Loading...
D-2017-0011CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: D-2017-0011 10131 ALHAMBRA AVE CUPERTINO, CA 95014-1203 (326 23 027) J B S CONSTRUCTION SARATOGA, CA 95070 OWNER'S NAME: DV ALHAMBRA AVE LLC DATE ISSUED: 03/30/2017 OWNER'S PHONE: 408-594-5725 I PHONE NO: (408) 390-5577 LICENSED CONTRACTOR"; DECLARATION BUILDING PERMIT INFO: License Class A. B. C-29 Lic. #980527 Contractor J B S CONSTRUCTION Date 01/31/2019 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: t. 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 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 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 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 Code, Section 9.18. Signature " f / Date 5/18/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 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. z. 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. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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 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 Code, Section 9.18. Signature Date 5/18/2017 —BLDG —ELECT _ PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: DEMO (E) SFD (1156 S.F.) REV #1 - REMOVE SEPTIC TANK - ISSUED 5/18/2017 Sq. Ft Floor Area: I Valuation: $5000.00 APN Number: Occupancy Type: 326 23 027 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Avende Date: 03/30/2017 RF ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without fust obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date:15/ 8/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534 Owner or authorized agent: Date: 5/18/2017 CON TRUCIE�;�ING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHfTFCT'S DFCLARATION I understand my plans shall be used as public records. Licensed Professional CUPERTINO D-20 i.-+ - t0l I DEMOLITION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building (ftupertino.orA i I� p— 0 -T 0/s/ n PROJECT ADDRESS 10/s/ /b i!nom_©n2 =7 3 APN' ' OWNERNAME Prff)L3RCo,✓) PHONE 4 Z2� &`MPLIL STREETADDRESS 1 ZGg��-(.A-'[��l/ CITY, STATE, 72 S' Q,y�jG',J�� FAX t_ / J/0,j_CONTACT NAME m LJR-A� L t i V xT 1�-►� 5I !�. I%ll Iv PHONE 4 D �'rs'�• / . P-*ly�•'E "i MAII MU P -&L-1 le -AQ \16k40'&O(v STREET ADDRESS cA4 ,perOT& �JGTC�J CITY, STATE, ZIP FAX f\J /A- GO OW[�R ❑ OWNER -11=1111 ❑ OWNERAG NENTT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME � /� � `� * Lj LICENSE NUMBER � QU SZ� SE1PE 2 BUS. LIC # COMPANY NAME �wr.I-VLTON ®FAX�JSS 1 LCCAI STREET ADDRESS 14 23-3 Oz -j> ./OUP CIY,SATE,ZGAJPHONE /,G DESCRITIONOFWORK � � VO S5 �`� �� C����� -/dA/ b� h! App"V&7t} 2.1 6;z SFR T►.fv-5i7�,eEy ,e�StL�Tt� Sl We Sc Are �,4%- Wave- RESIDENTIAL/ /DU r T" # DWELLING OFFJCF USE ONLY ' °'USE - OCe:�� ..;, VALUATION' FLOOR AREA UNITS .TYLjB� .FT .- COMMERCIAL-<;..::'. . FLOOR AREA TYPE OF CONSTRUCTION # STORIES - AQMDIOBNUMBER .RECEIVED BY: T ALyAL-iJA'tFi1�N: J #: A By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this is I have the Description of Work and verify it is accurate. I agree to comply with all applicable local application and the information I have provided correct. read ordinances and state laws relating to building construction. I authorize repr entatives of Cupertino to enter the above -identified property for inspection purposes. Signature Applicant/Agent: -�^^^ Date: of '`_ SUPPLEMENTAL INFORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT =_ _ 0M ETJ=EONLx ": .;Pi:AIv -VIrovide Job Number from Bay Area Air Quality Management District www.baagmd.org @ 415-749.4762.' tc'TYFrs cl�c' . ; ^ - ' Provide three copies of a site plan showing protection for any trees 10" in diameter or more at 3' above grade. ❑ Ir�"eiiess c v/ Pr 'de letter from PG&E (408-725-3325) stating all gas and electric has been disconnected. g Dept clearance to verify building is not considered an historical landmark. Allow 10 business days. ` ❑ MAJOR Provide letter of clearance of all vermin from a licensed pest control contractor. Applicant shall call the Public Works Department at 408-777-3104 and schedule a "habitable dwelling" inspection. _ Provide signed Debris Bin and Recyclable Materials form. Commercial Buildings Only: Provide Fire Dept clearance for fire suppression / alarm system review. DemoApp 2016.doc revised 03/29/16 3 ki CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:D-2017-0011 10131 ALHAMBRA AVE CUPERTINO,CA 95014-1203(326 23 027) J B S CONSTRUCTION SARATOGA,CA 95070 OWNER'S NAME: DV ALHAMBRA AVE LLC DATE ISSUED:03/30/2017 OWNER'S PHONE:408-594-5725 PHONE NO:(408)390-5577 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class A:B:C-29 Lie.