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10060030 y CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22930 CRICKET HILL RD CONTRACTOR:ARGONAUT WINDOW& PERMIT NO: 10060030 DOOR,INC VNER'S NAME: BRUCE&CHRIS GOEAS 1901 S BASCOM AVE STE 800 DATE ISSUED:06/07/2010 OWNER'S PHONE: 4082571789 Cy"PBELL,CA 95008 PHONE NO:(408)378-4018 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE] License Class Lic.# REPLACE 4 WINDOWS&2 DOORS LIKE FOR LIKE 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. Sq.Ft Floor Area: Valuation:$6000 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 Al'N Number:34235008.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION. 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 I&;ued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section _ 9.18. RE-ROOFS: ,nature Date Al roofs shall be inspected prior to any roofing material being installed. If a roof is ins tailed without first obtaining an inspection,I agree to remove all new materials for ins pection. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code)01,01/ I t ave read the hazardous materials requirements under Chapter 6.95 of the Cf lifornia Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three m:intain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: He alth&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. wi I maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by thi!Health&Safety Code; tions 25 ,25 ,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized age Date 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I h,-reby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deem e vo ed. wcrk's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ,n the above mentioned property for inspection purposes.(We)agree to save -temnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the I u iderstand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with aamt sour regulations he Cupertino Municipal Code,Section Lic ensed Professional 9.18. Signature Date CITY OF C UPERTINO CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN # Date: Building Address: G r? . ' Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes ❑ No HOA: (Exterior work only) Yes No ❑ If yes, provide letter from HOA Owner's Name* Phone#: Contractor, Phone: IVI?/Y Fax: Yoe 4 8e-0,51'_-5) Contractor License#: rJ . 7 �( -K Cupertino Business License#: Contact: v ' / _ Phone: �' ) ZS S t�LF (� 1/J GY j ( �'� '\ Fax: L -� Residential Commercial ❑ Job Description: ked4S / c am I . r t7 Building Permit Info: '�<Bldg Elect ❑ Plumb ❑ Mech ❑ Type of C nstruction (Usage Class): Occupancy Type: 1-A, 1-13 ❑ II/III/V-A ❑ IUIII B, IV-HT, V-B [Q 112 _7 Valuation: ` Square Footage: 0C)v , Project Size: Express ar ❑ Large ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the application or if applicable, in,-.lude in plan set& the sheet index. Points Achieved: For help, contact Build it Green at www.builditgreen.org - Revised 07/14/09 SU-1CITY OF CU.PERTINO IOF GENERAL BUILDING APPLICATION CUPEf�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,vindows/sliding glass B door (ea 8 wi ndows) 1WINMEWSTR New Window-structural shear B wall/masonry (includes plan ck fee) 1EPERMITFEE Electrical Per-nit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P 1 ELCPLNCK Stand Alone:3lectric 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 Standard Plan Check (when no E/M/P) B when not over counter) hourly-stand alone 1BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT / TYPES 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B 1 TRAVDOC Travel &Dc cumentation B 1BUSLIC Business License B 50-5 M.indoor Asir Quality and Finishes 1.Use LoikfNo-V©C Paint 1 lAaNealth pts y=yes D 2.Use Low VOC,Water-Based Wood Finishes 2 IAaMealth pts y=yes 0 3.Use LowN-o VOC Adhesives 3 IQ/Health pts y=yes D 4.Use Salvaged Materials for Interior Finishes 3 R:source pts ygas D 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 6lAO/Health pts y=yes D 6.Use Exterior Grade Piytarood for Interior Uses 1 IAO/Health pts y=yes D 7.Seal ail l labaard flr MDF 4 IAQJHealth. pts y=yes _ D 8,Use FSC Certified Materials for Interior Finish 4 R:source pts y=yes D 9.Use Finger-Jointed or Recycled-Content Trim 1 R:source pts y=yes D 10.Install Whole House Vacuum System 3 1),Q/Health pts y--=yes 0 N.Flooring 1.Select FSC Certified Wood Flooring 6 Re'ource pts y=yes 0 2.Use f3apidly Renewable Flooring Materials 4 Re>ource pts y=yes D 3.Use Recycled Content Ceramic Tiles 4 Re,-ource pts y=yes 0 4.Install Natural Linoleum in Place of Vinyl 5 IAOJHealth pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Re urce pts y=yes 0 6.Install Recycled Content Carpet with Low VOCs 4 Re urce pts y=yes 0 Mi 1 1 1 Total Points Available: 140 1301 57 Total Points Project Received:1 1 01 01 0 r Idata/progslgreenbuild ngguidelines/ramodelars/greenpint 12.D4pro1 .xls ` ~] //) CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec: Twp: Rng: Sub: Blk: ]got : APN . . . . . . . . : 34235008 . 