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03010012 (2) CITY OF CUPERTINO #r BUILDING DIVISION PERMIT XONTRA43 OR INFORMATTIN-"" BUILDING ADDRESS: SMART WINDOWS & DOORS PERMITNO. 10114 E ESTATES DR 03030012 OWNER'S NAME: 6305 DOUGHERTY RD APPLICATION SUB DATE RAJENDRA LIMZYE 01,103Z2003 HONE: (925) 556-6010 SANITARY NO. CONTROL NO, ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH �02 LICENSED CONTRACTOR'S DECLARATION O O O O ex u i. L Mmby affirm that I am Recused under provisions of Chapter 9(commmu;ng Job Description eZw with Scelon?fX10) fD;vkhm3af NeBnsirc and Professions Cade,and mylicenu is r^�a infullfn a of '" '� Lican cl 1p a -744 :,50 5 WINDOWS& 1 PATIO DOOR. on cz-; Pd5\ 1hQz 9se=3 Fry a ARCHITECTS DE 'Al, I i ndcreond to pleas shall be used as puhlic rentor APR 2 4 2003 LLa. Licensed Pmfestional OWNER-BUILDER DECLARATION i Y 1 hereby affirm Nat I am exempt from Ne Conaacou's License Law for the ��'�®�� Q O following reason(Section 7031.5,Business and Portentous Code:Any city or county ad6 which""Than a permit w carouser.alter,improve,demolish,or repair any nructum Fly prior to its issuance.also requires the applicant for such permit in file a signed somment sz`e Oat Inisficmundpursuant to the provisions ofOnContractor 9Uecrom Law(Chapter 9 Sq. Ft. Floor Area $6V77111i9tion net- 'commencing with Section 7")of Division 3 of the Business and Profaasions Cale)or y r3$ that he is exempt theufmm and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of Type not mos Nss an Ehundred dollars($500). Occupancy L,as rwrcr of me pmpcny,m my emplayas with wagas as their role mmpensalion, will do the work,and she suucwm is not balanced craffered fo site(Sol.7W,Business and Pmfassiom Code:Tho Onarseloe.License Law does not apply in an owrcr of 102 - P I ERS e'Med Inspections property who builds or improv thm con,and who does such work himself or through his own employees,provided thatsuch improvements are not immmeed oroRered for We.If. 103 - UFER however.On building or improvement is sold within mu year of completion,On owrcn I Wilder will have tM bumcn of proving Nat he did not build or improve for purpose of 104 - REBAR as1. 105 - ANCHOR BOLTS 0 L,as owner of the property,.B sines and contrasting with licensed contractors i. 10 6 - SEWER & WATER construct the project(Sec.]Odd,Business and Profestona CoOe:)The Conmaswri Li. cents law docs not apply in an owner of property who Within or improves Orman,and, 202 - UNDERFLOOR PLUMBING who contracts for such pmycis with a contractors)licensed pursuant to the Conmacmrl License Law. 203 — UNDERFLOOR MECHANICAL D l am exempt under See. ,B&PC for this reason 204 - UNDERFLOOR FRAME Owner Data 205 - UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION 41 l hereby alEtm under penalty of perjury one of On following declarations: 301 — ROUGH PLUMBING D L have and will maintains Certificate ofC..nt mul6inum lbrworkeri Crimper. 302 — TUB & OR SHOWER sation,as provided for by Section 3700 of the Labor Code,for the pertoumanm of the 303 - ROUGH MECHANICAL work lar whim this permit is issued. 304 - ROUGH ELECTRICAL D I have and will maintain Worker's Compensation Insurance,as required by Section 3 0 5 - FRAME 3](X1 of the Iahm-Con,for dm performance of the work for which this permit is issued. My Workers Compensation Insurance carrier and Pul;cy�ginnarata: 306 - HOLDOWNS Canier: 'T� ' vt/ Priray;: 511- b'Z 307 - INSULATION CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 308 - SHEETROCK or lcssJ(Thissectinn nerd not be completed if Onpermit is Intone hundred dollars($](X)) 309 - EXTERIOR LATH I-Wfy that;.the perfummnce of be work for which this permit is!.and,I shall not 310 - INTERIOR LATH employ any permn in any manner so as w become subject to the Workers''Compensation 311 - SCRATCH COAT Laws of California.Data Applicant 313 - ROOF NAIL NOTICE TO APPLICANT.If.after making this Certificate of Exemption,you should 501 - FINAL ELECTRICAL ENERGY become subject Comply with the Workers Coons or tiopormishal of theLaborrvuQ.you must 502 - FINAL PLUMBING ENERGY z become forthwithcomply with such rlon's Compensation pprmiuhallMde Labor Code `may CONSTRUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY F " 1 hereby affirm Oat there is a construction lending agency for the performance of 504 - FINAL BUILDING ENERGY a � the work for which this p mhisiasam(Sa3H].civ.c.) Lender's Name 505 - FINAL ELECTRICAL � 0 a z Under'sAdd.. 506 - GAS