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05040102CITY OF CUPERI'[NO �` *' "' a ' � ' BUILDING DIVISION PEAT $w ',•s:%iWI ,,HON BUILDING ADDRESS: ALLBRAND WINDOWS PERMIT N`b5040102 70 COLONY HILLS IN ER'S NAME: PERMITISSUEDATE TED & MEGAN LIN 551 IN PHONE: SANITARY NO. CONTROL NO. (650)622-0330 ARCHITECI'/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description p I hereby affirm that l am licensed under provisions of Chapter 9 (commencing with Section 7W) of Division 3 of the Basin. and Pmfessiom Code, and my licence is inmBhome and effecel.7 SLI:�! I' REPLACE WINDOWS License Class Lick ^p— Dale ns+- R_- Contmam , 4n�• ARCHIT S DECLARATION I understand my plans shall he used as public records Licensed Professional OWNER-BUILDER DECLARATION I hereby affirm Nat I am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city at county which requires a permit to construct, alter. improve, demolish, or repair any awaum ! prior to itsissuance. also rtquires the applicant for such permit to file a signed statement Sq. Ft. Floor Area Valuation that he is licensed pursuant to the provisions of the Commnur's Lieunse Law (Chapter g (eommcncing with Section ]OW) of Division 3 of the Business and Professions Cade) or Oat he is exempt therefrom and tk basis for She alleged exemption. Any violation of NikR'tbel0 0 Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more Nan five hundred dollars (5500). ❑ Lazowner orttie propmy, or my cmploycu with wagesazthcir sole compensation, Required Inspections will do She work and She structure is not intended or offered for sale (Sec. 7004, Business and Professions Code: The Contractor's License Law does not apply m an owner of eny who and who loan suchwork or through his provided that Imps endedhimself Own s. suchimprovements not intendedmpletied forthe manor- ownemployees,ping or i pr ld witart bowevcq the building or improvement is told within one year of completion, Nc owe of builder will have the burden of proving Nat he did not build or improve for purpose of sale.). ❑ 1, as owner of the property, . B exclusively contracting with licensed cantrenors to ]BK, Business and Profusions Code:) The Contractor's construct the project (Seeapply improves and and cense Law does not apply je an owner of property who builds n Cialmm who commcta for such projects with a contncmr(q licensed pursuant m Nc Contactors V License Law. . C� I on exempt under Scc , B k P C far this reason v Date I Poo, WORKER'S COMPENSATION DECLARATION 1 bereby after under penalty of perjury roe of the following declarations: 0 Shave and will maintain a Cenificatc of Consent to self-iniam for Worker's Cma co- s uton, as provided for by Section 37W of the Labor Code, for She performance of the work far which this permit is issued. t/I have and will maintain Workers Compensation Insurance, az required by Section 37W of She Labor Cade, for the performance of She work for which this permit is issued. My Workers Compensation lend aconin and Policy number a re: Cagier. 'O f, , T= lP INS Co4.r• Policy No.: 57 W C C. 6 zoo it CERTIFICATE OF Extant MON FROM WORKERS' ' COMPENSATION INSURANCE (This section need not be completed if the permit is Tarp. hundred dollars (SI W) or ties.) 1 certify Nat in Ne performance of to work for which this permit is hunts, l shall not employ any parson many manner su az in become subject to the WorkersCompensation Laws of California. Did Applicant NOTICE TO APPLICANT: If, after making this Ccdificme of Exemption, you should become subject to the Warker'a Compensation provisions of She Labor Code, you must fonhwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that Here is c lending agency for the performance of d (Sec. 0 Bm work for which this permit u issued (Sec. 309], Co, CJ s Lenders Name Addie� l.cntichAddress �r I certify Nn I have read this application and sur; Nat the above information is ' torten. l agree to comply with all city and county oNinancee and state laws mining to building eanSWction, and hereby amhoris mpresentativra of this city to enter upon the above-moroiancd property for inspection purposes. (We) agree to save, indemnify and keep hvmlcss the City of Cupertino against n Liabilities, judgments, costs and expenses which may in any way acerae against said City in consequence of the grant n8 of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date S URGEZG.0 ATIONS. 