08050074 CITY OF CUPERTINO staff
BUILDING DIVISION PERMIT L11toy�s kkC-"TQR�NF0
BUILDING ADDRESS: PERMrTNO.
7608 ERIN WAY SUNLIGHT CONCEPTS, INC . 08050074
OWNER'S NAME: PERMIT 95511E DATE
DAVIS BARBARA J 1130 WALSH AVE 05/07/2008
WN E: (408) 844-0081 SANITARY NO. CONTROL NO.
ARCHMCUENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
°00 LICENSED CONTRACTOR'S DECLARATION O O O O
u I hmoby anim Wt I w lixved under pmvisions of chapter 9(commencing Job Description
;0 viNSucum10(IU)ofDivision3afNCBusincvandPmfcssimuCode,aMmylceveu INSTL 7 SOLARTUBE TUBULAR SKYLIGHTS
p win full forte r
and offe . '1130
,UjZ Liccmc Cl 4 Lic.g
=Fp Dau ArL Contractor
uuuy��t ARCHITECTS DECLARATION
< 1 unfrcrsuml my plan shill he used u public rtcords
6
g
'Ot; Licensed Prolossumal
3< OWNER-BUILDER DECLARATION f I herby ofiim Nat I am exempt from the Contractor`s Ucenx Law for the
C e C following rtuoa(Section 11n 1.5,Business end Prolamin.Code:Any city or county
which rcquims a permit to comarom.alter.improve,demolish,or repair any stmcmm
zprior to its issuance.also requires the applicant forsuch permit to file a signed smunu nt
< this he u licensed pursuant m tW provisions of the Convector's Uceaw Law(Chapter 9 Sq.Ft.Floor Area Valuation
YFG (cummemingvv S=dm?")of Division3oflWBusinen.rad Profmiom Code)ur $4000
y�R But heis exempt thoodrom W tW basis for tho illegcd m,cmption.Any violation of
Section 7031.5 by mr,applicant for a permit mbjccu dte applicant m a civil penalty of
rotppy Number OccupancyType
0 1,u owma of dm property,m my employees with wages u thele vele enmpem rthm,
wiH do that wort,and Neswnum uwtinuMW or orforod image(Soc.'I(1as.Husinw
and Professions code:The ConuactMs I urate law from,not apply m an wmr or Required Inspections
property who Wildamihpwws lWrmn,and whodoessuch workhinsm1forthrough his
awn employers,provided Nu such improvements art not iowmM orolfered for sale If.
hcmc e.the building or improvemmt'u sold within one year of mmpleuon,the owner.
buildor will haw the handout of proving that ht did not Wild or Wi sow for purpose or
sale.).
constL u weer of ct Sec,7W.
B adus and Prolmi eg with Httmcdonntnmoss U.
cc=La tho project(Sec.onano Bhinm and property
who ns ds oru pro Convert's Li
cense Law does not apply m an owner of pmprty who Wilds or imposes Norton.and
w W canuacu for such pmjech with a cantremRs)IittnseO pmwam b the Convector's
Llttnm law.
❑lam uunpt undo See ,HdPCror frth Ramon
Owner Co.
WORKERS COMPENSATION DECLARATION
1 hm,cby slash nd
uer rascally of prjury one of NRuou
e following do la :
1 sm and will maintain a Cerrifimhof Consem in self.inum for Waiter`s Compem
vision,as provided for by Section 3700 of the labor Code.for Ne perbom.of Ne
wort for which this Amit is iuuefr.
0 I haw and will maintain Wmker's CampnsNm Tnsu mon,u rcquiRd by Section
37M of the Labor Code.for the pmforman c of Ute work for which this pemmit is Wood
My Worker's Compeuauon Insurance carrier and policy number ate:
Carrier, STMT-P'/ Policy No.: 1811 -K-
CERTIFICATE OF EXEMMON FROM WORKERS"
COMPENSATION INSURANCE
(This shim mad Out W eompleud Hthe permit is furonchundmt donan(51BD)
or len)
I tonally that in the phfommce of IW work for which this Amit u issued I shn11 no,
employ,any pawn in any rainstorm u an become subject m IW Workera'Compensaum
Laws of California.Data
Applicant
NOnCE M APPLICANT:If,after making this Certificate of Eacmption,you should
become subim h Ne Withers Compensation provisions of Nc Labor Cade,you must
.J z forthwith comply with such provisions or this Amit shall W deemed Rwkcd. -
zpn CONSTRUCTION LENDING AGENCY
F— IWRbyalai—dm Nem is a construction leodingagency for doe Nrfnman¢of
lli > Ne work for whim this;Knoll is issued(sot.W.Civ.C.)
