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B-2017-1956 • • CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1956 10896 NORTHRIDGE SQ CUPERTINO,CA 95014-0528(316 36 019) KOBETSKY CONSTRUCTION INC SUNNYVALE,CA 94087 OWNER'S NAME: HUNTSMAN ANN J TRUSTEE&ET AL DATE ISSUED: 11/14/2017 OWNER'S PHONE:408-439-3828 PHONE NO:(408)732-9522 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#806141 Contractor KOBETSKY CONSTRUCTION INC Date 07/31/2018 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(2);3 GLASS SLIDING DOORS(3);LIKE FOR I hereby affirm under penalty of perjury one of the following two declarations: LIKE TO MEET EGRESS; REPLACE DAMAGED SIDING-(300 SF) 1. I have and will maintain a certificate of consent to self-insure for Worker's LIKE FOR LIKE 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 ' n Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$20000.00 ' 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 36 019 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 ISNOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMITISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations pi- the Cu.ertino Municipal Code,Section 9.18. 180 DAYS'FROM LAST CALLED INSPECTION. °1nature / - Date 11/14/2017 Issued by:Jasmine Archbold • Date: 11/14/2017 ']VER-BUILDER DECLARATIO 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: 11/14/2017 I.' 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 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 be deemed revoked. ''or authorized agent: / ` l APPLICANT CERTIFICATION � la :11/14/2017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDINC •v ENCY correct.I agree to comply with all,city and county ordinances and state laws I hereby affirm that there is a construction len.�g agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for whichthis 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 Mils 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 11/14/2017 Piceessd Professional • I, CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION , ... . 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 • ,.i (408) 777-3228 • building@cupertino.org PEMIT#B- 10 T \ t-So CUPERTINO REVS DEFF • ❑ NEW CONSTRUCTION ❑ADDITION ❑ALTERATION ❑T.1. ❑MEP ❑RE-ROOF ❑SWIMMING POOL/SPA PROJECT ADDRESS y O 0 76 /� 1] r 10(9 e S&L/a� APN A OWNER NAME ! �w/ 7h PHONE E-MAIL ,i• PHONE Ham, 44-s�,ae,h toR Y39 - 3826 kIkitoo (Qecncasf, 'left STREET ADDRESS CITY, STATE,ZIP , geCONTRACTOR NAME 0 OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE I'1(c/i a e,( K to be+sky }'0k thky (oirf 806141/ S - l ISTREET ADDRESS CITY,STATE, ZIP 8V �vi�if Q<— / ry SC./nAyVaf , C'�4- `2er'Oi97 E-MAIL k 0 be .5 J `, A y Gi h a° . C-(3°1PHONF(6cQ L Cfe'—6i /6�a BUS.LIC -5/+ PI IC7 CU `l (I- -J ll�3 I 0 ARCHITECT ❑OWNER.❑OWNER AGENT 0 CONTRACTOR AGENT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTACT NAME E-MAIL STREET ADDRESS CITY,STATE,ZIP PHONE DECRIPTON r�eta/Gee c�.lc� cli_e d sit Ji i a- 3 .�1c.rf sli '' cloor�i 0,1 ed 7 )O hI '1JO cu • ❑SINGLE-FAMILY/DUPLEX 2/MULTI-FAMILY 0 INDUSTRIAL 0 COMMERCIAL I EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES!i TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION(5) REMODEL REMODEL KITCHEN REMODELOTHR GARAGE 0 ATTACHED BATHROOM SF SF SF SF 0 DETACHED EXISING ❑YESEICHL'ER 0 YES SECOND STORY ADDITION O FIRE SPRINKLERS 0 NO 0 NO NO DWELLING SECOND DWELLING EYES ❑ATTACHED DETACHED OTHER . UNITS# UNITADDITON: 0 N 5F POOLSI ❑FIBERGLASS 0 VINYL-LINED ❑GUNITE 0 PREFABRICATED . • POOL-SF SPA-5F . I SPA ATTACHED❑YES 0 NO I TOTAL-SF `"RECEIVED BY: i m.,,rb �-' r.Commercial or Multi-Familu Buildinns with Public Swigmriu,Pools