01060095 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO,
10110 N. DE ANZA BLVD. 01060095
OWNER'S NAME: APPLICATION SUB DATE
DIOSESE OF SAN JOSE 06/15/2001
PHONE: SANITARY NO. CONTROL NO.
o O Zp ARCHITECTA NGINEER: BUILDING PERMIT INTO
Ir m C BLDGCT PLUMB MECH
<i r L i L__l IJ
u= LICENSED CONTRACTOR'5 DECLARATION
5 hemb. Bim that I am licensed under Job Description
y provisionsof ns Code, (commencing
� ilns«tioneandefect.Division Bnsm«+and Pwe,amn,caae,ammyuttn REPLACE EXISTING COLORED GLASS WINDOW
a es S is in full fame and effect.
d0w� License airs Uc.a W/STAINED GLASS .
a�3.ry.N Date Contractor
ARCHITECT'S DECLARATION
F" g 1 understand my plans shall be used as public moods
C4
ou'° Licensed Professional
n .2H OWNER-BUILDER DECLARATION L.Q,/j/V bJ` w C AjLT /VO
1'hcrsby affirm that 1 am exempt from the Commaor's License Law for the
"Z a "following mason.(Section 7031.5.Business and Professions Code:Any city or county
e which recites a permit to consumer,alterimprove,demolish,or repair any sumnure
or pr r r. riseq t1 applicantf Ipu 'u fl g (statement _. _.a. _._
min liotporsufam to Ihin iceovisifurs ord ic Codu actors Lif,erw Uats(Chapterq Sq. Ft. F1ool-Area auction
or mm he- g ahs t ]da()of J nn B cors dProfessions ode) f-O•y".: i•'..',•._ ' _\c
or s mot mendmin and the bats for the alleged exemption.Any violation -
of Section 7031.5 by any applicant for a pemtit subjects the applicant to a civil Penalty
of not more than Eve hundred dollars(S500). umber Occupancy Type
Vpl.asown<rofine property.army employeesw'ith wagesas their sole compensation. _ '
'do the work,and the'smumure'is not intended or offend for.1, -
'Business and Profession,Cale:The Contractor's License Law aces not apply to an Required Inspections
owner of property Who builds or improves meson,and who does such work himself
or through his own employees.providedhi that such improvements men¢arc not intendedyfx.d t
'c mole for ark:w lidwever,uilMe the l have
e improvement n sola heroin one year of ----
improve for p cower-builder will have Joe Wden of proving that he did ria Wild or
improve for purpose of sale.]. 1
..........
as.t. � .a,o'heruren p(Sec.7em exciald'Basin—
andPraaing wimatt Thenvacnrtw I ':.Lbt`.;:cRl.':i!•,., _._..._.__.-_.
- c nswct the project(Sec.]to a Busied and Professors Codep The ma th emr's fit,.,, \,
License I co does not apply man owner with
a corny who builds or improves thereon,
n:
,.and who comrens.forsuch.projccu wiN a cammnoge).litt sed Pursuant.m me _ .__.. _ .— __._..._ ___..
CommunnouriLlenmeLai
_ ❑lam eamPt .B&PCfo corsEX':P'I1RED
are
un<'S COMPENSATION DECLAR%ATION
-. Ihcmby aPo derpenaltyof Perryryionc of the following dcdarmionx:
❑ 1 have end will mailin a Certifeem of'Consem'm self-insure for Worker's
Compensation, as provided for-by Section 37M of the Lada Cut for the
- 'perforrnence"of the work for which this permit is issued.(, \
❑1 have and will'm6imain Worker's Compdnsation In urimm,as required by Section
3700 of bell-rdWr Code for the performance of the work'.for which this permit is
sued.My Workers Compensation]n,urence carrier and Policy number arc: "
crricr:' f` '. .�\f Policy No.: .. Ili- I _ ._..._..-_.......,....... ......_...-_._ _.__. -
I !J I CERTIFICATION OF EXEMPTION FROM.WORKER51" 4 ! .< �,'t• i" t .+r Ali fir,
" COMPENSATION INSURANCE
`h u t fTh. iikia,mmd not ba compined if me lemur is portion hundred dollar -'•'1'�� '�" ' '_ - - - -_ _— • tl -
ISI(pl
'som'fy fna' e"InIperformance fm 'k fair' which m pemit issued.1 r.,... -`C ! !..pr,r . .1 ._.. ,_.......,z.,...
sn 11 tr mploy any pe m n any ma es m hour subject m Ne Workers ,
Compencolon laws of California.Date "
O
AlIldisoof.
