B-2017-1476 , CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: - CONTRACTOR: PERMIT NO:B-2017-1476
22953 LONGDOWN RD CUPERTINO,CA 95014-2657(342 40 014) AMERICAN VISION
WINDOWS INC
SIMI VALLEY,CA '
' 93065 '
OWNER'S NAME: SALVI ABHIJIT R AND RASHMI A DATE ISSUED:09/05/2017
OWNER'S PHONE:425-698-8874 PHONE NO:(805)582-1833
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class C-17 Lic.#778326
Contractor AMERICAN VISION WINDOWS INC Date 05/31/2018 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:
REPLACE WINDOWS(7)-LIKE FOR LIKE;REPLACE SLIDING •
I hereby affirm under penalty of perjury one of the following two declarations: DOOR(1)LIKE FOR LIKE
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.
fpaI 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:$7300.00
' 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 statellaws relating to building construction,and hereby authorize 342 40 014
iepresenfativesof'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 againstsaid 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 regulatio ,per't' Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
I hi 1 . i '
Sig Date 9/5/2017 Issued by:Jasmine Archbold
1'• ; i Date:09/05/2017
OWNER-BUILDER'DECLA RATI O N
I hereby,arm that 1 am'
affirm ,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
I',compensation,will do the work,and the structure is not intended or offered for inspection.
.`,i• sale(S4.7044,Business&Professions Code)
2..is ;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:9/5/2017
I,hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
i,' 'i. ..: 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, •
I '!I'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 th'e 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 asto become subject the material. Additionally,should I use equipment or devices which emit hazardous
t'eto
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 Cu ertino unicipal Code,Chapter 9.12 and
exemption,I'become subject to the Worker's Compensation provisions of the the Health&Safety C e ecti 's 5505,25533,and 25534. '
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked.
Owner
agent
APPLICANT CERTIFICATION Date• 20
I certify that I have read this application and state that the above information is CONSTRUCTION LENDI AGENCY
correct.I agree to comply with all city and county ordinances and state laws _ I h reby 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.
Licensed
• Signature • Date 9/5/2017 • Professional
GENERAL PERMIT APPLICATION MEP
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
/4,41:#••.1:, 10300 TORRE AVENUE 4 CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333•buildinq(c�cupertirio.org MISC
❑PLUMBING ❑MECHANICAL ❑ELECTRICAL 1RTv 1SCELLANEOUS B'• U�"" I�1
PROJECT ADDRESS I e�
2 24'1 S 3 L v n 5(l c w r .(n APN# ��/1 �..�+®'�V
OWNER NAME pito n,I , r 1 c '� i )`PHONE L.. EVMAII 6�mG 11
17 3 'i Ls (.r1f-g2-1 y s�lvs;� �v,'� c� � con-
STREET ADDRESS O 7'.-5
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CONTACT NAME ((�� tt PHONEEMAIL t G py,Q'''«'^' V 1;r D'�
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STREET ADDRESS CITY,STATE,ZIP FAX
Li M� �l,ew C-j Sci;iia ClCa cocoEOB
❑OWNER 0 OWNER-BUILDER 0 OWNER AGENT 0 CONTRACTOR -jCONIRACTORAGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER `;❑TENANT
COFACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC#
A r t car \1 1S.16v' \11r1JOW( 'lel 83 a(o Ltn
COMPAnnNYNAME `rFAX
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STREET ADDRESS' - ,STATEZIP, PHONE '
2-I S ,� N. rock ee , tR� ,,,�.,�. � �Ilei C� -1301,5 siz- i'33
.ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ;I 1N8FD or DUPLEX 0 MULTI-FAMILY. PROJECT IN WILDLAND q ,`ES PROJECT IN ❑YES IS THE BLDG AN YES
BUILDING: ❑,COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE 0 EICHLER HOME? NO
DESCRIPTION OF WORK
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' nre CeT11e✓1-1 r1 00W5 -d 1 S l'; Ain
Gi: Oe vr t • \ o-C 1 ';!, IS q
►1 c, ! ' On 6 Moet etrig S'
TOTAL VALUATION: 13 0 0--
By my
1Bymy 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
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 representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: g)31 111
SUPPLEMENTAL INFORMATION REQUIRED
Y1 3
W tLIS`OVERTHE CO *UNTER x ..°
El "EXPRESS `, 0
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�� ❑ '.LARGE M � � � r
MEPMiscApp 2011.doc revised 06/21/11
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De Anza Oaks Homeowners Association , t
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August 22,2017
1
Abhijit Salvi
22953 Longdown Road
Cupertino,CA 95014
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Re: 22953 Longdown Road–Request ApproVal for Architectural Change
' 1
fl Dear HOmeowner(s),
The De Anza Oaks HOA Board of Directors and Architectural Committee has approved your application
to replace your windows.
•.,.
In signing the Architectural Application,you have agreed to the provisions in the application,and that the
installation must meet the requirement in the Architectural guidelines and rules,and the stipulations
contained m the attached Window Standards.
Please proceed with th;is installation at your own convenience,expense,and privilege,and please be
sure to keep the exterior look consistent with the rest of the building and to follow the same
standard as previous insiallation.
-
Please be advised that the assurance that this project is done safely and correctly falls upon your'
household in private transaction with a qualified contractor,the likes of which will implicate neither the
, .
Association nor the Management. i
„ .
Should you liaVe*iiireeinents or questions;please put them in writing either via email to
helPdesk@kiiiiiiiiieni.CeiiiVr mail a letter to the address listed below.
4,31. -1,-. „:H• c•':,z•'-• ;, , .
Sincerely,
C= Pi------7—< ..
, Graham Cramb •
Grayson Community Management
Association Manager
De Anza Oaks Homeowners Association ,
fl
cc: Board of Directors
do Grayson Community Management, 65 Washington St., Ste. 268 Santa Clara; CA 95050 ,
D.ffice.(888)277r5580 .-6...belpdesk@graysoncm.com