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09090116
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19832 PORTAL PL CONTRACTOR:KRT INC. PERMIT NO:09090116 OWNER'S NAME: HOA PRESIDENT-BIFF GEISER 9110B ALCOSTA BLVD STE 115 DATE ISSUED:09/15/2009 ER'S PHONE: 4082410023 SAN RAMON,CA 94583 PHONE NO:(925)556-0632 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT f— PLUMB License Class C L.C.# 7 �4?oId II MECH f- RESIDENTIAL f- COMMERCIAL r Contractor l 1 ` Date j X5 D JOB DESCRIPTION:WINDOW REPLACEMENT,TOTAL OF 9 FOR ALL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions BLDGS;KRT Code and that my license is in full force and effect. INC.RENWD BUS LIC 9/15/09 1 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,Ft Floor Area: Valuation:$4600 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:36946020.BLDGB Occupancy Type: APPLICANT CERTIFICATION 1 certify that I have read this application and state that the above information is correct.1 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 source regulations the Cupertino Municipal Code,Section _ �!- Lam' 9.18. r Issued .. Date: Signature t Date /tl RE-ROOFS: CJ OWNER-BUILDER DECLARATION All roofs 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: inspection. 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, Signature of Applicant: Date: Business&Professions Code) 1,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.7044,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 California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. compliance 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. Additionally,should I use equipment or devices which emit hazardous air Section 3700 of the Labor Code,for the performance of the work for which this contaminants 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 Health&Safety Code, c'ons 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's r Compensation laws of California. If,after making this certificate of exemption,1 Owne aut d t• D� become subject to the Worker's Compensation provisions of the Labor Code,I must r Date: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTR N LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's 1 certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address i nify and keep harmless the City of Cupertino against liabilities,judgments, 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 understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY OF CUPERTINO 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 36946020 .BLDGB DATE ISSUED. . . . . . . : 09/15/2009 RECEIPT #. . . . . . . . . : BS000008688 REFERENCE ID # . . . : 09090116 SITE ADDRESS . . . . . : 19832 PORTAL PL SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : HOA PRESIDENT-BIFF GEISER ADDRESS . . . . . . . . . . : 19832 PORTAL PL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : GARY PRIDDY CONTRACTOR . . . . . . . : KRT INC. LIC # 30426 COMPANY . . . . . . . . . . . KRT INC. ADDRESS . . . . . . . . . . : 9110B ALCOSTA BLVD STE 115 CITY/STATE/ZIP . . . : SAN RAMON, CA 94583 TELEPHONE . . . . . . . . : (925) 556-0632 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 4, 600. 00 1 .00 0. 00 1 . 00 0 .00 1BSEISMICR VALUATION 4, 600 . 00 0 . 50 0.00 0. 50 0 . 00 1WINREP EACH 8 2 . 00 760 . 00 0. 00 760 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 761 .50 0 . 00 761. 50 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 761 .50 MC --------------- TOTAL RECEIPT 761 .50 C ori DPJ.V 1 I cP 1 I CITY OF CUPERTINO Of CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN # Q LIQ C5 Date:z& ( I S O Building Address: I 0/,- et T01 Mailing Address(if different from building address): Are Hazardous Materials being used as part of this project? Yes No HOA: (Exterior work on- Yes No ❑ If yes, We letter from HOA p� Owner's Name: Phone#: RoA r S-S 409 - ;L41 -00--3 l 6 Contractor: Phone: 49 aV- ss-6 - 06 3 -2- (i L Fax: Contractor License t -15-4-Qi O9 Cupertino Business License#: Contact: Phone: �- k�-z Fax: I ;1 - 55`6_ d ---2— Residential —Residential Commercial ❑ Job Description: TZL� L.Ei- L .