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15080141CITY OF CUPERTINO BUILDING PERMIT WILDING ADDRESS: 7344 RAINBOW DR CONTRACTOR: ABSTRACT WINDOWS PERMIT NO: 15080141 INC OWNER'S NAME: LIZETTE BEEDLE TRUSTEE 2441 CARLMONT DR STE 206 DATE ISSUED: 08/19/2015 OWNER'S PHONE: 4086748997 BELMONT, CA 94002 PHONE NO: (650) 863-0639 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ 1 BLDG, 4 UNITS - REPLACE 18 (E) WINDOWS, 2 PATIO License Class G Li,.4 96 _?�/3 5 DOORS & 8 ENTRY DOORS (ALL WINDOWS WILL MEET , Contractor 4410 W -,q c� (/� / �' rDate <e ' EGRESS & BE TEMPERED WHERE REQ'RD BY CODE) 1 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: $22000 performance of the work for which this permit is issued. 1 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 APN Number: 36619021.00 Occupancy Type: 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 WIT S 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 INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgmen , costs, and expenses which may accrue against said City in consequence of the Date: granting of this permit. Additionally, the applicant understands and will comply Y with all non -point source regulations the Cup rtino Municipal Code, Section RE -ROOFS: 9.18. AP -0- Signature DateCf- 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. ❑ 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) I, 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 defined by the Bay Area Air Quality Management District 1 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 3700 Labor Code, for the for this the Health & Safety Code, Sections 25505, 255�25534 j7' 1, Ir Section of the the performance of work which 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 CUPERTINO CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingna cupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION N� ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS i 3 Uy 4�. /' . _�O APN # OWNER NAME n&&4a /` _ �,Lege �l, /„( / PHONE fi , d v% E-MAIL STREET ADDRESS I�1 , /(�� ./ � � a V l'` CITY, STATE, ZIP a _ I�(� FAX CONTACT NAME T'�%L / ^ 0 I F PHONE V0 ,�%C/f?j�//jn E-MAIL n STREET ADDRESS /v V CITY, STATE, ZIP „/I FAX FAX I!) OWNER ❑ OWNER -BUILDER!/ VOWNER AGENT ❑ CONTRACTOR ❑ CONTRAC(TOORfAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ,S J //fAZ0�� (!�r LICENSE NUMBER G� j' F/_3 { / a / LICENSE TYPE /�j r BUS. LIC # COMPANY NAME , / �v E-MAIL FAX STREET ADDRESS2 {,"I CITY, STATE, ZIP �o A-7 L PHONE�� ARCHITECT/ENGINEER NAME LICE NSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK p 2 - EXISTING EXISTING USE PROPOSED USE CONSTR. TYPE a STORIES USE TYPE OCC. SQ.FT. I VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA I DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORV ❑ YES BEING ADDED? []NO ADDITION? ❑ NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES Y: TAL VALUATION: PLANNING APPL it ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO By my signature below, I certify to each of the following: I am the property owner ora rized aon ' e the property owne alf. I have read this application and the information I have provided is correct. I have read the Description of Work an rify it is actin e to comply with all applicable local ordinances and state laws relating to building construe I author representatives of Cupertino erlRe ab ov dentified property for inspection purposes. - /9 - zo/s Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECKTY]PE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BIdgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO I M-7 FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addh7 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1113) 7344 RAINBOW DR t'huub. Plan Check DATE: 08/19/2015 REVIEWED BY: MELISSA ImADDRESS: APN: 36619 021 BP#: *VALUATION: 1$22,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY Multi -Family Dwelling USE: Buildina is 3 Stories Q Yes Q No PENTAMATION 1 GENRES PERMIT TYPE: WORK 1 BLDG 4 UNITS - REPLACE 18 E WINDOWS 2 PATIO DOORS & 8 ENTRY DOORS ALL SCOPE WINDOWS WILL MEET EGRESS & BE TEMPERED WHERE REQ'RD BY CODE) NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addh7 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1113) A9ech. flan Cheek t'huub. Plan Check lec. Plan Check Hatch_ Permit Fee: Plumb. 1'f Fle�c. Permit Fee: Other Alech. Insp,E1__L_ Other Plumb Insp.Ll ??er� t_lec. hasj, Suppl. PC Fee: Q Reg. 0 OT F0,0Thrs NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. eta). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addh7 info. FEE ITEMS (Fee Resolution 11-053 E . 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 22 # $717.00 Window / Sliding Glass Door I WINREP Replacement Suppl. PC Fee: Q Reg. 0 OT F0,0Thrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Const-uctlon Tax: Administrative Fee: E) Work Without Permit? 0 Yes (F) No $0.00 Advanced PlannipZ Fee. $0.00 Select a Non -Residential Building or Structure E) %t't P;'/ 1��tC'lir/<'iFlG7dt t'1 /'er35: Strong Motion Fee: IBSEISMICR $2.86 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $3.86 $717.00 TOTAL FEE: $720.86 Revised: 07/02/2015 + � 3 Lf C /� 4ee, ,-,r 7-,eo r ' - � D w ��6� � t y �i �,t�l' /�D o ✓11' SGT m� �Fn' 6'X 6''9" 3 `k 3' BFd I OFFICE COPY /'L4 A") Aq PGMGIAGN ,r 3 :30NVndWO0 3 300 BOJ C13W31A36 iva=adeC] 6ui nja e ONIi2:13drl D tvNDOw Sd EVEI nPAAC:& T _-_ BUILDING DIVISION - CUP1N+PNX This set of plans adPPRo;o ED ST be k ept athe ;co site during construction. it is unf2wful to make any changes or alterations on same, or to deviate : erefrorn, withcut approval from the Building Official. A specifications SHALL NOT appro-T of the violation BY r�'1c to Law. DATE ---% , IT # S��ee�f i A I ak 6'si Lr OPLAN CLCKED BY DATE PLANNING DEPT CUPERTINO cfq �Q 2 ?moo 9 CC -I P" 7j1 -o -4 Ci'4��i9��S' 3�3 -�O 308 A6a x s vl /)o 4, x S 3D„ 1-1 0x AooA i