Loading...
12010122I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10358 GLENVIEW AVE OWNER'S NAME: ❑ LICENSED CONTRACTOR'S DECLARATION License ClassLic. # q ct Contractor &ZC Ad S ate 7 ^ I hereby affirm that 1 am licensed nder 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 provi by Section 3700 of the Labor Code, for the performance of the work r w this permit is issued. APPLICANT CERTIFICATION L_-` 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 expensIway accrue against said City in consequence of the granting of this peit, the applicant understands and will comply with all non-po' u�;th�Cu -%-/1- ❑ OWNER -BUILDER DECLARATION I 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) 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: 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. 1 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. CONTRACTOR: BLACK DIAMOND PERMIT NO: 12010122 DESIGNS 3481 DEL NORTE DR DATE ISSUED: 05/07/2012 SAN JOSE, CA 95132 PHONE NO: (408)272-5959 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIALS ADD MASTER SUITE,FAMILY ROOM,BATH &LAUNDRY(493SQFT) REMODELKITCHEN(150SQFT),BATH(40SQFT)REPLACE 2 Sq. Ft Floor Area: I Valuation: $100000 APN Number: 36911023.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAY M LAST CALLED INSPE TION. Issued by: G Date• 7 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 Appl 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.I2 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should 1 use eq ent or devices which emit hazardous air contaminants as defined by the B A a Air Quality an gement District I will maintain compliance with the pe no unicipal Chapter 9.12 and the Health & Safety Code, Sectio s CONSTRUCTION LENDING AGENCY 1 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 Signature Date. CITY OF CUPERTINO BUILDING PERMIT A ncly BUILDING ADDRESS: 10358 GLENVIEW AVE OWNER'S NAME: ❑ LICENSED CONTRACTOR'S DECLARATION License Class Lie.# Contractor Date�� — 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. 1 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 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 1>1flQlay accrue against said City in consequence of the granting of this�tsour5j!gulation it.itionally the applicant up ders ds and will comply with all non-poper thepuper)�rl icipal Code, Section Date — ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 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: 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 whichthis permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for fine performance of the work for which this permit is issued. I certify that in the performance of die 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. CONTRACTOR: BLACK DIAMOND PERMIT 2 DESIGNS AM 3481 DEL NORTE DR DATE ISSUED: 05/07/2012 SAN JOSE, CA 95132 PHONE NO: (408)272-5959 JOB DESCRIPTION: RESIDENTIAL u COMMERCIALU ADD MASTER SUITE,FAMILY ROOM,BATH &LAUNDRY(493SQFT) REMODELKITCHEN(150SQFT),BATH(40SQFT)REPLACE 2 REVISION #1- ADD 1 SIDE LIGHT NEXT TO ENTRY DOOR, ADD WINDOW TO LEFT SIDE OF REAR ADDITION, MOVE PORCH POST TO THE RIGHT 18"- ISSD 6/8/12 Sq. Ft Floor Area: I Valuation: $100000 APN Number: 36911023.00 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: Date: 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 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) s ould I store or handle hazardous material. Additionally, should I use ip ent or devices which emit hazardous air contaminants as defined by th ay ea Air Dater 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 Signature, Date i2d vl Z` _ CITY OF CUPERTINO i1 FEE ESTIMATOR — BUILDING DIVISION iaADDRESS: 10358 glenview ave. DATE: 01/19/2012 REVIEWED BY: bobs. APN: BP#: "VALUATION: j$100,000 y-PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Du