Loading...
15010042 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22765 SAN JUAN RD CONTRACTOR:CRAFTSMENS GUILD PERMIT NO: 15010042 INC OWNER'S NAME: HASHEMI SIAMAK AND NEHAWANDIAN NASI 10566 S DE ANZA BLVD DATE ISSUED:01/08/2015 OWNER'S PHONE: 4083090935 CUPERTINO,CA 95014 PHONE NO:(408)366-1000 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL ❑ TO CLEAR CODE ENFORCEMENT CASE: SFDWL DEMO License Class__ Lic.# 60'lNq 1524 SQ Contractor C(AI� ��'� ?�U �G Date I 15 FT LIVING; 430 SF GARAGE 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: 1 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 C performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$6800 7 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:34222031.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree to comply with all city and county ordinances and state latus relating WITHI AY OF 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 180 DAI S FROM'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 /11 l� granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regul tions per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date I l 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 Ir 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). 1 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 Cupertinonmunicipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505, 533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this 1 Owner or authorized agent: Date: permit is issued. �S 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 Taws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must l 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 indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION 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 DEMOLITION PERMIT APPLICATION �a- COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 �p D CUPERTINO \ (408)777-3228• FAX(408)777-3333•buildin cu ertino.org oo PROJECT ADORE SS 27-g6'5 San T(Mn p APN# p OWNERNAME SIQMIjV 00156mI j1V05I++I A)Ahta Yan�Yh0 PHONE D i1 -3t79-o(73E-MAIL STREET ADDRESS 5,61 e a C,LO y-P_ CITY, STATE,ZIP J FAX CONTACT NAME %s-,A - f-tRSe-n ,' PHONE 41)O"-30`1_D1 J> E-MAIL STREET ADDRESS CITY,STATE, ZIP FAX OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME CSA� S m 1p,_(I^C ��,�� LICENSE NUMBER �D /� LICENSE TYPE BUS LIC# COMPANY N AME a'e a1 ,,O-D�'7v►�j 4a �- InL y� t�_ 0 j"q �� FAX N'lJ --3i fv STREET ADDRESS 1,9 45& 1lp (�� p f� CITY,STATE,ZIP C" _�g(11' PHONE �b0 DESCRIPTION OF WORK Flv. �If V�- , (A lZe,OV4 old hevfe a Iter "�n e v 14 ouji- J/"m [ 1� � ���Y7J C 7'-I rn RESIDENTIAL #DWELLING OFFICE USE ONLY FLOOR AREA (IDw UNITS USE occ. TYPE Ste.FT. VALUATION COMMERC IAL w,- A - ICJ 'v FLOOR AREA ~'F TYPE OF CONSTRUCTION #STORIES + j --[ AQMD JOB NUMBER 1 RECEIVED BY: � TO"rAL VALUATION J#: r By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on t erty owner's behalf. I have read this application and the information I have provided is correcy 1 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 construct' n. