00050028 CITY OF CUPERTINO I'ItRMIT NO.
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: 0O OS 40 2�
BUILDINGADDRESS: 1Cf'Z / el
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ARCI1ll 1:C'T/ENGIN 6ER BUI.PING PRRMI'r lNY0
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I_ i LICENSED CONTRACTOR'S DECLARATION
$o= c I hcrtby amred that 1 am livowel unv
nder plisima if Chapter 9(commencing Job Description
F_-� winsecuan vau)ir°rvialinnarme euemeae.na Proreaamns Code,androyucenaei,
LnsCla.mand effect.
License Com
�=LL y DaIC (.'nntDECL
a,LL O 5 ARCHITECTS DECLARATION
1 understand my plans shall be used ale Cuhiie remrde
XM0
u K o Licensed!PmfeuiorW
O ,I s. URDEfr DECIARATION
C Z G 1 hcrtby aRn thaett 1 amrtuempl from me Cssion,mrs License law for the
a F following uiresees a ermiion c 7031.5.B,alter, and Professions h.or Any city or counq
u"]F which mgmma a permit to cunswcl,elmr,improve,demolish,nr rtpnir any awmum
5 primmi","mice,dsorequireslheapplieantforsuchpermitReMeasignedalatemenl Sq. FL Floor Area t-�Valuation
One he is licensed pursmm to Ne provision,of the Contractors License Law(Chapter 9
«ummcnc ourep,l5«loin)0ndm Diowfee 0 alleged
casaMRahui volition
Ay� Number Occupancy Type
that he is exempt therefrom and me basis for be alleged exemption.Any violation of `7O.S O P y yp
Section ID3 L5 by eny applicenl for a permit subjects Ne applicanuo a civil Pendry of
)Fot in man five hundred dinar.(1500).
anwneeofineproparty,ormyemployeeswithweepaaemeirsolecompensation, Required Inspections
11 do the work,end the swnure is not intended m offered for sale(Sec.9fH0. n
Busieas
and Prefesslom Code:The Contramor'a License Law does not apply m an owner of
property who builds or improves mcome.and who does such worst himself or through
his own employees,provided mar such improvements sure not intended in offered for
isle If,however,me building it impmvemem is sold within one yeti i f eimplaion,the
owner-Milder will have me buNen of proving ren M did not build in improve for pury
N.of me.)
❑ I.u owner of me property,am cadvaivAy convecting wire littnud convaclors to
i on,wcl the proj«t 15«.tM4,Rusineaa eM Rofessiona Code)Thc Convazlor'a Li-
cenu law does nm applyje ia owner property wed Milds or improves Corton,sena
who contracts for each pmt«u wire acove nbactodU licensed pursuant to the Contractors
L
icense law.
Ism<ze pl ddS«. — BkPCforthisrtawm :A/wner'„✓' , "' - ' Dem ✓ q nU `�Wm KERimen,'S COty ofp TION DECLARATION1 herebyaffirmunder penaltyofperjurysm r thefollowing Wmktu`,Coon,asprovocad id l for byesa Certificateof me Labor Code,fort forWorkca Ceoftheation,as provided for by Section]100 of the Labor Cade,for the pedolmnce M the for which tills permit is issued.
❑1have andfalse,Code.
fee me
CompensmewInsurance,htes perm by Section
My of s e Lobar Cotle,fir the peAoe ramie of d wort for which this permit u issued.
My Wohers Compensation Insurance coder and Policy number tie: 6'fa
Cerriee Policy O ✓✓
CERTIFICATE OF COMPENSATION
RAN WORKERS'
COMPIm SATION INSBRANCE
(This section need nut be completed ifmc Pcrmil is forone hundred dnllna(5100)
or Icss.l
1 certify that a the my remen it of me work fuc oilde this Cured is issued,l pearl
.loan employ any Califon in eny resins a see to became subject m me Wuhan'Compcn-
Apli laws of California.Dale
NOTICE
Applicant
#OTIC[lbi o to tha ANI':a after making this Certificate m Exemption,you should
become womp tome Wortrre Cnmpeneahis previsions of Ne Labor Coke,you must
forthwith comply with such provisions.,,his Knnh shell be domed revoked.
CONSTRUCTION LENDING AGENCY
0 I thereby afnrre mu mem is a construction lamlinga true,for the K..c of
rme work fir which this permit is issued fSec.3019.Civ.CJ
UI a UI Lenders Name
Lentlers Addrtsa
Iz7 0 I eerily mal 1 have read this application and stale mat the aMve infomution is
correct.l agree to comply wish all elty and county mAimnaes aM erne laws relating m
U O building cenuuaction.and hereby authorize representatives of this city to mice upon me
move-mentioned property fm inspection pulpaees.
