13060108 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 21056 WHITE FIR CT CONTRACTOR:ANDERSON PERMIT NO: 13060108
INSTALLATION
OWNER'S NAME: MURRAY EUGENIA P TRUSTEE 696 AUZERAIS AVE DATE ISSUED:06/13/2013
OWNER'S PHONE: 4085310904 SAN JOSE,CA 95126 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIALE]
License Class Lic.# 0 6 11 0 t a:[ REMOVE&REPLACE 4(E)WINDOWS&2(E)DOORS,
SAME
Contractor /f r, z l e s as, �ti sail/&, Date /7• �' LOCATION&SIZE
-
I hereby affirm that I 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. Sq.Ft Floor Area: Valuation:$4200
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:35905110.00 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 WIT 80 DAY5 PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save AY L 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 slued b
//3
granting of this permit. Additionally,the applicant understands and will comply y: Date:
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
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-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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 HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. I will
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 3700 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 Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent Date: l� —
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,aftermaking this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending 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
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 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
9.18.
Signature Date
CONSTRUCTION PERMIT APPLICATION `O
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 f1
C U P EFktTlNQ (408)777-3228•FAX(408)777-3333•building Ca)cugertino.org
❑NEW CONSTRUCTION ElADDITION HALTFRATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT#
PROJECT ADDRESS 1 lJs� / t APN# 3 5-9 � O _5-- � Lo
OWNER NAME n� PHONE [��I -��y E-MAIL, �
STREET ADDRESS /05 / /. // �� CITY, STATE,ZIP J�� / FAX
CONTACT NAME/f o�Cw(' I r�( PHONE - V� _� EMAIL
STREET ADDRESS /(� v r J CITY,STATE,,ZIP FAX
❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME ^1 / LICENSENUM3EROC600 ! LICENSETYPE BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS / 2-e-,-2-e-,-5 ci s CITY,STATE,ZIP ("' L PHON"9 J
ARCHITECT/ENGINEER NAME LICENSE NUMBER \) 1 BUS.LIC
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK �r
e /1
dL - vI� C 7 l./"n vaJ OU—J
EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES
USE TYPE OCC. SQ.FT. VALUATION($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NETAREA
BATHROOM _ KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA -
PORCH AREA DECK AREA TOTAL DECK/PORCH AREA I GARAGE AREA: DETACH
❑ATTACH
#DWELLINGUNITS: IS A SECOND UNIT OYES SECOND STORY []-YES
BEING ADDED? ANO ADDITION? ❑NO
PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES IrIVE`" x "'., =' TOTAL VALUATIaI
PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ ((�r�JjV/�C//5
By my signature below,I certify to each of the following: I am the property owner or authoriz ent 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 of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building c ction. I authorize representatives of Cupertino to enter the above
'-identified property for inspection purposes.
Signature of Applicant/Agent: Date: (J 0 3 Z�`1�
TAL INFORMATION REQUIREDlow
PIANCHECKTYP _ ItOiJTII�GSL�_ _
_New SFD or Multifamily dwellings: Apply for demolition permit for THI<CO�IIiti RBDING PL �`
existing building(s). Demolition permit is required prior to issuance of building � � �
permit for new building. Iiu s �r Gr , E;
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure " ST ARD W L . ruBLI wotu�s:
form if any Hazardous Materials are being used as part of this project.
_Copy of Planning Approval Letter or Meeting with Planning prior to :
® ORSANTI Y S DIS RI
submittal of Building Permit application.
B1d,-App_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 21056 white fir ct DATE: 06/13/2013 REVIEWED BY: MELISSA
APN: 359 05 110 BP#: *VALUATION: $4,200
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY SFD or Duplex PENTAMATION 1GENRES
USE: p PERMIT TYPE:
WORK I REMOVE& REPLACE 4 E WINDOWS &2 E DOORS SAME LOCATION & SIZE
SCOPE
110M
;Ltech.Plan Check Phtmb.Plan Check Elec.Plan Check
Ivlecla.Permit Fee: Plumb.Permit Fee: Elec. Permit 1%ee:
Other Alech.Insp. Other Plumb Insp. Cather I:lcc.Insp.
