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14080052CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20683 CELESTE CIR CONTRACTOR: KITCHENS BY MEYER PERMIT NO: 14080052 OWNER'S NAME: KARLA WORTH 861 E EL CAMINO REAL DATE ISSUED: 08/07/2014 OWNER'S PHONE: 4084397824 MOUNTAIN VIEW, CA 94040 PHONE NO: (415)968-8318 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ LICENSED CONTRACTOR'S DECLARATION REMODEL (E) KITCHEN (123 S.F.) TO UPDATE License ClassZ3©��/ Lica#(� 16 ELECTRICAL & PLUMBING Contractor ��n )S/f P l , ate I hereby affirm that I am licensed under the provisions of Chapter 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 erformance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $18500 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32658081 00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYSO IT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 DA L ALLED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, y costs, and expenses which may accrue against said City in consequence of the low granting ditionall, the applicant understands and will comply 19 with all ngul i pe he Cupertino Municipal Code, Section Vintrce 9 18. Q7 Date (J 7 y RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is Signature installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -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 BETTER 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 & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS 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. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & 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 I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as deft y the Bay Area it Quality Management District I performance of the work for which this permit is issued. will maintain complianc with the Cu no pal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Co Section 505 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: X* 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 CONSTRUCTION LENDING AGENCY 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 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. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify 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 as 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT. DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • buildina cupertino.org 1-1 I-1 r-1 I i_r= ncn LJN,`W UUNSIi'UUIIVv U rwLlllvl� u twaaav aava., a u -- - - / PROTECT ADDRESS OC., ` v (�( APN R PHO�� �3 /722 I E-MAIL OVJNERNP.ME �� STREET ADDRESS I CITY, STATE, ZIP I FAX CONTACT NAME PHONE E M STREET ADDRESS rjp- 2 j E, e X. CITY S ATE. ZIP O GG I FAC 'NER ❑ ONE(-BUILDERR ❑ OWN*ER AGEAT XCINTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ "iGINEER ❑ DEVELOPER ❑ TENANTT [3ORtI �R O R . AA2E ICEa,SE 12$E LICENSE TYPBUS. LIC MPANY NAME E-MAIL I FAX %� STREET ADDRESS �/ I , (�l O C A C](.C, C -- �O C7`O P PHIAB ^�J I ho ARCH1i ECTrENGINEER NAME I LICENSE NUMBER BUS. LIC rt COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP I PHONE DESCRIPTION OF WORK S ! G /L &AL,0 2 �C, �- �6 BYISTINGL'SE PROPOSED USE CONSTRTYPE nSTORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXLSTG AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA BATHROOM REMODEL AREA KITCHEN REMODEL AREA �") �$Q REMODEL AREA Y !�6 (J 7 PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH []ATTACH m DWELLING 1J?.TIS: IS A SECOND i7Nrr ❑ YES BEING ADDED? NO SECOND STORY ❑ YES ADDITION? NO ARE-r1-PPL-ICA_TiON--❑YES—Ip v.ES..P-RnNimir COpy nP IF, BLDG ATQ 1 Y.5 = x' I`r- _ _ TOT.AL VALUATION: - PLANN'INGAPPL� ❑NO PLANNING APPROVAL LETTER I EICHLERHOME? ❑N - _s .: �� _�" co By my signature below, I certify to each of the owing la e property owner or authorized agent to act t roperty owner's behalf. I have read this application and the information I have pro ' ed is cc ct. a rea a escription of Work and verify it ccurate. I agree to comply with all applicable local ordinances and state laws tin, to b 'dine ructio aut ze r sentatives of Cupertino to enter the ab identified property f inspection purposes. Signature of Applicant/Agent: Date: SUPPLE?\4E R\Ft A ION RE UIRED Q ,-si'� x` -�.�;;�EL�.3 rg New SFD Multifamilydwellings: Apply for demolition permit for PPY P 3 12 ` § l W. .; x� NO ��BTJILDLMGPL4NREFV or existing building(s). Demolition permit is required prior to issuance of buildingkill ?�oiER2HlrcotTnTER permit for new building. Commercial BIdgs: Provide a completed Hazardous Materials Disclosure © ` RESTS, •3� �� s D K�t rzA1.I1crL RE` r - p����o> _ form if any Hazardous Materials are being used as part of this project.