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15060025 (2)
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7818 ORION LN CONTRACTOR:SIERRA LUMBER& PERMIT NO:15060025 FENCE OWNER'S NAME: CRACKNELL DAVID H AND GLENDA 1711 SENTER RD DATE ISSUED:06/03/2015 OWNER'S PHONE: 4084768348 SAN JOSE,CA 95112 PHONE NO:(408)286-7071 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL REPLACE EXISTING DECK(450 SQ FT) License Class Lic.# Contractor Date 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$25000 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 APN Number:36220015 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 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 180D YS FROM LAST CALLED INSP C ION. 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 Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9 18. RE-ROOFS: Signature Date 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 O,�cr�' inspection. I' 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 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(See.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 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 t� " .� � I ' P Permit is issued. p Owner or authorized agent: '. Date: .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 1 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 �' �-N` Date ir' ,.s CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333•building cDcupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGI-VIAL PERMIT# PROJECT ADDRESS _ APN R 2 �® r6 OWNERNAME PHONE ✓ E-MAIL { u v�� GRA _ (, 408 *XX34-8 bc C78i8 _61A 1J_ .Com STREET ADDRESS7. CITY, STATE,ZIP FAX CONTACT NAME PHONE E-MAIL vQ C ACioaf- S 3 twfc-?81 !3@6-MA _.Coto STREETADDRESSCITY,ST TE,ZIP FAX S78 8 O PMOIi L A PJr; Cu tic) Cts 5 i OWNER ❑ OWNER-BUILDER ❑ OH'NERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSENUMBER LICENSETYPE BUS.LIC S �R.� Lv- �a�r5`► COMPANY NAME �,,I i ,+wn E-MAIL FAX P'fS, o STREET ADDRESS CITY,STATE,ZIP PHONE Si=6Jii ell ROAD SAty JpSc cA ctSi IZ. 401 281 o-71 ARCHTTECT/ENGsi`A NAME LVM&� LICENSE NUMBER�� Cl BUS.LIC R COMPANY NAME _ ` n E-MAIL FAX S m� FaL� 40- LvrnN STREET ADDRES. CITY,STATE,ZIP PHONE 1�7 �( SEcv i M a0M SAN Jose . C g5117- Ztog 28b 7o-11 DESCRIPTION OF WORK RM.Ac6 6? (sTfl,+G- be-b</ 00STTNGUSE PROPOSED USE CONSTR.TYPE R STORMS USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR, DEMO TOTAL AREA AREA AREA NET AREA BATHROOM. KITCHEN.. OTTER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ATTACH RDWELLINGUATITS: IS A SECOND UNIT E)YES SECOND STORY []YES BEING ADDED? ❑NO ADDITION? ❑NO . PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YESE DBya-,,,��-'G r = ,<n --� TOOT VALUATION: PLANNING APPL r ❑NO' PLANNTING APPROVAL LETTER EICHLER HONTE? RICO By my signature below,I certify to each of the follow ing: I am the property owner or authori d agent to 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 verify it is accurate. I agree to comply with all applicable local ordinances and state laws relat' to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent:_ .rF7Zk,� Date: SUPPLEMENTAL INFORMATION REQUIRED �.P.I;,�I�C�CK�'1�E�>".5....�.1=����..�-320UT1I�G,.SLIP.,�.�:-k._.• New SFD or Multifamily dwellings: Apply for demolition permitfor � #�� � � �� �y�+�� tiQ 04ERTHE GOTTItTER r fluB7I�I DING PLA1�REyIEPSµ existing building(s). Demolition permit is required prior to issuance of buildingW, � - permit for new building. gi Nnmc pLArIRE�sE�y _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure © sxAIID�TtD f PiBLcu�oRxs'} form if any Hazardous Materials are being used as part of this project. e LAR(;S flI IIiS1EP1 k e ;1 Copy of Planning Approval Letter or Meeting with Planning prior to � 'mac MA�7OR sSAl\TfABYSERRDIS�C submittal of Budding Permit application. BId9App_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 7818 ORION LANE DATE: 06%03/2015 REVIEWED BY: PAUL APN: 362 20 15 BP#: P��� I *VALUATION: 1$25,000 SPERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY PENTAMATION USE: SFD or Duplex PERMIT TYPE: 1 GENRE WORK Replace existing deck 450 Sq Ft SCOPE Nfech. Ptah Check Plumb. Plata(:'heck Elec..Plan Choc% FblechPermil Fee: Plumb. Permit Fee: T;lec. Permit Fee: Other Alech. lnsp. Other Plumb Insp. Li Other Elec.Insp. Ilech.Irish.Fee: Plumb. Insp. Fee: Elec.Insp.Nee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta). These ees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l in o. FEE ITEMS (Fee Resolution 11-053 E . 7/1/131 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (F) No $0.00 0 hours Plan Check,Hourly Suppl. PC Fee: (j) Reg. 0 OT0.0 hrs $0.00 $143.00 ISTPLNCK PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: Administrative Fee: 0 Work Without Permit? 