The URL can be used to link to this page

03060022pvep,, r aS UE(E 0` �f l U, CITY OF CUPERTINO - ' CONTRACTOR IN lop ATII�N: BUILDING DIVISION PERMIT . r A, v+0�� ' BUILDING ADDRESS: CLEAR OAK DESIGNS PERMIT Na03060022 11073 BEL AIRE CT NEWS NAME: 1723 B ROGERS AVE PERMIT OVMfO3/2003 ,TZEL ALLEND NE:(408)436-54T—B— SANITARY NO. CONTROL NO. ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG "0 o 0 LICENSED CO AMR'S DECLARATION Job Description 1 hereby am, that I am I under provision of Chapter 9 (commencing withS do 70W)af D)vbion 1of usiness and Professions Code. and my license in innull o anderc KITCHEN REMODEL/UPGRADE Lice av �.• Da Con ww P11\1 gas ARCHITECTS DEC ATI .Fll)cx N40 /°'�LED 1 understand my plans shall be used at public mcords S E P 2 2003 d.icanted Professional OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Commences License Law for the following rutin. (Soctior 70313, Businns and Profndous Cade: My city m county . BUILDING which mquims a permit m eensunn, aline. improve. demolish, or mpair my structure ! prior to its Issuance, also requires the .pplleatnfor such permittoriileIsigned MMMCnt Lune Law(Chapter9 Sq. Ft. Floor Area $2OTQIQ14i[IOn Nat he is licensed pursuant to the provialons of the Contractar7 (commencing with Section 7000) of Division 3 of the Business and Pmfessions Code) or that he is exempt therefrom and the bub for the alleged exemption. My viondem of Secdon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Of eruu Occupancy Type nut more dun five hundred dollars, 04004 Q I,uo oftliepmpcm,wmy=ployeeswiNmles a trmle=puwdon. do the work. and theewnum 1. OuOrdendedor Offered for We (Sm. 70th, Eastmana will k and Professions Cod. The Contractor) Licence Law dean not apply man owner of 102 Ulred Inspections - PIER S q p propertywho bulldsor impmmat thescamand wbodoutwhwork himsel(erthuough his 103 - UFER Own employee,, provided thnauah improvements art notintended oroffered for sale. if. humour, the building or improvement is sold within one)ea u(umpleuan, then Owner- 104 — REBAR Wilder will haw den burden of proving that he did ret build a Improve for Purpose or ANCHOR BOLTS 105 — Q 1. as owner of the pmperty, am exclusively contracting with licensed centraemr. to 106 - SEWER Sc WATER convect the project (Sec. 7014. Business and professions Code:) The Consomme, LI - cents Law docs not apply to an owner of properly who builds or Improm desmon. and, 202 — UNDERFLOOR PLUMBING who contracts for such projects with a contractor(s) licensed pursuant to the Contnemr's 203 - UNDERFLOOR MECHANICAL Licence law. Q lam exempt under See .B a P C for this mason 204 - UNDERFLOOR FRAME an Data 205 301 - UNDERFLOOR INSULATION — ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION' I hereby ammt under penalty ofperjury, one of the following declaration,: 302 — TUB & OR SHOWER Q INveaM will malnulnaCeNncate ofConsemmxelf-lusum far WektM1 Camper- 303 - ROUGH MECHANICAL union. of provided for by Section 3700 of the labor Code. for the perfarmana of du wok for which this permit is issued. 304 - ROUGH ELECTRICAL Q 1 haw and will maintain Workers compensation Insurance, m required by Section 305 — FRAME 37 ofth Labor Code, for the performance of me wok for mh this pemsitie lssuN. M°r aCnm naWan lusunnu carrier end Poli rue: .306 — HOEDOWNS ry�" 12 `C� PengNn.: 307 - INSULATION CERriFl NFRANCE ERS' 308 - SHEETROCK COMPENSATION INSURANCE COMPM A71ONI 309 ' - EXTERIOR LATH (Thlssection need not be completed lithe permit is fare= hundreddollm(SIM) mics6) 310 - INTERIOR LATH 1 eenify that In the performance of the work for which this permit is issued, ),hall not 311 - SCRATCH COAT employ any person in tiny muneran u to become subject to the Worker' Compcmadon Laws of Callfomia. Date 313 501 - ROOF NAIL - FINAL ELECTRICAL ENE Applicant NOTICE TOAPPLICANI'.If, after making this Cerineste of Exemption. you Maul) become anbjm to the Woker's Compeusation provisions of de Labor Cade you most 502 - FINAL PLUMBING ENERGY '^ forthwith comply with such provisions or this permit 0,11is, dumcdrewkcd. 503 — FINAL MECHANICAL ENERGY CONSTRUCTION LENDING AGENCY 504 - FINAL BUILDING ENERGY 1 bereby.lftrm that then is a construction lending.gcm7 for de p info m ons of > live work rmwhich lids Permit bauw(se 3Bm,Ci, e.) 505 - FINAL ELECTRICAL LanderaNamp 506 507 - GAS TEST - FINAL PLUMBING Letters Addmu yIcenifythat] bloomed thsapplieationand mtethntheabowlnfomtadohis cmmcL lagoon to comply withall city and county ordinances and sun laws relating m 5 FINAL MECHANICAL building construction, and hereby mtnadxe mp—uuvea of miscky to Order upon the U .bove-mendoned property far inspection purposes 0 9 FIN GRADE 1. (We) agree to taw, indemnify and trtep hsrmleas the City of Cupertino against r7 liabilities, Judgments. eons and expectant which may many way ancoen.galmtaaid city expectantin FIN G consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by51 WORKS Date SO RCE REGULATIONS. Re -roofs Type Of Roof Si of Appncan✓Cerumm, Dam HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future Wilding asupant nom m Nndlc hvudous material U defined by tae Cupertino Municipal Code. Chapter 9.11, and the Health and Safely de, section 25531(a)7 \� All roofs shall be inspected prior to any roofing material being installed. r r If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or Tut m building omupam tae equipment or devices which emit harudnus air onuminanu de0ned by the Bay Area Air Quality Management all new materials for inspection. DiW cl? r Yes No 1 have read the haurdousmadedals requimment, under Chapter G95 orthe Califor- nia HcoIN✓E SofctyCodc, Sccuons25505, 25533 and 25334.1 unOcrnand thatif de building Jana t fitly haw a tenan4 Net h b my rupomihirnmroufy the occupant or Nc require uwhichmlWbemctpdarmissuancoofsclod a .roccupency. Signature of Applicant Date W All roof coverings to be Class "B" or better Owner unwhodsd satire Dau z( w' y I U mai OI UI CITY OF CUPERTINO �,gr `A*16�'" "'VN''�'";k: &r+*aa1z4 "`�0 CNb,�N,�)TkX&COWIl FORMAT.I. BUILDING DIVISION PERMIT BUILDING ADDRESS: CLEAR OAK DESIGNS PFRM1TN003060022 11073 BEL AIRE CT OWNER'S NAME: 1723 B ROGERS AVE PERMIT /2003 TZEL ALLEND NE: (408)436-5448 SANITARY NO. CONTROL NO. ARCHI7EC1'/ENGINEER: BUILDING PERMIT INFO ELECT PLUMB MISCH O O LICENSEDCO AM'SDECLARATION Job Description I hereby affirm Nat 1 ma It under provision of Chapter 9 (rommcnems withtiO 7011a)afDivisl0n3or usinwand NofudomCade,And myficanur in full a arta cffm ww,,A KITCHEN REMODEL/UPGRADE F',VALE® Lice w Lk. M °a `°n ��Na ARCHITECTS DEC ATI SEP 0 2 2003 I understand my Alam shall be used u public rcmrds @s BUILDING DING el-kcnud Pmfceuional OWNER-BUILDERexemptDE Ce ON li I harcby.('firm that 1 Comir License Law for Ibe exempt from the Cssion$ ra�/tV • . o following.i..moon. (Section 1. Business and Profaysiom Code: Any city orcounty 1703. l which Sq. Ft. Floor Area $ 2 O YSaUtion I Sirinytale-Ire JC applicant meal itsisu•permit reuims Char@aImprove,h renin fill pilar m its sucC.Mmrm111a Rl.. Law, law or this denR3 ed paalso n provisions ONE umrs (C i Ihar he is ner, to tel Prof ode) ar (commencing with Sutton sand of Division 3 of al Business ARAM I Professions Code) ter nciaS with Sud 7") of ft Bu Rut io r exempt rhertfrom and bur for Any violation of alleged rxmsent 0 Occupancy Type W for a permit subjects the eppirunt m •mars( pendty of Section 7031.5 by Ory or bj cts red doll not roam Nan Ow hundred dolma (f50a} , ❑ 1, u man, of the property, m my employees with wages u their sale compensation, d theabue isnotin¢ndedaroRemdforsak(SttJOµ Bu Must rwillda theworkanttut And Pmfecalm s Code: The Commutes Limtue Law does ant apply man "net of 102 a ulred Inspections — PIERS q propenywho Wildsor improver Nereemand whodoessuch work himmlforNrough his 103 - UFER own employees. provided that such impruvemcmta ma not Intended oraaered for sale. If. however, the building Or improvement is old within oft year of completion. the owner- 104 — REBAR tel)er will have the burden of proving that be did not Wild or Improve for purpose of 105 ANCHOR BOLTS — 1• u Owner of she property, em eac(usively commuting wish licensed cunhacrora m 106 - SEWER & WATER construct Ne pmjen (Sec. 7014, Business IM PmfcWM$ Cents:) The Contrsamrs U. terms law does not apply m anownu of property who Wilds or Improves Damon, and, 202 — UNDERFLOOR PLUMBING who contracts rarsuch projects with a,antr,.tart) licensed pursuant toNecmttranmra 203 - UNDERFLOOR MECHANICAL License Law. E]I ma exempt under See .B At PC fm this moron 204 - UNDERFLOOR FRAME Owner Date 205 - UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION' 301 — ROUGH PLUMBING 10 I hereby Affirm under Penalty of perjury am of Ne following decimations: 302 — TUB & OR SHOWER ❑Ihave and will maintain aCe"Rosm arcorwan to self-Insum for WmkcrsCompen- 303 — ROUGH MECHANICAL noon, as provided far by Section 37M of Ne labor Code. for the perfonname of no work far which thin permit is issued. 304 - ROUGH ELECTRICAL ❑ I have and will maintain Workers Compensation Imorm cx, as required by Section 305 — FRAME 37 Of LAW, Cod,, far the pirformanccof Ne work forAlen this permit r issued. M r s Cam nudon Imamnm camas fid Poli r art: Y Pc 306 — HOEDOWNS urrl cihl,2 9R€C� PaneyNa.: 307 - INSULATION CERTIFICATE OFEXFMP`nON FROM WORKERS' 308 - SHEETROCK COMPENSATION INSURANCE 309 - EXTERIOR LATH (Tar=I. maximal be completed irate permit rfmam h.WimidaBw(SIM) mlesa) 310 - INTERIOR LATH I eemfy that In the performance of the work for which this Permit is issued, l shall not 311 - SCRATCH COAT employ any person in any munerso as to become subject t0 the Workers•CamICOUthn 313 ROOF NAIL Laws of California. Dam 501 — - FINAL ELECTRICAL ENERGY Applicant rfOTICE TO APPLICANT: IG after making this Cenirs.k of Exemption• you should become subject ro the Workers Compensation previsions of the Lahr Cade. you must 502 - FINAL PLUMBING ENERGY foMwiN comply with such provision or Nie permit shall bedccmM reveled. 503 — FINAL MECHANICAL ENERGY 504 - FINAL BUILDING ENERGY yCONSmisacmONLENDINGAOENCY ' rNeI hcmtythi Nal Nim its construction len ding agency for Nrm c perfuenvn of wstir(mMch wxnthis permit iaissued (see.3w 7.civ.c.) 505 — FINAL ELECTRICAL ] IemersNmae 506 507 - GAS TEST — FINAL PLUMBING lenders Address � y - 1 acridly that 1 have read this application and sum Net the above information r come, l agree as comply with all city and county aminantts and state law mating 105 FINAL MECHANICAL an .i building cmuction. and hereby autbodm representatives of Nin city m enter upon the far