08020018 CITY OF CUPERTINO
BUILDING DIVISION PERMIT �C®NTRACTORINFORMATIO.N
BUIL PERMIT N0.
° Pf1:5° bREENLEAF CT LOT 2 NEXGEN BUILDERS, INC. 08020018
ER'S NAME: PERMIT ISSUE DATE
CUPERTINO GREENLEAF LLC 225 DEMETER ST 03/06/2008
7ARCHT`M(717�GINEER:
NE: SANTTARY NO. CONTROL NO.
(650) 322-5800
BUILDING PERMIT INFO
BLDG EIFCf PLUMB HECK
oLICENSED CONTRACTOR'S DECLARATION Job Descrl tion
1 Manby affirm Beat I am ekcsscd under provisions of Chapter 9 mommcocmg PSccthm 7000)ofDohd.n3.Nte Basinsand Profeuiaoa Cme,and my license is REVISE FLR PLANS, SETBACKS,ARCHITECTURAL-ORG
h in full forte and erfeU.
Ucam.C - Lk.a f #07020039 NO NEW PERMIT. ORIG APN 32633107 . 02 NEW
Camramc r ,4
ARCHFECTS DECLARATION APN #32656028 . 02
i a i I undersand my plans shall M used u Public,aorta
:yU
HLicensed professional
OWNER-BUILDER DECLARATION
f 1 Mrehy affirm that I am exempt from tM Contractor's License Law fm tbe
O o following mason.(Section 7031.5.Business and Professions Cade:Any city der cmonty
m tel which requires a permit m ennalmct,alter.implore,demolish,or repoll any sunssum
Prior to its issuance.also requires the moicam for such Pemail u flit.signed smuant
)i< ,hat he u licensed pursuant to provisions of the Contractor's UeOa Law(Chapmrl) Sq.Ft. Floor Area 0 Valuation
(commencing with Seeti.n7000)of Dreashm 3af the Businmmd ProfessionsCode)ar
%S S met he Is exempt Iheh'(mm Nd the basis for Bee alleged anu mption.Any violation of
Section 703M by my applicant for a pump subjecu the applicant to a civil penury ofNumber Occupancy Type
oat more data Ow hundred dollar(5500). 32656028
1.as awrmr of the property army amployeU with wages u the'tralc campmntmv,
will do thewmrt.and the stmcam umtintended oraifered f.,mi,(Sec.7044.B®nm Required Inspections
and Pmfauians Cadoes e:The Contractor's Lkense Law dnet apply m an owner of q p
property who buile a car im prow thereon,and who doessuch work himse3 f or through his
own employees,provided that such lmprowmenrs art not inended oroRered!amble.B. -
mamwr-the building.,Improwment is said within oro yea of co njumma.ft.
builder will haw Bar Mrdew of proving that he did not Mild or improv for Propos of
sale.).
❑I.as awmr of the Properly,am ma.a nhely contracting wish IianrL monbms an
colutnm the project(Sec 7044.Business and Profusions Cale:)M Camraoda U.
anx raw das nu appy to an owner of property who Wildsor impmw tbewm,mol.
whocamrscu for such pmjew with.co aamr(s)Iicansed paromm be f Cmo-acwrs
Licence.Law.
Cl l am exempt under See ,B A PC fer thisjr,
r Date
WORKER'S COMPENSATION DECLARATION
I hereby affirm under Penally of perjury,oro of the following declaration¢
❑Ihawandw imaloWnaCeNrimm.fC=ntwwif-ivumfmWodmYsCmapm-
amon,as providnd for by Seedan 37M of tit Lobar Cade,far the Md...of tit
work for which this Permit is issued.
❑ 1 haw and will maintain Worker's Compensadon Imunna,at required by Session
37M (me mbarCode.for the performance ofthe work for which this permit is lm-1
My Warkege UIP mad Insumncccarimand Polkynumbefam:
Grier J O PolicyNo.: 0t
CERTIFICATED •XEMMON FROM WOR ERS
COMPENSATION INSURANCE -
(This se von mall as M completed ifft permit i,future hunNvldegvs RIOT)
ar leu)
I anVfv that in me perfamemca of f wart for which this Permit u Issued.I shall bre
employ any Moron in my mmmra u in became abject to the Worked Compensation
Laws of California.Dom
Applicant
NOTICE TO APPLICANT:If,star making this Cenificam of Exemption.ym should
become subject to the Worker's Compensation provisions of the Labor Cade.you mass
.J2 f.Mwith comply with such Malisians or Nie permitehallbe deemed mvokca
zO CONSIRUCnON LENDING AGENCY
'p+ 1 Manby arTum But dare I..construction lending agency,for Our(aerfo mmta a
a Ne work far which this permit is uswd(Sec.3197,Civ.C.)
