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03040138-FI CUPEkTINO CITY OF CUPERTINO ? PERMIT APPLICATION FORM APN #°;C �7 Fee Description Date: Building Address: �?z — - - —c MECHANICAL Owner's Name- l BUILDING Phone #1 BBOILERI Boiler <= 100,000 Btu ra6ee y BBOILER2 Boiler > 100K to 500K Btu Contractor, BBOILER3 License 1prlle; MECHANICAL Contact: BBOILER4 Cupertino Business License#: MECHANICAL BBOILER5 Boiler > 1.75M Btu Builth BuildPermit nfo: BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi lett PIVKb BCONSTAXBQ e �Jobside es�c–ription- - Hotel and Motel e esidential El rfffti rcial. Constax – Resi/Mobile Sq.Ft. Floor Area: BELEC1000 BELEC1001 $/Sq.Ft.: ELECTRICAL ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL Cost of Project -i—, JS 4.1 EnergyBUILDING Occupancy Group: Type of Const ction: BENERGYADD Energy Add Multi BUILDING Quandt y Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permit sq. foot BUILDING BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL_ BBOILER3 Boiler > 500K to IM Btu MECHANICAL BBOILER4 Boiler > 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax – Resi/Mobile BUILDING BELEC1000 BELEC1001 Elec 600V <= 1000A Elee 600V > 1000A ELECTRICAL ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY EnergyBUILDING BENERGYADD Energy Add Multi BUILDING BI-NVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING (,4 I of 3 q 7 -Ir z HeU 0 CITY OF CUPERTINO V: BUILDING DIVISION PERMIT BTM'92DDffRNEY CREEK PL ""'03040138 TER'S IRMY B AND HOWARD F "'U'TnO/2003 PHONE: SANITARY NO, CONTROL NO. ARCHITECT/ENGINFER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7 o Division 3 of the Basin Professions Code, and my license is !)*W, infultforcein VL qJ Pf 1 1'�6 7 TERMITE REPAIR .. Lie # License, las m D!!�f r —ailtLa ?;Fe '7,.Z4 1±e ot to C c or �ARCHJT�ECI �SDARATION CONTRACTOR: ANTIQUE TERMITE & PEST 4 understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires; the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Commetor's License Law (Chapter 9 Sq. Ft. Floor Area Valuation (commencing with Section 7000) of Division 3 of the Business and Professions Code) of �4800 that he is exempt therefrom and the basis for the alleged exemption. Any violation of APN Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 34248034.00 0 1, as owner of the property, or my employees with wages as their sole compensation, Re Inspections will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: Ile Contractor's License Law does not apply to an owner of 101 - )ired �u FOUNDATI N property Who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or of for sale. If, 102 - PIERS however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for purpose of 103 - UFER sale.). 104 - REBAR 0 1, as owner of the property, am exclusively contracting with licensed contract= to construct the project (Sec. 7044, Business and Professions Code:) no Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon, and 106 - SEWER & WATER who contracts for such projects with a continuctor(s) licensed pursuant to the Contractor's License Law. 202 - UNDERFLOOR PLUMBING 0 1 am exempt under Sec B & P C for this reason 203 - UNDERFLOOR MECHANICAL Owner Date 204 - UNDERFLOOR FRAME WORKER'S COMPENSATION DECLARATION 205 - UNDERFLOOR INSULATION I hereby affirm under penalty of perjury one of the following declarations. 301 - ROUGH PLUMBING 0 1 have and will maintain a Certificate of Consent to self -insure for Worker's Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the 302 - TUB & OR SHOWER work for which this permit is issued. 303 - ROUGH MECHANICAL 0 1 have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 304 - ROUGH ELECTRICAL Poi' Mywbr#c�)Czen tuninrancticarricrandPh no 305 - FRAME A P crnhid�� poll( n� 306 - HOLDOWNS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 307 - INSULATION (ruissection need notbc completed truss permit is fortme hundreddollars ($100) 308 - SHEETROCK or less.) 309 - EXTERIOR LATH 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 Workers' Compensation 310 INTERIOR LATH Laws of California. Date 311 - 313 - SCRATCH COAT ROOF NAIL Applicant NOTICE TO APPLICANT: If, after making Uds Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked- 501 - FINAL ELECTRICAL ENERGY 502 - FINAL PLUMBING ENERGY CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of 503 - FINAL MECHANICAL ENERGY the work for which this permit is issued (Sec. 3097, Civ, C.) 504 - FINAL BUILDING ENERGY Lender's Name---,---- 505 - FINAL ELECTRICAL Lender's Address I certify that I have read this application and state that the above information is 506 - GAS TEST 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 FI NA. PLUMII_ above-mentioned property for inspection purposes. 08 FIN (We) agree to save, indemnify and keep harmless the City of Cupertino against P) liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of the granting of this permit. 5 APPLICANT STANDS AND WILL CO WITH ALL NON -POINT 1 Issued by:5 1% NG Date RCE R LATIONS. qu Re -roofs Type of Roof — - - - - --------- HFIC WORKS SignaturcbfAppli=VC0;1ra6tor Date HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupantsiore or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety Code, Section 25532(a)?All roofs shall be inspected prior to any roofing material being installed. 