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08080102 CITY OF CUPERTINO s'-ir � ✓'.<, ter BUILDING DIVIs10NPERNIIT COLI'f12'AC�T�(J,RI,iV0RMATEa. BUILDING ADDRESS: PERMIT NO. '/927 BELKNAP DR AMERICAN KITCHEN & BATH 08080102 OWNER'S NAME: i'ERhin'ISSUE DATE 11, C.AR1,SON RICHARD J AND JOANN 1758 JUNCTION AVE UNIT D 08/14/2008 NE: (408) 436-8151 SANLTARY NO, CONTROL NO. ARCHRER/ENGINEER: BUILDING PERMn'INFO BLDG E (�tS PLUMB MECH I� Q I� u0i] LICENSED CONTRACTOR'S DECLARATION lob Description m 1 thereby afamn that 1 w licensed under provisions of Chapter 9(commencing IJ °ZZJ� w"Sae' 7011) uon3oftheBwarmas MR essm Co hada i cnseis RMD BTHRM &ADD DEDCTD LINES FOR OTLTS&LITE REPLC ^=N infnnfmce "in, pqz LimeweCom PLMBNG FXTRS a12q Dam Comment 1 �qq'Y HffECI'S DECLARATION W3< I understand my plana shall he used as public me. itC Licensed professional. x 3 OWNER-BUILDER DECLARATION ri�E 1 hclebY afrm that 1 am exempt from the Contractor's se law for IIx p o following won.(Section]051.5,Business and Profeadons Codd: y city m county $ which mquiles•permit to conswcL alms W prow,demnli h,ear rtpoir any anucture '. zi But heiuiensedpmmuntnthe thavppns,of me Contractor's Ne a,Law(Cammw finBut arenuccwitpunwnl70M)ofDwiomaflMGmma.andPruelaw(Chapmf9 Sq.Ft.Floor Area Valuation (amnmencngwithsuvon7Boo)mpi lon3artixauaincm.nd oreulonsCade)ur $15000 yu`< Nat M is exempt therefrom and the baste for the alleged exemption.Any violation of Section 7031.5 by any 1pplicam for.permit subjects the applicant to a evil ..]%,at Occupancy Type mK mom dun fiw hundred dollars(SM 36208042 .'Vl7' p y yp I,u owner of Ne property.a my employee wiN wages u they sole compensation, will do the work.and the muaart N at amended murtertd fm sale(Sec.70N,Budncon Required Inspections and P :T rofcadons Cade: m e Committees License law docs ml apply an e ns owner of q p property who Wildscrimprov thereon.and who doessuchworkhimselfmthrough his own employes,provided that such improwmenu are notinundN mo@red for.sale IL hmcwr.the Wilding m improvement is sold within arc year of completion,the owner. Wilde will haw the harden of paring chat k did rot btild or improve far purpose of sale.). 1,An owner or the propcny,!m a termly contracting with licensed comractom m construct the project(See.7000.Business aha Rofudona Code,)The Contacted.U. cense law dors not apply to an owner of property,who builds a,improwa ft.,and. who contracts for such pmjects with a antr.cmrn)licensed pursumt to the Conamctor's License law. ❑lamecreplunde See .BAPelormi. n Owner Data WORKER'S COMPENSATION DECLARATION I hamby shire under penalty of perjury one of tite following declarations I haw and will maintain•Certificate of Conant m self.a.m.for Wartier'.Comma. .anon,as p,wided re,by Section 37100 of the labor Code.for the perrarmmte of the work ler which this permit is issued ❑I haw and will maintain Waster's Compensation Insurance,as rcquiled by Section J]00o(dm labor Code.Im the pertormance of the wah fm which ties permit' ansae. a My War ompemation vertex unit and Policyrm G IFI Policy No.: -fes'�jL ERI'IFlCATE OF S PILON FROM WORKERS' COMPENSATION INSURANCE (Thu section need mlbccareplemd lfthe permit is foram hundred dollars(SIM) ' m les) I unify dist in the performance of tk work for which this permit is issued.I.hail am employ any person in any manner an as m become subject to the WoMuV Compensation Laws of California.Dam Applicant NOTICE TO APPLICANT:If.afar making this Certificate of Exemption,you should become a.him to Ne Worker.Compensation provision of the Labor Coda,you raw �0 forthwith comply with each provisions m this permit shall W doomed newkcd. Z� CONmucriON LENDING AGENCY [-v IWrehy affirm that there is a consanctuna lending agency for its