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08010143 CITY OF�UPERTINO �� ��"!!��.��y� - BUILDING DIVISION PERMIT '1G�41�11�L'? A � + " 3. BUILDING ADDRESS: n PERMIT NO. 10380 LOCKWOOD DR TBD - TO BE DETERMINED 08010143 INER'S NAME: PERMIT ISSUE DATE BAYHA BARBARA A 01/25/2008 PHONE: SANITARY NO. CONTROL NO, ARCHITECT/ENGINEER: BURRING PERMIT INFO R & R /WINDOW IN GARAGE LIK BO EO PLO MEOCH �O Zp LICENSED CONTRACTOR'S DECLARATION Job Description 1 hereby affirm that I am licensedI under provisions of Chapter 9(commencing ^•• ^ ^^ P with Section 70150 of Division Sof the Resines and Professions Code,and my licevn is IS in full force" a ?f (' a„ Dim COmomor G q ARCHITECT'S DECLARATION 'd 1 understand my plana shall be used u public mcomis i° tad LmcnuJ Pnttcssional OWNER-aU11RER DECLARATION COI 1 Wmhy.(Term Not 1 1. cumpt from the fessions o License Law for the TOO following reason.(Section nR1.4Bua liar, and improve, Professions Code:Any ally ofcounty Ill! which requires a permit re cnreswc4 alar,improve,demolish,ri repair awmum _Zy poor mits censed .also momma the applicator for well Permit lOrile a ima.signed(Cha mem g < (a lar ialiccnwJputction7 the pmvivislom oftheBusines9Liccrelsw(C(Chapter Sq.Ft. Floor Area Valuation $ (co he I.e xempt Section and Th basis rth alleged exemption. Any Code)or thus he u exempt themfsom and Ne burs far We aiugcd esemptian.Any violation of Section 7031.5 by any applicant far a permit subjects the applicant at a civil penalty of APN Number Occupancy e not roam Nan five hundred dollen($500). P Y TYP ❑1,u owner offt property,"my employees with mages ar Weir sale compensation, will do the wmk.and the someone is notintended or OReeed forsau(Sec.7044,11mineu and Professions Cade:The Communes Limine Law nicest an,appy In an Owner of Required Inspections property who builds or improves tiesmem.and who does such work himel f m through his Own employee;provided that such improvements..at inuaEW moRemd fmaaia.It, however,the building oriceprevereent is sold within am year of completion,the owner- builder will love ties burden of playing that he did nal hold Or improve for purpose of sale-). ❑1,as Owner of the properly,am eaGudveiy contracting with licensed conoacmrs m cuustroct the project(Sec.7044.Business and Professors Code:)TW Commences Li- cone law dins not apply to an owner of properly who Wilds or impmvu Woman,and who contracts for such projects with a cmntiacmna)licensed pursuant to the Coroacmes License Law. ❑I oro saccula under See ,B&P C for this mean er Dau WORKER'S COMPENSATIONDECLARATION I hereby affirm under penalty of perjury am of die following dectanOmta: , ❑I have and will coinum a Cutificamaf Consent m self-iuuu for WarkehCamper- ration,as provided for by Section 3700 of the Labor Cade.for des performance of the work,for which this permit Is honed. I have and will..Intel.Wmkers COmpeusnlan law. .as required by Seeman 7700 o(the Lahor Cade.for the performance of the wart for which dues permit is issued. ' My Wat Cam names ltnuranco grim and Policy number am: Grtie IFI JC pattN MOM _ CE TIFICATE OF IXEMP170N FROM WORKERS' COMPENSATION INSURANCE (This seem need Out W completed if the permit is froom hundred dolWs($100) or less) I comfy Wm in the performance of the work far which this permit is issued.l shall not employ any person in my manncran as to became subject to the Worlana Compemamon Lama of California.Dau Applicant NOTICE TO APPLICANT.If,after making this Certificate of Exemption,you should become abject m the Worker's Competuaoon provisions of the Tabor Cada you most .,O forthwith comply with each provisions m this permit shall W doemed mvokcd. ,Zoe CONSTRUCTION LENDING AGENCY [mss iy+ Ilumbyallirat that them lsacouone than lending agency far We poll mmancoof (Yi the.,it far which this permit is issued(Be,,3097,Or.C.) W Q Lenders Name D z Lender's Addres U C 1 