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: M ern`+SCG SC , Date: IS SUPPLEMENTAL INFORMATION AQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT OFFICE USE ONLY Provide Job Number from Bay Area Air Quality Management District www— .balamd_o ,415-749-4762. PLAN CHECK TYPE Provide three copies(Residential)or six copies(Commerical)of a site plan showing protection for any trees 10" ❑ ExPREss in diameter or more at 3'above grade. ❑ STANDARD Provide letter from PG&E(408-725-3325)stating all gas and electric has been disconnected. ❑ LARGE Provide a letter of inspection,tests,and abatement of any Hazardous Materials. Lctter to be initiated by person(s) El MAJOR certified in asbestos,mercury and/or hazardous material examination. Planning Dept clearance to verify building is not considered an historical landmark.Allow 10 business days. Provide letter of clearance of all vermin from a licensed pest control contractor. Applicant shall call the Public Works Department at 408-777-3104 and schedule a"habitable dwelling"inspection. Provide signed Debris Bin and Recyclable Materials form. DemoApp_2013.doc revised 02/13/13 CITY OF CUPERTINO D FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 22765 san Juan rd DATE: 01/08/2015 REVIEWED BY: Mendez APN: BP#: S ���� `VALUATION: 1$6,800 PERMIT TYPE: Demolition Permit PRIMARY SFD or Duplex PENTAMATION 1 SFDWL-DE USE: PERMIT TYPE: WORK To Clear Code Enforcement Case: sfdwl demo 1524 s ft living; 430 sf garage SCOPE FEE ID FLR AREA s.f. 1 DEMORES 1,954 NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the relimina information available and are only an estimate. Contact the Dept/or addn'1 info. FEE ITEMS (Fce Resolution 117053 Ef': 711%131 FEE QTY/FEE MISC ITEMS Permit Fee: $574.00 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 hrs $0.00 i Strong, Motion Fee: IBSEISMICR $0.88 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1,149.88 $0.00 TOTAL FEE: $1,149.88 Revised: 01/06/2015 Jan, 1. LU 17 4; L1r'NI t'ac t (aa a a t e . IVO. Pacific Gas and Electric Company' 10900 No.Blaney Avenue Cupertino,CA 95014 Date: January 7, 2015 City of Cupertino 10300 Torre Ave Cupertino, Ca. 95014 SUBJECT: REMOVAL OF GAS SERVICES (CUT @ MAIN IN THE STREET) ON: 10/20/2014 at 22765 San Juan Rd. Cupertino, Calif. 95014 SUBJECT: ELECTRIC SERVICES WAS CUT AT POLE ON 11/21/2014 at 22765 San Juan Rd. Cupertino, Calif 95014 If you have any question contact Us at (408) 725-3325 Sincere J P cific Gas & Electric Comp ny eAnza Service Planning 408/725-3325 6 DEMOLITION SCOPE OF WORKS: REVISIONS PHASE 1: REMOVE EXISTING GARAGE PORTION OF THE EXISTING HOUSE STRUCTURE. 