The URL can be used to link to this page

13040145 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20990 HOMESTEAD RD CONTRACTOR-/�,,, /) J gMIT NO: 13040145 OWNER'S NAME: SILVERCREEK YUBA LLC DATE ISSUED: 11/13/2013 OWNF,R'S PHONE: 4089386315 7;;�1117 01 ZZ�/q PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB ASCRIPTION: RESIDENTIAL IJ COMMERCIALE] License Class. Lic,4 HOMESTEAD LANES-TO CLEAR CODE ENFORCEMENT CASE: Contractor 6Z?2�80 ate /-Z T.1 578 SQ FT TO LOUNGE AND GAME ROOM AREA. I hereby affirm that I am Iminsed no er provisions of Chapter 9 IMPROVEMENTS TO KITCHEN AREA.RELOCATE (commencing with Section 7000)of Division 3 of the Business&Professions ELECTRICAL 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 ,I P rf,07 ance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$828 fv and will maintain Worker's Compensation Insurance,as provided for by ection 3700 of the Labor Code,for the performance of the work for which this APN Number:32609060.00 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 to building construction,and hereby authorize representatives of this city to enter WITIRN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We)agree to save 180 DAY AST 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 J�ed granting of this permit. Additionally,thOpplicant understands and will comply ed Date: with all non-point source regulati the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date All roofs shal I 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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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) 1,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 or the California Health&Safety Code,Sections 25505,25533,and 25534. 1 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 M unici al Code,Chapter 9.12 and , 53 n I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 2550�yw 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: 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 LENDING AGENCY 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 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 ELI COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 �} (408).777-3228• FAX(408)777-3333•building(d)cupertino.org .CUPERTINO ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT!/ PROJECT ADDRESSAPN k L t- c �l 3 -6 09 v OWNER NAME PHONE - E-MAIL YvSyl, 0c 31� I r. � STREET ADDRESS. _ CITY, STATE,Zi /. FAX . 222 Z C 77 CONTACT NAMErr n PHONE 9f� tl E-MAIL 77 a � r Gn "//nf Wzr , � r rte: .. STREET ADDRESS. ` CITY,STA'J�,Z1P F 7 7, . ❑OWNER .❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER I -DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE E LICENSE�YPE BUS.LIC9 Lam.\ !y-�--C�^- '^" �' COMPANY NAMEt .Y N EMAIL �I r 1 FAX STREET ADDRESS Cnq STATE,Z PH E/1_71j 1-4- . ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC k J-\1 C(1t E'T COMPANY NAME FAX STREET ADDRESS CITY,STATE,ZIP PHONE �7 , ��,�r c�� — �c� cam— f 2-7-6z �a DESCRIPTION OF WORK i—ELrQC�-�C C%1. d1 c'c 2_Ed} - EXISTING USE PROPOSED USE CONSTR.TYPE N STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: LJ DETACH ❑ATTACH p DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ONO ADDITION? NO PRH-APPLICATION ❑YES IF YES,PROVIDE COPY OF. IS THE BLDG AN ❑YES RECE14tD 1J1Yr I TOIT VALUATION: PLANNING APPL N ONO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO 800 By my signature below,I certify to each of the following: I am the property owner or authorized a?/it to act on the property ovvner's behal I have read this application and the information I have provided is correct- I have read the Description of Work ancUerify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buicon traction. I authorize representatives of Cupertino to enter the above e--idenntiifted property for inspection purposes. S ignature of Appl icant/Agent: Date: "? ( G 3 SUPPLEMENTAL INFO TION REQUIRED ' N PLAN CHECK TYPE 9 UTIVG SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THF—COUNTER ❑ BUILDING PLATY REVIEW existing building(s)..Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR L7 SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_2011.doc revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 20990 HOMESTEAD RD DATE: 04/18/2013 REVIEWED BY: MENDEZ APN: 326 09 060 BP#: *VALUATION: 1$42,800 FPERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1A 1'I USE: PERMIT TYPE: WORK To Clear Code Enforcement Case: T.I 578 SQ FT TO LOUNGE AND GAME ROOM AREA. SCOPE IMPROVEMENTS TO KITCHEN AREA. RELOCATE ELECTRICAL PANEL. ADD EXTERIOR OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. A(Tenant Improvements) II-B,III-B,IV,V-B 828 $2,280.64 IATIPLNCK $704.80 ]ATIINSP TOTALS: 828 1 $2,280.64 1 $704.80 MECH,HOURLY 0 Yes (E) No PLUMB,HOURLY Q Yes Q No ELF,C,HOURLY ® Yes Q No M'!ch. Pion Chec;i; Elec.Plan Check 0.0 1 hrs $0.00 Plumb. Permit fee. Elec.Permit Fee: 1EPERMIT Other Mech.Insp. Other Plumb Insp. Other Elec.Insp. 0.0 hrs $45.00 Mech.Insp.Fee: . Plumb. hasp. Fee: Elec. Insp.Fee: NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn 7 info. FEE ITEMS (Fee Resolution 11-053 Efl' 7/1/12,) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,280.64 200 amps Electrical Suppl.PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $45.00 IBELEC200 Services PME Plan Check: $0.00 Permit Fee: $704.80 Suppl. Insp. Fee-.0 Reg. © OT 0 01 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $45.00 Comas-action Tar: Administrative:Fee: 0 Work Without Permit? ID Yes C) No $3,075.44 0 Advanced Planning Fee: $0.00 Select a Non-Residential E) Travel Documentation Fee: ITRA VDOC $45.00 Building or Structure 0 i Stronp,Motion Fee: IBSEISMICO $8.99 Select an Administrative Item. Bldg Stds Commission Fee: 1BCBSC $2.00 SUBTOTALS: $6,161.87 $45.00 TOTAL FEE: $6,206.87 Revised: 04/01/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 [Lai Telephone: 408-777-3228 C U P E RI I N O Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: Zo R mem PERMIT# 13 C 9 d 1 �( OWNER'S NAME: 51 PHONE# GENERAL CONTRACTOR: >r2- BUSINESS LICENSE# E1ty As orP ADDRESS: CITY/ZIPCODE: *Our municipal code requires all businesses 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: Signature Date Please check applicable subcontractors and complete the following information: 6/ 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 1-y b;3 Le Owner/Contractor Signature ate