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14060121 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20062 NORTHCREST SQ CONTRACTOR:JEMICO LLC DBA PERMIT NO: 14060121 RENEWAL BY ANDERSEN OWNER'S NAME: COURTNEY GLORIA 30800 SANTANA ST DATE ISSUED:06/18/2014 OWNER'S PHONE: 4082552189 HAYWARD,CA 94544 PHONE NO:(510)263-3178 11 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ❑ REMOVE AND REPLACE 2 WINDOWS AND 3 SLIDING License Class A—M Lic.# -1 0� GLASS DOORS LIKE FOR LIKE; TO MEET EGREES IN Contractor Date BEDROOMS 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:$20551 ave and will maintain Worker's Compensation Insurance,as provided for by ection 3700 of the Labor Code,for the performance of the work for which this APN Number:31637015 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 AYS 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 F LOM-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 Issued by: Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9 18. j �� RE-ROOFS: Signaturee� \ Date 4j 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. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&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. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25 33,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Dater 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 hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work'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 upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9 18. Signature Date V ELICONSTRUCTION PERMIT APPLICATION �� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 1 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 VII CUPERTINO (408)777-3228•FAX(408)777-3333•buildina(ftyper ino.org ❑NEW CONSTRUCTION` [:1 ADDITION ®ALTERATION/TI [JREVISION/DEFERRED ORIGINAL PERMIT# 'ZOO/ PROJECT ADDRESS OO 2 /( prfk C" _6 (,t.-k APN# //( "a., t. OWNER NAME �+`9� � J.,_ _ PHONE (��-�tC 21 cJ�) &MAIL (/ STREET ADDRESS 20061, Nof-l'k � S ` CrrY,STATE,ZIP,f J 7+kO C1N v FAX CONTACT NAME BMAk_ (�_KAAO'd \ PHONE W1�2&3'-'>U7(. ,3� ( E-MAE'L i am- STREET • STREET ADDRESS .tet/Uf�'iC CITY,STATE,ZIP � q v f.-441 QF,(A�X ❑OWNER ❑ OwNER.R-BBuiLDER ❑OWNERAcENr 151 CONTRACTOR IRCONTRACTORAGENT ❑ ARCHrrECr ❑I•JENGIINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAMEJZ � ` LICENSE NUMBERgTa '� 7ENSETYPE�rtG1�Z BUS.LIC# COMPANY NAME b p� EMAIL FAX STREET ADORES CITY,STATE,ZIP PHONE�( l e� �-s5K 5rv-a•td�-�tz� ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# ' COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP ` PHONE DESCRIPTION OF WORK xojrv�n s -4z EXISTING USE PROPOSED USE CONSTR TYPE #STORnsS USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA CIDETACH ❑ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY DYES BEING ADDED? DNO ADDITION? ❑IVO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN D YES REC Y: TOTALYALUATION' PLANNING ADPL# ONO PLANNING APPROVAL LETTER L'ICHLERHOME? DNO By my signature below,I certify to each of the following: I am the property owner or authorized agent to ' ope owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agre with all a ordinances and state laws relating to building onstruction. I authorize representatives of Cupertino to enter the above-identifi pr perty otin ection purposes. Signature ofApplicantl nt: 4 Date �LV SUPPLEMENTAL INFORMATION REQUIRED PLANCI ECKTYPE ROUTINGSLIP _New SFD or Multifamily dwellings: Apply for demolition permit for p OVER-TitE_COUNTER ElBUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIREDEPT _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SAMTARY SEWER DISTRICT submittal of Building Permit application. ❑ ENVIRONMENTAL HEALTH BldgApp_201 1.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 20062 NORTHCREST SO DATE: 06/18/2014 REVIEWED BY: MENDEZ APN: BP#: *VALUATION: 1$20,551 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFD or Duplex PENTAMATION 1GENRES USE: PERMIT TYPE: WORK REMOVE AND REPLACE 2 WINDOWS AND 3 SLIDING GLASS DOORS TO MEET EGRESS IN SCOPE BEDROOMS h�A .ii „ �"�'s � 3,Q Mer_*'I hVr ChecxI?�trEi�.I27rrrt r:r:t., EW.l hvt Glhr <(' 1fc-c z.pe sir Flee" l'ftarn 'r«rtr,:a t rt: f>Fr::, rr,rt;a I°f:e: Oilier;14ec;.fns p. 0i"" F'itt�af,>LY'i:,I, Li I othd;�'I;;e c,hr sp, :�1c<r'°. Irttt3. 1<'e: I'sutr b,n'ur). I re; NOTE.This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). Theseees are based on the preliminar information available and are onl an estimate. Contact the De t or addn't info, FEE ITEMS (Fee Resolution 11-053 Eff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # Window/Sliding Glass Door Suppl. PC Fee: (D Reg. ® OT 1 0.0 1 hrs $0.00 $418.00 1WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Feei@ Reg. ® OT0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C'mistruclion To,: Adminiszra iv,e Fee: 0 Work Without Permit? ®Yes (j) No $0.00 G Advanced Planning Fee: $0.00 Select a Non-Residential E) ('re.