03060138 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTR"ACTOR INFORMATION'&
BUILDING ADDRESS: ARGONAUT WINDOW & DOOR PERMIT"°03060138
R'S NAME: 10624 S DEANZA BLVD YERMITLSUEDATE
ONE: (408) 996-9670 SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
IGOZ LICENSED CONTRACTOR'S DECLARATION-
�U 1 hereby affirm Nal I am licensed under pmvism.of Chapter 9(commencing Job Description
zl wM Sectimi TINA))of Division 3 of OW Busi...M Rafessiom CMe.md my license is
N �8�A,a
of fmurte
oaMenect. WINDOW REPLACEMENT E
��, Lkcnse Clan Lk.a
Da¢ Common,
�aARCHITECTS DECLARATION
I understand my plI�
a plans.hall k used n I J puhlic records DEC 2003
J�
ag�
Licensed Pmfessionel
5 OWNER-BUILDER m Ce Cono ON �'® DING
i<F 1 =&so .(Sere that 11. exempt from Ile Cnnoactm'a License Law for the `
°o following recess Permian Tco construct.
Business mtl profession,CMG:Any tiny lir county
$ which requires a e,also
ro construct,a@f,Improve,such
h permit t lir repair any structustatement
met Mor its ten e d pursuant
it)muhc applicant for Convector's
toicensle ae aw(Cha mem
g�< thstkisBcensed purstion? On provisions of theeBusemf's Licenaclsw(Chapmr9 Sq. Ft. Floor Area Valuation
'at
is exempt
Section and
basison3 Orionk Businessandon.Any
-
y�$ Nel k ts eumPt therefrom and de buts fa de alleged Gumption.Any vi.lanion of 3562 0006 . 00
Section 1031.5 by my applicant fm.Permit subjects the applicant m.civil penalty of APN Number Occupancy Type
nal mom than five hundred dollars WOOL
1,u owner of tk pmpmty,or my ctopl.ycca with wagca n Heir sole canpenadon.
will dO tk mem and Nemom.is not in¢Med.,offered forsalc(Soc.1014,Business LUi —
and Pmfusi.m Code:The Conuamm's License law dors not apply to an Owner.( d Inspections
property who builds m improves themon,and who doessuch work himself or through his 102 — PIERS
own employers,provided thatsuch improvements arc not Intended orortered for aide.It. 103 — UFER
however,Ne building or improvement le mid within one year of completion.the owner.
builder will have the burden of proving that he did not Wild of Impmve for purpose of 104 — REBAR
aa)e')' 105 — ANCHOR BOLTS
*�•n owner of the property,am exclusively contracting with licensed conuacmra to
construct the project(See.1044.Business and Professions Code:)The Commetces Ll. 106 — SEWER & WATER
ecm .ua
e law dnet appy to an owner or property who Wilds or improves themon,red, 202 — UNDERFLOOR PLUMBING
who contracts for such pmjecu with a contractor(s)licensed pursuant to the C.numoes
License Law. 203 — UNDERFLOOR MECHANICAL
❑lam as.m jet sm B,t PCo,lip reaann 204 — UNDERFLOOR FRAME
im03 205 — UNDERFLOOR INSULATION
.11 OR COMPENSATION DEC" N
I bertby affmn under penalty Of perjury One of the following declsratiotu: 301 — ROUGH' PLUMBING
❑I have and will maintain a Cenificomof Coment in ulf-Imam for Wmtrfa Compcn. 302 — TUB & OR SHOWER
sadnn,as provided for by Section 3100 of he labor Code,for the perfurmmce of the 3 03 — ROUGH MECHANICAL
wobmr whimh thts permhia lnaee" 304 — ROUGH ELECTRICAL
❑I have and will maintain Wmke(s Compensation Insurance,u required by Section
3100.1"Ne Labor Code,for de Performance of the work for which this Permit is inued. 305 — FRAME
My Worker!Compensation losunnce carrier and Policy number art: 306 — HOLDOWNS
Carrier. Policy No.: 307 — INSULATION
CERTIFICATE OF EKEM MON FROM WORKERS'
COMPENSATION INSURANCE 308 — SHEETROCK ,
(Tha
ls taction need not so if prm
eit is for on ohundred dollan(glw) 309 — EXTERIOR LATH
or kaa) 310 — INTERIOR LATH
employ
any
i use in my mothera as work for white Nis permit is issued.I mallensa nm
Lawsoanypcnon in my mmnermssmkcome subject to the Worker!Compemw.n 311 — SCRATCH COAT
Laws of Calif.mla.Date
ApPlic.nn 313 — ROOF NAIL
NOTICE TO APPLICANT:IL after making this CcuiOcam of Exemption.you should 501 — FINAL ELECTRICAL ENERGY
become subject to the Worker's Compensation provisions of the Labor Code,you must
oz forthwith comply with such pmvislouaorthis permit shall be deemed raveled. 502 — FINAL PLUMBING ENERGY
?0 CONSTRUCTION LENDING AGENCY 503 — FINAL MECHANICAL ENERGY
t—r4 1 hereby affirm ORL them is a construction lending agency for Oc perforromm of 504 — FINAL BUILDING ENERGY
a> Nework for which Oil permit sissued Sea,3B91.Civ.C.)
