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10100142 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19946 PORTAL PLZ COP TRACTOR:AMERICAN VISION PERMIT NO: 10100142 WIN SOWS INC 'VNER'S NAME: YARON PINTO 365 REED ST DATE ISSUED: 10/19/2010 uWNER'S PHONE: 4088650659 SANTA CLARA,CA 95050 PHONE NO:(408)617-0901 PTI-' LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F_ ELECT r PLUMB License Class Lic.# 77 93 Zoo AA v L`1 YV MECH F RESIDENTIAL r COMMERCIAL H � Contractor ` Date 10 ( a I hereby affirm that I am licensed under the provisions of Chapter 9 JOI�DESCRIPTION:THREE WINDOW REPLACEMENTS&TWO PATIO DOOR (commencing with Section 7000)of Division 3 of the Business&Professions REPLACEMENTS 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 Sq.1't Floor Area: Valuation:$5192 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. {,l�. J APP Number:36945025.00 Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non-point so ce regul ' ns per the Cupertino Municipal Code,Section 9.18. Issued by:��––� –- ` Date: ( � a ature Date 101 ( (7010 j_.. ❑ OW R-B ILDER DECLARATION RE-ROOFS: All a oofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: insp:ction. 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, Sigr ature of Applicant: Date: Business&Professions Code) — I,as owner of the property,am exclusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER construct the project(Sec.70441 Business&Professions Code). I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the Cal fornia Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. coir pliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Adc.itionally,should I use equipment or devices which emit hazardous air con:aminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Hef Ith&Safety Code,Sections 25505,25533,and 25534. 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 Ow ner orkt id agent: become subject to the Worker's Compensation provisions of the Labor Code,I must — Date: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I he reby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for xhich this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Ler der's Name to huilding construction,and hereby authorize representatives of this city to enter the above mentioned property for inspection purposes.(We)agree to save Ler der's Address _,nnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I ur derstand my plans shall be used as public records. 9.18. Lic rased Professional Signature Date PORTAL PLAZA HOMEOWNERS ASSOCIATION C/O M&C ASSOCIATION WNAGEMENT SERVICES,INC 4305 HACIENDA DRIVE, SUITE 180 PLEASANTON,CA 94588 408.241.0023 OFFICE 408.241.0093 FAX October 4, 2010 Yaron Pinto 19946 Portal Plaza Cupertino,CA 95014 RE: 19946 Portal Plaza/00134-1098 Dear Yaron Pinto, * Architectural Change Approval Your Architectural Change Request has been reviewed by Portal Plaza Homeowners Association. They rendered the following decision: Window Replacement-Approved You are responsible for obtaining any building or other permits which may be required by the city and/or county for complying with all codes,permits, and regulations which may apply. The Association would like to express its appreciation for your cooperation in submitting your Architectural Change Request. If you have any questions, please contact the management office. Sincerely, 'X / . Biff Geiser, CALM, CCAM Community Association Manager As Agent for . Portal Plaza Homeowners Association cc: Unit File A+ Enclosure x • • 40 v� so � s w a `V 76- a, cc cca c c '' cco2C '. MW- r cac� rndc " 3 rt- Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUB(;ONTRACTOR LIST JOB ADDRESS: �00rO EPERMITOWNER'S NAME: ?Iv/ m r1 ONE # Ov GENERAL CONTRACTOR: ,Ai� � IS%A j USINES LICENSE# ADDRESS: St. S'CtaI3 atK CITY/ZIPCODE: +_r% C46M *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPA7ACY INSP TION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBC T C OR HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. �O I am not using any subcontractors: ignall a Date Please check applicable subcontractors and co plete:the following information: SUBCONTRACTOR BUSI ESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum /Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: �� D kTE: 1011 el REVIEWED BY: APN: 3(A, BP#: Q *VALUATION: 1$5,192 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY 7011 t _ PENTAMATION 1GENRES USE: SFD or Duplex t){;� .�t,t: PERMIT TYPE: WORK SCOPE F7, 1JI(-. Pt F-1 I NOTE. Thesefees are based on the preliminairTv in ormation availa de and are only an estimate. Contact the Dept/or addn'l info. FEE ITEMS (Fee Resolution 09-051 Ef.. 711:'10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 5 # Window/Sliding Glass Door Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 $380.00 1 WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C`fm,,5Inwiion 7'ax Acoustical Fee: 0 Yes (F) No $0.00 0 Work Without Permit? 0 Yes E) No $0.00 Planning fee: $0.00 Select a Non-Residential E) Building or Structure 0 Ti<r�ci[)octnrl �att�li(>rt 1`gyres': L —1 'A Strong Motion Fee: IBSEISMICR $0.52 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $1.52 IL $380.00 TOTAL FEE. $381.52 Revised: 9/29/2010 CITY OF CUP:3RTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: TraciC COPY # 1 Sec: Twp: Rng: Sub: Blk: LDt: APN 36945025.00 DATE ISSUED. . . . . . . : 10/19/2010 RECEIPT #. . . . . . . . . BS000011790 REFERENCE ID # . . . : 10100142 SITE ADDRESS 19946 PORTAL PLZ SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . OWNER YARON PINTO ADDRESS 19946 PORTAL PL CITY/STATE/ZIP . . . : CUPER'IINO, CA 95014 RECEIVED FROM AMERICAN VISION WIN CONTRACTOR WILLIFM ROMANO HERREN LIC # 26864 COMPANY AMERICAN VISION WINDOWS INC ADDRESS 365 REED ST CITY/STATE/ZIP SANTA CLARA, CA 95050 TELEPHONE (408) E17-0901 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ----- ----- --------- 1BCBSC VALUATION 5, 192 .00 1.00 0 .00 1.00 0.00 1BSEISMICR VALUATION 5, 192 .00 0.60 0.00 0 .60 0.00 1WINREP EACH 8 1 .00 :180.00 0 . 00 380 .00 0.00 ----- ----- ---------- ---------- ---------- TOTAL PERMIT :;81.60 0. 00 381.60 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -••------ CHECK 381.60 1534 --------------- TOTAL RECEIPT 381.60 i OF CIT�ERTINO - CITY l 0001 0- CvPCOf E?KINo GENERAL BUILDING PERNUT APPLIC�LTION FORM APN # 45 Od j Date: t� t�+� 20�t� Building Address: 1-191& Q' 9:CA1L- PLAZA Mailing Address (if different from building address): No Are Hazardous Materials being used as part of this project? Yes HOA: (Exterior work only) Yes ❑ No If yes, provide letter from HOA ©e Owner's Name: Ph ne#: t.." g Contractor: % Phone� �t7 DCI 0 1 is. bti I Fax Contractor License#: 77 3 Z(o Cupertino Business License#: Contact: LFrax: e: �v� C�(Jl(•� Residential Commercial Job Descnphon,3 W I mvOW STs tZ.PA`n 0 'P OW QUA a. Building Permit Info: Bldg al- Elect ❑ Plurlb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/VI B, IV-HT, V-B'F Valuation: �( Square Footage: 1 � Z Project Size: Ex cess Standard ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green B- ' ding/LEED Checklist& attach it to the application or if applicable, in dude in plan set & the sheet index. oints Achieved: ' For help, contact Build it Green at www.builditreen.,�r Revised 07/14/09