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08060060CITY OF CUPERTINO �1*,�T BUn-0ING DI' SION PERMIT RIai W, TOR, eulLTI6cA -T ALPINE DR ALL AMERICAN BUILDERS 08060060 OWNER'S NAME: PERWT ISSUE DATE RUTH TUBBS 5871 WINFIELD BLVD 06/09/2008 NE: SANITARY NO. CONTROL NO. (408) 224 -5100 ARCHITEC (ENGINEER: BUILDING PERMITINFO 'BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description 1 beech, sfBm (het 1 am licored under provisions of CWpo' 9 (rnm rommg with Scedon701g0af Divuen 3ofdue Business and Professions Codduc -and my license la REPAIR SURFC& RLNGS FOR (3) CANTELIEVERED m fYll farce aM - I Q O Liam Claaa�lk.g BALCONIES Dam L /a /acs. Comaxum w Try ARCHITECTS DECLARATION 4 19 6 SQ 1 understand my plans shall W used as public reco b; RM .�C5 Licensed Professional OWNER-BUILDER DECLARATION 1 mmhy affirm that i am exempt from the Contractors License Law for the following mo on. (Section 7031.5, Business and Pmressiam Code: Any city or county which requires a Permit to LImVNCL alter, Improw. demolish. or minor my structure ! prior on its issuance. also requires ton applicant for such permit to file a signed comment that he is licensed to the oflne Contractor, U.. Law (Chapter 9 Sq. Ft. Floor Area Valuation panuanl provisions (comencing with Salim 70)0) of Division 3 of the Business and Pm fessiona Code) at m $12000 ! that be is exempt de rermm and thin basis for the alleged eumpdm. Any vialadon or Number Occupancy T Section 7011.5 by airy applicant for a permit subjcu him applicam in a evil prsuty of th mre wan Rae hundred dollxa (SM 32615109.W y pe ❑ I.uownorofwepmpmy,amyrmployer wiwmgesuw kmlccampeouuon, will da thewons and theswmumuml,Licedoraw of Btur "' Required and Professions does apply an, ons Cade: M Camrxmra law does net apply m rd owner of - Inspections wh ndwho is cnywhohisitchorirep doesmihwort Mmx)fed forWe. ehis aluch impreandwee own ea- pmvmed won such Tm are ne wW arollmeG for awn et, due Wilding or impmve ant iahathiwithin ot year or sorif. it mid year hsider ill tis builder will have the WNcn of proving that k did not Wild m improve for purpose of imromfortheose of cam.). ❑ L u owner ar the Property. am exmnsrvely cam sing with 0ceruW mnuamms ss conswet the pmjen (Sec. 7(s64. Business am Profesdoes Code:) Thc Countesses LL- . tense Law dons not apply m an owner of poopeny who Wilds or improve, thereon. and who contracts for such pmjeess with a co ismor(s) licensed punwm in dan Comractoh Lim. taw. ❑ 1 man exempt under See ,Bk PC fer this resume 0. Data WORKER'S COMPENSATION DECLARATION 1 hereby affirm under parity of Njury arc of the following dechmmenc: I wand will rommoina Cerifiataisf Catemenself.insurefmWorkrsCompcn- I on, as provided for by Section 3100 of we Labor Cade, fm him performance of the wwk for which this permit is issued. ❑ 1 have and will maintain Workers Compensation Insurance, as required by Section ' 37W of tk Labor Cede, forthe Performance ofte work for which this permit is issued ' My Wakes Compemadon let.." artier and Policy madia>2: Cartier: policy, No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE O"hasmlm need rot W completed dust permit is foream hundred dollars (SI W) or Wd,) I certify that in the formarca m we work for which this pcmil'u .