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10060175CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 7413 STANFORD PL OWNER'S NAME: ROBINSON RICHARD P AND JOAN M NER'S PHONE: 4089969540 ri LICENSED CONTRACTOR'S DEECLLARATION License Class R Lic. # 1; A 3-b3 J Contractor -� W C oN- 1.I 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. 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 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 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. Signature Date 0 O LI 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) 1, 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. 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. CON"RACTOR: CLIFF W COUEY CONE TRUCTION 7608 ' NATERFORD DR CUPERTINO, CA 95014 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 unify and keep harmless the City of Cupertino against liabilities, judgments, ., 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. PERMIT NO: 10060175 DATE ISSUED: 06/28/2010 PHONE NO: (408)252-0753 BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH I— RESIDENTIAL f— COMMERCIAL r— JOB DESCRIPTION: REMODEL GUEST BATH(NON-STRUCTURE)& TO INCL JDE NEW LIGH rING;50SQFT Sq. I t Floor Area: APN Number: 35932031.00 Valuation: $10000 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued bar �i2 Datev 111 RE -ROOFS: All i oofs shall be inspected prior to any roofing material being installed. If a roof is inst� lied without first obtaining an inspection, I agree to remove all new materials for insp -,ction. Sigi ature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I hs ve read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain con ipliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Saf :ty Code, Section 25532(a) should I 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 I will ma ntain compliance with the Cupertino Municipal Code, Chapter 9.12 and the He;ilth & Safety Code, Sections 25505, 25533, and 25534. Om ner soli or' agent: / CONSTRUCTION LENDING AGENCY I ht xeby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Leider's Name Le ider's ARCHITECT'S DECLARATION I u iderstand my plans shall be used as public records. Signature Date I Licensed Professional CITY OF CUPERTINO IN�791 FEE ESTIMATOR -BUILDING DIVISION im,ADDRESS: FEE DATE: MISC ITEMS REVIEWED BY: APN: BP#: "VALUATION: Iso `PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Remodel, Bath (300 s.f. max) PRIMARY Residential USE: Permit Fee: 7TYPE: PPLICATION xw a a p0 3� F-1 NOTE: These fees are based on the vreliminarv, information avail able and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 09-051 FEE QTY/FEE MISC ITEMS Permit Fee: $570.00 F-1 Work Without Permit? Q Yes No $0.00 Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.0C SUBTOTALS; $570.00 $0.00 TOTAL FEE: 1 $570.00 Revised: 5/27/2010 2 ITEMS OF 2 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35932C31.00 DATE ISSUED.......: 06/28/2010 RECEIPT #.•.••••••: BSOOOC10724 REFERENCE ID # ...: 10060175 SITE ADDRESS 7413 EcTANFORD PL SUBDIVISION ...... CITY .............. CUPERTINO IMPACT AREA ...... OPERATOR: patg COPY # : 1 OWNER ............: ROBINSON RICHARD P AND JOAN M ADDRESS ........... 7413 :STANFORD PL CITY/STATE/ZIP ...: CUPER-INO CA, CA 95014-5814 RECEIVED FROM CLIFF W COUEY CONST CONTRACTOR .......: CLIFF W COUEY LIC # 24792 COMPANY CLIFF W COUEY CONSTRUCTION ADDRESS 7608 WATERFORD DR CITY/STATE/ZIP CUPERTINO, CA 95014 TELEPHONE (408)252-0753 FEE ID UNIT QUANTITY AMOJNT PD -TO -DT ------ THIS REC NEW BAL ____ 1BCBSC VALUATION ---------- 10,000.00 1.00 0.00 1.00 0.00 1REMRESBAT SQ FEET 1.00 570.00 0.00 ---------- ----570_00 ------0_00 TOTAL PERMIT ---------- 571.00 0.00 571.00 0.00 METHOD OF PAYMENT AMOUNT REFERENCE ------------ NUMBER ----------------- --------------- CHECK 571.00 #2668 --------------- TOTAL RECEIPT 571.00 CUPERTINO CITY OF CUPERTINO ADDITIONA EMODEL FEE SCHEDULE l GO(do/75 APN# . / 9 Date: Ttly� �- - 2_010 "d unit beim added? Yes ❑ No El If es, lease fill out the permit application for 2"d Is a 2 unit. Building Address: = �3 '�'T4WroRz PLAcf6 Mailing Address (if different from building address): Own 's N e: 0" Phone # : O 31 l O 10 ) to , CkJ et-" b 1 •n $ o ri Contractor: (_ (: 0- L') �O�Q �a '�s� • Phone #: Fax #: S1 q Cupertino Business License: 5 State Contractor License #: r 3 33 Contact:�c>vc� Phone #: y o S,'q -7 Z Zo°I Fax #: q d e6 ZZw Landscape Ordinance Complia ce: A/ Landscape area in sq. ft. (includes all irrigated areas): If 2,500 sq. ft. or less, compliance with the Landscape Water -Efficiency Checklist is required. If more than 2,500 sq. ft., a complete Landscape Projuct Submittal is required. Compliance Method: ❑ Plant Type ❑ Water Budget Building Permit Info: Bldg. ❑ Elect. ® Plumb. 