}ra� _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. �, o x �RvisTluc s���SRON➢4ENTAHEA3 BldgApp_2011.doc revised 06/21/11 'tel CITY OF CUPERTINO rrra r, OmrAN s rTnD DIFTIT "INC_ DlVlglnN s fc,�J �"?rrr t` %�t r k PCzu,�;>. P��ar� {: i��rc� s•_ t'r r - �_ ;_4�i:�' Ol,tr2i` 1 zttarfl 7�sp. �'t' ,r�rrtb, lits 1 U±e: 1 te: De IAnza Forge Association 6/13/2014 File Reference # A38990-SR1 Karla Worth 20683 Celeste Circle Cupertino, CA 95014 RE: Architectural Application Approval Dear Karla Worth, At the Board meeting held on June 3, 2014, the Board of Directors of the De Anza Forge Association reviewed your request to remodel your kitchen, including appliances, counters, cabinets, the installation of hard wood floor in your kitchen and tile in the entry and fireplace hearth. The Board of Directors has approved your application with the following conditions: 1) The scope of work is identical to what is listed on your application. Any changes and/or modifications must be submitted to Management and approved by the Board of Directors prior to proceeding. 2) The hard wood flooring installed must be only in the kitchen area. If sound transmission becomes an issue with one of your neighbors, you must address the issue directly with the neighbor. The Board reserves the right to require that the hard wood flooring be removed if the issue cannot be resolved. 3) The licensed and insured contractor listed on your application must complete the work. If a change is made in contractors, you must provide current license and insurance information prior to proceeding. 4) All work is to be done within the unit and during reasonable hours (8:30AM - 5:OOPM). Please notify neighbors when work will take place. 5) No appliances, trash or construction debris is to be disposed of in the Association dumpsters. The Homeowner will be responsible for charges to remove items placed in the dumpster by their contractor. 6) The Homeowner assumes all responsibility for any damage that may occur during the installation. 7) The Homeowner assumes sole responsibility for the events creating the improvements (inclusive of any damage), maintaining the improvements in good condition and any encroachment these improvements may make on common area improvements. 8) The Homeowner is responsible to obtain any permits and inspections required by the City of Cupertino. 9) The Association reserves the right to inspect the installation for compliance with this approval. Please retain a copy of this approval with your Association records. If you have any questions or need additional information, please do not hesitate to contact our office Sincerely, , J ckie McGarry oll�y Association Manager cc: Board of Directors P.O. Box 320819 Los Gatos, CA 95032-0113 408.866.4537 M Fax: 408.866,4619 CUPERTINO CONTRACTOR / S BCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: 2 6(o Y�� CfjgCle PERMIT #, 0jWQS- Z OWNER'S NAME: PHONE # GENERAL CONTRACTOR: USINESS LICENSE # . 47 ADDRESS: 0 (Ze)& f-' CITY/ZIPCODE: *Our municipal code requires all businesses working iii the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature 9'1711 Date hw �y M KITCRENS at it 278 cutin 3nalf6 l(omidn Vie% CA 94041 654.968.7866 DESIGN • SALES • INSTALLATION M. JOB SITE KARLA WORTH 20683 CELESTE CIRCLE CUPERTINO, CA. 95014 CONTRACTOR: CONTACT: KITCHENS BY MEYER 861 E. EL CAMINO REAL MOUNTAIN VIEW, CA 94040 ROD MEYER 650-279-8165 SCOPE OF WK:. BASIC REMODEL OF KITCHEN, PLUMBING AND ELECTRICAL TO MEET CODE. Zo L3 CA- SL -94 cov SHEET INDEX: B-1: EXISTING FLOOR PLAN B-2: PROPOSED FLOOR PLAN B-2/2: PROPOSED ELECTRICAL & LIGHTING 2013 LL CODES: CBC, CRC, CEC, CMC, CPC, CALIFORNIA ENERGY CODE, FIRE COED, L�ThA> MUNI CODE r\Jp f,?1\140 eovsmq i Looe C R �evtewed By EXISTING FLOOR PLAN co O W3630 DRY. FRONT 172" W361012 YY223012u W3015 REF.1 D.DO.36I 22342FUNGE.GAS. -I I- - - - - - - - - - - - - - - - - - - - - - - - - - - - - --------------- I -- - L_ _ _ _ _ _ - _ - _ - - ASH.F ON I 203424R203424R203424 co I I W353912 ■V203012R203012R'20301 32' 2 64-111 100" All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. EXISTING FLOOR PLAN.kit O IS --------------- I SIN I N � I I I I I I I I I I I I I I I , I I I , I I I I I I I I I 4 I I WIW I I I I I I I_ _ _ _ - - - _ _ A ' I I ' � I ' I � , I ' � I I CUPERTINO Building Depatnent MIS 0 7 20114 I REVIEWED FOR CODE COMPLIANCE Reviewed By: I I I I I I 20 ? This is an original design and must g g �EcNv© 0Gits not be released or copied unless applicable fee has been paid or job order placed. All Designed: 5/7/2014 Printed: 5/23/2014 Drawing #: 1 I.No Scale. PROPOSED ELECTRICAL AND LIGHTING PLAN 172" 3211-18" 20" 20" 30" 15"- 33" 18" 198" 198" 30" „132" I III F-1 III III � xn1i2iN �Y for r WF330 (e) V WEMO W20'�-12-FW30 12-W'1530- �� I III W32oil 36-24 N T111 11 1 F380 T1884-WFB203424B2034;BFFIII ,jRANGE1 EB133,BFF DRY.FRONT2 I �WASH.FRON TF380 TEP2484EF.2D.30EP2484 .IN AA 1_ N nge the heig 3611� �331'-----J CS36-L ` BFF33B33FH- Jr 0 ,%,.N GFI Raise up to 48" off the floor. * Recessed lights 6" O Pendant lights CUPERTINO g3uilding Department REVIEVVED FCS. CODE COMPLIANCE Reviewed By. All dimensions _size designations given are subject to verification on job site and adjustment to fit job 20 T R H N o io G i E S This is an original design and must not be released or copied unless applicable fee has been paid or job Designed: 5/9/2014 Printed: 5/16/2014 conditions. order placed. CARLA WORTH electrical_5-9-14.kit JAII Drawing #: 1 I No Scale.