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06050023 CITY OFCUPERTINO ""M�l�(/� BUILDING DIVISION PERMIT EVOL�'�- �� '•'`^O-""-" � � BUILDING ADDRESS: CALIFORNIA SKYLIGHTS PERMTr N0.06050023 7474 DF FOP, DR OwNER'S NAME: PERMIT SUE DATE CONRAD TSAO 18637 BUCKNAU RD ONE: SANITARY NO. CONTROL NO. 408) 866-6759 ARCHnECVENGINEER: BUILDING PERMIT INFO . BO EO PLUMS MEOCH o p LICENSED CONnsed under previsions DECLARATION pf' [J ® 1 Iherebyaffirmthat NS1AmONTRdundoSDECLATIONChapter 9(rommendng JobDescriptionLY L tth Section 70011)of Division 3 of Ne Badness W Professions Cade.and my Imes,U ser I■1 +�gq NmnramAndeffect. INSTALL SUN TUNNEL SKYLIGHT Lic.,e�W Oa0, lass ARCNfiECI-SO m RATI N i 7 MAY Z%-- 2006 L 1 understand my plats shall be used u public mor s >R!U yGr^ Liccmcd Pofcssianal �[� p�� (d 3 OWNER-BUILDER DECLARATION aV■ ep lllp((t���\t■g aF I hereby alRm that i 1. exempt from the Conuuorl License Law for Ne a�5' D O following moon. aeon 1 71D 1.5,Badmas and ad.dermw Code;Any city m roomy CCG771 391Vi1 which requires s permit re cathe dW.kernt fmvc,h permit fie a sig and awcturc 5 _ A ch are m its l issuance-alto requirestoe Novisio nm(or amh permit Utensc Law swcmcm thnbeuliceoedpunuammlbeprovisiomafthaConuacmriLiasclaw(Chapmr9 Sq.Ft. Floor Area Valuation E%5$ (commencing with Section 7000)of Division 3 of the Business And Profession,Code)or L' .. that ha Is exempt theefom and the basis far the alleged exemption.Any vbiadoa of Section 7031.5 by any Applicant for a Permit subjects the applkut in a civil penalty of Armr Occupancy Type not marc than five hundred dollen(SM. ❑I,uawnu ofthe property,or my employca with wages as their sole eompemation, will do the wort.and the souaure B not intended maffaed fmWe(Sec.7044.Badness Required Inspections And Profeasiam Coda The Contruc m's License law data e not apply m an cannot or 9 P property who bui Ida or improves timmon,and who data such wart himself or through his awn employees,pnrvmed that such Improvements are mtlmand oroRetadfmaxle IL however,the building or Improvement issold within am)ear of completion,the owner- builder will have that hurdca of moving Na he did ret build a Improve for purpose or sak.). ❑1,as mum,of site property,am exchnively connecting with licensed omumn to commct the pmjea(Sec.7064.Business and Profculans Code:)The Comrumr's U. Geese law does not apply to an owns of property who bulbs or Improves theme.and, wM emwnta for such pmjc=with amnua.7or(a)licensed panant eathe Conu stem's Limem Law. ❑lam esempl undo Esc .Bd•.PCfarthmmuon Owner Data WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury arc of one,follewing dalantimn: 1 ham and will maintain aCaaOam of Con¢at to coif-insure fa WartrrsCompen- salon.As provided far by Section 3700 of the Labor Cade,far Am penfarmcoce of the work for which this permit is issmd. ❑1 have and will maintain Worker's Compensation Insurance,as required by Section 3700m`the labor Cade.far de,performance often work fa which Nis Permit is Issued. My Workers Compenudm lmunenec canis and Policy number are: Carder. Polley No.: y77g KC3^Df CERfIFlCATEO EXEMPTION FROM WORKERS' COMPENSATION INSURANCE e (This serum reed notbe compkmd if the pcmit Is roam hundred dollars($100) or less.) I certify that In the Performance of the wort fm which this pewit Is Issued,I shall ret _ employ any person in any mmmrso As m became object in tia WorkaYCompamation Law,of Califomia.Dam Asp NOTICE TO APPLICANT:If,after making this CenlOom of Exemption,you should became subject m the Worker's Campenaadon prevision of the labor Cods,you mum .J O forthwith comply with such provisions or this permit shall he doomed revoked. zpn CONSTRUCTION LENDING AGENCY PI hereby aRrm that Nem is a eonsmurunn lending agency for the perfamame of C4 the wor > k far which this peon k island(sea.3x97.Civ.C.) Oleaders Name 7 2 Lenders Addreas U0 1 certify that 1 have mad this application W sum that the above infom ul.Is LU F coram I Ague to comply with all city and county ordinances atm cam laws miming to OO building consuuction,and hemby Authorize representatives of this city to enter upon the U shove-mcndoncd property for irepcction purposes. CL (We)ague to taw.indemnify W keep harmless the City of Cope no atainst vn fA llabilitia,judgmenu.comisW expenses which may as any way Account