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12090201 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20488 STEVENS CREEK BLVD CONTRACroR:AXIS CONSTRUCTION,INC PERMIT NO: 12090201 OW'NER'S NAMEI: STEVENS CRL'EK COMMERCIAL,LLC 2566 BARRINGTON CI' DATE ISSUED:09/24/2012 OWNER'S PHONE: 9259374378 OAYW'ARD,CA 94545 PlIONENO:(51o(732-6111 ❑ LICENSED CO\FRACI'OR'S DECLARATION r_ r_ r_� (� --77 pp BUILDING PERMIT INFO: BLDG ELECT PLUMBLicense Class U Lic.q !� / �O A Q 1� ��— pIF,CIIr RESIDENTIAL(- COMMERCIALr Contractor X ( 5 (whtu✓1 Date hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: REFLASH AND RESTUCCO AROUND 122 WINDOWS ON (commencing with Section 7011(1)of Division 3 of the Business S Professions SOUTH Code and that my license is in full force and effect. AND WEST SIDES 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 Jtis permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for die performance of die work for which this Sq.Ft Floor Area: Valuation:$756000 permit is issued. APPLICANTCERT'IFICAT'ION APN Number:36953999.00 Occupancy Type: I certify that I have read this application and slate 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulati s per the Cupertino Municipal Code,Section 9.18. Signature Datc q 1� �2 Issuedby: ./w�/✓ -TG Date: 9aY�a- ❑ OWNER-BUILDER DECLARATION RF:ROOFS: I hereby affirm that 1 am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material beiig installed.If a roof is the following two reasons: installed without first obtaining an inspection,1 agree to remove all nnv materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sce.7044, Business R Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business R professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER hereby affirm under penally ofperjury one of the following three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUSMATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California I Icalth&Safety Code.Sections 25505,25533.and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Ilealth S Section 3700 of the Labor Code,for the performance ofthe work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Arco Air Quality Management District I will I certify(hat in the performance of die work forwhich this permit is issued,I shall maintain compliance with the Cupertino Municipal Code.Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Ilcalth S Safety Code,Sections 25505.25533,and 25534. Compensation laws of California. If,after making this certificate of exemption,I I become subject to the Worker's Compensation provisions of the Labor Code,I must Once n or �thori. a enC forthwith comply with such provisions or this permit shall be deemed revoked. ( Date: APPLICANT CERTIFICATION CONST'RUCT'ION LENDING AGENCV I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances mid state Imus relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives ofthis city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep hamiless the City of Cupertino against liabilities,judgnients, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCI11"I'ECf'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 1 understand my plans shall be used as public records. Signature Date Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX(408)777-3333•building gecuoertino.org CUPERTINO ❑NEW CONSTRUCy,TIIOppN�./ ❑ ADDITION ❑ AL �TERAT ION/Tl ❑ REVISION/DEFERRED lORIGINAL PERMIT# PROJECT ADDRESS �.lOC JlC'lRF (r,ek I`�I d. I�'l% L APNq 3&9 1 — ✓� OW'NERNAME V�itk OUKe/Y r�fetl/-Itay\ PHONE qlr'_�2` I(� E-MAIL STREET ADDRESS CITY, STATE,ZIP / `(- FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY,STATE, ZIP FAX OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSENUMBER (O1-,/ q� LICENSETITE p BUS.LIC9 COMPANYNAAIE E-MAIL 00 U FAX STREETADDRESS CITY,STATE,ZIP PHONE ARCHITECTlENGMEER NANIE LICENSE NUMBER BUS.LTC 9 COMPANY NAME AXES /'h��1L) N E-MAIL FAX STREEI'ADDRES57(_h lR41 rv) r11 C.