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12030046 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10344 VISTA DR CO�N1 LTA• CTOR: �IVi�X`Ji-t1-,5 Q>or/ PERMITNO: 12030046 OWNER'S NAME: NARA ALLAN AND SYLVIA TRUSTEE aCI/.� sc� DATE ISSUED:03/09/2012 OW'NER'S PHONE: 4084314647 PHONE NO: J�' LICENSED CON I'RACI'OR'S DECLARATION C. r r BUILDING 1'ERDI I'1'INTO: BLDG � ELECT PLUMBLicense Class Lic.# IO �1 Z� r r r �/IA,A1 alECll RFSIDEATIAL COMMERCIAL Contractor pEl(r�'t�'GT C- JqffAj4 n Date 3 rC I JOB DESCRIPTION:REMOVE AND REPLACE 10 WINDOWS AND 4 SLIDING GLASS 1 hereby affirm that I am licensed under the provisions of Chapter 9 DOORS ON BOTH SIDES OF A DUPLEX (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: 1 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$8700 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for die performance,of die work for which this APN Number:31633126.00 Occupancy'I)pe: permit is issued 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 FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, 7 p costs,and expenses which may accme against said City in consequence of the Date: granting of this permit. Additionally,the applicant understands and will comply Issued by: GfJM f/TG with all non-point sou cc regulations per the Cuperti o Municipal Code,Section 9. RE-ROOFS: Signature Date 4 'Z All roofs shall be inspected prior to any roofing material berg installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for 01' inspection. ElOWNI'1H-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 BETITR I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the stricture is not intended or offered for sale(Sec.7044, Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to IL\'LARIIOUS MATERIAIS 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. 1 will 1 hereby affirm under penalty of perjury one of the following three maintain earn plia are with the Cupertino Jl unicipal Code,Chapter 9.12 and the declarations: Ilealth&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 1 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[lay Area Air Quality Managemem'District 1 performance of the work for whichthis permit is issued will maintain compliance with the Cupyrtino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance;as provided for by the Health&Safety Code,Section .2 05 5533,and 2553)1 Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent:_ Uate: permit is issued. I certify that in the performance of the work for which this permit is issued,I shall not employ any person many manner so as to became subject to the Worker's Compensation laws of California. If,after making this certificate ofexemption,I CONSI'RUCfION 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. w'ork's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that 1 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 ,\RCIII'I'F,CI"S DECLARATION and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used m 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 7 6 5 Living/Dining Kitchen R�CF_`AVE� MAR U$ 2012 BY, .4q Bedroom 2 4 Entry Garage Hall Bath 3 Master Bath 2 Master Bedroom 1 UNrr A 1 70 1/4 X 45 1/4 XX 9.55 sq. NT 2 46 1/4 X 21 1/4 XO COMMUNITY NGDMSIONECUPERTINOEM temp/obs APPROVED 3 46 1/4 X 21 1/4X0 This set of plans and specifications MUST be kept at the /obs Job site during construction. It is unlawful to make any temp changes or alterations on same,or to deviate therefrom,without approval from the Building Official. 