Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
B-2016-1727
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1727 10370 ALPINE DRAPT 2 CUPERTINO,CA 95014-0916(326 15 076) COLD CRAFT INC LOS GATOS,CA 95032 OWNER'S NAME: EAST ENTERPRISES LLC ET AL DATE ISSUED:04/08/2016 OWNER'S PHONE:408-761-3678 PHONE NO:(408)374-7292 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMITINFO: License Class GENERAL BUILDING CONTRACTOR Lic.#631837 X BLDG _ELECT _PLUMB COLD CRAFT INC Date 11/30/2017 I hereby affirm that I am licensed under the provisions of Chapter 9(commencing X MECH X RESIDENTIAL_ _ _COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: REPLACE FURNACE,SAME LOCATION r. I have and will maintain a certificate of consent to self-insure for Worker's r Compensation,as provided for by Section 3700 of the Labor Code,for the /J 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. Sq.Ft Floor Area: Valuation:$3000.00 APPLICANT CERTIFICATION 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 326 15 076 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the a licant understands and will comply with all non-point source regulatio per the Cupertin nicipal Code,Section 9.18. 180 DAYS FROM LAST SPECTION. Signator` VDate 04/08/2016 Issued by:ME Date:04/08/2016 WNER-B E DE LARATI N I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:04/08/2016 1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER r. 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Cade;Sec ons 25505,25533 25-534. Labor Code,I must forthwith comply with such provisions or this permit shall f/ be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date:04/08/2016 certify that l have read this application and state that the above information is CON TRUC ON LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 04/08/2016 Professional GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 P'EATINO (408)777-3228•FAX(408)777-3333• buildinq(a_)cupertino. r _ OPLUMBING MECHANICAL ❑ELECTRICAL OMISCELLANEOUS . _ PROJECT ADDRESS l '� / � APN# / � �_0,y /{��/01 J // � t ��./�E/� f l/yid/ ��/, OWNER NAME L.,ST I� I� � l/�P PHKC1 L� f) E-MG/ STREET ADDRESS q FAX d f. ,�,,44 CITY,�rAT ZIp CONTACT NAME Mae A& j /C��7 -/ E-MAIL STREET ADDRESS CITY,STATE,ZIP "/ FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑' CONTRACTOR CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME �� LICENSE B 9 LIENEE TYP .LIC# COMPANY NAME jj it E-MAIL G r G�� yt(� rA lqb fj FAX a6din _ _ STREET ADDRESS CITY, TATE, PHONE rhLal � n , , 1d1 6 ff 37 s ARCHITECT/ENGINEER NAME LICENSE NUMBER V BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECTIN ❑YES. IS THE BLDG AN ❑YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ❑. NO FLOOD ZONE ❑.NO EICHLER HOME? ❑NO DESCRIPTION OF WORK zfn4h C �j- �j C sC, ..a T �o TOTAL VALUATION: BYN 11 T, By my signature below,I certify to each of the following: I am the property owner or aut orized agent t o s behalf. I have read this application and the information I haveovided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating 'to Ilding onstruc b . I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/AgenDate: �1 i r S PLEMENTAL INFORMATION REQUIRED si ONLY 1 � � 3 Y � k SU paXPRi CJS s?r4�tnALxD LAL2CS+ I4L214 ... „• MEPMiscApp_2011.doc revised 06121111 n 3 Q. W o 0 0 0 o c cn D _ v c) n rt C C N Z = w to A N A o -0 C D 3 ,^r lu O C O v y y N D O o r Z o A z w N 6 tD �• (D A M C h n n 'p 01 cpn rD c N 3 O CD Q -t .