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13030121 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1142 KENTWOOD AVE CONTRACTOR:ROCK SOLID BUILDERS PERMIT NO:13030121 OWNER'S NAME: BERNHARDT IRWIN B AND NORMA TR PO BOX 20265 DATE ISSUED:03/22/2013 OWNER'S PHONE: 4087395407 SAN JOSE,CA 95160 PHONE NO:(408)997-7625 ❑ LICENSED CONTRACTOR'S DDECLARATION JOB DESCRIPTION: RESIDENTIAL 11 COMMERCIAL LJ License Class Lic.# ".1"_ J 01U KITCHEN REMODEL'TO REPLACE CABINETS,ADD 8(N) ���� OUTLET RECEPTACLES,INSTALL(N) Contract"+:1P�` kt, 1M ate 3 MICROWAVE/HOOD I hereby affirm that I am licensed under the provisions of Chapter 9 COMBO&INSTALL(1)COUNTERTOP&FINISH (commencing with.Section.7000)of Division 3 of the Business&Professions PLUMBING 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:$8500 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:35931052.00 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 WITfIIN 18 OF PERMIT ISSUANCE OR to building construction,and bereby authorize representatives of this city to enter upon the above mentioned property for'inspection purposes. (We)agree to save 180 F LAST CALLED INSPECTION. indemnify and keep harmless the City.of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Date 3 Z`L granting of this permit. Additionally,the applicant understands and will CO ssue with all non-point source regulations per th rfino Municipal Code ton 9.18. Ua�p' RE-ROOFS: Signature Date � / 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-BU DER'DECLARATION Signature of Applicant: Date: I hereby.affirm that I ama mpt 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, r 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 consttuct.the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.9.5 of the California Health&Safety Code,Sections 25505,25533,and 25534. Lwill 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 370,0 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 e,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,an 55 Section'3700 of the Labor Code,for the perfonuance of the work for which this Owner or authorized agent: Date sa 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 CONSTRUCTION L ING AGENCY Compeiisationlaws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction le ding 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 Icertify 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 authorizerepresentatives 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 918 Signature , Date GENERAL PERMIT APPLICATION r MER COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 1030:0 TORRE AVENUE•CUPERTINO,CA 95014-3255 MISC CUPERTINCJ (408.)777-3228•FAX(408)777-3333•buildingAcupertino.org PLUMBING PMECHANICALER/ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESS1 e �C�W I APN# [� Q OWNER NAME ren kra ( PHONE --1I�n C /E-MAIL STREET ADDRESS r I CITY,STATE,ZIP FAX FAX CONTACT NAME n p n ,�y�-/� PHONE pI �'`, E-MAIL r`&K`^ W; I&as STREET ADDRESS CITY,STATE,ZIP FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT elcl.�TRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME "J� � 'jam, LICENSE �( Q LICENSE YPE' ,�.,-( BUS.LIC# Q/�/" (•-� 1 �!r I1 r, COMPANY NAME \'� �/C 6 FII, ,i E MY640j`1� J I �a _�/I,� t FAX STREET ADDRESS 1'V• r /� CTT'Y r`$TA��TE�,ZIP'V�l.a ��jy) P 6 PHONF , _01 ARCHITECTIENGEJEER NAME `(j LICENSE NUMBER (! (� BUS.LIC# r F �/ COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ErNO FLOOD ZONE [?NO EICHLER HOME? ❑NO DESCRIPTION OF WORKtV. ' _^ `� We, � 4 % a - ,- Sl $ C_a,LM AeAtckJ �+ 6 ovin 5 T\r4 r c9 t -'A W-c oN do v,I%k TOTAL VALUATION: 8 f� RECEIVED By my signature below,I certify to each of the following: I am the property owner or authorized a o act on the pr owner' ave