Alech.Insp.Fee: Plumb. Insp.Fee: Elec.Insp.Fee:
NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etr-). These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn7 info,
FEE ITEMS(Fee Resolution 11-053 E . 7ff 11112) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 = # Window/Sliding Glass Door
Supp/.PC Fee: 0 Reg. ® OT 0.0 hrs $0.00 $400.00 1W11VREP Replacement
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl.Insp.Fee:Q Reg. ® OT 0,0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction Tax
Administrative.Fee:
Work Without Permit? ®Yes (F) No $0.00 0
Advanced Planning Fee: $0.00 Select a Non-Residential G
Building or Structure
Travel Documentation Fees: �
Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
-.
$1.501 $400.000= E, $401.50
Revised: 04/29/2013
COMMUNITY MANAGEMENT SERVICES
May 22, 2013
Eugenia Murray
4024 Wimbledon Ct.
San Jose, CA 95135
Re: 21053 White Fir Ct.
Cupertino Roundtree
Dear Eugenia:
This letter is confirmation that the Board of Directors met on May 20, 2013 and discussed your
architectural request for installation of replacement windows as described in your application.
Your application states that the bedroom windows measure 24"x58"which are the dimensions of
the existing bedroom windows. To replace these windows, the pillar between them has to be
removed and a single window installed in the opening that previously contained two windows at
24x58 each plus the width of the pillar. That is the current code requirement. Please make sure
your installer is aware of this.
You are approved to replace your windows provided all bedroom windows originally sized as
24x58 are replaced in the manner described above and as stated in the window replacement
guidelines You were provided. All other aspects of your application were correct and your
application was approved with the clarification as stated above required for the bedroom
windows.
Sincerely,
ROGER WERT
Association Manager
cc: Board
File
1935 Dry Creek Road, Suite 203=Campbell, CA=95008-3631 =voice (408) 559-1977•fax (408) 559-1970
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
C U P E RT I N O Fax: 408-777-3333
CONTRACTOR/SUBCONTRACTOR:LIST
JOB ADDRESS: ZIC,'C PERMIT# 17A6 0/40
OWNER'S NAME: CJ �� PHONE# 4'l�6'-Z 5 S 3 U
GENERAL CONTRACTOR: 4.7,1,,r,, ^h fr / BUSINESS LICENSE# .' 6"0 CC1(
ADDRESS: CITY/ZIPCODE: '' S `'I SILC
*Our municipal code requires all businesses working in the city to have a City of Cupertinobusiness license.
NO BUILDING FINAL OR.FINAL OCCUPANCY INSPECTION(S) WILL BE-SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A:1.CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
Signature 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
Ano a door re IACej•.,nr Aro
P jecT
ke►tove qnd Qepl4c
h0 en 1g15e «> �� e
- 2�Y S T�
Cranias. Eu eai.a
21056 White Fir Court
Cu ertino Santa Clara
PI -£ 014
eLOT PL�i�18 This s-t of pians said sas� 7I� "'AUST
'gyp P J._�T
CHECKED M job sP; d r;n;t Ct?CI tnuc!cr-,. li
chanc,,03 :r ahfc l.
►I / the rF--f1-Jrn, without aper, va!for 'L"10
mAI✓1 Gh i The cx. ping of this pia;T, ,� F
PLANNING DEP
,"i Fi„i'�t0 ��1'fliltClClr, t_ �
of
118 clt�y 01-di" Or
OATS _—. BY _
.._G. DEP'!'.
u SC 10l 5 PERMIT Ivo.
A-rw Dpur V llOrny SL10rn5 VlnOvu
d 5069 G 60Yd )c0
03c) ejveJa
F1rSBa&
—� K.itchm Diiipg BedtJuan Secal c
1 G v Room 2-
�00�
22'
251
1.IV*9
v� Room .
PAI(0 Door '
_6006 k
c
x�
CUPERTINO
sL,Oi n g h Building Depaf
av3o ent
JUN 13 2013 CIF .
REVIEWED FOR CODE C{?MPLI/�NCE
Reviewed By: