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14020159 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10943 NORTHFIELD SQ CONTRACTOR:PRO-CRAFT BUILDERS PERMIT NO: 14020159 OWNER'S NAME: LAUCELLA CLAY TRUSTEE 669 COMMERCIAL ST DATE ISSUED:02/27/2014 OWNER'S PHONE: 4089318894 SAN JOSE,CA 95112 PHONE NO:(408)293-1411 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL ❑ REMOVE AND REPLACE DECAYED 2X8 JOISTS,2X6 License Class_ Lic.# 9�+�/ � DECKING AND GUARDRAIL(42" IN HGT) Contractor' -e -' Date a a�-�y I hereby afirm 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. Sq.Ft Floor Area: Valuation:$7000 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 APN Number:31637019 00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS OM LAST CALLED INIPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, J costs,and expenses which may/accrue against said City in consequence of the granting of this permit. 2Wdfiionally,the applicant understands and will comply Issued by: Date: with all non-point sour ilegulations per the Cupertino Municipal Code,Section 9 18. RE-ROOFS: Signature '� Date -?.27-/ 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. ❑ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL 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) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I 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(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I 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 Asea Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cup 'tino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Section 05,25533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date:v2 c�7-1 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 any manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY 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 performance 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 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, ARCHITECT'S DECLARATION 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 f� CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255v +CUPER.TIN0 (408)777-3228- FAX(408)777-3333-buildinaacupertino.ong ❑NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS APN# 5 1,A -7 OWNER NAMEJAVC I CI PHONE �Y E-MAI STREET ADDRESS CITY,STATE,ZIP FAX ptrghloo,C 95— 00 CONTACT NAM PHONE E-MAIL• �' -9 /" - G Cts STREETADDRESS. / CITY TATE 6� / FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBS LICENSE TYPE. BUS.LIC# COMPANY NAMEE-MAIL FAX o C` t7 :229-8133 STREET ADDRESS( CITY,STATE,ZIP PHONE o(o�t I i` S►� os r- 6f- 3- ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WO S R Ai G i EXISTING USE PROPOSED USE CONSTR TYPE I #STORIES USE TYPE OCC. SQ.FT. VALUATIOAr(S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODELAREA PORCH AREA DECK ARBA TOTAL DECK/PORCH AREA GARAGE AREA: 0 DETACH ❑ATTACH DWELLING UNI TS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION,? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIV BY . ax"•. "` ` , TOTAL VALUATION: PLAI.NING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO z�` ^, By my signature below,I certify to each of th ]lowing: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have pr d 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 t g co traction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: �� SUPPLE TALINFORMATION REQUIRED R iiclTrl�cslP q5 ,< "s.;• PLAN,CHE�K;T,1�PE�,,.�•_ ,, New SFD or Multifamily dwellings: Apply for demolition permit for OVEI TH!<COUI TER BUILDINGPLAAI�yRE;IEW i x existing building(s). Demolition permit is required prior to issuance of building permit for new building. NrGPin�p'n�� Conunercial Bldgs: Provide a completed Hazardous Materials Disclosure STAND D � CdpT Llcvc�oiu�s k3 form if any Hazardous Materials are being used as part of this project Copy of Planning Approval Letter or Meeting with Planning prior to yx , fl S ITARISE�SRDIS�TRICT submittal of Building Permit application. �z� � �� ,r�� -t ,�� '� ..,. ,r �,x�..>n.. ..r, �,'� �'^ �❑a,EIS'�:IR01�7�SEI�TAi�HEALTHx..t..�}r.•. B1dgAyp_2011.doc revised 06121/11 February 26, 2014 Northpoint Homeowners Association 10880 Northpoint Way Cupertino, CA 95014 408-996-3734 City of Cupertino Building Department Re: 10943 Northfield Square To whom it may concern; Northpoint Homeowners Association gives authorization to Pro Craft Builders to do Balcony Deck replacement on the unit located at 10943 Northfield Square, Cupertino, CA 95014 Thank you, Ab-n r�- Linda Starnes On Site Manager Northpoint 24 G�� l•4 rlcew'l r , _ ! 1 - vll /)w O e 4. as '77 7 PLANE w y c LAI NI kkj r " F s z a i Jf"` t C R fl�7�- .Dp erg _ o - f3. , ag MCI pr ;r f7r'. Rev e Y. MPL� � AL y c c v tom. e } 4 -- a x�6fit l +i.�}lll7.t2F�l� - Yr3". X S-