0 Yes )�6- - If a roof i I s installed without first obtaining an inspection, I agree to remove Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? Cl YesNo I have read the hazardous materials requirements under Chapter 6,95 of the Califor- nia Health & Safety Code, Sections 25505,25533 and 25534.1 understand that if the building currently hv6 a tenant, that it is my responsibility dry the upam. of the t� f a Ccrof in it'n I c is h•OrmuSt be t 0 dwn menu We no y :a� Signature of Applicant Date All roof coverings to be Class "B" or better Owner or au�'th.rizj agent Date WOOD DESTROYING PESTS AND ORGANISMS INSPECTION REPORT This is an inspection report only -- not a Notice of Completion ADDRESS OF PROPERTY INSPECTED 'B-11 1-1-11-1 -1-1.---TSIIEI —I CITYZ IIP ICOUNTY DATE OF NllM OF CODE iINSPECTION PAG 10382 HEN—Ef C= PLACE CUPERTINO 195014 43 03/21/03 l ANTIQUE TERMITE & PEST INC. Affix stamp here on Board copy only* A LICENSED PEST CONTROL ,684 South Second Street OPERATOR IS AN EXPERT IN San Jose, CA 95112HIl$/HER FIELD, ANY QUESTIONS 11�n RELATIVE TO THIS REPORT SHOULD 00 (408) 995-0517 FAX J408) 995-6�3BE REFERRED TO HIMNER. REGISTRATION # PR 1187 REPORT # 20448A I"'P ESCROW # ORDERED BY: (MIINELT' BANKER 10105 S. DFANZA, BLVD CUPERTINO CA 95014 NARY TAN 252-1133 252-0538 FAX REPORT SENT TO: PROPERTY OWNER. HOTVTARD & RUBY LEE C/O MARY PARTY IN INTEREST, 1nvTryKiAi DponDT M I I M I M) PF:PnRT M qIIPPIFMFNTAI REPORT r7- REINSPECTION REPORT r -i- 1*0-r.12�1n.a' nnrn DIAGRAM NOT TO SCALE IJLCFiA 4— JLID ZV, X X A 9M 5A 4A X/ XOG 3.44 JLC:L 4j,'F- X08 JL gr"43CIM- 1OF LOC f , K DO K00i 'nn X OE O'N ?A '6 Sf X oD S I�9. 171-1- A any 0" JL On T:T-M inspected by SOOTT J. MARTIN License No. OPR9412 Signature NOTE: Questions with ,4ostions or problems concerning the above report should be directed to the manager of the company. Signature questironr problems with services performed may be directed to the Structural Pest Control Board at (al 6) 26�1-2533, or (8OO) 737-8188. You are entitled t I o obtain copies of all reports and completion notices on this property filed with the Board during the: preceedingtwo ears upon payment of a $2.00 search fee to: The Structural Pest Control Board, 1418 Howe Ave., Ste. 18, Sacramento, California 9582 -3204 VF T 1, A A e S ONE STORY SSINALEMILY DWFLL,NIG W= H M R U L 0 GENERAL DESCRIPTION: C T T W G E P 7 L L E jv tNOM FRAVE AND TAK)OD E=IOR, t R U - R W W 0 H T U 0 S E M- E F P N C) --Ei- M Y 0 0 E 0 T R W 0 G A E S 0 E V, E MK 0 11 -9 INSPECTION TAG POSTED: SUBSTRU= A=SS OTHER INSPECTION TAGS: NONE IN TBE LAST TWO YFAYEARSR A M E r-I-TR810 I T M 0 1- E B R 1 S E 3 T E I R N I`I T E e 0 S 7 S T , N T A T VE L. S I S T U R E 1 SUBSTRUCTURE AREA INACCESSIBLE, See 1A -1C X X X 2, STALL SHOWER IN -ONE, SHOWERS. OVER TUBS 3. FOUNDATIONS ABM GPADE See 3A X —MNCP=, 4, PORCHES -- STEPS CONCRETE & WOOD 5. VENTILATION .INACCESSIBLE See SA 6. ABUTMENTS HOULOW COLUVNS See 6A X X ATTIC SPACES I.N=TM See 7A _Z. 8. GARAGES TWO CAR ATTA= See 8A, 8B 9, DECKS PATIOS NONE 10 OTHER INTERIOR INISPECIED SeelCA-10G [711170THER EXTERIOR INSPECTED Seel] -A -Ili X X I - DIAGRAM AND EXPLANATION OF FINDINGS (This report is limited to structure or structures shown on diagram) DIAGRAM NOT TO SCALE IJLCFiA 4— JLID ZV, X X A 9M 5A 4A X/ XOG 3.44 JLC:L 4j,'F- X08 JL gr"43CIM- 1OF LOC f , K DO K00i 'nn X OE O'N ?A '6 Sf X oD S I�9. 171-1- A any 0" JL On T:T-M inspected by SOOTT J. MARTIN License No. OPR9412 Signature NOTE: Questions with ,4ostions or problems concerning the above report should be directed to the manager of the company. Signature questironr problems with services performed may be directed to the Structural Pest Control Board at (al 6) 26�1-2533, or (8OO) 737-8188. You are entitled t I o obtain copies of all reports and completion notices on this property filed with the Board during the: preceedingtwo ears upon payment of a $2.00 search fee to: The Structural Pest Control Board, 1418 Howe Ave., Ste. 18, Sacramento, California 9582 -3204 2nd PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT: 10382 HENEY CREEK PLACE CUPERTINO BLDG. NO. STREET CITY 03/2112003 20448A STAMP NO. DATE OF INSPECTION CO. REPORT NO. IF REQUESTED BY THE PERSON ORDERING THIS REPORT, A REINSPECTION OF THE STRUCTURE WILL BE PERFORMED. THIS REINSPECTION MUST BE WITHIN FOUR (4) MONTHS OF THE DATE OF THIS INSPECTION AND THERE WILL BE A REINSPECTIO111 FEE. FUR7HER. INSPECTION: ITEM'S ARE DEFINED AS RECUV24ENDATIOMS TO -INSPECT AREAS UTRICH DURING THE ORIGINAL INSPECTION DID NOT ALL OW THE INSPECTOR. ACCESS TO Cov OLF ,IF , THE INSPECTION AND CANNToT BE DEFINED AS SECFIGN I OR SECTION 2. THE INTERIOR OF HOLLOW WALLS, AREAS BENEATH AND BEHIND BUILT IN CABINETS WERE NOT INSPECTED SINCE INSPECTION OF THESE AREAS ARE CONSIDERED IMPRACTICAL. WE DID NOT k-A!"IER. TEST AND DO NOT CERTIFY AGAINST LEAKAGE OF ANY APPLIANCES, PLUMBING OVER FINISHED CEILINGS, ROOF COVERINGS OR DECKS. SUCH ACTIONS, WERE NOT PERFORMED, THEY ARE CY7N o i WITHCUTI SPECIFIC WRITIEN AMDRIZATION. WE MAKE NO GCTi NST I =CNS L=, OR ADVERSE CONDITIONS WHICH MAY EXIST IN #,,WJEA� PIVO&S . NO FURNITURE OR APPLIANCES WERE PdMVED 