(_ CITY,STATE, 1f CA �✓ r--r, T PHONE DESCRIPTION OF WOR}: ` (-( \ r} ,L 1 Re+'ae tt`r+tco owf�N Sp,1i, tile{( s)eJe o 12Z wlI,d-ti; 1-e7(aSh � �tc Nnc( Iwv O'rAi, '-`tom cr'�h� �� 5 l.cKw , EXISTING USE PROPOSED USE CONSTR.TYPE NSTORIES USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECI ORCH AREA GARAGE AREA: DETACH ❑ATTACH N DWELLING UNITS: IS A SECOND UNIT OYES SECONDSTORY OYES HEI,N'GADDF.D! ONO ADDITION'. ONO PRE-APPLICATION OYES IF YES,PROVIDE COPYOF ISTIIEBI.DGANOYES mRECEIVED BY u +?rJ',&T ��.i ?`% TOT.&L VALUATION: PLANNING APPLtl ANO PLANNING APPROVAL LETiE0. EICIILF.R IIOM I:' 0N • t -? -6 k 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 bui I r,con5tnlc ' n. I authorize representatives of Cupertino to enter the above-I en tied p perty for inspection purposes. Signature of ApplicanJAgenl: Date: �Z SUPPLHDIENTALINFORMATION RCQUIItED a> .S -tn m2.Z C Ti t,i "y rsNlg sPi!Aa,cIIECKrITPL;c�.;�, --.t- _,__ROUTINGsuPL 'T_.�i.-_ New SFD or Multifamily dwellings: Apply for demolition permit for OVLTiiF coTER ❑xl BUIING ei,nN Re�e t``°"4 � 4 existing building(s). Demolition permit is required prior to issuance of building �, �F;a xr�t#{s* �} ��•(t� �. �t .��"'a permit for new building. (d❑"1 XPRFSs _Commercial Bldgs: Provide a completed I lazardous Materials Disclosure ❑�s .o'-RIS e, t$' '-{ u❑'•-i<rui�Ic\\ RRqS To—nn if any I lazardous Materials are being used as part of this project. 1❑���`�uci' '� °y; c�. ,,t ❑ Fiiie uLv t Igrrgk1T- _Copy of Planning Approval Letter or Meeting with Planning prior to t.-r"`-v .�s c e,. r �"❑b Ml,\.ao,lry:;kf . Pr"i5rSdI\yo\yEMRi 4Itn'lSlL Hrsubmittal of BuildingPermit application. ILT 1`rht.!e A•ja., `1 :• r.�_��1^'�' 3�tu�'eir`L3ci � 4®.r F,N\'IRON,VIENTA L'II F.A I:TIILi4ui6': B/dgApp_1011.doe revised 0612 1/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 20488 Stevens Creek Blvd DATE: 09/24/2012 TREVIEWED BY: jsg APN: BP#: 'VALUATION: 1$756,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration I Repair PRIMARY SFD or Duplex PENTAILATION USE: PERMITTVPF: A WORK Reflash and restucco around 122 windows on south and west sides SCOPE Mech. flan Check Phunh. Plan Check Elec.Plan Check blech, Pertah Fee: Plumb. Permit Fre: Elec. Permit Fea: Odrer,tlech.Insp. Other Plumb Insp. Other Elce.Insp, Mach.hup. Fec: Phmrb, hup. Fee: Flee.bap.Fee: NOTE: This estimate roes riot includejees due to other Departments(i.e. Planning, Public Norkg Fire,Sanitary Se er District,School District,etc.). These feas are based on the reliminanin omtation mmilable and are onh,an estimate. Contact the De 1 or addn'I info. FEE ITEMS (Fee Resolution 11-053 Fp: 7/1111) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl. PC Fee: 0 Reg. 0 OTE67 $0.00 or Element of a Building 0.0 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes 0 No $0.00T 71 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 ax.Administrative Fee: 0 Work Without Permit? 0 Yes Q No $0.00 E) Advanced Planning Fee: $0.00 10 hours Inspections E) Treiel Docrunentation Fees: $1,330.00 IST/NSP Inspection, Hourly Strong Motion Fee: IBSEISd9CR $75.60 Select an Administrative Item Bldg Sids Commission Fee: IBCBSC $31.00 SUBTOTALS: $106.601$1,330.001 TOTAL FEE: $1,436.60 Revised: 07/01/2012 CITY OF CUPERTINO BUILDING PEWMIT ItIiI LDA NG ADDRESS: 20488 SEVENS CRFEK BIND CONTRACFOK:ASIS CONSTRUCTION,INC 1`11011•!'NO: 12090201 O\\'NF,K'S NAME: S'I'I?VC•N'S CRI:VK COSh\IFRCIA1.,I.I.0 2566 6ARRINGTON C'I' DATE ISSLWD:09/24/2012 OWNER'S PHONH: 9259374378 IIA Y\\'A KU.CA 94;45 PlIaNT NO:(510)732-6111 ❑ LICENSED CON'11 AM'OR'S DECLARATION r r r License Class Lic,d BUILDINGrl:a,Mrr hrro: Bl,nc. ELECT PLUMB r AX[S Cp. A/ucf to q /Z MECII RESID N•rIAL COMMERCIALCnntraclor_ 6y1 Date I hereby affirm(hal I wn licensed under the provisions of Chapler 9 JOB DESCR[PTION: VITRO\A-RITLASII AND RESIMCCO AROUND 122 (commencing miIll See Iion 7000)ofDivision 3 oft he Business V Professions WINDOWS Code and that nn'license is in full force;Ind effect. ON SOU'I'II AND WESI'SIDBS 10/9/12 REVISION'a3 UNITS#2211.2213,.9_2317 RFMOVIi AND REPLACE DRY ROT I hereby affirm(order penally of perjury one of the 1'ullosvhtg hyo declarations: FRAMING AT DECKS.LIRE.FOR LIRE ISSUED 1019/12 1 have and