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B-2017-0039CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0039 10190 CALVERT DR CUPERTINO, CA 95014-3806 (375 19 018) F LUNA CONSTRUCTION SALINAS, CA 93915 OWNER'S NAME: OWNER'S PHONE: IIRsI �► aI�7►1u13A0111141aaff*1IlLI ma]►1 License Class 1a Lic. #538530 Contractor F LUNA CONSTRUCTION Date 08/31/2018 1 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. 1 hereby affirm under penalty of perjury one of the following two declarations: L 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. 2. 1 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. DATE ISSUED: 01/18/2018 PHONE NO: (831) 595-6590 BUILDING PERMIT INFO: BLDG —ELECT —PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: CONSTRUCT (N) 2 STORY HOME WITH BASEMENT (3247 SF); ATTACHED GARAGE (429 SF). Sq. Ft Floor Area: 3676 I Valuation: $450000.00 APN Number: Occupancy Type: 375 19 018 1 R-3 (Custom) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 01-18-2018 Issued by: Kim Dunbar Date: 01/18/2018 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. 1, 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the following three declarations: 1. 1 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. 2. 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. s. 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, 1 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 01-18-2018 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature ofAppl Date: 01-18-2018 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. 1 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 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District 1 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: 01-18-2018 CONSTRUCTION LENDING 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professiona CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0039 10190 CALVERT DR CUPERTINO,CA 95014-3806(375 19 018) F LUNA CONSTRUCTION SALINAS,CA 93915 OWNER'S NAME: DATE ISSUED:01/18/2018 OWNER'S PHONE: PHONE NO:( LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lie.#538530 Contractor F LUNA CONSTRUCTION Date 08/31/2018 X BLDG—ELECT_PLUMB MECH X RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed tinder the provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license Is in full farce and effect. TOB DESCRIPTION: CONSTRUCT(N)2 STORY HOME WITH BASEMENT(3247 SF); I hereby affirm under penalty of perjury one of the following two declarations: ATTACHED GARAGE(429 SF). - r. I have and will maintain a certificate of consent to self-insure for Worker's REV#2-CHANGE BASEMENT BATHROOM LAYOUT AND Compensation,as provided for by Section 3700 of the Labor Code,for the CONFIGURATION;INCREASE WALL HEIGHT-ISSUED 6/13/2018 operformance of the work for which this permit is issued. REV#I-CHANGES ON STRUCTURAL SHEETS-CHANGE RE-BAR I hove and will maintain Worker's Compensation Insurance,as provided for by SIZE IN BASEMENT SLAB AND REDUCE BASEMENT SLAB KEY Section 3700 of the Labor Code,for the performance of the work for which this BY 4"(SEE DETAIL 3/S3).-ISSUED 4/23/2018 permit is issued. APPLICANT CERTIFICATION I certify that have read this appllcallon and state that the above Sq.Ft Floor Area:3676 Valuation:5450000.00 Information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize APN NumbOType; representatives of this city to enter upon the above mentioned property for Number: Occupancy : Inspection purposes.(We)agree to save indemnify and keep harmless the 37519 018 R-3(Custom) 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 PERMIT EXPIRES IF WORK IS NOT STARTED source regulations per the Cupertino Municipal Code,Section 9.18. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Signature Data 6/13/jg 180 DAYS FROM LAST CALLED INSPECTION. OWNER-BUILDER DECLARATION Issued by:Kim DuttbaY Data:01/18/2018 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 1,as owner of the property,or my employees with wages as their sole RE-ROOFS: compensation,will do the work,and the structure is not intended or offered for All tool's shall be inspected prim to any roofing material being installed.If a roof is sale(8ec.7044,Business&Professions Code) installed without first obtaining an inspection,I agree to remove all new materials for inspection, 1. I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec,7044,Business&Professions Code), Signature of Applicant; I hereby affirm under penalty of perjury one of the following three declarations: Date: r. 