inspection O 9 FIN GRADE il above-mentioned property purposes. (We) acne to save, indemnify fid keep hamdw the City of Cupertino against A liabilities.judgmcnu•cosunslcapcmeswhichmayInanywayaccrmegainstmidCity 5 FIN G f� In consequence or the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by51 WORKS Date SO RCE REGULATIONS. Re -roofs Type of Roof Sign roof Applicant/Conuums Date HAZARDOUS MATERIALS DISCLOSURE Wul Ne applicant Or future Wilding occupantsaom or handle huardan material as deaned by the Cupertino Municipal Code. Chapter 9.11, aM the Health fid Safety Code, Sacalon 25532(,)7 \-� All roofs shall be inspected prior to any roofing material being installed. ❑Yu -"u If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant m ful rc building Occupant use equipment or devices which emit haumous air contaminants an donned by the Bay Arca Air Quality Managemcm all new materials for inspection. Dla,IcO ❑Yes Nu I have teed Ne lb.dnux matarl.ls mq.kcm,m under CW,ua695 of the Califor- nia Health �Safcty Code,Sccdans25505,25533and25534.1un&.m thaif Ni Wilding does not ntiy hove a anent. NaI it r my rcspons@i0Ty7Ynati1'y Nc Occupant of the Ccni,cs tpancy. Date rcyuircQ(r(u wnicn mast be mel priorw rsuan,c nfa Or Signature of Applicant ,,h (Q3Dam All roof coverings to be Class "B" or better Owner or wrhorisd e,cnl Dale . d.d 0 CITY OF CUPEkTINO C*Y OF CUPERTINO 0 03 6 a-1) ZZ PERMIT APPLICATION FORM N # 7 r O 22% Date: Building Add : Owner's Name: Other Appliances Phone #: BBLDGFEE Bldg Permits . foot OLF�T Contractor: License #: MECHANICAL 5 Contact Cupertino Business License#: Building Permit Info: Bld Elect Plum Mec Job Description: 'Residential Z-- rc> Sq.Ft. Floor Area: $ q.Ft.: Cost of Project:� �� I Occupancy Gr Type of Construction: BCONSTAX Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to IM Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax— Resi/Mobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING W 1 of 3 CITY OF CUPERTINO 0 PERMIT APPLICATION FORM Quantity Fee H) Fee Description Fee Group BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi-Famil Res MECHANICAL BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL BNEWMULTI Multifamily Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BNUMULTI New Multifamily Res PLUMBING BNUSFD New Single Family Res BUILDING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Blft Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <=10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFDCT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non -Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL 2of3 a�J ci of CUPEkTINO CITY OF CUPERTIA PERMIT APPLICATION FORM ,Qqantity Fee ID Fee Description Fee Grou BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT R air/Alter HeatingMECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection 13UILDING BSWIM Swimn-dng Pool 13UILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot M1'sCHA1`IICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERNHTFEE Plumbing Permit Issuance PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING 3 of 3 1 • • Iw, �I 4 -lull�ru CD Pu J f A T� N 0 0 Eil 180 I 132 _O ® `J y a= &st o J o mw o mac- a OD N m M e O O C Iw, 89 �I 4 -lull�ru Pu J 89 188 4 327 J MIS mmulssIFA J f MIS mmulssIFA 0 X 0 0 Ht 180 4B -I _ pip -B- I SII N I� 0 II O II O z I C J W c� C 132 Cl 1 • C4 M) 188 —48-1 S71 mME P111% 9 �— 34—W1 -I 30—I— d JE a ``�uuZFIIi • T O O 3 -CT4B _ I 180-132 C4 M) 188 —48-1 S71 mME P111% 9 �— 34—W1 -I 30—I— d JE a