4 70 1/4 X 33 1/4 XO The stamping of this plan and specifications SHALL NOT 6.84 sq. be held to permit or to be an approval of the violation of any provisions of any City Ordinance or State Law. 5 701/4 X411/4 XO l BY HflT�/� 6 69 1/2 X 78 1/2 XO PD DATE j 9 — PERMIT NO. 7 139 1/2 X 78 1/2 O/XO PD .I OFFICE , COPY, 7 6 5 Living/Dining Kitchen Bedroom 2 4 Entry Garage Hall Bath 3 RECEIVED Master Bath MAR 9 2012 2 BY: Master Bedroom 1 ��✓;�� 1 70 1/4 X 45 1/4 XX 9.55 sq. 2 46 1/4 X 21 1/4 XO temp/obs 3 46 1/4 X 21 1/4XO temp/obs 4 70 1/4 X 33 1/4 XO 6.84 sq. 5 70 1/4 X 41 1/4 XO 6 69 1/2 X 78 1/2 XO PD 7 139 1/2 X 78 1/2 O/XO PD OFFICE COPY,,,, CITY OF CUPERTINO f A03�09`6 FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10344 Vista Drive DATE: 03/09/2012 REVIEWED.B%': Sean 2. -.ISAPN: 316-33-126 BP#: "VALUATION: $8,700 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY SFD or Duplex PENTAMATION 1 GENRES USE: - PERMIT TYPE: WORK Remove and replace 10 windows and 4 doors. SCOPE Plumb.Plan Cheek Eley Plew Ch.rl. S' : rii hcn Plund' Per•wn Fee: (.r„ loam! I— u,:r• +: ., ,•s,. 01110.Plwoh bap. Oduo Elm Imp Plumb.tnep.Fee; Flee.Imp. Fee. NOTE: This estin are 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 prelininan iu ornmtion available and are only an estinmte. Contact the Delojor addn'I info. FEE ITEMS (Fee Resolution 11-053 ER 71111/) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F-14-1 # Window/Sliding Glass Door Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $522.00 11FINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT O.Q [its $0.00 PME Unit Fee: $0.00 PA PME Penn it Fee: $0.00 C•nrt67rctun; Ina. 1Jnrinrsn,rtn,• 1. O Work Without Pennit? 0 Yes (D No $0.00 Advanced Plannine Fee: $0.00 Select a o esidential I'n n•✓I IJur ranrnt,rti,ea Fats' Building or Structure Strong Motion Fee: IBSEISkIlCR $0.87 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 �p�• SUBTOTALS: $1.87 $522.00 TOTAL FEE: $ 7 Revised: 1/19/2012 CONSTRUCTION PERMIT APPLICATION E2 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228 • FAX(408) T77-3333 • buildint:ecuoerdno.ora f o7)oO4& ❑NEW CONSTRUCTION ❑ DITION ALTERATION/TI ❑ REVISION/DEFERRED 0RIGlNALPER1,a7# PROTECT ADDRESS (�7( L uR CU Q �PN# -1 (0 - 3-06 ME OWNER NAt IV CI n PHONE OV ! q� E,MAp. STRIEFTADDRESS O CITY, STATE,ZIP /1' �76 CFAX CONTACT NAME PHONE Q cic I{U6-S 72- Q ESM A / 070 SMEETAODRESS/G 8g3 axle CITY.STATE. ZIP ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT } CONTXACMR ❑CONrnACIOR ACarr(�❑ ARCHITECT ❑ENcwEm ❑ DEVELoPER ❑ rENAxr CONTRACTOR NAME SD LICENSE NUMB Fat/��21 J LICENSE TYPE BUS.UC N COMPANY NAME j� J EMAIL (� I� L , 1{ � Yoa-r FAX STREETADDRESS OJ I V\ \-(-M I CITY.STATE ZIP C n S`t 12 PHONE IL,Q 2 q q ARCHITEME M11CCT/ENOINEEINA /I. V LICENSE NUBER •] `-� JI BUS. C ptJ(f 1 J3_,•p COMPANY NAME E-MAIL FAX ST REETADDRESS CITY.STATE ZIP PHONE DESCRIPTION OF WORK EXLSIi+ E PROPOSfA USE CONSTRTYPE SSrORIES 3 3 ✓' USE TYPE OCC I SQFr. VALUATIONS) EX= NEWFLOOR DEMO TOTAL AREA AREA AREA NETAREA /Z ✓ �7oU BATHROOM KTICHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECKAREI TOTAL DECIPORCH AREA GARAGE AAEA: DETACH ❑ATTACH q DWELLING UNITS: ISA SECOND UMT ❑YES s tcOND STORY ❑YES BEING ADDED' ❑NO ADDITION'. ❑NO PRE.APPLICATION OYES MYES,PROVIDECOPYOF LSTBYeLDGAN OYES RECEIVE Y: TOTAL VALUATION: PLANNING APPLN ❑NO PLANNING APPROVAL LETTER EICHLER HOME' ❑NO P��_ By my signature below,I cert*to each of the following: I am the property or authorized a¢/enc to act on the prpperty owner's behalf.•l have read this application and the in I have Pro ' is cmrecL I have Tea eseiptien of Work and verify it is accurate. I agree to comply with 33 applicable local ordinances and Stam laws rel ' g m in tacdon. [ nze representatives of Cupertino to enter the above-id Sed perry for mspecaon purposes. Signature ofAppgcandAgent Daze: 4 y SUPPLEMENTAL INFOR, TION REQUIRED PLA.v cTacx TYPE RovnvG SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for �( existing building(s). Demolition permit is required prior to issuance of building r OVER-THE-COUNTER ❑ BdMDiNG PLAN REvarn permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW —Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project ❑ LARGE ❑ PmE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ MASOR ❑, SAaNITARYSEWER DISTRICT ❑ ENVIROm�rvTAt�AtrR_ BldgApp-1011.doc revised 06/11/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10344 VISTA DR CO�N1 LTA• CTOR: �IVi�X`Ji-t1-,5 Q>or/ PERMITNO: 12030046 OWNER'S NAME: NARA ALLAN AND SYLVIA TRUSTEE aCI/.