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B-2017-1350
CITY OF CUPERTINO BUILDING PERMIT . . BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1350 10961 NORTHSKY SQ CUPERTINO,CA 95014(316 40 047) BUILD IT CONSTRUCTION INC • MONTEREY,CA 93942 OWNER'S NAME: ROSS TERESA G DATE ISSUED:08/24/2017 OWNER'S PHONE:913-514-2349 PHONE NO:(916)220-2608 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#901540 Contractor BUILD IT CONSTRUCTION INC Date 03/31/2018 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: DECK REPLACEMENT(92 S.F.) I hereby affirm under penalty of perjury one of the following two declarations: • 1. I haveand 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. 102. ve and will maintain Workers mnion nsran , vdb ectton3700 of the Labor Code,forthCoepeperformance Iuof the ceworkforasproi whichedfor thiy s ' kr permit is issued. ; Sq.Ft Floor Area: Valuation:$14000.00 ' 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 316 40 047 representatives;of'this city to en -r upon the above mentioned property for inspection purposes. (We)agr--to save indemnify and keep harmless the • City of Cupertino against li.r)• r-.,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said �, i :nsequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the;applica f • :nds and will comply with all non-point source regulations pert,•t• .- no o�nicipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. J4 Signature I AU Date 8.24.17 _ Issued by:Sean Hatch _ IllyDate:08/24/2017 I hereby affirm that I am exempt;from the Contractor's License Law for one of the RE-ROOFS: following two reasons: i" All roofs shall be inspected prior to any roofing material being installed.If a roof is i. 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,Busines &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:8 2. 4.17 I. ' • I hereby affirm under penalty of perjury one of the following three declarations: „A„ 1. I have and will maintainalCertificate of Consent to self-insure for Worker's _ ALL ROOF COVERINGS TO BE CLASS OR BETTER 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 oft the Lab'orjCode,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. ' u' I maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&Safety Code,Section 25532(a)sh:uld I store or handle hazardous shall not em n the performance of the work for which this permit is issued,I s. I certify that in I material Additionally,should I use equip: :, :evices which emit hazardous p y any person in any manner so as to become subject to the air contaminants as defined by the Bay j Qu-lity Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupes `f o 1 nic :al Code,.Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Se: :; :505, 5 • ,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall IIll be deemed revoked. ' • Owner or authorized agent: r.ts�,/ - APPLICANT CERTIFICATION Date:8.24.17 WAIF I certify that I have read.thisCOILS OIU O►1_�►1r 1 •G C application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construc ion 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 th;e 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. • Licensed ' Signature , Date 8.24.17 Professional b.--tioci-- X35-0 .. . . ,,,f i, , ' CONSTRUCTION PERMIT APPLICATION %'1` COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION . ,,,,,,\ 10300 TORRE AVENUE'•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildina( cupertino.orq CUPERTINO 0 NEW CONSTRUCTION 0 ADDITION FyALTERATION/TI 0 REVISION/DEFERRED ORIGINAL`� PERMIT# PROTECT ADDRESS 1 t7�+_,1 N011�r1� S`/# / G,'l AP" -/SUP'40-004- OWNER 0�y - l p ` l'\ `.�1 J�PHONE, l0 AVE �J�1�_JOI1 lcI4 r Wm owNEnNwt�...