€vel Building or Structure 0 Strong Motion Fee: IBSEISMICR $2.06 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC 1 $1.00 $3.06 $418.00j","",,,"-""" TOTAL FEE: $4 E21.06 Revised: 04/01/2014 Customer Name e a. Address Zee 2 11. C_rtsr. uar�dc. City4f,uogV- 41 n0 FL00R PaN Street ................ ...........................................................,...........,........................................; :'r...... ................ ...........................................................................t...............■..■.......... ■ cit .�rxcvr .' �Qep) c,-- 2 3 slydr�5 dors ' ' • g IFf or E Lrro C1 A�TMNT ED TING f2 APPROVE This set of plans and specifications h UST be kept.,aa the c job site during construction. It is ui lawful to mala any changes or alterations on same, or to deviai i therefrom, without approval from t Building Of7o.cial. The Stamping of this plan and specif cations SHA.I.L;NOT be held to permit or to be an apprc ial of the violation c of any provisions of any City Ordin ince or Statei L•aw. c : Fry CATE 5� r'wRM1T P. . ./og- • ��V t Y �- rr • Y ; ; • CUPERTINO F1,t.,!iriirq Department n `4riE` VEL'..{ t'- ,ODE COMPLIANCE OT PL N9 : .CHECKED BY )ATE ; l- PLANNING 1 EFT. • ' .tl...................................YY■■f.............■■■...................................■.......1...............r :.. .. ............................■■■■.■...............■Y■.............t■..■.............t............................................: / CustomerNamef&=2!Tag, Addressee Z. n, C'y►o -r-S uczr'•c. City FLOOR PLAN Street • Y � l ; ■ ■ ; ^)d ; ' erf l�Tli/® P.e9�nd6�r7 Y 1 • CUPERTINO Ruildina ne pa(f771G'n4 ' • JUN 1 8 2014 REVIEWED FOR CUJ'DE COMELLLUCP ' Reviewed B ° Y� .l•„ ......................................................................ri..,,,r,•.■•■,.,,n..,,...,•u,,..,.,,•r ■••••••••l.•.•..■.•.■l■..................................•.......................■..,,..Y...•Yl....,.1••■••.•...•i..,.,,,..••■..••.,,,•t " lw: - Il a v , a r \Crit, i \yk cY f{ 9' f ' ,� r X .. TI: -4 is "fg } i Z � w n I l �) L M F )hep � t S Northpoint Homeowners Association 10880 Northpoint Way Cupertino, CA 95014 Gloria Courtney 20062 Northcrest Square Cupertino, CA 95014 Re:Windows and Doors April 30, 2014 Dear Ms. Courtney, Enclosed please find a copy of the approved Property Modification Form you submitted to replace windows and doors in your unit. Please note that they must remain the same size and in the same location or further approval will be needed. Sincerely, 0151,71 Linda Starnes On Site Manager Northpoint HOA �U� IN - 3?3� i NORTHPOINT HOMEOWNERS ASSOCIATION PROPERTY MODIFICATION NOTICE Please indicate below which modilication(s)are planned for your property. Provide brochure(s)N possible and a copy of any proposal(s),including the contractor's license number. Any modification not expressly listed herein,or not conforming to the restrictions and requirements listed herein for that modification will require an Architectural Review Application to be submitted to the Grounds and Architectural Committee and the Board of Directors for approval. Satellite Dish Installation has a separate form to be completed and submitted for approval. Modification Restrictions and Reauinsments Air conditioning unit Unit will be designed for quiet residential use. Unit will be located within the enclosed yard of the property. There will be no part of the unit visible to common areas. Installed by a licensed contractor. Replacement window/ Must be same size aperture and Sliding door location of existing window or sliding door. Any necessary touch-up painting is the responsibility of the Homeowner. installed by a license contractor. Garage door Must be windowless and in conformity with general architectural style of the complex. Repainting to conform to exterior color scheme is responsibility of the Homeowner. Installed by a licensed contractor. Any damages caused to property as a result of modifications will be the homeownees responsibility. AN prohibitions,restrictions,conditions.and rights of the Association enumerated under Article V of the amended and restated Covenants.Conditions and Restrictions of the Northpoint Homeowners Association are applicable to modifications Contained herein. City permits may be required. Please Pnht Homeowners Name($): GAO ria Co�c,^fne v Property Address: .20062 Al -Ad reSf Phone: Date of Nofifrcstion• d'S-0 7-J.0/'i/ Date of Completion: Homeowner has 6 months to complete the designated modifications and is responsible for notiWng maMetnent upon Project completion. U-v Only NotNlction reoehred by: �'t, „1� 7,�n_ Date: C� Completion verified&appfoved by: Date: Form adopted aliCktI 99 Revised 5/00 Fulp-J1