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11010098CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10007 SPANISH OAK CT CONTRACTOR: DANIEL EDELSON I PERMIT NO: 11010098 OWNER'S NAME: DANIEL EDELSON 110007 SPANISH OAK CT I DATE ISSUED: 01/18/201 1 1 OWNER'S PHONE: 4084620746 LICENSED CONTRACTOR'S DECLARATION License Class Lic.# Contractor Date I hereby affirm that I 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: I 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 may 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 Date OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: I 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 I certify that 1 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, -its, and expenses which may accrue against said City in consequence of the sting of this permit. Additionally, the applicant understands and will comply -..jth all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature}s�NrC CUPERTINO, CA 95014 PHONE NO: BUILDING PERMIT INFO: BLDG f— ELECT f— PLUMB MECH RESIDENTIAL COMMERCIAL JOB DESCRIPTION: REPLACR 8 SINGLE PANEL WINDOWS LIKE FOR LIKE Sq. Ft Floor Area: I Valuation: $7500 APN Number: 34232081.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS ROIEi T CAL ED INSPE TION. Issued by: Date: All roofs shall be inspected prior to any rodFwg material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Appli Date: 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 I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: aw�,� x4a Date: 1 _ I CONSTRUCTION LENDING AGENCY 1 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ......... 34232081.00 DATE ISSUED.......: 01/18/2011 RECEIPT #.........: BS000012504 REFERENCE ID # ...: 11010098 SITE ADDRESS .....: 10007.SPANISH OAK CT SUBDIVISION ...... CITY .............. CUPERTINO IMPACT AREA ...... OWNER ............: DANIEL EDELSON ADDRESS ..........: 10007 SPANISH OAK CT CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM .... CONTRACTOR .......: COMPANY ........... ADDRESS .......... CITY/STATE/ZIP .... TELEPHONE ........ FEE ID UNIT QUANTITY --------------------------------- 1BCBSC VALUATION 7,500.00 1BSEISMICR VALUATION 7,500.00 1WINREP EACH 8 8.00 TOTAL PERMIT : METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : DANIEL EDELSON LIC # *OWNER* DANIEL EDELSON 10007 SPANISH OAK CT CUPERTINO, CA 95014 AMOUNT --------------- 381.75 --------------- 381.75 AMOUNT PD -TO -DT 1.00 0.00 0.75 0.00 380.00 0.00 ---------- ---------- 381.75 0.00 OPERATOR: SylviaM COPY # : 1 THIS REC NEW BAL 1.00 0.00 0.75 0.00 380.00 0.00 ---------- ---------- 381.75 0.00 REFERENCE NUMBER -------------------- 3458 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: DATE: REVIEWED BY: APN: BP#: *VALUATION: 1$7,500 ,PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY PENTAMATION USE. SFD or Duplex PERMIT TYPE: 1 GENRE WORK SCOPE NOTE. These fees are haled on the nreliminary information availahle and are aniv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 09-051 Eff. 7/1/10 FEEQTY/FEE7 MISC ITEMS Plan Check Fee: $0.00 ® # $380.00 Window / Sliding Glass Door 1 WINREP Replacement Suppl. PC Fee: (F)Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 !-11 F-1 Acoustical Fee: 0 Yes E) No $0.00 Q E) Work Without Permit? 