'THEREFO'THER'THEREFORE iv RiVP4NTATICN BE MADE REGARDING THESE AREAS. ATTACHED AND/CR DETAC= PECTED UNLESS 07 TERWISE STATED IN THE BODY OF THIS RE FURTHER INSPECTION IS RECQVZE111DED. FURTI-ER INSPECTION` OF ANY INACCESSIBLE AREA AND/OR AREA NOT INSPECTED WOULD BE PERFORMED UPON REQUEST AT AN ADDITIONAL CHARGE (WITH WRITTEN PERMISSION Al\7jD/(-,R AUIEORTZATICN) . T13E CARPETING MAKES INSPECTION OF THE FLOORING IN THESE AREAS IMPRACTICAL. ANTIQUE TERMITE IS NOT RESPONSIBLE FOR FLOORS OR FLOOR COVERINGS UNDER CARPET. ANTIQUE TERMITE, =. DOES NOT R34CFM APPLIANCES OR RE -INSTALL AFTER MIRK IS COMPLETED MUMS REQUESTED, A FEE OF $ 75.00 PEP APPLIANCE WILL BE CHARGED SHOULD ANTIQUE TERMITE BE RIWIRED TO REMVE APPLIANCES. ANTIQUE TE14141M GARMUEES ALL REPAIR WORK COMPIXTED BY OUR qn,4%4OR " OF ONE (1) YEAR FROM DATE OF NOTICE OF CCNPLETIf� V, ING, GRouTING muramr, AND RESETTING OF ToiLETs �,mircg THIRTY (3 0) DAYS FROM DATE OF NOTICE OF QUE TERM:ITE ASSLWS NO LIABILITY FOR REPAIRS CU4PLETED BY CITHERS. GLIARANTEES SHOULD BE OBTAINED FROK PERSONS OR FIM THAT PSI` F'ORVIED ACTIML REPAIRS. a4NER'S AND/CR AGENTS 100 ARRANGE REPAIRS BY OTHER TRADES SHOULD SATISFY THEMELVES WITH PROPER PE1,V1ITS AM LICENSES. ANTIQUE TERMITE INC. IS NOT A LICENSED ROOFING FIFM. IF INTERESTED PARTIES DESIRE A ROOF INSPECTION THEY MUST CONTACT A ROOFING CONTRACTOR TARO is LICENSED BY THE CONIRACTOR'S STATE LICENSE BOARD. No furniture or appliances were moved or removed, limiting this inspection to the visible and accessible areas of the above structure shown on the diagram. No statements can be made regarding conditions in closed walls, floors beneath coverings, areas below or behind appliances and built-in cabinet work, stall showers over finished ceilings, such structural segments as porte cocheres, enclosed bay windows, buttresses and similar areas to which there is no access without defacing or tearing out lumber, masonry or finished work. If owner's desire further information on the condition of the roof, Antique Termite recommends interested parties contact a licensed roof contractor. Antique Termite assumes no responsibty for leaks not evident during the timee of this inspections. Our inspectors are not equipped with 40 ft. ladders, therefore all two story buildings will not be inspected at the eaves unless requested. All representations will be made from the ground level. Further inspection of second story eaves or any other inaccessible area(s) or area(s) not inspected will be performed upon request and at an additional fee. This property was not inspected for the presence or absence of health related molds or fungi. By California law we are neither qualifed, authorized, nor licensed to inspect for health'related molds or fungi. If you desire information about the presence or,absence of health related molds, you should contact an industrial hygenist.� ANTIQUE, TERMITE & PEST INC. --- License No. PR 1187 3rd PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT: 10382 HENEY CREEK PLACE CUPERTINO BLDG. NO. STREET CITY 03/21/2003 20448A STAMP NO DATE OF INSPECTION CO. REPORT NO. c4mRANTEEs on work (labor) performed by Antique Termite Inc., are one (1) year from the date of completion. Guarantees for local chemical treatments are limited to wood members treated only. Fumigations are guaranteed for one year from the date of completion. Plumbing repairs (parts provided by this firm), linoleum (vinyl materials), toilet resets or any other measures for the control of moisture (caulkLngs and grouts etc.) are guaranteed for thirty (30) days. Antique Termite, Inc. assumes no responsibility for water damage if the shower enclosure is not installed imdiately. The guarantee on showers and tub units is void if the area is used before 24 hours. If the shower fixtures do not fit the owner must contact other tradesman to have new fixtures installed. If necessary for floor installation, vanities are to be removed and replaced by others. Kitchens and laundry areas also must have appliances removed before installation. An additional fee of $ 75.00 per appliance and or furniture will be charged for Antique Termite to remove and/or reinstall. we do not do painting,texturing, staining or wallpapering. NOTICE: Reports on this structure prepare registered companies should list the same to infestations, termite damage, fungus damage, etc) �Qyp�,T c dation You to correct these findings may vary from company toAqb You have a ri.2 to seek a second opinion from another calp THIS IS A SEPARATED REPORT WHICH IS DEFINED AS SECTION I s:,icrIojN II AND UNKNOWN FURTHER INSPECTIONS CONDITIONS EVIDENT ON UME DATE OF INSPECTION. <;=ION I: contains items where there is evidence of active infestations, infections, or conditions which have resulted in or from infestation or infection. SECTION II: Are conditions deemed likely to lead to infestation or infection, but where there is no visible evidence of such found. = OWN' FURTI-ER INSPECTION: RecomTendations to inspect areas which during the original inspection, did not allow the inspector access to complete the inspection and cannot be defined as Section 1 or Section 2. WFIII .7 PERFORMING =TvENTS OR ANY CONSTRUCTION REPAIRS, ANTIQUE TERMITE INC. WILL NOT BE RESPONSIBLE