lex USE: P 2nd Unit? Yes No OTC? ® Yes No PENTAMATION 1 R3SFDADD PERMIT TYPE: WORK sfd add master suite familV, bath and laundrV, remodel kitchen and bath. re lace 2 window, re -roof. SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,IV,V-B 493 $1,482.00 IADDPLCK $1,205.00 IADDINSP TOTALS: 493 $1,482.00 $1,205.00 MECH, HOURLY ® Yes E) No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY Q Yes Q No Ll NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer Distrie4 School District, eta). These fees are based on the prelimnary information available and are only an estimate. Contact the Dept for addn'! info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,482.00 150 I s.f. $588.00 Remodel, Kitchen (<=300 sf) IREAIRESKIT Suppl. PC Fee: (D Reg. 0 OT 0.0 1 tirs $0.00 PME Plan Check: $0.00 F_7407 s.f. $588.00 Remodel, Bath (<=300 so IPEMRESBAT Permit Fee: $1,205.00 Suppl. Insp. Fee-.0 Reg. Q OT 0.0 hrs $0.00 2 # Window / Sliding Glass Door $392.00 1WINREP Replacement PME Unit Fee: $0.00 PME Permit Fee: $0.00 2,224 s.f. $322.00 Re -roof 1RER00FRES 0 Work Without Permit? ® Yes (j) No $0.00 Advanced Planning Fee: PLLONGRNGR $64.09 Select a Non -Residential Building or Structure G 0 Strong Motion Fee: IBSEISMICR $10.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $4.00 SUBTOTALS: $2,765.09 $1,890.00 TOTAL FEE: 1 $4,655.09 Revised: 1 /01 /2012 !zo O/ Z2- FM'_7 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 10358 Glenview Ave. DATE: 09/05/2012 REVIEWED BY: gs APN: BP#: 'VALUATION: 1$2,500 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: PENTAMATION GENRES PERMIT TYPE: WORK Add 14x14 deck to existing permit. 12010122 SCOPE 1.1-ch. Plan CGu+CA Phmnb. Flan Check flea. Plan Chuck ,�1ech. Pencil Fee: Plrrrrrh. Permil Fee: 1 Elec Perini( Fee. Oilier Mcch. Insp. Usher Plumb Usher Elec. Insp. Li ,hlcch. In.;p. Fec. Phmdb. hrsp. Fee,. Elcr. 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 based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711111) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 # $0.00 Deck / Deck Railing 1 Deck & Deck Railing Suppl. PC Fee: Q Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp. Fee-0 Reg. 0 OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: 0 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 0 Travel Doctunenluliorl Fees:� Strong Motion Fee: IBSEISMICR $0A 2.5 hrs $332.50 Inspections / �-/1 ISTINSP Inspection, Hourly 3 �I I Bldg Stds Commission Fee: IBCBSC $1.00 suffrOTALS: $1.50 $332.50 TOTAL, FEE: I $ 00 Revised: 07/01/2012 IM-1 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 10358 Glenview DATE: 06/08/2012 REVIEWED BY: Sean APN: BP#: 12010122 "VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: PENTAMATION 1GENRES PERMIT TYPE: WORK Revision #1: Add 1 side lite next to entry door, add window to sift side of rear addition and move SCOPE porch post to the right 18". Pliny 01C['i- VeC. r,;, FCC,. plarnh. Pcrurr! I ce: r l rr:. Prrma l : ' OrhtrrPhrmlP hTspLi I (11l�crEl�c.tinp, E3--[-- InNP. r. �,e . prrr,W). hl.y. Fee P,'Ice . Fa NOTE: This estimate does not inchide fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn'1 into. FEE ITEMS (Fee Resolution 11-053 Eff 7/1/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes E) No $0.00 0 hours $0.00 Plan Check, Hourly Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes E) No $0.00 Suppl. Insp. Fee-0 Reg. © OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 011S717K't101'7 Tax. Irhrpi711.rIlYl1!t'� Fee: E) Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee: $0.00 1 hours Inspections $130.00 ISTINSP Inspection, Hourly E) 0� 1 rui-cl Doumm niaoon Fees. Strong Motion Fee: $0.00 Select an Administrative Item Bldp- Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $130.00 TOTAL FEE: 1 $130.00 Revised: 06/05/2012