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13100127 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10297 S DE ANZA BLVD CONTRACTOR:DRYCO CONSTRUCTION PERMIT NO:13100127 OWNER'S NAME: ROBERT ALLARIO 42745 BOSCELL RD DATE ISSUED: 10/18/2013 OWNER'S PHONE: .5104386500 FREMONT,CA 94538 PHONE NO:(510)438-6500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL � License Class VLic.# �_ 0'. 71 ALLARIO SHOPPING CENTER-RE-STRIPE PARKING LOT Ii Contractor 7 W 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. Sq.Ft Floor Area: Valuation:$1073 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 APN Number:35917001.10297 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.I agree to comply with all city and county ordinances and state laws relating 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 o,a,I granting of this permit. Additional) the applicant understands and will complyIssued by: Date: grg p y,. aPP with all non-point sou 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 fust obtaining an inspection;I agree to remove all new materials for inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I 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 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.70441 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 I 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 I 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 Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cup 'no Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections ,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date• y//? 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,I become subject to the Worker's Compensation provisions of the Labor Code,I must 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 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CONSTRUCTION PERMIT APPLICATION Xly COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION �Q) 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 ()\ GUPERTINQ (408)777-3228•FAX(408)777-3333•buildinga(�cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS 1. % 7APN#,;55q -1 66 / OWNER NAME hf&ej PHONE/ /„ y ,If_ j f}h E-MAIL STREET ADDS r C(/ CITY,STATE,ZIP b W v v 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 �)n LICENSE NUMBER LICENSE TYPE BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WO C I n� 4,.'I JL'A 1k 01- EXISTING ��✓l IV l l/v EXISTING USE PROPOSED USE CONSTT,TYPE I #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT []YES SECONDSTORY ❑YES BEING ADDED? []NO ADDITION? E]NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES It 1$I TOTAL VALUATION: PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO O By my signature below,I certify to each of the lowing: 'am the property owner or authorized agent to ct the property owner's behalf. I have read this application and the information I have pro ' ed i corn I have read the Description of Work and verify it i ccurate. I agree to comply with all applicable local ordinances and state laws relating to bui in c stru fives of Cupertino to enter the aboveoid�rltified roperty for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL O ION REQUIRED ��E � R �,I1YG� ' � a'` New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building M, permit for new building. _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sT ta '� u6 Iwo form if any Hazardous Materials are being used as part of this project. a > _Copy of Planning Approval Letter or Meeting-with Planning prior to submittal ofBuilding Permit application. obi ® S�IITe�R SEOEBDISTRICT ;"�;„ ®I;ENYII20NME ,AI?�ALTH BldgApp_201 Ldoc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION ADDRESS: 10297 s de anza blvd DATE: 10/18/2013 REVIEWED BY: mendez 101APN: I BP#: *VALUATION: 1$1,073 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY PENTAMATION USE: Commercial Building PERMIT TYPE: WORK allario shopping center- re-stripe parking lot SCOPE Ell a §� 9' i 22 L1ech.t'lan C'h<.ck Plrrmb. I'lUn O'he;ck Elee..Plan{.,hack Ltcch.P>rrnitPec:: Plelmb.Iyermit Pee: lilac. Permit Fee: Other;ilech.Insp Oiher Plumb Insp. Other Dec,Insp. A,Iech.Imp. Fee: Plumb. Insp.Pee: Elec,Imp.Fcze: 2��j NOTE:This estimate does not include fees due to other Departments(La Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). These fees are based on the relimina information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution 11-053 E . 7f /1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl.PC Fee: (F) Reg. ® OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: Hourly Only? ®Yes ONO $0.00 Suppl. Insp.Fee-.0 Reg. .®OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Zax. Administrative Fee: Work Without Permit? ®Yes 0 No $0.00 0 Advanced Planning Fee: $0.00 Select a Non-Residential 0 Building or Structure 7-110vel Documentation Fees: � Strong Motion Fee: 1BSEISMICo $0.50F 1.0 hrs Inspections Bldg Stds Commission Fee: 1BCBSC $1.00 $139.001 1STINSP Inspection,Hourly � flfig 2 140.50$1.50 $ . ;_ , r Revised: 10/01/2013 RODRIGUES AVENUE ------------------------------------------------ j EX j V ",=y TO REMAIN V 12 13 I EX.FLATWORK TO REMAIN 10 0 S.W TEMPORARY CONSTRUCTION EIMT, COMMLI -,IITY DFVFLOPIMENT DEPARTMENT CUPEPU]NO BLALD' iNG kPRRE.. o N :1 STREET P UBLIC UTIITY.ESMT. e of piny, and snpoifications MUST be kept at the it is unlawful to make any on same,or to deviate 24— —20'EX 2&EX. c)lj,-apProval from the Building Official. wow of thl's plan and specifications SHALL NOT 10291 SOUTH DE ANZA BLVD. '-ft er be an approval of the violation z RESTRIPE(1)ACCESSIBLE STALL Law. STANDARD &(3) TANDARD STALLS > W 0 - 8 f arty City Ordinance or State 0 Z\ z 0 C/) EX F K RESTRIPE ACCESSIBLE T6 REMAIN ACCESS AISLE EX TO REMAIN PLOT PLANS PUBLIC SIDEWALK,""' G"CKED NEW FLATWORK DATE 37 DEP —NEWFLATWORK DATE .......... REBUILD DRIVEWAY J PER CITY STANDARDS 10297 SOUTH DE ANZA BLVD. —NEW ACCESSIBLE C:> CURB RAMP BLDG- DEPE-T-- RESTRIPE(1)ACCESSIBLE STALL T & STANDARD STALLS 04 NEW LANDSCAP 05 EX.LANDSCAPE am PLANTER TO REMAIN L EX STALLS L TO REMAIN: .. . ...., 0 SIDEWALK, 4'r L N rhu.yETt X FLATWORK] NEW LANDSCAPE NEW I"WIDE ACCESSIBLE TO REMAIN RAILROAD TIE WA-KWAYIRAMP EX.PUBLIC SIDEWALK TO REMAIN _.. ,-.., rs .. wrx�.�~r ,..._.__;..T,.-_ ..:..n,,..- _. ... .,_..ua_, ..�>.,.n., ,_v.---, :tea:...__ ..,.., ..x.,•_.:m'�+r .w�.--.� ._ €t:.a,�....��... - _�. .� �..1'�"` cam. _ 'h'�'.:. — ,.. .. ,,..•.. ... .. - .. ... ... .:. ,-. __ .. ,.•. ,.. ,_-. t-'..__-. , .".mac,:= ..,.. tkk.,4-,...v -.x�, MM .'W KL • ,asp — to �. * 4 - �n0'Aej waSa , aad se Uiewai off.2uidijIS 2uilsix3 je x. ino Ae) luasaad aad Tse ulewaj ol SuidiajS 2ui,six3 - Nim; " 44* ino fej lugs r � - aad4se uiewai ol _ 2uidiajS 23uilsixj _ Ino Ae) luasaad S aad se uiewai A. of 2uidijIS 2uilsix3 �. n s i a, ,w :71 Al a 4 a i t - Zu-�r.+i1MW!!sr�NMa�w�e+s ..•w,eyvYyM}..as¢,.,+wrspy-nrwe+v... �•aam*,�i'.'v"a A<vn+eax'.Ynu�trix'�• t--.wNM'4.P'�nimavv,,..,Tss-,.... m1.wr,.. y�...�y. - w.+ae•-..-. ss�s. _