Loading...
09070018 CITY OF CUPERTINO BUILDING DIVISION PERMIT � TlCIR � TI�3kY� BUILDING ADDRESS: PERMIT NO. 10590 GLENVIEW AVE ARGONAUr.' WINDO & DOOR, INC 09070018 ^WNER'S NAME: PERMIT ISSUE DATE T�TTFC IRAN AND ITT o 3'bF 1 903--5 PHONE: AbWAW14b. CONTROL NO. (408) 37;3-4018 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH u p C LICENSED CONTRACTOR'S DECLARATION Job Description jm CI hereby affirm that I am licensed under provisions of Chapter 9(commencing Z with Section 70(10)of Division 3 of the Business and Professions Code,and my license is =my in full force and effect. WINDOW REPLCMNT (5) LIKE4LIKE BEDRMS TO MEET Date Contractor Conte EGRESS jZEQUIREMNTS PER 207 CBS 3 y q Datc Contractor �3W ARCHITECTS DECLARATION I understand my plans shall be used as public records .0-1 y Licensed Professional y OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the COO following reason.(Section 7031.5,Business and Professions Code:Any city or county which requires a permit to construct.alter,improve,demolish,or repair any structure u zprior to its issuance,also requires the applicant for such permit to file a signed statement _C that he is licensed pursuant to the provisions of the Contractor's License Caw(Chapter 9 >q.Ft.Floor Area Valuation y F$ (commencing with Section 7000)of Division 3 of the Business and Professions Code)or 7 5 9 3 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). 36926043 . 00 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 ns Required Inspections and Professions Code:The Conuactoes License Law does not apply to an owner of (l 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.). 2 ss 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 Caw 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 vner �� Date c WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a Certificate of Consent to self-insure for Worker's Compcn- sation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 0 1 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 Worker's Compensation Insurance carrier and Policy number are: Carrier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Phis 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,1 shall not employ any person in any m so as to become subject to the Workers'Compensation Laws of Califo ' Applicant — NOTICE TO CAM:If,after making this Certificate of Erxemption,you iould 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 (~i CA I hereby affirm that there is a construction lending agency for the performance of (Y,> the work for which this permit is issued(Sec.3097,Civ.C.) Lc7W Q Lender's Name Z Lender's Address V C) I certify that I have read this application and state that the above information is LL t� correct.I agree to comply with all city and county ordinances and state laws relating to Vbuilding construction,and hereby authorim representatives of this city to enter upon the W above-mentioned property for inspection purposes /07 CL (We)agree to save,indemnify and keep harmless the City of Cupertino against In liabilities,judgments,costs and expenses which may in anyway accrue against said City / (�Z in consequence of the granting of this permit. Dale V �. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: SOUR EGU ONS. `tl/ Re-roofs /L--- Si re of Applicant/Contractor Dale Type of R sof HAZARDOUS MATERIALS DISCLOSURE 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 ^ode,Section 25532(x)? / All roofs:,hall be inspected prior to any roofing material being installed. 0 Yes 5O Will the applicant or future building occupant use equipment or devices which If a roof i:,installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new m iterials for inspection. District? 0 Yes V v` I have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety Cade,Sections 25505,25533 and 25534.l understand that if the building does not currently have a tenant,that it is my responsibility to notify the occupant of the tequiremcns which met prior to issuance of a Certificate of Occu ancy. Signature A Applicant Date Oy All roof coverings to be Class'W'or better mer thorned agent Dare Community Development 10300 Torre Avenue ' Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 CUPEkTINO Building Department JOB ADDRESS: PERMIT# OWNER'S NAME: V, PHONE # A�0 (o Y (� GENERAL CONTRACTOR: FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and com-Aete the following information: 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 7 - Owner/Contractor Owner/Contractor Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk . Lot : APN . . . . . . . . . 