Q Limulm.Name 505 — FINAL ELECTRICAL
W
ow Z LendeesAdd10es 506 — GAS TEST
UQ Icertify that Ihave read Oil applies,!..and some,that Neme.information is '507 — FINAL PLUMBING
correct.1 agree mom
empty with all city and county ordinances and shote laws reining t.
it,
V Wilmngconstruction,andherebyauthorinMpmaentativesOfOilCitylopte,upnnthe
— FIN MEC ICAL
W above-mentioned property for inspection purposes. IRN
f�.va gg. (We)agree I.save,indemnify and keep hmmless the City of Cupertino agaivat 0 FI
it 1"A liabilities,udgmenu,costs and expenua which may In any way accrue against aid Clay in con MgFNGOOf OC Starting Of
APPLI nccUNDERSTANDSnhIND TWILL COMPLY WITH ALL NO -POI Issued by: 5 WRKSDa[e
S UR EGULATIONS.
2,1� ° Re-roofs
tpatureof Applic onmcmr Da Type of Roof
HAZARDOUS MATERIALS DISCLOSU
Will thea Heart tar future Welding Occupant mre or handle haaa,a..s material
Raved by the Cupenlnq Municipal Code,Chapter 9.13,and the Health and Safety
❑Yca
.aced.25532(.)/ No, All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit harard.us air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
District? r�-
❑Yes NO
I have mad the Wmrdous materials requirements under Chmto6.95 of the Califor.
nia Health lk Safelycode,Sectio-25 5.25533md35534.1undcraund Neifthohuilding
docs n. •unen0y here s tenant.N his my rcapomihilhy 1.nntily de w:cuPenl of Nc
quire' whichmustI ormissuance of.CcrafcamofOc.pAn Signature of Applicant Date
m..th.rivea t b Da All roof coverings to be Class"B"or better
CITY OF CUPERTINO
BUILDING D1vlslory PERMIT • �" 1VTRiLCTO, RINFORM.�.'�I ,
BUILDING ADDRESS: ARGONAUT WINDOW & DOOR PERIAMN°03060138
TTPP RT-)
RENAME: 10624 S DEANZA BLVD PERh1IT1.S5UEDATE
HONE: (408) 996-9670 SANITARY NO. CONTROL NO.
ARCHITECTIENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
3M0 p LICENSED CONTRACTOR'S DECLARATION JobDescrl tI k1 11VA1.E®
f F 1 hereby ).r that I am lianud under and
Pi Ume of Chapter 9(commencing p
rap; with Section 1 parile ad offarDivisienJar NC Ousines,and Pmfcssioa Coee.andmylicenu is
jVJZ<< mfmacClasnderf`a. WINDOW REPLACEMENT der DEC 15 2003
License Claes Llc.a
JJ
Dow CunlrECL
`
ARCHITECTS DECLARATION
e I understand my plans Nall nc used u gothic rtcnras �
yob Lkcnsed Pnsfussionel BUILDING
g OWNER-BUILDER DECLARATION
s I hereby affirm Nm I am mi from the Conlrac.es Liecnu law for the
O O fCllnwing reassm.(Section 7031.5,Business end Proressioa Code:Any City m munsy
3$i which requires a permit to continued,alcor,improve,demolish,or repair any structure
j, prior m its issuanco,also requires the applicant for such permit m file a signed statement
z NatWislicensedpursuanttotheprovisionoftheContractor'sLicenseU.(Chapter9 Sq.Ft.Floor Area Valuation
(commencing with Section 7")of Division 3 of the Business and Professing Cnde)ter
f
Nat he is exempt therefrom and the hala for the alleged exemption.Any=o 35620006 . 00
Section?031.5 by any applicant for a permit subjects the Applicant o a civil penalty of APN Number Occupancy Type
not moo Nan five hundred dollars(5500).