+ r+ P+ m N O Z H' .3p Vf m (D -+ rt 3 n of D p ,a -n r 3 (D C O �FD' 61 � 3 = < p. O O O O rt N r n n n n A ^ O s D w N O to ( Q c°'r+ m Q D W N I--� �. H (=D. 3 3 CD N O EP A lD n F� N H o LM \, o .c a o A -+, O A rD CD N N N N rt - D � ai O OOV iCD :3 CL o O 3 ' W 0OnDm O O O O N :3 O AQO N O rD m O f�D. O d - =3M Ln (Mo '* A FY LA -< -< M < s O N H C (D (D n 3 � �? O C Z Z Z Z _ O O O O 3.D Ul ro + m e+ 0) £L D O0 04 c O 3 y G rt % C M H: 7 p Q O 000 M .0A N �• 0 0 y = 3 rD N ' Ln N N p (D-°° 3 n c o W 0 C N. n w 7 y O (p tD tD. (D O rD W MD 3 Q p rD O C C — ON to rn 7 7 — N rD M 3 07 m T O „3 rt V p v 0 y p M rte+ _ 3 rt O O O O a = .� V Q. 3 Q; (Dco fl o v p H U O fl. M m co 3Di (A 0 N Qo _ rD cm Q3 o CL A. N ,< 00 ( H rD m O "= v �. A ,.+ Oq O N � N � C Z Z Z Z y M 1 O m O. O O O .+ •G = lD (D m fD 3 N 00 h �U � C rD L Q S N m O O O O (D rnQD mD CL aD D—t Q A Q p �. p 0 p I p ID O T W Q �' Q �' CL 7' Q.. O C 3 OCD a, 01 n L n y n L, n n `G fD O O 1 m [�D N (rtD N N rD N N (D A N N3 3 3 00 m x m C m aa, M z :0 FC EL b O Mt1 D m C * O O Ln D rn m c m :^. 2 nr 2 y x �=* �r >v [7 N rD (D T O K< N N ._+ O o W. N rn O Cl m y N H = In O O = N C G1 N N eD1-r, 3 fl. N D O Z N N fD 2 0 x R7 3 N O 7 Vl -i rD w� a � D N � N O 7 O rn O_ M m �.. O wh T n 77 O O O Q n n. n n A 3 0 - rD -n rD „ rD rD y S 0 m y n N o z o c -1 `G rD E7 X n O LA rD F rn c �" = r x -n a. l m w a a� D? v v 'O (D = N O rt n < O n z v'\ > > rOD rnD m tnD �: 0 �. �. W 0. r L �- O v w 2 o x (DCL D rD Dz � I � aD - O 0. .+ Z Q ar c o ba n n n n n 7 n C m D) v C Q T= O H O O O O. O 3 r} 7 0 m 0 = D 3 sy_ 0 � D 3 sD S D Co Q D Q d a� ro I 3 'a ID = -o ID - '0 ID = -0 O p n a iv a ar v. "> O ,_+ 7 O ,_r O = O = O O _ ('D+ Io y O rD v. r, x p O rD O rD O rD O rD W `G r+ NO DyOi w 00 = IIID = 9) n rD m l7�C D3C `G 0=C rD Q e�-F O ey-f W O CrQ Q aOq O T Do O rD w y y ti v, H. 0 vOi 0 C O T m 3 a o s o a°° m rD m o rD o _ '" 00 a o D. a ,o c H 'n-Dn T T G n 401 O O p �. m m d a m ..,m m m N a c ni m F.a ,T � rD rD 3 rD rD D O A N ar m M. Q n = N O 70 , � rD w m a T1 D rD 'O p n = H , , =9m 0 p. '•''' 07' bo bo OD C rD. =* Ln m '� S D = U; `' x o < n �• N. TDD H Oo K Q n n D = T! O v 3 to rh O � .. �" F c as n O CL O 3 Ln Z Z Z Z F� c n p O O O O y p CA r'1 O tJ7 n3 O O CL w 3 O O O O O N r rD my 7 rD D �• y o n I q '� 3• FS, 3 O rD H O v Ott DO QO Qq p rD .* 3 ro ? lD O 0 D M. _, a O M d rD °- n0 Z I .Z. I Z I Z O v rt a m o v 0 o w §3 O 3 0 0 D c 3 iD - a n h n r n + n = M NO \ f"7 rD O " O O N:. O O ro O 00 O O O = ; V O �• m 3 D a ID 0 — ID x — 0 � — 0 0 — 7 n w ={ m CD H' c rz O O,,rD. x: o- 0 O_ rD m DOq Q S rl rD m v0"i R p ,'p-r (M •O-�• •O-' �O* gin. < H n a o T -IQ m v ID -1 m -I rD -i rD -i m rD O N Ln 27 rn-r.-.� "O �. 3- .O M 3 a rn-f, =7 ::%, r) n O Q o 3 ,rD. O N fD N "0 rD — 00 F.O cr Z3 iS y Q ZS y Q N• Q In pD "6 < -h N O ...(p' n O N rj N n O N v m, ,W v - O rD - tD N 0 cr H O_ iS y.: Q "Cr SZ cr y' 0. rD ;4� O O o O O.: O rD D O fD O N ., In N N S rD ID ami Dsi asi C O C n n n n rD O '+ O H 77 7c T. 7r H Q 0 v O rD N In (n rD rD m Ci O rD n. O. rD fi O (D r� !D m O cin s ^ Q s Q a ^ Q v 3 O N -p rD O fD O fD 00 O (D O OV CL 3 0 0 0 0 S 6 0 _ ff Q o N o N 00 fD a, ID a, rD 2) r O O (D l'i O !D t'i O fD C'i rp C N 'i A rn O rt A F-+ Ln rt f+ .-t r+ r77 \ k m / \2 R: ƒ § m27 \ � ƒ� / 2 . 2 \ ° m CR 3 c . % \ 2 / k } / § 2 J \ G . n (DI :3o o n L } % J . \ > / ® . m . n E / ; m f B / § ƒ m ^� 2 C . 3 ƒ 3 ° (A / E . g \ / f . . 0 . \ 9 / J : , \ § / O'Q 0 � k Q (A ® ° n \ Lnq \ § 7 7 . . % r+ . K \ 7g ƒ § . } � } ± Lrl # .. «2 3 § R © \ § § � cr 0 7 \ \ 0 £ . £ r+ n — / . . \ \ . . . . : « 2 \rD Ln � ^ < rD r � \ \ $ : < \ 0q � 6 CL w ® m \ M { k \ q \ \ ` . m