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B-2018-1493 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2018-1493 10698 RANDY LN CUPERTINO, CA 95014-2055 (316 02 070) ALEX ALVARADO CONSTRUCTION LLC SAN JOSE, CA 95112 OWNER'S NAME: DATE ISSUED: 11/07/2018 OWNER'S PHONE: PHONE NO: (408) 799-9918 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #859981 Contractor ALEX ALVARADO CONSTRUCTION LLC Date 10/31/2020 X BLDG x ELECT X PLUMB X 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: (N) ADDITION (1268 SF); NEW ATTACHED GARAGE (508 SF); (N) I hereby affirm under penalty of perjury one of the following two declarations: PORCH (18 SF); REMODEL (1704 SF); (N) HVAC; UPGRADE PANEL 1. I have and will maintain a certificate of consent to self-insure for Worker's (200 AMP); (N) TANKLESS WATER HEATER, 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: 1268 Valuation: $700000.00 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 16 Number: Occupancy Type: 316 and state laws relating to building construction, and hereby authorize 302 070 R-3 (Custom) 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 against said City in consequence of the granting of this permit. . WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will compleith all non-point source regulations.,.p°e"r e Cupertin..o,Mu�n' ipal Code,, Section 9.18. 1.80 DAYS FROM LAST CALLED INSPECTION. 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: 11/07/2018 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'l Worker's Compensation laws of California, If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9 2 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Septi ns 25505, 25533, _ d 25534:•'' Labor Code, I must forthwith comply with such provisions or this permit shallP''''� be deemed revoked, 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. 1 understand my plans shall be used as public records. Signature Date 11/07/2018 Licensed Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2018-1493 10698 RANDY LN CUPERTINO, CA 95014-2055 (316 02 070) ALEX ALVARADO CONSTRUCTION LLC SAN JOSE, CA 95112 OWNER'S NAME: DATE ISSUED: 11/07/2018 OWNER'S PHONE: PHONE NO: (408) 799-9918 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #859981 Contractor ALEX ALVARADO CONSTRUCTION LLC Date 10/31/2020 X BLDG X ELECT X PLUMB X 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: (N) ADDITION (1268 SF); NEW ATTACHED GARAGE (508 SF); (N) I hereby affirm under penalty of perjury one of the following two declarations: PORCH (18 SF); REMODEL (1704 SF); (N) HVAC; UPGRADE PANEL 11 I have and will maintain a certificate of consent to self-insure for Worker's (200 AMP); (N) TANKLESS WATER HEATER. Compensation, as provided for by Section 3700 of the Labor Code, for the DEF #1 - TRUSSES -ISSUED 12-6-2018 performance of the work for which this permit is issued. ( 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: 1268 Valuation: $700000.00 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 16 Number: Occupancy Type: 3 and state laws relating to building construction, and hereby authorize 316 02 070 R-3 (Custom) 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 against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands ancomply . ith all non-point source regulations per Cu erti ..61� u Vol,' .i Code action 9.18. g p P ;>�� a 180 DAYS FROM LAST CALLED INSPECTION. Date: 11/07/201.8 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. 1, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree tQ 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: 12-6-2018 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 material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the 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�VIunicipal...C+� e, hapten 9 2 and exemption, I become subject to the Workers Compensation provisions of the the Health & Safety Code, Sections 5505,25533, 2553 . Labor Code, I must forthwith comply with such provisions or this permit shall '�'''"" be deemed revoked. Owner or authorized agen APPLICANT CERTIFICATION Date: 12-6-2018 I certify that I have read this application'and state that the above information is CONST _�F-CION LEN INC 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. 1 understand my plans shall be used as public records. Signature Date 12-6-2018 Licensed Professional CITY OF CUPERTINO BUILDING PERMIT ` BUILDING ADDRESS: , CONTRACTOR: PERMIT NO:B=2018-1493 10698 RANDY LN CUPERTINO,CA 95014-2055(316 02 070) ALEX ALVARADO CONSTRUCTION LLC SAN JOSE,CA 95112 OWNER'S NAME: DATE ISSUED:11/07/2018 OWNER'S PHONE: PHONE NO:(408)799-9918 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#859981 Contractor ALEX ALVARADO CONSTRUCTION LLC Date 10/31/2020 X BLDG X ELECT X PLUMB X 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. 1 JOB DESCRIPTION: 1 (N)ADDITION(1268 SF);NEW ATTACHED GARAGE(508 SF);(N) I hereby affirm under penalty of perjury one of the following two declarations: PORCH(18 SF);REMODEL(1704 SF);(N)HVAC;UPGRADE PANEL 1. I have and will maintain a certificate of consent to self-insure for Worker's (200 AMP);(N)TANKLESS WATER HEATER. "Compensation,as provided for by Section 3700 of the Labor Code,for the DEF#1-TRUSSES-ISSUED 12-6-2018 #\ performance of the work for which this permit is issued. REV#1 -MOVE WINDOW TO RIGHT OF LIVING ROOM;REPLACE have and will maintain Worker's Compensation Insurance,as provided for by WINDOW WITH DOOR IN MASTER BEDROOM;INSTALL SUN- Section 3700 of the Labor Code,for the performance of the work for which this TUNNEL IN FOYER;RELOCATE BATHROOM IN BEDROOM#1- permit is issued. ISSUED 01/30/2019 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 Sq.Ft Floor Area:1268 Valuation:$700000.00 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 APN Number: Occupancy Type: City of Cupertino against liabilities,judgments,costs,and expenses which 316 02 070 R-3(Custom) may accrue against said City in consequence of the granting of this permit. Additionally,the applicapt understand n ill compiylath all non-point source regulations.er the Cupert'eo M icipal Co.e ection 9.18. PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR / Signature Date 01/30/2019 180 DAYS FROM LAST CALLED INSPECTION. OWNER-C ILDER DECLARATION Issued by:Jasmine Archbold I hereby