requires Department ofEnvin:maim:al Heath approval I ' - �7O/D©o RE-ROOF EXISTING ROOF TYPE: ❑BUILT-UP ROOF El ASPHALT SHINGLES ID WOOD SHAKES❑WOOD SHINGLES❑TILE OTHER(SPECIFY)O[ REMOVE/REPLACE D NO IF NO PLYWOOD 0 w' ❑3/8" ' PLYWOOD TYPE: PITCH: ROOF CLASS OYES I OF LAYERS THICKNESS E 5/8" OTHER 1=1 OSB ❑CDX OTHER :12 • A PROPOSED ROOF TYPE:❑BUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES❑WOOD SHINGLES 0 OTHER *Provide a signed copy of the Cupertino's Tear-Off Policy SF tot SQUARES 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. 1 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 abo�e identified property for inspectio purpo es. I - owledge and authorize all information contained on this application form to be made available for ublic recor./ 7- `�� , SUPPLEMENTAL INFORMATION REQUIRED *New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction. *Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. *HOA-Provide a letter of approval from the Home Owner's Association • BidgApp_2017.doc revised 08/01/17 Northpoint Homeowners Association 10880 Northpoint Way,Cupertino,CA 95015 -- e' November 14,2017 Donovan Lazaro I Planning Intern City of Cupertino I Community Development 10300 Torre Avenue, Cupertino, CA 95014 RE: Christina Hunstman—10896 Northridge,Cupertino, CA 95014 Dear Mr. Lazaro, The Northpoint HOA Board of Directors has reviewed and accepted the proposed architectural plan submitted by Christina Huntsman,the owner of 10896 Northridge Square,to repair the siding and install windows. At this time the signature below represent the current Board of Directors agreement and approval with the submitted architectural plan as described above by Christina Huntsman,the owner of 10896 Northridge Square,Cupertino,CA 95014. On behalf of the Northpoint HOA, General Manger Northpoint HOA 10880 Northpoint Way Cupertino, CA 95014 Office:408-996-3734 Fax:408-996-0226 email: manager@northpointhoa.com 10800 Northpoint Way,Cupertino,CA 95015 managerAnorthpointhoa.corn IdORT@1POINT HOA 10880 Northpoint Way,Cupertino Homestead Rd./Blue.Day Dr. HOMESTEAD ROAD -._ = N --g g e ,20178.. f R R R 0 " o o R 20188 ! 110487 M II 6 S: ' O :: ' . �'NORTHWEST �0 ,0 10989 20125 : g'OBS'�' amp -10 R20208 101787 1107010976 20135 �, . .. 20269 l // I 4579 10969 20145 NORTHWIND 20216 11012 - 1,1 11010 20004 20279 SQUARE 10865 10963 1 20289- •jggg r1101220014 2029910873� 1 10957 11002 10971 1098D iic; 10958 v v Q �yq5 20094 10955 10906 10983 10948- i/1 t=ae 11 N ��Y in N N 'N N ry�f 2DDaa JQ 10939 E - .._ .109th _W.. • 1096: } 10960. 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Z 20174B B 21 N 20 3 Z R R R' "dN R 20164. 1 OFFICE/ O mi �;_ '.P. lour , R, �; T6NW6COUt3TS CLUBHOUSE $ b' `p R gill OCIr N NORTHGLEN 23204' 70873 •c 20295 R / 20216 a e El 20305 \ 1 SQUARE 1-) 32E1224 v g o. o 3 o` A 6 108!43 {tjj O ± 1 1 10053W 10932 10881 Z 2305 JB0000 22 I 12!)326 _ o10870" 14477 !0428 10675 .. 10843 Q ;� 10871 20335 n ,��,�'�' N, 8 g g 1085140 6 I 10667 - W10818 tOB68 p 10902 10 41 I __ 10893 10650 70857 � 10855 '10936 1083.7 W 8 20283 ^ b .. .y ;y 10641. y 1094D - •10898 7 10895W Ira 70823. 1i. 10892 ...Nail O 1 g `3 o a. 10847 a. 70813 20303 s R' ggotta. 10893_ ,x. _. _ �+ v 7o97q 1 ,+ _ 1D 62 O ,_: _�. _ 10888 "10835 00 10804 �� , 10872.e T ir . -.1 _...` _1- 3 _ -- 10830 10631 – I 20323 'NORTHCOVE -- 10823 .• 10820 999 .10627 = 10415 1j7 - 10862 t tom o 1 z / 108.10 10817 10(469 10615- = 0696 n n,� 20333 - - /SQUARE 20182 t06t 2 10003 10607 02` 10Bss111:111 :10884 og c ri $ e, 10821 20393 20192' 70818' iiva _ 'Z 10874 sOBtt.- 20343 20202 Y0617 - - 7088120212 108Mquo 00063 2.3°2?.. � ila 801 �� . 10654 NORTHWOOD DRIVE