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09120130-COUNTY CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18000 STEVENS CANYON RD BLDG 6 CONTRACTOR:WAHLER PERMIT NO:09120130 CONSTRUCTION INC OWNER'S NAME: CAL-WESTERN PROPERTY MANG. 22331 SANTA PAULA AVE DATE ISSUED: 12/21/2009 .'NER'S PHONE: 4085541818 CUPERTINO,CA 95014 PHONE NO:(650)948-3112 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class Lic.# REPLACE ELECTRICAL PANEL Contractor Date 1 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: 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. Sq.Ft Floor Area: Valuation:$1800 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 APN Number:35116023.6 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I 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 laws relatin€ WITHIN 180 DAYS 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 DAYS 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 _..- 2 granting of this permit. Additionally,the applicant understands and will comply Issued by ! Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 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. OWNER-BUILDER DECLARATION Signature of Applicant: Date: 1 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 I,as owner of the property,or my employees with wages as their sole compensatior,, 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will 1 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 1 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 ity Management District I performance of the work for which this permit is issued. will maintain compliance with rti unicipa de hapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Codes ections ,2553 ,an 53 Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: I O 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If,after making this certificate of exemption,1 become subject to the Worker's Compensation provisions of the Labor Code,I mu;t I 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 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 relatirg to building construction,and hereby authorize representatives of this city to enter ,on the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION .emnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue . s 'd City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additio I e app nderstands and will comply with all non-point s t' ns p r t p rtino nicipal Co e,Section Licensed Professional 9.18. Signatur Date �' I e 7 St Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 tin OF Fax(408)777-3333 ;UPEkTINO Building Department JOB ADDRESS: PERMIT # OWNER'S NAME: (A4-,.�,rrrww 4 PHONE # yo -,5'S I—/9/8 Z rl GENERAL CONTRACTOR-,,,�q,��L ��� ,,�,-�,, c. FAX # 7 I am not using any subcontractors: G� iz �// Signa a Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSI14ESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date CAL-WESTERN MANAGEMENT AGREEMENT THIS IS INTENDED TO BE A LEGALLY IQNDING CONTRACT-READ IT CAREFULLY Wachovia Bank N.A.,Co-Executor With Sandra Hausle Under Will Dated October 13,2006 _ "Owner(s)"and CWPM,Inc.,dba Cal-Western Property Management("Broker" agree as follows: 1. APPOINTMENT OF BROKER: The Owner hereby appoints�nd grants Broker the exclusive right to rent, lease, operate, and manage the property(s)known as: Street: 18000 Stevens Canyon Road City: Cupertino ,CA Zip: 95014 Street: City: ,CA Zip: Street: �ity: ,CA Zip: upon the terms below, for the period commencing May 1,2009 and continuing for twelve months and thereafter automatically renewing on a month-to-month Basi: unless terminated by either party giving thirty(30)days written notice. 2. BROKER ACCEPTANCE: Broker accepts the appointment ar.d grant and agrees to: (a) Use due diligence in the performance of this Agreement: (b) Furnish the services of its organization for the rental,leasing, operating,and management of the Property. 3. AUTHORITY AND POWERS: Owner grants to Broker the authority and power, at Owner's expense,to: (a) Advertising: Display"for rent,""for lease"and similar siL ns on the Property;advertise the availability for rental or lease of the Property or any part of it. (b) Rental/Leasing: Initiate, sign,renew,or cancel rental agreements and leases for the Property or any part of it;collect and give receipts for rent,other charges,and security deposits. An} lease executed by Broker for Owner shall not exceed one(1)year. (c) Tenancy Termination: Sign and serve,in Owner's name,n)tices which are required or appropriate;continence and prosecute actions to evict tenants;recover possession of the Property in Owner's name;recover rents and other sums due;and when expedient, settle,compromise, and release claims,actions ind suits and/or reinstate tenancies. (d) Repair/Maintenance: Make,cause to be made, and/or supervise repairs, improvements,alterations, and decorations to the Property;purchase and pay bills for services and supplies. Broker shall obtain prior approval of Owner on all expenditures over $500 for any one item. Prior approval shall not be require`i for monthly or recurring operating charges,or, if in Broker's opinion, emergency expenditures over the maximum are needed to protect the Property, or other property(ies)from damage,prevent injury to persons, avoid suspension of necessary services,avoid penalties, fines,or suspension of services to tenants called for in a lease or rental agreement or by law. Broker shall not be require i to advance Broker's own funds in connection with the Property or this Agreement. However,if Broker elects to advance any funis,Owner shall promptly repay to Broker, on request,the amount advanced. (e) Contracts/Services: Contract,hire,supervise, and/or dischrrge firms and persons, includinges4q r d for the operation and maintenance of the Property. Broker may perform any of Broker's duties through�, age ts, rn ees,and independent contractors, uanF61-4-all 1-a-0t o is PQ hle fnr tbeir acts,ow s-sious, dcfaults,n 1'rt d—i ostR .,f Rama s vvo,king in Btnker's firm.