performance or !Yitiro work(a,which this permit is mural(Sec.3097,Civ.C.) uJ Q L<Mers Name i::)Z Landers Address U Q 1 ertify that 1 haw lead this application and sum that tho abow isdamation u !' concert.l agsoe comely with all cfry aha county oNinsncu and sum laws mining m 0 SV' Wilding conswc n,and hereby auNorim rtPmwnuuwa of this eitY.came upon Ne shave-menlivadp pony fm inspection purposes 4 ( !gra% saw,inde and kap harmless the City of Cupertino against t.h lilbilitie, green caste en w may in any wayamue against aid City 1 z in conscq def o emit. souncA N A D A WILLCOMPLYg1t'ALLdiON-POINT Issued by: Date Signam a I` ,LVwV/ II'�!K�11/O�J�s Re-roofs / ° Ilyawapou ATERcupant aworhaRE Dam Type of Roof dl app4antm(uuuc ding mcupanlsmmmhandlchmrdow material u deM by Cupertino Municip 1 Code.Chapmr 9.12,and the Health and Sarcly Code,Sec 25532(x)? �� !!!!/ ❑Ya r{pNo All roofs shall be inspected prior to any roofing material being installed. Will thea scant ae mmthle building�u nt as If a roof is installed without first obtainingan inspection,I agree to remove PP g W ea Air Qu or devices which IY g kit ha'rallous ter contaminants u de0ad by the Bay Area Air Quality Mangemcnl all new materials for inspection. District? Q AN. haw dx hes owe mquimmew under per G95 ftix Califon ma th&SyC 533anJ2 xii th ase Wilding does c n as romeambility dfjtheupoJn�at the rtqu' n t in eoraCorti a` xel`/e/ Signature of Applicant Date owaq,k aamor;rcd agent T Dow. . All roof coverings to be Class'JW'or better CITY OF CUPERTINO • 4 ITEMS OF 4 PERMIT, RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36208042 . 00 DATE ISSUED. . . . . . . : 08/14/2008 RECEIPT # . . . . . . . . . : BS000005793 REFERENCE ID # . . . : 08080102 SITE ADDRESS . . . . . : 7927 BELKNAP DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CARLSON RICHARD J AND JOANN ADDRESS . . . . . . . . . . : 7927 BELKNAP DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4973 RECEIVED FROM . . . . : JOE WARTENBERGH CONTRACTOR . . . . . . . : WARTENBERGH, JOE LIC # 21316 COMPANY . . . . . . . . . . : AMERICAN KITCHEN & BATH ADDRESS . . . . . . . . . . : 1758 JUNCTION AVE UNIT D CITY/STATE/ZIP . . . : SAN JOSE, CA 95112 TELEPHONE . . . . . . . . : (408) 436-8151 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL -------- ----------- ------ ---------- ---------- ---------- ---------- 113SEISMICR VALUATION 15, 000 . 00 1 . 50 0 . 00 1 . 50 0 . 00 IREMRESBAT SQ FEET 63 . 00 429 . 00 0 . 00 429 . 00 0 . 00 1.STPLNCK HOURS 1 . 00 122 . 00 0 . 00 122 . 00 0 . 00 IWINREP EACH 8 1 . 00 367 . 00 0 . 00 367 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 919 . 50 0 . 00 919 . 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 919 . 50 MC --------------- TOTAL RECEIPT 919 . 50 • �CC CITY OF CUPERTINO • CITY OF CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN# 3�a 0 go ya () 0 Date: Building Address: yq-z-7 t Mailing Address(if different from building address): �t Owner's Name:' Phone#: F R , �C 2 IS 4S 0.77 Contractor: Phone: AMERICX!,j KiT;C;-_' _e.9 & BATH t)BA BATH V-, Fax: Contractor License#: 175E JUNCTION AVE., #D Cupertino Business License .N JOSE, CA 95112 2 3l( Contact: Phone: /-/o eq • Fax: Residential Commercial ,fy Job Description: `�-� �- i+ .":`-% `"C. ,�.. ?