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CITY OF CUPERTINO
BUILDING DIVISION PERNUT
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BUILDI�N1�tG D ESS:
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PERMIT NO.
G1�� HOMESTEAD RD
GETTLER-RYAN INC
08060231
OWNER'
6747 SIERRA CT
10/02/2008
PHONE:
SANrrARY NO. CONTROL NO.
(925)551-7555
ARCHTIEGTIENGINEER:
BUILDING PERMrrINFO
BLDG ELECT' PLUMB MEC14
LICENSED CONTRACTOR'S DECLARATION
1 hereby I licensed Chapter 9
lob Description
affirm War am under provisions of (commencing
with Section 7000) of Division3ofthcBusinessandProfessionCode,andmylicenseis
INSTALL ENHANCED RECOVERY SYSTEM FOR SERVICE
in full force and effect
License Gass Lie.0.
STATION
Dam /n Contraclar
—T'
ARCHITECTS DECLARATION
I understand my plans shall be used as public records
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the
following reason. (Section 70315, Business and Professions Code: Any city or county
.
which requires a permit to construct. alter. improve, demolish. or repair any structure
prior to its issuance. also requires the applicant for such permit to file a signed statement
that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9
Sq. Ft. Floor AreaValuation
(commencing with Section 7000) of Division 3 of the Business and Professions Code) or
$17000 17000
that he is exempt ftmrrorn and the basis for the alleged exemption. Any violation of
p Number
Occupancy Type
Section 70313 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars (SM
32014 0 0 2 : t7
L as owner of the property, or my employees with wages as their sok compensation,
Required Inspections
will do the work and the structure is not intended or offered for sale (Sec. 7044, Business
and Professions Code The Contractor's L.icese law does not apply to an owner of
property who builds or improves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. If.
however, the building or improvement is sold within one year of completion, the owner -
builder will have the burden of proving that he did not build or improve for purpose of
salt.),
L as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code) The Contractor's L-
eonse Law docs not apply to an owner of property who builds or improves thereon, and.
who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
License Law.
❑ 1 am exempt under Sec . B & P C for this mason
Owner Dare
WORKERS COMPENSATION DECLARATION
I hereby. affirm ander penalty of perjury one of the following deduadona:
❑ I have and will maintain a Certificate of Consent to self -insure for WorkersCompen-
sation, as provided for by Section 3700 of the labor Code, for the performance of dee
work for which this permit is issued. .
❑ I have and will maintain Workers Compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of the work for which this permit is Issued
My Workers Compensation Insuraannce carrier and Policy number are:
CCarrier'.60L1 1a et'tOt> Policy No.: L7CO
CERTIFICATE OFEXEMP170NFROM WORKERS'
COMPENSATION INSURANCE
,
(This section need not be completed if the permit Is for one hundred dollars ($100)
or less)
1 certify that in the performance of the work for which this Permit is issued, I $hall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California. Date
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should
become subject to the Workers Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit shall be deemed revoked
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is p construction lending agency for the performance of
the work for which this permit is issued (Sec. 3097. Civ. C.)
Lender's Name
Lender's Address
I certify that I have read this application and sate that the above information is
"
conccL I agree to comply with all city and county ordinances and sate laws relating to
building construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes
(We) agree to save, indemnify and keep harmless the City of Cupertino against
liabili ,judgments, costs and expenses which may in any way accrue against said City
in uenee of rh ting of this prnnlL
AANTU STANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by: Date
S QNS.
rl
Re -roofs
Type of Roof
(o
SiKwurc can manor bale
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle hazardous material
as defined by the Cupertino Municipal Code, Chapter 9.12, and dee Health and Safety
Coag, So yes 25532($)7
❑Yes
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
Will the applicant or future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Area Air Quality Management
all new materials for inspection.
District?
