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28853APPLICANTTO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY CITY OF CUPERTINO BUILDING ELECTRICAL BUILDING DIVISION APPLICATION/PERMITPLUMBING-MECHANICAL BUILDING PROJECT' IDHIs TIFICATION PERMITNO. 28853 BUILDINGADDRFSS: 10-11 WA C4 4�(1 (0 SANITARY NO, APPLICATION SUHMITTAL DATE t0---� 0W : NAME: PHONE: CONTRACTOR'S NAME: LIC NO: • ♦ N/C CONTROL N LIU e E] RCHI'TECI'MNGINEF.R: LIC NO ADDRESS:/ O CONTACD PHONE: BUILDING PERMIT INFO ❑ Consultant Fees Paid by Applicant (Initial) BLDG P.Ie LICENSED CONTRACTOR'S DECLARATION Hereby arum that [:am licensed ander province., or Chapter 9 uammendng QTY. ELECTRIC PERMIT FEEI OB DESCRIPTION with Section 7001 of Division 3 oOhc Business and Professions Code, and my license is In full fmceand effect..' Liana Class om Ilam CContractor PERMIT ISSUANCE RESIDENTIAL' ❑SFDWL �4 ❑ KITCHEN REMODEL DIT'ION ❑PLUMBING RF, -PIPE JCMULTI-UNIT ❑STRUCUIRAL MODIFICATION APPLIANCES — RESIDENTIAL. ARCHITECTS DECLARATION I understand On, plans shall be used es public secaid, PANELS UPT02WAMPS El INTERIOR ❑CHIMNEY REPAIR IMPROVEMENT Licensed Professional 201-1000AMPS OWNER -BUILDER DECLARATION 1 hereby up. that 1 am exempt from the Cmunwa r'n Lierroc Law for the following reason. (Section TU 1.5, Business and Professions Code: Any -city or countySIGNS [I BATH REMODIiIJREPAIR (]DEMOLITION ❑ OTHER OVER ]IXIIIAMPS - ELECTRICAL which requir a permit to comWu6 alter, improve, demolish, m repair any structure SPACIAL CIRCUIT/MISC. prior to its Issuance, also requires the applicant for such permit to life a signed statement. that he Is Ilermed pumuantso the provisions of the Conna"o's License Law (Choptcr 9 TEMP. MITER OR POLH INST. COMMERCIAL: (commencing with Section 900(huf Division 3ofthe B.,mro rid Punfenions Cei that he is exempt Therefrom and the basis for the alleged exemption. Any violation of ❑ NEW BLDG/ADDITION ❑ DEMOLITION POWER DEVICES Section 7031.5 by any applicant fora permit subjeers the applicant to. civil pe idty of not more than five hundred dollars ($500). ❑I,asow.c,.f the property. Or my employees with wages atheirsNe compensation, will do the work, end the s0ucture is not intended or offered for sole (See. ]014. Business ❑TENAN9' ❑ FOOD SERVICE - IMPROVEMENT ❑ OTHER SWIMMING POOL ELECTRIC and Professions Code: The Contractor's License Law does not apply to an owner of OUTLETS—SWITCHES—FIXTURES property who builds or improves thereon, and who does such work himself or through his Own employees, pro, tried that such impmvedents are not intended mortared for N17W RESIDENTIAL ELECT'R SQ ff. sale. IL however. the building or improvement is sold within one your of completinitme will have hehuiden of proving that he didnot bulldoriniproveforpur- SQ. FJTI FLOOR ARCA /rte eA' $/SQ, FT. pcuhuilder nc of Hale.). I, as owner of the property, um exclusively contracting with licensed contractors to 9 TOTAL: construct the project Sec. 7014, Busine.. and Professions Costa) The Contractors Li- Ull Iggc cense Law does not apply to an owner of Tropism who builds Or improves thereon, and who contracts for such projeeu with o contraclood licensed pursuant m the Contrecmis Q'I•Y, PLUMBING PERMIT FEE �h k� L `11/�i PERMIT ISSUANCE License Lew' EI I am exempt under Sec. ,B&P C for this recon A' gv ALTER - DRAIN & VENT- WATER (EA) Owner nate VALUATION BACK FLOW PROTECT, DEVICE WORKER'S COMPENSATION DECIARA'1'ION lo I hereby affirm tinder penalty of penury one of the fulkiwing declum06ns: DRAINS —FLOq OF, AREA, GOND, I have and will maintain a Certiflcule of Consenno self-innum for Workees Cooper- as provided for by Section 3700 of the Labor Code, for the performance of the - STORIES TYPE CONSTRUCTIONsation, work for which this permit is issued. FIXTV —PER TRAIN ❑ I have and will maintain Workers