19-- Y - % , n O Ll- 05 Re-roofs Type Roof Signature of ApplicanUComncmr Date HAZARDOUS MATERIALS DISCLOSURE of Will the applicant or future building occupsnt store or handle baisrdaus material az defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety NaLconle. Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑ Ycs C3� If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant orfuture building Occupant use equipment orOviceswhich emit havuadoos air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? [D yes lg'Nu 1 have mad the b.ohms me elials rtquimmcnts under Chapter 6.95 of Nc Cali for ria Has In h Safety Code, Sectors 25505, 25533 and 25530.1 undersand Nat if the building does not cumemly have a enanl Nat it u my respamihi], y m nuGfy Ne occupant of the acquirem\nt hlch,mast metpdorminuanceofacetricaaofaeupmcy. Signature of Applicant Dale rJ� Cw I L2 04- I S - J� All roof coverings to be Class "B" or better Owner ar a idimived agent Dam 0 sm 1 of 1 CITY OF CUPERTINO PERMIT RECEIPT 0 Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 35928012.00 DATE ISSUED.......: 04/18/2005 RECEIPT #......... 29349 REFERENCE ID # ...: 05040102 SITE ADDRESS .....: 1070 COLONY HILLS LN SUBDIVISION ...... COMPANY ..........: CITY .............: CUPERTINO IMPACT AREA ...... OPERATOR: conniew COPY # : 3 OWNER TED & MEGAN LIN ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-5825 METHOD OF PAYMENT --------- OTHER TOTAL RECEIPT : 0 AMOUNT ------------ 325.74 325.74 NUMBER ------------------ VISA RECEIVED FROM ....: APWEL BORDEWICZ CONTRACTOR .......: JACEK PASTERNAK LIC # 24829 COMPANY ..........: ALLBRAND WINDOWS ADDRESS ..........: 551 INDUSTRIAL RD CITY/STATE/ZIP ... SAN CARLOS, CA 94070 • 41 TELEPHONE . (650)622-0330 FEE ID ---------- UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL BENERGY ------- -------- PERMIT FEE 115.56 ------------ 55.47 0.00 ---------- 55.47 - 0.00 BPERMFEE VALUATION 4,350.00 115.56 0.00 115.56 0.00 BSEISMICRE VALUATION 4,350.00 0.50 0.00 0.50 0.00 BPLANCHK PERMIT FEE 115.56 154.21 0.00 154.21 0.00 TOTAL PERMIT ---------- --------- 325.74 0.00 -- 325.74 ---------- 0.00 METHOD OF PAYMENT --------- OTHER TOTAL RECEIPT : 0 AMOUNT ------------ 325.74 325.74 NUMBER ------------------ VISA e4 aba CITY of CUPEkTINO CITY OF CUPERTIN� PERMIT APPLICATION FORM APN # -3 S-7 — Z G„ 0 O / / Fee Group Date: OG— 18 — .� Building Address: Mailing Address (if different from building address): 130 Colo,,oy 1 I 10S L w Owner's Name: Boiler > I OOK to 500K Btu MECHANICAL Phone #: fed o Uva MECHANICAL BBOILER4 00e) '737 -?105' Contractor: 0 BBOILER5 Boiler> 1.75M Btu License #: II , 1,,AoXNIS Construction Tax BUILDING 827 75 Contact:,Phone: 1(2L)q 400.079 BCONSTAXBQ Cupertino Business License#i Aj$ a awsl l Fax: (650)622- 0335 Hotel and Motel 24 829 Builin1g Permit Info: Constax — Resi/Mobile BUILDING W \NC�Vh7J Elec 600V <= 1000A ELECTRICAL BldgI Lf Elect ❑ Plumb ❑ Mech ❑ Job Description: Elec Svcs 600V <= 200A ,\ 2 e J ro-it—ef,0, Residential L�/wi oos vel c(�.� ,) l,Cve vo ;k Commercial ❑ Sq.Ft. Floor Area: BENERGYADD Energy Add Multi $/Sq.Ft.: Cost of Project: 350. vo Investigation fee BUILDING Occupancy Group: Type of Construction: Please check this box if the project is a second-storyEladdition: �J Project Size: Standard L3 Laze ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BB01LERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > I OOK to 500K Btu MECHANICAL BBOILER3 Boiler >.500K to IM 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 > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 �-3zs 7 SC' C" OF CUPERTINO . CITY OF CUPERTIA PERMIT APPLICATION FORM uanti Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection 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 Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backtlo 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 cfin MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm 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 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 2of3 IN ar o CUPEkTINO RTY OF CUPERTINO 0 PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group 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 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 Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/ Multi -Fain PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Change BUILDING 3 of 3 I • 12 N 2 , 'rg�. u ep�ai?r'2"`-4`'`.s,� C > I RESIDENTI pROfECT "O�'E17t Hi - CUPEPsTINO Assessor's Parcel Number: Name of owner. Project address.. v, C, H nv I -J, Contact person. � ,,.