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12050193 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1040 TUSCANY PL CONTRACTOR:TIiD AT-HOME PERMIT NO: 12050193 SERVICES,INC. OWNER'S NAME.: APRIL SCOTT 2690 CUMBERLAND PKWY STE 300 DATE ISSUED:05/252012 OWNER'S PHONE: 5107250219 ATLANTA,GA 30339-3913 PHONE:NO:(510)731-1004 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL70MMERCIAL11 License Class 1'f�j 7 Lica 3 602- 1 INSTALL RETROFIT WINDOWS LIKE FOR LIKE Contractor I fI D A7 t1 UyMi 49ate �- `f Z 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. I hereby affirm under penally of perjury one of the following two declarations: 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. Sq.FI Floor Area: Valuation:$4153 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 APN Number:3592904200 Occupancy Type: pemhit is issued APPLICANT CERTIFICATION I certify that I have read this application and stale that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED cored.I agree to comply with all city and county ordinances and state laws relating WITHIN 80 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property I'or inspection purposes. (We)agree to save 180 DAY F M LAST CALLED INSPEC ION. 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 dais permit. Additionally,the applicant understands and will comply Issued by: Date: with all non-point source regulations per the Cupertino unicipal Code,Section 9.18. RE-ROOFS: Signature Date Z IZ— All roofs shall be inspected prior to any roofing material beug installed.Ira roof is installed without first obtaining an inspection,I agree to remove all nav materials for inspection. ❑ 'NF:R-RIIII,DF:R DECLARATION Signature of Applicant Date: 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALI,ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 sale(Sec.7044, Business&Professions Code) 1,as owner of the propeny,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE: construct the project(Sec.7044.Business&Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Ilealth&Safely Code,Sections 25505,25533,and 25533. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(x)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should 1 use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safely Code,Sections 25505,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorize J age Date: permit is issued. I certify that in the performance of the work for which this permit is issued,I shall not employ any person in mhy manner so as to become subject to the Worker's � Compensation laws of California. If,after making this certificate of exemption,I CO ktrC:TION' LENDING Af.F:NCI' become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the perf a nance of forthwith comply with such provisions or this permit shall be deemed revoked, work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read(his 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;drove mentioned property for inspection purposes.(We)agree to save ,\RCII ITE:CI"S DECLARATION and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records, granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO 3 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35929040 . 