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14090014I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 7825 LUNAR CT OWNER'S NAME: NARVAEZ PETER D AND ARLENE C OWNER'S PHONE: 4083753190 ❑ LICENSED CONTRACTOR'S DECLARATION License Class # !1 f3f 02-0 Contractor M01( �Al '1 1(A14Ol�'V'� Date —( 1LJ[14 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') Compensation, as provided for by Section 3700 of the Labor Code, for the erfiormance of the work for which this permit is issued. ve and will maintain Worker's Compensation Insurance, as provided for by ection 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. Date J4 % &f ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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) 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 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 18. __111, Date / r CONTRACTOR: MARTI'S PLUMBING PERMIT NO: 14090014 171 BRANHAM LN STE 10-418 DATE ISSUED: 09/03/2014 SAN JOSE, CA 95136 PHONE NO: (408) 375 -3190 JOB DESCRIPTION: RESIDENTIAL R COMMERCIAL E] PROPERTY LINE CLEAN OUT Sq. Ft Floor Area: I Valuation: $3200 APN Number: 36220022.00 1 Occupancy Type: PE R XPIRES ORK IS NOT STARTED WIT 180 DAYS O PERMIT ISSUANCE OR 180 DA FROM L ALLED INSPE N. Issued by: Date: 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. Owner or authorized agent 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional GENERAL € ERMIT APPLICATION a COP\/IMUNITY DEVELOPMENT DEPART MEN T • BUILDING DIVISION 1 10300 T ORRE AVENUE • CUPERTINO, CA 95094 -3253 (408) 777 -3228 • FAX (408) 777 -3333 - buildinoCa cuDertino.oro 1/Ir,r rz.�n.Y�^ 1 17.IG�!•T.I! girl A (_I.7 P1-7U1( -aT r11,�sc_L�AI.�ovs MAP M&MMC PROM-CT 'L.MnSS YiQI� C I f314 4 ;5W 2 2,t/ Oo2(/. V Ova= R>tal✓i VOL l A.0 a f if Z I � C; �� 0 I E -1✓aII S'I �Z.:' =7 PDDP.PSS j V� Qr I • t/ 1 (( FP.X Q `1 CONTACT heir iO � h Q�.1 N I PH J (5 V-- 0 7DpFcS CITY STAi'a ZIP FAX OWKM ❑ 0R?QZ,-BT-TMD=1?L ❑ 0W11=- AG=-tvr ❑ COhTPkCTOF' CL7 ,0 -mRCTORA�T ❑ fRC-TtCT ❑ - i.''m= -, ❑ ❑ Tc? Q'T CGA°i? hCTOR NA S— uCr'3..' -- DER �ltC r�t�2y LaC'mNS TYP-" Y�� BUS. I 2 �/ I• C0W'f1\'YX.QY3 t ( bl r fM -- IJLAII, I FAX STFs -ci ADDRESS O I G V i �Gl ` A-V I �Y� SW l- O t-i I PH03% P RCii1TsCT/r�GII���R3:AN= I LiCE11'SEI.TGZJ3'cR. I BUS. LSC 9 CON2, 14YMAIM I E -ItLAL ( FAX STRz—T ADDRESS I City, STAT'a, ZIP I P iONE USE OP ❑ sm., DLTLEx ❑ T wi -FA3 2II.Y I PROJECT W WII DLAND ❑ YES BUIIDLNG: ❑ COW MP,CIAL URBAN D\- L-= -UAa AREA ❑ 140 I PROJE= Ih ❑ YFS FLOOD ?Alm. ❑ NO I IS == BLDG AST ❑ Y zs EIc:=130110-7 ❑ 1 0 DESCRIPTION Or 'WORK ' TOTALYALUATION: ry By ny signature below, I certify to ear..h of the following. I am the propel ovmer or authorized agent to act on the property behalf. I have read this application and the information I have provided is correct I have read the Description of Z ,,cork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b 'ldi onscuction I authorize repr esentati ves of Cupertino W enter the above.- identifledd property for i saection purposes. Signature of.