will nmninlain a certiliane of consent to scil'-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,lbr the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided f'or by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Arca: Valuation:5760000 APPLICANT CERTIFICATION I certify that I have read this application and state than the above information is correct. I agree to comply with all city and county ordinances and stale Imus relating APN Number:36953999.00 Occupancy Type: to building construction,and hereby authorize representatives oftltis city to enter upon Elie above mentionedproperty for inspection purposes. (We)agree to save indenmifj'and keep harmless the City of Cupertino against liabilities,judgments, costs.and expenses which only accrue against said Cily in consequence of the > >' t runic of this omit. Additional! thea licuttunderstandsandwillcont Is I ERM11 E\I IRIS IF �VOIiK IS NOT STAR I ED with all non-point source regulations per Elie Cupertino Municipal Code,Section WITHIN HIN 180 DAYS OF PERM! T ISSUANCE- OR 9.18. 180 DAYS FROLAST CALLED INSPECTION. Signature M n1 l� -� Date 1 ' / Issued by: ��� �G� Date ❑ OAA'NI;R-IIIID.IIFR DECI.,U2,V1'ION I hereby al'Ilrm that 1:um e\empt front the Contractor's License L:ny for one of the follmying two reasons: KK-ROOFS: 1,as owner of the Property.or my employees with wages as their SOle compensation. All Tools shall be inspected prior to:Ili)-rooting material being installed If a roof is will do the work,and the structure is not intended or ofBared for sale(Sec.7044, installed without first obtaining an inspection,I agree to remove all new materials for Business C Professions Code) inspection. 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business S:professions Code). Signature of Applicant: Date: 1 hereby affirm under penally of perjury one of the following three AL1,KOOK COVERINGS'10Ii li CLASS",\"OR Ii F:I"I'P:12 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 HAZARDOUS>IATER IA IS DISCLOSURE performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance.as provided for by I han'c read the ha zardrus materials requirements under Chapter 6.95 of the California Health\Safely Cude,Sections 255115,25533,;led 25534. 1 will maintain Section 3700 of the Labor Code,for the perlormmec 01`111C work for which this compliance with the Cupertfno Municipal Code,Chapter 9.12:Ind the Ile:dth& permit is issued. - Safely Code.Section 25532(a)should 1 store or handle hazardous material. I certify that in the performance of the work for which this permit is issued.I shall Addilioually,should I use equipment or devices which emit havardoun air not employ any person in any manner So as to become suhjeel to the Workers cunlantin ants as defined by the Bay Arca Air Quality Managemenl District I will. Compensation laws of California. If,after making this certificate ofeycntplion,l maintain ennplia ice with the Cupertino Municipal Code.Chapter 9.12;Ind(he become subject to the Worker's Compensation provisions of the Labor Code,I must I Irtill)S Safety C e,Seelions 25505,2,533.and 2.,534. forthwith comply with such provisions or this permit shall be deemed re%oked' Os e r au(h d agent: Utile: � APPLICANT CERTIFICA'IION 1 ecrtitj•than I have read this application and suite that the above information is CONSTRUCHOS LENDING AGENCY correct. I agree to comply with all city:tad county ordinances and sate Imes relating to building construction,and hereby authorize representatives of(his city to ever I hereby affirm thin there is a construction lending agency for the performance of work's upon the above mentioned property fSr inspection purposes.(We)agree no save for which this permit is issued(Sec.3097,Civ C.) indenmify and keep harmless the City of Cupertino against Iiabihnics,judgntents, Lender's\;unc costs,and expenses which may accrue against said City in consequence of Fite grinning of this permit.Additionally,the applicant understands and will comply Lender's Address with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. ,uta urr:cr•s nEGlnan'ru)x Signature Date I understand ntv plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING phlox # —^ 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 DATE a CUPERTINO (408) 777-3228 2 FAX (408) 777-3333• buildinG.Gncup.ertino.org ❑ NEWCONSTRUCiION ❑ ADDITION �`❑ ALTERATION/TI REVISION/DEFERRED ORIGINALPERMIT: 2 .