OR LIABLE FOR ANY ELECTRICAL OR PLUMBING WICH MAY BE CONCEALED IN WALLS OR BELOW SLABS. -i Nt TILE OR LINOLEUM SELECTIONS: Bids which are given in report 'fo ep acement of ceramic the or linoleum are based on using`tizri gr material. Ceramic tile bids are based on standard -square 411 tiles at a cost of $2.78 per square foot for shower walls or tub shower walls. Ceramic floor tile bids are based on 8x8 tiles at $2.75 per square foot. Tile selections can be made at: Dal -Tile, 2549 Zanker Road, San Jose (408) 441-6988 OR Florida Tile, 1560 Montague Expressway, San Jose (408) 432-8114. Linoleum bids are based on using standard grade linoleum at $.89 per square foot (bathrooms) and $1.79 per square foot (kitchens/laundry rocew). Linoleum selections can be made at: SW Discount Outlet, 505 So Market Street, San Jose (408) 292-8971. Tile and/or linoleum selections must be made at least 5 days prior to scheduled repairs. Any upgrades, must be paid by client at the time of selection. If NO selection is made prior to repairs, standard/neutral color tile or sheet vinyl will be installed. Mold Policy Statement: Molds, sometimes called mildew, are not wood destroying organisms. Branch 3 licensees do rot have a duty under the Structural Pest Control Act and related regulations to classify molds as harmful to human health or not harmful to human health. This does not modrify the Structural Pest Control Act related egulations. ANTIQUE TERMITE & PEST INC. --- License No. PR 1187 Ah PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT: 10392 HENEY CREEK PLACE CUPERTINO BLDG. NO. STREET CITY 03/21/2003 20448A STAMP NO, DATE OF INSPECTION CO. REPORT NO. SUBSTRUCTURE: Addendum to Contract: Due to recent changes in the law, we are required to give you the following notice. Our inspection report contains a recommendation for lethal gas fumigation. This company subcontracts lethal gas fumigation to Discount Fumigation Inc. (408) 279-2040 or Cost Less Fumigation Inc. (408) 918-9100. Notice: The charge for service that this company subcontracts to another registered company may include the company's charges for arranging and administering such services that are in addition to the direct costs associated with paying the subcontractor. You may accept Antique Termite Inc.'s bid or you may contract directly with another registered company. Antique Termite Inc. will not be responsible for any act or omission in the performance of work that you directly contract with another to perform. By signing the attached contract, you authorize Antique T le =,te Inc. to subcontract this fumigation to a registered fumigation company. Item LA: FINDING: Evidence of infestation by drywood termites was noted at the substructure and exterior. These infestations appear to extend into i inaccessible areas. REr_aq,,=TIoN: Seal up and fumigate the entire structure with a lethal gas (v.rXME AND C141,0ROPICRIN) overnight for the control of drywood termites in all areas of the structure. Remove the seals for reocciupancy. NOTE. Antique Termite is not liable for any damage which may odp during fumigation. Fun -Ligation cannot begin during 1A_cMTTT'� tR�t In the life case of rain or strong winds the job may he post_W' to) V.ate r date. Additional information will be shown on the "Occupants Fumigation !Notice" which must be signed and returned to the fumigatihgydepaxtment before the fumigation date. Structure must be vacated for r to =igate,cne night to allow for proper ventilation.) All preparation work to get structure ready for fumigation is owner/occupants responsibility. Should owner desire a fumigation prep company to do the neces�, rep -work, they should contact Fumigation Department -there' ib�',CqAt service, which will be in addition to price for fumigk 'R ItX 0 "", "sk This is a Section 1 Item ", Y -r Item. 113: FILING: Evidence of infestation by drywood termites was noted in item #1A (fecal pellets). RECcmvE'zATJ()N: In caTpliance with the Structural ,!Pest Control Board, remve or mask over all accessible drywood termite, evidence (pellets) upon completion of treatments. This is a Section 1 Item Item 1C: FINDING: The crawl space is inaccessible for irLsp8,ction due to insulation hanging down and loose. RFC3_t4vM\0ATI01N,: Further inspection recmniended. The owner is advised to have others secure the insulation to the subflooring. At that time, upon request we, would perform further inspection and issue a supplemental report on all findings. Unknown Further Inspection Reccarnended FOUNDATIONS: Item 3A: FILING: Minor vertical cracks Were noted at the foiLlidation. These cracks could lead to moisture intrusion and/or infestation by Subterranean Termites. RECTMvM\TDATI0N: Engage the services of the appropriate, licensed tradesperson to check this condition and make anynecessary, recommendations and repairs. This is a Section 2 Item ANTIQUE TERMITE & PEST INC. -- License No. PR 1187 5th PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT: 10.382 HENEY CREEK PLACE CUPERTINO BLDG. NO. STREET CITY 03/2112003 20448A STAMP NO. DATE OF INSPECTION CO. REPORT NO. VENTILATION. - Item 5A: NOTE: There are vent screens missing and/or broken at the approximate locations indicated on the diagram. This is not a vx)od