NOTCET
09PPLICANTItfmrmrkirll:
C eiri
ofE<m tuyoualiaQb< hl ct to n her Compensation pesoLaborCode. nue]annum m comply witreIch
-'-- --
prov s ins ser cots permn shall be deemed m.okca
CONSTRIiCrI0NLENDI\G AGENCY-'
C, 1hereby affirm that the is a coasurruction I'rdtagagency fonhe perforrnaritt .;• ,. F.
of the work for which cors perm t s issued(Sec 30q].Civ.v.C.)
':L. " Lentil',i Name'>.._ Iu-....:a. ___...___.. .-..,e
O[Z Lcud .Add' r .. _. ._ _. __ .__._. __ rt• '\C, - ... __.
1 nedify that 1 have read this application at and stain that due above information is
�+ F"
carrier I agree to comPlYrwith all city and county ordinances and state laws rearing
to Wilding construction.and hereby authorize repe4crialiesufm,s city to enter upon,
y'ta1 'the nbovc-mentioned property for inspection purposes.
(We)agreei e.indeinuff,and li phvml<<iAe Criy of Copan no against
co!) hood lies.jwelprounit.cost, ad pane inch y n any way accrue aea,st sed
U z City n cuunq union of he gm I . "mmwpchnit— ,
'APPLICANT UNDERSTANDS A\9 WILL COMPLY WITH ALL ON-PD NT
_ oURC I' UL Io 's .N Issued by: Date
-Signimrcof Ap can .ti aetbr ' ',, - m. Re-roofs
H A DO 5. ATERIAIS DISCLOSURE:
.. i'.,. .
,wn rhe
applicant or ram dein 'arca ..TYPe of Roof
pp S p i t - h dl<hararc n all
I
def,dbyyyyyym Cpcn M plCal Ch pt 9.12 tlm Health dSafety
Cr do 5 " 25572( 1 .. , 1- r u ;r �..,,rI -
tE i.`.J
Y .. .' o" gr .I`I " ' ' ___All.roofs shall be inspected.prior to any roofing material-being-installed.,,,...,
"'°the "pia r building l ` uequipment a 'tta which If a roof Is installed without first obtainirig P an ins ecnon;4''3gFee[o.rernove
Di hard d sams defin d by to Bay Area A Quality M rugtat
all new,materials for inspection..ApplicanI understands and will comply with
'• - all non-point source regulations':.,,; i I. , •;;r3r.., _
I Nio, end be hiciamillial:matcnals repo remeni.i d do Chapter695 of be
C-lifemil, ee m&Safety Coate.Secobn 25505 25533 and 25531:1 understand matt
if Ne Wildingdoes not currently have a ewntrmat it is my responsibility to notify the` -'
,rwcupunt of me quire'ew,which m.,I be met prior to d,u ame
occupanc of i Ccnificam of •`
1• ;
' :''' _
SignatureofApplicant_
r, _ Date
woe ti ant more age t :t; { ; - Date ._ All roof coverings to be Class,"B" or better ' '
_: __.-.:,:. a ._ . .- .._ ._ OFFICE _.__ .— . .. . ...........
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.NOT io -5CqLE
Fl�oPO3ED Li9You7- OF EXTRUDED
ALUM1111am FkyMf- OFSTi9iiV,�C,D 5 l✓�NDa(N
(P�NEcS_-.Nor 70 EXCEED
10/05/2000 13:19 17074642948 SEAN PAGE 02
3000 SERIES SPLIT TUBE
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GAFF COMPANY
370 VISTA PARK DRIVE
PITTSBURGH, PA 15220
412-787- 1761
F
DW DIE 70290. 70291, 7029:8
SCALE TULL FINISH COLOR AVAILABLE:
• ALLOY: 6 3 T-5 BRONZE ANODIZED
REVISIONS: BRONZE BAKED ENAMEL
D6Tf!/L. �F.. A[-U/'/'//NU/y') _ .. �Rf✓/!7E__. _
�sonoi r
W .ban,MR
.gtcl
August 9, 2000
To Whom It May Concern:
Regarding St. Joseph's of Cupertino,Roger Hogan Studios, Inc. will be installing a store-
custom-front aluminum frame. There will be faceted glass inside the frame made of]-
inch thick glass with a%-inch epoxy matrix. The uniform building code considers this
type of glass to be like wired glass. If anyone has any questions please contact Roger
Hogan or myself.
Thank you.
• Sean Hogan,CFO
Phone 707-/64-7909 2111 Malone Road,Crescent City,CA 95531 Yea 707.46/-2948