00 DATE ISSUED. . . . . . . : 06/07,'2010 RECEIPT # . . . . . . . . . : BS000010577 REFERENCE ID # . . . : 10060030 SITE ADDRESS . . . . . : 22930 CRICKET HILL RD SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . : CUPER"INO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : BRUCE & CHRIS GOEAS ADDRESS . . . . . . . . . . : 22930 CRICKET HILL RD CITY/STATE/ZIP . . . : CUPER"INO, CA 95014 RECEIVED FROM . . . . : BRUCE GOEAS CONTRACTOR . . . . . . . : CHRIS ETTEMA LIC # 22820 COMPANY . . . . . . . . . . : ARGONAUT WINDOW & DOOR, INC ADDRESS . . . . . . . . . . : 1901 :3 BASCOM AVE STE 800 CITY/STATE/ZIP . . . : CAMPBHLL, CA 95008 TELEPHONE . . . . . . . . : (408) :378-4018 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---- ------ ---------- ---------'- ---------- 1BCBSC VALUATION 6, 000 . 00 1 . 00 0 . 00 1 . 00 0 . 00 1BSEISMICR VALUATION 6, 000 . 00 0 . 60 0 . 00 0 . 60 0 . 00 1WINREP EACH 8 1 . 00 :380 . 00 0 . 00 380 . 00 0 . 00 ----------- ---------- ---------- ---------- TOTAL PERMIT :381 . 60 0 . 00 381 . 60 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- - ------------------- CREDIT CARD 381. 60 a:c --------------- TOTAL RECEIPT 381 . 60 Chris Goas-28837 f-y 22930 Cricket Hill,Cupertino Exterior Notes: Leave arbor intact,detach at 44 to move it in place. Exterior trim 2x6 sides over shingles. Move exterior GFI Interior Notes:Trapezoids set between the sheetrock-Tape drywall @ cracks, Doors trim with 3-1/4" Primed Moulded casing Relocate Electrical under existing window NO Pd6D&f-)1I95 /NVji,,V 6L) Trap Right Trap Right Trap Left Trap Left 44-7/8"x23-7/8" 44-1/4"x40-3/4" 44-1/8"x56-1/8" 43-3/4"x39" 31 s 8068 FWG Mapel Threshold Lower existing window to 8068 Patio Door � = o .o0 ? 67 J d dZ70 _= ° D ^ m x L I V I /U C-i n �N i/V'� �4Z? Q < ?a r O C ^ L � 1 y v 3 T N (A 1 De Anza Oaks Home 3wners Association Architectural Application NAME OF OWNER (S): Vo-Y(,iC -- I C]� l� � ADDRESS OF HOME: ZZ q-&�) �d�� UNIT # TELEPHONE NUMBERS: (H) IeW-- (W) P - yVz- GENERAL DESCRIPTION OF PROPOSED WORK: l-�Oiiy �i s'�f���r 14'%41e" CONDITIONS OF APPROVAL: Applicant understands and agrees that this Application does not fulfill all of the conditions and requirements for an approval. In addition to this completed"Architectural Application"form,the applicant must submit to the Architectural Committee drawings and specifications showing the nature,kind,shape,height,materials and locations of the proposed architectural alteration. The submission must be in writing. The Architectural Committee may require additional information as it deems necessary to make a decision. Until all information is submitted to the committee,the application will be deemed to be incomplete and the applicatioi will stand disapproved. Applicant further understands and agrees that in the event that the modification is approved by the Committee that they may impose"Special Conditions"of construction and mainter ance on the approval of the Application. Any special conditions shall be attached and be a part of the approval. Ani deviation from the approved plans specifications or special conditions will cause the permit to automatically terminate and become null and void. Applicant understands and agrees that if applicant fails to conform to each requirement then applicant authorizes De Anza Oaks Homeowners Association to have the work brought into conformance with�pproved plans, specifications and special conditions. Applicant further understands and agrees that all costs incurred by the Association as a result of bringing said work into compliance will be a personal obligation of the owner. Such costs shall include the costs of construction, reconstruction,administration, fees,attorney fees,experts and consultants charges,and court costs,if incurred. It is also agreed that no work will(1)be initiated which will be a N iolation of any of the provisions of the Association's Declaration of Covenants,Conditions and Restrictions or any applicable building code,(2)be an annoyance to any resident;or(3)increase the cost of insurance maintained by tf e Association. It is further agreed that,in the event the application is approvec,all maintenance,repair or replacement of the approved item will be the sole responsibility of the lot owner,and further that any expense incurred by the Association that is the direct or indirect result of the approved change shall also be the sole responsibility of the lot owner. All work shall be initiated with consideration of the terrain,slope,esthetics,time and noise considerations. Applicant understands that all necessary permits and approvals from applicable governmental jurisdictions are the sole responsibility of the applicant and that Committee approval of his application is subject to the applicant receiving all such necessary permits and approvals. Applicant agrees to use licensed and insured contractors for any and all installations or to make the Architectural Committee aware when this is the exception. Applicant agrees to notify the Architectural Committee upon completion of the project so the Committee may inspect an i determine compliance with each and all of the conditions of approval of the application. UND S GNED EES TO THE ABOVE CONDITIONS DATE: :H/meo per's S' a reFOR COMMITTEE USE O Yoved Denied DaJtre BY: Comments: