The URL can be used to link to this page

04110155 CITY OF CUPERTINO BUILDING DIVISION PERIMIT TRACTOR INFORMA"CIUN,a "RIM W P.' BUILDING ADDRESS: PERMR NOO 4 110 15 S 1 208 PERMIT ISSUE DATE ER'SNAME: ' DON DISNEY P NE: SANITARY NO. - CONTROL NO. BUILDING PERMIT INFO ARCNITELT/ENGINEER: BLDG ELECT PLUMB MECH car 0 0 0 0 Oo LICENSED CONTRACTOR'S DECLARATION Job Description or C 1 hcreby affirm Nu 1 am licensed mud r provisions of Chapur 9 for mmcneing U W �6118)yfDmSof Ne O,tpr,ep er��asmo��and myl,eenscu �In in full fo tie s a fL_ TERMITE REPAIR (TUB .BACK/SUB FL. /NEW FIXTURE) �� `i "`c " CONTRACTOR: THRASHER TERMITE (#17769) F Dam Contractorq)E ARCHTIF.CI's TION a,6a,5panaa:: rc menrm r Licensed Pndesuional OWNER-BUILDER DECLARATION <f 1 hereby crime that 1 am exempt from use Contractors License Law for the es o following rc son.(Section 7101.5,aosiness and Profession;Code:Any city ar county n which recall.s permit to censhoeL alcor,improve.demolish,nr¢pair any Mose ure poor an its issuance.aBu¢quires the applicant foresuch permit m Tile•.igmd summrnt ua Vall 7g 12 5 Nat he s licensed person,m the provisions of the Contractors Liceuc Law(Chapmr9 Sq.Ft.Floor Area _ _ (emnmeneing with Section 7000)of Division lnf the Bosinessand Prorcumm Code)df m $ that N,is asempt therefrom and the haus for the alleged exemption.Any violation of Secem 70315 by airy applicant for a Permit subjects tie applicant m a civil penalty of APN Number Occupancy Type .or mora than firo hundred dollars(M). 31623104 . 00 1.u he ws .the proputy,m Is umployded with weeds ss side d(Sm.mmpeuvtlm, will aafcojio CO theThecmmsnetimm�aamawdoffered For not /o M.Business Required Inspections and erty wh ou Code The Cmmcmrs Lune 4w docs not apply lf an owner of q P propertywhobisipoAimpmvea rh unci andwhodorssuchwork or.frf dtluough hs own employees..Ambuilding Or i that such improrcmenta tie ne ear of c moReaed fm ole If. hrwa .ons bu,c Ae ar improvement s held within one year of cnmo.fo,the own of - buildv win Nrc dee burden of proving that he dib nm build m improve for purpose W tile.), t1gr� 0 I,u owner of the property,am eaclusivelY contracting with licensed contractors se ® AL ED construct the pmjuM(Sec 7W.Business aM Protections Code:)The Comommi's U- due taw does not apply m an owner of property who builds Or improves Ammon.and `��,� ./t 5 2U� who contracts for ouch pmjcm wins a cuuamor(s)licensed pursuant m ftContrxmM1 :.If J License Taw. 0 lceramom)nundersec .Bk PCfmthsreawn ever rtA+ I Dau S ATI ^ts WORKERCOMPENSON DECLARATION i • �' 3- ' L% '0:5 l ail w v I hereby shim under pensltY of perjury ace of the following declandons: ❑Ilurcand w0l munuina Certificate of Consemmelf-inseK fm Workers Compeo- cation,u f mvided for by Section 37M of the labor Code,for the performance of the .,it for which this permit is issued. 0 I have and will maintain Workers Compensation Insurance.ss nal by Section 3700 of the Labor Code.for tM perfmmarm of the work forwhich ms permit is issued. MWorkers Com ation 1 ani¢cad Poliry nu tic: __ Caron Poliry �_b� cERnF61CA OF EXEMPTION FR WORKERS' COMPENSATION INSURANCE OTs section necd not hecomplem lifthe permit is for one hundred Mlles T$100) or less) I certify Not in the ycrfom rwm of Ne work for which this permit is issued.I shall not employ any person in any mannerse as in became subject to the WmIent Compensation Laws or California.Dam Applicant NOTICE TO APPLICANT.If,after making Ns Certificate of Escmption,you should - bemme subject m the Weaker',Camperwtinn provisions of dm label Code you mus .�Z forAwith comply with such Provisions or this Permit shall be deemed remked. Z0 CONSTRUCTION LENDING AGENCY [r I beacby sill that the.is a conamorm lending agency for the performance of CAc went for which this permit s issued is..W.Civ.C.) _� W Q ISMers Name ,Z Iendr!s Address \ U C) I ochry that 1 have mad this application and stale that the above information is F mm,im 1 agree m comply with It city and county ONIrWRt and state laws Rating m p U buildingconstruction,and hereby authorire repmalmuMPcs of ria city on enter upon use W shove-mendonW property for inspection purp hes (We)agree in save,indemnify and keep harmless ons City of Cupenino against �'..e V) liabilities.judgments.emu and expresses which mayor my way acvue against said City U Z in cmssegcencdofthegrinding Ofthis Poolik Issued by: Dale APP LL ANT UNDERSTANDS AND WICOMPLY WITH ALL NON-POINT Svr ULATIONS. wcRe-roofs Signature of ApplicanniContsumr Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof WIII the applicant or fuwro building meupantstate m Islamic haysrdons material as defined by the Cuper im Municipal Cade.Chapter 9.12.and the Health and Safety nde,Seman25532(M1 ...��,,,fff All roofs shall be inspected prior to any roofing material being installed. Ely. I ¢yN'o Will the applicant or town,building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit havardnus air contaminants u defined by Btc Bay Area Air Quality Management all new materials for inspection. District? 0y. I have mad the hmrdms mamriaisrequimments under Cbmmr6.95 of the Califor. - nuHcal"SafetyCodcS tiau 25505.25533 andZ534.Immesuod thuifthe Wilding doer not currently I me a means the it is my mai mmibilfty he mrW,dmoccupant of me =Pill' rhe.morel pnertu ismanmara cmirmaca pe ry Si nature of licant Date ��Pill' � Yaf` g PP r *7 n—mnmm seem \ Dam �. All roof coverings to be Class"B"or better WOOD DESTROYING PL ,fS AND ORGANISMS INSP:TION REPORT Building No. Street, City, Zip Date of Inspection No. of Pages ,1 10208 Toni Court, Cupertino, CA, 95014 1 1/04/04 5 TIiRASIII.R TERMITE & PEST CONTROL 17427 Farley Road West Los Cates, CA 95030-3308 Pit: (408) 354-9944 Fax: (408) 395-7934 Firm Registration No. PR 0240 Report No. 27827 Escrow No. Ordered By: Property Owner/Party of Interest: Report Sent To: Don Disney Don Disney 10208 Toni Court 10208 Toi Court Cupertino CA 95014 Cupertino CA 95014 414-9724 work fax 414-9724 work fax COMPLETE REPORT ❑ LIMITED REPORT ❑ SUPPLEMENTAL REPORT REINSPECTION REPORT ❑ General Description: Inspection Tog Posted: A Supplemental Report pertaining to the upstairs hall No practical place to post 'bathroom only. Other Tags Posted: Thrasher...10-14-04. An inspection has been made of the structure(s) shown on the diagram in accordance with the Structural Pest Control Act. Detached porches, detached steps, detached decks and any other structures not on the diagram were not inspected. Subterranean Termites EJDrywood Termites ❑ Fungus/Dryrot I9 Other Findings IN Further Inspection M If any of above boxes are checker, ;t indicates thet there were visible problems in accessible areas. Read the report for details on checked items. DIAGRAM NOT . .gip rS(�n�l5✓' ��}}} li TO SCALE PAD., 10 ( 1OG IOJ SOH IOI SOK '-�'�nd s4acrfit,..•^nd It is tsn tr �� au em rhota °, 1t •` t,the l than">as °t ftron alta eny t1tiNMO' I lawful`° m ut wsit� n Do ��Y nn aama wth' �aaoritno, the hu11d1nG pf lhls D 0°a trail EVE of to bO Of @1flthDlfl (F'R 0 N T 24 �NA66 N Iha viola on of tiny 0T N8V �opR�y CItV OrAmanCe °f Mate lap C►lY OF C&ERTINO BuII.DING DEPARR7&VMT aspected By Dean R. Misner License No. OPR 10780 Signature You are entitled to obtain copies of all reports and completion notices on this property reported to the Structural Pes[Control Board during the preceeding two years. Own To obtain copies contact : Structural Past Control Board, 1418 Howe Avenue, Suite 18, Sacramento,California 95825-3204. NOTE: Questions or problems concerning the above report should be directed to the manager of the company. Unresolved questions or problems with services performed may be directed to the Structural Pest Control Board at(916) 561-8708, (800) 737-8188 or www,pestboard.ca.gov. 43M-41 (Rev. 10/01) -3rd PAGE OF STANDARD IN. CTION REPORT ON PROPERTY AT: 4 10208 Toni Court, Cupertino, CA, 95014 11/04/04 27827 • BUILDING NO. STREET, CITY, STATE, ZIP INSPECTION DATE REPORT NO. NOTE: THE EXTERIOR SURFACE OF THE ROOF WILL NOT BE INSPECTED. IF YOU WANT THE WATER TIGHTNESS OF THE ROOF DETERMINED, YOU SHOULD CONTACT A ROOFING CONTRACTOR .WHO IS . LICENSED .BY THE CONTRACTOR'S STATE LICENSE BOARD. OTHER--INTERIOR: Item 1OF: REGARDING ITEM #10A FROM REPORT #27693. FINDING: As indicated on our previous report we found an excessive moisture condition and fungus damage at the upstairs hall bathroom floor covering underlayment, subfloor and wall plate. RECONIvIENDATION: At the owner's request the following repairs are being outlined. We will remove the existing toilet. Remove the complete existing vinyl floor covering and floor underlayment to expose the damaged subfloor and wall plate. We will remove the damaged subfloor and wall plate as necesary and check for concealed damage. If no further damage is found new subfloor and wall plate materials will be replaced/reinforced as needed. The same toilet will be reset on a new wax seal, properly bolted. Our bid does not include new floor underlayment or new vinyl floor covering. If any further damage is found another Supplemental Report will be issued with our additional findings and cost. ****** This is a Section 1 Item ****** • Item 10G: REGARDING ITEM 41OG FROM REPORT 427693. FINDING: As indicated on our previous report we found fungus damage to the subfloor and wall plate at the upstairs hall bathroom tubback area. The damage extends under the bathtub. RECONN'IENDATION: At the owner's request the following-, repairs are being outlined. We will remove the complete existing.rtubba&',Vto\ include the �r,l, ceramic the and sheetrock. We will also remove and dispose of the existing bathtub. The fungus damaged subfloor andk�ki 'plate will be removed and replaced with new materials (in conjunction with item #10F) . We will then install new sheetrock at the tubback walls, taping and sealing all voids. No texturing and no painting are included. Our bid does not include the installation of a new bathtub or new tile at the tubback walls. If any further damage is found another Supplemental Report will be issued with our additional findings and cost. ****** This is a Section 1 Item ****** THRASHER TERMITE & PEST CONTROL --- License No. PR 0240 4th PAGE OF STANDARD IN: .CTION REPORT ON PROPERTY AT: • 10208 Toni Court, Cupertino, CA, 95014 11/04/04 27827 BUILDING NO. STREET, CITY, STATE, ZIP INSPECTION DATE REPORT NO. 1 OTHER--INTERIOR: `Item 10H: REGARDING ITEM #IOD FROM REPORT #27693. FINDING: On our previous report we outlined to remove and replace the upstairs hall bathroom tub/shower fixture. RECONE4ENDATION: At the owner's request the following repairs are being outlined. we will remove the existing tub/shower fixture and install a new anti-scald guard fixture, properly plumbed. The owner is going to purchase and provide the fixture that we will install. This must be a standard tub/shower fixture, and not an unusual or difficult fixture to install (not a Eurcpean,fixture; . If the selected fixture requires additional plumbing repairs additional costs will be incurred. Please call our office if you have any questions or if you would like to discuss the type of fixture that has been selected. ****** This is a Section 1 Item ****** Item 10I: REGARDING ITEM #10E FROM-REPORT #27693. FINDING: The repairs outlined at the upstairs hall bathroom will require a building permit. REC'OMNE NDATION: Our firm will obtain and purchase the necessary building permit. Please refer to the note at the end of this report for additional information regarding the permit process. • ****** This is a Section 1 Item ****** Item 10J: FINDING: The owner is employing other trades to�)^Snstall� a new cultured r. v, sinr 1 c n-u 4c v bathtub and new cultured marble wall covering EI' ' upsta rt's hall bathroom. We will have to wait for trades to install' 'Ehe ba£htub before we can install the new sheetrock at the tubback walls (see item #10G) . REC'OMME 110N: After trades have set the bathtub we will return to the property and install the new sheetrock and also reconnect the tub drain, using a new waste and overflow kit. The cost for these repairs is included with item #10G. ****** This is a Section 1 Item ****** Item 1OK: FINDING: At the owner's request the following bid is being provided. RECOMMENATION: Remove the existing upstairs hall bathroom tile vanity top and backing. We will then prep this area as necessary. Other trades are going to install a new vanity top and a new sink. The owner is to provide a new standard type fixture. After trades have completed their repairs, we will return to the property and reconnect the new sink and new fixture. We will provide and install new supply valves, new supply lines, etc. Our bid does not include a new