07050108 CITY OF CL;PERTINO
BUILDING DIVISION PERMIT $� ' . TQ ` .�� {Y �� `
BUILD DDRESS: PERMIT NO.
STENDHAL LA TBD - TO BE DETERMINED 07050108
OWNER'S NAME: PERMIT ISSUE DATE
MOLARO, DONALD 05/14/2007
PHONE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
REPLACE BATHROOM SHOWER BLDG ELECT PLUMB MECH
o p LICENSED CONTRACTOR'S DECLARATION
u(= I hereby affirm that I am licensed under provisions or Chapter 9(commencing Job Description
Z with Section 7000)of Division 3 of the Business and Professions Code,and my license is
a in full force and effect
j n z License Class Lic.#
Date Contractor
ARCHITECTS DECLARATION
i < I understand my plans shall be used as public records
)WU
O H Licensed Profcssional
•y OWNER-BUILDER DECLARATION
> 1 hereby affirm that 1 am exempt from the Contractor's License Law for the
in o following reason.(Section 7031.5,Business and Professions Code:Any city or county
which requires a permit to construct,alter,improve,demolish,or repair any structure
a z y prior to its issuance,also requires the applicant for such permit to file a signed statement
=o that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 3q.Ft. Floor Area Valuation
Z i— (commencing with Section 7000)of Division 3 of the Business and Professions Code)or
I that he is exempt therefrom and the basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type
not more than rive hundred dollars(5500).
❑I,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 Required Inspections
and Professions Code:The Contractor's License Law does not apply to an owner of q
property who builds or improves thereon,and who does such work himself or through his
own employees,provided that such improvements are not intended or offered for sale.If.
however,the building or improvement is sold within one year of completion,the owner-
builder will have the burden of proving that he did not build or improve for purpose of
sak)•
L as owner of the property,am exclusively contractingwith licensed contractors to
tract the project(Sec.7044.Business and Professions Code:)The Contractor's Li-
cense Law does not apply to an owner of property who builds or improves thereon,and
whocontracts for such projects with contractors)licensed pursuant to the Contractor's 11AR
Lice
❑I mW,_
.B&P C or this mason
Ow Da
ORW COMPENSATION DECLARATIO
I hereby affirm unde penalty of perjury one of the following declarations:
❑1 have and will maintain a Certificate of Consent to self-insure for Worker's Compen-
sation,as provided for by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑1 have and will maintain Worker's Compensation Insurance,as required by Section
3700 of the Labor Code,for the performance of the work for which this permit is issued
My Workees Compensation Insurance carrier and Policy number are:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars($100)
or less.)
I certify that in the performance of the work for which this permit is issued,I shall not
empl •prison m any manna so as t to the 'on
Laws of ale
ApplicaqtA 44 14 f
NOTIC@ CAM:If,aftc making this Certificate of Exemption,you should
become subject to the Worker's Coilipensation provisions of the Labor Code,you must
Oforthwith comply with such provisions or this permit shall be deemed revoked.
Z , CONSTRUCTION LENDING AGENCY
(--r`A I hereby affirm that there is a construction lending agency for the performance of
f>~ > the work for which this permit is issued(Sec.3097,Civ.C.)
Was.Q Lender's Name
Z Lender's Address
U C 1 certify that I have read this application and state that the above information is
[J. ►" correct.1 agree to comply with all city and county ordinances and state laws relating to
rJ Vbuilding construction,and hereby authorise representatives of this city to enter upon the
W above-mentioned property for inspection purposes.
a (We)agree to save,indemnify and keep harmless the City of Cupertino against
rn liabilities,judgments,costs and expenses which in in any way accrue against said City
V Z in consequence of the granting of this permit.
PLICANT UNDERSTA AND WI OMPLY WITH ALL NON-POINT Issued by: Date
cuLA
Re-roofs
s azure a Applie ontractor
HAZARDOUS ATERIALSDISCLOSURE Type of Roof `
Will tate applicant or future b ding occupant store or handle hazardous material
as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
Code,Section 25532(a)? All roofs E hall be inspected prior to any roofing material being installed.
❑Yes )(No
Will the applicant or future building occupant use equipment or devices which If a roof i,, installed without first obtaining an inspection,I agree to remove
emit hazardous air contaminants at defined by the Bay Area Air Quality Management all new mi lterials for inspection.
District?
❑Yes Illi No
I have read the hazardous`materials requirements underChaptcr 6.95 of the Califor-
ah&Safety Code,Sections 2550 5533 and 25534.1 understand that if the building
n�currc�ntlyhavetena�thatsmy responsibil' fy tite Occup t of ahc
suaatccnr Brae p _� Signature AApplicant Date
Owner or auth rizcd agcm Date - All roof coverings to be Class"B"or better
CITY O:7 CUPERTINO
4 ITEMS OF 4 PERMCT RECEIPT OPERATOR: bethe
COPY # 1
Sec: Twp: Rng: Sub: Balk: Lot:
APN 37541019. 00
DATE ISSUED. . . . . . . : 0'3/14/2007
RECEIPT #. . . . . . . . . B:3000001301
REFERENCE ID # . . . : 07050108
SITE ADDRESS . . . . . : 8.12 STENDHAL LA
SUBDIVISION . . . .
CITY CiJPERTINO
IMPACT AREA . . . . . .
