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15070096FA CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7854 FESTIVAL DR CONTRACTOR: GEORGE A JULIAN PERMIT NO: 15070096 CONSTRUCTION OWNER'S NAME: CHAO PAUL P AND LYNDA B 1360 DONOHUE DR DATE ISSUED: 07/14/2015 OWNER'S PHONE: 4088868717 SAN JOSE, CA 95131 PHONE NO: (408) 464-8991 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ REMODEL (E) 130 S.F. KITCHEN (NO STRUCTURAL License Class Lic. # S a 1 0 3 CHANGES) Contractor (ffme;&� —sltIler,.. Date '71)q/ 19- 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: $20000 o—ance of the work for which this permit is issued. 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. APN Number: 36215029.00 Occupancy Type: 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 LED 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 i 7// Lfk— granting of this permit. Additionally, the applicant understands and will comply s 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: 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.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 I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner permit is issued. or authorized agent: Date: 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 CONSTRUCTION LENDING AGENCY 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(afcupertino.org l �D� O 19, ❑ NEW CONSTRUCTION ❑ ADDITION . ❑ AL'T'ERATION / Ti ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS 21-cFeS FVO APN # 3 V y - er-F� no OWNER NAME LAI CLxn PHONE Q n /- Q 7 J 9 E-MAIL STREET ADDRESS1 (X CITY, STATE, ZIP FAX CONTACT NAME PHONE ` �( E-MAII _ cyny6 bT cru r co�I STREET ADDRESS r S(o D N / �� , r a `i CITY, SATE, ZIP C S r ` FAX Q L 1 3 OWNER Q OWNER -BUILDER ❑ OWN'ER AGENT ❑ CONTRACTOR ❑ CONIRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME /' _ .;Tu l I, LICENSE NUMBER a O LICENSE TYPE 1� BUS. LIC # COMPANY NAME / E-MAIL r FAX STREET ADDRESS 4 O Pok,,D� D CITY, STATE, � Fs' P NE Iq ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK Z ^',-O crta -o co"_Va , P C! 2) 1 k i-� 11 p)tj A ) o C4 F (z 4 e^-) CZP PpC*e_-r=- f*0_D ez'-I' s "-' - EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA _ BATHROOM REMODEL AREA KITCHEN REMODEL AREA k O OTHER REMODEL AREA PORCH AREA DECK TOTAL DECK/PORCH AREA GARAGE AREA: DETACH I []ATTACH # DP,'ELLING UNITS:A SECOND UNIT ❑ YESfADDITION7 11S COND STORY ❑YES ING ADDED? [I]NO [:]NO PRE -APPLICATION El YES IF YES, PROVIDE COPY OF THE BLDG AN ❑ YESD BYf- - -"'"'� -_ '' TOTAL VALUATIQPLANNINGAPPL# ❑NO PLANNNING APPROVAL LETTERCHLER HOME? ❑ NO 0 - a - -2-00 By my signature below, I certify to each of the following: I am the property owner or authorized aee act on the p<erty oHm a al . d this application and the information I have provided is correct. I have read the Description of Work and verify it i ee to comply with all applica Ie local ordinances and state laws relating to building on ruction. I authorize representatives 'of Cupertino to ent [e above -identified property for inspection purposes, SignatureofApplicant/Agent:� Date: SUPPLEMENTAL INFORMATION REQUIRED 3 � = � ROUTW SL -a- New SFD or Multifamily d\vellings: Apply for demolition permit for �� OBER THE COUNTER { ' BUILDINGPLAIiRE existing building(s). Demolition permit is required prior to issuance of building a r i Hill permit for new building. Commercial Bldgs: Provide a completed Hazardous Materials Disclosure }I]ExPxEss srAjrDARD