� �eve. Building Permit Info: Bldg Elect ElPlumb ❑ Mech 11Type of Construction(Usage Class): Occupancy Type: 1-A, I-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B Valuation: Square Footage: 14 &01�) - oa Project Size: Express [Standardo Lar e❑ 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 07/14/09 � �� AL Assessor's Parcel Number: Name of owner. r o►fL'�r�L 1�- �L��` Project address. '1?iG tX,4J Contact person. lr t9z (fie l s4!Fir:�, Phone. q D S ©tea Y� (E>G Fax. Net square footage of lot. Existing Proposed Square footage: First floor: - x Second floor: Garage: TOTAL: t clears aces inside the garage? N re there at least two 10 foot by 20 foo p g g Is privacy protection planting required for the project? N On what floor(s) is work being done? 1q OD - r Brief description of work. LQ I V Idt-7' �p ^ U �b L � G� -) Lu c-tt�Cz�kL -092(66 VVY6 t;& OV4 T s R S� 4 �r�R Code editions:2008 CBC 6�-N)200-8 CFC (Y -N)2008 CMC (Y-N) 2008 CPC (Y -N)2008 NEC (Y-N) APPF40VED IN ACCORDANCE WITH THE CITY OF Effective 1/1/08 CUPERTINO CODES AND ORDINANCES SIGN This set of plans and specifications MUST be kept on the lob at all times and it is unlawful to make any changes or alterations O on same without written permission from the Building Department, City of Cu rtino� The stamping of this plan and specifications <, SHALL NOT be held to permit or to be an approval of the violation of any provisions of any City Ordinance or State Law. Plan Review Process Work Book Page-8-Revised 1/1/08 JE Assessor's Parcel Number: Name of owner. Lid 9R" o L A Project address. SGL , G , Contact person. f(Z(--? Phone. *y (ea Fax. Net square footage of lot. Existing Proposed Square footage: First floor: -- Second floor: Garage: TOTAL: Te there at least two 10 foot by 20 foot clear spaces inside the garage? ,�N Is privacy protection planting required for the project? N On what floor(s) is work being done? Brief description of work. W L1� kr—�C�� /cl�N ST'►i�c-T V.R pr l.• ' d ei-t tr VVI '� � � t�L (2& Code editions:2008 CBC tY----N)2008 CFC (Y -N)2008 CMC (Y-N) 2008 CPC (Y -M2008 NEC (Y -N) APPHUVE D IN ACCORDANCE WIT i4 THE CITY OF Effective 1/1/08 CUPERTINO CODES AN[) ORDINANCES DATE /✓ �d SI NED �-� This.set of plans and specifications MUST1 be kept on the lob at all times and it is unlawful to make any changes or alterations E� 5200 on same without written permission from 7 the Building Department City o!Cupertino. Y,a The stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of any provisions of any City Ordinance or State Law Plan Review Process Work Book Page-8-Revised 1/1/08 AL Q IV RE . Y Assessor's Parcel Number: Name of owner. I O P'rD LA PLA-26. [4 C)A Project address. r Contact person. t t=F Phone. �D a�'1 r-6 8 0�3 106 Fax. Net square footage of lot. Existing Proposed Square footage: First floor: Second floor: Garage: / TOTAL: -e there at least two 10 foot by 20 foot clear spaces inside the garage? A N Is privacy protection planting required for the project? "Y-- On what floor(s) is work being done? BROINdescription of work. t.l)tiV F,�FL�-�1M6 tV—U CTr-X R A-L-- &t929? jMrMs T115 AA� V%6rl 42�� 63e. Code editions:2008 CBC &-N)2008 CFC (Y-N)2008 CMC (Y-N) 2008 CPC (Y -N)2008 NEC (Y -N) Effective 1/1/08 APPROVED IN AC(-ORDANCi 41TH�)(-HE (,,IT NOES CUP[RT INO CODE DATE__ SIGNG This set of plans and specifications MUST be kept on the lob at all times and it is unlawful to make any changes or alterations on same without written perymission from the Building Dof this plan an sped Ications 1 V The stamping 1 r 009 SHALL NOT be held to permit or to be approval of the violation of any provisions of any City Ordinance or State Law. Plan Review Process Work Book Page-8-Revised 1/1/08 9/15/09 FRANK FUU ROOFING,INC-U򧩭 1228 Quarry Lane "C° Pleasanton, CA 94544 Phone 510-582-6929 Fax 510-582-2851 City of Cupertino Re:Roofing permits To Whom It May Concern: K.R.T. Inc is a subcontractor for Frank Fiala Roofing Inc.they have permission to pull permits for windows replacements for Portal Plaza Homeowners Association. Windows being replaced to raise sill height for roof replacement. Please contact us if you have any concerns. Best regards, r William Fiala Vice Pressident c/o Frank Fiala Roofing Inc. 925-484-0124 ell . Community Development a2� 10300 Torre Avenue 9. RIX, ; Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 ,-UPEkTINO Building Department JOB ADDRESS: PERMIT # lid 2TA� OWNER'S NAME: PHONE # >'o k �-G v X I n GENERAL CONTRACTOR: K"V- ( FAX # I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete 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 Owner/Contractor Signature Date