LQ
A Lender's Name
�D z Lenders Address
U 1 certify that I haw read this application and sate that the blow iadamadiam is -
gy F" e.rreU.I agree m comply with all city and county ordinances and state laws reading to
U
holding construction,and hereby awhmim represcmatives of oris city m.nte,vonf
r W shove-mcnamned pmfcrty for inspection pugnaa.
agree m ave,i cannily and kap harmless the City or Cvprnino against
rg liabilitiu,judgmentsco, expenses which may in my wsyavucagaiousaid City
U z in consequence of deg d got lois,.,L
'--' APPLIC NDE ANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOU REG N5. C1
lS Re-roofs
Sigma 0,Appii 0alrDO Data
HAZARDOUSMATERIAepa DISCLOSURE Type of Roof
as Willy the Cupertitm no
Muni MalCde.Chapter 9.12.
handle Healthmmamul
u dented by the Cupertino Municipal Code Chapter 9.12.end the Health ami Safety
Ja.Section 25532(x)? All roofs shall be inspected prior to any roofing material being installed.
ElY. gN0
Will the applicant or future building aaaspam use equipment or tkvim which If a roof is installed without first obtaining an inspection,l agree to remove
emir hnraNnm air c maminants as dcfircd by f Bay Arta Air Quality Maoagamse all new materials for inspection.
District?
❑Yes �No
Ihaw maJ dile ardour material mquirtmenu under Chopterb.95o(de Califon-
riaHulth&SbfmyC cMOxx25505,25533and25534.1uMl.undthuiftheddkfng
does nor currently KA 4 Nat it y respamibility to booty de,= ant aft
rt en hi uMmatpa, i_.of.cauri.ak.rtree^pray. Signature ofApplicant Date
(� O
O onuthomndagcnt D,t< All roof coverings to be Class "B"or better
0
CITY OF CUPERTINO
REVISION/DEFERRED
1 1 #Iqll 11:�
9 10 W3AL
A PN 0,
iDate:
Original Permit #:
CF_? D "L 0 03
Building Ad e
Mailing Address (if different from building address):
vav--)
AD 0
Owner's Name:
Phonp
Contras or.
Phone:
22
�Q v i � dQ-r1' T-V-V L
Fax. 6,1`U -- 322 — �cY-d _ �
Contrdctor LiVense M. 0
Cupertino Business License -3
Contact: �vx dt� caj IAQ,-
Phone:
'Fax:
Building Permit Info:
Bldg El Elect ❑ Plumb ❑
Mech ❑
Residential Commercial ❑
Job Description.- X 00 V_
JZ--f-I
Type of Construction (Usage Class):
Occupancy Type:
I FR, 11FR ❑ 117 111) V-IHR ❑ 119 111, IV V-N
Valuation (cost of project)-,.,
--------------
Project Size: Standard TfLarge El Major 0 Valuations.
9
(%Y OF CUPERTINO
MEVISION/DEFERRED
q
A N-2
L--UVI
I Am@ -Woo glans -in
Quantity
Sq Ft
Fee ID
Fee Description
Fee Group
Permit Type
I REVCOMNEW
Revision Commercial New
B
IREVCOMTI
Revision Tenant Improvement
B
1* TI
IREVSFDWL
Revision SFDWL
B
IR3SFDW
IREVRESADD
Revision Addition
B
IR3SFDADD
IREVRESREM
Revision Remodel
B
IR3SFDREM
IDEFINSP
IDEFPLNCK
Deferred Submittal not R-3
InTection
•
Deferred Submittal not R-3 Plan
Check
B
B
1*
1* OR
1* TI
1DEFR3PLNCK
•
Deferred submittal R-3 Plan Cbk
B
1R3SFDW
1R3SFDADD
1R3SFDREM
A.S.E.
(408)499-1551
Permit # 08020013
08020016
08020018
PLAN CHECK NUMBER: 08123.CUP March 5, 2008
08124.CUP
08125 - CUP
SUBJECT: Revise Floor plans for
Single Family Dwelling
Green Leaf CT. Lots 1 1 2 &3
Architect: Mark Gross
949 -387 -3800
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DOM= ATTACHED.: VIA:
1 SET OF PLAN;S HAND DELIVERY
1 S IONS
1 S S
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The attached documents were reviewed by our office,
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