destroying organism concern and is listed for informational purposes only. If a bid to install nail on type screens is desired, it would be available upon request. Information Item ABUTMENTS: Item 6A: FINDING: There are hollow abutments and/or columns at the approximate location(s) indicated on the diagram. The framLng inside this area(s) is inaccessible for inspection. .RECavm=TIoN: Further inspection recomnended. If so desired, upon request we would open the inaccessible areas and perform further inspection. Any additional findings would be listed on a supplemental report. Note: Our bid (if given) is for opening the inaccessible areas) cnly, any repairs or closing the areas opened would be an additional charge. Unknown Further inspection Recommended ATTIC: Item 7A., NOTE: Portions of the attic framing are inaccessible for . inspection due to insulation. The attic was inspected from the ac - Interested parties should be aware that Antique Termite well assumes no responsibility for any inaccessible areas. If further insjo ion is desired, access to this area must be provided by other's by',�arwsmu, ca walks or retmving the insulation. Please call our o#ice if you wou d like to schedule an appointment and receive a price Information Item GARAGE: Item 8A: i\ToTE: The area (s) below the water heater and/or furnace pedestals are inaccessible for inspection. Interested parties should he aware that Antique Termite, Inc. assumes no responsibility for any inaccessible areas, nor work performed by others. Information Item Item 8B: FINDING: Corrosion was noted at the water wt j heAH V RECaoiM=TION: Phrinap the services of a licensed plLimber to check condition and make all needed repairs. ****** This is a Section 2 Item ****** this OTHER - INTERIORS: Item ioA: --immrs: condensation indicates seal failures at the windows and sliding glass door. RFC--NV=ATI0N: Engage the services of the appropriate, licensed tradesperson to check this condition and make all needed repairs. ****** This is a Section 2 Item ****** Item 1413: FINDING: Fungus damage was noted at the particle board below the kitchen garden window counter top. RECCMENEATION: Remove the tiles (window area only) . Remove the visibly damaged wood members and check for concealed damage/adverse conditions. If no additional findings are. made, -'-nstall new plywood where removed. Install new mortar set, standard grade ceramic tile (where removed only). Reinstall the sink and install a new standard grade faucet. NQTU:, If any additional findings are made, a supplemental report wouldbefiled with additional bids for repair. NOTE: An exact match of the counter top tile is not guaranteed. This is a Section I Item ANTIQUE TERMITE & PEST INC. --- License NTo.PR 1187 6th PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT: 10382 IIENEY CREEK PLACE CUPERTINO BLDG. NO, STREET CITY 0312112003 20448A STAMP NO. DATE OF INSPECTION CO. REPORT NO. OTHER - INTERIORS: Item 1OC: FINDING: Moisture intrusion at the garden window has contributed to fungus damage as outlined in item #1013. REC,�CH,IEMATIOjq; Engage the services of the appropriate, licensed tradesperson to reseal around this window. ****** This is a Section 1 Item ****** Item 10D: FINDING: A cracked window was noted at the leaded/stained glass side light near the front door. RECCn=ATION: Replace the cracked pane. ****** This is a Section 2 Item ****** Item 10E: FINDING: A plumbing leak was noted at the left side hall bathroom vanity faucet. RECCMMENDATION: The owner should contact a licensed plumber to correct this condition. ****** This is a Section 2 Item Item 10F: FINDING: There is no enclosure at the hall bathroom tub/shower. RECUT=4TION: install a new safety tempered gTP9 shower curtain. This is a Section 2 Item******i%n' Item 10G: FINDING: Deterioration was noted at the sheetrockEacent to the Imaster mil bathroom ----------- tub/shower. L RECOMMENDATION: Replace the deteriorated sheetrock. ****** This is a Section 2 Item ****** OTRER - EXTERIORS: Item 11A: NOTE: The fences were not inspected nor included in this report. information Item Item 11B: FINDING: Deterioration was noted at the gutter ,,syteln A, RFCCKNIENDATION: Engage the services of �,Tbb"ed tradesperson to repair or replace the gutter system. This is a Section 2 Item Item 11C: FINDING: Fungus damage was noted at the 21lx6l" resawn trim boards. R7-00vvffiMATIoN.- Remove the damaged portions and replace with new material. NOTE- Our bid includes primer painting the new material only. ****** This is a Section 1 item ****** Item 11D: FINDING: The eaves, trim and siding above 10' from the ground level were visually inspected from the ground level only. These areas are considered inaccessible for physical inspection due to the height involved. interested parties should be aware that Antique Termite and Pest, Inc. assumes no responsibility for any inaccessible areas. RECCMMR\1DATICN: Further inspection is reconnended. Return to the property with a tall extension ladder and/or extension pole. At that time we would perform, further inspection and issue a,supplemental report on any findings. unknown Further inspection RecotTended ANTIQUE TERMITE & PEST INC. License No. PR 1187 7th _ _ PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT: 