02080021 (3) CITYBUILDINGID DIVISION PEOT CONTRACTOR MOR V ION:
BUILDING ADDRESS: PERP NO.
7728 OBSIDIAN CT KAVENY JOHN J AND DIANE W 02080021
APPLICATION SUB DATE
MEW: JOHN J AND DIANE W 08/06/2002
PHONE: SANTDLRY NO. CONTROL NO.
.O.eeZ° ARCHITECT/ENGINEER: BUILDING PERMR INFO
Lk�w BLDG ELECT PLUMB MECH
Z y 2 LICENSED CONTRACTOR'S DECLARATION - Job De ion FI B�„Iv ALE
° -° I harm,oRrm that 1 am licenud under provisions of CTaper 9(comment g ADD BAY WINDOW (DINING RM)
ttyy with ati n7000)of Division Jof Ne Businesafnd Professions Code.andmylicense
,a xi u in see and eRmt, c\A'/
aoT6 ass OCT 1 0 2002
Conwc�p
3 a ARCHITECTS DECl/peRA�oN
t °5 I understad my plans shall k uu4 assd�bbb
r
S o O
Licensed professional BUILDING
OWNER-BUILDER DECLARATION
I hereby,.(Sera that 1 am exempt s an Ne Conions Ca Licame,c law Tor county
I_?D following roar .(Sinton]OJ str Business end Improve,
demolish,
Cade:Any city structure county $1 ej Q Q
W F° whim requims a permit ro comwct.alar,improve,demolish,or rep'v wy
i --ofiiia]Ov twei&ttroplb5(y athle?tirtonfro'(0mi0'0h}opakaartD<ivboiusroiotsonTJofrotfhteheah lQkugseidndceasseetBMkp0Pomni.feAuWniyonvsioClpaotidoen)
1 36s-Q_i,4bt0@9uo;r6.'O�ra_.•:�'�:'�1 i.:
ValuationpNakmgLm
m
any applicant far a pemtit subject the applicanuo a civil penmry
:arnwmartt.mrmabunarcdaauas(ssodJ. 101AP`tNY�ATION -'"' Occupancy Type
❑Lu owner of the property.or my employm with wagesutcir cele compensation. 102 PIERS
-
-will Eo me want:and the'awcmrc is not intended or offered for agile(Sm.70,14,' - - - -"- -
t Busiiesi aM Proteaana Cade:The conuumr'a Liceve Law does rat appq to an 103 — UFER Required Inspections'"" ^'
owter of property Who Wilda or improve thaean-and who does such wart himself 104 — REBAR
05 throw h his own employees.provided Nat such improvemenu are not intended or _ _
.. __. __. ..
'1bRc¢d orale:ILhowever,the buildingofimprovementisSold witidone yEarof IGS - ANCHOR
completion,Ne owner-Wilder will have the burden of proving that he did trot Wild or
improve Tae harpooner sak.l. 106 - SEWER & WATER
__._.. ..._..------..__.......__.- - _. .. ._... ....
- ----
dl.uowner o(tk PropertY.ameadusivdy contracting with liccnscd convecmrsm — :+
- -
consumer the protect(Sm.704,1.Business and Proressiom Coded The Cortramr's 203 — UNDERFLOOR MECHAN'ICAL'`;="
Limme law docs not apply to an owner of property who Wilds m improve Ncrem.
-and.wha mntr¢u for.auch,mieu wit.a.cnmractor(e)Bmnsed.pursuant.m.Ne. ._ _..__. _2 04- _.. UNDERF-LOOR-- F'RAME_._
ea iA.'s License Law
aemptunder Sec. rB&PCfor Nia rtason 205 - UNDERFLOOR' INSUliATION
g OZ . 301 - ROUGH PLUMBING
ORI I'SC SATION C RATION 302 — TUB & OR SHOWER
thereby Rw u r vlt of t f tk followin dakntiana: _
ys pe. ._y paj ryamo g 303 ROUGH MECHANICAL
= ❑ 1 have and will mamam a CeitlOme or consent to self-insure for Workers 304 - ROUGH ELECTRICAL
Campemaion.•u Provided for by Section 37M or to IaWr Code, for to
- - - perfomiuLm ar to wa ,far whipn ria permit is i::pee. 305 - FRAME
Ol ha6ciai will'tainuin Worker's Compensation Insurance.Pas required by Section 306 - HOLDOWNS
'. TW of to L.Wr Code.fbr to performance of the work for which this pewit is307 — INSULATION
rsiuW MY Wo kers Compensat on Insurance caner eM P 1 cY k tie:
._ . 3,08,.. . SVEETROCK':_:, --_...-'----_...\'.....i. .._....._.. _..