5-20-2013 OT ALL CONCRETE DECK AND PARTIAL OF ASPHALT REMOVE PAVING. EXISTING HOUSE STRUCTURE TO REMAIN DURING CONSTRUCTION . Ao EXISTING POWER AND GAS METER TO REMAIN. =m GRADING WORK INCLUDE ALL AREA AROUND EXISTING STRUCTURE, PROVIDE 5% FALL WITHIN THE gLO 1ST 10' OF HOUSE. APN 342-22-85 m PHASE 2: SEE SHEET At.0 FOR PLO N AND DETAIL APPROXIMATE LOCATION SAN JUAN RD. 0R STRUCTURE BRACIN F EXISTING POWER POLESAFTER NEW HOUSE IS BUILT, THE DEMOLITION OF THE EXISTING HOUSE AND THE CONSTRUCTION OF THE NEW HOUSE WILL BE PHASED UNDER ONE PERMIT, THE EXISTING STRUCTURE MUST BE ° ° — DEMOLISHED PRIOR TO ISSUANCE OF FINAL OCCUPANCY . o '° ° o L la-2-9:r, MJ .- 3lNI7 ON07V .9,0-t-0 C cvn v c Z 77VA 1P0aw SSFI.?vou0N3i h L 9,LSUaN00 do 8ov,� ,,y pro voyj 6P'99� �rISrGSo9S ��� REMOVE THE REMAIN PORTION OF EXISTING HOUSE. ' o REMOVE EXISTING ELECTRICAL AND GAS METER. `� o �.� I ;A a v QLUOO ' _ w �� PG&E SHUT OFF, J NUMBER FOR ASBESTOS REMOVAL AREA NEEDED FOR PERMIT. ° ""�° ° W— a o �, vo C3 v � vavu 4zca ,oz 9 �� 50 3$ x'61 o s � � 0 oo,S6 s o� 0 r- o Q ,� �© $14 3 0 �1a REMOVE OVERHEAD POWER LINE FROM FIRST POWER POLE AND INSTALL NEW UNDERGROUND Q i¢ y e c1lx 9 g GA �� v � � • POWER THAT CONNECT TO NEW HOUSE SERVICE PANEL. 0 co � `- o �ov co `6 L �,� 1`-1 ti DEMOLITION WORK IS UNDER SEPARATE PERMIT AND IS REQUIRED TO BE APPROVED BEFORE ° n o o ( 7h b a��s AP 342— 2— 9 ! ''a ��� BUILDING PERMIT FOR THE NEW HOUSE CAN BE ISSUED. a �, �,� 0 ' Co (� 0?s W Q Q c a c C4 LM 1v— c PUBLIC WORKS NOTES: s �'o 0 O � 'ni Ali ' Q �: a NEwcHAINu °:p � 1. APPROVAL OF THESE PLAN DOES NOT RELEASE THE OWNER AND/OR CONTRACTOR OF THE i a►.r,,,, SEPARATE EXI ISftVG NOUSE�i.^�y '00 -6-- C o AND COSTRL TIONs�TE �77P� YY RESPONSIBILITY FOR THE CORRECTION OF MISTAKES, ERRORS, OR OMISSIONS CONTAINED o a0 o cl o o v co a x THEREIN. ~ z c tV tV �vi� 0 � IF DURING THE COURSE OF CONSTRUCTION IMPROVEMENT, PUBLIC INTEREST REQUIRES A o v �, p os cn — a -o v >,c'— MODIFICATION OF/OR A DEPARTURE FROM THE CITY OF CUPERTINO SPECIFICATION OR THESE oz � L� o L —v IMPROVEMENT PLANS THE CITY ENGINEER SHALL HAVE THE AUTHORITY TO REQUIRE SUCH `'' �' '¢ o co t2 b �w ---- - x w . J m a�l= L 'O O � s S`�� �' CJ' w MODIFICATION OR DEPARTURE AND TO SPECIFY THE MANNER IN WHICH THE SAME IS TO BE Q o v ° ami P;m `' COMPLETED, AT THE SOLE EXPENSE OF THE OWNER AND/OR CONTRACTOR. 0 3 ° �' v.3 0 col � ?v20 ygSo s :° io q ag 16- -00, $� a �"�� '� ,�I'do 2. CONTACT PUBLIC WORKS, (408)-777-3104, FOR INSPECTION OF GRADING, STORM DRAINAGE, AND m`',o Q S a PUBLIC IMPROVEMENTS. 0 PHASE 1 DE LITION NOTES: � �g --�_ ���gANo, oralvd a ( 3. ALL PUBLIC IMPROVEMENT MUST BE COMPLETED PRIOR TO OCCUPANCY. ®® 99 1 .,�2 4. CONTRACTOR IS RESPONSIBLE FOR DUST CONTROL AND ENSURING THE 1 . REMOVE ALL EXISTING STRUCTURE ON �Ot oOSllt sa ojN jay^d�R�7 i'�� , 5• o' �-- 3 AREA ADJACENT TO THE WORK IS LEFT AND CLEAN CONDITION. 