00 DATE ISSUED. . . . . . . : 05/25/2012 RECEIPT #. . . . . . . . . : BS000016917 REFERENCE ID # 12050193 SITE ADDRESS . . . . . : 1040 TUSCANY PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : APRIL SCOTT ADDRESS . . . . . . . . . . : 1040 TUSCANY PL CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : PERMIT SERVICES CONTRACTOR . . . . . . . : FRANCES BLAKE LIC # 29818 COMPANY . . . . . . . . . . : THD AT-HOME SERVICES, INC. ADDRESS . . . . . . . . . . : 2690 CUMBERLAND PKWY STE 300 CITY/STATE/ZIP . . . : ATLANTA, GA. 30339-3913 TELEPHONE (510) 731-1004 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL -----------' --------- ----- ----- 1BCBSC VALUATION 4, 153 . 00 1. 00 0 . 00 1. 00 0. 00 1BSEISMICR VALUATION 4, 153 . 00 0. 50 0 . 00 0 . 50 0. 00 1WINREP EACH 8 1. 00 392. 00 0 . 00 392 . 00 0 . 00 TOTAL PERMIT 393 . 50 0 . 00 393 .50 0. 00 METHOD, OF PAYMENT AMOUNT REFERENCE NUMBER --- --------------- -------------------- CHECK ----------'CHECK 914 .27 43832 --------------- TOTAL RECEIPT 914.27 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 1040 Tuscany PI DATE: 05/25/2012 7V7717E7W7ED BY: RDW APN: BP#: 'VALUATION: $4,153 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration I Repair PRIMARY SFD or Duplex PENTAMATION 1GENRE USE: PERMITTYPE: Al WORK Install 5 retrofit windows no size change. SCOPE 7y.rA Phunk. l'lou C hceA lily. PI'm O:rA W,,J, /'lmnb_ Pcrniir O/her l'lumh ln.ap. (hh,•r lila. Lry. .1/rrh lo.p. !'rrr Phmih. lap. Gtr: lilee_/mp. Frr: NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public Works, Fire,Sanitaq'Sewer District,School District,etc. . Thesefees are based on the prelimina information available and are only an estimate Contact the De t or addn 7 in o. FEE ITEMS (Fcc Resohuion /1-053 Ell7/l/1/) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 5 # Window/Sliding Glass Door Suppl. PC Fee: Q Reg. Q OT 0.0 Vhrs $0.00 $392.00 1WINREP Replacement PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-.0 Reg. Q OT 1 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Conan iirii(n Ten ;I dmini.rtrn�nr !s': Q Work Without Permit? O Yes 0 No $0.00 Advanced Plannine Fee: $0.00 Select a Non-Residential 0 T ru rrl /),,,vrnno Nrtli'ni hcr.r: Building or Structure O� Shona Motion Pec: IBSEISMICR $0.50 Select an Administrative Item Blda Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $1.501 $392.001 TOTAL FEE: $393.50 Revised: 05/01/2012 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)777-3333• building(cDcuoertino.org 1 Z05 0l 3 ❑ NEW CONS'I'RUC"IION El ADDITION EJALTERATION/TI ❑ REVISION/UITERRED ORIGINAL PER,b111'a PROJECTADDRESS 4O �1-I '�� � F nP�n ..� C1 OWNP.BNAAIIi CI VCO T? PIIOAIi l\�(^ E-MAII. STHEIiT ADDRESS \ JO 1O q'O TJ L J 1 1 CITY, STATI../ Ctl 4 `r TAS SGfYn1 Gr/ h271, CONTACT NAME JEFF RAINEY PHONE.510-427-4260 E-.Mnn.JEFFREY.RAINEY©ATT.NET STREET ADDRESS 1069 EDGEMERE LANE CITY.STATE.ZIP HAYWARD, CA 94545 I;AN 510-783-1041 ❑O\1'NFR ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR n CONTRACTOR AGENT ❑ ARCCIIurruci ❑ LN(JNLIfR ❑ DINIi1APLR 11 TENANT CONTRACTOR NAME LICESSENUMBER 836021 IIC 'I :n9,(.13,C17 III;S LICA (OMPANYNAME THD AT HOME SERVICES E-MAIL ]AN 510-783-1041 SI'RITIADDRESS 2456 VERNA COURT CITY.STATE.ZIP SAN LEANDRO,CA 94577 PIn1NE510-785-6340 ARCA ITECI'11:\GINIiER NAME LICENSE NUMBER IVIS 1.1(_a (ONIPANY NAMI. 6MAn. FAN STREP:r ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OPWORK fAJ5—WWI F�1JE (—L 7��1 r ✓1 11) {./I��� S — �� /Z(" G�vYnk e . EXISTING USE PROPOSED USE CONSTR.TPI. nSTORIES USE "rrrlt occ, salr. � YALUAT1oN 111 ESISTG Nli\Y FLUOR DEMO TOTAL AREA ,\Hl:n FLAREA NET AREA RATHR00NI KITCHEN OTHER RISMODELAREA RI-NIODEL AREA REMODELARE\ PORCII AREA DF(KAREA TOTAL DECWPORCH AREA GARAGEAREV DETACII ❑ATTACI I Ilw'li 1.LING UNITSISA SECOND UN IT ON Es SECONDSTORI' ❑YES IBEING,ADDED:' ONO ADDITION'! ❑NO PRI:-APPLICATION ❑YM IF1"ES,PROVIDE COPY OF IS TI HE BLDG AN ❑YES RECEIVED BY: T(11',NL\'AI.UA'I'ION : PLAN.\ISG ADPL- ONO PLANNING APPROVAL LETTER EICIILER 110?IE". ❑NO IC Ful 13y my signature below.I certify to each ofthe following: I am the property owner or authorized agent to act on the property owner's behalf I have mailthis application and the information I have provided is correct. I have mad the Description of Work and verify it is accurate I agree to comply with all applicable local ordinances and state laws relating to building eonstructio orize representatives ofCupenino to enter the above-identified property for inspection purposes. Signature ol'ApplicxnVAgent: Date: Z� SUPPLEMENT LINFORMATIO IRED PLANCIIECKTYPE ROUTI,N'GSLIP Na,SPD or Multifamily dwellings: ply for demolition pcmiit for ❑ OVER.-rllE.COU.N'TER ❑ BUILDINGPLAN REYIF.\v existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS 1:1PLANNING PLAN xh\'I4:\\' Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC w'ORKS form if any Hazardous Mutcrials arc being used as part of this project. ❑ LARGE ❑ YI0.l:DEPI _Copy of Planning Approval Letter or Meeting with Planning prior to ❑ MAJOR ❑ SANITARY SI:w'ER DISTRICT submittal of Building Permit application. ❑ f;N\'IRONMENTAI.TIE.AI:Ill Blrlgdpp_30/1.dnc,ev,,ed 06121/11 t A "� C.r1 b \J, Cil r N_ m D O zD N = N � am c n D O D _i = 2 Z _ r M Q m p m is A 3 A r 3 N 3 _ a x O O O z zMZM F z r� CUPERTINO N . Building Department - �•� MAY 2 5 2012fd �°�� REVIEWED FO�j CODE COMPLIANCE 1 �E N�V Reviewed By: p G(� S Z 5- 1 7 lzoso�93 APRIL SCOTT THD - At Home Services (North) D N QON 1040 TUSCANY PL. 2456 Verna Ct. g 9 CUPERTINO, CA 95014 San Leandro, CA 94577 PROJECT INFORMATION TABLE OF CONTENTS -� OWNER INFO PROJECT ADDRESS T-1 TITLE SHEET O APRIL 5GOTT 1050 T05GANY PL. A-1 FOOTPRINT Z 1050 T05GANY PL. GUPERTINO, GA 65014 U) GUPERTINO, GA 65014 PHONE: 408-125-0216 CONTRACTOR PRO-1. #: 6225550 LEGEND .2 � THD @ Home Services (North) (510) 811-4550 Q 2456 Verna Gt. Halls U 5on Leandro, GA 64511 W U Field Inspector - ERIK HERNANDEZ ® New Window E O Drawn b - SuzyRaine (510) 185-63402: C c SCOPE OF WORK WINDOW STYLES Q N N Installation OF (5) retrofit vinyl windows. , J door. DH - DOUBLE HUNG p to c (SEE LI5T BELow) IPNL - I PANEL SLIDER N (� WINDOW SPECIFICATION SHEET EXISTING NEW ! - MEETS Si LOCATION WIDTH HEIGHT i2 LOCATION FLR. STYLE WIDTH HEIGHT EGRESS___ 1 BEDRM a1 58 33 1 BEDRM 01 1 IPNL 58 33 Y 2 BEDRM a2 58 33 2 BEDRM b2 1 IPNL 58 33 Y 3 BEDRM 03 46 5l 3 BEDRM 03 1 IPNL 46 5-1 Y Nt 4 BATHI 23 40 4 BATHI I OH 23 40 NA i 5 BATH2 33 Cl 5 BATH2 I IPNL 33 Cl NA OI I � z <l p,F,CF,IVF,I p U Oz MAY 2 5 2012 U®PY I C/) j F-, = o Uj CUPERTIPlO < o � Building Department Q N 5"(2-2-3530 i MAY 2 5 2012 TITLE SHEET REVIEWED F R CODE COMPLIANCE Reviewed By: S X25— Z