read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construcALQn. I author' representatives of Cupertino to enter the above-ide tifted pro erty2for inspection purposes. Signature of Applicant/Agent: Date: �a 3 SUPPLEMENTAL INFO TION REQUIRED OMCE USEOrILY ER-Tff COUNTER �' ❑I EXPRESS ' ❑ STANDARD ;..;�:.. © LARGE` _,ri[AJOR MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO IsFEE.ESTIMATOR—BUILDING DIVISION ADDRESS: 1142 KENTWOOD AVE DATE: 03/22/2013 REVIEWED BY: MELISSA APN: 359 31 052 BP#: "VALUATION: $8,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY PENTAMATION 1 R3SFDREM USE: SFD or Duplex PERMIT TYPE: . WORK KITCHEN REMODEL TO REPLACE CABINETS ADD 8 N OUTLET RECEPTACLES INSTALL N SCOPE MICROWAVE/HOOD COMBO & INSTALL (N) COUNTERTOP & FINISH PLUMBING (E) LIGHT TO p L1ech.Ptah Check Ptznrrb.Plurr Check !"!!! Elec.Plan Check 0.0 hrs $0.00 ,Wech.Permit Fee: Plumb.Permit Pere: Elec.Permit Fee: 1EPERMIT —1 L Other;llech.Insp. Other Plumb Insp. Li Other Elec.Insp. 0.0 hrs $45.00 1tec•h.Insp.Fee: Plumb. hist.Fee: I Elee.Insp.Fee: 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 prelimina information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS/Fee Resolution 11-053 E . 7ft 11112) FEE QTY/FEE MISC ITEMS .Plan Check Fee: $0.00 120 1 s.£ Remodel,Kitchen(<=300 sf) Supp/.PC Fee: Q Reg. ® OT 0.0 his $0.00 $600.00 1REWESKIT PME Plan Check: $0.00 = amps Electrical Permit Fee: $0.00 $45.00 IBELEC20o Services Suppl. Insp.Fee-0 Reg, Q OT OA.O $0.00 PME Unit Fee:: $0.00 PME Permit Fee: $45.00 Constritction :Tax. Administrative Fee: IADMIN $42.00 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Plannink Fee: $0.00 Select a Non-Residential 0 Building or Structure 0 Travel Documentation Fee: ITRAVDOC $45.00 i Strong Motion:Fee: IBSEISMICR $0.85 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $133.851 $645.00 $778.85 Revised: 01/01/2013 '• 1.r3fl�'r r i -21{r. 36" ,r 30" 30" 34" -73� 5 D7 I✓0 1rr� a .39in r —��'• " • • Com//l•v dT Aad Fg Q UI;;-`W3442 TTS~W302413~ _-' WV304M TT 1 T` -a 1 I, 5 pmq13624 X 2DP BU UTr 24 X ItBPP DB2i ` -830 2FWT BU -30-RAMGE31 --- S A. 1 BUILDING CI`d CUPS i 1NO (�r y This set of plans and s c .if`.c :ic �s nR�.1ST L e , job sille during construction. It is unlavviU, _c y�/1�C fb L✓Vv� , ,, n�,cr .c c:,znc=�s of al e.,•a`i ` from hoot pr',^v._I frurn& - --- - — -- ----- - --- --- - - - -- � r'�Ci thora -- - — _ — -- - - - ----------------- -- -- ------ Tho sta iping Ythis c�i� � �� DB36 1TD �NBT15- --- ---- , 24_DISI-iW j E1B18 DB24 a�p�' of :.i;u:� asn,,CiiyG of�sny pr12 BUTT 15428 W3642 BUTT �✓ _ _....-. .r. J. D AITE ,-4 PERiM..IT NO. O ;._u. ... _ y, 3s'� 1�,( ,, /r°t p� � ( zI e ��.r I • - 24" rr, !• CUPERTII� r� 52 l� O Building Department -7' epartm —29,-a ent 7 r ' Z i { MARq ! Z 2013 33" 15" 45ar. rias" ,` 3fla" 0CAI � M REVIEWED FOR COD � E COMPLI o R j�yQ .\ irnensiar�s maize designations given are This is an original design and must not be :21,14/2013 %914 �T— object to verification on job site and 1 released or copied unless applicable fee Yrinte t, 013 adjustment to fit job conditions. hasb,;" o order placed.A&O . x FF! N4 49 i o 13 M N vittBERNMARDTkit. Alf Building Department City Of Cupertino 10300 Torre Avenue r �'��pN�115�n I��11��1_► CUPERTI)Jin. CONTRACTOR:/`SUBCONTRACTOR LIST JOB ADDRESS: `e. PERMIT# OWNER'S NAME: PHONE# GENERAL CONTRACTOR: '`. � j. BUSINESS LICENSE# ADDRESS: 0 CITY/ZIPCODE: *Our municipal code r allbusinesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR.'FINAL. OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE.: I am not using any subcontractors: Signatur Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR. BUSINESS NAME BUSINESS LICENSE# Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing ; Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date