�, Phone.Ih 400 0 7 9 7 Fax. Net square footage of lot. Existin Square footage: First floor: Second floor: Garage: TOTAL: Proposed •� Are there at least two 10 foot by 20 foot clear spaces inside the garage? Y N Is privacy protection planting required for the project? Y U Sk On what floor(s) is work being done? l , Brief description of work. Code editions: 2001 CBC (Y - N)2001 CFC (Y - N)2001 CMC (Y- N) 2001 CPC (Y - N)2001 NEC (Y - N) COPY Effective 11/1/02 c ORR Plan Review Process Work Book Page -8-Revised 4/28/04 All 1 III" IO3U I'll's i—,C, g4a i d z ButM�. M ® CN; ay 0 K � t cls e h 1�{U,IQrJ c-RPr,�t a 0 0 0 Code Corner Emergency Escape and Rescue Openings IRC R310 by Ron Darville Senior Plans Examiner, City of EI Segundo, California; rondarville@aol.com . F( 20" clear ---7 MaximumRsq. size windowm for 20" clear width.`a �--- 34 t/g clear openable Minimum Area = size window °' 5.7 sq. ft. for 24" clear height. 44* sill height C nuui Because so many fire deaths occur when occupants of residential buildings are asleep at the time of a fire, the International Residential Codd' (IRC) requires that: • basements with habitable space and • every sleeping room below the fourth story ved and ing Sectioll h eatR31le.r stone opequires rescue peni or exterior operational openfromatherons'deeemergency room without escape use of keys tools, and Section R303.5 requires that glazed openings open directly onto a street or public alley, or a yard or court located on the same lot as the building. • The net clear openable area shall be no less than 5.7 square feet (see exceptions for grade floor openings and window wells). enable height dimension shall be a minimum of • In addition to the above requirement, the net clear op 24 inches. The net clear openable width dimension shall be a minimum of 20 inches. (Note: using both feet.) minimum figures will not obtain the required 5.7 square • The finished sill height shall not be more than 44 inches above the floor. The chart below summarizes the minimum window dimensions that will achieve a 5.7 square -foot opening. Minimum Width/Height Requirements for Emergency Escape and Rescue Windows (inches) Width 20 20.5 21 21.5 22 22.5 23 23.5 24 24.5 25 25.5 26 26,.5 27 Heigh[ 41 40 39.1 38.2 37.3 36.5 35.7 34.9 34.2 33.5 32.8 32.2 31.6 31 30.4 I I Width 27.5 98 28.5 29 29.5 30 30.5 31 31.5 32 32.5 33 33.5 34 Height 29.8 29.3 28.8 28.3 27.8 27.4 26.9 26.5 26.1 25.7 25.3 24.9 24.5 24.1 24 <� �O yew Ym-a inU wO t' seri—rn r•zi he i9§ `zC z .- F^ �7 a� Z)z UC u- F Ca Uz CITY OF CUPERTINO>k €� w .�a3;.' �'•.�',y. BUILDING DIVISION PERMIT , CONTRACTOR -INFORMATION BUILDING ADDRESS: ALLBRAND WINDOWS PERMIT NO.. 5(]40102 V %0 QQT.0NY HILLS IN M'S NAME: PERMIT ISSUE DATE ' TED & MEGAN LIN 551 INDUSTRIAL RD n4/ie/2oos ONE: SANITARY NO, CONTROL NO. (650)622-0330 ARCHITECIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTORS DECLARATION Job Description al l licensed under provisions of Chapter 9 (Commencing 1 hereaffirm by arm Nam ns P With Station 7m0) of Division 3 of the Business and Professions Code, and my license is full and erre it in funs 8)7 '17Ss REPLACE WINDOWS Class tar 4_ Lie.. Dale n v_ I ATl S Contractor P• / :. e ve � ARCHITECTS DECLARATION t1 1 undersand my plans shall he used u public records J Licensed Pmfessionel OWNER -BUILDER DECLARATION Z I hemhy affirm Nat I nm exempt from Ne Comuactofs License law for the following meson. (Section 7031.5. Business and Professions Code: Any city or county which requites a permit bs construct, alter, improve, demolish, or repair any structure prior to its issuance,atw health. for such permitm file :signed Comment that he is licensed pursuant to the provisions of the Contmcmri License Law (chapter 9 Sq. Ft. Floor Area Valuation (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he u exempt thenefrom and the basis for the alleged ••.mp0on. Any violation of 3 5fiWNhiiiberO 0 Occupancy Type Section 7031.5 by any applicant for a permit subject the applicant m a civil penalty of not mom Nan five hundred dollars (SSW). 