10382 HENEY CREEK PLACE CUPERTINO BLDG. NO. STREET CITY 03/21/2003 20448A STAMP NO. DATE OF INSPECTION CO. REPORT NO. OTHER - EXTERIORS: Item 1.1E: FIND=, : Evidence of infestation by drywood termites was noted at the substructure and e-5--erior. These infestations appear to extend into inaccessible areas. RECCnENDATION: Seal up and fumigate the entire structure with a lethal gas (VIKAYE AND C14LOROPICRIN) overnight for the control of drywood termites in all areas of the structure. Remove the seals for reoccupancy. NOTE: Antique Termite is not liable for any damage which may occur to roof or plant life during fumigation. Fumigation cannot begin during inclement weather, In the case of rain or strong winds the job may be postponed to a later date. Additional information will be shown on the "Occupants Fumigation Notice" ,,%rhich must be signed and returned to the fumigation department before the fumigation date. Structure must be vacated for two nights (one night to fumigate, one night to allow for proper ventilation.) All preparation work to get structure ready for fumigation is owner/occupants responsibility. Should owner desire a fumigation prep company to do the necessary prep -work, they should contact Fumigation Department -there is a cost for this service, which will be in addition to price for fumigation. ****** This is a Section 1 Item ****** Item. 11F: FINDING: Evidence of infestation by drywood termites was noted in item #11E (fecal pellets). RECrFbMMTI0N: In compliance with the Structural Pef;'—til remove or mask over all accessible drywood termite evince -(pellets} upon completion of treatments. This is a Section 1 Item Item 11G: FINDING. Fungus damage was noted at the overhang 4"x 4-!Za—Ee�rs,�---4 111x-12 211x8l' facia 211x8l, blocking. REcav=ATioN: Remove the damaged wood meiTbers and replace with new material. T\1OTE: Our bid includes primer painting the new material only. ****** This is a Section I Item ****** Item 11H: FIMING: Water stains were noted at the soffit. RECONVOMTION.- Owner to contact a licensedroof et"I"to 'd repair as needed. This is a Section 2 Item Item III: FINDING: Antique Termite does not inspect roofs. REca4v=ATioN: should interested parties desire further information on the condition of the roof, Antique Termite recomnends interested parties contact a licensed roofing contractor to inspect the roof. ****** LTI-Amcwn Further Inspection Recorrmended If it is found that during the course of repairs, damage and/ or infestation is found to extend into previously inaccessible areas, a supplemental report will he issued outlining findings and costs for any additional repairs or treatments. ANTIQUE TERMITE & PEST INC. -v- License Nt), PR 1,187 WOOD DESTROYING PESTS AND ORGANISMS INSPECTION REPORT This is an inspection report only -- not a Notice of Completion ADDRESS OF PROPERTY INSPECTED BUILDING — N0. —1. ,' ;TR EE�T CITY COUNTY DATE OF INUMB R OF CODE INSPECTION AG CF= PLACE CUPERTINC) 95014 43 04/16/03 10382 1 1 1 fo ANTIQUE TERMITE & PEST INC. 684 South Second Street San Jose, CA 95112 (408) 995-6300 (408) 995-0517 FAX Affix stamp here.on Board copy onL A LICENSED PEST CONTROL OPERATOR IS AN EXPERT IN HIS/HER FIELD. ANY QUESTIONS RELATIVE TO THIS REPORT SHOULD BE REFERRED TO HIMIHER. REGISTRATION #PORT # PR 11 20448C STAMP # /ESCROW # ORDERED BY: COLIDV= BMUM 10105 S. DEANZA BLVD CUPERTTM CA 95014 MARY TAN 252-1133 252-0538 FAX REPORT SENT T0: PROPERTY OWNER: -H06QkPD & RUBY LEE C/O MARY PARTY IN INTEREST: kOTrTMA - I PrDn1?T r-1 I TMtTro QFPOPT rl SUPPLEMENTAL REPORT M* REINSPECTION REPORT ,. J*Orlginat C— ii r,.r. 03/21/0 Inspected by S= J. MARTIN License No. OPR9412 Signature NOTE: Questions or problems concerning the above report should be directed to the manager of the cown� �nresolld �uestions o',problerns wit services performed may be directed to the Structural Pest Control Board at (916) 263-2533, or (800) 73 -8188. ',problems w You are entitled to obtain copies of all reports and completion notices on this property filed with the Board duringthe preceedintwoears upon payment of a $2.00 search fee to: The Structural Pest Control Board, 1418 Howe Ave., Ste. 18, Sacramento, California 55825-3204. NF30FOOEFE-E-1 N THIS IS A SUPPLaIENTAL REPORT. THIS A 0 'r LJ R U B R Y LJ' N T H A M A R A U E L X C C GENERAL DESCRIPTION: REPORT IS 'VqR!TT-'--N IN SUPPLE= TO OUR ORIGINAL REPORT C — S R E H E R I E R R A 0 0 0 T U S C) R R W 0 0 W 0 0 H . W O T Y 0 R U L 0 E S E S F E #20448A, DATED 3/21/2003. S S T E R A N E R M 0 R y 0 p E T a R 0 0 A 0 E o E M 0 L INSPECTION TAG POSTED: SMSTRTY-71]RE, ACCESS OTHER INSPECTION TAGS* ANTIQUE TERMITE PEST, INC. 3/21/2003 A 0 E C 7 I T R T M 1 C 0 F3 R I S 0 E M E S N T A V L I S T U R E A V -Z7 T 1. SUBSTRUCTURE AREA SUPPLEMENTAL REPORT 2, STALL SHOWER SUPPLENENTAL REPORT t vi Fs I 3, FOUNDATIONS SUEDPI,E,PfiaNPAL REPORT 4. PORCHES -- STEPS SUPPIEVI= RETORT 11--!