0 Yes (•) No $0.00 0 Advanced Planning Fee. $0.00 Select a Non-Residential G Trcwel Docrlrnentation Fees: Building or Structure 0 i Strong Motion Fee: IBSEISMICR /$3.25 2.0 hrs Inspections Bldg Stds Commission Fee: IBCBSC $1.00 $286.00 ISTINSP Inspection,Hourly SUBTOTALS: $4.25 $429.00 . TOTALFEE' 3 , Revised: 05/07/2015 i^ or OWNER-BUILDER DISCLOSURE FORM COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTfNO (408)777-3228- FAX(408)777-3333•building aDcupertino.orq — Dear Property Owner(s): An application for a building permit has been submitted in your name listing yourself as the builder of the property -improvements specified-at: ^' 0 SITE"ADDRESS B "' .;.: .. ... :.APN:•" !� BP# OWNER NAME R ADDRESS2p _113 _„ 1 RIJJtA `"' L� "DESCRIPTION OF WORK:' We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (D1REC710NS:Please read and initial each statement below to signify you understand or verify this information.) 13 �'' 11 understand a frequent practice of unlicensed persons is to have the property owner obtain an"Owner- Bui der" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. `' 4: I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal'law. '' 6.. 1 understand if I am considered an"employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. �NPW I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. M. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s)that result from any latent construction defects in the workmanship or materials. OwnerBuilderForm 2010.doc revised 04/14/10 'G* 1 understand I may obtain more information regarding my obligations as an "employer' from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 4_. 0. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the site address listed above. 1. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. W-110111"1212. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information] have provided on this form. Licensed contractors are regulated by-laws designed to protect.the-public. If . you contract with.:someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint...Your only remedy against unlicensed Contractors maybe in civil court. If is also important for you-to understand that if an unlicensed Contractor or employee of that individual or firm is injured.while working on your property, you may be held liable for damages. If you^obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not-- those Contractors are properly licensed and the status of their workers' compensation insurance coverage. CONSTRUCTION LENDING AGENCY (DIRECTIONS:Please complete the following construction lending agency information.) I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Lender Name: Lender Address: Before a building permit can be issued,this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note:A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's i nature. Property Owner's Signature: zMAW --------------------------------------------------------------------------------------------------------------------------------------------- (NOTE: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner-Builder). AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s)to act as my agent(s)to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project(or Description of Work): Project Location or Address: Name of Authorized Agent: Tel No Address of Authorized Agent: declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note:A copy of the property owner's driver's license, form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: OwnerBuilderForm 2010.doc revised 04/14/10 `R'� {� ,' . , • . 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IF W 0-t A-V4 .......... G2. -Ale tL) -SPA. 44 .. I ��CKIt•!!s_ � The maximum stair riser height shall be 7'/•"and the minimum tread J depth shall be 10". Stair treads and risers shall be of uniform size 1 and shape. The tolerance between the largest and smallest riser height or between the largest and smallest tread depth shall not exceed .375 inch in any flight of stairs. 2007 CBC 1009.3 & 1009.3.2 I I x LEVEL LANDING REOVIREO -� AT soTTom OF STAIRS 2X12 STAIR TRIJ�GF.13. ` ' I - -r--- FIN14s'�'GRADE I A U WDING NOT EXCEEDING SEVEN AND ONE•HAIF INCHES IN HpiGHT o ABOVE GRABS SHALE.9E PRO=ED AT THE BOTTOM OF A STAIR WAY WHEN jU'aTGe - NECESSARY TO COMPLY. NO HORtZOWTAL OVAENSION OF THE LANDING SHALL BE LESS THAN THE WIDTH OF THE STAIRWAY, THE LAMBING SHALL COMPLY Wr N THE DESIGN ANo r-ONSTRUCTION RMUIRE1d04TI FOR A PORCH,AND SHALL CONSIST OF PRGSWRE TREATED LUMBER NOT LESS = TKMi TWO INCH NOMINAL714MNESS.HEARTWOM GRADES OF REDWOOD. 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