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08010026 CI RUI�l c DPERONNo PERMIT ANF91 h PERMITNO. aulLDf�+r�rI,tfssCRICKET HILL RD AMERICAN,VISION WINDOWS INC 08010026 OWNER'S NAME: - - - PERMIT LSSUEDATE ' ANYA 'RICE 1050 E DUANE AVE #H 01/04/2008 NE: - SANITARY NO. CONTROL NO. (408) 617-0901 ARCHITECT/ENGINEER:. - - BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 O p LICENSED CONTRACTOR'S DECLARATION lob Descriptiontil FF 1 hereby affirm Nal 1 am limrmN under pmvoions or Clmpmr 9(commencing U wiNScnion7")ofOivlxion3afNceualnevmdPrafcssinnsCode.aralmylkenseis REPLC WINDOWS & GLASS DOOR, LIKE 4 LIKE a in full force and effect. on 1 z License Class Lie.B 7a Dam Contractor ARCHITECTS DECLARATION 19, 1 understand my plans shall Ile used u public records a 'a Licensed Professional OWNER-BUILDER DECLARATION 6 E 1 berehy affirm that I am exempt from the Conuacmra License Law for Ne .C o following mason.(Section 7031.5,Business and professions Code:Any city or county t m which mquirce a permit in construct,alms Improve,demolish,or repair any stmetum poor at its issuance,also requires the applicant for such permit to flc asigned sutemem e that he is banned Pursuam to the provision.(Ne Convector's License Law(Chapter 9 -SG.FI.FIOOf Area Valuation e1— (commencing with Section 7000)of Division 3oftheBusiness and professional Cade)ur $6489 d R S that he is exempt therefrom and the basis for the alleged excerption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicanuo a civil penalty of �ppy t Number Occupancy Type not mote than five hundred dollars($500). 3 4 2 410.3.3`.'�V 0 1,or owner of Ne property,or my employees with wages as their auto compensation, will do the work and the sentience is not intended or offered fonale(Sec.7044,Bualnesss Required Inspections and Professions Cade:The Contractors Liana es Law donot apply m s e an ownof 9 p property who builds orimproves thereon,and who doessuchwork himself orthrough his own employees,provided that such improvements an,not intended uolfcred for awe.If. however,the building or improvement is sold within one year of compmdan.due owner. builder will have the burden of proving that M did Out build or improve for purpose of sale I. ff I,as Owner of On pmpeNy.am exclusively cenaaclug with licensed mnaacmn Is construct dm protect(Sec.7044,Business and Professions Cade)The CmOxcmes;Li. cane law does not apply to an owmer of property who builds or impresses dmreon.and who contacts for such projects with a contractor(s)licensed pursuant in Ne Conuossuies License Law. ❑I was exempt under See .B&PPC for /th�is�ma/O Owner Data WORKER'S COMPENSATION DECLARATION I hereby affirm under Penalty of perjury one of the following declarations. have and will maintain a Cenifiwm ofC.mont to sel6insure for Warke'sCompen- n,,u provided for by Section 3700 of the labor Cade,fm the performance of the work for which this permit is issued. 0 1 have and will maintain Worker's Compensation Insurance,as required by Suction 3700 of Ne labor Code,for Ne performance afire work for which this permit is Wood. ' My Worker's Compensation Insurance mmicr end Policy number am: Cartier: Policy No.: _ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thu section need oat he completed blitz Permit is foronc hundred dollars(g IBM or less.) I coldly Net I.she perfmmance of Ne work for which this permit Is issued,l shall nm employ any person in any mumberso ra In Wcome subject in the Workers'Comperoation Laws of California.Date Apple NOTICE TO APPLICANT:'If,after making this Cer ificare of Exemption,you should become subject he the Worker's Compensation provisions of the labor Cad,you must ,J Q forthwith comply with such provision or this permit shall he deemed revoked. CONSTRUCTION LENDING AGENCY prti l herehy affirm that there is a construction lending agency for the performance of to work for which thin permit is issued(Sec.3097,Civ,C.) AUnder'.Name , CL z Lender's Address J Q 1 certify that 1 have read this application and nam Nat the above information is ly F torten.l agree to comply with all city and county ordinances and state laws totaling to 0 V building conswction,and hereby autborwe reVmsenmivesof this city to enter upon the shove-aumioncd PmPeny for incudo.Purpose s. (We)agree to save,indemnify and keep hound.the,City ser Cupertino agues, rHs rn Iiabilides,judgmcma.cemi al expemes which may in anyway se. galmLissid City U in consaqucncc of the goading of this Permit. s--r APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Dale --•b' f SOURCE REGULATIONS. -� ^ VZOLOY- Re-roofs Signuum of A,IicanVC.mrumr Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Wit)Ne