vanity top, a new sink or a new fixture. NOTE: The new sink/vanity top must line up properly with the wall plumbing. If any extraordinary plumbing repairs are required, additional costs will be incurred. **r F* This is a Section 2 Item ****** • THRASHER TERMITE & PEST CONTROL ---License No. PR 0240 THRASfIER TERMITE & PEST CONTP—T, Page 1 of 2 '17427 f arley Road West Los Gatos, CA 95030-3308 Ph: (408) 354-9944 Fax: (408) 395-7934 • WORK AUTHORIZATION CONTRACT Address of Property: 10208 Toni Court, Cupertino, CA, 95014 Inspection Date: 11/04/2004 Report #: 27827 Title Co. & Escrow #: SECTION 1 SECTION 2 FURTHER INSPECTION I OF: $ 385. 00 1OK: S 900.00 1 OG: $ 1800. 00 1 OH: $ 325. 00 101: $ 375. 00 10J: See #TOG tlnl COP I We Authorize the Following We Authorize the Following We Authorize the Following Section I Items to be Performed. Section 2 Items to be Performed. Items for Further Inspection. Proposed Cost Section 1: $ 2885.00 Proposed Cost Section 2: $ 900000 Proposed Cost FurAnsp.: None Inspection Fee: No Charge Total - All Sections: $ 3785.00 NOTICE TO PROPERTY OWNERS: (Section 7018 of the California Contractors License Law, Business & Professional Code Div. 3, Chap. 9.) Provides under the Mechanic's Lein Law any Structural Pest Control Operator who contracts to do work for you, any contractor, subcontractor, laborer, supplier, or other person who helps to improve your property, but is not paid for his work or supplies has a right to enforce a claim against your property. This means that, after a court hearing, your property could be sold by a contractor, in full, if the subcontractor, laborers, or suppliers remain unpaid. BY EXECUTING THIS WORK AUTHORIZATION CONTRACT, CUSTOMER ACKNOWLEDGES THAT HE OR SHE HAS BEEN ADVISED OF THE FOREGOING AND HAS HAD THE OPPORTUNITY TO CONSULT WITH A QUALIFIED PROFESSIONAL. I have read this work authorization contract and WDO inpection report it refers to. SIGNED WORK AUTHORIZATION CONTRACT MUST BE RECEIVED BEFORE WORK WILL BE SCHEDULED. ave read and understand the terns of this work authorization contract and hereby agree to all terms thereof. APPROVED AND READ BY: DATE ACCEPTED F'OR: DATE THRASHER TERMITE & PEST CONTROL -,� City of Cupertino gip- r Plan Check Transmittal err Permit# 04110155 ID 0'# Project TERMITE REPAIR Plancheck# 1 Address 10208 TONI COURT FileDate 11/30/2004 Owner DISNEY Description TERMITE REPAIR @ TUB Plan Check Status (attach comments and return to Building with pian set) Plan Dept check# :Date. Due Date Staff Comment Date Approval? Building 1 1 1/30/200112/14/20041 POH 1 11/30/2004 Assessor 1 1 1/30/200112/14/20041 SENT 1 11/30/2004 M Additional Plan Check Fee ❑ Hours Planning Fees Housing Mitigation Fee Amount Heart of the City Specific Plan Fee Amount • - CITY OF CUPERTINO _ CUP TYOF O PERMIT APPLICATION FORM o�- APN# 3 I / .2�3 t o , (T Date: II o2`� —By Building Address: Mailing Address (if different from building address): b 09 ori Co Owner's Name: Phone#: Doo Dr'soe /6 S- 3s9 - 9`Jy4/ Contr ctor: License #: Contact: Phone:1/0g-411 L(- 7�2y Cupertino Business License#: C :ua.l Fax: 177691 Building Pe it Info: Bldg Elect ❑ Plumb Mech ❑ Job Description: tie Residential . % L S"- Tus ,x Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: o� Occupancy Gro Type of Construction: « -- Please check this No th oject is a oc� second-story addition: Project Size: Standard Xx Laze ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V<= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Ener Add Multi BUILDING BINVESTIGA Investi ation fee BUILDING t 27 66x- 1 of 3 /1 z73- � 0 Slam CITY OF CUPERTINO CUPTYOF O PERMIT.APPLICATION FORM ERTQuantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIIv1E Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING -ENT Alt of Drain&Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2of3 CITY OF CUPERTINO CUP TYOFFINO PERMIT APPLICATION FORM QuantityFee ID Fee Description Fee Group BREMSIGNAD Rmdl Sips Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING - ELECTRIC Electrical sq foot ELECTRICAL _ EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE _ Plumbing Permit Issue PLUMBING _ PPLBG Plumbing Pee sq foot PLUMBING ZADDCHG. Address Chane BUILDING 3 of 3