12060176CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1132 HUNTERSTON PL CONTRACTOR: JENNINGS CONST CO. PERMIT NO: 12060176
OWNER'S NAME:
SAN JOSE, CA 95136 PHONE NO: (408)265-5802
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL U COMMERCIAL
License Class Lic. # 3
ContractorNtn/LS Date
I hereby affirm that 1 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.
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- � Municipal Code, Section
9.18. `
Date e. - of 9 —/ Z
IN
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 3706 of the Labor Code, for the performance of the work for which this
permit is issued.
1 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.
REMODEL FAMILY & KITCHEN ISLAND 228 SQ FT,
REMOVE
EXISTING MASONARY FIREPLACE AND INSTALL
PREFABRICATED FIREPLACE RE -ROOF 24 SQ.
Sq. Ft Floor Area: I Valuation: $40000
APN Number: 36222027.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:. Date: 6 's %(2
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 Appl
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 1 use equipment or devices which emit hazardous
air contaminants as defined by the Ba Area Air Quality Management District I
will maintain compliance witt Cu no Municipal Code, Chapter 9.12 and
the Health & Safety Code, StioVs 25 ,§
�/ `e
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 Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
Signature Date
CITY OF CUPERTINO
IV - - ME FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 1132 Hunterston PI
DATE: 06/29/2012
REVIEWED BY: Sean
APN:
BP#:
*VALUATION: 1$40,000
PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex
USE:
PENTAMATION 1R3SFDREM
PERMIT TYPE:
WORK
Reroof existing residence comp to comp 2381 sq ftRemodel family room and kitchen island 228 s
SCOPE
ft) and remove existing masonry fireplace and install new prefabricated fireplace (Regency).
�:-'%•:: it <-"v ../.. .
S"�`i! �ji: °:>i :fir:/-•
--------------------------- ... ... - - ----
Mech. Plan Check 0.0 hrs $0.00
P17(inh. 7161t) t:'i,eCA
IJr; . Plor, 7_
Mech. Permit Fee: IMPERMIT
Htrr,T,h. Perrw Frc:
i.;_ f 1" ,-:?i} FCe
Other Mech. Insp. 0.0 hrs $44.00
01h:>r P,'}r};,b "n,v"
0/her /"/ f. L;-sp.
,k(h. ln.cp. Ffcc'
Plumb. hl.y. l.'11:
/:Ic r. /rsfo. ,' ,,f
NOTE: This estimate does not include fees due to other Departments (Le Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc). These fees are based on the Dreliminary information available and are only an estimate Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution 11-053 ET. 7/1/11)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
F-228-1 s.f.
$392.00
Remodel, Other
IREMRESOTH
19
Suppl. PC Fee: Q Reg. Q OT
0.0
1 hrs
$0.00
PME Plan Check:
$0.00
2,381 s.f.
$336.00
Re -roof
IREROOFRES
Permit Fee:
$0.00
Suppl. Insp. Fee:Q Reg. Q OT
0.0
1 hrs
$0.00
= # Mechanical
$65.0 T7 Other Appliance/Equip
PME Unit Fee:
$0.00
PME. Permit Fee:
$44.00
C. f1}f'aiT'71 Cori rin ltrl.
Administrative Fee: IADMIN
$41.00
O
E)
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
�
Travel Documentation Fee: 1TRAVDOC
$44.00
Strong Motion Fee: IBSEISMICR
$4.00
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
1 $2.00
��'• =%+'ti\?i = ^'j"�:r.J::i.Z \:;:.ti: 5:w
r;/::.Tl.:l.i 'ix :.1•'�i::.J/;:: '..^.,i.:
Revised: 06/30/2012