affirm that I am exempt from the Contractor's License Law for one of the Date: 11/07/2018 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 RE-ROOFS: sale(Sec.7044,Business&Professions Code) All roofs shall be inspected prior to any roofing material being installed.If a roof is z. I,as owner of the property,am exclusively contracting with licensed installed without first obtaining an inspection,I agree to remove all new materials for inspection. contractors to construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: Signature of Applicant: 1. I have and will maintain a Certificate of Consent to self-insure for Worker's Date:01/30/2019 Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE 3. I certify that in the performance of the work for which this permit is issued,I I have read the hazardous materials requirements under Chapter 6.95 of the shall not employ any person in any manner so as to become subject to the California Health&Safety Code,Sections 25505,25533,and 25534. I will Worker's Compensation laws of California. If,after making this certificate of maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&Safety Code,Section 25532(a)should I store or handle hazardous exemption,I become subject to the Worker's Compensation provisions of the material. Additionally,should I use equipment or devices which emit hazardous Labor Code,I must forthwith comply with such provisions or this permit shall air contaminants as defined by the Bay Area Air Quality Management District I be deemed revoked. will maintain compliance with the Cupertino Municipal Code,Chapter 9.1 nd the Health&Safety Code, to save indemnify and keep harmless the City of Cupertino against liabilities, I hereby affirm that there is a construction lending agency for the performance judgments,costs,and expenses which may accrue against said City in of work's for which this permit is issued(Sec.3097,Civ C.) consequence of the granting of this permit. Additionally,the applicant understands Lender's Name and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Lender's Address ARCHITECT'S DECLARATION Signature Date 01/30/2019 I understand my plans shall be used as public records. CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-1493 10698 RANDY LN CUPERTINO,CA 95014-2055(316 02 070) ALEX ALVARADO CONSTRUCTION LLC SAN JOSE,CA 95112 OWNER'S NAME: DATE ISSUED: 11/07/2018 OWNER'S PHONE: PHONE NO:(408)799-9918 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#859981 Contractor ALEX ALVARADO CONSTRUCTION LLC Date 10/31/2020 X BLDG X ELECT X PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing X 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: (N)ADDITION(1268 SF);NEW ATTACHED GARAGE(508 SF);(N) I hereby affirm under penalty of perjury one of the following two declarations: PORCH(18 SF);REMODEL(1704 SF);(N)HVAC;UPGRADE PANEL I have and will maintain Worker's Compensation Lnsurance,as provided for by WINDOW WITH DOOR IN MASTER BEDROOM;INSTALL SUN- Section 3700 of the Labor Code,for the performance of the work for which this TUNNEL IN FOYER;RELOCATE BATHROOM IN BEDROOM# 1- permit is issued. ISSUED 01/30/2019 APPLICANT CERTIFICATION REV#2-MOVE CLOSET IN BEDROOM#1;CHANGE HALLWAY certify that I have read this application and state that the above WIDTH-ISSUED 03/11/2019 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 Sq.Ft Floor Area: 1268 Valuation:$700000.00 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 g ruing of this permit. APN Number: Occupancy Type: Additionally,the ap�Lio nt underst nds Vin,)will cor� ly with all non-point 316 02 070 R-3(Custom) source Section 9.18. Si natur Date 03/11/2019 PERMIT EXPIRES IF WORK IS NOT STARTED g WITHIN 180 DAYS OF PERMIT ISSUANCE OR OWNER-BUILDER DECLARATION 180 DAYS FROM LAST CALLED INSPECTION. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: Issued by:Jasmine Archbold 1. I,as owner of the property,or my employees with wages as their sole Date: 11/07/2018 compensation,will do the work,and the structure is not intended or offered for sale(Sec.7044,Business&Professions Code) z. I,as owner of the property,am exclusively contracting with licensed RE-ROOFS: contractors to construct the project(Sec.7044,Business&Professions Code). All roofs shall be inspected prior to any rooting material being installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for I hereby affirm under penalty of perjury one of the following three declarations: inspection. 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 Signature of Applicant: performance of the work for which this permit is issued. Date:03/11/2019 i. 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER permit is issued. 3. I certify that in the performance of the work for which this pen-nit is issued,I shall not employ any person in any manner so as to become subject to the HAZARDOUS MATERIALS DISCLOSURE Worker's Compensation laws of California. If,after making this certificate of I have read the hazardous materials requirements under Chapter 6.95 of the exemption,I become subject to the Worker's Compensation provisions 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 Labor Code,I must forthwith comply with such provisions or this permit shall Health&Safety Code,Section 25532(a)should I store or handle hazardous be deemed revolted, material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Ma a- ement Dist ict I APPLICANT CERTIFICATION g', h I have this application h will maintain compliance with the Cuperliff unicipal,::Eode, hapter 912 and certify t at read t s app catio and state that the above information is � ,, the Health&Safety to enter upon the above mentioned property for inspection purposes. (We)agree Owner or authorized agents -- to save indemnify and keep harmless the City of Cupertino against liabilities, Date:03/11/2019 judgments,costs,and expenses which may accrue against said City in CON'S I L A ENCY consequence of the granting of this permit. Additionally,the applicant understands I hereby affirm that there is a construction lending agency for the performance and will comply with all non-point source regulations per the Cupertino Municipal of work's for which this permit is issued(Sec.3097,Civ C.) Code,Section 9.18. Lender's Name Lender's Address Signature Date 03/11/2019 ARCHITECT'S DECLARATION