-.pplican "Agent: Date: qpG �/! PLEI`�IENTAL LNIFOR�L A TION REQU =D a� - J OF°C�Iv?_3r SIRL�3 px - 1viEPh1jisc1.pp_2011.doc revised 06121111 CITY OF CUPERTINO �1Vr Ti 4Z I'7MA'T(1R _ RITII.iIINf DIVIRION LaADDRESS: 7825 lunar ct ___ _ QTY/FEE DATE: 09/03/2014 REVIEWED BY: Mendez Plan Check Fee: APN: BP #: *VALUATION: 1$3,200 *PERMIT TYPE: Building Permit $0.00 PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD Or DU 12X p Plumb. Permit Fee: PENTAMATION 1 RPSS PERMIT TYPE: USE: I,,,� "h Tt: =. F�,t r Plumb Insp. 0.0 hrs $48.00 t�7Cr t r�C r3 -. b h- sp. Fee.- WORK rtv line clean out 0,0 hrs $0.00 SCOPE PME Unit Fee: NOTE: This estimate does not include fees aue to other uepartments (i.e. f 11Urlrllrlb•y 117"VI : rr ur na, �w•�.�•y � - °° __ .. :___ ____ar_v_ _._a,.... --I.. __ ­4__#_ ! wr. tsHo Pont Fnrnddn'I info_ "IstrlCl, et" I. LneJe aea U,G UUJ 6U — wi. /�cw•w••w. FEE ITEMS (Fee Resolution 11 -053 Eff. 7111131 •.r v...........- ­ FEE ___ _ QTY/FEE ____ _ I MISC ITEMS Plan Check Fee: $0.00 # $25.00 Plumb. Plan Check 0.0 1 hrs $0.00 Alec. r m Ch "C`� ;��- >��;,_ >E >;•;� „� Fee.. Plumb. Permit Fee: IPPERMIT PME Plan Check: I,,,� "h Tt: =. F�,t r Plumb Insp. 0.0 hrs $48.00 t�7Cr t r�C r3 -. b h- sp. Fee.- $0.00 Suppl. Insp. Fee:Q Reg. Q OT NOTE: This estimate does not include fees aue to other uepartments (i.e. f 11Urlrllrlb•y 117"VI : rr ur na, �w•�.�•y � - °° __ .. :___ ____ar_v_ _._a,.... --I.. __ ­4__#_ ! wr. tsHo Pont Fnrnddn'I info_ "IstrlCl, et" I. LneJe aea U,G UUJ 6U — wi. /�cw•w••w. FEE ITEMS (Fee Resolution 11 -053 Eff. 7111131 •.r v...........- ­ FEE ___ _ QTY/FEE ____ _ I MISC ITEMS Plan Check Fee: $0.00 # $25.00 Plumbing jpRSEWER7 Sewer, Sanitary Suppl. PC Fee: Reg. ® OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 Administrative Fee: 1ADMIN $45.00 L 0 0 Work Without Permit? 0 Yes e) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential Building or Structure G , Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: 1BSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 I, . $142.50 $25.00 TOTAL FEE: $167.50 Kevisea: uwzuizu,4 CUPERTINO SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • building(d)cupertino.org � � Permit No. 1610 � 00 Address ��''i� 5 4llA/.gp (�lG�DE�r1 W rj# # of Alarms Smoke: 10 Carbon Monoxide: PURPOSE This affidavit is a self- certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single - family and multi- family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and /or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel- burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: h-t dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above - referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. ­;i-h fha fcrmc nnri conditions of this statement 1 nave icClu anv agi av �..,..p.,y .................... _..- --.. -._ ---- -- - Owner (or Owner Agent's) Name: (sue Si nature... ............... Date: .. .��... Contractor me: on N 1 G v®1) /� Si natur Lic.# .......... ....(/ ...... Date: ....... ........ 3110V &V MS —0 Am, BirWE 06� t eatrWe ver4w ft I D11�11UV- {Q,qp� � H9'M CL � 1PlaaM Smoke and CO form.doc revised 03118114