Compensation Insurance, as required by Section 37W mine tabor Code. for he profonn...cofthe work far which this permit is ismed. My Warkels Compensation Insurance carrier and Policy number are: •AS—EA.SYSTEM-ll .4 OUTLETS OCC. GROUT' qPN Carver: Policy No.: GAS — EA. SYSTEMOV 4(EA) CERTIFICATF:OF EXEMPTION FROM WORKS COMPENSATION INSURANCP (Thisnerimunait not lecnmpI d fthe permit- r onehundreddcian, (SIM) ur lm,.) ORHASEANDUSTRL WA, FE INTERCEPTOR BUILDING VISIOfJ,FEES GRHASE TRAP PLANCHECK FHT? SEWER—SANITARY—ST )RM EA. 200 F1'. I rarity that in the perlurmmme of the stork biclt thisperntit in issued.I shall not employ any person in any manner so us m hecom sohjen m the Worker%Compen- ENERGY PEE WATER HEATER WNE Ii1.ECTR onion Laws of Califomia. DUR Applicant t GRADING P NOTICE TO APPLICANT. If, after making this C i@am of Excmplinn, you shoal become subject tO the Worker's Compensation prat cions of the hor C u forthwith comply with such provisions or this pe tshall be de a, a TE SYST EAT) G A 'EQVIC SOILS F r PAID CONSTRUCTION LENDI GAG17NCY N -1- 1k L PLMH SQ, PT. IMreby affirm thauM1em ixucoruwction l riding rtgencyl n cperformunc�o _ m K eiptN the work for which this Iwrmit is issued (Sec. 309 , Civ, C.) 'TOTAL: Carrier', Name Lendefs Addmss TOTAL: B L N FEE I certify Nat 1 have read this application a it We that the above information is correct. l agree m comply with all city and county Mummers and store laws beatiad, building construction. and hneby andanu refuse natives of this city to enter tae QTY. MECHANICAL PERMIT FEE, SEISMIC FEE shave -mentioned pmpeny for inspection purposes. (We)agree m save. indemnify and keep ria less the City of C no agaimr PERMITISSUANCE ELECTRIC FEE liabilities,judgments. costs and expenses which may anywayacc againstsaid City in asequence of the granting of this permit. ALTER OR ADD TO MEC,. PLUMBING ff AIR HANDLING UNIT (TO 10,OtII1CPM) MECHANIC .FET: A ]AREG AERSTANDS AND WILL COMPLY WITH ALI,NON-POINT SOD CN REGI�.ATIO 'Osx '�(( AIR HANDLING UNI'I'(OVBIt 10,000 CUM) CONSTRU IONTAX EXHAUST HOOD(W/DUCT) net eo spPlicrun nntracmr V Date -HA RDOUS MATERIALS DISCLOSURE HOUSING I'TIGATION PEE HEATING UNIT TO 10i BTU) Will theapplicam o,(umre Wildingmeupants..re Or handle haz.rdim, mated.] as defined by the Cupeninu Municipal Code, Chapter 9.12, and the Health and Safety Code, Section 25532m)? HEATING UNIT(OVER 100,000 HTU) F1 Yes ONO Will the applicant tim r future building Occupant use equipent or devices which 'e mit W.Olou, air comami..nts ns defined by the Bay Aro Air Qaulity Management DisaicB ❑Yes F7No PAID DmcecciptN VENTILATION FAN (SINGLE RESID) BOILER— COMP OR 100,000 BTU) TOTAL: 0011.13R— COMP (OVER lIX),0019TU) - AIR CONDITIONER T have teed the Transactions materials requirements under Chapter 6.95 of Ne Cali- ISSUANCIVATE NEW RESIDENTIAL MECFl. SQ. FT. funis Health & Safety Code, Sections 255051 25533 and 25511.1 understand dam if the Wilding does nee cumntly have s ten rs0thrt it is my responsibility to notify the occupant of the "at. .. which must i, met prior to issuance o(a Ceeificam of Occupancy. ISSUED BY, Owner or authorized agent - Data TOTAL: OFFICE • KENNETH NELSON Registered Civil Engineer 9401,tSaratoga Ave. Suite 215 San Jose, California 95129 (408) 247-2898 • August 16, 1995 Job No. 956075 Building Inspection Department City of Cupertino 10300 Torre Ave. Cupertino, CA 95014 ?xv * FA7? f q l (S*7 PLM PLANS az Subject: Existing one story wood framed residence at 7874 Robindell Way, Cupertino, Ca. 1978 Remodel Gentlemen: At the request of the owner's agent, Mr. Jack Rosenthal, an inspection of the subject property was made by the undersigned. The inspection was made on July 27, 1995 to examine the construction of the subject residence. The existing one story residence was built approximately 35 years ago and