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14040052 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10649 MAPLEWOOD RD CONTRACTOR:ABE CONSTRUCTION,INC PERMIT NO: 14040052 OWNER'S NAME: ESSEX THE POINTE LP 1233 MIDAS WAY DATE ISSUED:04/11/2014 OWNER'S PHONE: 6504943700 SUNNYVALE,CA 94085 PHONE NO-(408)734-8416 ❑ LICENSED CONTRACTOR'S DECLARATION F– E— ,p BUILDING PERMIT INFO BLDG ' ELECT PLUMB License Class 6–'o C3 G J Lic.# �} ,/ MECH RESIDENTIAL COMMERCIAL Contractor f ON$7`JZGCT1DM/// ate 1/ `7 I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION APT D-REMODEL BATHROOM(120),KITCHEN(160)ADD (commencing with Section 7000)of Division 3 of the Business&Professions NEW LAUNDRY ROOM,UPGRADE ELECTRICAL 1 ANEL AND PLUMBING 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 this Sq.Ft Floor Arca: Valuation:$24000 permit is issued. APPLICANT CERTIFICATION APN Number:31643003 10649 Occupancy•Type: 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 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 regulations per the Cupertino Municipal Code,Section 9 18. Issued by: –.'......... ��/ l Signature Date ❑ OWNER-BUILDER DECLARATION RE-ROOFS: 1 hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,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(Sec.7044, Business&Professions Code) Signature of Applicant: Date 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec 7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&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 health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(x)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 Area Air Quality Management District 1 will I certify that in the performance of the work for which 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 Health&Safety Code,Sections 25505,25533,and 25534. 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 Owner or authorized agent: forthwith comply with such provisions or this permit shall be deemed revoked. Date: CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION 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 and state laws relating for which this permit is issued(Sec 3097,Civ C) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, 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 ARCHITECT'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 ICA VONIRERNWrCAP RPL-11 t101-fl- CO{vs(V)U tTY f3E1tEL�t T DEPARTMEl 1 -BUILDING DRASION fit1300 T05RRE111:lUE, CUPERTiO,C -950 r4-3255 { € LpF:R 7 0 N'u {408 777 3228 F� :(408)177 3333eiino.ar ❑NEGV CONSTEtUCTTt31l Q Al}I3iTIG?l� ALTEl2AiTOI l J I l RIZSTO1rT!DEFERRED Ol21ixINnL PEI21vi7T# PROJECT �15 tt9 aI 3 OWNERN � STREET ADD CZi'Y A ZTP: � � FAX CONTACT MAN' P H-1 dAII STREET ADDRESS 17,STATE,7,[P FAX Owma ❑ OAR3£R-SLWMER 1].;.. :OWNERfiQENT NfRACFOi�. ❑:116101AGEN7. ❑ ARCHImcr ❑_-,mEm ❑ -DEVELOPAi ❑ q CO 4CT0 LT BITS.UC COMP 1ZiREE7 ADD STATE 7-TP j P30 ARCFIlTeECT12XGDFEERNAME LICESISE73DAIBER BUS LiC# COMPANYNANM FAX STi2EEf ADDRESS CrrY STATE,ZIP" 1,301'E DESCRTMOA TFOR' EMS7I1qG'[7SE PROPOSED x1se .CONS3R:TYPfi #STORIES, USE TYPE OCC. SQ FT. I VALUATION(S) AXISTG ARE—r DEMO TOTAL: AREA Q-0ARE—A, ,A NE1'AREA II BATHROOM YITCEBN OZI3ER REMODEL AREA F KODBLAREe� RHMODII:tlt fs. PORCH AREA DECKAREA TOTAL DECKIPORCH:AREA. GAItAGBARFA - DETACH ❑ATTACH #DwELLTNGLTN3MS- Is A SECON'DUMT OYES. S$COND STORY ❑YE$ ' BELNGADDED? []NO .SDDTITO25? ❑NO: ! PRE 4PPIXATION OYES IF YES;PROY'iD£CX1PY OF IS T'tI gLDGAN ❑yES ]� PLATIMINGAPPL# ❑NO PLAMMI APPROVAL LETTER EICSLER�OME? ❑NO' TOT4LVALUAISOAT- By my sigg-nature below,T certify tts each ofthe follow`" I aar`the o e, pr p rty Droner or authorizod