❑1,u owner or die property,or my employe,with wages of their sole compensation,
will do the work.and the atmctum is not Intended or offered for aalc(Sec.9014,Business — d Inspections
and Professions Code:The Contractor's License Law does not apply to an owner of 1 O 2 — PIERS p
property who builds cr improves Nemon,end who does such work himself or through Ms _
own employees,provided that men lmprosemcnu am not intended or offered forsale.If. 103 — UFER
however,the building or improvement Is sold within am year of completion,Ne owner.
builder will have the burden of proving that he did not Wild or Improve for purpose of 104 — REBAR
aLle'1' 105 - ANCHOR BOLTS
*l .a owner of the property,am eaeluslvcly cconee in,with licensed...recto.m
construct the project(Sec.7044,Business and Profasione Cade:)The Conumtor's LL 106 — SEWER & WATER
came law docs not apply to an owner or progeny who builds or improves homed,and. 202 — UNDERFLOOR PLUMBING
Lwho ica Lafor such projeeuNnt
wiaearacmr(ghugeepurmmto Nwn
the
License
203 - UNDERFLOOR MECHANICAL -
lamexem neersee .e"axPC orN on 204 - UNDERFLOOR FRAME
mfxhili l 205 - UNDERFLOOR INSULATION
r OR - COMPENSATION DECIA N
I hereby aim under Penalty of perjury one or the following eeclualloa: 301 — ROUGH PLUMBING
❑I have and will maintain a CiniOam of Connote elf-imum for worker'acompcm 302 — TUB & OR SHOWER
ation,u provided for by Section 3700 of the labor Code.for dm performance of too 303 - ROUGH MECHANICAL
wmkforwhimthapermiYaiamd. 304 - ROUGH ELECTRICAL
❑1 have and will maintain Worker',Compensation Insurance,a required by Section
3700 or the labor Code.for the performance of Ne work for which this permil is issued. 305 — FRAME
My Worker'sCompenanun lnmrsna earricrand Policy MO W,am: 306 — HOLDOWNS
Carrier: Policy No, 307 - INSULATION
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE 308 - SHEETROCK
(hla Salm need not Waompmted tame permit is for one hundmddnitm(tire) 309 — EXTERIOR LATH
orlesa) 310 - INTERIOR LATH
1 certify that in the perrnrmance or Ne work for which NB Permit is banned.I,hall not
employ any perm in any meant ma to boatman subject to lW Workms'Compensation 311 — SCRATCH COAT
Laws orcabrnmia.Data
Applicant 313 - ROOF NAIL
NOTICE TO APPLICANT.IL after making this CeniOcme of Exemption,you Amid 501 - FINAL ELECTRICAL ENERGY
become subject w the Workers Commnsation provisions of the Labor Code,you mute
.JO forthwith comply with such previsions Ofthigpermit shall Wdeemed rewked. SO2 — FINAL PLUMBING ENERGY
CONSTRUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY
Iherehy affirm done Vert is construction lending agcmy for due Performance of 504 - FINAL BUILDING ENERGY
W> don workfor Which this permit 1,Wood(So.3M,Cl,C.)
Lender's Names 505 - FINAL ELECTRICAL
lel
� Z L naeranee a 506 - GAS TEST
U O 1 ceniry that I have rue this application and sou Nu the above infermation Ice S O 7 — FINAL PLUMBING
COMCL I agree to comply with all city and county ordinances and state laws relating to
p V building construction,and hereby aamnrlm mpmsomean,or this City to enter upon the - FINAL
I11 shove-mentioned property for MPcaion purposes. O F I
(We)agree m ave,indemnify and keep harmlca the City or Cupcnino apingt
iL.i t/) IlaEllities,udgmenu,emu aadexpensea which may in any way accuse against aid Clty NG 472-
W
U FF77y in ca neeofthe frontingu(thi,permit.
