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14070060CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8093 PRESIDIO DR CONTRACTOR: S I S CONSTRUCTION PERMIT NO: 14070060 INC OWNER'S NAME: MC AULEY JAMES R AND AGNES S 2845 MOORPARK AVE STE 114 DATE ISSUED: 09/16/2014 OWNER'S PHONE: 4086551551 SAN JOSE, CA 95128 PHONE NO: (408)293-1285 DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL F] LIVING SPACE In LICENSED CONTRACTOR'S License Class Lie.33 7 REPAIR/REMODEL ENTIRE SFD (2,883 S.F. & 410 S.F. GARAGE) FROM WHOLE HOUSE FIRE DAMAGE Contractor idi(j gt % Date A l A _ 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 of m under penalty of perjury one of the following two declarations: awill maintain a certificate of consent to self -insure for Worker's ;ave i ensation, as provided for by Section 3700 of the Labor Code, for the Valuation: $450000 �16rformance of the work for which this permit is issued. Sq. Ft Floor Area: 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: 35611078.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 have read this application and state that the above information is PERMIT XPIRES IF IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 1 0 DAYS OF PE IT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 DAYS F O LED INSPECTION. upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, the C� ��'�� costs, and expenses which may accrue against said City in consequence of Issued by: Date: ' • granting of this permit. Additionally, the applicant understands and will comply with all non -point so ce regulatio s r the Cupertino Municipal Code, Section 9.18: Date RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is (il S1ir2ature'- 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 ALL ROOF COVERINGS TO BE CLASS' OR BETTER the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, do the work, and the structure is not intended or offered for sale (Sec.7044, will Business & Professions Code) - HAZARDOUS MATERIALS DISCLOSURE 1, as owner of the property, am exclusively contracting with licensed contractors to 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 penaltyof 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 Area Air Quality Management District I Compensation, as provided for by Section 3700 of the Labor Code, for the y will maintain compliance wpertino u cipal Code, Chapter 9.12 and air contaminants as definedjes performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, S5505, 25 and 25534. Section 3700 of the Labor Code, for the performance of the work for which this ef, ti�"adnit]ftikized agentDate: 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I 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 become subject 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8093 PRESIDIO DR CONTRACTOR: S I S CONSTRUCTION PERMIT NO: 14070060 INC OWNER'S NAME: MC AULEY JAMES R AND AGNES S 2845 MOORPARK AVE STE 114 DATE ISSUED: 09/16/2014 OWNER' ONE: 4086551551 SAN JOSE, CA 95128 PHONE NO: (408)293-1285 c� JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL t� LICENSED CONTRACTOR'S DECLARATION REPAIR/REMODEL ENTIRE SFD (2,883 S.F. LIVING SPACE 4 S,► 7-5 & 410 S.F. GARAGE) FROM WHOLE HOUSE FIRE DAMAGE License Class Lic. Contractor Date -41aAWDEFERRED #1- REVISE TRUSS CALCS - ISSUED 1/12/15 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: lave id will maintain a certificate of consent to self -insure for Worker's pensation, 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: $450000 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: 35611078.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 certify that 1 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 DAY T ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 OM LAST ED INSPECTIO . upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgements, costs, and expenses which may accrue against said City in consequence of the Date: r granting of this permit. Additionally, the applicant understands and will comply ue y: with all non -poi source reg lations per the Cupertino Municipal Code, Section 9.18. f7 / RE -ROOFS: '` being installed. If a roof is Signature Date ,&/;`!