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09080354F- CITY OF CUPERTIN O BUILDING PERMIT BUILDING ADDRESS: 11699 OLIVE SPRING CT I CONTRACTOR: TBD - TO BE DETERMINED I PERMIT NO: 09080354 OWNER'S NAME: ZVIAD JAKHUA I I DATE ISSUED: 08/25/2009 I (" "ER'S PHONE: 4082578457 LICENSED CONTRACTOR'S DECLARATION I-icense Class Ca Lic. # 903 % 7 contractor ,] (.®hSkir4,C i©hDate OS I2S l9g I hereby affirm that 1 am licensed under the provisions of Chapter 9 ;commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: [ have and will maintain a certificate of consent to self -insure for Worker's Compensation, 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 provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which :nay accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature e. 7 Date 0 r e% t. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three declarations: 1 have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, 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 provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, C :nd expenses which may accrue against said City in consequence of the g�, ..ig of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. PHONE NO: BUILDING PERMIT INFO: BLDG I— ELECT f— PLUMB F MECH f— RESIDENTIAL f— COMMERCIAL f— JOB DESCRIPTION:WINDOWS & DOOR REPLACEMENT; NON- STRUCTURAL, BEDROOMS TO MEET 2007 BC REQUIREMENTS;TBS CONSTRUCTION PD FOR BUS LIC Sq. Ft Floor Area: APN Number: 36654098.00 Valuation: $6000 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant:,d. Date: O` 8/251 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or author' ed agent: V ^� O Date:—U J CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Signature Date I Licensed Professional W i b&OW,; L_ (),Mf �e . In0y) SYLkC�ikMl e 0 _k " V, W j �4d-owS new C -01,1k V. kj, V)Qtl C-"5+ irLk ID RV -kr 0 V% OLO W Fe J,(ez,,N, 5 ko ylleet eyevs 'Zoo'T cb( ye"rooevvkS a 1\ il� O1Ive Sp,r; C C -L, -p e\r k ; v o ( � L3S-014 ©whey ZvioA lgk6&C-1- ZS' oo -9�; 0 (a 3 1 CD 223'd i 0 40 OZ> -06 0 t OL z a) -0 3lb 9) Ct) C-) -M Second Floor First floor 11699 Olive Spring Ct Cupertino, CA, 95014 W i pn vifS OL Oespv ROV) SVmc� rkren 5 new �ohs�Yu�cT�ov� W�;�c�cwS 1 ham,,. ('.a-r.5t, v'u ct t e �+ �e•� ; o �%� o r Be drvovv, ko me �eL e&ve YS 200'T C)7 C \ref vin eve "� S 1\ 69g 01 ve pY,. C �. pev�;`no C �} �SO1►+ Owv•eY Zv►o A Sgkh•�c, Second floor First Floor 11699 Olive Spring Ct Cupertino, CA, 95014 COMMUNITY MANAGEMENT SERVICES, INCORPORATED Zviad Jakhua 11699 Olive Spring Ct Cupertino, CA 95014-5141 Dear Homeowners: j august 25, 2009 Re: ;seven Springs Homeowners Association .1699 Olive Spring Court Enclosed you will find a copy of your Architecture Application for the installation of Milgard Vinyl Windows — Style "Tuscany" in ` White" at your :tome, with the approval from the Board of Directors, as well as any restrictions or conditions that the Boaid deemed necessary. Please keep in mind that any deviation from you- approved application will require you to resubmit your application for review. If you utilize an unapproved material you will be required to remove and replace the material with an approved selection. The approval of your project's architectural corrpatibility with the Seven Springs Owners' Association's complex does not constitute or imply, that the Architectural Committee and/or the Association Board of Directors deem your project as meeting City of Cupertino /County of Santa Clara codes. The approval is given contingent upon you and /or your contractor(s) obtaining the required construction permits and meeting all code requirements, if any. If you have any questions, please