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Home My WebLink AboutB-2017-1387(110 7 N ran p �h G iL. u O C n Q•G. ti `r! w' .�, n w C p n ro GG04 ro rD i I 0a m :D rn(D ru `C N ] H r4 n CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1387 10521 STOKES AVE CUPERTINO, CA 95014-1234 (326 48 034) ALTS CONSTRUCTION & REMODELING INC SAN JOSE, CA 95129 OWNER'S NAME: DATE ISSUED: W/19/2018 OWNER'S PHONE: PHONE NO: ( LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lid. 9909423 Contractor AI I'S CONSTRUCTION & REMODELING INC Date 01/31/2020 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 or the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of pert ury one of the following two declarations: r, 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. fava and will maintain Worker's Compensation hr onance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPI.I ANT CFR7'INICATION 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 slate 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 9.1 S. Signature Data 08-20-2018 OWNER -BUILDER DECLARATIO I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: r. 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) z. I, as owner citric pmpcay, am exclusively contracting with licensed contractors to construct the project (Sm.7044, Business & Professions Code). 1 hereby affirm under penalty of perjury one of the fallowing three declarations: 1. I have and will maintain a Certificate of Consein to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance attic work for which this permit is issued. z. 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. I. 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 certificote of exemption, I become subject to the Worker's COnipensation 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. Date 08-20-2018 BLDG X ELECT —PLUMB MECH X RESIDENTIAL COMMERCIAL. JOB DESCRIPTION: REV#1-CONVERSION OF COVERED BALCONY PER APPROVED PLANS TO NOW CONDITIONED SPACE- (N) I ST STORY ADDITION (247 SQ FT); (N) PORCH (26 SO FT); (N) 2ND STORY ADDITION (761 SO FT) WITH BALCONY (65 SO FT); REMODEL OTHER (670 S.F.); REMODEL BATHROOM (151 S.F.); REMODEL KITCHEN (179 S.F.); PANEL UPGRADE (200 AMP); RELOCATE FURNACE IN ATTIC; RE -ROOF (1700 S.F,); FULLY SPRINKLER BLDG; DEMOLISH SHED AND HOT TUB, Ft Floor Area; 1008 1 Valorous.: $300000.00 APN Number: Occupancy Type: 32648 034 R-3 (Custom) PERMIT EXPIRES IF WORI{ IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. its roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Appll Date: 08-20-2018 ALL 1200E 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, &citrus 25505, 25533, mid 25534. 1 will maintain compfirmea with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(s) should I store or handle hazardous material. Additfanally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Alr Quality Management District 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Cede, Sectionss�25505, 25533, and 25534. Owneror 8-authorized agent: --t'' �� ri . Date: 08-20-2018 CONSTRUCTION LE INC 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, Clv C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION understand my plans shall be used as public records. CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1397 10521 STOKES AVE CUPERTINO, CA 95014-1234 (326 48 034) ALPS CONSTRUCTION & REMODELING INC SAN JOSE, CA 95129 OWNER'S NAME: DATE ISSUED: 01/19/2018 OWNER'S PHONE: PHONE NO: ( LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #909433 Contractor ALl'S CONSTRUCTION 8 REMODELING INC Date 01/31/2018 X BLDG X ELECT _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: (N) 1ST STORY ADDITION (247 SQ FT); (N) PORCH (26 SQ FT); (N) I hereby affirm under penalty of perjury One of the following two declarations: 2ND STORY ADDITION (761 SQ FT) WITH BALCONY (65 SQ FT); 1. I have and will maintain a certificate of consent to self -insure for Worker's REMODEL OTHER (670 ST.); REMODEL BATHROOM (151 S.F.); Compensation, as provided for by Section 3700 of the Labor Code, for the REMODEL KITCHEN (179 S.F.); PANEL UPGRADE (200 AMP); performance of the work for which this permit is issued. RELOCATE FURNACE IN ATTIC; RE -ROOF (1700 S.F.); FULLY I have and will maintain Worker's Compensation Insurance, as provided for by SPRINKLER BLDG; DEMOLISH SHED AND HOT TUB. Section 3700 of the Labor Code, for the performance of the work for which this Sq. Ft Floor Area: 1008 Valuation: $300000,00 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 bullding construction, and hereby authorize 32648 034 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 ag ainst said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, t a Picard underps nds and will comply with all non -point source regula n pertheCJJ0 ino Munlclpa d&reaction 9.1a. � 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 9 0 Issued by: Abby Ayende Date: 01/19/2018 OWNER DECLARATION -BUILDER I hereby affirm that I am exempt from the Contractor's License Law for one of file RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed If a roof is 1. 1, as owner of the properly, or my employees with wages as their sole installed without fast obtaining an inspection, I agree to remove all new materials for compensation, will do die work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. 1, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 1 1 2018 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 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, 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 permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. 1 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 fire Cupe FFino Municipal Code, Chia far.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Cod Sec�lons 25505, 25533, and 25 34. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 91l1 /2018 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 9.1 B. I understand my plans shall be used as public records. Signature Date 111912018 Licensed Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1387 10521 STOKES AVE CUPERTINO, CA 95014-1234 (326 48 034) ALI'S CONSTRUCTION & REMODELING INC SAN JOSE, CA 95129 OWNER'S NAME: OWNER'S PHONE: LICENSED CONTRACTOR'S DECLARATION License Class B Lic. #909433 ContractorALI'S CONSTRUCTION & REMODELING INC Date 01/31/2020 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: t. 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. 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 08/31/18 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: t. 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: t. 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. 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 08/31/18 DATE ISSUED:01/19/2018 PHONE NO: ( BUILDING PERMIT INFO: X BLDG X ELECT —PLUMB X MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REV#1-CONVERSION OF COVERED BALCONY PER APPROVED PLANS TO NOW CONDITIONED SPACE- ISSUED 8/31/18 (N) 1ST STORY ADDITION (247 SQ FT); (N) PORCH (26 SQ FT); (N) 2ND STORY ADDITION (761 SQ FT) WITH BALCONY (65 SQ FT); REMODEL OTHER (670 S.F.); REMODEL BATHROOM (151 S.F.); REMODEL KITCHEN (179 S.F.); PANEL UPGRADE (200 AMP); RELOCATE FURNACE IN ATTIC; RE -ROOF (1700 S.F.); FULLY SPRINKLER BLDG; DEMOLISH SHED AND HOT TUB. Sq. Ft Floor Area: 1008 1 Valuation: $300000.00 APN Number: Occupancy Type: 326 48 034 1 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: 01/19/2018 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: 08/31/18 ALL ROOF COVERINGS TO BE CLASS "A" 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 agentA �: Date: 08/31/18 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 Professio