cenify that I have mem this appRution and sum that the shove information is corrin I agree an comply with all city and county ordinances and sues laws relating to rU^ building cowruction,and hereby uthorire mpmsenudves afthis city to occur upon the LV stove-mentioned property for Inspection pur)maea gy (We)agree to ave,indemnify and keep hmmles the City o(Cupertino agaimt ,.y h liabilities,judgments,casts and expenses which may In my way accrue against said City V Z in consequence of the granting of this permit. Fr AP ANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date S REGULA Ns. `Z _ e Re-roofs Signatuma ypliomracl r Dam / US MA D CLOSURE Type of Roof Will We apple forum building meup slam or handlchmamaus material defined by the Cupertino Municipal Cade.Chapter 9.13.and the,Health and Safety e, gemma M32(4)? All roofs shall be inspected prior to any roofing material being installed. a Will the applicant or fu't'ure building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove ..it hmsrdnu air moumiume,u dmncd by the Bay A.Air Qualty Management all new materials for Inspection. Diso ct7 Y ❑Yes 1 havemadthehusm0O 25505.25533 mcn5under Chapter Qhsofthe Wilding ria HcalW&Safctyham asecoou8505,255 nu moubgM.I to unary the cam c Wilding J t currently hart a esnan4 out It u my mspousihi'y m notify dtc occupant of the ro an.which IWm-4 leisoanneo cmcaeo"I'me y Signature of Applicant Date On) Dow All roof coverings to be Class"B"or better Owner or authonuJ ' CITY OF CUPERTINO ® CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM D 10 V3 APN# Z Z9 0/7. P Date: `— Z,5-- za Building Address: s 0 38'0 Mailing Address (if different from building address): Owner's Name: Phone #: 239 y0' 7 5-3 z � ��- Contractor: Phone: e, e y7cr f/s� /'y'mer c-a K 11o;"e ��TT" ���-� Fax: V." 7 Y( Yl� Contractor License #: 790 70' ® Cupertino Business License#: Contact: l2�! Phone: r Fax: Residential Commercial Job Description: b- l wi wda- :ti �r4�v I-,,\4� -(:o Z Doors � %v - S/0.0 Building Permit Info: Bldg Elect ❑ Plumb ❑ Mech ❑ Typ of Construction (Usage Class): Occupancy Type: 1 FR, 11FR ❑ 11, 111, V-lHR ❑ 11, ill, 1 V V-N Valuation: -;�-, y0 Square Footage: Project Size: Standard Large ❑ Major ❑ CITY OF CUPERTINO CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1 GENCOM 1BBOILERI For the installation or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h 29.31cw 1BBOILER2 Installation/relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption sys over 100,000 Btu/h 113130ILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h • 1BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower to &incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to &incl 1,750,000 Btu/h 1BBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 , horsepower, or ea absorption sys over 1,750,000 Btu/h 1 BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. IELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspections (per M hour 1PLMBINSP Other Plumbing & Gas Inspections P (per hour 1MEETINGIHR Application.Meeting B CITY OF CUPERTINO ® CUPE(�TINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1 GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL/DuplexNew B IACOUSRESAD SFDWL/Duplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B CHIMNEY'S 1 CHIMNEY Chimney B 1CHIMNEYR Chimney Repair B FENCES 1FENCE>6FT Non-masonry, over 6 ft in height B 1FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES 1FIREPLMAS Fireplace Masonry B 1FIREPLFAB Fireplace Pre-Fabricated/Metal B 1FLAGPOL>20 Flag pole (over 20 ft in height) B 1MODUSTRU Modular Structures B FOUNDATIONS 1FOUNDREP Foundation Repair B 1PILECAST Pile Foundation Cast in place concrete B 1PILEDRIV Pile Foundation Driven(steel, pre- B stressed concrete 3 of 5 4w CITY OF CUPERTINO CUPEf�TINO GENERAL BUILDING APPLICATION FEESCHEDULE .Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM RETAINING WALL(CONCRETE OR MASONRY 1RETSTN Standard (up to 50 ft) B 1RETSP310 Special Design, 3-10' high (up to 50 `) B 1RETSP10 Special Design, over 10' high (up to B 50' 1RETCRB< Gravity/Crib Wall, 0-10'high (up to B 50 ft 1RETCRB> Gravity/Crib Wall over 10' high (up to B 50 ft SIDING 1SIDESTBK Siding, Stone & Brick Veneer B (interior/exterior) 1 SIDEOTHER Siding all other B SKYLIGHTS 1SKYL<10 SF Skylight less than 10 sf B 1SKYL>lOSF Skylight greater than 10sfor B structural 1STAIRS Stairs-first flight/ea addt'l B STORAGE RACKS 1SRACKS<=8 Storage Racks 0-8' high (up to 100 sf) . B 1 SRACKS>8 Storage Racks over 8' high (up to 100 B st 1STUCOAP Stucco Applications (up to 400 sf) B additional stucco application 4of5 �- CITY OF CUPERTINO CUPEI�TINO GENERAL BUILDING APPLICATION FEESCHEDULE uanti /Sf Fee ID Q ty Fee Description Fee Permit Type Group 1GENRES or 1GENCOM I1 WINREP Replacement windows/sliding glass B door (ca 8 windows / 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1EPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck(hrly) M 1PLMPLNCK Stand Alone Plumbing Pln Ck(hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B when not over counter) hourly-stand alone 1TRAVDOC Travel &Documentation B 1BUSLIC Business License B 5 of 5 CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT' RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34229017 .00 DATE ISSUED. . . . . . . : 01/25/2008 RECEIPT #. . . . . . . . . : BS000003773 REFERENCE ID # . . . : 08010143 SITE ADDRESS . . . . . : 10380 LOCKWOOD DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER . . . . . . . . . . . . : BAYHA BARBARA A ADDRESS . . . . . . . . . . : 10380 LOCKWOOD DR CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-2616 RECEIVED FROM . . . . : EDWARD GREGORY CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMPANY . . . . . . . . . . : TBD - TO BE DETERMINED ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , ® TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- IBSEISMICR VALUATION 3, 740. 00 0 .50 0. 00 0.50 0. 00 IWINREP EACH 8 1. 00 367 . 00 0. 00 367 .00 0. 00 ---------- - -- ---------- ---------- TOTAL PERMIT 367 .50 0. 00 367 . 50 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- ------------------ CREDIT CARD 367..50 MASTER CARD --------------- TOTAL RECEIPT 367 . 50 ' P G APPROVED COPERTINO CODES wITH THE CITY 01 ^° SATE AND ORDINANCES —Z.f`_ac� This set of plans anMUS�ficatio� De kept on the ieb at a.'I times and it is un 1 lawful to make any Chan W on same whh;ut wriitengeS or alteration' W the building Dept., Cit Permission fron. . G 9 the stamping of this Y of Cupertino, °6 r SHALL Ptan and specifications i d NOT ba Geld to permit or to be ar. aPProval of the violation of any provision• C,) f any City Ordinance or )tate Law. ,� w 0 C� 0 o .f C� • r--03 .� 1poa Community Development L 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408) 777-3333 ' CUPEI1TINO 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 sectionof the City of Cupertino web site at: http://www.cui)ertino.org/citypovernment/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 - 60 dBA • 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:/Iwww.amlegal.com/cuoertino ca/ Greg Casteel Building Official rb � o W Qi .0 �a � d ' cn s, w 0 IW Z s ^� 5 ° c 0 D L 6,k ✓�y2sIlOp�� B J Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY Of Fax(408)777-3333 UPERTINO Building De artment JOB ADDRESS: PERMIT # © 314 C<.�r ��` Q 6rG0/K OWNER'S NAME: q PHONE #Y08 ` 2c?'3— Z (ea GENERAL CONTRACTO : of �4 ��t.e FAX # p� - ysSj — y6 iKIV I am not using any sit ontractors- Signattgj Date Please check applicable subcontractors and complete the 70W n information SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood Glass / Glazing Br ,�,� rn._ Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Z� Owner/ContraJSianatoDate