^ ~d I shall ml emplaY any pe ymmra on as m tzaan mbfttlm de Warlmn' Co.,=do. Laws of Caluo a. am Applianl AN If. after ring Nis Cenifcm, of Exemption, you should Wcoma j me bcome m m we Wohas Compensation Provisions of the labor Codc, you most forthwith comply such provisiam a out Permit shall k tamed revoked, CONSTRUCTION LENDING AGENCY I kmbY afrtm that then is a comuuedino lending agency for we perrumance of the work for which this permit Is issued (SC. 3091, Cfv. C.) Tenders None Leader, Md. I archly that I have read INS appiianim and sum dust tm,bow Inrmm era is cmrat 1 agree In comply with alt city and aunty remittances and sate laws relaung to Wilding consuunion, and hereby mwOrme represauums of this city to a= upon him akm- memidgm pmpeny for inspection ma (We) agree to save, indemnify and lap harmless the City of Cottonton against which and expenses witch may in anY way attrne against mid City incoiugJudgmentsecosta in consequence of we granting or this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SOURCE REGULATIONS. Issued by: Date �j- Re -roofs Sigmatum of Appjhmm ConWW a I law H DOUSMATERIALSumumeOSURE Type of Roof WIII tk apPli or fuuuc Wilding aavpantaom or handle haumons material ss OcOned by due Cupertino Municipal Cods. Chapter 9.13. and the Health and Saray Code. Section 25533fa)T Kirin ❑Tns All roofs shall be inspected prior to any roofing material being installed. WI11 the t applicant or future Wilding occupant um equipment or dcHm which If a roof is installed without first obtaining an inspection, I agree to remove �com, ns all cmorhihiironyts as deRned by we Bay Area Air Quality Management all new materials for inspection. ❑Yea ?(No I hevc mad the hvamrmxmamrialsrequimmenuunderCkpmrti .95 of the Caliroo net Health k SafetyCom, Secuoa25505, 25533 wol 25534.1 understand watifwe Wilding dem not currently loom a tenant. that it is my responsibility to notify tk c m mt or the requirements whteh an" Wmet pdar 'ss amx arc cenifhicam or Occupancy Signature of Applicant Date All roof coverings to be Class's" or better owner W ,YthamCd agent D,m - • 2 ITEMS OF 2 • r CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: ' APN ........: 32615109.00 DATE ISSUED.......: 06/09/2008 RECEIPT #.........: BS000005041 REFERENCE IO # ...: 08060060 SITE ADDRESS .....: 10379 ALPINE DR SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OPERATOR: patg COPY # : 1 METHOD OF PAYMENT --------------- -- CHECK TOTAL RECEIPT AMOUNT ---- ----- --- - -- 429.20 429.20 REFERENCE NUMBER --------------- --- -- #1329 OWNER ............: RUTH TUBBS ADDRESS ..........: 10379 ALPINE DR I CITY /STATE /ZIP ...: CUPERTINO CA, 95014 -0920 RECEIVED FROM ... ALL AMERICAN BLDRS CONTRACTOR .......: WILLIAM HATFIELD LIC # 29140 COMPANY ..........: ALL AMERICAN BUILDERS ADDRESS ..........: 5871 WINFIELD BLVD CITY /STATE /ZIP ...: SAN JOSE, CA 95123 TELEPHONE ........: (408) 224 -5100 FEE ID ---- - - - --- UNIT QUANTITY ------- - - - - -- - --- AMOUNT PD -TO -DT THIS REC NEW BAL IBSEISMICR - - - - -- VALUATION 12,000.00 ---- - - - - -- - --- - - - - -- 1.20 0.00 ---- -- - - -- 1.20 ---- - -- 0.00 - -- 1DECKWOOD EACH 1.00 428.00 0.00 ---- 428.00 0.00 TOTAL PERMIT - - - - -- ---- - - -- -- 429.20 0.00 ---- - - - - -- 429.20 ---- - - - 0.00 - -- METHOD OF PAYMENT --------------- -- CHECK TOTAL RECEIPT AMOUNT ---- ----- --- - -- 429.20 429.20 REFERENCE NUMBER --------------- --- -- #1329 0 • L 64() (0 0 0(100 al- CITY OF CUPERTINO CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN # �) . �, / 5l v / . v O Date: Building Address: 1 O 3 7 AIP,I� c : , CA 9iSo i y Mailing Address (if different from building address): Owner's Name: Phone #: &o8-� 7 -73_ 9'119y lzw -k -ebbs Contractor: Phone: (clog ZZ4-S /OU n pp PH- r/mCricavi '&"i Lecs Fax: Q408);LDL ( -zi2&? Contractor License #: -751 8 Cupertino Business License #: Contact: Phone: /j,4Ug,Z24_.S�0C7 `ZiO0 (�11 L ISO, Ya�-li•dd Fax: ZZ1I' y2.8f' Residential K Commercial Job Description: / �epair su��oce O- LgdCc.jj; A3CS %�C3) COmh e %weed �Icoh�e5 Is the project in the Wildland- Urban Interface Fire Area? Yes ❑ No Cff Building Permit Info: Bld Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: I -A, I I -B ❑ 11, 11 I, V -A ❑ 11, 111, IV V -B Valuation: 12, QOO . 