�' 5 A ./2-°SS ' �l(3 Sl ti 221-1.9 t�hR J STREET ADDRESS >:us1(vt ', ,q cs], TIDO Ch `�1Li 1 FAX A l�� to ��1tti- CONTACT NAMEPHONE E-MAIL JA- SoJ 712143Ack.00 _ _ 1l(AU-241-4'0 re et cr<-01jgin,$)c7i ZA) t) .047 STREET ADDRESSP 0 e LDX 7 6y TE DA0NrreAzi 0.- Q 3I 4. FAX Ni� ❑OWNER Cl OWNER-BUILDER Cl17OWNER AGENT ONTRACTOR' ❑CONTRACTOR AGENT Cl lARCHITECT Cl ENGINEER Cl DEVELOPER CI TENANT p CONTRACTOR NAME LICENSE NUMBER' LICENSE TYPE BUS.LIC k t y� r� (J �((1 9 1W k Lb rt e.clN sz Cr i aJ lk.- cit,15-4 o c T3 (�G �,I [.�J COMPANY NAME MILE...) ` r B.& (Lb tTc ��CiOu ,T. FAX. A 1 1 1 PHONE /� STREET ADDIS vt7 se l CRV.STATE, 1 (4 9 3 C MZ 11(017-0,14.08 ARCHITECT/ENGINEER NAME I LICENSE NUMBER BUS.LIC it SLANOLAIt .L L\Lis1 . COMPANY AME E-MAIL FAX /r_''A , JaiflA .%-inAicTurtial. O set KOUl..t►3S () (A.,12Lvt&E a.C-0kiln i Q ?HMG ea kyr STREET ADDRESS I I LJv �2a, 1,1 is,i CITY, 2w k)\S-1-16,. G4 :gc72Z. 530 U7v v`ro 3 DESCRIPTION OF WORK 'C34.-C.-.-,IA ` 6AJZNJ,er l` ArttiJ r `a-*.-.P L tv. 'T '0,-,.. `Co fl 1437-c-- . EXISTING:USE PROPOSED USE CONST&TYPE ISTORIES USE TYPE OCC. SQ.FT. �.,VALUATION(SI DUSTO NEW FLOOR AREADEMO NET AREA AREA ' - AREA BATHROOM KITCHEN OTHER . REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: 0 DETACH u ATTACH a DWELLING UNITS: IS ASECOND,UNIT OYES SECOND STORY OYES BEING ADDED? ONO ADDITION? , ,ONO PRE+APPLICATION ❑YES IP VES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY: '1, TOT-♦.-.kVALUATION: PLANNING APPLE NO PLANNING APPROVAL LETTER EIC[ntR HOME? Cl NO l 44(. , By my signature below.I cetoch of the following: I the property owner or authorized agent to act On the p petty er's behalf I haveread this application and the informs •• —..-� • •0 of Work and verify ii is accurate. I agree to comply with all applicable local ordinances and state laws re , •'Idhig construcdi•' • I-tatmv-.of Cupertino to enter the above-identified properly for inspection purposes. lilly Sigoatun of Applicant/Agenr: ./.t _ ,� . �� Date• 05 .it-- to II f SUPPLEMENTAL INFORMATION REQUIRED L PLAN CHECK TYPE HOWliNG SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OV6R-THE-COUNTER 0 BUILDING PLiN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. 0 EXPRESS 1:2"‘PLANNING PLAN REVIEW 3 elk Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD 0 PUBLICWORKS form if any Hazardous Materials are being used as part of this project. , ❑ LARGE ❑ FIRE»Err Copy of Planning Approval Letter or Meeting with Planning prior to ❑ NA.= ❑ SANITARY SEWER DISTRICT submittal of Building Permit application. f, ❑ ENVIRONMENTAL HEALTH ldgApp 20/1.docr Bevised 06/21/11 . 8/10/2017 ARC Projects-Detail-Letter-Dagizmo ARC PROJECTS > DETAIL > LETTER Northpoint Homeowners Association Homeowners'Association, Inc. • PO Box 2324,Cupertino,CA 95015 ' Approval Of Architectural Submittal Conditionally August 10,2017 Bart Hood 10961 Northsky Square Cupertino 95014 • • Re: 10961 Northsky Square, Cupertino, CA 95014 Project: Remove Exterior Decks Dear Bart Hood: This letter is to inform you the Architectural Control Committee has reviewed and approved the plans you submitted with the following stipulations: Please provide copy of the permit. The Architectural Control Committee reviews plans in order to establish and preserve a harmonious and aesthetically pleasing design for new construction and improvements to existing residences in the community. However,approval by the • committee does not constitute a representation of warranty as to the quality; fitness of, or suitability of the design or materials specified in the plans. Owners should work with their architect and/or contractor to determine whether the design and materials are appropriate for the intended