-1O Cw t�+�"—{ x<s Building Permit Info: Bldg Elect Plumb Mech Type of Construction(Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ 11/1II B, IV-HT, V-B �s ZK-)(�� `J� Valuation: Square Footage:l / 3 � f�� (, Project Size: Express❑ Standard ❑ Large❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the application or if applicable,include in plan set& the sheet index. Points Achieved: • For help,contact Build it Green at www.buildit reen.or Revised 7/01/08 CITY OF CUPERTINO 4 . ADDITION/REMODEL CITY FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft ADDITIONS 1R3SFDADD PLLONGRNGR Long Range PL Planning/Residential 1R31NSP Dwellings Inspections B IR3PLNCK Dwellings plan check B iR3REPINSP Dwellings Repeat B Inspection 1R3REPPLNC Dwellings Repeat Plan B Check 1R3HINSP Dwellings Hillside B inspection 1R3HPLNCK Dwellings Hillside plan B check 1R3HREINSP Dwellings Hillside B Repeat Inspection 1R3HREPLNC Dwellings Hillside B Repeat Plan Check IR3ALTINSP Dwellings Alternate B Materials Inspection 1R3ALTPLNC Dwellings Alternate B Materials Plan Check 1PCESS Cesspool p 1PPRSEWG Ea. Private Sewage P Disposal System IPRSEWER Sewers P 1BPSPRINK Lawn Sprinkler/Backflow P IBPWSVCS Main Water Service P 1BSEISMICRE SeismicResidential B DECKS 1R3SFDADD OR 1R3SFDREM 1DECKWOOD Deck (Wood)-Each B Each 1DECKRAIL Deck Railing-Each B (Each) CITY OF CUPERTINO ADDITON/REMODEL 0 FEE SCHEDULE Quantity Fee ID . Fee Description Fee Group Permit Type Sq Ft GARAGES 1R3SFDADD OR DETACHED IR3SFDREM 1GARDTW<=1K Wood Frame up to B 1,000 SF (each) 1 GARDTM<=1 K Masonry up to 1,000 SF B each) BCONSTAXR Construction Tax Res (new detached garage) PATIO'S OPEN IR3SFDADD OR IR3SFDREM 1PATIOWOOD Wood Frame up to 300 B SF 1 PATIOMETAL Metal Frame up to 300 B SF 1 PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR & SUN ROOMS 1R3SFDREM 1PATIOENCLW Enclosed Wood up to 300 B SF 1PATIOENCLM Enclosed Metal up to 300 B SF 1 PATIOENCLO Other Enclosed Patio up B to 300 SF 1COVPORCH Porch Covered-Each B Each REMODELS 1R3SFDREM 1REMRESKIT Kitchen Remodel up to B (Deduct "$"for ea plan 300 SF check 1REMRESBAT Bath Remodel up to 300 B SF 1REMREOTH Other Remodel up to 300 B SF 1REMRES2 Remodel Residential B Greater than 1000 sq ft 1REMRES3 Remodel Residential B Greater than 2500 sq ft. CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type Sq Ft REMODEL PLNCK --7— ISTPLNCK(1-3 for Standard Plan Check B NOT FOR OVER THE remodel) COUNTER PLAN CKS. 1REROOFRES Residential Re-roof Each B 100 SF WINDOW/SLIDING 1R3SFDREM GLASS DOOR 1WINREP Replacement windows B ea 8 windows) 1 WINNEWNSTR New Window (non- B structural) I WINMEWSTR New Window (Structural B Shear Wall/Masonry) 1WINBAYSTR Bay Window (Structural) B SKYLIGHTS 1R3SFDREM ISKYL<10 SF Skylight less than 10 sf B 1 SKYL>10SF Skylight greater than 10 B sf or structural 1STAIRS Stairs-first flight/ea addt'l B IEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln E Ck (hourly) 1MECPLNCK Stand Alone Mechanical M Pln Ck (hour] IPLMPLNCK Stand Alone Plumbing P Pln Ck (hourly) CITY OF CUPERTINO ADDITON/REMODEL 0 FEESCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type S Ft 1BSEISMICRE Seismic Residential B 1TRAVDOC Travel &Documentation B' 1BUSLIC Business License B • i I AMERICAN KITCHEN AND BATH - BATHROOMS BY HANS. 1758 Junction Ave # D San Jose Ca. 95112 • Ph. 408-436-8151 Fax 408-436-8153 Cell 408-313-4972 Lic. 513838 6/30/2008 Master bathroom remodel estimate for Mr. and Mrs Rich Carlson 7927 Belknap Drive Cupertino Ca 95014 408-255-0774 Remove sofit, wall, toilet, shower, vanity, shower and flooring. Remove debris from premises and prep. Material handling included. Install wood blocking for grab bars and shower door support. Frame shower pan dam, sides and slopes. Install tile drain assembly Frame for comer seat in shower. BM �p SHEET Hotmop shower pan area and seat. Install new customer supplied mixing valve and shower head. Supply and install new window in existing location. Window allowance$250 Center light fixture location above sink—� 1��'b"' 2n p!x Install 2 gfic electrical outlets on dedicated circuit. e�z 20 Av b 1y11vl4f/4e�el' Install recessed light above a§ SkkcYy�(r CO U—ru+ 5�� Supply and install Panasonic FV-11 VQL4 Whisperl-ite Fan