36S26048 . 00 DATE ISSUED. . . . . . . : 07/06/2009 RECEIPT #. . . . • • • • • : BSC00008122 REFERENCE ID # . . . : 09C70018 SITE ADDRESS . . . . . : 10E90 GLENVIEW AVE SUBDIVISION . . . . . . . CITY CUFERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : MOYTES JEAN AND VICTOR ADDRESS . . . . . . . . . . : 10E90 GLENVIEW AVE CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4569 RECEIVED FROM . . . . : VIC'TOR MONTES CONTRACTOR CHF.IS ETTEMA LIC # 22820 COMPANY ARGONAUT WINDOW & DOOR, INC ADDRESS 19C1 S BASCOM AVE STE 800 CITY/STATE/ZIP . . . : CAMPBELL, CA 95008 TELEPHONE (4C8) 378-4018 FEE ID UNIT QUANTITY 1,MOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -- -------- ---------- ---------- ---------- 1BCBSC VALUATION 7, 593 .00 1 . 00 0 . 00 1 . 00 0 .00 1BSEISMICR VALUATION 7, 593 . 00 0 . 80 0 . 00 0 . 80 0 . 00 1WINREP EACH 8 1 . 00 380 . 00 0 . 00 380 . 00 0 . 00 -- -------- ---------- ---------- ---------- TOTAL PERMIT 381 . 80 0 . 00 381 . 80 0 .00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 381 . 80 #2473 --------------- TOTAL RECEIPT 381. 80 'Nj 4i0Y 36 �g �x�jc � $ v'CA-�u � l � � v;�yC � 5 w%I\viilL 39 g'�'-7 s5x q4t X yo qo W 1(C\s�` �,4 32X$0 ( n x x © 44 N 1 !" O e CSD r Ln r w _ c-'0�� GIG m .v A RDANCE WITH THE CITr ;UpER rINO CODES AND ORDINAN ;iGNEU This set of p , .jnd it is 08 kept on ' � u� lawfu� t ma mission �. Asa w upertino. ne bui ing speceficataur: The ping u ; .�r to be ,HALL OT be n proVISI, mw app I of the viol,; ,M ,r,, I-� Uop ItEf art, PV I r;r n rt 2W ph� "car r•o I CPS�U GltvWecu Ave,, O�0-7 o of CITY OF C.UPERTINO CITY OF CUPEkTINO GENERAI-j BUILDING PERMIT APPLICATION FORM APN # � �91�� (eo � k . Date: `7 Building Address: Mailing Address (if different from building address): Owner's Name: V j L--p/if /Lf o Phone#: HOA: (Exterior work only) Yes ❑ No �`C ©v �s If yes, provide letter from HOA Contractor: Phone: G n rv� cd7— Cya('y //��OG�J �70�)P- Fax: "v O Contractor License#: W g8 6597 Cupertino Business License#: Contact: Phone: g 6 2 fiq L) Fax: Residential Commercial Job Description: 2 0 C mss' Building Permit Info: Bldg t Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: I-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-13 L — �L—3 Valuation: -59Square Footage: 7 s'q.� 1 Project Size: Express ❑ Standard ❑ Large [] Major ❑ Green Building: Please complete relevant portion A the Green Building/LEED Checklist& attach it to the application or if applicablf, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.buildit rc en.or Revised 02/05/09 am CITY OF CUPERTINO Cin Of GENERAL BUILDING APPLICATION CUPEI�TINO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf) B additional stucco application ` 1 WINREP Replacement windows/sliding glass B door (ea 8 windows) 1 WINMEWSTR New Window-structural shear B wall/masc my(includes plan ck fee) 1 EPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1 PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alcne Electric Pln Ck (hourly) E I MECPLNCK Stand Alcne Mechanical Pln Ck (hrly) M IPLMBLNCK Stand Alcne Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min Standard elan Check(when no E/M/P) B when not over counter) hourly-stE nd alone 1 BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1 BSEISMICR Seismic F-esidential B 1 BSEISMICO Seismic Commercial B 1 TRAVDOC Travel & Documentation B IBUSLIC Business License B 5 of 5 M.Indoor Air Quality and Finishes 124�1011 HE 1.Use LDw/No-VOC Paint 1 IAQ/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0 3.Use Low/No VOC Adhesives 3 IAQ/Health pts y=yes 0 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6IAQ/Health pts y=yes D D 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 7.Seal all Exposed Paficleboard or MDF 4 IAQ/Health. pts y=yes 0 8.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes D 9.Use Finger-Jointed or Recycied-Content Trim 1 Resource pts y=yes D I I 10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes I 0 1 E C N.Flooring 1.Select FSC Certified Wood Flooring 8 Resource pts y=yes D 2 Use Rapidly Renew-ble Flooring Materials 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pis y=yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yesl 0 Total Points Available: 1401 1301 57 Total Points Project Received] 01 0 0 G:data/progs/gre;nbuildinoguidelines/remodelers/greenpointsfinal2.12.D4protected.zls