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Home My WebLink About14050062CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7656 NORMANDY WAY CONTRACTOR: HARRELL REMODELING PERMIT NO: 14050062 INC OWNER'S NAME: JABRI CLARICE M TRUSTEE 1954 OLD MIDDLEFIELD WAY DATE ISSUED: 05/08/2014 OWNER'S PHONE: 4086740705 MOUNTAIN VIEW, CA 94043 PHONE NO: (650)230-2900 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL F] KITCHEN REMODEL 105 SQ FT, DINING ROOM REMODEL License ClassLic.4 TO ContractorDate O INCLUDE (E) 275 SQ FT 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 Sq. Ft Floor Area: Valuation: $76800 performance of the work for which this permit is issued. 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: 36617055.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 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 --q 180 DAYS F976M LAST CALLED INSP C ION, 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 Issued by; i Date; --- with all non -point source regulations per the Cupertino Municipal Code, Section -- 9.18. p �- RE -ROOFS: SignaturePDate All roofs shall be inspected prior to any roofing material being installed, if a roof is installed without first obtaining an inspection, 1 agree to remove all new materials for inspection. ❑ O 'N ALDER 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 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.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. I 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 Cupertino Municipal Code, Chapter 9.12 and 1 have and will maintain Worker's Compensation Insurance, as provided for by and 25534. the Health & Safety Code, SectiofrEN Section 3700 of the Labor Code, for the performance of the work for which this 5—� Owner or authorized agent: Dater permit is issued. I certify that in the performance of the work for which this permit is issued, 1 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, 1 CONSTRUDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, 1 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 (See. 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 1 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 M CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building guoertino.org ❑ NEW CONSTRUCTION ❑ ADDITION V .ALTERATION/Tl ❑ REVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS � w 1 � ' V APN # � � OWNER NAME GL.A2jC.e PHONE 4o% - (po'74. 0-7o E-MAIL GJ�!.Kj (0 mat I • Co+ STREET ADDRESS 776 5(o WoKm �D W A -J I'T CITC_vPEG I`�T (NO C,t� G)1>t4 t L.4 FAX CONTACT NAME p7 FAC ' ele"� PHONE ' /� o � n Q n E-MAIL1, /� 1 e 30m STREET ADDRESS ict 5 4 ouc> r1%opr45 ti V -V tual CITY, STATE, ZIP m o u WP&A" V *J-0 FAX OWNER 11OWNER-BUILDER 11 OWNER AGENT CONTRACTOR 11CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ne L •LMu D LICEUSE M7. M l� q 9 -E-MAIL TLICENSE BUS. LIC # /I y ` 1 COMPANY NAME �elMop61..1t4 U FAX Ips- 230- 12•�rol STREET ADDRESS lq LD MIS 10 LJ/4 CITY, STATE, ZIP th/Ml7�h T_1" l P4 V tE U4 AyOtJ S PHONE (o • 230 19 00 ARCHITECT/ENGINEER NAME �^�w n LICENSE NUMBER BUS. LIC # COMPANY NNAMcEx•-•+�V�•y c Moo G E-MAIL FAX ?.,;�o - o STREET ADDRESS I C, O IDOLE",�1L)._0 WiiY R CITY, STATE, ZIP VI r f�" �T��'t' 3 PHONE - 2 30 • -2100 DESCRIPTION OF WORK v EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES 1 USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN I REMODEL AREA REMODE Ad�A _ OTHER g REMODEL ARE/t PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UMTS, IS A SECOND UNIT ❑YES SECOND STORY []YES BEING ADDED? ❑ NO ADDITION? []NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES RECEIVP,I�,$ ; "^<,,, °""F TO)V.7 ALU Ttl ION: PLANNINGAPPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO - !/ (O (6i`f�7 f 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 b di n cfon. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTA ON REQUIRED PLAN 6 C4 TYPE ROUTING SLIP "m QUER"T CouNTiva ,❑ BUILDING PLAN REVIEW New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of buildi g permit for new building. Q EXPRESS i ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD El PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_201 Ldoc revised 06/21/11 gti -,r * oblvr CITY OF CUPERTINO Fm_ff FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 7656 Normandy way FEE DATE: 05/08/2014 REVIEWED BY: Mendez APN: BP#: / QS (�G7 `VALUATION: 1$76,800 PERMIT TYPE: Building Permit $0.00 PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Suppl. PC Fee: (j) Reg. 0 OT PENTAMATION 1R3SFDRE PERMIT TYPE: WORK kitchen remodel 105 sq ft dining room remodel to inclue e 275 sq ft PME Plan Check: SCOPE $0.00 275 1 s.f. $418.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee 1?esolulion l l -053 E- f 7%l /l _i) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = s.f. $626.00 Remodel, Kitchen (<=300 sf) IREMRESKIT Suppl. PC Fee: (j) Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 275 1 s.f. $418.00 Remodel, Other IREMRESOTH Permit Fee: $0.00 Suppl. Insp. Feer Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 E) Work Without Permit? 0 Yes No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 0 i Strong Motion Fee: IBSEISMICR $7.68 Select an Administrative Item Bldg Stds Cornmission Fee: IBCBSC $4.00 SUBTOTALS: $11.68 $1,044.00 TOTAL FEE: $1,055.68 Revised: 04/01/2014 08/1812014 12:38 Harrell Remodeling, Inc. CUPERTINO TAX) P.001 CONTRAC'T'OR /SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Tone Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 9 PERMIT # /vp Y—o o G OWNEB.'S NAME: ge - e 1,.-,•d PxoNB # 4�p3 v Lo GEMM A.L CONTRACTOI : j r a R -C BUSINESS LICENSE # ADDRESS: 1 /�'�t�lLt �'ia L✓ c,, CITY/ZIPCODE: 9T V3 *Our municipal code requires -all businesses workingin the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULXD UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any, subcontractors: Signature Date Please check applicable subcoAtractors and complete the following information: ✓ SUBCONTRACTOR BUSMSS NAME BUSINESS LICENSE# Cabinets & Millwork Cement Finishing Electrical -S'¢°S �'��c7t-�� 3 y V►r�d' �y Excavation _ Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating ,, , • oZ d 4 3 Insulation Landscaping Lathing Masonry ,/'Painting / Wallpaper TA.,, i4 i,,,yj - ��p� : r C• �c b'YA3i-/.C,r S` f r Paving Plastering Plumbing�- Roofing Septic Tank Sheet Metal Sheet Rock Tile 0-j �--# 14rOOA6 -a - INSULATION CERTIFICATE Number Description of Installation ROOF Material Thickness (inches) /-4-� ,-.0 FILE City Subdivision Lot Number Brand Name Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type_C4 �r _ Brand Name v Thickness (inches) ,t j� Thermal Resistance (R -Value) Loose Fill Type Brand Contractor's min installed weight/ft2 Ib. Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 3. EXTERIOR WALL Frame Type A. Cavity Insulation Material Thickness (inches) B. Exterior Foam Sheathing Material Thickness (inches) 4. RAISED FLOOR Material Thickness (inches) 5. SLAB FLOORIPERIMETER Material Thickness (inches) Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches)_ Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) IC -1 Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, Ahere applicable. Wen h4x,7tz";-k� Item #s Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) or Owner Item #s Signature Item #s 09/16/2011 Signature Date Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) or Owner