� sc� DATE ISSUED:03/09/2012 OW'NER'S PHONE: 4084314647 PHONE NO: J�' LICENSED CON I'RACI'OR'S DECLARATION C. r r BUILDING 1'ERDI I'1'INTO: BLDG � ELECT PLUMBLicense Class Lic.# IO �1 Z� r r r �/IA,A1 alECll RFSIDEATIAL COMMERCIAL Contractor pEl(r�'t�'GT C- JqffAj4 n Date 3 rC I JOB DESCRIPTION:REMOVE AND REPLACE 10 WINDOWS AND 4 SLIDING GLASS 1 hereby affirm that I am licensed under the provisions of Chapter 9 DOORS ON BOTH SIDES OF A DUPLEX (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: 1 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$8700 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for die performance,of die work for which this APN Number:31633126.00 Occupancy'I)pe: permit is issued 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 FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, 7 p costs,and expenses which may accme against said City in consequence of the Date: granting of this permit. Additionally,the applicant understands and will comply Issued by: GfJM f/TG with all non-point sou cc regulations per the Cuperti o Municipal Code,Section 9. RE-ROOFS: Signature Date 4 'Z All roofs shall be inspected prior to any roofing material berg installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for 01' inspection. ElOWNI'1H-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 BETITR I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the stricture is not intended or offered for sale(Sec.7044, Business&Professions Code) 1,as owner of the property,am exclusively contracting with licensed contractors to IL\'LARIIOUS MATERIAIS 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. 1 will 1 hereby affirm under penalty of perjury one of the following three maintain earn plia are with the Cupertino Jl unicipal Code,Chapter 9.12 and the declarations: Ilealth&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 1 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[lay Area Air Quality Managemem'District 1 performance of the work for whichthis permit is issued will maintain compliance with the Cupyrtino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance;as provided for by the Health&Safety Code,Section .2 05 5533,and 2553)1 Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent:_ Uate: permit is issued. I certify that in the performance of the work for which this permit is issued,I shall not employ any person many manner so as to became subject to the Worker's Compensation laws of California. If,after making this certificate ofexemption,I CONSI'RUCfION 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. w'ork's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that 1 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 ,\RCIII'I'F,CI"S DECLARATION and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used m 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 7 6 5 Living/Dining Kitchen R�CF_`AVE� MAR U$ 2012 BY, .4q Bedroom 2 4 Entry Garage Hall Bath 3 Master Bath 2 Master Bedroom 1 UNrr A 1 70 1/4 X 45 1/4 XX 9.55 sq. NT 2 46 1/4 X 21 1/4 XO COMMUNITY NGDMSIONECUPERTINOEM temp/obs APPROVED 3 46 1/4 X 21 1/4X0 This set of plans and specifications MUST be kept at the /obs Job site during construction. It is unlawful to make any temp changes or alterations on same,or to deviate therefrom,without approval from the Building Official. 