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15090078I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10325 FARALLONE DR I CONTRACTOR: KITCHENS BY MEYER PERMIT NO: 15090078 OWNER'S NAME: UNDERWOOD PHILIP G AND MARCIA 1861 E EL CAMINO REAL I DATE ISSUED: 09/11/2015 I OWNER'S PHONE: 4082575181 1 MOUNTAIN VIEW, CA 94040 1 PHONE NO: (415)968-8318 ❑ LICENSED CONTRACTOR'S DECLARATION License Sass Contractor Z6 Lie. # O I hereby affirm that I am licensed under the provisions t Ch o ap er9 (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: t. 1 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. 2. 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. 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, an expenses which accrue against said City in consequence of the grantin of this pe d ' on , the applicant understands and will comply with all non -p ' so alio a ertino Municipal Code Sectio 9.18. c Signature Date �� S ❑ OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. 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 (Sec.7044, Business & Professions Code) 2. 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 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. 2. 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 permit is issued. s. 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. Signature. Date JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ KITCHEN REMODEL (140 SQ FT). Sq. Ft Floor Area: I Valuation: $2300 U'N Number: 36931013.00 1 Occupancc Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: s�� G� LCfZ Date: -/ - %Z / 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,_etions 25505, 25533, and 25534. 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 Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO f-1 - CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 )��4��(408) 777-3228 • FAX ((4008) 777-3333 buildino cDcupertino.org 7-1 . 17C .. ,--- . -- ,- n .) r1RTrJITAT PFRT`TTT Bldg_4pp_2011.doc revised 06/21/11 - PROJECT .ADDRESS /� � 4 ra L v " `/ / ✓� • E-MAIL PHONE .�S OWNER NPMEr��QG `r(„ .s A/ - , S CITYATE, ZIP F� STREET ADDRESS CA cl S 0 /Si CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGET'r VCON7RACTOR. ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ L'GINEER ❑ DEVELOPER ❑ TENANT CONTRACI'ORN.AMF/ LI�' 4B R _ / LIC! TYPE BUS. LIC R3�� Q od �{/� COMPAF N. 4E E' �t Lj FAX tib - f K t STREET ADDRESS C11Y, STAT.F, ZIP ViIew cR 9 aWGQ PHONE lek-22-0k ARCHITeCT/ENGINEER NAME LICENSE NUMBER BUS. LIC a COMPANY NAME EMAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK 'QClq& EXISTING USE PROPOSED USE CONSTR T1'PE I R STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA N57 AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH El ATTACH m DR'ELLSNG UNITS: Is A SECOND UNIT YES SECOND STORY ❑ YES BEING ADDED? ❑-NO ADDITION? E3NO --PRE•A-PPLIGA-TION-Q 1'ES�7F1�S,-P-RO]�ELOPLOF _- HE. B�,DG AN IA -1 YES , TOT VPUATION: I15T PLA.T7NGAPPL NOPLA,WINGAPPROVALLETTER EICHLERHOME? NO By my signature below, I certify to each of th o ing: I am the pr perty owner or authorized agent to act on the property ommer's behalf. I have read this application and the infor n I have pr ded is correct. I e Description of Work and verify it is accurate. ee to cc ly with all applicable local io;y i sentatives of Cupertino to enter the aentr ]ed pr erty for inspection purposes. ordinances and state la lvs re Ildingr Signature of Applicant/Agent: Date: �r SUPPLE? AL INFORMATION REQUIRED a _ New SFD or N4ultifamily dlvellings: Apply for demolition permit for existing buildinga(s). Demolition permit is required prior to issuance of building for building. o � co i} permit ne1N, Commercial Bldgs; Provide a completed Hazardous Materials Disclosure _ form if any Hazardous Materials are being used as part of this project. h Approval Letter Meeting with Planning to _ Copy of Planning or prior submittal of Building Permit application. S 5. Bldg_4pp_2011.doc revised 06/21/11 wo CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION imlADDRESS: 10325 FARALLONE DR DATE: 09/11/2015 REVIEWED BY: SEAN _l/m, P APN: BP#: *VALUATION: 1$23,500 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: "- /). Fee: PENTAMATION 1 R3SFDREM PERMIT TYPE: WORK KITCHEN REMODEL 140 SQ FT). SCOPE NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the nreliminary information available and are onlv an estimate Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1 73) afech. Plan Check QTY/FEE Jec..Plan Check _l/m, P Plan Check Fee: E/ec• Permit Fee Other Alech. Insp t )rher Plumb Insp- ether I:Iec. "',P. /av- I CC "- /). Fee: Fee: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the nreliminary information available and are onlv an estimate Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7/1 73) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 140 s.f. $645.00 Remodel, Kitchen (<=300 sf) IREMRESKIT Suppl. PC Fee: E) Reg. O OT 0.0 hrs $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 C.,'On)truction Tax: Adininistrcniv,: [ce: O Work Without Permit? O Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 0 A Trcnmel Documentation Fees: Strong Motion Fee: IBSEISMICR $3.06 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $4.06 $645.00 TOTAL FEE: 1 $649.06 Revised: 07/02/2015 N r 1VIYIG en by MV lY! i . .. K I T C H E N$ & D A T H s DESIGN • SALES • INSTALLATION 278 Creno 9tteet, Mounudn Vicat' CA 94041 650. 968. 7866 JOB SITE UNDERWOOD RESIDENCE 10325 FARALONE DR CUPERTINO, CA 95014 CONTRACTOR: KITCHENS BY MEYER 861 E. EL CAMINO REAL MOUNTAIN VIEW, CA 94040 CONTACT: ROD MEYER 650-279-816 SCOPE OF WK: BASIC REMODEL OF KITCHEN, PLUMBING UPGRADE AND ELECTRICAL TO BRING TO CODE. SHEET INDEX: D-1: PROPOSED KITCHEN D-2: ELECTRICAL PLAN CODES: CBC, CRC, CEC, CMC, CPC, CALIF. ENERGY CODE, FIRE CODE, CUPERTINO MUNI CODE 201` ; RECEIVED ,-; - I 1 2015 COMMUNITY DEVELOPMENT L)EPARTMENT BUILDING DIVISION - C','PERTINO APPROVED This set of plans acd specifications'., ,ST be kept at the job site during cor.strUctlon. It is ,;r• ,,vful to make any changes or alterations on say or to deviate therefrom, without approval from - -; Building Official. The Stamping of this pian and s Feu ,tions SHALL NOT be held to permit or to be an :al of the violation B any provisi ns of any Cit" Cr' ,, ice or State Law. BY ��/V -_ �i�T�hl DATE PERMI OFFICE COPY O N N 7 a0 CO d' O N CO 00 HN 00 N M N 4 122 2 of 2311 36" 63"- 411 3"A11 rf r Q 4 N CO 3 \L 1 I CO BF3 3D18 4D18 1112 4F n �L s J � _sz- v 86" 34" z 1262" All dimensions _size designations given are subject to verification on job site and adjustment to fit job 20') 11 TECHNOL003ES Y This is an original design and must not be released or copied unless applicable fee has been paid or job v W AIW AI41 0 W Underwood All Drawing #: 1 CJt N A�w G I IM W N N+ N+ �Fk,% v < O Vv 1 V o o CO -! m ry r o C) W v N AI+ O O AJca_ CO N li I' 86" 34" z 1262" All dimensions _size designations given are subject to verification on job site and adjustment to fit job 20') 11 TECHNOL003ES Y This is an original design and must not be released or copied unless applicable fee has been paid or job Designed: 11/25/2014 Printed: 7/22/2015 conditions. order placed. Underwood All Drawing #: 1 All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. Underwood 1262" CP W j ,,; This is an original design and must Designed: 11/25/2014 Q7EfH o chi' s Y not be released or copied unless Printed: 7/23/2015 applicable fee has been paid or job order placed. Drawing #: 1 �i