�9oao� PROJECT ADDRESS -0 "9 Stevths Creek f3lva. / I APN9 OWNER NAME V u a el"0 HalKe Or,TreYS AsjycLfwj PHONE E-MAIL STREET ADDRESS Lo'{- S-leve�s �eL 1 CITY, STATE,ZIP 1� FAX CONTACT NAME Ke v))i �I _ F 1� PHONFI��'� �q_G�ry� E-MAIL STREET ADDRESS 2J , aJ'r/�(� / CITY,STATIE?IP 0. 1��0� ] FAX CA DOWNER ❑ OWNER-BUILDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCIDTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER/ r, LICENSE TYPE BUS.LIC N COMPANYNAME �p E-MAIL �j FAX STREETADDRESSS t0.t CITY,STATE,ZIP PHONE qhe co ARCH ITECTIENGMEER NAME LICENSE NUMBER BUS.LIC B COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK repo' Qr PW al a'fi pec ,r EX! TMG USE PROPOSED USE CONSTS-TYPE 1 9 STORIES USE TYPE OCC. sQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM MCHEN OTHER REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECKAREA TOTALDECi ORCH AREA GARAGEAREA: UDETACH ATTACH P DWELLING UMTS: IS A SECOND UGIT C3 YES SECONDSTORY PV BEMG ADDED! RNO ADDITI09! 0 PRE-APPLICATION ❑rn)Fs IF YES.PROVDJE COPY OF IS THE BLDG AN 0YES RECEIV Y:1 WMA �, ,� TOTAL VALUATION: PLANNING APPL 9 N NO PLANNING APPROVAL LETTER EICHLERHOME: 'g+.+0 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 1 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 bd��MM�l'��/o nsuuc' I authorize representatives of Cupertino to enter the above-identified p operry for inspection purposes. Signatureof Applicant/AgenC rA '� Date: /2— �� I /Z SUPPLEMENTAL INFORh1ATION REQUIRED ty- PLA,\,CIfECK�T,\TE�'� �s�(j'iyf;;j� .,AOUTINCISCIP _New$FD or Multifamily dwellings: Apply for demolition permit for _M� OMar�t I a {tJ.t O\_ER-T1iL COUN7EAHUIL➢ING PLA\AE\TE\tl existing building(s). Demolition permit is required prior to issuance of building permit for new building. !,0 FXFREss0 FLA\gNG PfA\RET IEw'i i _Commercial Bldgs: Provide a completed Hazardous materials Disclosure ❑�"s-rA\nAR➢ �^ r -�0 T uHLlcns oARs e Corm if anv Hazardous Materials are being used as part of this project. ='egg'" t`" •('a , xh ->- i © IRCE _Copy o(Planning Approval Letter or Meeting with Planning prior to .t= 1 - - MAJORb 5e❑' S\NTTARY.SER ER DISTRICT submittal of Building Permit application. ENTAA,�H nEN\7AONDIHEALTH BldgApp_ OI Ldoc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 20488 Stevens Creek DATE: 10/09/2012 REVIEIVED BY: Sean APN: BP#: 'VALUATION: $4,000 *PERMIT TYPE: Building Permit PLAN CIIECK TYPE: Alteration / Repair PRIMARY Multi-Family Dwelling Building is PENTAMATION 1GENRES USE: >3 Stories (j) Yes O No PERMITTYPE: WORK Buildin 2 Unites 2211 2213 2217 remove and replace in kind dry rot framing at decks. SCOPE REVISION DATE Mech./'Ian Check Month, Plan Check Flee.Plan Check ,Mech. Permit Fee: Month,Permit Fac: F:lec.Permit Fee: Ocher,Mech. Insp. Ocher Plumh Insp. Other Dec.bup. .Mech. Insp.Fee: Mumh. hup.Fee: Elev.Insp.Fec: NOTE: This estimate floes not include fees due to other Departments(i.e. Planning, Puhlie Works, Fire,Sanitary Sewer District,School District, etc. . These ees are hased on the prelintinan information available and are only an estimate. Contact the De t or mddn'I info. FEE ITEMS (Fee Resohuion 11-053 E!L 7/1/1 U FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 0 hours Plan Check, Hourly Suppl. PC Fee: (F) Reg. 0 OT 0.0 has $0.00 $0.001 1 PME Plan Check: $0.00 Pennit Fee: Hourly Only? 0Yes (F) No $0.00 Suppl. Insp. FeeQ Reg. 0 OT 1 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tar: 17- Administrative Fee: O Work Without Permit? 0 Yes Q No $0.00 0 Advanced Planning Fee: $0.00 � hours Inspections (7 Tran:(Documentation Fees: $399.00 1 isnvSP Inspection, Hourly 0 Strong Motion Fee: IBSEIS,MICO $0.84 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.001= 1 SUBTOTALS: $1.84 $399.00 TOTAL FEE: $400.84 Revised: 10/01/2012