� 11 �"— _4 5. VENTILATION SUPPIENINTAL REPORT 6.,ABUTMENTS REPORT —SLJPPIE=AL 7a ATTIC SPACES SUPPLE FFNTAL REPORT 8. -GARAGES SUPPLEIVENTAL REPORT 9. DECKS PATIOS SUPPL&V=AL REPORT 110, OTHER INTERIOR SEE REPORT SeelOH-10J 11, OTHER EXTERIOR SUP. PIENE= REPORT DIAGRAM AND EXPLANATION OF FINDINGS (This 'Vlre 4,,st Olp is fes� hown on diagram) Inspected by S= J. MARTIN License No. OPR9412 Signature NOTE: Questions or problems concerning the above report should be directed to the manager of the cown� �nresolld �uestions o',problerns wit services performed may be directed to the Structural Pest Control Board at (916) 263-2533, or (800) 73 -8188. ',problems w You are entitled to obtain copies of all reports and completion notices on this property filed with the Board duringthe preceedintwoears upon payment of a $2.00 search fee to: The Structural Pest Control Board, 1418 Howe Ave., Ste. 18, Sacramento, California 55825-3204. 2nd PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT: 10382 HENEY CREEK PLACE CUPERTINO BLDG. NO. STREET CITY 04/16/2003 20448C STAMP NO. DATE OF INSPECTION CO. REPORT NO. IF REOUESTED BY THE PERSCN ORDERING THIS REPORT, A REINSPECTION OF THE S,I,RUC= WILL BE PERFORMED. THIS REINSPECTION MUST BE WITHIN FOUR (4) MONTHS OF THE DATE OF THIS INSPECTIONT AND 7EEREE WILL BE A REINSPECTION I=. FURTHER INSPECTION, ITEM'S ARE DEFINED AS RECQVP0MATIONS TO INSPECT AREAS IA441CH ,MIRING TETE ORIGIN[AL INSPECTION DID NOT ALLOW THE INSPECTOR ACCESS TO COMPLETE THE INSPECTION AND CAN= BE DEFINED AS =ION 1 OR SECTION 2. AREAS NOT INSPECTED THE INTERIOR OF HOLLOW WALLS, AREAS BENEATH AND BEHIND BUILT IN CABINETS WERE NOT INSPECTED SINCE INSPECTION OF THESE AREAS ARE CONSIDERED IMPRACTICAL. WE DID NOT WATER TEST AND DO NOT CERTIFY AGAINST LEAKAGE OF ANY A:?PLIAN(MS, PLUMBING OVER FINISHED CEILINGS, RCX)F COVERINGS OR DECKS. SUCH ACTIONS, WERE NOT PERFO=, THEY ARE CONSIDERED IMPRACTICAL WITHOUT SPECIFIC WRITTEN AUIHORI7ATION. WE MUNE NO GUARANTEE AGAINST INFESTATIONS LEAKS OR ADVERSE CCNDITICNS WHICH MAY EXIST IN SUCH AREAS NOT INSPECTM. NO FURNITURE OR APPLIANCES WERE RE VIOVED THEREFORE NO REPRESENEATION CAN DE MADE REGARDING =E AREAS. ATTACHED AND/OR DETACHED FENCES ARE NOT INSPECTED UNLESS OTHERWISE STATED IN THE BODY OF THIS REPORT. FUR= INSPECTION IS RECUVEV=ED. FURTHER INSPECTION OF ANY INACCESSIBLE AREA ANDIOR AREA NOT INSPECTED WOULD BE PERFO S ADDITIONAL CHARGE (WITH WRITTEN PM71USSION AND/OR THE CARPETING MUM INSPECTION OF TBE FLOOI�IN TBESE AREAS UaMACTICAL. ANTIQUE TEO11TE IS NOT RESPONS 7qPMF9� FLOOR C0VR7Wkrn'3 UMER CARPET. 6131 DID of I Di* M"KNN't-1 ME :•"r No furniture or appliances were nrAred or removed, limiting this inspection to the visible and accessible areas of the above structure shown an the diagram. No statements can be made regarding conditions in closed walls, f loors beneath coverings, areas below or behind appliances and built-in cabinet work, stall showers over finished ceilings, such structural segments as porte cocheres, enclosed bay windows, buttresses and similar areas to which there is no access without defacing or tearing out lumber, masonry or finished work. if owner's desire further information on the condition of the roof, Antique Termite reconyonds interested parties contact a licensed roof contractor. Antique Termite assumes no responsibility for leaks not evident duriW the tine of this inspections. our inspectors are not equipped with 40 f t. ladders, therefore all two story bungs will not be inspected at the eaves unless requested. All representations will be made from the ground level. Further inspection of second story eaves or any other inaccessible area(s) or area(s) not inspected will be performed upon request and at an additional fee. This property was not inspected for the presence or absence of health related molds or fungi. By California law we are neither qualifed, authorized, nor licensed to inspect for health related molds or fungi. If you desire information about the presence or absence of health related molds, you should contact an industrial ANTIQUE TERMITE & PEST INC. --- License No. PR 1187 3rd PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT: 10382 HE NEY CREEK PLACE CUPERTINO BLDG. NO. STREET CITY 04/16/200.3 204480 STAMP NO. DATE OF INSPECTION CO. REPORT NO. GrJARANTEES on work (labor) performed by Antique Termite Inc., are one (1) year from the date of completion. Guarantees for local chemical treatments are limited to wood members treated only. Fumigations are guaranteed for one year from the date of completion. Plumbing repairs (parts provided by this firm), linoleum (vinyl materials), toilet resets or any other measures for the control of moisture (caui3cings and grouts etc.) are guaranteed for thirty (30) days. Antique Termite, Inc. assumes no responsibility for water damage if the shower enclosure is not installed immediately. The guarantee on showers and tub units is void if the area is used before 24 hours. If the shower fixtures do not fit the owner mist contact other tradesman to have new fixtures installed. If necessary for floor installation, vanities are to be removed and replaced by others. Kitchens and laundry areas also must have appliances removed before installation. An additional fee of $ 75.00 per appliance and or furniture will be charged for Antique Termite to remove and/or reinstall. we do not do painting, texturing, staining or wallpapering. NOTICE: Reports on this structure prepared by various registered companies should list the san-e findings (i.e. termite