0 I. u owner of dte pmpmy, m my employees with wage u their sole compenssdon, Required Inspections will do the weak, and Ne someturt is not handed worsened (oracle (Sec. 71344, Business and Professlutu Cade: The Confamtori License Law docs not apply m an owner of property who naitda.r improvesdremon, and whodoes swhwmk himself or through his own employees, provided that such improvements are not intended or o@rad for sato. If. however, to building or improvement is sold within one year of completion. Ne owner builder will have the burden of proving that he did not build or improw for purpose of sale.). 0 1, as owner of Ne property. am exclusively contracting with licensed contractors to consumes the project (Sec. 7064. Business and Profeuians Code) This, Contractors Li me law dors not apply in an owner or property who builds or improves do mon, and who contracts for such projects with a conuactor(s) licensed pursuant m the C .... cmrs License law. 0 1 am exempt under Sec. . B h P C for this moon er Date WORKERS COMPENSATION DECLARATION 1 hereby aRnn under penalty of perjury one of the following decimations: I hove and will maintain a Cerdfcmm of Consent to self -inure fearWorkersCounpen- sation, o provided for by Section 3700 of thm labor Code, for she performance, of the work for which this permit is issued. rhhave Ig and quit maintain Worker's Compensation Insurance, as acquired by Section 3700 or the Labor Code. far Ne performance of the work for which Nis permit is issued. My Wa im1e1s Collmpensadon Insurance Cartier and Policy numbe, me n Came,.. TErIloY:� INS_�Os.-j_ Policy No.:S7WCCCSZO04S CERTIFICATE OF"EMOTION FROM WORKERS' COMPENSATION INSURANCE into section need not heeompleted time permit is rornne hundred dsdlsm (Sim) or less.) 1 anify that in Ne p rrmmanec of Ne work for which this permit is issued, l shall not employ any person in any manner se as of become subject to the Workers Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making this Cedifcate of Exemption, you should become suhjcct on the Worker's Compensation provisions of Ne Iahor Cndc, you must formwitn comply with such provisions of this Permit shall Ee dcemW revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that Nene is a Conswction tending agency Lor the Performance, of the work for which this permit is issucd (Sa. 3097, Civ. C.) Under', Name Lcndcr's Add. I esnify that I hie read this application and sum Nat the above information is ' cmma 1 agree to comply with all city and county ordinances and sate laws relating to building Construction, and hereby aumorirn represcnadws of this city to chief upon tM .how mentioned property for oss ction purposes. (We) egme to save, indemnify and keep harmless the City of Cartoon. against liabilities. judgments, ensu and expenses which may in any way accrue against aid City in consequence, of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT Issued by: Date S E�IZGU A�TIONS. Re -roofs Type of Roof F.� f04- 11?- 05 Signature of AppliermUComtactm Doe HAZARDOUS MATERIALS DISCLOSURE Will thc applicant or future building occupantoone or historic hammous material as defined by the Cupertino Municipal Code, Chapter 9.13, and the Health and Safety de. Seed.. 255320P All roofs shall be inspected to any roofing material being installed. 0y. prior If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or future building Occupant use equipment or demes which emit hanobrius air contaminants a defined by the Bay Arca Air Quality Management all new materials for inspection. District? O Yes o I have mal she hvardrms materials mquinemenu under Chapter 6.95of the, Califon Iia Health 6 SafctyCode, Scetiou25N)5.35533 and25534. 1 undersand that ifthe building dues not curmndy now a enc that it is my rcspamiM1ility m nouly the acupant of doe ¢quire hrtt 'c in= met priormissuanoraCcmfscamo(ce.pancy. Signature of Applicant Date V-' Y�✓'z t:✓ ICR 04 -1$- 05 All roof coverings to be Class "B" or better Owner m amt nomcd eget Dam