QUndoes Name
=z Lender's Address
tJ Q I cattily that I Wve rad this application and sub that Nc show iNmmmm is
IL mrrmt I ague to cmnplY with all city orb county oNinmRes and stall laws Rhung in 1
.Q Wilding construction.rind WRbyamhoriR rtDRsmuuvu of NU City m...In Nc \
show-mentioned property for InTracclJon which a
F W (We)agree m.uw,indemnify and trop hark.dm City of Cupertino against
h inconacs.quence fth he&rknficosts and hp..-.which may In any moor`acmeagilnss.uid City
V z APPLICANTCUN UNDERSTANDS Athis
ND rot L COMPLY WITH ALL NON-POINT Issued by:' Date
SOU —s–
!=
RCERE TIONS.
s Re-roofs
sum ofApplicarourWounscror Dau
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the appHm,nl or fumm Wilding occupants me of handle hazardous material
u donned by the Cupenom Municipal Code.Ch.pter 9.12.and the Hash,and Sarmy
Coda.O.zss3z(.)1 �+o All roofs shall be inspected prior to any roofing material being installed.
wH lk t or comm Wildin « anttaw
DP L P W uiPmont m devices which th.. If a roof is installed without first obtainingan inspection,.I agree to remove
m hutlsrdnuf air comamimnh as defoad by the Bay A.Air Quality Managemcm all new materials for inspection.
ric
❑Ym,
I haw mal IW hvamnnsmateriala mquim ons under Chapur6.95 ofthe Califon
nix Health 6 SafctyCodc.ScctrmsZ H5,295]I mod 75534.I.Mtraand Nmiftho Wilding
docs not cumndy how a tenant then it is my mapomibility at rouy Nc occupant of No
req ulmmcn hichmuu iunanmof.CmunnteofOccupancy. Signature of Applicant Date
DYJ U(+d
r nranNDri; ovens Date All roof coverings to be Class'W'or better
CITY OF CUPERTINO
• 3 ITEMS OF 3 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35921020 . 00
DATE ISSUED. . . . . . . : 05/07/2008
RECEIPT # . . . . . . . . . : BS000004694
REFERENCE ID # . . . : 08050074
SITE ADDRESS . . . . . : 7608 ERIN WAY
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . . .
OWNER DAVIS BARBARA J
ADDRESS 7608 -ERIN WY
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4343
RECEIVED FROM JIM MCDONALD III
CONTRACTOR . . . . . . . : JIM MCDONALD LIC # 29092
COMPANY SUNLIGHT CONCEPTS, INC.
ADDRESS 1130 WALSH AVE
CITY/STATE/ZIP . . . : SANTA CLARA, CA 95050
TELEPHONE (408) 844-0081
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 . 00 40 .79 0 . 00
BSEISMICRE VALUATION 4, 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
MPERMITFEE FLAT RATE 7 . 00 285 . 53 0 . 00 285 . 53 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 326 . 82 0 . 00 326 . 82 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 326 . 82 DISCOVER
---------------
TOTAL RECEIPT 326 . 82
��vs Do7 y
CITY OF CUPERTINO
11 SOLAR .-�
JkUan of
PERTINO PERMIT APPLICATION FORM
APN# d D 6 Date:
Building Address:
7(a6$ �P2nv l.aJhy
Owner's Name: Phone#:
-�3Ari.80.2h DAvis [-log_ zsZ- -7 (P69
Contractor: Phone#: y _8�4_�q Contractor License#:
sv,�cwwr Co cr-rrs. S�
Fax #: 'i-3- 941t- 0054- g(07 Z3o
Contact: Phone#: ko8-844- Cupertino Business License#:
oo&,(
Fax #: "OS - 844-oof-4- 29042
Number of Panels/Units: Kilowatts (Commercial Only):
Job Description: 7 Soy �vae T Q. p.� Sw
Residential Commercial ❑ Valuation (cost of project):
41000.
Green Points:
1.2 KW-6 Points ❑ 2.4 KW- 12Points ❑ 3.6 KW- 18 Points ❑,
Quantity Fee ID Fee Description Fee Permit Type
--Group
1SOLARPANL Commercial Solar Panel E SOLAR-COMM
1PHOTOVCOM Photovoltaic System E
Commercial
1BSEISMICO Seismic Commercial E
IELCPLNCK Plan Check Fee E
1SOLARRES Residential Solar Panel E SOLAR-RES
1PHOTOVRES Photovoltaic System E
Residential
/ 1TRAVDOC Travel &Documentation - B
1BUSLIC Business License B
SR'�Im.L (2eQ-
7 /�Qel1w «A P���
S, 111
Community Development
Cupertino CA 95014
130 Torre Avenue
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
�UPEkTINO
Building De artment
JOB ADDRESS: 7WG A-le. PERMIT #
Cwe ,—, CA 015701`t o go SQ 707
OWNER'S NAME: ,,s PHONE # (jos-7,5-z--7(,0z
GENERAL CONTRACTOR: Su.r w u r Ccr a FAX # 4uf,, Sa
I am not using any subcontractors: .Li
Signature Date
Please check applicable subcontra ors and complete the following information:
60 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
Owner/Contractor Signature Date