Comer 1 +' Policy Na.; t'
s [{CERTIFICATION OF EKEMPTION MOM WORKERS �. 1`309 'i 'EXTERIOR �liATH .=
-L!:L COMPENSATION INSURANCE='
: ;._.. . sass _ ,r ..,... . ._ _.
,L-"(rhiz semioh need not IN complcrcd if the permit is fm one hundred dollars 311 _ ' SCRATCH COAT ,..1"....t
,,;r . _ . .. ..._.. . . 313 -ROOF AIL - - -
1certify tat in to peAoimance of to work foi which tis permit is ivum,1 N -
�iballhooationyanyf manner gopat a e,iPblmt to to Worker' 501 _ FINAL ELUMBI G. ENERGY-_:
CoPPmppps t n canto t � � ' C 5Q2...__. FINAL .PLUMBING.. ENERGY
tN TO PL A ILakrty ngtNSCe ' ofFaemgon;youshould 503 - FINAL MECHANICAL' ENERGY
'bin ubl note Workers Comps at p ionsofthfaW Cade,youmust
0 forthwith 'ply wit such provisions t peritShallkam demand oke. 504 - FINAL BUILDING..,ENERGY ___
za ... _ _
..sttnn ,: .,.
''. CONSTRurnoNLENDING AGENCY 505 - FINAL ELECTRICAL
E+.> ,.." Y g agency a.. ,, ...
"1 hereby c for dr, 506 - GAS TEST
r 'or the work roe which this pewit is issued(sec.JDLZ civ.C.1
t<tda's Name _._:...,:_a., ....__ . ... ._..____. _..
LeMcr'x Addrcu � ^�'
507 FINAli PLUMBING
AL
U'O I ccnify tat I have mod this.pplication and na¢tknhc stye information le 508 - FINAL ME CHAN I C
Tr.Fro cosi<ct.1 agree to comply,w N ell city ad county on ioonces and sate laws misting 509 - FINAL GRADE
O.V mWildingconawnian,aridhertbyeutorisertpmssnuwesaftiscitymcntaupon 510 - FINAL PLANNING
�r W taa=rmrtianed pmpmy for inspection purposes.. ,_.
y
M)agree m,eve inderviify and keep hamksa the Cityof Cuatiino against
PPI!) - FINAL UB C WORKS
PPI!) iiabilitie,judgmenu,costs Wpa
. rses which may in any way an
ce against said
U'Z City in somal...a of the gm ung of to permit. �` V4�_1v
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL YON-POIXT' Issued b Date
OU RCE R[ ' T NS. D y'
casco ApplicartuConwctor'; 't '_Dow Re-roofs /
HAZARDOUS MATERI� CLOSURE - ,
Will Ne applic t rfim2 Wildingoccupantsmre or handl haaamrmatenal _-_Typeof.Roof ._ _.. . .... _ _ .._... .......__<.._.....
u
';=y
to C Pcmno M NciJgJ Code Chapter 9.13 and to Heath and Safety ,. r.