APPLI T UNDERSTANDS ND WILL COMPLY WITH ALL NO PO T Issued by: 5ORKSDate
S UR EGULATIONS. III
� Re-roofs
rgnmurc or Appiic onlncmr Det
HAZARDOUS MATERIALS DISCLOS, Type of Roof
will Ne plieant or fnure building Occupant score or handle haardous Mulford
dmined ray the Cupeninq Municipal Code,Chapter 9.11,and the Health and Safety
Session 15532(.)? `�' All roofs shall be inspected prior to any roofing material being installed.
❑Yes $tNu
Will the applicant at rumm building mcupon,useCquireach,or dcvices which If a roof is installed without first obtaining an inspection,I agree to remove
emit haardous air contaminants u defined by he Bay Arca Air Quality Management all new materials for inspection.
Dleuicl?
❑Yes X.
I have mad the heasrdous materials requirements under Chap ard.95 lithe Califor.
nix HcalNG Sarcty Code Saduna25 5,25533and Z534.ImJersond Natifthe building
Jog no nrly hew•¢net.th his my rupagihility w notify the Occupel of me
qui, g� 03
Mouicnmust xme arwiauarmearaamrtcatenranlwrr . Signature of Applicant Dale
nraCal do t - / Da All roof coverings to be Class"B" or better
i
1 'l
i
I
APPR DED { j
S� IN ACCORDANCE TH E CITY of,
C NANCES
Z DAT j
SIGNED
This set o plans d _s_lj�ecifications ag�S;
� rt _�o m t alAf1hes and it is on
ff� saroal Y.ghQnges or eltorallona
by permission from
�s I bu11 ling t., City of Cuportlno,
CJ Gin °"�
J ' $p n d spoclfications
*KOXV o 8e�ttido atlon of anon r ba ea
N any Cl 0 d n n S �Provalone
S (orlr �1 4(, �tP
M i l5 W.ar P- W ,-NLa-as
L) ;fS - q, to A- degrson
CS( ; rft'in cQ or3)
22-ArDpV-M Wice,a�a.s $66 loweck f'o
aF
C TY OF CUPERTINO 3
•CUPEf�TINO PERMIT APPLICATION FORM
APN# �7 Date: p /Zb o3
n l�
Building Address: r II 3 I n t C,cJ Y,r' n o CA -75'O i f
Owner's Name: P one#:
s'h ee roan Qf"9)4M- 3J31
Contractor: Ar-gonav+ ' ' 1,h� Lj 4- Dco r License#: 6 OH
7.?
� o
'Contact: �—y I�r Cupertino Business License#:
.Buil g rmit Info:
d Elect ❑ Plumb ❑ Mech ❑
b Des ption: GiNdlyt5 e s n51e_ ane viz�1 S "tom
R ential � Commercial
Sq.Ft. Floor Area: $/Sq.Ft.:
Cost of Project: $ I , bS , :58, Occupancy Gr p:
ype of Construction:
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> I OOK to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> IM 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> I OOOA ELECTRICAL
BELEC200 Elec Svcs 600V<=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
AOL BINVESTIGA Investigation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
1of3 3A / 7Z
MT
Y OF CUPERTINO i
ci`un o
CUPEkTINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Group
BMITIGATR Res. Housing Mit Fee BUILDING
BMNEWMULTI New Multi-Family Res MECHANICAL
BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL
13NEWMULTI Multifamily Res ELECTRICAL
BNUCOM M 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
BOVERTEVIE hispection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg 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 Repipe Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinklerBackflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pipe PLUMBING
BPWHEATER Water HeaterNent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
BREI LUUiAN A/C Units<= 10,000 efm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT 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
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CITY OF CUPERTIN�
CITY OF PERMIT APPLICATION FORM
CUPEkTINO
Quantity Fee ID Fee Description Fee Group
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl, Switch&Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
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
BSCj3LVD Scb Specific Plan BUDDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Insection BUILDING
BSWIM Swimming Pool BUILDING
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 MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Numbing Permit Issuance PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
ZADDCHG Address Chane BUILDING
•
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