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B-2016-3047 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-3047 10206 AVOCADO PL CUPERTINO,CA 95014-3323(369 09 015) GREENCOAST CONSTRUCTION GROUP INC SAN JOSE,CA 95119 OWNER'S NAME: CHEN YULIN DATE ISSUED:06/16/2017 OWNER'S PHONE: PHONE NO:(650)222-2285 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO. License Class B Lic.#982117 Contractor GREENCOAST CONSTRUCTION GROUP INC Date 03/31/2019 X BLDG X ELECT X PLUMB X 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 ENCLOSE ENTRY(50 S.F);ADD(N)COVERED PORCH(59 S.F), I hereby affirm under penalty of perjury one of the following two declarations: REPLACE ALL WINDOWS(TO MEET EGRESS/TEMPERED PER 1. I have and will maintain a certificate of consent to self-insure for Worker's CODE);PARTIAL REMODEL/RECONFIGURE 1,394 S.F OF(E)SFD Compensation,as provided for by Section 3700 of the Labor Code,for the (BOTH FLOORS);UPGRADE PANEL TO 200AMPS •erformance of the work for which this permit is issued. REV#4-FIRE SPRINKLERS REQUIRED-04/26/2018 z., have and will maintain Worker's Compensation Insurance,as provided for by REV#3-NEW SIDING ALL AROUND-(3350 SF);CONVERT(27 SF) _Section 3700 of the Labor Code,for the performance of the work for which this OF GARAGE TO LIVING SPACE:ADD(2)NEW WINDOWS FAMILY permit is issued. ROOM,INSTALL (N)HVAC,INSTALL(21)RECESSED LIGHTS , /� APPLICANT CERTIFICATION THROUGHOUT,INSTALL TANKLESS WATER HEATER-ISSUED I ce ify an h ve r ad this application and state that the above 3/26/2018 information is correct.I agree to comply with all city and county ordinances REV#2-TEMPORARY POWER POLE(100 AMPS)-ISSUED and state laws relating to building construction,and hereby authorize 10/25/2017 representatives of this city to enter upon the above mentioned property for REV#1 -ADDITIONAL POINT LUCID PIERS UNDER RAISED inspection purposes. (We)agree to save indemnify and keep harmless the FLOORS-ISSUED 9/20/2017 City of Cupertino against liabilities,judgments,costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,tie applicant undeit n• end will comply with all non-point Sq.Ft Floor Area:50 Valuation:$250000.00 source reg ati.ns per the Cupn. unicip..l Code,Section 9.18. Si„ ature \ Date 04/26/2018 APN Number: Occupancy Type: 369 09 015 R-3(Custom) OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the PERMIT EXPIRES IF WORK IS NOT STARTED following two reasons: WITHIN 180 DAYS OF PERMIT ISSUANCE OR 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 180 DAYS FROM LAST CALLED INSPECTION. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Issued by:Abby Ayende contractors to construct the project(Sec.7044,Business&Professions Code). Date: 06/16/2017 I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self-insure for Worker's RE-ROOFS: Compensation,as provided for by Section 3700 of the Labor Code,for the All roofs shall be inspected prior to any roofing material being installed.If a roof is performance of the work for which this permit is issued. installed without first obtaining an inspection,I agree to remove all new materials for 2. I have and will maintain Worker's Compensation Insurance,as provided for by inspection. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Signature of Applicant. 3. I certify that in the performance of the work for which this permit is issued,I Date:04/26/2018 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 ALL ROOF COVERINGS TO BE CLASS"A”OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the APPLICANT CERTIFICATION California Health&Safety Code,Sections 25505,25533,and 25534. I will I certify that I have read this application and state that the above information is maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the correct.I agree to comply with all city and county ordinances and state laws Health&Safety Code,Section 25532(a)should I store or handle hazardous relating to building construction,and hereby authorize representatives of this city material. Additionally,should I use equipment or devices which emit hazardous to enter upon the above mentioned property for inspection purposes. (We)agree air contaminants as defined by the Bay Area Air Quali Management District I to save indemnify and keep harmless the City of Cupertino against liabilities, will maintain compliance with the Cupertino Municip.00o.