Yes
Cread the ous materials requirements under Chapter 6.95 of the Califor-
nia H a & Safety S 25505.25533 and 25534.1 understand that if the building
d n currently that I ' y responsibility to notify the oeeupant of the
rInt,
mq cats m et issuance of a Cenifrcato of Oc
Signature of Applicant Date
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All roof coverings to be Class '%'' or better
oermrizedgerm Dato
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CUPEf�TINO
CITY OF CUPERTINO
GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
1GENRES or
1 GENCOM
ACOUSTICAL
REVIEW
IACOUSFDW
SFDWL/Duplex New
B
IACOUSRESAD
SFDWL/Duplex-Addition/Alteration
B
1 ACOUSCOM
Multi-Family/Commercial
B
CHIMNEY'S
1 CHIMNEY
Chimney
B
1 CHIMNEYR
Chimney Repair
B
FENCES
1 FENCE>6FT
Non -masonry, over 6 ft in height
B
1 FENCEMAS>6
Masonry, over 6 ft in height
B
FIREPLACES
1FIREPLMAS
Fireplace Masonry
B
1FIREPLFAB
Fireplace Pre-Fabricated/Metal
B
1FLAGPOL>20
Flag pole (over 20 ft in height)
B
1MODUSTRU
Modular Structures
B
FOUNDATIONS
1FOUNDREP
Foundation Repair
B
1PILECAST
Pile Foundation Cast in place concrete
B
1 PILEDRIV
Pile Foundation Driven (steel, pre-
stressed concrete)
B
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CUPEI�TINO
I car
CITY OF CUPERTINO
GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
1GENRES or
1 GENCOM
RETAINING
WALL(CONCRETE
OR MASONRY)
1RETSTN
Standard (up to 50 ft)
B
1RETSP310
Special Design, 3-10' high (up to 50 `)
B
1RETSP10
Special Design, over 10' high (up to
50')
B
1RETCRB<
Gravity/Crib Wall, 0-10'high (up to
50 ft)
B
1RETCRB>
Gravity/Crib Wall over 10' high (up to
50 ft)
B
SIDING
1 SIDESTBK
Siding, Stone & Brick Veneer
(interior/exterior)
B
1 SIDEOTHER
Siding all other
B
SKYLIGHTS
1 SKYL<10 SF
Skylight less than 10 sf
B
1 SKYL>10SF
Skylight greater than 10 sf or
structural
B
1 STAIRS
Stairs -first flight/ea addt' 1
B
STORAGE RACKS
1 SRACKS<=8
Storage Racks 0-8' high (up to 100 sf)
B
1 SRACKS>8
Storage Racks over 8' high (up to 100
st)
B
1 STUCOAP
Stucco Applications (up to 400 sf)
additional stucco application
B
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CUPEkTINO
i 0"
CITY OF CUPERTINO
GENERAL BUILDING APPLICATION
FEE SCHEDULE
Quantity/Sf
Fee ID
Fee Description
Fee
Group
Permit Type
1GENRES or
1GENCOM
1 WIIVREP
Replacement windows/sliding glass
door (ea 8 windows)
B
1 WINMEWSTR
New Window -structural shear
wall/masonry (includes plan ck fee
B
IEPERMITFEE
Electrical Permit Fee
E
{
1 MPERMITFEE
Mechanical Permit Fee
M
1PPERMITFEE
Plumbing Permit Fee
P
1ELCPLNCK
Stand Alone Electric Pln Ck (hourly)
E
l
1MECPLNCK
Stand Alone Mechanical Pln Ck (hrly)
M
1PLMBLNCK
Stand Alone Plumbing Pln Ck (hrly)
P
1 STPLNCK-(3 Hr Min
when not over counter)
Standard Plan Check (when no E/M/P)
hourly -stand alone
B
1BSEISMICR
Seismic Residential
B
1BSEISMICO
Seismic Commercial
B
/
ITRAVDOC
Travel & Documentation
B
1BUSLIC
Business License
B
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