2. REMOVE ALL EXISTING CONCRETE xofo ar74v 9z -99` a ��� O 5. CONTRACTOR SHALL REVIEW CITY DETAIL 6-4 ON TREE PROTECTION PRIOR TO ACCOMPLISHING SLAB, DECK ON SITE. 3. PORTION OF ASPHALT PAVING TO 6b� o Q ANY WORK OR REMOVING ANY TREES. V REMOVE TO RECEIVE NEW HOME AS 6. UTILIZE BEST MANAGEMENT PRACTICE (BMP'S), AS REQUIRED BY THE STATE WATER RESOURCES 7� SHOWN ON PLAN. PHASE 1 DEMOLITION P � CONTROL BOARD, FOR ANY ACTIVITY, WHICH DISTURB THE SOIL. 4. THE CONSTRUCTION AREA IS ON FLAT LAND, THE AMOUNT OF SOIL REMOVAL if _ 1 �� 7. A WORK SCHEDULE OF GRADING AND EROSION & SEDIMENT CONTROL PLAN SHALL BE • U IS MINIMUM , SO THERE IS NO CUT-AND �� 6 -" -O PERFORMED BETWEEN OCTOBER 1 TO APRIL 15. D=ILL CALCULATION NEEDED. 8. ALL NEW ELECTRICAL SERVICE (POWER, PHONE, AND/OR CABLE) SHALL BE UNDERGROUND. 9. TO INITIATE RELEASE OF BONDS, CONTACT THE PUBLIC WORKS INSPECTOR FOR FINAL cn ' O INSPECTION. ' 10. ALL DOWNSPOUTS TO BE RELEASED TO THE GROUND SURFACE DIRECTED AWAY FROM ni� N BUILDING FOUNDATIONS AND TO LANDSCAPED AREA, 11. PRIOR TO BEGINNING ANY WORK WITHIN THE PUBLIC RIGHT OF WAY, THE CONTRACTOR WILL BE RESPONSIBLE FOR PULLING AN ENCROACHMENT PERMIT FROM THE PUBLIC WORKS DEPARTMENT. CC3 APN 342-22-85 SAN JUAN RD. OFFICE rw FE ' "� ,`t `'' ' 'f •� , Ccs JNI7 ON07V ,S'0-t'0 O � j+77Vd Zl�alloo -fo � w 'Noard .4SXOVogoN'T 6 fi'99� 77VAt jO goVj 'y"a-g s.9.99 MAIN ROAD FORaQ ry X02' 69't�S ns"� G 0 8g'9t 6 ' e �,� �� ;_ i�•� �;�if ;�©��'g _ u �1 � FIRE DEPARTMENT ,,1 .A, '0 W V:14 Q� �� �' was +A 7� ooS6 a'a ,�,`4ro� ED 1•.,�ACCESS TO SITE -4LA� a Ph,'r sr� f plans r�rd specifications MUST i ee kept at t;e cn c � $a s> � �' . �1a ji site du coilsL „ (SAN JUAN ROAD} � �,� �� ;<� i. truction. It is u^`awful to ra e any ch CO �►%�$ 0 cr 31 or ai ^ .� �� same, or to devia'a -P � �"II�� rM�,� ZV�" ° �+ s_,, I cult �^; ;:i frv�il1 �`e Bis t,"'i �.s i..;; •.,3. , _N W � b �O �� tt:i:,...�4,,,., `d..u..,�t �,s:•v. ... co a y a% o AP 342 2-3 �'� - �r z , ., .. .. ti g +�, .. b.., oho �? W t i u? �'} y o o .� Iron n '01 11M _ , , J �,, U a r cm 03 pop z FR T '� � } � �✓"�- '��,�-;.'c'i per,y 'f� ' ..i ,rf •. . , _ V 1 � 0 0 e'er H 1f! `s L{I -�•� ti _ '� •-+ � 46 1 tvjv atvo� ' w I j JUA _ z �. z 'o v) co w < E SED NEW o 18 OnftaF { E PROJECT x R v m tV Q as w r� 'SV' :'+r .�+• ,fir; �. _ ., 10 6s ! z o'992' e'o1 0-9A -valals Ss ----_ �� °• �_ ACCESS TO HOUSE do Hor 'ao� x dog 4a3 � THROUGH PRIVATE F ` Al* A �.�.�'' +��� � ',�' DRAWN BY: ` 9� '99/ �� �I � o GATE (CORDOVA �, e B� ti st CHECKED BY: �y�� o o ROAD) * "' ' ` §� LR ISS ED: Q OOAOAO FILENAME: DVG PROJECT NUMBER: om PHASE 11 DEMOLITION NOTES: PHASE 2 DEMOLITION PLAIN & PRELIM . LANDSCAPE PLANT MAP PLO � 1. REMOVE EXISTING HOUSE . NTS .�- Al 2. REMOVE TEMPORARY FENCE. 1/16 = 1 '-O" 1