B-2018-0231 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-0231
10407 LAS ONDAS WAY CUPERTINO,CA 95014-3107(369 29 041) LIGHTNING
CONSTRUCTION
NAME:Abo-el-ata Hesitant And Shanab Nadia A DATE ISSUED:07/18/2018
OWNER'S PHONE:408-221-9127 PHONE NO:(650)284-8708
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class B Lie.#989168
Contractor LIGHTNING CONSTRUCTION Dale 12/31/2019 X BLDG X ELECT X PLUMB
I herebyform that I am licensed under the t'Chapter 9(commencing X MECH X RESIDENTIAL_COMMERCIAL
a provisions o P (c 6
with Section 7000)of Division 3 of the Business&Professions Code and that my
license Is in full farce and effect. JOB DESCRIPTION:
(N)2ND FLOOR ADDITION(213 SF);(N)2ND FLOOR BALCONY(125
1 hereby affirm under penalty of perjury one of the following two declarations: SF);(N)I ST FLOOR ADDITION(308 SF);(N)1 ST FLOOR PORCH(I 18
r. I have and will maintain a certificate of consent to self-insure for Worker's SF);REMODEL KITCHEN(248 SF);REMODEL BATHROOMS(205
Compensation,as provided for by Section 3700 of the Labor Code,for the SF);REMODEL OTHER(1632 SF);
performance of the work for which this permit is issued. PANEL UPGRADE(250 AMPS)SAME LOCATION;REPLACE WATER
I have and will maintain Worker's Compensation Insurance,as provided for by HEATER(SAME LOCATION),NEW HVAC SYSTEM,RE-ROOF;
Section 3700 of the Labor Code,for the performance of the work for which this TEAR-OFF;COMP SHINGLES(I8 SQ))
permit is issued.
Sq.Ft Floor Area:513 Valuation:$211000.00
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 29 041 R-3(Cost..)
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.
Additionally,the app will comply with all non-point WITHIN 180 DAYS OF PERMIT ISSUANCE OR
source regulations per ie Cupertino Mu Ic pal-Code;Section 9,18, 180 DAYS FROM LAST CALLED INSPECTION.
Signature Date 07/18/2018 Issued by:Jasmine Archbold
Date:07/18/2018
OWNER-BUILDER DECLARATION
I hereby affirm that 1 sin exempt from the Contractor's License Law for one of the RF.-ROOFS•
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
r. 1,us owner of the property,or my employees with wages as their sole installed without first obtaining nu inspection,I agree to remove all new materials for
compensation,will do die work,and the structure is not intended n offered for inspection,
sale(Sec.7044,Business&Professions Code)
z 1,as owner of the property,am exclusively contracting with licensed Signature ofApplicane
contractors to construct the project(See.7044,Business&Professions Code), Date:07/18/2018
I hereby affirm under penalty of perjury one of the following three declarations:
r. 1 have and will maintain a Certificate of Consent to self-insure for Worker's ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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
z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the Iazar(tons materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Corte,for the performance of the work for which this California Health&Safety Cade,Sections 25505,25533,and 25534.I will
permit is issued. m aintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
s. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(x)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
Worker's Compensation laws of California.If,after making this certificate of air contaminants as defined by the Bay Aran Ali-Quality Management District I
exemption,I become subject to the Worker's Compensation provisio ce with the Cupertino My+'pal Code,Chapter 9.12 and
Labor Code,l must forthwith comply with such provisions or this permit shall ilia Health&Safety Cude,Sections 6.505,25533,and 25534.
be deemed revoked. _..---
Owner or authorized agent:
APPLICANT'CERTIFICATION Date:07/18/2018
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 9.18. 1 understand my plans shall be used as public records.
Signature Date 07/18/2018 Licensed
Professional
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2018-0231
10407 LAS ONDAS WAY CUPERTINO, CA 95014-3107 (369 29 041) LIGHTNING
CONSTRUCTION
REDWOOD CITY, CA
94063
OWNER'S NAME: DATE ISSUED: 07/18/2018
OWNER'S PHONE:
License Class a Lie. #989168
Contractor LIGHTNING CONSTRUCTION Date 12/31/2019
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:
n. 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
L9performance of the work for which this permit is issued.
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
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
Section 9.18.
Signature Date 10/9/18
OWNER -BUILDER DECLARATION
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)
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:
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
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 10/9/18
PHONE NO: (650) 284-8708
BUILDING PERMIT INFO:
BLDG X ELECT X PLUMB
MECH X RESIDENTIAL _ COMMERCIAL
JOB DESCRIPTION:
(N) 2ND FLOOR ADDITION (213 SF); (N)2ND FLOOR BALCONY (125
SF); (N) 1ST FLOOR ADDITION (308 SF); (N) 1ST FLOOR PORCH (118
SF); REMODEL KITCHEN (248 SF); REMODEL BATHROOMS (205
SF); REMODEL OTHER (1632 SF);
PANEL UPGRADE (250 AMPS) SAME LOCATION; REPLACE WATER
HEATER (SAME LOCATION), NEW HVAC SYSTEM, RE -ROOF;
TEAR -OFF; COMP SHINGLES (18 SQ))
DEF # 1 - TRUSS CALCS - ISSUED 10/9/18
Sq. Ft Floor Area: 513 Valuation: $211000.00
APN Number: Occupancy Type:
369 29 041 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: Jasmine Archbold
Date: 07/18/2018
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 ofApplicant:
Date:Ol /9/18
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, Sectio s 25 , 25533 25534.
Owner or authorized agent:
Date:01 /9/18
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