00 Square Footage: is r9/ re Project Size: Standard 9 Lar e ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.buildit reen.or alb) ' arr or CUPERTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1 BTEMPPER Temporary Building Permit (good for B 30 days) 1 BBOILERI For the installation or relocation of ea M boiler /compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h 29.3kw 1 BBOILER2 Installation /relocation of ea M boiler /compressor over 3 horsepower to & incl 15 horsepower, or ea absorption sys over 100,000 Btu/h 1 BBOILER3 Instal lation/relocation of ea M boiler /compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1 BBOILER4 Installation /relocation of ea M boiler /compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h 1 BBOILER5 Installation/relocation of ea boiler or m refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h I BAPPLOTH For ca appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. 1 ELECINSP Other Electrical Inspections (per hour) E IMECHINSP Other Mechanical Inspections (per M hour) 1 PLMBINSP Other Plumbing & Gas Inspections P er hour 1MEETINGIHR ApplicationMeeting B ' CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM ACOUSTICAL REVIEW IACOUSFDW SFDWL /Duplex New B IACOUSRESAD SFDWL /Duplex- Addition /Alteration B IACOUSCOM Multi - Family /Commercial B CHIMNEY'S ICHIMNEY Chimney B 1CHIMNEYR Chimney Repair B FENCES 1 FENCE >6FT Non - masonry, over 6 ft in height B 1 FENCEMAS >6 Masonry, over 6 ft in height B FIREPLACES 1FIREPLMAS Fireplace Masonry B 1 FIREPLFAB Fireplace Pre- Fabricated/Metal B 1 FLAGPOL >20 Flag pole (over 20 ft in height) B I MODUSTRU Modular Structures B FOUNDATIONS IFOUNDREP Foundation Repair B I PILECAST Pile Foundation Cast in place concrete B IPILEDRIV Pile Foundation Driven (steel, pre- stressed concrete B 3 of 5 cl • CUPERTINO a • CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM RETAINING WALL(CONCRETE OR MASONRY 1 RETSTN Standard (up to 50 ft) B 1 RETSP310 Special Design, 3 -10' high (up to 50 `) B 1 RETSP 10 Special Design, over 10' high (up to 50' B 1RETCRB< Gravity/Crib Wall, 0- 10'high (up to 50 ft B 1 RETCRB> Gravity/Crib Wall over 10' high (up to 50 ft B SIDING 1 SIDEST/BK Siding, Stone & Brick Veneer interior /exterior B I SIDEOTHER Siding all other B SKYLIGHTS 1 SKYL <10 SF Skylight less than 10 sf B ]SKYL >IOSF Skylight greater than 10sfor structural B 1STAIRS Stairs -first flight/ea addt'l B STORAGE RACKS 1 SRACKS < =8 Storage Racks 0 -8' high (up to 100 sf) B 1 SRACKS>8 Storage Racks over 8' high (up to 100 st B 1STUCOAP Stucco Applications (up to 400 sf) additional stucco application B I � , / /Je C-k_ 4of5 , a_Nor • CUPEII,TINO CITY OF CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM 1 WINREP Replacement windows/sliding glass door ea 8 windows B 1 WINMEWSTR New Window - structural shear wall /mason includes plan ck fee B I EPERMITFEE Electrical Permit Fee E 1 MPERMITFEE Mechanical Permit Fee M I PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone Electric Pin Ck (hourly) E I MECPLNCK Stand Alone Mechanical Pin Ck (hrly) M 1 PLMPLNCK Stand Alone Plumbing Pin Ck (hrly) P I STPLN5K -(3 Hr Min when not over counter ) Standard Plan Check (when no E /M/P) hourly-stand alone B 1BSEISMICR Seismic Residential B I BSEISMICO Seismic Commercial B 1TRAVDOC Travel & Documentation B IBUSLIC Business License B 5 of 5 William Hatfield ALL AMERICAN BUILDERS Lisa Hatfield 5871 WINFIELD BLVD. Building in California for Over 20 Years To: City of Cupertino SAN JOSE, CALIFORNIA 