� All roofs shall be inspected prior to any roofing material 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) 1, as owner of time 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 tinder Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will I hereby affirm tinder 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(x) 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 C pertino N nicipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sectio t 5505, 2 3, xnd 25534. Section 3700 of the Labor Code, for the performance of the work for which this Date:—%% Owner or authorized agent: permit is issued. I certify that in the performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY 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 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 Leader'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 CONSTRUCTION PERMIT APPLICATION . oO COMMUNITY DEVELOPMENT, DEPARTMENT •BUILDING DIVISION Q� v\ . � 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 3 . (408) 777-3228 • FAX (408) 777-3333 • buildinaQcuoertino.ora EUPERTft10 r1 r ---I 1—I 1ncn nDT/ rKTAT DT=DARTT:Y L_J NE\V CONSTRUCTION " AD0111UN LJ 11 PROJECT ADDRESs / a' �+ 10 [ rJ'�- APN R 50, 0 v8' �SS=/•s�/ I E-✓AII 4\'NER NAMEPH Li �Qmrs I I FP3 STREET ADDRESS �L I C1S,1', ST TE, P c, t-01,11 I- (J d NAME PHONE 63 6) E-MP.b C-0NTACTI 40b STREET ADD S /90,1/7 J/� // _ Jl� I CII Y ICiSti! Ch fT�� V FAX!" ^ 0, 7 ❑ OAIXTR ❑ OAT'.-BUILDEt 11OVIXERAGENT , CTOR ❑ CON -ACTORAGETrI' El ARCH'7`CT El E?1GLT*E'-R 1:1 DEVELOPER ❑TEN??err COh 0 .' ME I LICENS 4BE LICEN TYPE I ins 1 x,�lan T n c. BUS. LIC R �� /'� 6 COMP.ANYN.AA9` I E-MAIL SIV C' STREET `j2?E/� / 1 _ C 1 I / ✓ciJ7� 9J /P� I P aF a?3 iaBS ARC= ! J EE NA.QE LICENSE NUMBER BUS. LIC 9 COMP ' Df VAN STREET C2t CITY, STATE, ZIP' 40 P 7+ 19; DESCRIPTION OF WORK�� Ex STING L'SE PROPOSED USE CONSTR TYPE STORIES USE I TYPE OCC. SQ.FT. VALUATION (S) AM I AANILf EXZTL%N1 f AREA I NAREA OOR DEFL Q O TOTAL I NET AREA ZVS y I (Wt BATHROONI KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA I PORCH AREA DECKAREA TOTAL DF CK/PORCHAREA ACH GARAGEAREA:ATTACH / �(�, },0 dl& �I 'A 440 DWELLING UNITS: IS A SECOND UNIT YFS SECOND STORY 1 VIOS BEING ADDED? -�'0 ADDITION? Il( QTS-PSOVIDELDPYOF JST�I-EBLDG.4N rl tS •� ..�_•`DBY--•._ -"_ Y` TOTAL VALUATION: ;---` - _ PLANI.IINGAPPLm YNO PLANN-IGAPPROVAL LETTER EICHLERHUME? L9 NU__ � !� $.-t� -Wo -razed ^chalf. By my signature below, I certify to each of the following: I am the property owner or aut anent to a- rope 0A'ner's I have read this application and the information I have o ded is correct. have read the Description of Work and verify it is accurate. agree to ply with all applicable local ordinances and state law's relating to i ng colstT ti I authorize representatives of Cupertino to enter the above dentifi^ for inspection purposes. /roperty Signature ofApplicant/Agent: Date: Zk SUPP1,E?\IENTT.4L INFORMATION REQUIRED PZr}N CEECIC_TYPE I ` y � � NeW SFD or Multifamily d%avellings: Apply for demolition permit for © x COULTER BUIIDL\ LATRE�SEti existing building(s). Demolition.permit is required prior to issuance of building01m,- r permit for new building. PER- PRESS -� ' 9� Pi 4T��1 �GPi iT� RESiEvL' { M ;0-1 �,� r3 Commercial Bldgs: Provide a completed Hazardous Materials Disclosure )� sinnitD�F r puBzc�vAliRsz w _ form if any Hazardous Materials are being used as part of this project. AGI rFIRE aEP� w YI Copy of Planning Approval Letter or Meeting With Planning prior to©AnITItI SER�RDISTRICT _ , submittal of Building Permit application. ���3rIa7D isY 3:r.. .'� w; r "'? .r�:.t�+-_ � ��EN3'IROT4'➢4ENTA'L`FIEA?;TA „;�.��;_�.' BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO W. -M FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, N'ire, Sanitay Sewer Distract, School District etc These fees are based on the nrelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Ef 7/1/13) ADDRESS: 8093 PRESIDIO DR DATE: 07115/2014 REVIEWED BY: MELISSA mech. Pet•niit 17"c' APN: 356 BP#: `VALUATION: $450,000 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: p Phmtlz hasp. PENTAMATION 1R3SFDREM PERMIT TYPE: i WORK REPAIR ENTIRE SFD (2,883 S.F. LIVING SPACE & 410 S.F. GARAGE FROM FIRE DAMAGE SCOPE NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, N'ire, Sanitay Sewer Distract, School District etc These fees are based on the nrelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Ef 7/1/13) Xlech. I'lon Check i'hutib. Plan Check Efe<:. Plai? C:hcck mech. Pet•niit 17"c' 1`1111771). Permit Fee: Elec. PertWt F"e., oflic-7''Vec'h. L'Isp.E171- C (her Plumb Insn.Li 0/her Elrc. Insp. Lj ,1k:ch. Insp. t <te: Phmtlz hasp. Efec. Insp. F,:e: NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, N'ire, Sanitay Sewer Distract, School District etc These fees are based on the nrelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resolution 11-053 Ef 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 F-3,2931 s.f. $6,354.00 Remodel, Other IREMRES3 Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:G Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (.'a"zslrricn."M 770X., F /I cl:ntni.crrrdtrve Fec3: 0 Work Without Permit? 