2] Mech. *] Hillside ❑ Job Description: Addition -What is being added?(Be Specific): What is being remodeled (not including addition)? ( S tAQ if - l �nai Remodel Includes Re -Roof Yes ❑ N"o ❑ if yes list number of squares Remodel Includes Structural: Yes ❑ No ❑ Do you have the pre -application planning approval? Yes ❑ No ❑ If ves. please provide a cony of vour Dlannine aDu royal letter. Planners name: Square Footage: Addition: Remodel: Kitchen Porch: Deck: _ Garage: Detached Attached { aS.P Bath Other Type of Construction (Usage Class): Occupancy pe: &L— --" 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV -HT, V -B [tY Valuation: d O ov Please check this box if the project is a Project Size: Express Standard ❑ Large ❑ Major ❑ second -story addition ❑ Please complete relevant portion of the Green Building Checklist & attach it to the application or if applicable, Green Building Points Achieved: include in plan set & the sheet index. Revised 05113/10 CITY OF CUPERTINO ADDITON/REMODEL CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft DECKS 1R3SFDADD OR 1R3SFDREM 1DECKWOOD Deck (Wood) -Each B Each 1DECKRAIL Deck Railing -Each B Each GARAGES 1R3SFDADD OR DETACHED 1R3SFDREM 1 GARDTW<=1 K Wood Frame up to B 1,000 SF (each) 1 GARDTM<=1 K Masonry up to 1,000 SF B each 1BCONSTAXR Construction Tax F_es new detached gars. e PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 B SF 1PATIOMETAL Metal Frame up to 300 B SF 1PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR & SUN ROOMS 1R3SFDREM 1PATIOENCLW Enclosed Wood uI to 300 B SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1PATIOENCLO Other Enclosed Patio up B to 300 SF 1COVPORCH Porch Covered -Ea -,h B Y Each REMODELS 1R3SFDREM 1REMRESKIT Kitchen Remodel -zp to B (Deduct "$"for ea plan 300 SF check 1REMRESBAT Bath Remodel up :0 300 SF B " IREMREOTH Other Remodel up to 300 B " SF CITY OF CU.PERTINO 10 ADDITON/REMODEL CUPERTINO FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type 1PLMPLNCK Stand Alone Plumbing Pln Ck(hourly) P 1 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICRE Seismic Residential B 1 TRAVDOC Travel & Document ation B 1BUSLIC Business License B RESIDENTIAL PROJECT COVER SHEET Assessor's Parcel Number:�'� Name of owner.t Project address. % S %A OJ I— 0 D PL . Contact person. ( C- °'^ t✓1 Phone.. �' d Fax. ° -2--L-S7 _Uj Y Net square footage of lot. Existing Square footage: First floor: Second floor: Garage: TOTAL. Proposed Are there at least two 10 foot by 20 foot clear spaces inside tie garage? . Is privacy protection planting required for the project? <::-2. L___N Build it Green Total Po' _____ On what floor(s) is work being done? Brief description of work. �`` �" �-' S��1 , C1le C�tl 4��cQtt_oa r.z t GI�Wti f �+1 Code editions: 2007 CBC - N)2007 CFC x.007 CMC 2007 CPC - N)2007 NEC - N) APPROVED IN ACCORDAN(J WITH THE CITY OF Effective 1/1/08 CUPF RJINO CODLS AND ORDINANCES DATE SIGNED This set of plans and°specifications MUST be kept on the lob at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Department, City of Cuppeertino. The stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of any provisions of any City Ori.lmance. or State Law. Plan Review Process Work Book Page -8-Revised 8/05/08 (I A AMERICA'S CABINETMAKER'" Merillat Industries, Inc.. Adrian, MI 49221 11 2 4 (3 O • �oaN Ao rN's0M 6 - Z-�f - La to Customer,) C Date _ Kitchen (''�1� C.A 5Cj14 0 Address �� S�'An�F6R`� ��-� Phone Planning Sheet . i; �, By C.yJ. C-0-94 Sheet# 0he- Of 0,-\.,- -Sheets 10 12 ' 11211, !_' 14 'a - g - 10 12 14 16 1 ti z u J7013 DtSCA1107') 0i� Replace- EXIS+In. 6d'Y,-5 1'-rm6 W-f� 60""311' Cas+ Fo V\ . 2 NJ v12w Valvc, av\� SLowCA 1•e*J_ 3 R,_F6--r_ SU Roc -e <noLA%J- ce,�.�:� j,�l.� w,f-L, PGro-Son4e_ /f r1r101_o. �•T�fLAti S. !� d a � � w 1 \r, GCar �Q 1 t¢ �� l �`!` V �a�o41�'C �Q v� e•11� "� .S 1 Y1 e 1 e 1. tl J $ Lech J10 SOI :1EaC.U\`f" aiv A., CtpLr 9 i. s� s l E i;�-Tza•, \ 2 S L14\,Ver% SUsr CQ 1AVJ_ CUPERTINO V"NTR ACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 7 j 3 ,fj'i' ^,J�'aR,17 ��., PERMIT # G OWNER'S NAME: t?f_¢ RAi J3% sV PHONE # GENERAL CONTRACTOR: Cb, 'j (,J BUSINESS LICENSE # ADDRESS: ,?SOS a c C11A er.� ho CITY/ZIPCODE: .• �-+ems__ �r r.. ..�:.... F., :..occ I:�nncP *Our municipal code requires all businesses working In Lluc ,,ny w nave a %,.Ly — --F-- NO -r- NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. 1 I am not using any subcontractors: w Signatu M Lon nharlr annHrnhip cuheontractors and complete the following information: Date Owner / Contract Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contract Signature Date