#980527 Contractor J B S CONSTRUCTION Date 01/31/2019 _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: DEMO(E)SFD(1156 S.F.) I hereby affirm under penalty of perjury one of the following two declarations: i. 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 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$5000.00 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 326 23 027 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 againstsaidCity in stands andce othe hg oons permit. intWITHIN 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. Signature )09, ''',•7" Date 3/30/2017 Issued by:AbbyAyende Date:03/30/2017 OWNER-BUILDER DECLARATION 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:3/30/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER i. 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 Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall �J be deemed revoked. Ow er or authorized agent:done APPLICANT CERTIFICATION Date:3/30/2017 I 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. I understand my plans shall be used as public records. Signature Date 3/30/2017 Licensed Professional DEMOLITION PERMIT APPLICATION ✓ COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 4I_:� 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333•buildincacupertino.org PROJECT ADDRESS I/�/31 �(�1�L0�-" °�E. V APN# 3 / _Z 3 OWNER NAME by 11� V GLS-PHONE c-f D C�' E-MAILSi4' Z (� inV gA,Li IL/.)Q Y ^Cel0 STREET ADDRESS (.2 be_ CITY, STATE,ZIP S Q,� 7 l 6if/�siFAX to `� /L' CONTACT NAME m Ulm��-1 i Vr izi 5I fy-t4_"rl PHONE fi ANI ) ,J E-MAIL P II�YGIfLI le--AQ Lrls�er.[7' STREET ADDRESS Slin� A ,��at� CITY,STATE,ZIP �_L` „1G f FAX L✓J OWNER 0 OWNER-BUILDER 0 OWNER AGENT 0 CONTRACTOR 0 CONTRACIOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAME /` vic I V b v LICENSE NUMBER 8U 2_3� LCI SE TYPE YP C-2-1 BUS.LIC# Z�3 0 COMPANY NAME 1. .s _ iss„ ,V�V TION E-MAIL © FAX STREET ADDRESS 14 23-3 QLi> I.JUUJ) / A-b. CITY,STATE,ZIP $ .447Z)664'2" G a i I0.30 PHONE LOS-'.3/0- 7 77 DESCRIPTION OF WORK D b F 6.417_1;067 A-' T !v�- I4t7I 2--0 ).v c72 i Si T-hioy�zv��t��� osig RESIDENTIAL //J�J #DWELLING �/J FLOOR AREA UNITS OlNtCEUSE DMLY ! �`"" "•" :' USE OCC.- .TYPE '.SQ FT - VALUATION COMMERCIAL N.V/ FLOOR AREA TYPE OF CONSTRUCTION #STORIES / (e5/v...6.7) AQMD JOB NUMBER RECEIVED BY Tiki_vbAL ON: By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the pr-oply 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 agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize reprisentatives of Cupertino to enter the above-identified property for inspection purposes, Signature of Applicant/Agent: -�^^ Date: SUPPLEMENTAL INFORMATION REQUIRED PRIOR TO ISSUANCE OF DEMOLITION PERMIT aFMCE T SR ONLY -- rovide Job Number from Bay Area Air Quality Management District www.baaqmd.org @ 415-74914762. PLAN CHECK TYPE ❑ EXPRESS-- Provide three copies of a site plan showing protection for any trees 10"in diameter or more at 3'above grade. 10 Pr 'de letter from PG&E(408-725-3325)stating all gas and electric has been disconnected. ❑"LARGE u g Dept clearance to verify building is not considered an historical landmark.Allow 10 business days. ❑ I4iAJOR rc� Provide letter of clearance of all vermin from a licensed pest control contractor. Applicant shall call the Public Works Department at 408-777-3104 and schedule a"habitable dwelling"inspection. _Provide signed Debris Bin and Recyclable Materials form. XCommercial Buildings Only: Provide Fire Dept clearance for fire suppression/alarm system review. DemoApp_2016.doc revised 03/29/16