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15080020CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 11218 STAUFFER LN CONTRACTOR; -" -- PERMIT NO: 15080020 r . Obi2n1 P OWNER'S NAME: PARTHA BHATLACHARYA DATE ISSUED: 08/04/2015 OWNER'S PHONE: 4083660171 PHONE NO: go LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL REPAIR 284 S.F. OF (E) DECK & ADD (N) 156 S.F. d License Class 07 Lic. # 6,)13 3J DECK AT REAR OF BLDG Contractor ftt)E -V,&) PAdAA.- Date B/ 4 1S 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 Sq. Ft Floor Area: Valuation: $16450 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 36609046.01 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply Is with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. q / /° S Signature{ �/ ,/�, ✓ 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. 13 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. 1 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 1 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 defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: +! — Date: 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 CONSTRUCTION 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. 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 V1.1i V � 11 pJ� e CONSTRUCTION PERMIT APPLICATION Nuarh CON410UN1TY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 ffo (408) 777 -3228 > FAX (408) 777 -3333 • buildino(@cuperlino.Grq / L% 9 NBW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT T PROrECf ADDRESS APN 1 Y OWNER NAME I P'r10J 8J 36., a /i �iA aV+ t ( n STREET ADDRESS C4 CITY, STATE, ZIP j ` nb (Zl FAX CONTACT NAME �G %jn PHONE$6 ) �aq Vf E -12AIL ar _?_g( M� G�i�► i STREET ADDRESS / ,{ (� i /yI �l'I CITY, STATE, ZIP Ca Q r4 FAX n , 1 3 O41NER ❑. OWNER - BUILDER ❑ OWNcRAGtNT �CONTRA�I CTOR ❑CON'TRACTORAGENT ❑ ARCHITECT ❑ ENGD,-ER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME /Y/� _ r LICENSE NUTABER J_ l 33 LICENSETYPE 1 (�� p I BUS.LICk CO1�ANiY NAME � E•NLhIL I FAy, Ode) % 3 STREET ADDRESS 811-)AC t CITY, STATE, ZIP �-+ cc, (�5-i�o PHON� '66 (, 1 V�`�� .J ✓ �O 3 ARCHIIECT/ENGINEER NAME - lJ1i J LICENSE NLMBER /` _ [� (6 JJ BUS. LIC COMPANY NAtS E -MAIL /, ) FAX ADDRESS Cr Y, STATE, ZIP C� PHO"(STFEET 1 (L J , ► "/o /� O DESCRIPTION OF WORK WIft ex, , s�{`•• LI� n 001d Sha 1 C 04, -S.a EaOSTING USE PROPOSED USE CONSTR. TYPE @ STORIES USE TYPE OCC. SQ.FT. VALUATION (S) =TG NEV FLOOR DEMO TOTAL -7- AREA AREA AREA NET AREA -- BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REI,10DEL AREA PORCH AREA DECKAREA TOTAL DECK/PORCH AREA GARAGEAREA: LJDETACH ❑ ATTACH m DWELLING UNITS: [SASECONDUNrr []1c5 SECONDSTORY AYES BEING ADDED? r-1 NO ADDITION' NO PRE- kPPLIC.4TION ❑ YES IF) LS, PROVIDE COPY OF PLANMNGAPPL# ­­]NO PLANNING APPROVAL LETTER IS THE BLDG AN EICHLERHOME? NO - - ,ale¢ ` pap - VALUATION; -- By my signature below, I certi to each of the following: I am the property owner or zuthor nt Co act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verifj it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building co struction. authorize represe tatives of Cupertino to enter the above -id tified operty for inspection purposes. Sigratureof App] icznt/Agent: Date: SUPPLEMENTAL INFO ION REQUIRED a- SLIR-. . New SFD or Multifamily d`; ellings: Apply for demolition permit for Yr' i 9�''��t -.,cf' o R 1 couhrER"3 -F� cv4 —FS" ^cam r1� � BGSVLncPLIRE «iFv existing building(s). Demolition permit is required prior to issuance of building for building �r �t� ;c ©L9Nfi permit new •Ess rvr�w i x �3 _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure© �a n 3 ❑ p uBLrCV oRKST form if any Hazardous Materials are being used as part of this project. _ Copy of Planning Approval Letter or Meeting with Planning prior toa C��..,M,470R,.£' submittal of Building Permit application. ,- t`,.`"- �� � � ���� SAhTPi1RY SEWER DIST,RICIt.. . -•, ��{ • t ��.,� � �. ,�.:._=c- _� ��•-� �. ��IVvrROnxl�nrnr.,I�AVra a�� -I BIdg4pp_2011.doc revised 06/21/11 cCff7Y OF (CUIFER71NO FEE IES7IMA70R — BUILDING DIVISION NOTE: This estimate 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 nreliminary information available and are only an estimate Contact the Dent for addn'l info. FEE ITEMS (Fee Resolulion 11 -053 Eft. 7/1/13) ADDRESS: 11218 STAUFFER LN !DATE: 08104/2015 REVIEWED BY: MELISSA Plan Check Fee: APN: 366 09 046 BP #: U' 'VALUATION: 1$16,450 xPEI[81�hIIT TYPE: Building Permit PL N CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: p PME Plan Check: PENTAMA'TION PERMIT TYPE: 1GENRE i WORD REPAIR 284 S.F. OF E DECK & ADD N 156 S.F. DECK AT REAR OF BLDG SCOPE Suppl. Insp. Fee O Reg. C) OT NOTE: This estimate 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 nreliminary information available and are only an estimate Contact the Dent for addn'l info. FEE ITEMS (Fee Resolulion 11 -053 Eft. 7/1/13) FEE QTY /FEE MISC ITEMS Plan Check Fee: $0.00 0 # Deck / Deck Railing $503.00 1DECKWOOD Deck (wood) Suppl. PC Fee: (D Reg. ® OT Q,Q hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee O Reg. C) OT Q.p hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction aux: .,ldrninLstrative Fee: 0 E) Work Without Permit? Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential E) Building or Structure 0 i Travel Doc•urnenlation Fees: Strong Motion Fee: 1BSEISMICR $2.14 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $3.14 $503.00 TOTAL FEE: $506.14 Afech. Plart Check ./feel,. Permit Fee• Other Alech, Insp, Ii4ech. Insp. Fee. 1'lrunh. Plan Check Plrrmh. Permil Fee., Chher Plumb Insp. EFL_ Phmrh. Insp. Fee: Elec..l'lan Check /; /,c. Permii Fee: 0111er Efec. hup. El Elec. Imp. Fee: NOTE: This estimate 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 nreliminary information available and are only an estimate Contact the Dent for addn'l info. FEE ITEMS (Fee Resolulion 11 -053 Eft. 7/1/13) FEE QTY /FEE MISC ITEMS Plan Check Fee: $0.00 0 # Deck / Deck Railing $503.00 1DECKWOOD Deck (wood) Suppl. PC Fee: (D Reg. ® OT Q,Q hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee O Reg. C) OT Q.p hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction aux: .,ldrninLstrative Fee: 0 E) Work Without Permit? Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential E) Building or Structure 0 i Travel Doc•urnenlation Fees: Strong Motion Fee: 1BSEISMICR $2.14 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $3.14 $503.00 TOTAL FEE: $506.14 Revised: 07/02/2015 00 �G a c o �� o U �co o o U lz;zr O co fib^,, OW W Qi \\ JQ W ir 5 V �1 71. I Ln e. p i i� f� 1 0: ,I o1 l KA 1i e 00 �G a c o �� o U �co o o U lz;zr O co fib^,, OW W Qi \\ JQ W ir 5 V �1 71. I Ln e. p i i� f� 1 0: ,I o1 l W a- KA 1i iZ Y 4 W a- I Ei 7 1 qlk I f it 1. i LIN/' 0 P ci Q 7k ti f, COMMUNITY MANAGEMENT SERVICES, INCORPORATED July 23, 2015 Partha Bhattacharya Sraboni Bhattacharya 11213 Stauffer Lane Cupertino, CA 95014 Re: SEVEN SPRINGS OWNERS ASSOCIATIONS 11218 Stauffer Lane Dear Homeowners: Enclosed you will find a copy of your Architecture Application for the re- landscaping of your backyard, with the approval from the Board of Directors, as well as any restrictions or conditions that the Board deemed necessary. Please fill out and return the Final Inspection Form once your project is completed. Please keep in mind that any deviation from your approved application will require you to resubmit your architectural application for review. If you utilize an unapproved material you will be required to remove and replace the material with an approved selection. The approval of your project's architectural compatibility with the Seven Springs Owners' Association's complex does not constitute or imply, that the Architectural Committee and/or the Association Board of Directors deem your project as meeting City of Cupertino /County of Santa Clara codes. The approval is given contingent upon you and /or your contractor(s) obtaining the required construction permits and meeting all code requirements, if any. Sincerely, Community Management Services, Inc. i o~ r Ml's Her Senfdr ssociatron Manager, CCAM SEVEN SPRINGS OWNERS ASSOCIATIONS LH/nm cc: Board of Directors File #4 & #16 1935 Dry Creek Road, Suite 203 o Campbell CA o 95008 -3631 o voice (408) 559 -1977 o fax (408) 559 -1970 e a o' Seven Springs Owner's Agsocct Ellen Apipideatiion IFor ApprovzU of "CA'1<'lECGRY A" Arelhitecturap Change /Addition This application is for modifications to the rear yard areas. All landscaping changes, patio and storage shed additions, fall into this category. Date: 61 / 26/ p®/ s' PLEASE PRINT THE FOLLOWING INFORMATION Name: ?Aa -TMA &JA ARY Address: 112-113 S rACIFF6-2 L n19 Home Phone: 4 08 .3 6 6 6 )'4-1 Work Phone: Y O S ?P8 8 16'7 41 Description of Proposed Change:__ _ ��iC�q��. V 2 eQ� S °► to Y l 4tYrd S Ck0L fog. CA 2G1� _�!d 1»Y _ _ Ag"jA:S CG0. O CAR Homeowner's Signature: OL• e �- Please attach additional information, drawings, specifications, brochures and details regarding the proposed change in additional pages. �# ��xa# r���z, �x�ao�saz�oos, �+ a�s�x��aaaaaa�c, aa,+ o�aaao# aa�z�+ o� #oa�so�sa+�a�a�z�ooaoaoaa�aa� ARCHITECTURAL CONTROL COMMITTEE/BOARD ACTION Approved X Approved Pending Denied — Denied Pending Architectural Control Committee/Board Comments: Architcc zitontrol Gogrtmittee/6oard Signatures: Date:, 7/ V5 o Ja t. ot i 59 i0- N rl VU, M O vo . 6g Otli lik V5 o Ja t. ot i 59 i0- N rl VU, M O vo . 6g