on separate Decora style switches. Sheet rock repairs on ceiling and walls as needed in bathroom. Install water resistant wall boards in shower area. Texture bathroom walls and ceilings. Supply and install 21"x54" Maple Toffee Merillat Masterpiece vanity with Fairlane door. $950 • Fabricate and install granite top, 22"x54", with undermount sink cutouts, and 5''high sp asf}es. Fabricate and install granite window sill and shower seat. Install customer supplied faucets and sink. Install new drains, stops and supply lines for sinks. n Install and grout customer supplied tiles in shower area, in standard pattern. Install full height mirror with beveled edge and light fixture cutout. Supply and install SE-1600-54 Euro Style shower doors. Chrome/clear. Allowance$600 Install customer supplied grab bars, tp holder, towel bars, light fixture, medicine and cabinet. �G� Install customer supplied toilet on completion. Install customer supplied tiles for tile floor in shower area in standard pattern. Install wood base boards in bathroom. Supply drawings and handling of building permit. Permit cost not included. Bathroom and bedroom remodel labor and supplies. $14,440 IN ACCORDANC7F C'?H THE 00 � Home owner to supply permit cost, plumbing and light fixtures, tile, granite slabs annd accceessories.0 ��t�A�Dtt' Water or termite damage repairs are not included in this estimate. )ATF,__ Estimate is good for 30 days. 3oGWED This set of p;ar ;. , ahcations MUS.Thank you. De kept on th- ;t G t, p-s and it is un lawful to makr or olteratiom 90 some W" ^,.!.,n iron. the building Lc,., oaitmo. • The stamping c:tl. 'iLcation SHALL NOT L•;: h,,, c; h tie ai Johans Wartenbergh. approval of tk3 V;2140a z: (.4 p.V.'isMn 4 env City Ord iffirce 07 Vetw I-sw � 6' 11 � I • O 0 � u Closet • all Community Development 10300 Torre Avenue Cupertino CA 95014 CITY OF Telephone(408) 777-3228 � Fax(408)777-3333 J P E IST I N O Building Department All Cupertino building permits must meet certain conditions related to maintaining environmental quality and public peace and safety. The two most common conditions are described below. STORMWATER POLLUTION CONTROL State law requires that Cupertino, 12 other Silicon Valley cities, Santa Clara County and the Santa Clara Valley Water District control stormwater pollution. Educating local residents and businesses and enforcing stormwater pollution control laws are key parts of the City's compliance efforts. Stormwater pollution prevention: It's up to us In northern Santa Clara Valley, storm drains flow directly to local creeks and San Francisco Bay, with no treatment. Stormwater pollution is a serious problem for wildlife dependent on our waterways, for people living near streams and baylands, and for the local water supply. Common sources of stormwater pollution include: • Dripped oil, fuel, and antifreeze from vehicles and heavy equipment; • Construction debris, including dirt, concrete and paint; • Landscaping runoff containing pesticides or weed killers; and • Any material dumped or spilled into streets or storm drains The property owner and the contractor share ultimate responsibility for activities occurring at a construction site and will be held responsible for any environmental damage caused by subcontractors or employees. For more information on construction-related stormwater requirements, see the Stormwater Quality Regulations section of the City of Cupertino web site at: http://www.cupertino.orci/city government/departments and offices/ environmental services COMMUNITY NOISE CONTROL The basic noise control requirements for construction sites are as follows: • Typical construction work hours are: - Weekdays - 7 a.m. to 8 p.m. - Weekends - 9 a.m. to 6 p.m. • Construction other than street