95123 408 - 224 -5100 FAX 408 - 224 -4288 June 6, 2008 Re: Planned balcony repair work for Ruth Tubbs 10379 Alpine Dr. Cupertino, CA 95014 Dream * Design * Build * Enjoy License # 751408 Scope of Work • Remove existing railings, waterproofing, and sub base. • Install new sub base and waterproofing. • Install new lightweight concrete surface over Pacific Polymer "ELASTO -DECK • B.T." Description from manufacturer's website below: o ELASTO -DECK B.T. is a bitumen modified, liquid applied, single component, elastomeric waterproofing membrane system. ELASTO- DECK B.T. is primarily used for waterproofing planters, below grade, under mortar bed and between slab applications. • Install +/- 70 linear feet of iron railing, design selected by owner. • o Railing to be fascia- mounted with gaps sized such that a 4 "dia. sphere may not pass through. gSS�S T� Drawings attached. SOR Job Valuation: $12,000.00 COPY Y . ���✓ / ,7'a h ,'l 9ZOOB ��JJ. --o All American Builder 5871 AA infield Bkd. Jan Jose . Ca 951 23 Rue. 14081'_24- = 100 Fa..v. i411S1'24 -4`0 Z_ 0 0;� m l � P is 5 ;n d .r x 9 IN N v Frt -0 ,) > p .�.� Ii s T T" 0 3 i" c, T C� 0 c F-- AA, --I y FO S s P � 0 V� c. 1 Ib "o. .n w O S - lb - v_ 1� Cs 5 `j n u� s� S c 2. r -r -0 ,) -1 0 3 �* 1 h 4� Cs 5 `j n u� s� S c 2. r -r William Hatfield ALL AMERICAN BUILDERS Lisa Hatfield 5871 WINFIELD BLVD. SAN JOSE, CALIFORNIA 95123 �luilding in California for 408 - 224 -5100 Dream *Design *Build *Enjoy Over 20 Years FAX 408 - 224 -4288 License # 751408 -v �•�" I - ' I C1TY U' June 6, 2008 It hpppRphNCE WITH THE AND ORDINANCES �OpERTINO CODES To: City of Cupertino ATE, �IGNEU and �Pac"„,ati ns It un ans Re: Planned balcony repair work for Ruth Tubbs Ihis set oS 1 sand Y P a' kePt on the Icb at ? nIr ^ or alteraii n° oe 10379 Alpine Dr. lawful to make any e.mssion If')n \'+"tt`o Cupertino, CA 95014 �n sarn� withuutt f pup t,no . Dept, prty curcarium uie ha b of airs 4• n'n .p , al the Novi 0r NOT be held to Pa LL IM, the violation r0lrat�/I PM Scope of Work opru a f01 • Remove existing railings, waterproofing, and sub base ,, • Install new sub base and waterproofing. • Install new lightweight concrete surface over Pacific Polymer " ELASTO' "M B.T." Description from manufacturer's website below: -°"`u' • o ELASTO -DECK B.T. is a bitumen modified, liquid applied sisingleUN 91008 component, elastomeric waterproofing membrane systenid T - DECK B.T. is primarily used for waterproofing planters, below grade, under mortar bed and between slab applications. • Install +/- 70 linear feet of iron railing, design selected by owner. o Railing to be fascia - mounted with gaps sized such that a 4 "dia. sphere may not pass through. •Decks VL%eJ1 bG S16PeA '114Ip«. OTT Drawings attached. LI17 Job Valuation: $12,000.00 � 1r • All .American Bu1l1lrr5871 AA'inliald Bled. Sun Jose. (_a95123 Bus. (408) 121 -S IIIU I'n.�. I -1081 224-4 2S; u G, T' Q O c i w�1 0 m G.g�. _ F .r7-� IIGG � b Z- O 5 7' F` Cr, u G, T' Q O c V (� w o �- v w�1 G.g�. _ F .r7-� T �. Z- O i i 7' F` V (� w o �- v cA Ik P a _. N IWA h '1 y N �r ss - - -- - - -� —p —r - -- (- .r7-� �. Z- O F` Cr, L O �� w o c � -11 r ' cA Ik P a _. N IWA h '1 y N �r ss - - -- - - -� —p —r - -- (- Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777 -3228 Fax (408) 777 -3333 Building Department JOB ADDRESS: to PERMIT # OWNER'S NAME: RL..kk.% T ,_6)05r PHONE # GENERAL CONTRACTOR: A- c.;^& �A 16ilcto rS FAX # -z4 I am not using any subcontractors: 4/Q /off Yv"S'linature Date Please check applicable subcontractors a9d complete the following information: Owner /C for Signature NY•. SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner /C for Signature NY•.