don't hesitate to contact me. Sincerely, Community Management Services Inc. Luis H'eredia, Senior Association Manager Seven. Springs Homeowners Association LH/knij cc: Board of Directors File #4 & # 16 1935 Dry Creek Road, Suite 203 a Campbell CA s 95008-3631 it voice (408) 559-1977 a fax (408) 559-1970 m, sI CITY Of CUPERTINO CITY OF CUPERTINO GENERAI. BUILDING PERMIT APPLICATION FORM 01v� v 3 Ste( APN # 4 r �5 409 P, Do Date: 2 y BuildingAddress: Ii 65g Olive ���i�� C�, Upo -k' , CA g5014 Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes ❑ No HOA: Exterior work only) Yes o ❑ If yes, provide letter from HOA Owner's Name: Zv;�d Jakr,�A Phone #: 40� Contractor: Phone: i TSS C.orS-kvAC_+;oh Irc Fax: Contractor License #: 9 p 3$ 1 Cupertino Business License #: Contact: IM amu 0. kZC,\ Phone: Fax: 40% Residential Commercial Job Description: W(Jbvvri OL rec-KevA lllOsn SVrt-&J%Ay*%\ �Qdlr is �r� i Ma pl 7.00 c 6P., Y'equh0k1rme41 Building Permit Info: Bldg E�/ Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV -HT, V- B 0-- V.- r) Valuation: Square Footage: ®O® G Project Size: Express ®Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.builditgreen.or Revised 07/14/09 151"1", x CITY OF CUPEI,TINO CITY OF C.UPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Group Permit Type 1GENRES or 1GENCOM 1STUCOAP Stucco A::)plications (up to 400 sf) additional stucco application B f I 1 WINREP door Replacement windows/sliding glass (ea 8 windows) B 1 WINMEWSTR New Wir. dow-structural shear wall/mase (includes plan ck fee) B 1 EPERMITFEE Electrical Permit Fee E 1 MPERMITFEE Mechanical Permit Fee M 1 PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1 MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1PLMBLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min when not over counter) Standard Plan Check (when no E/M/P) hourly -stand alone B f 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1BSEISMICR Seismic :Zesidential B 1BSEISMICO Seismic Commercial B 1 TRAVDOC Travel & Documentation B 1BUSLIC Business License B 5 of 5 1. use 3a*?No-VOG Paint 1 IAQ/Health pts y=yes 2. Use Low VOC, Water -Based Wood Finishes 2 IAQ/Health pts y=yes 3. Use Lowft VOG Adhesives 3 IAQ/Health pts y=yes 4. Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 5. Use Engineered Sheet Goods with no added Urea 4 Resource pts y=yes Formaldehyde 61AQ/Health pts y=yes 6. Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 7. Seal ail ExlxadRaWisboard.or UDF 41AQ/Health. pts y=yes S. Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 9. Use Finger -Jointed or Recycled -Content Trim 1 Resource pts y=yes 10. Install Whole House Vacuum System 3 IAQ/Health pts y=yes N. Flooring 1. Select FSC Certified Wood Flooring fl Resource pts y=yes 2. Use Rapidly Renewable Floorfrag Materials 4 Resource pts y=yes 3. Use Recycled Content Ceramic Tiles I Resource pts y=yes 4. Install Natural Linoleum in Place of Vinyl 5 IAQ/Health pts y=yes 5. Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 6. Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes Total Points Available: 1 1401 130 57 Total Points Project Received: 01 01 01 /0 G:data/progs/gref nbuildngguidelines/remodelers/greenpointsfinal2.12.D4protected.xis , CITY OF ;UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: C { PERMI"r * (//��' i1 69 OLS✓e S r+r BUSINESS NAME OWNER'S NAME: Sa, N , PHONE # t7� GENERAL CONTRACTOR: FAX # I am not using any subcontractors: 05�l2 S� afore Date Monco r',Prlr nnnl;rah1P c11hrontrartorS and comt)lete the following information: 0,9 co Owner/ GefGktor Signature Date 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 0,9 co Owner/ GefGktor Signature Date