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09030064 CITY OF CUPERTINO BUILDING DIVISION PERMIT GdlTRAQ I� RTI� r BUILDING ADDRESS: PERMIT NO. 7917 RAINBOW DR GIA CONSTRUCTION INC 09030064 OWNER'S NAME: PERMIT I%IE DATE 1NE: SXNIYA CONTROL NO. (408) 8!)8-6316 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH O p LICENSED CONTRACTOR'S DECLARATION IUM I hereby affirm that I am licensed under provisions of Chapter 9(commencing Job Description V with Section 7000)of Division 3 of the Business and Professions Code.and my license is � y in full force and effect GAS SUPPLY & ELEC OUTLET INSTL A NEW GAS j Z License Class Lic.0 C—a DateContractor FIREPLACE '' ARCHrrFCTS DECLARATION g',•j l understand my plans shall be used as public records Dw< 4 w0 y Licensed Professional n y OWNER-BUILDER DECLARATION `g I hereby affirm that I am exempt from the Contractor's License Law for the COO following reason.(Section 7031.5,Business and Professions Code:Any city or county .4,�,V6 which requires a permit to construct,alter,improve,demolish,or repair any structure Z prior to its issuance,also requires the applicant for such permit to file a signed statement F_ that he is licensed pursuant to the provisions of the Contractor's License law(Chapter 9 Sq.Ft.Floor Area Valuation X t- (commencing with Section 7000)of Division 3 of the Business and Professions Code)or 4 O O 0 y .. that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by arty applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type not more than five hundred dollars($500). 36210009 . 00 ❑L 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 and Professions Code:The Contractor's License Law does not apply to an owner of Required Inspections property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements are not intended or offered for sale If, however,the building or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li- ccuse Law does not apply to an owner of property who builds or improves thereon.and, who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law.n ❑lam exem under Sec B&P for this reasons Owner /(—,) Date 'f� OR S TION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's Compen- ..aeon,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑1 have and will maintain Worker's Compensation Insurance,is required by Section 3700 of the or Code,Cor a pe arse of the work for which this permit is issued. My Worker o pe on ns nee c frier and Polity number are: Cartier. Policy No.: tUpTiqrE O OM WORKERS' OMPEN AT ION INSURANCE (This section need not be completed if the permit is for one hundred dollars($100) or less.) I certify that in the performs of the wor or w 'ch is permit is issued,l shall not employ any person in any man m wb o the Workers,Compensation Laws of California Date Applicant NOTICE TO APPLICANTkf,after A&Wthis Certificate of Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code.you must ,J O forthwith comply with such provisions or this permit shall be deemed revoked. Z'~ CONSTRUCTION LENDING AGENCY Fr C,O) I hereby affirm that there is a construction lending agency for the performance of lYi> the work for which this permit is issued(Sec.3097,Civ.C.) QWt Q Lenders Name Z L.cndees Address U C) 1 certify that 1 have read this application and state that the above information is LL cortocL I agree to comply with all city and county ordinances and state laws relating to Vbuilding construction,and hereby authorise representatives of this city to enter upon the Uabove-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 in any way accrue against said City U Z in consequence of the granting of this permit. APPLI Nr UNDER ANDS AND WILL COMPLY ALL NON-POINT Issued b): Date C SOUR REGULATI S. � �D Re-roofs Signat lican Date H DOUS ATERIA ISCLOSURE Type of)'LOOf ill the applican or future building occupant atom or handle hazardous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Code.Section 25532(a)? ��CCC''' All roofs shall be inspected prior to any roofing material being installed. ❑Yes �p.o 1\k If a roof s installed without first obtaining an inspection,I agree to remove Will the applicant