12110006CITY OF CUPERTINO BUILDING PERMIT
BUILDINGAIIDRESS : 22449 CUPERTINO RD
CON'TRACT'OR: DIVI7rOR 10 CONST.
P EIRMITNO: 12110006
OWN'ER'S NAME: SUNNY VIEW LUTERAN HOME
1512 WAI NUT DR
DATE ISSUED: 11/02/2012
OWNER'S PIIONE: 4082524902
CAMPBELL. CA 95008
PRONE NO: (408) 370 -9397
Q LICENSED CON'IRACI'OR'S DECLARATION
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BUILDING PERMIT INFO: BLDG ELECT PLUMB
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License Class_ Lie. q� // 3 J y
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Contractor 1% /Y, (9 i'r /O cm p, J Date ///4 / Z
N1EC11 RESIDENTIAL COERC1AL
COMMERCIAL COMMERCIAL
I hereby affirm that 1 am licensed under the provisions of Chapter 9
JOB DESCRIPTION: REMOVE AND REPLACE 308 WINDOWS, REPLACE WOOD
(commencing with Section 7000) of Division 3 of the Business & Professions
TRIM A� g L
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following mo 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: $217400
I have and will maintain Worker's Compensation Insurance, m provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
A 1'N Number: 32615133.00
Occupancy Type:
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 Imes relating
to building construction, and hereby authorize representatives ofthis city to enter
PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities. judgments,
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs, and expenses which may accrue against said City in consequence of tilt
180 D YS FROM AST CALLED INSPECTION.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulati ms per the Cupertino ManlClpal Code, SCCtiol
/
9.18.
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Issued by: (/
v Date.
Signature "ter Date
❑ OWNER-BUILDER DECLARATION
RE- ROOFS:
All roofs shall be inspected prior to any roofing material being installed If a roof is
I hereby affirm that I am exempt from the Contractor's License Imo for one of
installed without first obtaining an inspection, I agree to remove all new materials for
the following two reasons:
inspection.
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,
Signaure of Applicant: Dale:
Business & Professions Code)
I, as owner of the properly, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
ALL ROM• COVERINGS'f0 BE CLASS "A" OR BE114iR
I hereby affirm under penalty of perjury one of the folluw'ing three
declarations:
IL\' /-ARDOUS NL\TI ?RIALS DISCLOSURE
I have and will maintain a Certificate of Consent to self insure for Worker's
I have read the hazardous materials requirements under Chapter! 95 of the
Compensation, as provided for by Section 3700 of the Labor Code, for the
California Ilcakh & Safety Code. Sections 25505, 25533, and 2553.1. I will maintain
performance of the stork for which this permit is issued.
compliance with the Cupertino Municipal Code. Chapter 9.12 and the Ilrdth &
I have and will maintain Worker's Compensation Insurance, as provided for by
Safety Code. Section 25532(x) should I store or handle hazardous material.
Section 3700 of the Labor Code, for the peniormance of the work for which this
Additionally, should I use equipment or devices which emit hazardous air
permit i5 issued.
contaminants as defined by the Ilay Area Air Quality Management District I will
maintain compliance with the Cupertino Municipal Code. Chapter 9.12 and the
I certify that in the performance of the work for which this permit is issued, I shall
Ilealth & Safety Code. Sections 25505, 25533. and 25534.
not employ my 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
O err or�v /gilt d J a r:
become subject to the Worker's Compensation provisions of the Labor Code, I must
"`' Date: / 2 / Z
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUC110,N LENDING AGENCY
, \I'1'LICAN'f CIiR't'II'ICA'I'ION
I hereby affirm that there is a constriction lending agency for the performance of work's
I ceftifv that I have read this application mid state that the above information is
for which this permit is issued (Sec. 3097, Civ C.)
correct. I agree to comply with all city and county ordinances and state Imes relating
Lender's Name
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
Lender's Address
indemnify and keep harmless the City of Cupertino against Iiabilities,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
ARCIIffECI'-S DECLARATION
with all non -point source regulations per the Cupertino Municipal Code, Section
I understand my plans shall be used as public records.
9:18:
Licensed Professional
Signature Date
x
x
x
CUPERTINO 1
n NEW CONSTRUCTION
1211 0vv(0
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • building8cuoertino.orD
I I ADDITION (ALTERATION /TI n RFVISION /DFFFRRFD ORIGINALPFRMITH
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❑ OWNER ❑ owNE:R.Bu LDER ❑ OWNER AGEM1r ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGUIM ❑ DEVELOPER ❑ TENANT
CONTRA NM/S V y LICENSE ER
LICENSE TYPE
BUS. UC 0
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ARCHITECT/ENGINEER NAME
LICENSE NUTABER
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STREET ADDRESS
CITY, STATE, ZIP
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DESCRIPTION OF WORK ki do cu s
EMSTONG USE PROPOSED USE
CONSTR. TYPE 'STORIES
USE
TYPE
OCC.
SQ.Fi.
VALUATION (s)
E)OSTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
h'ET AREA
BATHROOM R CHE N OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECY.TORCH AREA
GARAGE AREA: DEFACH
❑ ATTACH
E DWELLING UTTTS:
IS A SECOND UNIT L-1 YES
SECONDSrORY L] YES
BELNGADDED` ONO
ADDITION' ❑NO
PRE - APPLICATION ❑185 IF YES, PROYmE COPY OF
PLANNLNGAPPL' ❑NO PLANNINGAPPROVAL LETTER
IS THE BLDG AN C] YES
EICHLERHWM' ❑NO
.RECEIVED'BY: -.