— PZAt ,Sk,�C� (f) Expense Payments: Pay expenses and costs for the Property from Owner's funds held by Broker,unless directed otherwise by Owner,including but not limited to property management fees and charges, expenses for goods and services,property and other taxes,association dues, assessments. loan payments, and i isuranc, premiums. (g) Trust Funds: Deposit all receipts collected for Owner,les: any sure: properly deducted or disbursed, in a financial iustituution whose deposits are insured by an agency of the United Stites government. The fiends shall be held in a trust account separate from Broker's personal accounts. Broker shall not be liable in event of bankruptcy or failure of a financial institution. (h) Tenant Deposits: H4ndle tenant security deposits as follows: Hold such deposits in Broker's tr est account; account for and return to tenants, as required by law. \ Owner shall be responsible to Broker and tenants for the refund of all security deposits held by Owner. Owner to be responsible for all fines, legal, or other related costs, due to Broker's inability to return deposits held by Owner after Broker has notified Owner of necessity to refined deposit. (i) Reserves: Maintain as a reserve in Broker's trust account $ 5,000.00 balance,to be maintained at all times. If Cal-Western pays your mortgage, an additional amoun equal to the mortgage payment will be retained as a reserve. (j) Owner Statements: Render on or about the 30°i of each month, statements of receipts,expenses and charges for each Property. (k) Owner Distribution: Remit funds on or about the 30'x', to Owner, in accordance with Paragraph 3(1). (l) Disbursements:Disburse Owner's fields in the following n'der: (1) Fees,charges, and reimbursements due under this Ag-eement. (2) All other operating expenses,costs, and disbursernen s payable from Owner's funds held by Broker. (3) Reserves. /ti/. 6AOK" Sh*L4 PAcY10a OLdNE'X A CtF.1M-FiCAT-6 OF /NSC,XAWCE /�Z CjiC'L (4) Balance to Owner. /VgM��ly' OtedN67t. Af 1�,761J7CO/I /S .04 S VSA 4. OWNER RESPONSIBILITIES: Owner shall: (a) Provide all documentation and records required by Broker to manage and operate the Property. (b) r a c a t ld h IaRR RI-Oke.R14d all jwFsons in u- , , of every type, including,but not limited to,those arising out of injury or death of any ers e o any real or personal property of any person(s), including Owner, in any way r,; agement,rental, or operation of the Property by Broker or any person in Broker's �-iiance�®remrcisc of any of the duties,powers, or authorities herein or hereafter F'Rr.-e& f 13rn 'R rm. AV 7TP OR 4 (c) Carry and pay for public and premises liahility,property iamage, and workers' compensation insurance adequate to protect the interests of Owner and Broker, and shall name both as insured parties. If Owner does not have a workers' compensation policy, property will be added to Cal-Western s policy and billed annually. (Note: Workers' compensation is required by law if workers on property do not have their own policy.) 'd) Pay any late charges,penalties, and/or interest imposed ry lenders or other parties caused by a lack of Owner's funds held by Broker and available for payment to same parties. Broker and Owner acknowledge receipt of copy of this page,which constitutes Page 1 of 3 pages Broker's Initials wner(s)'s Initr���s ��A4 \ OFFICE USE ONLY Reviewed by Broker or Designee: IFIL Date: Rev 2/01 -Z��S CITY OF C,.UPERTINO CITY Of CUPEkTINO GENERAI-d BUILDING PERMIT APPLICATION FORM Oq 12 d (30 APN# Date: I X23 • C.P �z/� �/� r Building Address: Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes No ❑ HOA: (Exterior work only) Yes ❑ No ❑ If yes, provide letter from HOA Owner's Name: �4Ji«nyx Phone#: #14 46dc,7-CA6a,.7- Contractor: Phone: I/V$-- Z 'z Fax: Contractor License#: Ll/y 0-7-7 Cupertino Business License#: Contact: Phone: t-/v lc`/A7u wj4N1-6-7= Fax: Residential 54Commercial Job Description: fZ�rY'G,9cL �-„.r c9a`- L C.rL'_ P/�NtrL /'�'LLU 7� ©✓> i.�rt L'.° .✓v' T7'�3zs— •7v Building Permit Info: Bldg ❑ Elect E, Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B 0 R Valuation: �// Square Footage: D Project Size: Express 'Standard ❑ Large ] Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the application or if applicabl,;, include in plan set& the sheet index. Points Achieved: For help, contact Build it Green at www.builditgr�,en.or Revised 07/14/09 SIN-0CITY OF CUPERTINO ITY OGENERAL BUILDING APPLICATION CUPEkTINO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1STUCOAP Stucco A-)plications (up to 400 sf) B additions. stucco application 1 WINREP Replacement windows/sliding glass B door (ea 8 windows) 1 WINMEWSTR New Window-structural shear B wall/masonry(includes plan ck fee) 1 EPERMITFEE Electrical Permit Fee E 1 MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbin€ Permit Fee P 1 ELCPLNCK Stand Alone Electric Pln Ck(hourly) E 1 MECPLNCK Stand Alone Mechanical Pln Ck(hrly) M 1PLMBLNCK Stand Alone Plumbing Pln Ck(hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check(when no E/M/P) B when not over counter) hourly-stand alone 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1 TRAVDOC Travel &Documentation B 1BUSLIC Business License B 5 of 5