or rutu building occupant use equipment or devices which .t hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. .strict? ❑Yes No 1 have read the hazardous rials requirements under Chapter 6.95 of the Califor- nia Health&Safety Code,Sections 25505,25533 and 25534.1 understand that it the building docs not curie LI have a tenant,that it is respo 'bility to notif occ an of the requirements h must b an r cc ,trate or p Signature of Applicant Date All roof coverings to be Class"J `r or better Owner or aud6AJ4g1 are oqo�, 00 (pq mr., CITY OF ..UPERTINO CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN # 3 Y) 0 ()0 9 - '00 Date: _ _ �,C/ Building Address: ��IRcayiboJ Dr �E&jjc C f� ,Mailing Address (if diffe/rent from building address): / ' Owner's Name: J Phone#: HOA: (Exterior work only) Yes ❑ No ❑ ��-q7 If yes, provide letter from HOA Contractor: � Phone: � / Fax: Xv Contractor License #: t Cupertino Business License#: ��2— Contact: Phone: rail GL � U `T "7 Fax: Residential Commercial ❑ Job Description: 'o tBuilding Permit Info: Bldg 0-'- Elect a/ Plumb Mech 1,9" Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT,V-.3 [CLQ- R ,7 Valuation: �6T-U , Square Footage: Project Size: Express Standard ❑ Large 1] Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist & attach it to the application or if applicable, include in plan set & the sheet index. 'oints Achieved: For help, contact Build it Green at www.builditp_reen.or Revised 02/05/09 aFt CITY OF CUPERTINO CITY OF GENERAL BUILDING APPLICATION CUPEkTlNO FEE SCHEDULE Quantity/Sf Fee ID Fee Description Fee Permit Type Group 1GENRES or 1GENCOM 1STUCOAP Stucco Applications (up to 400 sf) B additionz 1 stucco application 1 WINREP Replacement windows/sliding glass B door (ea 8 windows) 1 WINMEWSTR New Window-structural shear B wall/masonry (includes plan ck fee) 1EPERMITFEE Electrica, Permit Fee E 1 MPERMITFEE Mechani,;al Permit Fee M 1 PPERMITFEE Plumbing;Permit Fee P 1 ELCPLNCK Stand Al ane Electric Pln Ck (hourly) E 1 MECPLNCK Stand Al)ne Mechanical Pln Ck (hrly) M 1 PLMBLNCK Stand Al)ne 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 1 BCBSC Cal Bldg Standards Commission Fee B ALL PERMIT TYPES 1 BSEISMICR Seismic Itesidential B 1 BSEISMICO Seismic Commercial B 1 TRAVDOC Travel & Documentation B 1BUSLIC Business License B 0-v Com /3�zcAi (ZEee P 5 of 5 Community Development 10300 Torre Avenue a,1 Cupertino CA 95014 Telephone(408)777-3228 CITY Of Fax(408)777-3333 -,UPEkTINO Building Department JOB ADDRESS: ` abo24A , PERMIT # O� U (P 0 OWNER'S NAME: C1 PHONE # GENERAL CONTRACTOR:` FAX # I am not using any subcontractors: c-ignature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner o tractor Signature Date Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408)777-3228 Fax: (408)777-3333 Building Department Subject: Re-roofing policy for the City of Cupertino 1. Prior to permit issuance,you must agree to comply with 2007 IBC Standards and manufacturers specifications on:-e-roofing.All roofs are Class "A"per Cupertino municipal code 16.04.080. 2. New roof coverings shall not be appLed without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the building inspector when the re-roofing is completed. 3. All roofs shall be inspected prior to a1y roofing installation. 4. To receive a final sign off from the City,the following steps are required: 1) Pre-inspection and/or tear off apFroval. 2) In-progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. 5. If plywood is installed,a plywood nail inspection is required. 6. Any roofing which is applied without first obtaining an inspection, will require the removal of all new material down to the sheathing, so a proper City inspection can be performed. 7. NOTE: If you call for a plywood nail inspection and the job is not ready, you will be charged a re-inspection fe e of$176.18. The re-inspection fee must be paid before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/ "per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: /sill/ Job Site Address: Roofing Company Name: S�r U I ,`, Applicant's Signature: Date: r Greg Casteel Building Official Revised 07/30/08