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09070144 CITY OF CUPERTINO BUILDING DIVISION PERMIT �'�€TR�rITQIZ lIrgI�llr BUILDING ADDRESS: PERMIT NO. 7708 S UIREHILL CT ARGONAUP WIND OWNER'S NAME: PERMIT ISSUE DATE aaR M-Ai1DRIzv .ONE: S A CONTROL NO. (408) 373-4018 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH O p LICENSED CONTRACTOR'S DECLARATION Job Description U UI hereby affirm that I am licensed under provisions of Chapter 9(commencing ith Se Z ry wction 70(10)of Division 3 of the Business and Professions Code,and my license is '`oy in full force and effect. LIKE FOR LIKE WINDOW REPLCMNT; RETRO FIT & NAIL Z License Class Lic.x '- Date Contractor ON 52 ARCHrmcrs DECLARATION J g< 1 understand my plans shall be used as public records (NEW CO ISTRUCTN) . BAY WINDOW & SLIDER LSO, NEW �U..N Licensed Professional CONSTUC PION & STUCO WK IN HALL & OFC TO CODE n y OWNER-BUILDER DECLARATION I hereby affirm that I 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 a Z prior to its issuance,also rcquiret the applicant for such permit to file a signed statement E_G that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 )Cl.Ft.Floor Area Valuation y F- (commencing with Section 7000)of Division 3 of the Business and Professions Code)or $12000 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 MW). 36223033 . 00 ❑1,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:Ilse Contractor's License Law does not apply to an owner of 9 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.). 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- ccnse 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 Contractors License Law. ❑lam ex-in tiler Se B&P C for this mason Owner Date Z- 0 01 OR E ' CO PE ATION DECLARATION 1 here affirm under penalt perjury°rhe of the following declarations: ❑[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. ❑I 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 arc: Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or Icss.) 1 certify that in the performance of work for ich this permit is issued,I shall not employ any person in an as to ompensation Laws of CaliforNa. Applicant NOTICE TO APPLICANT:If,of making this Certificate of Exemption,you should become subject to the Worker's Compcasiition provisions of the Labor Code,you must ,J z forthwith comply with such provisions or this permit shall be deemed revoked. Z O CONSTRUCTION LENDING AGENCY (~+�+ I hereby affirm that there is a construction lending agency for the performance of a,5 the work for which this permit is issued(Sec.3097,Civ.C.) aQ Lender's Namc Z Lender's Address V C) 1 certify that I have read this application and stare that the above information is LL correct.1 agree to comply with all city and county ordinances and state laws relating to 0 V building construction.and hereby authorize representatives of this city to enter upon the U above-mentioned property for inspection purposes. O.h (We)agree to save,indemnify and keep harmless the City of Cupertino against t) liabilities,judgments,costs and expenses which may in any way accrue against said City V Z in consequence of the granting of this permit. Date APPLICANT UNDERSTANPS AND WILL COMPLY WITH ALL NON-POINT Issued by: SOU GULATIO Z -� Re-roofs ignaturc of p rcan ontnctor Date HAZARDOUS M ALS DISCLOSURE Type of Roof ill 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 5 hall be inspected prior to any roofing material being installed. C]Yes lffN. 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 materials for inspection. District? ❑Yes 01q.— 1 have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health&Safety C ,Sections 25505,25533 and 25534.1 understand that if the building does not c a tenant.that is my responsihility to notify the occupant of the req mhtst be met of DCeUpa^�' Signature of Applicant Date ownernra thorizc enl p All roof coverings to be Class'A.'or better CITY OF CUPERTINO 3 ITEMS OF 3 PERMIZ RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk : Lot : APN . . . . . . . . : 36223033 . 00 DATE ISSUED. . . . . . . : 07/21/2009 RECEIPT #. . . . . . . . . : BSC00008230 REFERENCE ID # . . . : 09C70144 SITE ADDRESS . . . . . : 77C8 SQUIREHILL CT SUBDIVISION . . . . . . CITY CUFERTINO IMPACT AREA . . . . . . . OWNER GAFY STANDRIDGE ADDRESS 77C8 SQUIREHILL CITY/STATE/ZIP . . . : CUFERTINO CA, 95014-5017 RECEIVED FROM . . . . : GAFY N STANDRIDGE CONTRACTOR . . . . . . . : CHFIS ETTEMA LIC # 22820 COMPANY ARGONAUT WINDOW & DOOR, INC ADDRESS 19C1 S BASCOM AVE STE 800 CITY/STATE/ZIP . . . : CANPBELL, CA 95008 TELEPHONE . . . . . . . . : (4C8) 378-4018 FEE ID UNIT QUANTITY FMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- -- -------- ---------- ---------- ---------- 1BCBSC VALUATION 12, 000 . 00 1 . 00 0 . 00 1 . 00 0 .00 1BSEISMICR VALUATION 12, 000 .00 1 .20 0 .00 1 .20 0 .00 1WINREP EACH 8 2 . 00 760 . 00 0 .00 760 . 00 0 . 00 -- -------- ---------- ---------- ---------- TOTAL PERMIT 762 .20 0 . 00 762 .20 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 762 .20 VISA --------------- TOTAL RECEIPT 762 .20 CITY OF CUPERTINO CITY 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 1WINREP Replacement windows/sliding glass B door (ea ,; windows) 1 WINMEWSTR New Window-structural shear B wall/masc (includes plan ck fee) IEPERMITFEE Electrical Permit Fee E 1 MPERMITFEE Mechanic?1 Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck(hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck(hrly) M 1PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min Standard,:Ilan Check (when no E/M/P) B when not over counter) hourly-stand alone 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1 BSEISMICR Seismic R esidential B 1BSEISMICO Seismic C ommercial B 1 TRAVDOC Travel & Documentation B 1BUSLIC Business --icense B J of 5 1 �2 X3 q5 �t � X 6LA .r IL AN SI ' E U+ u Roo AA Fam; l y Room o (s'"u+0m) (AA-41SVJ� P��o st,eder �, N s N ACCORDANCE WITH THE CITY 01 %UPERTINO CODES AND ORDINANCES )ATE ON )IGNEL x Fhis set of p _ �rations MU --tom- m "� � oe kept on th(, . ^ s and it is u d 01 = r iawfui to f or alteration Y -� ,� c�.,,�.�.� .mission Iron apt- r-building use :,,pertino. .stamping 0i .. s < Pecdication ALL NOT be heir © n;t or to be ar } + ' t9wil of the vicl2` r any prov�nr rifv „!` x ts eO� N wQOJPa� 3A)j/ u9 r n Wp ��,0 l`�e-�o I E-�.,�u,�- )�lc� � I. I.4c q X 4v mee,;f- 7 67 C— i Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 ,.,,UPEkTIN0 Building Department JOB ADDRESS: PERMIT # 0 S v`►r�r, LI L i Oq Ol E OWNER'S NAME: PHONE # S" y GENERAL CONTRACT(YR: FAX # I am not using any subcontractors: �� 2/ Signature Date Please check applicable subcontractors and com»lete 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 er Co tractor Signature Date