0 Yes (F) No $0.00 Planning Fee: $0.00 E) ,-,ivc�,` 1)o( ttitt'ttiuiion FL't V ;tronaMotion Fee: IBSEISMICR $0.75 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.75 $380.00 TOTAL FEE: 1 $381.75 Revised: 01/03/2011 NV-ldaooId d V7" CA - V7" 9C f, 11 e%b^ ��oo 5 us Al Al xxx to sA a n� 44 cv, im �JED WwDovjs -1?0 M clt� 30 rU- uj LU U, uj l" lu xxx 4n IA 'A coo ul) 1 0 C4 '91 33„ C� ��o� 2- 3% 33's MI1 MI ROOM W) AJDDWS —M VAI e" C,-, �:, r f & Z, e -ss �l •� � 0 1 r� b-- � X � '� IZS 60 LU vi U4 xxx +nvatt 001-1) in �2C) CA C4 KT 414 IN C4 N V C4 9 (a It 6 C3 Z) Rl- ,rj c o 00 n�� 9 (a It LU u ... vu iu vj X=X � W) � 1000 C4 CV r4 N C4 IN Liven,J Rvoor,, In q4 190" vS O From: Pauline Moore [mailto:pmoore@communitymanagement.com] Sent: Wednesday, January 12, 20112:46 PM To: Daniel Edelson Subject: RE: window replacement The Board of Directors has approved your request to replace windows because your application meets the guidelines. Pauline Pauline Moore Senior Association Manager CMS, Inc. 1935 Dry Creek Road Campbell, CA 95008 408-559-1977 408-559-1970 (FAX) From: Daniel Edelson [mailto:dredelson@gmail.com] Sent: Tuesday, January 11, 2011 11:13 AM To: 'Daniel Edelson'; Pauline Moore Subject: RE: window replacement Pauline, No grids. New construction not retrofit. Licensed and insured contractor. While vinyl exterior. Permits. Please seek approval. Thank you. daniel < A F CITY OF CITY OF CUPERTINO Id GENERAL BUILDING CUPERTINO PERMIT APPLICATION FORM //0 f oo C/ �r APN # 3�2 C&I . YJ Date: 111-71901) 1-7a0// Building Address: CA qSv 1 Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes 0 No HOA: (Exterior work only) Yes E�j No ❑ If yes, provide letter from HOA If Residential. is house an Eichler? Yes ❑ No If yes, needs planning approval. Owner's Name: Phone #: Gin) l e Ede 1500 06 (0 - v ,Y Contractor: (� 1LK 5 vn S-hy a47o/ i S Phone: Fax: 0 8 $ S Contractor License #: -- (0 j 4 5 -3 7 Cupertino Business License #: Contact: Phone: Fax/e-mail: Residential Commercial Job Description: 0\0.(je1u S �"5� PGrle_J a,JW%�nJ � w 1 �► c��$ wra'� 11Q.w �n41 �� t�►�-l�n� W(�c 0� Al n51 1)$ 1 Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ IMII/V-A ❑ II/III B, IV -HT, V -B ❑ Valuation: �a0 _ Square Footage: k Project Size: Counter ❑ 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.org Revised 12/06/10 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1215 STAFFORD DR CONTRACTOR: DE MATTEI CONST 1794 THE ALAMEDA OWNER'S NAME: MEERA & ASHOK NATESAN OWNER'S PHONE: 4083361215 LICENSED CONTRACTOR'S DECL[A'RATION License Class Lic. # 4 7 �`� s✓ J/�{�' `�►ts�C cYi•►S i . Date Contractor - I hereby affirm that I 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. SAN JOSE, CA 95126 JOB DESCRIPTION: RESIDENTIAL DATE PERMIT NO: 10050099 DATE ISSUED: 08/23/2010 PHONE NO: (408)295-7516 ADD SQFT TO(E)FAMRM,LIVING&MASTER SUITE;ADD SQFT@(E)ENTRY& GUEST BEDROOM,ADD GUEST BATH,NEW PATIO &REMODEL KITCHEN, MASTER SUITE,LIVING I hereby affirm under penalty of perjury one of the following two declarations: I 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 may 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. Signatur �` Date�� 1 OWN UILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 & Professions Code) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1/24/11- REV#2- REVISE SHEAR WALLS, ROOF BEAM & FOUNDATION, ANCHORS, DELETE WINDOW & SKYLIGHTS - ISSD 1/31/11 Sq. Ft Floor Area: I Valuation: $400000 APN Number: 36211032.00 I Occupancy Type: I hereby affirm under penalty of perjury one of the following three declarations: I 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 shir`ll 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. 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. 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 may accrue against said City inconsequence 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 Date Signature of Applicant: Date: 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 I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code,Sectio 25505, 25533, and 25534. Date Owner or authorized agen 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. Licensed Professional