0 Yes Q No $0.00 Advanced Plannin& Fee. $0.00 Select a Non -Residential Building or Structure 0 Ii r :C Zkjcrrnzrntatiot7 ll `{ es: Strom Motion Fee: IBSEISMICR $58.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $18.00 SUBTOTALS: $76.501$6,354.00 TOTAL FEE: $6,430.50 Revised: 07/10/2014 tDs ®r • F_-1 IT III / nXTCTDT 11--7%'1'. CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX ((408) 777-3333 • buildin cu ertino.or F-1 A nr)TTTnTa F-1 AT TT=P ATTnN / TTREVISION /DEFERRED ORIGINAL PERMIT # LJ — - -- - -- - - _ PRO ,, , SSc ' %)L /` , } P (/ -31 G v ` APN # OWNIv�?r ,�/� PI' 0] IE : x4/fia �a l E-MAIL r STREET ADDRESS CITY, STATE, ZIP FAX CONTAC N ME zV1lGna ST- .ET ADDRESS CITY, STATE, ZIP FAX ❑ QWNER ❑ OWNER -BUILDER ❑ ONT'ERAGENr ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE F9GM, Pff10N F '; fvS EXISTING USE PROPOSED USE CONSTR TYPE I # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEl4' FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNITS: ISA SECOND UNIT ❑ YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? []NO YES IF YES, PROVIDE COPY OF PRE -APPLICATION El YES IS THE BLDG AYES ❑ HOME? NO RECEIVED.BY `:. ' V,a}L.0 T ILI'j r PLANNING APPL # ❑ NO PLANNING APPROVAL LETFER EICHLER ❑ By Iny signature below, I certify to ea h f the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I ha e r vided iscome lave read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating i ding construct n authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Ap licant/Agent: SUPPLEIvf);NTALINFORl\ZATIONREQU D„ROUTII�cSLTP_,.r New SFD or Multifamily dwellings: Apply for demolition permit for Q ovER iicoT�xTER, BUIL DINGPLAN REviEw existing building(s). Demolition permit is required prior to issuance of building E r 1 t � for new building. D EXPRESS ❑ PLANi\ G PLAN REVIEW i3- permit K, Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ARn r ❑ rvsilcwoRlts Commercial _ form if any Hazardous Materials are being used as part of this project. y t' 'FIRE n i, LARGE DEPTtvt r Copy of Planning Approval Letter. or Meeting with Planning prior to t n `' ❑ _ DL470R ' s +,,_ _-sAT.ITARY SER'ERI)ISTRICT - submittal of Building Permit application. �, ;_ _ r.,y� ��ENVIRONn2ENTAL'HEALTA , BldgApp_2011.doc revised 06/21/11 CTTV OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 8093 presido dr DATE: 11/26/2014 REVIEWED BY: mendez —9 m APN: BP#: EVALUATION: $1,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY PENTAMATION 1 GENRES USE: SFD or Duplex PERMIT TYPE: WORK deferred #1- revise truss calcs SCOPE NOTE: This estimate (toes not inctuae fees aue tu on[er "ep(nnracrran v- ­. IS, - • • • •• _ _ _, _ ..i... ------- it., Dani fnr nddn't info. District, etc.. •Ittese lees are aasea on ine reununur FEE ITEMS (Fee Resolution 11-053 Ef: 7/} 1/13) Y'lydcl(, t'ir rt (.."lr c/f Phial!'. I'lon Clwck lilec: flan ChecJ _blech. Permit Fee: Plumb. Pennit Fee: tstec Permit Fee: C�thcr liech. [rap.Ea_�_ 0(her Plumb Insp_ othe?, Elcc. Insh. �tdc�c/r. Inv). Fee: I'huub. hup. Fee: I�kx. I➢T&I7, Fee:: NOTE: This estimate (toes not inctuae fees aue tu on[er "ep(nnracrran v- ­. IS, - • • • •• _ _ _, _ ..i... ------- it., Dani fnr nddn't info. District, etc.. •Ittese lees are aasea on ine reununur FEE ITEMS (Fee Resolution 11-053 Ef: 7/} 1/13) in(urunuru,' ­ .. FEE QTY/FEE - - - MISC ITEMS Plan Check Fee: $0.00 1 # Deferred Submittal $286.00 FIDEFSUBM Suppl. PC Fee: Q Reg. Q C10.0 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: $0.00 (_'onswn.clion 1 ur A,YininislrafiV, Fee: 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential G) Building or Structure 0 � 1''_0j,£'l ])ocaindi2talion Fees: strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.50 $286.00 TOTAL FEE: $287.50 r\CVIJGu. lulu I ��