aaentlo"ac the property owner's behalf. I have read this application and the iufo�afion T ha provaded.19 d the'Desttiption'of Work-and verify.' ' a ordinances and state laws relating ccuratc. I agree to comply with all applicable local a buzidm ooze representatives of Cupertino,to enter the abov ide p operty for inspection purposes, Signature of ApplicantTAaent: Date SIIPPLFMEIN'T_ U N REQUIRED PI CaECK IYPE ROUTING SLIP New SED or Multifamily dwellings Apply for demoiiiion permit or... existing building(s). Demolition permit 1s required livor to issilaDee of building OVER= -031INTER ❑ RUILDING PLAN REVIEW permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Iiazarddus Materials Disclosure ❑ sTAISI)ARD ❑ pirBLie wolucs form if any Hazardous Materials are being used as part of this project ❑ _Copy of Planning Approval Leiter or Meeting wLARGE FIRE DEPT ith 1?lanriirig pzior to Submittal of Building Peiinit application: IvLAroR ❑ SANNIARXSEwER DISTRICT ❑ ENVIRONMEN'17_4LHEALTII Bldg pp2011.doc revised Ob/211I1 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10649 Maplewood Rd#D DATE: 04/08/2014 REVIEWED BY: Mendez APN: BP#: *VALUATION: $24,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1 REAP2 USE: PERMIT TYPE: WORK APT D- REMODEL BATHROOM 120 KITCHEN 160 ADD NEW LAUNDRY ROOM UPGRADE SCOPE ELECTRICAL PANEL AND PLUMBING � rrcfa. /"rZ=r("hee": 'writ Mari£:'1wck Elec.Plan Check 0.0 hrs $0.00 r1ir ch, 72 o h fee plarid;, h,'rmit tree Elec.Permit Fee: I EPERMIT oth r h'L,'°h,1r,FP. Other Plumb hz.p, Other Elec.Insp. El hrs $47.00 NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the prelimina information available and are only an estimate. Contact the Dept/or addn I info, FEE ITEMS (Fee Resolution 11-053 E . 7/U13� FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 125 amps Electrical Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 $47.00 1BELEC200 Services PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp. Fee-(F) Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $47.00 Administrative Fee: 1ADMIN $44.00 Work Without Permit? 0 Yes (E) No $0.00 Advanced Planning Fee. $0.00 Select a Non-Residential Travel Documentation Fee: ITRAVDOC $47.00 Building or Structure Cl i Strong Motion Fee: IBSEISMICR $2.40 5.0 hrs Inspections Bldg Stds Commission Fee: IBCBSC $1.00 $695.00 1STINSP Inspection,Hourly y E, IBTOTAI� 141.40 $742.00 TOTAL FEE $ $883.40 Revised: 04/01/2014 Building Department City Of Cupertino 10300 Torre_Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS:20620 Homestead Square PERMIT#12070082& 12070083 OWNER'S NAME:Sobrato Organization PHONE# GENERAL CONTRACTOR:South Bay Construction BUSINESS LICENSE#5655 ADDRESS:1711 Dell Ave CICr Campbell.CA 95008 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Date Signature Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork NA NA Cement Finishing Noah Concrete Corporation 29578 Electrical Capital Valley Electric 34273 Excavation Blue Top Construction �✓�f l Fencing Pacific Security Fencing See receipt#2 Flooring/Carpeting McGinness Flooring 34750 Linoleum/ Wood McGinness Flooring 34750 Glass/Glazing USA All Glass Heating The Trillo Company 29816 Insulation Central California Insulation 557 Landscaping Jim Roberts Company 28615 / Lathing Ageless Plastering Masonry McCurley and Day 35 u�q Painting/Wallpaper NJ Kann Painting 3 Paving Blue Top Construction �P�P RPJi7 .3 �lo/ Plastering Ageless Plastering $ Plumbing Master Craft Plumbing Roofing Statewide Roofing 23509 Septic Tank NA NA Sheet Metal The Trillo Company 29816 Sheet Rock South Bay Interiors 25499 Tile Fischer Tile and Stone c�c� J17 3/11 /14 Owner/Contractor Signature Date