infestations, termite damage, fungus damage, etc.) However, recommendation to correct these findings may vary from company to company. You have a ri. ht to seek a second opinion from another c THIS IS A SEPARATED REPORT WHICH is ON I SECTION IT AM UNRUYV =HER INSPECTIONS IX THE DATE OF TN-SPECTION, Hy. - SECTION 1: Contains item where there is evidence of active infestations, infections, or conditions which have resulted in or from infestation or infection. SECTION IT: Are conditions deemed likely to lead to infestation or infection, but where there is no visible evidence of such found. TJ1,TXN0WN F(3RTHER INSPECTION: Recommendations to inspect areas which during the original inspection, did not allow the inspector access to complete the inspection and cannot be defined as Section 1 or. Section 2. W7r�TIF PERFCRMM TREATMENTS OR ANY CONSTRIJCTIOIN REPAIRS, ANTIQUE TERMITE INC. WILL NOT BE RESPONSIBLE OR LIABLE FOR ANY ELECTRICAL OR PLUMBING WHICH MAY BE CONCEALED IN V\ZA= OR B=W SLABS. TILE OR LINOLEUM SELECTIONS: Bids which are given in report for replacement of ceramic tile or linoleum are based on using standard grade material. Ceramic tile bids are based on standard -square 411 tiles at a cost of $2.78 per square foot for shower walls or tub shower walls. Ceramic floor tile bids are based on 8x8 tiles at $2.75 per square foot. Tile selections can be made at: Dal -Tile, 2549 Zanker Road, San Jose (408) 441-6988 OR Florida Tile, 1560 Montague Expressway, San Jose (408) 432-8114. Linoleum bids are based on using standard grade linoleum at $.89 per square foot (bathrooms) and $1.79 per square foot (kitchens/laundry romis). Linoleum selections can be made at: S&G Discount Outlet, 505 So Market Street, San Jose (408) 292-8971. Tile and/or linoleum selections must be made at least 5 days prior to scheduled repairs. Any upgrades, mist be paid by client at the time of selection. If NO selection is made prior to repairs, standard/neutral color tile or sheet vinyl will be installed. Mold Policy Statement. Molds, sometimes called mildew, are not wood destroying organism. Branch 3 licensees do not have a duty under the Structural Pest Control Act and related regulations to classify molds as harmful to human health or not harmful to human health. This does not modify the Structural Pest Control Act or related regulations. ANTIQUE TERMITE & PEST INC. --- License No. PR 1187 4111 PAGE OF STANDARD INSPECTION REPORT ON PROPERTY AT: 10382 HENEY CREEK PLACE --- - -CLTERTINO BLDG. NO. STREET CITY 04/1612003 20448C STAMP NO. DATE OF INSPECTION CO. REPORT NO. THIS IS A SUPPIZv=AL REPORT IN CONJUNCI-ION WITH OUR ORIGINAL REPORT #20448A DAZED 03/21/2003 AND SHOULD BE MADE A PART T=OF- =: IT SHOULD BE REALIZED THAT DID GIVEN ON THIS REPORT IS IN, ADDITION TO BID GIVEN ON OUR ORIGINAL INSPECTION REPORT. OTHER - INTERIORS: item 1OH: FINDING: in the process of performing repairs as outlined in item #10B, additional fungus damage was noted at the 211x4l' studs extending behind the kitchen cabinet, sheetrock and counter top. Others have pulled back carpeting, revealing fungus damage at the particle board underlayment near the sliding glass door. PECO.4=ATION: Remove the sink, faucet, all tiles at the counter top and a TDortion of the cabinet. Remove sheetrock, visibly damaged studs and damaged plywood below counter top. Check for concealed damage/adverse conditions. if no additional. findings are made, install where removed. Reinstall. the existing cabinet. Inst 1 new s and ceramic tile at the entire counter set in a mortar sEAPWAZios�*� to existing sink. Install owner supplied faucet and g rbage disposal. nstall new sheetrock where disturbed (tape and textured, NCIH: Our bid is in addition to previous bids as outli t applied for owner supplied faucet). NOTE: Our bid does not include replacing tiles on the island counter. NOTE: If any additional findings are made, a LTapplenental report would be filed with additional bids for repair. ****** This is a Section I Item ****** NOTE: Our bid includes installing G.F.C.I. outlets at the counter and the necessary local building/plumbing permit. If any additional requirements are made by the local building official, additional funds nay be required. N=: Owner to install new A-,t�r-liances upon cc=letion. Item 10T FINDING. Oversplash and leaks at the window, ca infections and fungus damage to the kitchen floor underlayment. (101x12" coved) RECQNfi=IATION: Remove the damaged underlayment and check for concealed damage/adverse conditions. If no additional findings are made, treat the exposed subfloor with a registered fungicide. Install new underlayment with -A flat lay, standard grade sheet vinyl floor covering. Note: If any additional findings are made, a supplemental report will be filed with additional bids for repair/treatment. Flooring selections can be made at S&G DISCOUNT OU=, 505 SOUTH IVIAP= STREET, SAN JOSE. NOTE: Owner to install new appliances upon completion. ****** This is a Section I Item Item 10J: NOTE: At the request of the owner a bid to replace the island counter top with the to match the opposite counter is given. our bid includes removing and reinstalling the stove/range as needed. 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