The URL can be used to link to this page

07050147 CITY OF CUPERTINO BUILDING DIVIJION PERMIT `0 PERMIT NO. ""'IT �l}H"'E ARKW00D DR AVERY CONSTRUCTION 07050147 l 11 PERMIT ISSUE DATE OWNER'S NAME: GLENBROOK APTS 130 EAST DANA ST 05/16/2007 SANITARY NO. CONTROL NO. JNE: BUILDING PERMIT INFO ARCHITECT/ENGINEER: REPLACE WINDOWS LIKE FOR BLDG ELECT PLUMB MECH r i 0 0O LICENSED CONTRACTOR'S DECLARATION Job Description WP I hereby affirm that I am licensed under provisions of Chapter 9(commencing e Z with Section 7000)of Division 3 of the Business and Professions Code,and my license is s yin full Conte and-EptCL C 4 b j v2 z License Class to Lam•>< p Date Contractor + ARCHITECTS DECLARATION C< 1 understand my plans shall be used as public records )yU C u.y Licensed Professional y< OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the cp O following reason.(Section 7031.5,Business and Professions Code:Any city or county < Pi which requires a permit to construct.alter,improve,demolish,or repair any structure "fz1 prior to its issuance.also requires the applicant for such permit to rile a signed statement -?< that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 >q.Ft.Floor Area Valuation rF (commencing with Section 7000)of Division 3 of the Business and Professions Code)or y that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type not more than five hundred dollars($500). 0 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 Required Inspections and Professions Code:The Contractor's License Law docs not apply to an owner of q p property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale.If, however,the building or improvement is sold within one year of completion,the owner. builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon,and. who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. ❑I am exempt under Sec B&P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following decimations: 1 have and will maintain a Certificate of Consent to self-insure for Worker's Compen- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 711 have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My Work ompensation Insurance carrier and Policy number are: Cartier. iN ` Policy No.: Y d`t eo 6 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) 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 Workers'Compensation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,you must ,J O forthwith comply with such provisions or this permit shall be deemed revoked. Z " CONSTRUCTION LENDING AGENCY (~•d rte+ 1 hereby affirm that there is a construction lending agency for the performance of _ lydthe work for which this permit is issued(Sec.3097,Civ.C.) W Q Lender's Name Z Lender's Address U Q 1 cenify that 1 have read this application and state that the above information is LL; r correct.I agree to comply with all city and county ordinances and state laws relating to Q Vbuilding construction and here y aulhorizt representatives of this city to enter upon the W above-mentioned property f mspcction purposes. a (we)agree to sav Indemnify and keep harmless the City of Cupertino against „Fc liabilities,judgments, is and expenses which may in any way accrue against said City V Z in consequence of grantindlGf4hi4prmit. Date APPLICA EX TANDS AN WILL COMPLY WITH ALL NON-POINT Issued by SOUR A NS _ .____._.___.... .. S_- 16—,92 Re-roofs Signature of Applicant/Contractor DareT e of Roof HAZARDOUS MATERIALS DISCLOSURE Type Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. 0Yes Co"O If a roof is installed without first obtaining an inspection,I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new rr aterials for inspection. District? 0Yes Nu 1 have read the ardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Soctiom 533 and 25534.1 understand that if the building does not curren!Wlhave a tenant,that it is y responsibility to notify the occupant of the rcquiremen ich must rmcrof a certificate of Occapamy. Signature of Applicant Date ./6-o All roof coverings to be Class"B"or better Owner or authorized agent Date' CITY OF CUPERTINO 4 ITEMS OF 56 PERMITRECEIPT OPERATOR: suew COPY # 1 Sec: Twp: Rng: Sub: Blk . Lot: APN 32E27037.02 DATE ISSUED. . . . . . . : 05/16/2007 RECEIPT #. . . . . . . . . BSC00001350 REFERENCE ID # . . . : 07C50147 SITE ADDRESS . . . . . : 10154 PARKWOOD DR SUBDIVISION . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER GLE,NBROOK APTS ADDRESS 10100 MARY AVE CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-1502 RECEIVED FROM . . . . : BRIAN AVERY/MATT CONTRACTOR . . . . . . . : AVERY, BURT LIC # 12134 COMPANY AVERY CONSTRUCTION ADDRESS 13C� EAST DANA ST CITY/STATE/ZIP . . . : MTrf VIEW, CA 94041 TELEPHONE . . . . . . . . : (9( 0) 961-8330 FEE ID UNIT QUANTITY INOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -- -------- ---------- ---------- ---------- BENERGY PERMIT FEE 147 .96 71. 02 0 .00 71 .02 0.00 BPERMFEE VALUATION 7, 785 .00 147.96 0 .00 147 .96 0. 00 BPLANCHK PERMIT FEE 147.96 197.45 0 . 00 197 .45 0 . 00 BSEISMICRE VALUATION 7, 785 .00 0 .80 0 .00 0 .80 0 .00 -- -------- ---------- ---------- ---------- TOTAL PERMIT 417.23 0 .00 417.23 0.00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 101 FOUNDATION 102 PIERS 103 UFER 104 REBAR 105 ANCHOR BOLTS 106 SEWER & WATER 202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION 301 ROUGH PLUMBING 302 TUB & OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FRAME 306 HOLDOWNS 307 INSULATION 308 SHEETROCK 309 EXTERIOR LATH 310 INTERIOR LATH i CI'T'Y CUPERTINO CITY OF PE RIMIT APPLICATION FORM CUPEkTINO Date: Buil ink Ac1cirPcs: ldiailing Address (if different from building address): Owner's Name: Phone#: ----- -- –——----- - -– Phone: `` ` ` `' Cupertino Business License#: Contact: L ti`-"t 6 c-.- Fax E �• ; Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Job Description: Residential �� /�c 3 r � Commercial El Sq.Ft. Floor Area: Sq.Ft.: Cost of Proje-} Occupancy Group: Type of Construction: Please check this box if the project is a second-story addition: ❑ coject Size: Standard ❑ Large ❑ Major ❑ Fee ID F'ee Description Fee Group Quantity Cther Appliances ppliances 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 Bailer> 1.75M Btu MECHANICAL BCONSTAX C onstruction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Cor. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Cor stax–Resi/Mobile BUILDING BELEC 1000 Ele c 600V <= l OOOA ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V<= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 7 2,3 KI fts CITY O E �T AP �� A` ION FORM �T CUPEI;�O .Quantity Fee ID Fee Description Fee Group BMISCELL Mi3cellaneous Fee BUILDING BMITIGATC Coma.. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New ComMechanical MECHANICAL m BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING 1 PL3ACKFL.()W h:tm-)spheric. `jacuut� - PLLTMI3IN� - - - - - BPCESSP'OOL _ - - --- Ccsspool _ ---- BPERMFEE Bl dg Permit Fees - - BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas:'iping 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 Reps a Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRIlVK Lawn Sprinkler/Backflo PLUMBING BPS RE\T Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT All of Drain &Vent PLUMBING BPWATER Instal/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Mein Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <-- 101000 cfin MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY R,-model Busways ELECTRICAL BREMFIXT L ighting Fixtures ELECTRICAL BREMFURN Rel kation of Furnace MECHANICAL BREMFURNOV Rele Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC gisc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc 11, Switch & Outlets ELECTRICAL BREMRELOCA R,-,location of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res ApplianceELECTRICAL 2 of 3 M _ CITY OF CUPERTINO U CITY OF N PERMIT APPLICATION FORM CPEkTIO Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vein t Fan Single Duct MECHANICAL, BREMVENSYS Witilation Systems MECHANICAL BSCBLVD Sib Specific Plan BUILDING r-- 13�SFYs vicni A �c r i nx� �'n�mum:�I c i�P }3 rTYF. 11. TNTC _ - _ . � BSEISMICRE cismic INQe k es 1��JIL,I�I1�C BSPECIAL Special hispection BUILDING BSWIM IL>wimming Pool BUILDING BTEMP TE m orary Power ELECTRICAL BTEMPPERM Tem iorary Bldg Permit BUILDING BTEMPSVCS r,emp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Eleo: Permit Issuance ELECTRICAL MPERMFEE M,;chanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Plannin LR Comme/Multi-Fam PLANNING PLLONGRNGR Plannine LonE Range Residential PLANNING ZADDCHG Change BUILDING 3 of 3