applicant or future building accupmtmore or handle ha'urdous manual! n derined by the Cupertino Mum e' at Code.Chapter 9.12.and the Health and Safety Cale,Section 25532(c)? ❑Yes No All roofs shall be inspected prior to any roofing material being installed. W)11 the applicant or mdevices tum building Occupant use equipment or deviwhich If a roof,is installed without first obtaining an inspection,I agree to remove I ha alms atm correction nu ayJefrncJ by the Bay Ama Alf(bmAryManagement all new materials for inspection. men ❑Yes Nu I have real Ne hmardrws materials mquimmeam umkr Chupmr6.95 of the Califon ria Habib&Safety Cede,Secuon25M5.25533 and 25539.1 undcmand Nmifthe building Joos not cuncody have a on sat.that it is my responsibility to notify the occupant of the requirements which most metpdormiasua ora Ce r.-amoroccupancy. Signature of Applicant Date alW All roof coverings to be Class"B"or better Owner or autharircd agentDam CITY OF CUPERTINO CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM APN# Date: Building Address: Z3037 crime Aylj P , et�,h'�-p. C/fi �6,01v Mailing Address (if different from building address): Owner's Name: Phone#: 4 �2ic� yaaf- 255- 6V33 Contractor: Phone: t�DF, 6 17—0.7 01 A- M evicao �isioy GU�hJorvs Fax: 7Ya8 - 617-©qo5 Contractor License#: 7 78,32,b Cupertino Business License#: ��6Y • Contact: A A ,[eV, P1714 6,V- Phone: Fax: Residential Commercial Job Description: lv t Gtdvw.l' Building Permit Info: Bldg qlJ ' Elect ❑ Plumb ❑ Mech ❑ Type of Construction(Usage Class): Occupancy Type: 1 FR, 11FR ❑ 11, 111, V-1HR ❑ 11, 111, 1V V-N E (L— f� Valuation: 6Vg� Square Footage: Project Size: Standard ❑ Large ❑ Major ❑ • CITY OF CUPERTINO CUPEkTINO GENERAL BUILDING • PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type �,�,, nQLq ��►rN" ` f`, Group 1GENRES or p IGENCOM 1BBOILERI For the installa gon or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h 29.31cw 1BBOILER2 Installation/relocation of ea M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption ss over 100,000 Btu/h 11313OILER3 Installation/relocation of ea M boiler/compressor over 15 horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower • to & incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h 1 BBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1 BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. 1 ELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspcctions'(per M hour) 1PLMBINSP Other Plumbing & Gas Inspections P (per hour IMEETINGIHR Application Meeting B • Gt CITY OF CUPERTINO CUPEkTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM ACOUSTICAL REVIEW 1ACOUSFDW SFDWL/Duplex New B IACOUSRESAD SFDWUDuplex-Addition/Alteration B IACOUSCOM Multi-Family/Commercial B CHIMNEY'S 1 CHIMNEY Chimney B 1 CHIMNEYR Chimney Repair B FENCES 1FENCE>6FT Non-masonry, over 6 ft in height B 1FENCEMAS>6 Masonry, over 6 ft in height B FIREPLACES 1FIREPLMAS Fireplace Masonry B 1FIREPLFAB Fireplace Pre-Fabricated/Metal B 1FLAGPOL>20 Flag pole (over 20 ft in height) B 1MODUSTRU Modular Structures B FOUNDATIONS 1FOUNDREP Foundation Repair B 1PILECAST Pile Foundation Cast in place concrete B 1PILEDRIV Pile Foundation Driven (steel, pre- B stressed concrete 3 of 5 CITY OF CUPERTINO CUPEf�TINO GENERAL BUILDING APPLICATION FEESCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM RETAINING WALL(CONCRETE OR MASONRY 1RETSTN Standard (up to 50 ft) B IRETSP310 Special Design, 3-10' high (up to 50 `) B IRETSP10 Special Design, over 10' high (up to B 50' 1RETCRB< Gravity/Crib Wall, 0-1 O'high (up to B 50 ft iRETCRB> Gravity/Crib Wall over 10' high (up to B 50 ft SIDING ISIDESTBK Siding, Stone & Brick Veneer B interior/exterior • l SIDEOTHER Siding all other B SKYLIGHTS 1SKYL<10 SF Skylight less than 10 sf B I SKYL>10SF Skylight greater than 10 sf or B structural 1STAIRS Stairs-first flight/ea addt'l B STORAGE RACKS 1 SRACKS<=8 Storage Racks 0-8' high (up to 100 so . B 1 SRACKS>8 Storage Racks over 8' high (up to 100 B st 1STUCOAP Stucco Applications (up to 400 so B additional stucco application 4of5 - CITY OF CUPERTINO CUPERTINO GENERAL BUILDING APPLICATION FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1 WINREP Replacement windows/sliding glass B door (ea 8 windows / 1BSEISMICR Seismic Residential B 1BSEISMICO Seismic Commercial B IEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P lELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck (hrly) M 1PLMPLNCK Stand Alone Plumbing Pln Ck (hrly) P 1 STPLNCK-(3 Hr Min Standard Plan Check (when no E/M/P) B when not over counter) hourly-stand alone 1TRAVDOC Travel &Documentation B 1BUSLIC Business License B • 5of5 CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 34241033 . 