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10120160CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10707 SANTA LUCIA RD CONTRACTOR: DAN SULLIVAN PERMIT NO: 10120160 CONSTRUCTION OWNER'S SANTA CRUZ, CA 95062-3459 PHONE NO: (831) 206-7100 ❑ LICENSED CONTRACTOR'S DECLARATION License Class r (� Lic. N 'y,�_, Contractor l N UCI��M Date I hereby affirm that I am licensed under the provisions of C pter 9 (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: I 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. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non - Cupertino Municipal Code, Section 9.18. Signature Date ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1, 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 & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I 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. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate ofexemption, I become subject to the Worker's Compensation provisions ofthe Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. BUILDING PERMIT INFO: BLDG F ELECT F PLUMB r MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: ADD 1,087 SQ FT SFDWL W/ 381 SQ FT ATTACHED GARAGE, REMODEL 1,468 SQ FT THROUGH OUT, PANEL UPGRADE Sq. Ft Floor Area: I Valuation: $300000 APN Number: 34217093.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by — . I'— Date: ( — Z�,J RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owne r' ed a ent: Z124// Date CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of Hork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date I Licensed Professional I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10707 SANTA LUCIA RD CONTRACTOR: DAN SULLIVAN PERMIT NO: 10120160 CONSTRUCTION OWNER'S NAME: SANTA CRUZ, CA 95062-3459 PHONE NO: (831) 206-7100 ❑ LICENSED CONTRACTOR'S DECLARATION License Class &C4 Lic. # Contracto,_nIA) 441-L/ 1�.j�/1/ Date 'TAIP 1 hereby affirm that 1 am licensed under the provisions of C apter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 hereby affirm under penalty of perjury one of the following two declarations: I 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. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. � / / J Signatur Date ❑ OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: 1, 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 & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I 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. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.19. BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r MECH RESIDENTIAL r COMMERCIAL r— JOB DESCRIPTION: ADD 1,087 SQ FT SFDWL W/ 381 SQ FT ATTACHED GARAGE, REMODEL 1,468 SQ FT THROUGH OUT, PANEL UPGRADE 8/24/2011 -REV# I - REVISE RETAINING WALL, DRAINAGE, FOUNDATION, ENLARGED NEW WINDOW -ISSUED 9/21/1 t Sq. Ft Floor Area: I Valuation: $300000 APN Number: 34217093.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPEECTIION. Issued by Dated "3? /`f RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Date: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Add ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date Licensed Professiona FM_7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION 1AADDRESS: 10707 santa lucia rd. DATE: 08/24/2011 REVIEWED BY: bobs. APN: BP#: "VALUATION: $500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: PENTAMATION 1GENRES PERMIT TYPE: WORK revise retaininq wall drainage, foundation enlarged new window. SCOPE Lj NOTE_ Thece fees are hued nn the nreliminary infnrmn/inn availahly and are nnly an aclimala Cnn/nrl !hv Tlanl fnr nddn'I infra FEE ITEMS (Fee Resolulion 11-053 Eff. 711/11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee.e Reg. 0 OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (:..•JS.'tT"'r:'ii3ti 1f3.F Acoustical Fee: Q Yes 0 No $0.00 Q G Work Without Permit? Q Yes G No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 i Strong1Vlotion Fee: IBSEISMICR $0.50 1� # $652.00 Revision IREVRESADD Addition Bldg; Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.50 $652.00 TOTAL FEE: $653.50 Revised: 07/04/2011 CITY OF CUPERTINO FM -- I FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 10707 santa lucia rd. DATE: 12/16/2010 REVIEWED BY: bobs. APN: BP#: 'VALUATION: 1$300,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: OVER THE COUNTER. 0 Yes 0 No PENTAMATION PERMIT TYPE: WORK sfd add breakfast dinin rooms add to existing ara a 2nd sto addition. Remodel exisitn itchen SCOPE I bathrooms, living, and garage. OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) II-B,III-B,IV,V-B 1,560 $2,458.56 IR3PLNCK $1,866.52 IR3INSP TOTALS: 1,560 $2,458.56 $1,866.52 MECII, HOURLY 0 Yes 0 No PLUMB, HOURLY 0 Yes 0 No ELEC, HOURLY 0 Yes 0 No 'tech. Plan CYrrk Phuuh. Ylcan Cliccl Elec. Plan Check 0.0 1 hrs $0.00 ;Woch. Perna[ Fe('. Phr.+, A— ;, r T ,-r. Elec. Permit Fee: 1EPERMIT Orhar AkcFi. Insp. Orker plumb Irop. Other Elea Insp. 0.0 �hrs$42.00 Alech. Insp. /'cc. I'hnnh. fmy. fee: Dec. lmpJFee: NOTE: These fees are based on the Dreliminary information available and are only an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 09-051 E,ff.' 7/1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,458.56 1,468 s.f. $4,323.00 Remodel, Other IREMRES2 Suppl. PC Fee: 0 Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 200 amps $42.00 Electrical IERT<200 Services Permit Fee: $1,866.52 Suppl. Insp. Fee{' Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $42.00 Conslrrrction Tax Acoustical Fee: 0 Yes 0 No $0.00 0 0 Work Without Permit? 0 Yes 0 No $0.00 Planning Fee: PLLONGRNGR $202.80 0 0 Travel Documentation Fee: ITRAVDOC $42.00 Strong Motion Fee: IBSEISMICR $30.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $12.00 SUBTOTALS: $4,653.88 $4,365.00 TOTAL FEE: 1 $9,018.88 Revised: 12/07/2010