Loading...
12100174CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21230 HOMESTEAD RD CONTRACTOR: CLADDAGH PERMIT NO: 12100174 CONSTRUCTION INC OWNER'S NAME: VILLAGE GREEN ASSOCIATES 1438 LUPTON AVE DATE ISSUED: 10/24/2012 OWNER'S PHONE: SAN JOSE, CA 95125 PHONE NO: (408)294-2924 ❑ LICENSED CONTRACTOR'S DECLARATION r r r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class 3Z, Lic. k�s o" . • � F r— MECH RESIDENTIAL COMMERCIAL Contractor Date � t2 I hereby affirm that 1 s licensed under the provisions of Chapter 9 JOB DESCRIPTION: UNIT 114 -REMOVE AND REPLACE FIRE DAMAGED (commencing with Section 7000) of Division 3 of the Business & Professions ROOF TRUSSES, SHEATHING, AND ROOFING; INSTALL NEW (2) Code and that my license is in full force and effect. HOUR FIRE WALLS ABOVE PARTY WALLS IN THESE 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. 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 Sq. Ft Floor Area: Valuation: $25000 permit is issued. APPLICANT CERTIFICATION APN Number: 32605085.00 Occupancy Type: I certify that 1 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR with all non -point source regulations per the Cupertino Municipal Code, Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. Signature Date �d �{'112— Issued by: �EJ�lyG Date: ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of RE -ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1, as owner of the property, or my employees with wages as their sole compensation, installed without first obtaining an inspection, I agree to remove all new materials for will do the work, and the structure is not intended or offered for sale (Sec.7044, inspection. Business & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER declarations: 1 have and will maintain a Certificate of Consent to self -insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have read the hazardous materials requirements under Chapter 6.95 of the 1 have and will maintain Worker's Compensation Insurance, as provided for by California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain Section 3700 of the Labor Code, for the performance of the work for which this compliance with the Cupertino Municipal Code, Chapter 9.I2 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. permit is issued. Additionally, should 1 use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued, I shall contaminants as defined by the Bay Area Air Quality Management District I will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation laws of California. If, after making this certificate of exemption, I Health &_Safety Code, Sections 25505, 25533, and 25534. 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. Owfier.or anth• y gegt Date:_ /�' / APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of Hork's to building construction, and hereby authorize representatives of this city to enter for which this permit is issued (Sec. 3097, Civ C.) upon the above mentioned property for inspection purposes. (We) agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 21230 Homestead Rd DATE: 11/08/2012 REVIEWED BY: Sean APN: BP#: 12100174 `VALUATION: 1$8,000 xPERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re -roof PRIMARY Multi -Family Dwelling USE: Buildina is >3 Stories Q Yes O No PENTAMATION 1 R2ROOF PERMIT TYPE: WORK Revision #1: Reroof the entire building with an addition 2700 sq ft with composition roofing. SCOPE FEE ID ROOF AREA s.f. 1REROOFMRES 2,700 '• !r' 3 t 4 y IM 0 e i`,' •�7s•Me t .,,r:• •.,i.:s"r�' ,s7-'•a't•.:';` 4,:�:., ;.�r•r`ic"•,ti;.. 7,. i...-,' = • 7 Y 7 �•:�°j,�1 � S CS. :jr.� '�'�,� i;f,.:: �•'s , �� ('` ).�.' fi Sia � i 'Tr-.1 . s�,,y� •. 3 i31`• k `:5 , 2:� 1� � i ,r, . Y i Y �`r. S ) S, /S S��`� C � {SS ;�\ n `t �F%� l2�'m�fJ its �" � .t�s , i . s•:I+�.S..s"sis�;': -a+i f'•(t tr �..,.i '•? 3;a. y{zi.;] 4$rr• r •1t,.1S''; , ;:;a,.,i ...4,; lj. �.1, s SS. e ?�r i 3 r {}}]i �� i '4 a '�,� .�. , y ]sf;��'��Lel.:.o-�,4 .�.� ��,•,�'r;�•�,� t,.�: - .` SrI�?�`sf'F..�l�, : {:7�s13',� �, � � t'F7tir !f )!.''.�-�;'J: r' aty' :3 !i=�i ?' � s j;yY' :l�� � `Y � � r' �r;, � �e� � � [ ��. \ yy �i ����fry}! i:: } ;c£�rl �t� t •w! � �, �N.,s,;.,j, � ��Js f,!�:�r%�����r�:FS,• • IS�., i •l. f�j), ,� t if L��„ fs�, �\�S:=.• � . �• r� ��1���)!'...�..t s:: �M�.sS.�.��::� s-�M•il �; .�f�,4t. --- ��•` 1 .. � � ff : r•: 3'S:S.r •a� � ✓ '-�t:.; }_ 3i5 0 �r s:i�, �.