against said City I.conazatuchV APP CANTeof the g UNDEgQSTANDS ANDof WILLWILL COMP TH ALL NON-POINT Issued by: Date —i� SOURCE EU BIONS. kfll�- 3-71 /­' Re-roofs Sigmturc of Appli—UCoy mor OAm * N A0.DOUSMA T ALS DISCLOSURE of Raaf Will the applicant or future building aceupatsame or handle hazardous material As earned by the Cupertino Municipal Code.Chapter 9.13,and the Health and Safety Cala Section 337330)? All roofs shall be inspected prior to any roofing material being installed. ❑Yes Fir 41 Will the applicant a future building oceupant use equipment are devices which If a roof is installed without firs[obtaining an inspection,I agree to remove emit lwamnes Air crenarrim ms As dcrined by the Bay Am Air Quality Mmagcment all new materials for inspection. Diauict? Cl You Nu I have mad the basammm materials requimmanu under Daman 6.95 ofthe Calif c. malimits&Safety Cme.Seams335OS,25533W25534.1undcnmulthat iftiebuilding - dom not manot]y how a mnen4 that Itis my mspaesihility m ratify the accupmt a(the require w m.IWIpriorIm �Ccrdfm,mafocaxecY. Signature of Applicant Date • t b4crorauth.rizedIZAL crew L All roof coverings to be Class °B°or better CITY OF CUPERTINO 1 of 1 PERMIT RECEIPT OPERATOR: quem COPY # 3 Sec: Twp: Rng: Sub: Elk: Lot: APN . . . . . . . . : 35924036.00 DATE ISSUED. . . . . . . : 05/03/2006 RECEIPT #. . . . . . . . . : 34222 REFERENCE ID # . . . : 06050023 SITE ADDRESS . . . . . : 7474 DE FOE DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CONRAD TSAO ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . , RECEIVED FROM . . . . : TERRY KIYAMA CONTRACTOR . . . . . . . : TERRY KIYAMA LIC # 26844 COMPANY . . . . . . . . . . : CALIFORNIA SKYLIGHTS ADDRESS . . . . . . . . . . : 18637 BUCKNAU RD. CITY/STATE/ZIP . . . : SARATOGA, CA 95070 TELEPHONE . . . . . . . . : (408) 866-6759 4EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ______ _____________ __________ __________ __________ __________ __________ BENERGY PERMIT FEE 83.16 39.92 0.00 39.92 0.00 ' BPERMFEE VALUATION 599.00 83.16 0.00 83.16 0.00 BSEISMICRE VALUATION 599.00 0.50 0.00 0.50 0.00 __________ __________ __________ ---------- TOTAL PERMIT 123.58 0.00 123.58 0.00 METHOD OF PAYMENT AMOUNT NUMBER _________________ ------------ __________________ OTHER 123.58 VISA TOTAL RECEIPT 123 .58 • Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 OCUPERTINO Building De artment JOB ADDRESS: PERMIT # OWNER'S NAME: <2c, S pz� PHONE # d �r-/b GENERAL CONTRACTOR: c , FAX # I am not using any subcontractors: r Si ature Da e Please check applicable subcontractors and complete the following information SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting • Linoleum/ Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing ` Roofing Septic Tank Sheet Metal Sheet Rock Tile Owri�r/Conactor Signature Date CITY OF CUPERTINO CUPEI�TINO PERMIT APPLICATION FORM Q�pQ�rQj�.3 APN# 35c? � //O3 / Date: N � / R'c)6' Building Address: / 7 1p Mailing Address (if different from building address): "7 �F Owner's Name: Phone#: Contractor: License#: Gt9 C / F99,014 S L Contact: S co-r-r IPhone:N08P/.1-7.314 Cupertino Business Lice se#: Fax: Building Permit Info: Bldg B/ Elect ❑ Plumb ❑ Mech ❑ Job Description: A)FRG—//6a,2.0 / Residential L i Ai ommercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: Occupancy Group: S�9 — 14Z-3 Type of Construction: N Please check this box if the project is a 1,7,� S:4' i �' 'L AiA.C-L second-sto addition: ❑ ro•ect Size: Standard ❑ Large ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERl Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> IOOK 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 <= IOOOA ELECTRICAL BELEC1001 Elec 600V> IOOOA ELECTRICAL BELEC200 Elec Svcs 600V<=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 ZAP- CITY OF CUPERTINO CUPEf 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 Pb1g 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 rinklerBackflo 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 BRENCU IAN 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 2 of 3 :(+ CITY OF CUPERTINO CUPER,TINO PERMIT APPLICATION FORM uantity 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 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 Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Change BUILDING • 3 of 3