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12090138CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 604 PHIL CT OWNER'S NAME: NIKLAS & CARA HALLIN OWNER'S PHONE: 4082536744 "HCl LICENSED CONTRACTOR'S DECLARATION License Class 131 Lic. # Contractor I llw) �r�� L/ i Date 7 CONTRACTOR: VANNI BROTHERS PERMIT NO: 12090138 CONSTRUCTION 18964 SARA PARK CIR DATE ISSUED: 09/17/2012 SARATOGA, CA 95070 PHONE NO: (408)253-7028 BUILDING PERMIT INFO: BLDG r ELECT F PLUMB r MECH r RESIDENTIAL r COMMERCIAL r I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: BATHROOM REMODEL (48 SQFT) SHOWER (commencing with Section 7000) of Division 3 of the Business & Professions REPLACEMENT, NEW Code and that my license is in full force and effect. WINDOW EXISTING LOCATION SAME SIZE & 3 ELECTRICAL OUTLETS 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. 7 Signaturc_/�'� 1!� Date ❑ 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) 1, 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 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. Date Sq. Ft Floor Area: I Valuation: $10000 APN Number: 37542024.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FRO T CALLED INSPECTION. � Issued by: -/l -/ Date: RE -ROOFS: 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. Signature of 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. 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. Own t o ed' gent: -C Date:` -J_ 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 TrA CUPERTINO COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION 1O3OUTORREAVENUE `CUPERTNO.CAS5O14'3255 (408) 777-3228 - FAX (408) 777-3333 - building4j),gugetno.org RIPLUMBING [1 NEEcHAMcAL � ME AEPPfucApp.201 ].doe revised 06121111 PHONE STREET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME PHONE SIR= ADDRESS CITY, STATE, ZIP El OWNER owNEP,-BuiLDER El OWNER AGENT ZI-CONTRACTOR 1:1 CONTRACTOR AGENT ARC=CT ENGINEER 11 DEVELOPER TENANT UNTRALICENSENUMBER U?T11 NI LICENSE, TYPE BUS. LIC N ARCHITECTIENGINEER NAME LICENSE NUMBER BUS. LIC # STREET ADDRESS CITY, STATE, ZIP PHONE USE OF SFD or DUPLEX 0 MULIT. BUILDING: COMMERCIAL 777 PROJECT IN WILDLAND El YES URBAN INTERFACE AREA E] NO T-7 RCIECT IN GO. "NI YES NO IS THE BLDG AN YES EICHLER HOME? El NO DESCRIPTION OF WORK INDZ) UD TOTAL VALUATION: /0, ®r I RECEIVED BY: By my signature below, I certilY to each ofthe following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description ofWark and verify it is accurate. I agree to comply,�vith all applicable local ordinances and state laws relating to bi�] ' onstruction. -1, authorize representatives of Cupertino to enter the above-identified"property for inspection pui�oses. EXPRESS El STANDARD LARGE El MAJOR AEPPfucApp.201 ].doe revised 06121111 CITY OF CUPERTINO M FEE ESTIMATOR — BUILDING DIVISION ig,ADDRESS: 604 phil ct. DATE: 09/17/2012 REVIEWED BY: l'fech, Permit Fee: APN: BP#:Q `'')l *VALUATION: $10,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY USE: SFD or Duplex Plrrnrh, hr.vp. Fee: PENTAMATION PERMIT TYPE: 1 R3SFDRE i WORK bathroom remodel shower replacement, new window existing location same size 3 electrical outlets SCOPE Suppl. Insp. Fee:Q Reg. 0 OT NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sever District, School District. etc ). These fees are based on the nreliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E f 7/1/11) Xfech. Plan Check Plumb. Plcni Check Dec Plan Check l'fech, Permit Fee: Plrmab, Pennit Fee: Elec, Permit Fee: Other Alec h. h7sP.E1__L_ Other Pluuab lash. Other Elec. hap, Alcch. hrsp, Fee: Plrrnrh, hr.vp. Fee: Elec, Insp, Fere: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sever District, School District. etc ). These fees are based on the nreliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E f 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 48 s.£ Remodel, Bath (<=300 sf) $600.00 1REMRESBAT i Suppl. PC Fee: 0 Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax. Achniiiislroli ve Fee: Work Without Permit? 0 Yes (D No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential G Building or Structure i Travel Doctanentution Fees: Strong Motion Fee: IBSEISILIICR $1.00 Select an Administrative Item 1 Bldg Stds Commission Fee: 1BCBSC $1.001 SUBTOTALS: $2.00 $600.00 TOTAL FEE: 1 $602,00 Revised: 07/01/2012 ul IMI IV I ft.5 C) 8 2- A0, I I rl, n 6,--D i � RESIDENTIAL KITCHEN/BATH REMODEL POLICY COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P,E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 - buildingacupertino.org GENERAL INFORMATION A building permit is required for all kitchen and/or bath remodels except when the scope of work ONLY involves the installation of cabinets and/or the replacement of countertops [CBC Section 105.2 ex 7] without altering any electrical, plumbing or mechanical systems or altering any existing walls. PLAN REQUIREMENTS 1. Provide a completed `Addition/Remodel' building permit application. 2. Provide three sets of completely dimensioned floor plans (both existing and proposed) showing the area of alteration(s). Floor plans shall indicate the following: a. Location of existing and new walls showing existing and new windows. b. Location and sizes of all doors. c. Location of all upper and lower cabinets. d. Location and use of all adjacent rooms. e. Location of smoke alarms and carbon monoxide detectors. Smoke Detectors and carbon monoxide detectors are required to be installed in accordance with Section R314 and R315 of the California Residential Code. 3. Ceiling Plan. Provide ceiling plan (three sets) to show ceiling heights, as well as, existing and proposed electrical and/or mechanical work at the ceiling level. 4. Structural Framing Plan. Provide three sets of the structural framing plan if any walls are being removed or relocated. Plan shall show all walls existing, removed and added and verify how new framing members are supported as a result of the removal of any bearing walls. 5. Plumbing, Mechanical and Electrical Plans. Provide three sets of plans showing electrical receptacles, electrical fixtures and switching, and ventilation. 6. Energy documentation. Two sets including the CF1R-ALT Residential Compliance Form. 7. Owner -Builder Disclosure Form (for property owners applying for their own building permit) 8. Details and Notes: Provide all details and notes required to explain the proposed scope of work. NOTE: All drawings must be signed by the person preparing them. All work shall comply with the 2010 California Building Code, 2010 California Residential Code, 2010 California Plumbing Code, 2010 California Mechanical Code, 2010 California Electrical Code, 2010 California Energy Code. FEE ESTIMATE The calculated fees are only an estimate. Contact the Bldg Dept for additional info. *SCOPE OF WORK: Select Scope of Work *VALUATION: $o *AREA OF WORK:o0 S.F. f 'CUPERTINO 7 2J12 Rr..VI v r ;;,r R% .u,.. Permit Fee Strong Motion Fee Bldg Stds Commission Fee TOTAL NA a< , t. �s .iA 0 ReskitBathPo&y 20'11.doc revised 07/01/11