• Chapter 9.12 and judgments,costs,and expenses which may accrue against said City in the Health&Safety Co. ections 25505,2 e33 and 25534. consequence of the granting of this permit. Additionally,the applicant understands , and will comply with all non-point source regulations per the Cupertino Municipal tier authorized agent: - Code,Section 9 18 f7 •te. 04/26/2018 CONSTRUCTION LENDING AGENCY Signature Date 04/26/2018 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) CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-3047 10206 AVOCADO PL CUPERTINO,CA 95014-3323(369 09 015) GREENCOAST CONSTRUCTION GROUP INC SAN JOSE,CA 95119 OWNER'S NAME: CHEN YULIN DATE ISSUED:06/16/2017 OWNER'S PHONE: PHONE NO:(650)222-2285 • LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#982117 • Contractor GREENCOAST CONSTRUCTION GROUP INC Date 03/31/2019 x BLDG X 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: • ENCLOSE ENTRY(50 S.F.);ADD(N)COVERED PORCH(59 S.F.); I hereby'affirm under penalty of perjury one of the following two declarations: REPLACE ALL WINDOWS(TO MEET EGRESS/TEMPERED PER 1. I have and will maintain a certificate of consent to self-insure for Worker's CODE);PARTIAL REMODEL/RECONFIGURE 1,394 S.F.OF(E)SFD Compensation,as provided for by Section 3700 of the Labor Code,for the (BOTH FLOORS);UPGRADE PANE,TO 200AMPS ge' ormance of the work for which this permit is.issued. REV#1-ADDITIONAL POINT LUCID PIERS UNDER RAISED I ltsve and will maintain Worker's Compensation Insurance,as provided for by FLOORS-ISSUED 9/20/2017 • (Secti5113700 of the Labor Code,for the performance of the work for which this REV#2-TEMPORARY POWER POLE(100 AMPS)-ISSUED • • permit is issued. 10/25/2017 APPLICANT CERTIFICATION Sq.Ft Floor Area:50 Valuation:$250000.00 I certify that I have read this application and state that the above information is correct)II agree to comply.with all city and county ordinances and state laws relating to building construction,and hereby authorize APN Number: Occupancy Type: representatives of this'city to enter upon the above mentioned property for 369 09 015 R-3(Custom) 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. PERMIT EXPIRES IF WORK IS NOT STARTED Additionally,th- applicant•u •ers nds and will comply with all non-point source regulap '•f r Issued by:Abby Ayende OWNER-BUILDER DECLARATION Date:06/16/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: RE-ROOFS: 1. I,as owner of the property,or my employees with wages as their sole All roofs shall be inspected prior to any roofing material being installed.If a roof is compensation,will do the work,and the structure is not intended or offered for installed without first obtaining an inspection,I agree to remove all new materials for sale(Sec.7044,Business&Professions Code) inspection. 2. I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). Signature of Applicant: I hereby affirm under penalty of perjury one of the following three declarations: Date:10/25/2017 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 ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance,as provided for by HAZARDOUS MATERIALS DISCLOSURE Section 3700 of the Labor Code,for the performance of the work for which this I have read the hazardous materials requirements under Chapter 6.95 of the permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will 3. I certify that in the performance of the work for which this permit is issued,I maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the shall not employ any person in any manner so as to become subject to the Health&Safety Code,Section 25532(a)should I store or handle hazardous Worker's Compensation laws of Califomia. If,after making this certificate of material. Additionally,should I use equipment or devices which emit hazardous exemption,I become subject to the Worker's Compensation provisions of the air contaminants as defined by the Bay Area Air Q 'ty Management District I Labor Code,I must forthwith comply with such provisions or this permit shall will maintain compliance with the Cupertino Mun al Code,Chapter 9.12 and• the Health&Safety Cod• .ections 2551 553 ,and 25534. be deemed revoked. 41,f / APPLICANT CERTIFICATION �ate:10/25/2017 r correct.I agree to comply with all city and county ordinances and state laws CONSTRUCTION LENDING AGENCY relating to building construction,and hereby authorize representatives of this city I hereby affirm that there is a construction lending agency for the performance to enter upon the above mentioned property for inspection purposes. (We)agree of work's for which this permit is issued(Sec.3097,Civ C.) to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Name judgments,costs,and expenses which may accrue against said City in - consequence of the granting of this permit. Additionally,the applicant understands Lender's Address and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. ARCHITECT'S DECLARATION ',understand my plans shall be used as public records. Signature Date 10/25/2017 Licensed CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-3047 10206 AVOCADO PL CUPERTINO,CA 95014-3323(369 09 015) GREENCOAST CONSTRUCTION GROUP INC SAN JOSE,CA 95119 OWNER'S NAME: CHEN YULIN DATE ISSUED:06/16/2017 - OWNER'S PHONE: PHONE NO:(650)222-2285 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class a Lic.