use. In addition, approval.by the committee does not assure approval by any governmental agencies that require permits for construction. Owners are responsible for obtaining, or ensuring that their architect or contractor obtains all required permits before commencement of construction. IMPORTANT:;Construction must begin within 30•DAYS of the date of the approval notification and must be completed within a timely manner. Please contact Regius Management Group if you should need additional time to complete the aforementioned improvements. Sincerely, • 411/r ' • hpoint Homeo- ers 'ANiation HOA CRTREgfus anagement Group Copyright©2015 Dagizmo.All rights reserved. https:l/app.dagizmo.coml118/arc/192/letter 1/2 f' NORHTPOINT HOMEOWNERS ASSOCIATION ARCHITECTURAL REVIEW APPUCATION This form must be completed and submitted for review by the Grounds and Architectural Committee and approved by the.Board of Directors before commencement of any property modifications which would result in: (1)a change in the exterior appearance of the unit,or,(2)affect the structural integrity of the building or decrease fire safety code requirements. Completion of this form Is not necessary for installation of:air-conditioning units.replacement windows,or sliding doors.garage doors,and satellite dish receivers.Use a Property Modification Notification for the items listed above.Any other modifications require completion and submission of this form. Please print HomeownerName(s): Vt7 uL 4 --rSA sS Property Address: 1 Oct to I N Or1T-IS L 0-1 SCk Phone: °i 13 • SI`\ • 2:51-1 Application Date:e ^©2-"' 2-d,(-7 Planned Completion Date:0'-2-1-Zo 1'1 Description of Modification(s): '124.0 U 'T'ela s.h FL Q"'e'Lt-S *. 1' P4-U' _ 4 U 'i 4 (L-TT., ce-ciL ' ) to t L` C3S Z—%.o 1.l-T &S ccsct►JG . Please include copies of City Permits,brochures,contractor's proposals,sketches,diagrams,etc.,to facilitate the review process.;You'may be requested to attend the meeting of the Grounds and Architectural Committee when your application is reviewed. Any damages caused to property as a result of modifications will be the homeowner's responsibility.The Homeowner is'responsible for obtaining any required city permits.The Homeowner,has six(6)months to complete approved;modification and is responsible fornotifying management upon project completion. J 1 ' ' ' LI , „pa.2214....„, , ,....,,.....) iliq /17 HomeownerSignature Date Official Use Only Architectural Review Recommendation: -�i2 C_ �P1"2_t5( r7Date: b /(01 Board of Directors Action: Date: Completion Verification Date: ' NORHTPOINT HOMEOWNERS ASSOCIATION 10880 Northpoint Way,Cupertino,CA 95014 • Phone:(408)996-3734 Fax:(408)996-0226 Building Department _ City Of Cupertino • 10300 Torre Avenue sCupertino, CA 95014-3255 �s�,, � Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS'` L6? l PERMIT#, l7./ 7 OWNERS NAME: (gip s PHONE# CP6,— 2 a.o .-Z(aO GENERAL CONTRACTOR: V j�,t t 1 t# vi3Ok BUSINESS LICENSE# ADDRESS: `, CITY/ZIPCODE: *Our municipal code requires all businesses working 'n the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCC � INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL S 0 RACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. ;j , V ' I am not using any subcontractors: r �i Signature Date Please check applicable subcontractors an s complete the following information: I/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing V Electrical V • " Excavation V V Fencing V Flooring/Carpeting - Linoleum/Wood „ Glass/Glazing , Heating Insulation " Landscaping Lathing Masonry ' Painting/Wallpaper V Paving Plastering Plumbing Roofing ; Septic Tank • • Sheet Metal Sheet Rock " Tile Owner/Contractor Signature Date