W F.t (We)agme to save,indemnify and k«n harmless the City of Cupertino against
C U liabilities judgment,,costa and expenses which may i n any way acerae against said City
±.
WCL-
7 'n consequence of the Braining of mise permit.
F" h APPLICANT UNDERSrANIIS AND WILLCOMPIN WT TB ALL NON-POINT
f..1 SOUIAT
tuRp , o' '
Signature ofpLcarm](7mnrwter
Data �i� VV L•1(aV�
HAZ RDOIIS MATERIALS DISCLOSURE
Will the applicant or future building«cupanl stom or handle hazardous material Re-roofs
as defined by the Cupertino Municipal Code,Chapter 9.12,sed the Realm hard Safety
Code.Section 25s32tan Type of Roof
El Y. No
Will the applicant or/mum building occupant use equipment or devices which All roofs shall be inspected prior to any roofing material being
on t haurdoua air cinlamirunta as defined by the Bay Arca Air Quality Management installed. If a roof is Installed without first obtaining an inspection
D1eP1Yes g1' q\J6o— 1 agree to remove all new materials for inspection. Applicant
Ihave read me haatdW,materials malmomenla under Chirpier 695 of the Cah- understands and will comply with all non point Source regulations.
Lbildinged'eas
m Hhh A Safety Cade,Sections 25505,255]3 and 25534.1 understand thin if IM
not currently hav , poneihiloy ti notify me occupant
menu which now pet f.MTsnYan[[ofn CeridicBle of O[C enSignature of Applicant Date
er or authorized agent Date
All roof coverings to be Class "B"or better
^' OFFICE
WOODWORKS BYDSA WSO RELIABLE CRAFTSMANSHIP
www.woodworksbydawson.com
APPROVED
IN ACCORDANCE NJITH THE CITY OF
go Diablo CUPERTINO CODES AND ORDINANCES
DATE _ S—Z/ Q
SIGNED� ,
This set of P"r
be ke t OR �tinn� nni
p 6 'Aeefssor"fles
lawful to mz U it is un
s or alterations
on same war, ;
the building , V `_gin Pe,mission from
Thestain ng , ,
t,�pertino.
SHALL N rn ;r•,d sPecifications
I b "e o to Pc,mit or to be an
approval :dJic v:,;lation of any provision
iJz of any Cuy U.dmance or State Law
Sizes: Order to fit spa model
f
r Roof options: solid redwood, metal, cupola or skylight
The Diablo gazebo is a space saver that still offers the
luxuries of a completely enclosed gazebo. Privacy and
protection from the elements allows you to use your spa
all year round. In the summer just remove the sliding
panels for that open air sensation.
The McKinley ��ThtWh kney
114 4 2000 f
Sizes: 10'X10' 10'X13' 13'X13' 13'X17' or custom Sizes: 10'X10' 10'X14' 14'X14' 10'X17' 14`X17'
Roof options: redwood slat, redwood solid, metal Roof options: redwood solid, metal, cedar shingle
The McKinley and a spa offers a perfect The Whitney is the ultimate gazebo. Whether
�ntertainment center. Use this gazebo to you want the full protection for your spa, patio
rotect your spa or to sit and enjoy a morning furnature, or both-the Whitney is a good choice.
breakfast. Customzi a this gazebo to fit your Close the windows and enjoy the privacy or
needs and yard size. open them and enjoy.
THE MOST DESIRED, LONGEST LASTING GAZEBOS
,<-----96 in -
78 in- --
$
MI i I I + j i HALF VIEW
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TOP
Lo DOUBLE FOR WIDTH
3 0 , to
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—176.9 in --- —
DAWSON
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Metal RoofShingle Roof, — �p Roof
iLJi �00c&704.1ByDawson
j ; I 2330 Z/!. cl�inzx /�i z9
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• � 158.12 in-- O zebo .
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DANSON WOODMORKS
(lVooctwozki.L� l�. awson
2330 z. dNi..zdxL,9
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IBd CUPOLA CAP 1x4 1�4
HIP TRIM HOOF TRili SOLID LAP ROOF
M RAFTER
2-14- TIEPLATE
2:g3 FAC[A BOARD
212 JACK RAFTERS
2:K6 ROOF BOX
LITEHOUSE
ROOF
TOP WEH
�cs6F DETMLs "wooJQvo%ks By 1�aurson
2330 E cft ,zcx
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sada, 93292
2-X1 TIE PLATE
2.XZ RAFTER +_.EDGER
A 1 b GE BOX
- RW P.AFTER
2x3 LED66+?.
1 RAFTER STOP
ZX(o RIDGE &Y
7-X2 LEDGFIR CORNE(Z
NIP RAFTER
RAFTER S- OP
CORNER S-titD
2-Xy TIEVLR i F
zX3 CORNER TR�TA
zx6 �ovrsG� S-rub