B-2016-1524 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1524
10345 MORETTI DR CUPERTINO,CA 95014-3638(375 14 009) • UPRIGHT
DEVELOPMENT
CORPORATION
• SAN JOSE,CA 95131
OWNER'S NAME:
BUILDING PERMIT INFO:
License Class B Lic.#1007355
Contractor UPRIGHT DEVELOPMENT CORPORATION Date 09/30/2017 X BLDG _ELECT _PLUMB
MECH X RESIDENTIAL_COMMERCIAL
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. JOB DESCRIPTION:
NEW 2 STORY SINGLE FAMILY HOME(2064 SQ FT)WITH
I hereby affirm under penalty of perjury one of the following two declarations: ATTACHED 2-CAR GARAGE(437 SQ FT)
1. 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 DEF#1-TRUSS CALCS-ISSUED02/01/2017
r performance of the work for which this permit is issued. REV#1-REVISE LANDSCAPE PLANS-ISSUED 10-20-2017
2.t' I have and will maintain Worker's Compensation Insurance,as provided for by
40 �; Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. . Sq.Ft Floor Area:2501 Valuation:$350000.00
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 375 14 009 Deferred Submittal(R-3),R-3(Custom)
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 applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
--Q
-.--"
Signatu k — = Date 10-20-2017 Issued by:Abby Ayende
----:-"' Date:09/01/2016
OWNER-BUILDER DECLARATION
1 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: 10-20-2017
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1. I have and will maintaima 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
material. Additionally,should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the
air contaminants as defined by the Bay Area Air Quality Management District 1
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 becomesubject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owner or authorized agen,_;r° _ _.
APPLICANT CERTIFICATION Date:10-20-2017 •
dir
I certify that I have read this application and state that the above information is CON7:1' CTION LENDIN AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there s 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. I understand my plans shall be used as public records.
Signature , Date 10-20-2017 LicenseProfessionald
CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-1524
10345 MORETTI DR CUPERTINO, CA 95014-3638 (375 14 009)
UPRIGHT
DEVELOPMENT
CORPORATION
SAN JOSE, CA 95131
OWNER'S NAME:
PHONE NO: (510) 579-2281
LICENSED CONTRACTOR'S DECLARATION
BUILDING PEIRAHT
INFO:
License Class ]a Lie. #1007355
Contractor UPRIGHT DEVELOPMENT CORPORATION Date 09/30/2017
X BLDG _ ELECT
_ PLUMB,
MECH X RE
EDENTIAL COMMERCIAL
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.
JOB DESCRH'
ION:
NEW 2 STORY
SINGLE FAMILY HOME (2064 SQ FT) WITH
I hereby affirm under penalty of perjury one of the following two declarations:
ATTACHED 2-C
GARAGE (4371, SQ FT)
1. 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
DEF # 1 - TRUSS
CALCS - ISSUED 02/01/2017
Jperformance of the work for which this permit is issued.
�l 2. 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:
2501
Valuation: $150000.00
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:
375 14 009
Occupancy Type:
Deferred Submittal (R-3),R-3 (Custom)
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 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
SO DAYS OF PERMIT ISSUANCE OR
Additionally, the applicant understands and will comply with all non-point
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS
FROM LAST CALLED INSPECTION.
Signature ? Date 02/01/2017
Issuedby:�Ub
z-
Date:
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two
All roofs shall be inspected
RE-ROOFS:
prior to any1,roofing material being installed. If a roof is
reasons:
1. I, as owner of the property, or my employees with wages as their sole
installed without
st 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
ins i ection.
sale (Sec.7044, Business & Professions Code)
2. I, as owner of the property, am exclusively contracting with licensed
Signature ofApplic
t:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 02/01/2017
I hereby affirm under penalty of perjury one of the following three declarations:
ALL RO
F COVERINGS TO BE CLASS "A" OR BETTER
1. 1 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.
2. I have and will maintain Worker's Compensation Insurance, as provided for by
I have read the
IAZARDOUS MATERIALS DISCLOSURE
iazardous materialslrequirements under Chapter 6.95 of the
Section 3700 of the Labor Code, for the performance of the work for which this
California Hea
maintain complia
th & Safety Code, Sections 25505, 25533, and 25534. I will
ice with the Cupertino Municipal Code, Chapter 9.12 and the
permit is issued.
Health & Safe
Code' Section 255h(a) should I store or handle hazardous
3. I certify that in the performance of the work for which this permit is issued, I
ally, should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the
material. nts
air contaminants
is 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 Cuertino Municipal Code, Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health
& Safety Code, Sections 25505, 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall,
be deemed revoked. <%
Owner or authorized
agent:
APPLICANT CERTIFICATION
Date: 1
I certify that I have read this application and state that the above information is
I hereby affirm th
CONSTRUCTION LENDING AGENCY
t there is a construction lending agency for the performance
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
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,
Lender's Address
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 with all non-point source regulations per the Cupertino Municipal
I understand my
ARCHITECT'S DECLARATION
tans shall be used as public records.
Code, Section 9.18.
Licensed
Signature Date 02/01/2017
professional
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-1524
10345 MORETTI DR CUPERTINO, CA 95014-3638 (375 14 009)
UPRIGHT
DEVELOPMENT
CORPORATION
SAN JOSE, CA 95131
OWNER'S NAME:
PHONE NO: (510) 579-2281
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class a Lic. #1007355
Contractor UPRIGHT DEVELOPMENT CORPORATION Date 09/30/2017
X BLDG —ELECT _PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
— _ 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:
NEW 2 STORY SINGLE FAMILY HOME (2064 SQ FT) WITH
I hereby affirm under penalty of perjury one of the following two declarations:
ATTACHED 2-CAR GARAGE (437 SQ FT)
i. I have and will maintain a certificate of consent to self-insure for Worker's
�11 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
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
Sq. Ft Floor Area: 2501
Valuation: $350000.00
APPLICANT CERTIFICATION
certify that I have read this application and state that the above
APN Number:
Occupancy Type:
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
375 14 009
Deferred Submittal (R-3),R-3 (Custom)
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.
Additionally, the applicant understands and will comply with all non-point
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
source'regulations per the Cupertino Municipal Code, Section 9.111.
180 DAYS FROM LAST CALLED INSPECTION.
Signature eo� Date 9/1/2016
Issued by: AbbyAyende
OWNER-BUILDER. DRATION
Date: 09/01/2016
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 toremove 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 ofApplicant:
contractors to construct the project (Sec,7044, Business & Professions Code).
Date: 9/1/2016
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1. 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
z. 1 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. 1 will
permit is issued.
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
s. I certify that in the performance of the work for which this permit is issued, I
Health & Safety Code, Section 25532(a) should 1 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
f the Health & Safety Code, Sections 25505, 25533, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
Owner or authorizedagent:
APPLICANT CERTIFICATION i%
Date: 9/1/2016
1 certify that I have read this application and state that the above information is
. CONSTRUCTION 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 9/1/2016
professional