B-2017-0017CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2018-0017
23300 VIA ESPLENDOR UNIT 56 CUPERTINO, CA 95014-6549 (342 55 04 1) BAY AREA
ENTERPRISE
SAN JOSE, CA 95148
OWNER'S NAME: BREYMAN ELIZABETH L TRUSTEE & ET AL DATE ISSUED: 01/09/2018
OWNER'S PHONE: 650-537-1523 PHONE NO: (408) 238-5043
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lic. #817817
Contractor BAY AREA ENTERPRISE Date 03/31/2019 X BLDG X ELECT X PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing X MECH X RESIDENTIAL COMMERCIAL
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
I hereby affirm under penalty of perjury one of the following two declarations:
1. 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
MOP formance 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
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 plicant understands and will comply with all non -point
�ign
ce regulat' ns Perth Cu ertino Mu ' ipal Section 9.18.
ature Date
OWNER-BUTL.DER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
1. I, 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)
2. 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:
1. 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.
z. 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.
3. 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, 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.
Date
UNIT 56 - INSTALL (7) LED LIGHTS; REPLACE OUTLETS (25);
SWITCHES (13); REPLACE (1) BATHROOM FAN; UPGRADE
SHOWER WALLS AND PAN WITH SOLID CULTURE MARBLE;
UPGRADE SHOWER VALVE; REMOVE CLOSET IN GARAGE
Sq. Ft Floor Area: I Valuation: $15312.00
APN Number: Occupancy Type:
342 55 041
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Abby Avende
Date: 01/09/2018
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without fust obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant:
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 I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Alp Quality Management District I
will maintain compliance with the Cuper ' ' ' al C apter 9.12 and
the Health &Safety Code, to=5'
25534.
CC, or authorized agent: r
Date:
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
Professional
CONSTRUCTION PERMIT APPLICATION
> COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255La /�
(408) 777-3228 • building@cupertino.org PEMIT #B- 201Z - 0U
CUPERTINO REV# DEF#
❑ NEW CONSTRUCTION ❑ ADDITION ❑X ALTERATION ❑ T.I. ❑ MEP ❑ RE -ROOF ❑ SWIMMING POOL/SPA
PROJECT ADDRESS
1
APN #
23300 Via Esplender #56
342-55-041
OWNER NAME PHONE
E-MAIL
Bre manElizabeth 650-537-1523
N/A
STREET ADDRESS
CITY, STATE, ZIP
23300 Via Esplender #56
Cupertino, CA 95014
0 CONTRACTOR NAME ❑ OWNER -BUILDER COMPANY
NAME
LICENSE NUMBER
LICENSE TYPE
Greg Feist Bay
Area Enterprise
817817
B
STREET ADDRESS
CITY, STATE, ZIP
2110 Mangin Way
San Jose, CA 95148
E-MAIL
PHONE BUS. LIC #
gregfeist@comcast.net
408-238-5043 400806
❑ ARCHITECT ❑ OWNER ❑ OWNER AGENT ❑ CONTRACTOR AGENT[] ENGINEER ❑ DEVELOPER ❑ TENANT
CONTACT NAME
E-MAIL
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTON
Uparade Misc. 1. Chanize recessed CFL lights with LED lihts # 7 2. Replace old electrical outlets with Tamper resistant KI
outlets # 25 3. Re lace existing light switches with deco style switches # 13
4. Replace old bathroom fans with new title 24 fans # 1 5. # 1 Upgrade old shower walls & pan with solid culture marble,
Upgrade shower valve.1 set new kitchen cabinets, faucet & sink. Remove closet in garage put back to original 2'x6'.
❑SINGLE-FAMILY/DUPLEX ❑x MULTI -FAMILY ❑ INDUSTRIAL ❑ COMMERCIAL
USE
TYPE
OCC
SQ.FT.
VALUATION ($)
EXISTING USE
I EXISTING SF
NEW FLOOR SF
PORCH
SF I DECK SF
DEMO SF
I STORIES #
I TOTAL NET SF
REMODEL
REMODEL KITCHEN
REMODEL OTHR
GARAGE ATTACHED
BATHROOM SF
SF
SF
SF ❑ DETACHED
EXISING ❑ YES
EICHLER ❑ YES
SECOND STORY ADDITION ❑YES
FIRE SPRINKLERS ❑ NO
❑ NO
❑ NO
DWELLING SECOND DWELLING []YES ❑ ATTACHED IJ DETACHED OTHER
UNITS # UNIT ADDITON: []NO S F
POOLS ❑ FIBERGLASS ❑ VINYL -LINED ❑ GUNITE ❑ PREFABRICATED
POOL - SF SPA - SF SPA ATTACHED ❑ YES ❑ NO TOTAL - SF
,
R CEIVED BY:
TOTAL VALUATION:
Commercial or Multi -Family Buildings with Public Swimming Pools reauires'Department ofEnvironmental Heath amnova[
$15,312.00
RE -ROOF
EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ❑ ASPHALT SHINGLES ❑ WOOD SHAKES ❑
WOOD SHALES ❑ 11LE OTHER (SPECIFY)
REMOVE /REPLACE ❑ NOI
IF NO
PLYWOOD El 1h" ❑ 3/8" PLYWOOD
TYPE:
PITCH:
12
ROOF CLASS
[:]YES
# OF LAYERS
THICKNESS 5/8" OTHER
Q
❑ OSB ❑ CDX OTHER
'
A
PROPOSED ROOF TYPE: ❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER
*Provide a signed copy of the Cupertino's Tear -Off Policy SF #of SQUARES
By my signature below I certify to each of the following: I am the property owner or authorized agent 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 construction. I authorize representatives of Cupertino to
enter the above -identified property for inspection purposes. I acknowledge and authorize all information contained on this application form
to be made available for public record.
Signature of Applicant/Agent: Greg Feist Date: 12/29/2017
SUPPLEMENTAL INFORMATION REQUIRED
*New SFD/Second Dwelling Units/Multifamily Dwellings: A Demolition permit is required prior to issuance of a building permit for all new construction.
*Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.
*Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application.
*HOA -Provide a letter of approval from the Home Owner's Association
BldgApp 2017.doc revised 08101117 y
IA
Abby Ayende
01/10/18
01/10/18
B-2018-0017
Abby Ayende