4 70 1/4 X 33 1/4 XO The stamping of this plan and specifications SHALL NOT 6.84 sq. be held to permit or to be an approval of the violation of any provisions of any City Ordinance or State Law. 5 701/4 X411/4 XO l BY HflT�/� 6 69 1/2 X 78 1/2 XO PD DATE j 9 — PERMIT NO. 7 139 1/2 X 78 1/2 O/XO PD .I OFFICE , COPY, 7 6 5 Living/Dining Kitchen Bedroom 2 4 Entry Garage Hall Bath 3 RECEIVED Master Bath MAR 9 2012 2 BY: Master Bedroom 1 ��✓;�� 1 70 1/4 X 45 1/4 XX 9.55 sq. 2 46 1/4 X 21 1/4 XO temp/obs 3 46 1/4 X 21 1/4XO temp/obs 4 70 1/4 X 33 1/4 XO 6.84 sq. 5 70 1/4 X 41 1/4 XO 6 69 1/2 X 78 1/2 XO PD 7 139 1/2 X 78 1/2 O/XO PD OFFICE COPY,,,, CITY OF CUPERTINO f A03�09`6 FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 10344 Vista Drive DATE: 03/09/2012 REVIEWED.B%': Sean 2. -.ISAPN: 316-33-126 BP#: "VALUATION: $8,700 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Repair PRIMARY SFD or Duplex PENTAMATION 1 GENRES USE: - PERMIT TYPE: WORK Remove and replace 10 windows and 4 doors. SCOPE Plumb.Plan Cheek Eley Plew Ch.rl. S' : rii hcn Plund' Per•wn Fee: (.r„ loam! I— u,:r• +: ., ,•s,. 01110.Plwoh bap. Oduo Elm Imp Plumb.tnep.Fee; Flee.Imp. Fee. NOTE: This estin are 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 prelininan iu ornmtion available and are only an estinmte. Contact the Delojor addn'I info. FEE ITEMS (Fee Resolution 11-053 ER 71111/) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F-14-1 # Window/Sliding Glass Door Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 $522.00 11FINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT O.Q [its $0.00 PME Unit Fee: $0.00 PA PME Penn it Fee: $0.00 C•nrt67rctun; Ina. 1Jnrinrsn,rtn,• 1. O Work Without Pennit? 0 Yes (D No $0.00 Advanced Plannine Fee: $0.00 Select a o esidential I'n n•✓I IJur ranrnt,rti,ea Fats' Building or Structure Strong Motion Fee: IBSEISkIlCR $0.87 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 �p�• SUBTOTALS: $1.87 $522.00 TOTAL FEE: $ 7 Revised: 1/19/2012 CONSTRUCTION PERMIT APPLICATION E2 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228 • FAX(408) T77-3333 • buildint:ecuoerdno.ora f o7)oO4& ❑NEW CONSTRUCTION ❑ DITION ALTERATION/TI ❑ REVISION/DEFERRED 0RIGlNALPER1,a7# PROTECT ADDRESS (�7( L uR CU Q �PN# -1 (0 - 3-06 ME OWNER NAt IV CI n PHONE OV ! q� E,MAp. STRIEFTADDRESS O CITY, STATE,ZIP /1' �76 CFAX CONTACT NAME PHONE Q cic I{U6-S 72- Q ESM A / 070 SMEETAODRESS/G 8g3 axle CITY.STATE. ZIP ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT } CONTXACMR ❑CONrnACIOR ACarr(�❑ ARCHITECT ❑ENcwEm ❑ DEVELoPER ❑ rENAxr CONTRACTOR NAME SD LICENSE NUMB Fat/��21 J LICENSE TYPE BUS.UC N COMPANY NAME j� J EMAIL (� I� L , 1{ � Yoa-r FAX STREETADDRESS OJ I V\ \-(-M I CITY.STATE ZIP C n S`t 12 PHONE IL,Q 2 q q ARCHITEME M11CCT/ENOINEEINA /I. V LICENSE NUBER •] `-� JI BUS. C ptJ(f 1 J3_,•p COMPANY NAME E-MAIL FAX ST REETADDRESS CITY.STATE ZIP PHONE DESCRIPTION OF WORK EXLSIi+ E PROPOSfA USE CONSTRTYPE SSrORIES 3 3 ✓' USE TYPE OCC I SQFr. VALUATIONS) EX= NEWFLOOR DEMO TOTAL AREA AREA AREA NETAREA /Z ✓ �7oU BATHROOM KTICHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECKAREI TOTAL DECIPORCH AREA GARAGE AAEA: DETACH ❑ATTACH q DWELLING UNITS: ISA SECOND UMT ❑YES s tcOND STORY ❑YES BEING ADDED' ❑NO ADDITION'. ❑NO PRE.APPLICATION OYES MYES,PROVIDECOPYOF LSTBYeLDGAN OYES RECEIVE Y: TOTAL VALUATION: PLANNING APPLN ❑NO PLANNING APPROVAL LETTER EICHLER HOME' ❑NO P��_ By my signature below,I cert*to each of the following: I am the property or authorized a¢/enc to act on the prpperty owner's behalf.•l have read this application and the in I have Pro ' is cmrecL I have Tea eseiptien of Work and verify it is accurate. I agree to comply with 33 applicable local ordinances and Stam laws rel ' g m in tacdon. [ nze representatives of Cupertino to enter the above-id Sed perry for mspecaon purposes. Signature ofAppgcandAgent Daze: 4 y SUPPLEMENTAL INFOR, TION REQUIRED PLA.v cTacx TYPE RovnvG SLIP _New SFD or Multifamily dwellings: Apply for demolition permit for �( existing building(s). Demolition permit is required prior to issuance of building r OVER-THE-COUNTER ❑ BdMDiNG PLAN REvarn permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW —Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project ❑ LARGE ❑ PmE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ MASOR ❑, SAaNITARYSEWER DISTRICT ❑ ENVIROm�rvTAt�AtrR_ BldgApp-1011.doc revised 06/11/11