA.UPGRADE I hereby affirm that I am licensed under the provisions of Chapter 9 ELECTRICAL PANEL TO 150 AMPS (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 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. Sq.Ft Floor Area: Valuation:$60000 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 APN Number:35624047.00 Occupancy Type: permit is 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 WITw 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 ALL 180 DAYS L' ED INSPECTION. s indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Issu�3=�;# Date: � 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. - µ RE-ROOFS: Signature Date fr 6`<v�`4't 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 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. I 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,Sectionand 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent.,----" �.�--ew._ 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,I 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 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 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 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 21764 REGNART CT DATE: 06/25/2013 REVIEWED BY: MELISSA ADDRESS: 359 24 047 BP#: ��� claG� *VALUATION: $60,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1 R3SFDREM USE: p PERMIT TYPE: WORK REMODEL KITCHEN 325 S.F. REPLACE 2 E WINDOWS & 1 SLIDING GLASS DOOR IN SCOPE KITCHEN AREA. UPGRADE ELECTRICAL PANEL TO 150 AMPS 'fech.Plant Check Phurrh,Plant Check Elec.Plan Check 1 0.0 FS $0.00 ii-1eeh. Pe�,nit F'ee: Plrrm_h.Permit Pee: Elec.Permit Fee: 1EPERMIT Other lleclt.hasp. Other-Phtmb Irisp. Other Elec.Insp. 0.0 hrs $45.00 -&C6''2_Lnsp.f ce Plamh. hi'Vp.Pee: Elec.I sp. Fce: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 295 s.£ Remodel,Kitchen(<=300 sfl Suppl.PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $600.00 1RE2aESUT PME Plan Check: $0.00 = # Window/Sliding Glass Door Permit Fee: $0.00 $400. WINREP 7 Replacement Suppl. Insp.Fee-(j) Reg. © OT 0,0 hrs $0.00 150 amps Electrical PME Unit Fee: $0.00 $45.00 1BELEC200 Services PME Permit Fee: $45.00 l.-Oi'is7-ucLl(;rZ .1 Cil: F77 Administrative Fee: IADMIN $42.00 0 Work Without Permit? 0 Yes (j) No $0.00 ) Advanced Planning Fee: $0.00 Select a Non-Residential Travel Documentation Fee: I MVDOC $45.00 Building or Structure i Strong Motion Fee: IBSEISMICR $6.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $3.00 SUBTOTALS: $141.001$1,045.00 TOTAL FEE: $1,186.00 Revised: 04/29/2013 a 08/27/2013 13:36 Case Remodel �AX�4083235305 P.002/002 - Buildir�g Department � Ciry Of Cupertino ,,. `. 1U300 Tort'e Avenue . � Cupertino,CA 950143255 �. Telephone:408-777-3228 C U P E RT 1 N O Fax:408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: � I 7�} /�e naf�r c7-, �PERMIT# / U � Z UO OWNER'S NAME: /'h��� PHONE# '-�0$^ 3�3`S3G0 GENERAL CONTRACTOR:�"�l.� eS.i- E Ror�ddc/ BUSINESS LICENSE# e`�. AUDRESS:(o l,ss odo.. ' ,t r�� � 4 �" "� CITY/ZIPCODE: *Our municipal code requires all businesses working!n the city to have a City of Cupertino business license. �NO BUILD�1v� rt1vAL OR FINAL ocCUPANCY INSrECTION(S) wiLY. BE SCxEnvI,ED Urr'ri� ?HE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BCJSYNESS LIC�NSE. � I am not using any subcontractors: Signature Date Please check applicable subcontractors and eomplete the foalowing informa�ion: ✓ SUBCONTRAC'TUR BUSINESS NAME BUSINESS LICENSE# Cabinets &Millwork �V�-"� 1 lV�! LLG�( GA�1'�1 t`�.C�'S �{�Z� Cement Firiishing' �y/Q N � Electrical V�1 GS"C V p���.Y �LG C:'�R►C, ��Q Z Excavatio� �►/Q N 1� Fencing /,� �� � � Flooring/Carpeting (7-OR.DON�S �LC�OR��C�" �J�)���1 Linoleum/Wood Glass/ Glaziz�g N V�1. Heating �✓/A N�� lnsulation ^r/�i N�� Landscapirig �V/A� t� �I� Lathing N �`� � � Masonry �v/�4 N � Paintin I Wall a er � � g P P �REt'NSN�,1'T �7�P.l ��1� 1 N l�- 7 Paving iv/i4 ' N Plastering �y/�� N Plumbing p�N 1�,�(V(t^C 0 N P W!��I lyfr 3��J j Z Roofing //.� IU ( � Septic Tank ,�/�¢ � I� Sheet Metal iy � �1 I� Sheet 12ock Q1 p . "�IOMP`��ty b2 �jV�C�-t� � � Ugi �� /�l3 r�t� xL�r��� 3W t�o � ---� ��G ��o Owne ncractor Sign�ture Date