construction is prohibited on holidays. • Residential daytime noise levels from complaint site - 60dBA Nonresidential daytime noise levels from complaint site - 65 dBA For more information on noise control, please see Chapter 10.48 of the Cupertino Municipal Code, which can be accessed at http:llwww.amlegal.com/cur)ertino ca/ • Greg Casteel Building Official AMERICAN KITCHEN AND BATH - BATHROOMS BY HANS. 1758 Junction Ave # D San Jose Ca. 95112 "'Wo , , • Ph. 408-436-8151 Fax 408-436-8153 Cell 408-313-4972 1n A0Li0(51'3838-rjn CUPERTIIyO COOES aan no�INAtdCFS 6/30/2008 Master bathroom remodel estimate for Mr. and Mrs Rich Carlson )ATE 7927 Belknap Drive Cupertino Ca 95014 408-255-0774 3IGNEb Deck set m par nti ,nac,l,cations MUS' Remove soffit, wall, toilet, shower, vanity, shower and flooring. lawful topt on ti .t `s '.nd it is un Remove debris from premises and prep. Material handling included. la some with,u or alteration, Install wood blocking for grab bars and shower door support. the bulldin U° t., 'e mission fron. 8 P i t upertino. Frame shower pan dam, sides and slopes. The stamping of tI1;PLH ra ertinieations Install tile drain assembly SMALL NOT be held to perr'o or to be ar Frame for corner seat in shower. (ppnm, of the Violation of any provision Hotmop shower pan area and seat. City Onfmso at ylUte law. Install new customer supplied mixing valve and shower head. Supply and install new window in existing location. Window allowance$250 Center light fixture location above sink. �A, 1� Install 2 gfic electrical outlets on dedicated*circuit. �� 20 ' �`�G � Install recessed light above S'ILcxy esz to u-rL+ 5 p4U,0— , Supply and install Panasonic FV-11 VQL4 Whisperl-ite Fan on separate Decora style switches. Sheet rock repairs on ceiling and walls as needed in bathroom. Install water resistant wall boards in shower area. Texture bathroom walls and ceilings. Supply and install 21"x54" Maple Toffee Merillat Masterpiece vanity with Fairlane door. $950 • Fabricate and install granite top, 22"44", with undermount sink cutouts, and 5" high splashes. Fabricate and install granite window sill and shower seat. Install customer supplied faucets and sink. Install new drains, stops and supply lines for sinks. Install and grout customer supplied tiles in shower area, in standard pattern. Install full height mirror with beveled edge and light fixture cutout. Supply and install SE-1600-54 Euro Style shower doors. Chrome/clear. Allowance$600 Install customer supplied grab bars, tp holder, towel bars, light fixture, medicine and cabinet. Install customer supplied toilet on completion. Install customer supplied tiles for tile floor in shower area in standard pattern. Install wood base boards in bathroom. Supply drawings and handling of building permit. Permit cost not included. Bathroom and bedroom remodel labor and supplies. $14,440 Home owner to supply permit cost, plumbing and light fixtures, tile, granite slabs and accessories. Water or termite damage repairs are not included in this estimate. Estimate is good for 30 days. Thank you. • Johans Wartenbergh. 6' 11 J • . LCloset � JI Community Development 10300 Torre Avenue ¢� Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408) 777-3333 �UPERTINO Building De artment JOB ADDRESS:9 7� ( i�a� -&)K, � O J10 ( ,DO--PERMIT # ( ,D O 'S NAME: K �( - PHO # -a l 3 �4 2 GENERAL CONTRACTOR: Trt FAX #4 p 3(a. 63 Pit'El I am not using any subcontractors: e Date Please check a s d c applicable subcontractorom Tete th ollowin information: 60 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood IGlass-/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet R ck Tile ds r/Co actor t e Date �,�i...`l�: ��... • � .. - +i� .. � ..,I � _ ._ .. J - r � 1 i r , � " . ! . : /