appears to be in good condition. The wood framed roof system has a composition roof over solid sheathing. The stud walls are 2x4 @ 16" o/c with 1/2" gyp board interior finish and stucco exterior. The floor is raised wood framing with perimeter footings. In 1978, the property was in the City of San Jose and permits were taken out to add approximately 90 square feet to the Master bedroom and to convert approximately 300 square feet of the original garage to living space. Since the remodeling was done, the property has been taken into the City of Cupertino. Research of the City records does not indicate any permits, however, the County Tax Assessor's records indicate two permits were issued from San Jose and an appropriate increase of the square footage for tax assessment (#78-02,#78-03) APN 362-19-028. In my opinion, the remodeled area was constructed in accordance with the Uniform Building Code and all other applicable City or County ordinances in affect at that time. I therefore recommend the issuance of a permit and final approval for the remodeled area. UFFlCE COPY RESSM UR T 61995 DLDG: C T11 Gt CUP_RO . • Page two Job No. 956075 Pi My services consist of professional opinions, conclusions, and recommendations made in accordance with generally accepted Engineering principles and practices. I have made reasonable efforts to ensure that this report is accurate, however I cannot assume any liability for damages which might result from it or for any conditions which this report might fail to disclose. If there are any questions regarding this subject, please contact my office. Very truly yours, �' Vt iso. ?202,1 K th Nelson # Litc,�, � Registered Civil Engineer #22023 • KN/kn r4� CIVIL OF CUI0P cc: Mr. Springer Mr. Jack Rosenthal, Remax Realtors 0 - • ���,�.-tr�?1- �mn off. /: L� � � 9�- i,S' � � � - J � L � �i �' �61 �'-) � '°� • The Information Provided Is Deemed Reliable, But Is Not Guaranteed. = M E T R 0 S C A N P R O P E R T Y P R O F I L E_ Santa Clara County ******************************************************************************** •< < < OWNERSHIP INFORMATION > > > * Owner :SPRINGER CHARLES W Parcel No :362 19 028 * CoOwner Bldg Id No:l * Site Address:7874 ROBINDELL WAY CUPERTINO 95014 * Mail Address:7874 ROBINDELL WAY CUPERTINO CA 95014 * Owner Phone :408-255-2192 * Tenant Phone: * < < < SALES AND LOAN INFORMATION > > > * * * Transferred :12/14/92 Loan Amount :$20,200 * Document # :11687881 Lender :PRIVATE * Sale Price Loan Type :PRIVATE * Deed Type :GRANT DEED Interest Rate:FIXED * Owned :100 Vesting Type :MARRIED PERSONS * * * < < < ASSESSMENT AND TAX INFORMATION > > > * * * Land :$125,349 Exempt Type * Structure :$169,792 Exempt Amount: * Other Tax Rate Area:13070 * Total :$295,141 94-95 Taxes :$3,223.42 * % Improved:58 * * < < < PROPERTY DESCRIPTION > > > • * * Zoning :R1B6 RES SINGLE FAMILY RESIDENCE Map Grid:64 E1 * Land Use:01 RES,SINGLE FAMILY RESIDENCE -- Census -- * Sub/Plat:HUNTINGDON VILLAGE Tract :5078.04 * Legal :TR 2591 LOT 47 Block :3 * * * * < < < PROPERTY CHARACTERISTICS > > > * Total Rms:6 Bldg SF 1 Units Year Built:1960 * S 4656 Bedrooms :3 Lot SF :6,098 Patio :NO EffYearBlt:1960 * Bathrooms:2.00 Lot Acres:.14 Porch :YES Garage Sp :1 * Stories :1 Lot Dimen:61x100 Elevator : Garage SF :230 * Dining Rm: Cnt1Ht/Ac:HEAT ONLY Lease SF : GarageType:CARPORT * Family Rm:l Pool :NO Office SF: Bldg Cond :AVG * Rec Room : Fireplace: Sprinkler: Bldg Class:6.0 * UtilityRm: Sauna 1st F1rSF:1,219 Bldg Shape:L-SHAPE * Water Src: Dishwsher: 2nd FlrSF: WallHeight: * Elect Svc: Tennis Ct: 3rd F1rSF: AdditionSF:437 * Gas Svc FrameType:WOOD Rental SF * * * * ******************************************************************************** • The Information Provided Is Deemed Reliable, But Is Not Guaranteed. 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