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B-2016-2948CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2948 11013 SWEET OAK ST CUPERTINO,-CA 95014-0144 (326 51 008) MARVIN DAVIS CONSTRUCTION INC SAN JOSE, CA 95112 OWNER'S NAME: TOLOMEO KAY TRUSTEE DATE ISSUED: 10/19/2016 OWNER'S PHONE: 408=221-6285 AHOPNO: (408) 975-0200 LICENSED CONTRACTOR'S RATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lie. #413424 Contractor MARVIN DAVIS CONSTRUCTION INC Date 08/31/2017 X BLDG —ELECT _PLUMB 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: KITCHEN REMODEL M.E.P (135 SF) I hereby affirm under penalty of perjury one of the following two declarations: 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. 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 Sq. Ft Floor Area: Valuation: $10000.00 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 APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 326 51 008 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 comply with all non-point source regulations per the CiLpertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Sign Date 2/3/2017, Issued by: ABBY AYENDE OWNER-BUILDER DF I RATION Date: 10/19/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the RF.-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: 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: 2/3/2017 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. 1 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 maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. s. 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 Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with, such provisions or this permit shall be deemed revoked. Owner or authoriz APPLICANT CERTIFICATION Date: 2/3/2017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city 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, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands ARCffi DECLARATION and will comply with all non-point source regulations per the Cupertino Municipal used a u I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 2/3/2017 Si g Professional January 31, 2017 City of Cupertino 10300 Torre Avenue, Cupertino, CA 95014 Subject: Permit No. 8-2016-2948, Permit Issued: 10/19/2016 Owner's Name: Tolomeo Kay Trustee Address: 11013 Sweet Oak Street, Cupertino, CA 95014 To whom it may concern, Effective immediately, please transfer Permit No. B-2016-2948 to Marvin Davis Construction, Inc. The previous contractor, Visionary Home Remodeling, Inc., is no longer on the job. Visionary Home Remodeling, Inc. and I terminated our contract. Regards, t Kai Tolomeo 408-221-6285 CITY OF CUPERTINO BUILDING PERMIT Su11 J IN iADDREJS: CONTRACTOR: .PERMIT NO: B-2016-2948 11013 SWEET OAK ST CUPERTINO, CA 95014-0144 (326 51 008) VISIONARY HOME REMODELING INC SAN JOSE, CA 95123 OWNER'S NAME: TOLOMEO KAY TRUSTEE DATE ISSUED: 10/19/2016 OWNER'S PHONE: 408-221-6285 PHONE NO: (760) 677-8811 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #1001351 Contractor VISIONARY HOME REMODELING INC Date 02/28/2017 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. hereby affirm under penq►ty of perjury one of the following two declarations: 1. I have and will's 4iintain a certificate of consent to self -insure for Worker's Compensation.' provided for by Section 3700 of the Labor Code, for the M1 performance c the work for which this permit is issued. j 2. 1 have and w ,1 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. Date 10/19/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the 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 sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, 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: i. 1 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. 2. 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 permit is issued. a. 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 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. 