OWNER MO�LARO, DONALD
ADDRESS 8,12 STENDHAL LN
CITY/STATE/ZIP . . . : C'JPERTINO CA, 95014-4628
RECEIVED FROM . . . . : R:3CEIPT INTERFACE
CONTRACTOR . . . . . . . : 73D - TO BE DETERMINED LIC # 00096
COMPANY 73D - TO BE DETERMINED
ADDRESS
CITY/STATE/ZIP . . . : ,
TELEPHONE . . . . . . . . :
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
BPERMFEE VALUATION 1, 500 .00 83 . 16 0 .00 83 . 16 0 . 00
BPFIXTURE UNITS 1 .00 9. 00 0 .00 9. 00 0. 00
BSEISMICRE VALUATION 1, 500 .00 0. 50 0 .00 0 .50 0. 00
PPERMITFEE FLAT RATE 1. 00 38. 37 0 .00 38 .37 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 131 . 03 0 .00 131 . 03 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 131. 03 VISA
---------------
TOTAL RECEIPT 131. 03
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- ------ ----------------------------
106 SEWER & WATER 202 UNDERFLOOR PLUMBING
301 ROUGH PLUMBING 302 TUB & OR SHOWER
502 FINAL PLUMBING ENERGY 506 GAS TEST
507 FINAL PLUMBING
a
Am
CIV 0
CUPEkTINfl
Assessor's Parcel Number: —
Name of ow er.71>—opAa_-)
Project address. --
ContactP erson. il-t? �' v' ^ _Phone. L4 d g2P �G
Fax.
Net square footage of lot.
Exi Sting Proposed
Square footage: First floor:
Second floor: �—
Garage:
TOTAL:
—
Are there at least two 10 foot by 20 foot clear spices inside th arage?
Is privacy protection planting required for the pr)j ect? Y N
r f
On what floor(s) is work being done?
Brief description of work. dZr / (I –Aga-"n rTWM
Code editions:2001 CBC -N)2001 CFC (Y -N)2001 CMC (Y- N)
2001 CPC 1)2001 NEC (Y -N)
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Community Development
10300 Torre Avenue
Cupertino CA 95014
OF Telephone(408)777-3228
CUPE �INOC41 Fax(408)777-3333
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 othi:r 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. Storm water 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 ba 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.org/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 frim 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://www.amlegal.com/cupertino ca/
Greg Casteel
Building Official
CSJ' 1erre
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Assessor's Parcel Number: —
Name of owner /�`� [��
Project address.
�- C�����1 LL!-
Contact person. Oi W1Je U' ^ _Phone. 9
Fax.
r_
Net square footage of lot.
Exi;Ming Proposed
Square footage: First floor:
Second floor: — ,
Garage: ``�_-
TOTAL:
Are there at least two 1 y —
0 foot b 20 foot clear spaces inside th arage?
Is privacy protection planting required for the pro j ect? Y N
� r
On what floor(s) is work being done?
Brief description of work.
Code editions: 2001 CBC -N)2001 CFC (Y -N)2001 CMC (Y- �
2001 CPC - N)2001 NEC (Y -N) � 1r
Effective 11/1/02 QCs
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CITY OF C UPERTINO
CIiir'oF PERMIT APPLICATION FORM
CUPEkTiNO Q�7o5o!®8
APN # Date:
75 - �l - oJ9 1 /4
Building Address: Mailing Address (if fferent from building address):
Owner's Name: Phone#:
kVA�� 1-11
`fia X63 v i 2--
Coptractor. License#
Contact: Phone*)g.g4� V//7 Cupertino Business License#:
cw)veq— ' Fax:
Building Permit Info: d le V6.0,g
Bldg ❑ Elect ❑ P lumb 91 / Mech ❑
Job Description:
Residential n Commercial ❑
Sq.Ft. Floor Area: Sq.Ft.:
Cost of Project: OccupancyW-7
p:
Type of Construction: Please check this box if th❑e project is a
second-story addition:
Project Size: Standard ❑ Large ❑ Mapr ❑
Quantity Fee ID 1 ee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILER1 Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boil(.r> 500K to 1M Btu MECHANICAL
BBOILER4 Boile:-> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX IncV0ff/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile BUILDING
BELEC 1000 Elt;c 600V <= l OOOA ELECTRICAL
BELEC1001 K.ec 600V> 1000A ELECTRICAL
BELEC200 Elec Svcs 600V <=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD I>nergy Add Multi BUILDING
BINVESTIGA [nvestigation fee BUILDING
1 of 3
CITY OF CUPERTINO
01TY.oF PERMIT APPLICATION FORM
CUPEkTINO
Quantity Fee ID Yee Description Fee Group
BMISCELL Miscellaneous Fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP Now Comm Plumb PLUMBING
BOVERTIME Inspection Overtime BUILDING
_ 13PBACKFLOW Atmospheric Vacuuiv — ---PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bide Permit Fees BUILDING
BPFIXTURE Pb1g Fixture PLUMBING
BPGAS as Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK flan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plar Check Repeat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Law 1 S rinklerBackflo PLUMBING
BPSTORM S-.orm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER W iter Heater/Vent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfin MECHANICAL
BREMAIRHAN A/C lJnits <= 10,000 cfin MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY R--model Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relc Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Vlisc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL
BREMRELOCA Rclocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Rerr odel Res Appliance ELECTRICAL
2 :)f 3
CITY OF C'UPERTINO
CUPEI�TINO PERMIT APPL][CATION FORM
Quantity Fee ID ]Fee Description Fee Group
BREMSIGNAD Rmcll Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD cb Specific Plan BUILDING
BSEISMICOAT, 'Seismic BUILDING
-- --
BSEISMICRE ;seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Ym orary Power ELECTRICAL
BTEMPPERM Tem orary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanical sq. foot MECHANICAL
MPERMITFEE Meeh Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
PPLBG Ph-mbing Fee sq foot PLUMBING
PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING
PLLONGRNGR PlanningLong Range Residential PLANNING
ZADDCHG address Change BUILDING
3 A 3