00 DATE ISSUED. . . . . . . : 01/04/2008 RECEIPT #. . . . . . . . . : BS000003618 REFERENCE ID # . . . : 08010026 SITE ADDRESS . . . . . : 23037 CRICKET HILL RD SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ANYA RICE ADDRESS . . . . . . . . . . : 23037 CRICKET HILL RD CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2636 RECEIVED FROM . ANYA PERTSOVA RICE CONTRACTOR . . . . . . . : WILLIAM ROMANO HERREN LIC # 26864 COMPANY . . . . . . . . . . : AMERICAN VISION WINDOWS INC ADDRESS . . . . . . . . . . : 1050 E DUANE AVE #H CITY/STATE/ZIP . . . : SUNNYVALE, CA 94085 TELEPHONE . . . . . . . . : (408) 617-0901 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ------- ------ 1BSEISMICR VALUATION 6, 489. 00 0 .70 0. 00 0.70 0. 00 1WINREP EACH 8 1. 00 367 . 00 0. 00 367 . 00 0. 00 ---------- ---------- --------- -- TOTAL PERMIT 367 .70 0. 00 367 .70 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CHECK 367 .70 #745 --------------- TOTAL RECEIPT 367 .70 De Anza Oaks Homeowners Association • �lArchitectural Application NAME OF OWNER (S): 940, R / G12 ADDRESS OF HOME: 230 3 7 Cr-1`0k-a �' Q P4 UNIT # 166 TELEPHONE NUMBERS: (H) YOe-z5S-6Y37 (W) p�9-976-6109 GENERAL DESCRIPTION OF PROPOSED WORK: w s cr Luh CONDITIONS OF APPROVAL: Applicant understands and agrees that this Application does not fulfill all of the conditions and requirements for an approval. In addition to this completed"Architectural Application"form,the applicant must submit to the Architectural Committee drawings and specifications showing the nature,kind,shape,height,materials and locations of the proposed architectural alteration. The submission must be in writing. The Architectural Committee may require additional information as it deems necessary to make a decision. Until all information is submitted to the committee,the application will be deemed to be incomplete and the application will stand disapproved. Applicant further understands and agrees that in the event that the modification is approved by the Committee that they may impose"Special Conditions"of construction and maintenance on the approval of the Application. Any special conditions shall be attached and be a part of the approval. Any deviation from the approved plans specifications or special conditions will cause the permit to automatically terminate and become null and void. Applicant understands and agrees that if applicant fails to conform to each requirement then applicant authorizes De Anza Oaks Homeowners Association to have the work brought into conformance with approved plans, specifications and special conditions. Applicant further understands and agrees that all costs incurred by the Association as a result of bringing said work into • compliance will be a personal obligation of the owner. Such costs shall include the costs of construction, reconstruction,administration,fees,attorney Ices,experts and consultants charges, and court costs, if incurred. It is also agreed that no work will(1)be initiated which will be a violation of any of the provisions of the Association's Declaration of Covenants,Conditions and Restrictions or any applicable building code,(2)be an annoyance to any resident;or(3)increase the cost of insurance maintained by the Association. It is further agreed that, in the event the application is approved,all maintenance,repair or replacement of the approved item will be the sole responsibility of the lot owner,and further that any expense incurred by the Association that is the direct or indirect result of the approved change shall also be the sole responsibility of the lot owner. All work shall be initiated with consideration of the terrain,slope,esthetics,time and noise considerations. Applicant understands that all necessary permits and approvals from applicable governmental jurisdictions are the sole responsibility of the applicant and that Committee approval of this application is subject to the applicant receiving all such necessary permits and approvals. Applicant agrees to use licensed and insured contractors for any and all installations or to make the Architectural Committee aware when this is the exception. Applicant agrees to notify the Architectural Committee upon completion of the project so the Committee may inspect and determine compliance with each and all of the conditions of approval of the application. THE UNDERSIGNED AGREES TO THE ABOVE CONDITIONS 5t CC— DATE: 12-6 —07 Homeowner's Signature \X' FOR COMMITTEE I USE ONL Approved \\ Denied Datc \� Y3 Y: S',f�p� • �..��-� ��� � 3�1G� I � 2 `�LkaCk �ccf�M