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TOTAL VALUATION:
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By my si__natum below, I certify to each of the following: 1 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 cgn5truc '0 1 au o 'ze representatives of Cupenino to enter the above-ideproperty for inspection purposes.
Sionarurc Of Applicant/Agent: Date: A-2 Z
SUPPLEMENTAL LKFORIvIATION REQUIRED
=N' -,e1i =C S^I-T11M,
ffMM.R0UTI6 :51��
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s) Demolition permit is required prior to issuance of buildmo
�'iE3 €44iZSt
O \'ER THE COUNTER
❑D DUILO n�GL A \TEN
P ermit for new building.
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❑ u ru'' NNIN�cYu � \Tew „.
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_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
O sr VIDI
❑° I URLIC \\ ORIS' ' -
form if any Hazardous Materials are being used as pan of this project.
❑t LARCE H °
�❑�. }'IRE' -0EYT �- - c'
Copy of Planning Approval Letter or Meeting with Planning prior to
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❑ALAJORi
submittal of Building Permit application.
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SANITARI SE \t ER DISTW CT
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O EN\'IAPINTAL IFALTH
FriCUPERTINO
Building Department
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION - CUPERTINO
,� APPROVED
Cit} WaapZW -no's inspection time will; be ,ItlGln(jt;dEU1]deCipCCIT11iSi8 Tbekeptatthe
required > ., the City q�,Cupertino. lob site during construction. It Is unlawful to make any
REVIEWED 1-Urf l.OEE CUAki Lt. _ e.+t changes or alterations on same, or to deviate
(e below- cua•ntity -and- sizes of the windows. Total of ?308 .)Val from Building Official.
Reviewed The stamping of this plan and specifications SHALL NOT
1. Windows should be Milgard Standard, ronze it t IY%iumrDuat, iii ela�aw
yla. win r, a.
Windows with low "e" glass. BY
2. No Grid DATE
3. Aluminum windows should be nail lqn; NO. ,� 2 -) ('001
4. See chart below for Quantity and Sizes of Windows
5. Bedroom windows to meet egress code with sill height no greater than
44 inches from floor
NOTE: Contractor needs to re- measure the windows prior to
ordering, when he is awarded the Contract, this is meant to be
for pricing only.
QTY.
DESCRIPTION
Di17ENSION
NOTES
38
XOX- Double Horizontal Slider
Series 1110 DV
NFS -96 x 48
Building #A
26
XOX- Double Horizontal Slider
Series I 1 10 DV
NFS -96 x 48
Building #B, Laundry
Room
38
XOX- Double Horizontal Slider
Series 1110 DV
NFS -96 x 48
Building #C
38
PW- Picture Window 91 OPW
NFS -95 1/2 x 12
Building #A
26
PW- Picture Window 91 OPW
NFS -95 1/2 x 12
Building #B, Laundry
Room
38
PW- Picture Window 91OPW
NFS -95 1/2 x 12
Building #C
37
OX- Horizontal Slider i I I OHV
NFS -48 x 48
Building #A
27
OX- Horizontal Slider 1 i i OHV
NFS -48 x 48
Building #B, Laundry
Room & Office
38
OX- Horizontal Slider 111 OHV
NFS -48 x 48
Building #C
2
PW- Picture Window 91 OPW
NFS -36x 12
Building #A Office
1.01 WORK INCLUDED
A. Provide all labor, material and services to clean and prepare the
surfaces paint and /or repaint surfaces of structure as directed
during the job inspection tour conducted prior to bid date.
B. Thoroughly examine specification, site of work and conditions
under which work will be performed before submitting a proposal.
No add -ons will be accepted following award of contract unless
initiated by the contract administrator. `^.
Window /Painting of Building Spec Packet Revised 07202012 OFF CE COPIVJ:
:.5
120"MIN.WIDTH
`v
v
MIN. WIDTH/ HEIGHT EMERGENCY ESCAPE
AND RESCUE WINDOWS (5 SQ. FT.)
[Specify WIDTH to calculate minimum HEIGHT]
WIDTH: 2070 inches (20" minimum)
HEIGHT: 36.0 inches
— MINIMUM
NET CLEAR
OPENING OF
5.7 SQ.FT.
(EXCEPTION:
GRADE -FLOOR MIN. WIDTH/ HEIGHT EMERGENCY ESCAPE
WINDOW OF AND RESCUE WINDOWS (5.7 SQ. FT.)
5.0 SO.FT.)
[Specify WIDTH to calculate minimum HEIGHT]
WIDTH: 20.0 inches (20" minimum)
HEIGHT: 41.0 inches
FEE ESTIMATE FOR WINDOW AND /OR SLIDING GLASS DOOR (NEW OR REPLACEMENT):
The calculated fees are only an estimate. Contact the Bldg Dept for additional info.
*SCOPE OF WORK:
Replacement
*VALUATION:
$0
*# OF WINDOWS AND
0
SLIDING DOORS:
'OFFICE COPY
i
Permit Fee
Strong Motion Fee
Bldg Stds Commission Fee
TOTAL
IVindowReplacePolicy.doc revised i /01 /11
Sunny lew
West
Professionally managed by
CARING Housing Ministries
April 19, 2013
To Whom It May Concern:
/� ► I 000�
Sunny View West apartment units all have smoke detectors. The carbon monoxide detectors
are not needed in the apartment units because there are no gas appliances in the units,
everything is electrical. The only areas where we have installed carbon monoxide detectors are
in our boiler rooms.
Th k You,
D
Ix
Rachel Porras, Administrator
C]FIL�'
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22449 Cupertino Road, Cupertino, CA 95014
TEL: (408) 252 -4902 FAX: (408) 253 -6509
TDD: (800) 735 - 2922 '