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. Signature Date 10/19/2016 BLDG —ELECT —PLUMB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: KITCHEN REMODEL MET (135 SF) Sq. Ft Floor Area: l Valuation: $10000.00 "N Number: Occupancy Type: 326 51 008 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. by: Kim Dunbar RF ROOFS: 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. Signature ofApplicant: Date: 10/19/2016 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 agent Date: 10/19/2016 CONSTRUCTION LENDING AGENCY 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 Address ARCHITECT'S DECLARATION understand my plans shall be used as public records. Licensed - CONSTRUCTION PERMIT APPLECAT[ON COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE . CUPERTINO, CA 95014-3255 r (408)77 7-3228 • FAX (488) 777-3333 • buildino(a cuaertino.ora CUPtR—t [NO- ❑ 1\tE-1W CONSTRiCTI01\1 ❑ ADDITION ❑ ALTERATION i TI ❑ Rbt%ISIOI I /DEF I ERRED ORUGh\AL PERMIT r PROJECT ADDRESS OINWER NAJ\-,E \' % PHONE E-? 24TL STREETADDRESS .e- CITY, STATE, ZIP jj F4X CONTACT NjU E d Tx MV Ile I PHONE %�/ d©ell E-1,AjL �'6J ✓ (� f STREETADDRESS I CITY, STATE,, ZIPS FAX OWNER ❑ OW?,-ER-BLILDER ❑ OV7_T'ERAGE.\7 ❑ COA7R4CTOR ❑ COMR4CTORAGENTl ❑ ARCHITECT ❑ ENGLNMER ❑ DEVELOPER ❑ TENANT CONTRACTORNA1,S t6 LICEI\SENUI�BER I LICENS TYPE BUS. LIC COr2:41hYNAJME I / % I -I h I FAX N 4� STREET fiDDRESSs.J (3 d�+P� 7 CITY, STATE, ZIP e { ( 'i— I � �� � Cly' l�.�i I PHONE �� ���� � � l ,✓�,3 / _ ARCHITECT/ENGINEER NA -ME ( I LICENSE NLT4BER BUS. LIC COI ,PANY NMIM E-MAIL FAX STREET ADDRESS I CITY, STATE, 7'1P I PHONE DESCRIPTION OF IYORK / � Qy�V � j, W%o P— EXISTING USE PROPtl aI? USE CONSTR. TIDE -. STORIES - USE TI'PE OCC. SQ.FT. I VALUATION (S) I EXISTG NEW FLOOR DE1A40 TOTAL AREA AREA. AREA I NEI'AREA BATHROO14 KITCHEN - OTHER R -MODEL AREA REMODEL AREA REMODELAREA PORCH AREA DECK ARE.. A TOTAL DECI::PORCH AREA GARAGE AREA: ❑ DETACH t - ❑ ATTACH D'WELLINGLn\9T5: ISASECONDLNI IT �'No ORY SEL GADDED? ADDITION?ND 0NOS PRE -APPLICATION ❑ 9 ES IF 1'ES, PROVIDE COPY OF I PLA\W-rJ\G A : �I PPL NO PLP\NGAPPROVAL IS THE BLDG AN YEST EICHLER HORSE? J ?\0 ;U x s k TOTAL VALUATION: By my signature below, I certify, to each of the following: 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 provided is correct. I have read the Description of\X%ork and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of.Qupef-tino to enter the abov identified property for inspection proposes. SignatureofApplicant/APent: Date: SUPPLEMENTAL RNFORMA . REQUIRED x w New SFD or Muitifalnily dwellings: Apply for demolition permit for r c \ FR F L'\TER I� e.;istina building(s). Demolition permit is required prior to issluance of bulldinp BUILDI\G PL4?i REiTE�4 r penmt for new building. D ELPREss � � PL�� .LnGPL �. REQ IE�3 _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure e x • ❑ sr3�.-D RD � PL>3LIc t� oRls� foml if any HazardousMaterials are beim used as part of this project. � LARGE FIR£ DEPT _.Copy of Planning Approval Letter or Meeting with Planning prior to �P.t LATOR nLj� S��IT4RT submittal of Building Permit application. X x EI\'\IRON\NIENTr1LHEAL°r$ Bldgtpp_2011.doc revised 06/21/11 � � a x..� a � a °'F a I5, — ! "( 1t:ESS: C _ _roc QIDE *Our municipal cods requi m C ��� s���4�� �.����,�$�� u the,cfty to ave a City orcupellino bush s, Hi-xivie, NO BUILDING FINAL OR FINAL OCCUPANCY INSPEVCT, WILL •p SCHWULED UNTIL GENNERAL' WRAC''1'011 ALU RCON ' , ' Ri w CITY U P RTI .L ;$ t -M, lit ushig any t t° t;tt date Pte- se Checkappficable, subcontractors. and conipletc� the ttit1ovy$ t SUBCONTRACTOR1U ES AM � g SS 74, 'abinetsi1k-v--t`:k7 Electrical Ll Excavation Fencing Flooring / Ca ipeting" Linoleum I oi?d Glass ./ Glazing 0 r* r SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(aDcupertino.ora PERMIT CANNOT BE FINALED UNTIL THIS CERTIFICATE .HAS BEEN COMPLETED, &ICAM AND RETURNED TO THE BUILDING DIVISION PURPOSE � fiscc'i�9 This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION ---.Existing single-family and multi4amily dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420 6 and shall be approved by the Office of the State Fire Marshal. Power Supply In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access.by means of attic, basement or crawl space. Refer to CRC Section R314 and -CBC Sections 907.2.114 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms specified below have been tested and are operational, as of the date signed below --ii� Address. _�-10 I S we- � ay, �'T Permit No. Specify Number of Alarms: # Smoke Alarms. # Carbon Monoxide Detectors �, l have read and agree to rnmnly with the tPrm-c anri nnnrlitinno of rhi� Owner (or Owner Agent's) Name- - m Signature 2 / te: -/ Con act Name: Signature Lic.# Date: Smoke and COfwm.doc rerised 09/27116