#982117 Contractor GREENCOAST CONSTRUCTION GROUP INC Date 03/31/2019 X BLDG X 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: ENCLOSE ENTRY(50 S.F.);ADD(N)COVERED PORCH(59 S.F.); I hereby affirm under penalty of perjury one of the following two declarations: REPLACE ALL WINDOWS(TO MEET EGRESS/TEMPERED PER 1. I have and will maintain a certificate of consent to self-insure for Worker's CODE);PARTIAL REMODEL/RECONFIGURE 1,394 S.F.OF(E)SFD Compensation,as provided for by Section 3700 of the Labor Code,for the (BOTH FLOORS);UPGRADE PANEL TO 200AMPS rformance of the work for which this permit is issued. REV#1-ADDITIONAL POINT LUCID PIERS UNDER RAISED ve and will maintain Worker's Compensation Insurance,as provided for by FLOORS-ISSUED 9/20/2017 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area:50 Valuation:$250000.00 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 369 09 015 R-3(Custom) 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 regula' s per the Cu rtin 1Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. 4ijgure Date 9/20/2017 Issued by:Abb A e fifi Date�___4�( o- OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:. following two reasons: All roofs shall be inspected prior to any`roofing material being installed.If a roof is 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:9/20/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I hive 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:,i I 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 permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3.` 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 shall not employ any person in any manner so as to become subject to the material.Additionally,should I use equipment or devices which emit hazardous 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 Muni 'pal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code ectiions 25 0,,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall / be deemed revoked. 4 caner or authorized agent: APPLICANT CERTIFICATION Date:9/20/2017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct:I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) 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, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Signature• Date 9/20/2017 Licensed Professional • CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-3047 10206 AVOCADO PL CUPERTINO, CA 95014-3323 (369 09 015) GREENCOAST CONSTRUCTION GROUP INC SAN JOSE, CA 95119 OWNER'S NAME: CHEN YULIN OWNER'S PHONE: 408-239-3466 License Class B Lic. #982117 Contractor GREENCOAST CONSTRUCTION GROUP INC Date 03/31/2019 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: 1. I have and will maintain a certificate of consent to self -insure for Worker's y Compensation, as provided for by Section 3700 of the Labor Code, for the J 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 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 6/16/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following 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 property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). ISSUED: 06/16/2017 PHONE NO: (650) 222-2285 BUILDING PERMIT INFO: X BLDG X ELECT —PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: ENCLOSE ENTRY (50 S.F.); ADD (N) COVERED PORCH (59 S.F.); REPLACE ALL WINDOWS (TO MEET EGRESS/TEMPERED PER CODE); PARTIAL REMODEL/RECONFIGURE 1,394 S.F. OF (E) SFD (BOTH FLOORS); UPGRADE PANEL TO 200AMPS Sq. Ft Floor Area: 50 1 Valuation: $250000.00 APN Number: Occupancy Type: 369 09 015 R-3 (Custom) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Abby Ayende Date: 06/16/2017 RE -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 of Applicant: Date: 6/16/2017 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. 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 permit is issued. 3. 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 6/16/2017 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 Co , ections 25505, 25533, and 25534. Owner or authorized agent: Date: 6/16/2017 N 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