r� �© PLAN�'INLANREyZE:.. UB wo _ form if any Hazardous Materials are being used as part ofthis project. _ " _ Copy of Planning Approval Letter or Meeting with Planning prior to -MAR -'rl'7lRYSER'ER�IST submittal of Building Permit application. - _ _CT �, i - liA,YSROJ�MEIITAL ;i_.1Llli, BIdg.4pp_2011.doc revised 06121/11 CITY OF CUPERTINO N -W.4, FEE ESTIMATOR - BUILDING DIVISION NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711113) 7854 FESTIVAL DR DATE: 07/14/2015 REVIEWED BY: MELISSA JimADDRESS: APN: 36215 029 BP#: "_5 -6 Q fk *VALUATION: 1$20,000 *PERMIT TYPE: Building Permit 1, PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: L PENTAMATION 1 R3SFDREM PERMIT TYPE: WORK REMODEL E 130 S.F. KITCHEN NO STRUCTURAL CHANGES SCOPE NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711113) `blect2. QTY/FEE MISC ITEMS I'llori"..l e?-wid Fee: E er..�'3er'7ih ()Ther Xferh. 1ns/J.E1__1_ f ).•'3I£'?' I�1Ftm°':I> 11J1'jl. 01her.E"It7c, ln'v'. ET ;i%£:£:1'1. �t7.4')?. )'cc': �'9t`tdzY.•'L;..,??,?.fi3, .e'£:£:: Pil£:£:..�itSf:..I'E%£:: NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 =s.f. $645.00 Remodel, Kitchen (<=300 sfl IREMRESKIT Suppl. PC Fee: (D Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ;t tr °ti��fa Tax. Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 i t .;. �c sorc:taErtir�n I E : s: Strong Motion Fee: IBSEISMICR $2.60 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $3.60 $645.00 TOTAL FEE: $648.60 Revised: 07/02/2015 J F k? u z k ''ixiTu D1?zvee7 vat , 117�J¢ CRtS'.�C� kD �cctN;L?f? i� J ! 1JJy1�111 I% uJ �1 ,jam i vm IL 3� ay.-Pc.,eor l4.",o r v-0 5 4-uk 20a" PA 19" 1647' 127" 1 ---- 148" .. i 36" 24" 30" 24" - — 24". w —`ice• 7� 127}.. 39" --f— 24" - �� 30" 24" 24": - -- N W30 12L W2 A. W24381 W3818 U249424L B24 3DB24 --J1J:COMMUNI ^�- n� .. .--- oVENT - SUILDIN,', ,� - CL A- This set of plans and spel cifica+ ons job site aurinq c oneratioInsam rr'� ch3rgs or alt ratioorthey « PP_efrom, _with.out a r ...._.._....-- -- . __.........- -- ----- 815R 24.DISHW 838-2 B38he stamping of this plan N 17" N204" { H 111`D 2 be he!d to permit or to i.TIJ I ai CA 038 W3038�L WA ` �� VFeinnn 30" �/ 15" /— 36" --/ 24" 36" 36" 24" —7L-............_... 474" --".- — 294- // ---- 129}" 30" /Z 9.. iZ 464" — �� 30" �— 30" - i7 12"1/ 275" OFFICE COPY -7-2-S-4 ,S-fii ✓, I In All dimensions -size designations given are C `^ 2 Y (t > v CA 6(!;04 subject to verification on job site and adjustment to fit job conditions. -7 T7 S37y be kept at the to male any oviate ;3 Official. HALL. NOT ,,ic; �tivn �-/Y �s- i '9uildit�q p�tvO apa JVL Irtrlant -REVIE 4 FOR11 eu CAVE �aV'awed By.Com/ASCE This is an original design and must not be Designed: 2015-6-6 released or copied unless applicable fee has Printed: 2015-7-14 been paid or job order placed. zhao kitchen 713 Fp 1 I Drawing #: 1 ._..._.----__-.__..._...___._..._._......_.._._ 148" 36" --�— 24" z— 30" 24" –�� 24"( 20-' ,� 127=" cV � Y — 39" 24" 30" T 24" – —I 24— IC 30" —f 15" f— 38" —f— 24" 38" — ,� 36" 89" 24" - f 474" X04" 20N" ,' 129}" 30" T 48}" yL— 30" 30" ,7 12 rigzzl 7 275" LM 6- W 9UU�Rrw y "T oepar O E�,EC h?pi5 �e�,Lwea O R COpE COM 8y �--�� �� lA hr., All dimensions -size designations given are subject to verification on job site and adjustment to fit job conditions. This is an original design and must not released or copied unless applicable fee has been paid or job order placed. .Designed: 2015-6-6 Printed: 2015-7-14 zhao kitchen 713 JFp 1 Drawing #: 1