TEST U O I can;fy mat I have read this application and num that the above information is 507 - FINAL PLUMBING W )-' correct.1 agree to comply with all city and county ordinances and some laws relating to pU building construction.and hereby aomndemp=ntativcsofthis city tocnmpa runthe 5 FINAL MECHANICAL W ah.vc-mcn0orcdpmpcnyfor impurposes. %09 FINLL (We)agree to save,indemnify and lice,harmless the City of Copeman againstry) liabilities.judgments,costs and expenses which may in any way aecom against mid CityUZ in consequence of granting of this permit. GSOUAPPLICANT RIC IGO ATIONS.NDS/ASND_WILL COMPLY WITH ALL NON-POINT Issued by - WORKS Date —`A/6lL_ on -,r<f//, Drll Re-roofs S)gfuarum of AppbanVConuazm cr Deom HAZARDOUS MATERIAL9 DISCLOSURE Type of Roof Will the applicant or future building occupant nom at handle haysrdow mitatal as de0rcd by the Cupcnino Man'1pal Code.Chapter 9.13,and the Health and Safety Code,Section 35532(x)? ❑mYes All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building occupant use equipment or Ovicas which If a roof is installed without first obtaining an inspection,I agree to remove o • mit M1vaoun air contaminants defined by me Bay Area Air cuts Management all new materials for inspection. emihDistrict? DY Nu I have Rad On has crosm=nal5 , requirtmenu under Chapur 6.95 of me Califon nia Health&Safety Cada,Sec6ons25505,25533and 25534.1 understand thatiftle building docs not currently haw a tsmar,that it is my m istaxittlity w no'fy tlu occupant of the m vi menu which R met priorwiasuancc ata CeniOcatoo cy. of m%>vv —ya f�, /0 j Signature of Applicant Dale mer or authorncd agent pa1C All roof coverings to be Class "B"or better *CITY OF CUPERTINO • r73 �CITY CUPE TTINO PERMIT APPLICATION FORM Ak APN# 6 Date: pi- o3-b3 . Building Address: Owner's Name: Phone #: 2zSeh di z Li rhi e- yog - IL---315-7 Contractor: License#: rnzrL W'�yxaau> "1 `15Sb3. Contact: Phone#: AyN&e� H�rn2n do z_ cies- �7u- 1 121 Applicant/Contractor: Fax,#: Buildin 'Permit Info: ' Bld Elect Plumb Mech cri tion: 4Resident'al: I n ytL1 i rj Wt V) 66W 5 b 1 T t b Dr, Commercial: oor Area: $/Sq.Ft.: Architect/Engineer: Valuaft Type of Construction: Occupancy Gr p: uanti Fee ID Fee Description Fee Group BAPPLOTHER Other A liances MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/ uasi BUILDING BCONSTAXB Con: Tax for Rn 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 Ener BUILDING; BENERGYADD Ener Add Multi BUILDING BINVESTIGA Investi ation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housin Mit Fee BUILDING BMNEWMULTI New Multi-Famil Res MECHANICAL BNEWMULTI New Multi-family Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL . BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING lof3 2o7q q 7 le-2 73 , 7T_ CITY OF CUPERTINO CUPEIZT "TMTINO PERMIT APPLICATION FORM • U=ti Fee ID Fee Description Fee Grout) BNUMULTI New Multi-family Res 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 BPE4TERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING 13PLANCKADD 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 rmkler/Backflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pipe PLUMBING BPWHEATER WaterHeater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reins ection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units<= 10,000 c&n MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFM Lighting Fixtures ELECTRICAL BREMFURN Relocation ofFumace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL RBREMSIGNS REMINHOOD Installation of Hood MECHANICAL REMMISC Misc Apparatus ELECTRICAL REMNRAPP Rem Non-Res Appliance ELECTRICAL REMPOLE Pole/Platform Fixture ELECTRICAL REMPOWER Power vice/ApparatusDeELECTRICAL REMRECEPT Rc tl, Switch & Outlets ELECTRICAL REMRELOCA Relocation of Hood MECHANICAL REMREPALT Repair/Alter HeatingMECHANICAL REMRESAPP Remodel Res Appliance ELECTRICAL REMSIGNAD Rmdl Si Add Branch ELECTRICAL Remodel Si s, Mar uee ELECTRICAL REMTHEATR , Theatrical Lighting Fix ELECTRICAL J 2 of 3 S CITY OF CUPERTINO • "'y F PERMIT APPLICATION FORM CUPERTINO Quantity Fee ID Fee Description Fee Grou BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSF&2FAM Single &2 Family BUILDING BSFNA Single Family New Add 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 ZADDCHG Address Chane BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75 M Btu MECHANICAL 3 of 3 4 to t 14 `i 9 ,2 t r - I � � 4 o o nv af Pi Q. 1 ao _ � `^ cE W � N � � v C:3 11 _