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER performance of the work For which this permit is issued. z. 1 have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 ofthe Labor Code,for the performance of the work for which this HAZARDOUS MATERIALS DISCLOSURE permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the s. 1 certify that in the performance of the work for which this permit is issued,l California Health&Safety Code,Sections 25505,25533,and 25534.1 will sting not employ any person in any manner so as to become subject to the 'maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&Safety Code,Section 25532(x)should I store or handle hazardous Worker's Compensation laws of California.If,after making this certificate of material.Additionally,should I use equipment or devices which emit hazardous exemption,I become subject to the Worker's Compensation provisions of the air contaminants as defined by the Bay Area Air Quality Management District I Labor Code,I must forthwith comply with such provisions or this permit shat[ will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and be deemed revoked. the Health&Safety Code,Sections 25505, correct.I agree to comply with all city and county ordinances and state laws Date: ( j(Y relating to building construction,and hereby authorize representatives of this city CONSTRUCTION LENDING AGENCY to enter upon the above mentioned property for inspection purposes. (We)agree I hereby affirm that there is a construction lending agency for the performance to save indemnify and keep harmless the City of Cupertino against liabilities, of work's for which this permit Is issued(Sec.3097,CIv C,) judgments,costs,and expenses which may accrue against said City In Lender's Name consequence of the granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Lender's Address Code,Section 9.18. ARCHITEC'1"S DECLARATION understand my plans shall be used as public records. Signature Date Licensed BUILDING PERMIT CUPERTINO CITY HALL 10300 Torre Avenue • Cupertino, CA 95014-3255 PHONE 408-777-3228 WWW.CUPERTINO.ORG BUILDING ADDRESS: OWNER'S NAME: Not provided OWNER'S PHONE: Not Provided CONTRACTOR: F LUNA CONSTRUCTION, 1522 CONSTITUTION BLVD #254 SALINAS CONTRACTOR PHONE: 4083865400 DATE ISSUED 12/17/2019 3:20:12 PM ISSUED BY: KDUNBAR VALUATION: $450000 JOB DESCRIPTION WITH BASEMENT (3247 SF); ATTACHED GARAGE (429 SF). DEF #1 - TRUSSES - ISSUED 07/18/2019 REV #3 - FOUNDATION CHANGE FOR FRONT AND - ISSUED 07/18/2019 REV #2 - CHANGE BASEMENT BATHROOM LAYOUT AND CONFIGURATION; INCREASE WALL HEIGHT - ISSUED 6/13/2018 SHEETS - CHANGE RE -BAR SIZE IN BASEMENT SLAB AND REDUCE BASEMENT SLAB KEY BY 4 (SEE DETAIL 3/S3).- ISSUED 4/23/2018 REV #4 - HALF MASTER BATHROOM; CONVERT STUDY TO MASTER CLOSET; REVISE SLIDER AT 2ND FLR BALCONY TO WINDOW AND DOOR. -ISSUED 12-17-2019 CONSTRUCT (N) 2 STORY HOME BACK PORCH; WINDOW SIZES UPDATED REV # 1 - CHANGES ON STRUCTURAL BATH LAYOUT CHANGE; ENLARGE LICENSED CONTRACTOR DECLARATION 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full CONTRACTOR: F LUNA LICENSED B GENERAL LICENSED 538530 EXP 08/31/2020 I hereby force I hereby CONSTRUCTION CLASS: BUILDING CONTRACTOR NO: DATE: affirm that I am licensed and effect. affirm under penatiy of I have and will maintain a certificate for which this permit is issued. I have and will maintain Worker's I certify that in the performance laws of California. with such provisions or this under the provisions of Chapter perjury one of the following three declarations: of consent to self -insure for Worker's Compensation Insurance, as provided of the work for which this permit is If, after making this certificate of exemption, permit shall be deemed revoked. Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for by Section 3700 of the Labor Code, for 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 I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith V issued. Compensation comply HAZARDOUS MATERIALS DISCLOSURE & Safety defined this project. 6.95 of the California Health & Safety Code, Sections 25505. 25533, and 25534. I will maintain compliance I have read the hazardous materials requirements under Chapter the Cupertino Municipal Code, Chapter 9.12 and the Health V with equipment Municipal Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino 25505, 25533, and 25534. Firm Certification No: or devices which emit hazardous air contaminants as Code, Chapter 9.12 and the Health & Safety Code, Sections An EPA Lead -Safe Certified Renovator will be responsible for Firm Name: No EPA Lead -Safe Certified Firm is required for this project. Certified v CONSTRUCTION LENDING AGENCY lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code). Lender's Address: I hereby Yes affirm under penalty of perjury that there is a construction No V Lender's Name: APPLICATION CERTIFICATION and state that the above information