B-2017-0258CITY OF CUPERTINO BUILDING PERMIT
BUH.DING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0258
10770 PENINSULAR AVE CUPERTINO, CA 95014-0100 (326 03 051) SILICON VALLEY
CONSTRUCTIONS &
DEVELOPMENTS INC
MILPITAS, CA 95035
OWNER'S NAME: YOUNG JOSEPH A JR AND SANDRA R I DATE ISSUED: 08/17/2017
OWNER'S.PHONE: 415-806-6303 I I PHONE NO: (408) 802-5202 1
License Class L Lic. #894915
Contractor SILICON VALLEY CONSTRUCTIONS & DEVELOPMENTS INC Date
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.
I hereby affirm under penalty 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.
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.
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.
SignatureWcs Date 08-17-2017
I hereby affirm that I am exempt from the Contractor's License Law for one of the
two reasons:
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)
I, as owner of the propety, am exclusively contracting with licensed
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
1. I have and will maihtain'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 theI work for which this permit is issued.
2. I have and will maintain Woiker's Compensation Insurance, as provided for by
Section 3700 of theLabor Code, for the performance of the work for which this
r ,
permit is issued.
3. I certify that in the (performance of the work for which this permit is issued, I
shall not employaiiypetson 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, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
PLICANT 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 mentiored''property for inspection purposes. (We) agree
to save indemnify and keep'harmlessithe 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'-polnt. source regulations per the Cupertino Municipal
Code, Section 9.1.8.
BUILDING PERMIT INFO:
YX BLDG —ELECT _ PLUMB
_ MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
1ST FLOOR KITCHEN ADDITION (50 SF); REMODEL KITCHEN,
BATHROOM, LIVING ROOM, FAMILY ROOM (859 SF); REPLACE
WINDOWS (8) LIKE FOR LIKE;'INSTALL (N) STONE VENEER (3 80
SF); INSTALL (N) SIDING (90 SF).
Sq. Ft Floor Area: 859 I Valuation: $200000.00
APN Number: Occupancy Type:
326 03' 051 R-3 (Custom)
PERMIT EXPIRES IF WORK IS NOT: STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
rl
by: Kim Dunbar
RE -ROOFS:
All roofs shall be inspected prior to any roofmg material being installed'. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
ture ofAppl
08-17-2017
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. I 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 I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized agen
ka��
Date: 08-17-2017 Am
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
Professional
Date 08-17-2017