�::.3 � -r.a�� Ifech. Plan Check Plumb, Plun Check Elec. Plan Chuck lfeclY- Permil Fee. Plumb. Permil Fee: F.lec. Permit Fee: Other Mcch. Insp. 0/her Plumb Insp. Other fac�c, Insp. Li .Ilech, Insp. Free: plumb. Insp. Fee: Elec. Insp. Fee: NOTE. This estimate does not inchide fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Chock Fee: Suppl. PC: Fee Plumb.1illech./Elec Permit Fee: $4 .00 Suppl. Insp Fee .Plurn&Allech.; Etee Plumh./Meeh./Elec Permit Fee: Conslr action Tax: F-1 Administrative Fee: Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fees: Travel Documentation Fees: Strong Motion Fee: IBSEISMICR $0.80 Select an Administrativy,Item Bldiz Stds Commission Fee: IBCBSC $1.00 a '' a , 3j . �� ;fs.;:✓{� ',fly i�t.7l• : v • t p ;;.:., z ,, �•..�:.;�,"Y$',<=,r�l� t .. .: r }. L: ,5- k::.x_ } j�; � � � � CiLtt,i�S/�)'\\i7Y`.)! : 's ,• - Si :�i - . -•:- .. s � 'i .V.�..� .t l.i f - IC:.� $406.80 �•`11� �„ �> ;� ., ,'!. x !J} �.; 0.00z,� $ i� �G ••1 �.✓' i � ��� (f.0 s�V4 ��'...t �i::5 s:�.� i. •.GIs. f.:i l .s.�::� .-�.3 06.80 Revised: �10/01 /2012 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 21230 HOMESTEAD RD CONTRACTOR: CLADDAGH l74 CONSTRUCTION INC OWNER'S NAME: VILLAGE GREEN ASSOCIATES 1438 LUPTON AVE DATE ISSUED: 10/24/2012 OWNER'S PHONE: SAN JOSE, CA 95125 PHONE NO: (408)294-2924 ❑ LICENSED CONTRACTOR'S rZ DECLARATION License Class / Lic. # J 0 / Contractor w lti l B Nate I hereby affirm that I 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. 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 I certify that 1 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 sou 'ons per the Cupertino Municipal Code, Section 9.18. Signature Date 1 O Z ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three 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. 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. 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. BUILDING PERMIT INFO: BLDG r ELECT r— PLUMB r MECH r— RESIDENTIAL r— COMMERCIAL r— JOB DESCRIPTION: UNIT 114 - REMOVE AND REPLACE FIRE DAMAGED ROOFTRUSSES, SHEATHING, AND ROOFING; INSTALL NEW (2) HOUR FIRE WALLS ABOVE PARTY WALLS IN THESE I I/08/12-REV#1- REROOF THE ENTIRE BUILDING WITH AN ADDITION OF 2700 SQFT WITH COMPOSITION ROOFING- 11/8/12 REV#I ISS'D Sq. Ft Floor Area: I Valuation: $33000 APN Number: 32605085.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: , ��& �f� Date: // 9 '/C — RE -ROOFS: 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. 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 1 store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &Safe coons 25505, 25533, and 25 /4.wner zed 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 ARCHITECT'S DECLARATION Signature Date I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 21230 Homestead Road DATE: 10/24/2012 REVIEWED BY: Sean APN: BP#: 'VALUATION: 1$25,000 TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair Multi -Family Dwelling I Buildino is 3 Stories 0 Yes 0 No PENTAMATION 1GENRES PERMIT TYPE: nit #114: Remove and re lace fire dams ed roof trusses sheathin and roofin • install new 2 hour ire walls above party walls in this building (units 111-118). f.r! I"r, t4>7>> t�1 ,,�[:: ��{•III 3.�r t� i�t'r'y f �' f�j�`l � rt�i ;�,�a�f>, Sy�s� }[•� 'S� �� (�]1tt�els��1��5" r � a 1. -,.,;...".• I 3 r•. ::1r r7 n� !! .� r J ,. F.., /.•.. .. 1.^-:l/: c.1Lr.i.. t:lill. r. �. 1.,� ..[�F:\`: Lleclr. lYluf, r': h s.k. P/rret1-b .. ,r: t:.i<<: c/ C'lec:. Plan Check Llerh. Permit l c'[°: PlIonh, Pei mil Fre: P/cc. Perinit Fee: Chhel A'fcc.11. In..' Li I Olhur Plumb Insp.Lj Mier Elec. /nsp. rllech. Insp. Fee: Plncnh. Msp. Fee: Occ. 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 hosed on the Dreliminary information availahle and are only an estimate. Contact the Dent for addn 7 info. FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 F__07 hours Plan Check, Hourly $0.00 Suppl. PC Fee: 0 Reg. 0 OT 1-0-.0-1 hrs $0.00 PME Plan Check: $0.00 90 ss.f. Re -roof $135.00 IREROOFMRE Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp. Fee-0 Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: 0 Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee: $0.00 ® hours Inspections $532.00 ISTINSP Inspection, Hourly Travel Dociiinentution Fees. Stroniz Motion Fee: IBSEISMICR $2.50 Select an Administrative Item Bldg_Stds Commission Fee: IBCBSC $1.00 cif •.r .;:.&:::','•.i: i . ?:. ..... rfi{:z. �'kiY, :.-1�%;t '/>'<,:•..'✓;r./9�'1';rr>`rf%' . i�,:-�•' ��� i�✓r ['•: / -i :%) t�.',iJ is/. , �: °°>>:•<. ::: r[:..f.=< :�. `'' .1.,.��?t..::r:::i:szE:->.?:.r.::..: r:e:?::::.-::',.::: r::4r?.:::.'.n•.�?:•:;'.'-�l.-..{?.':=!< i?. ".r:n:::. •r.,'.4G`.I.,�, ir.ir::�:r.rh. .. 350 ?'M1ti ' r r i /: i r ' • •i_\1 i M1 '' i ..Tii 66700 >• .._-.:: /. ,�_'•__"_____'_k:, �:.:n..:::r.:: t:•.:.:.,..:)::�::::)rr:::: $670.50 Revised: 10101 /2012