All,ro fs shall be Inspected prior to any roofing mater al being installed. ,_-_ .•_
Will ba,eppl ant or future building occupant use equipment or devices which If a roof is insfalled without first obtaining an inspection;'-I agree to remove
ft •cwt haavdaus ab o um a is m fined by to Bay Are Air Quality Management
Dirt t f all new materials for,inspection. Applicant.understands and will com_ply with
.oee _ l �°rvo all non-point source i'eg'Ie ons, ,
'L 1 huve'rtad.te haeardoua rata is regbireinenu under Chapee 6.65 of he
[:Lfiramia Health&Surety Code.Sectiona25505,25533 and 25574.1 undenurd tat
-ifte Wilding does not mmentlyhaveamnnnt,that n is my resyaelbility to ratify the
occupant a the requirements which must k met prior m issuance of a Certificate of
°.°.-Y': Signature of Applicant Date
,uNo gat soar,. Dae All roof coverings to be Class"B" or better
CITY OF CUPERTINO
1 of 1 PERMIT RECEIPT OPERATOR: conniew
COPY # 3
Sec : Twp : Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36218027 . 00
DATE ISSUED. . . . . . . : 08/06/2002
RECEIPT 4 . . . . . . . . . : 19320
REFERENCE ID # . . . : 02080021
SITE ADDRESS . . . . . : 7728 OBSIDIAN CT
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . :
OWNER . . . . . . . . . . . . : KAVENY JOHN J AND DIANE W
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4111
RECEIVED FROM . . . . : JOHN KAVENY
CONTRACTOR . . . . . . . : LIC # *OWNER*
COMPANY . . . . . . . . . . : KAVENY JOHN J AND DIANE W
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4111
' TELEPHONE . . . . . . . . :
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
- - -------- --- - --------- --- - - ----- -- -------- - - - - - - --- - - - ----
BPERMFEE VALUATION 1, 500 . 00 77 . 00 0 . 00 77 . 00 0 . 00
BENERGY PERMIT FEE 77 . 00 23 . 10 0 . 00 23 . 10 0 . 00
BPLANCHK PERMIT FEE 77 . 00 65 . 45 0 . 00 65 . 45 0 . 00
EPERMITFEE FLAT RATE 1 . 00 35 . 52 0 . 00 35 . 52 0 . 00
BREMRECEPT NO. OUTLETS 1 . 00 1 . 11 0 . 00 1 . 11 0 . 00
BSEISMICRE VALUATION 1 , 500 . 00 0 . 50 0 . 00 0 . 50 0 . 00
------- - - - ---------- - - - - - ----- -- - - ------
TOTAL PERMIT 202 . 68 0 . 00 202 . 68 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
---------------- - -------- - --- - -- - - -----
CHECK 202 . 68 6717
-_----------
TOTAL RECEIPT 202 . 68
r�
PITY: OF CUPERO-
CITY OF PERMIT APPLICATION FORM 0Z
UPERTINO
APN # 362 2
Date:
Building Addres
Own_er's Nam Phone#: 2JO
Contractor: License#:
owner
Contact: Phone#:
Applicant/Contractor: Fax#:
ing Permit Info:
Bld Elect Plumb Mech
Job Description:
Residential: A tp Commercial:
Sq.Ft. Floor Area: $/Sq.Ft.:
Architecl/Engineer: Valuation:
e of Construction: Occupancy Group: r /
Quanti Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/COmm/ uasi BUILDING
BCONSTAXB Con. Tax for B Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile BUILDING
BELEC1000 Elec 600V <= IOOOA ELECTRICAL
BELE 1001 Elec 600V > 1000A ELECTRICAL
BELEC200 Elec Svcs 600V <=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
BMITIGATC Comm. HousingMit. Fee BUILDING
BMITIGATR Res. HousingMit Fee BUILDING
BMNEWMULTI New Multi-Family Res MECHANICAL
BNEWMULTI New Multi-familr Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
3L°
lof3
Z 0 2 ' (�
aCITY OF CUPEF�' INO-
�'iY°F PERMIT APPLICATION FORM
CUPEkTINO
Quantity Fee ID Fee Description Fee Group
BNUMULTI New Multi-family Res PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pblg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinkler/Backflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water HeaterNent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace> 10K btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP I Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs,Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
2of3
• 4 SIVA CITY OF CUPER4ifNO'
CITY OF PERMIT APPLICATION FORM
CUPERTINO
Quantity Fee ID Fee Description Fee Group
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSF&2FAM Single & 2 Family BUILDING
BSFNA Single Family New Add BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
'.BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
ZADDCHG Address Chane BUILDING
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75 M Btu MECHANICAL
3 of 3
Plot: 7728 Obsidian Court, Cupertino
Parcel: 36218 027
TR 5711 Lot 11
0 2
FFBy 6
AU
Olt
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L4 1 z
7G. . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . .. .. . SUBMITTAL
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. . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
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A=24x105 = 2520
B=(76x79)/2 = 3002
C=37x64 = 2368
D=(12x52)/2 = 312
E=(84)d5)/2 = 630
TOTAL LOT 8,832 SqFt
z 4-
Building: 2,907
Lot: 8,832
Lot Coverage: 32.9%
FA&)
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d � 38'
27' / sT FLUUG2
-7 6
40'
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