04060074 CITY OF CUPERTINO a '1x r«cn=�w4�_; f '-•3
BUILDING DIVISION PERMIT CONTRACTOR INFORMA „
BUILDING ADDRESS: GREGORY & CHRISTIE LAFRANC ERMIr No.04060074
11060 FIRETHORNE DR
PERMIT LSSUE DATE
OWNER'S NAME: ,
GREGORY & CHRISTIE LAFRANC .
SANITARY NO. CONTROL NO.
E.
BUILDING PERMIT INFO
ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH
u80 LICENSED CONTRACTOR'S DECLARATION I[lb A ICrlptl til '�'�f
C 1 hereby af(rm that 1 nrt limned antler provisions of Chapter Y(commencing CD k>_s y .
b with Scaion]IXMI)uf Division Sof NC Business and Professions Code,and my license is ��J
y infllto. adeffeet. WINDOW REPLACEMENT .�?)1_ $b 2 04
Z License Clams Lic.g
n—E Dam Cunlraclor
C ARCHITECTS DECLARATION
1i 1 understand my plans shall W used as public records
LL G Licensed Pmfcssionel
+O OWNER-BUILDER DECLARATION
Cmul IDN
<P 1 hereby off rm that 1 am exempt from Ne Comracmr's Liccnsc Law for Nc
no following rason.(Secfion 703L5.Business and Professions Code:Any city Or county
which re4uime a permit to moa ro,tiller,improve.demolish,or repair any structure
��� psiDoommissuance.alsorrquimslWapplicantfarsuchpenniuorilcasignedstalemCon �q.Ft. Floor Area Valuation
£ that he is licensed pursuum In the provisions of the Contractor's LicLaterite,Law(Chapter 9
yN$ (commencing with Section 7001(d.1 Division 3 of the B usiness and Pns(esmium Code)Of
that he is exempt Ncmfrom and Bae basis for Ne alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant m a civil penally of ISIQ�LQt$er0 0 Occupancy Type
1 not more than five hundred dollars(SSW).
❑1,m owner ofthe property,or my employees with wages O dmir sole compensvion.
win du Ne work.and thcswaure is notimended proffered forsale(Sec.7044.Business Re uired Inspections
•red Professions Code:The Contoodc is Lin"•Law docs not apply m an owner of q
property who buildaor improves thereon.and whodoessuch work himself or through his
own employers,provided thatsuch improvements are not imerMed croRered for sale.If.
however,the building or improvement is Cold within one year of completion.Ne owner.
builder will have de burden of proving that he did not Wild or improve for purpose of
sale.).
1.as owner of the properly,am uclusivcly contracting with licensed contractors a
co trust the project(Sec.7044,Business and rmfcasions Code:)The Conmemrs U.
scum law does not apply to an owner of property who Wilds or improves Nemon,Md. -
who contracts for such projects with a co rfactor(s)licensed purCCML to the Contracmfs ,
License Law.
❑Ivo eaempt un rSec. B&PCfor this mason
ow �.Yti�-,�,C',{
WORKER'S CO NSATION OCC' RATION
I hereby affirm under Finally of perjury one of the following decladmums:
I ha read will meiroso-Certlficam of Cmcuntto self-insure fm Wo laces Compcm
.tion,as provided for by Section 37M of de L uam Code,for Ne performance of the
work for which this Permit is issued.
r-11 have and will maintain Worker's Compensation Insurance,as required by Section -
37W of de tabor Code,for Ne performance of the work forwhich this .if is issued.
My Workres Compensation Insurance carrier and Policy number arc:
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This suction need act W completed RIM permit is forene hundred dollars($100)
las)
1 certify that in the performance of the work for which this permit is issued.I shall not m
'employ any person in any manner so M or become subject o the Workers'Compensation
Laws of California.Dale
Applicant
NOTICE TO APPLICANT:If,after making this Ccodream of Exemption,you should
,come subject to the Workers Compensation previsions of Nc Labor CMc,you most
,J Z' forthwith comply with such provisions or Ibis f®rma l shall W deemed revoked.
ZO CONSTRUCTION LENDING AGENCY
[—m Iheuby affirm Nat dere iso Construction leadingagcncy for the Performance of
y'5 the work fur which dis permit is issued(Sec.3(y7.Civ.C.)
W Lender's Name
Z Under'a Address
J 0 1 certify that I have read this application and state that Ne above information is
W E' comcL I ague to comply with all city and county ordinances and sale laws relating to
Q U building eonswee to a and hereby aurhor d e p harmless
of Nis city m curer upon the
W above-mentioned properly for inspection pu1mCC
F4. (We)agree m cove,indemnify and keep hay in an the City ro against against
'VI Iiabilides.jutlgmcnu.costa and expenses which may in any way accmc against said City
C)Z in Consequence
IL CANTCUNDERSTANDSof Ric larti.,Of tANDhis rWILL COMPLY WITH ALL NON-POINT Issued by: Date
URCE REGpp LATIONS
tf Re-roofs
Signature of ApPlicaHAZA cdr le
HAPADOUS Ming ocA13DISCLOSURE Type Of ROOF
Will theapplicant of forum buildingoccupantstoreor handlealloumaterial
' az defined by be Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
Code Section 25532(a)7 All roofs shall be inspected prior to any roofing material being installed.
❑Ya rtN.
uwhich -If a roof is installed without first obtaining an inspection,I agree to remove
Will the appricamor future Wilding Me equipment or devices
emit harardous air conaminaner as defined by By Bay Arca Air Quality Management all new materials for inspection.
District?
❑Yes �No
1 have rtM he mrardWarom rials requilemcnts under Chapter 695 of de Califr-
nia Health&Safety Cale,Secdoos 25505.25533 and 25534.1 undersand that if do Wilding
rCo..I cunemly ban a mcnan4 that it is my rc"adhility m nndly the Occupant of the
qe mtWmepdortoissean"onecrefiem,aOCCupaaey. Signature of Applicant Date
/;� ren .. All roof coverings to be Class"B" or better
em X I
...............___....
• COMMUNITY MANAGEMENT SERVICES, INCOR gl
-
,v
Z
May 27, 2004
CITY OF CUPERTINO
Gregory & Christie Lafrance RIMMING nFPARTMENT
11060 Firethorne Drive
Cupertino, CA 95014
OMCIC44"F-trywood Homeowners Association
Dear Mr. & Mrs. Lafrance:
The Cupertino Countrywood Board of Directors has approved your architectural request to
install dual pane windows and sliding doors, and raise the bottom of the kitchen window five
inches higher than existing subject to:
1. The installation being performed by a licensed contractor.
2. Any necessary City of Cupertino permits being obtained.
• 3. Any damage or maintenance resulting from the window installation being your
responsibility to repair.
4. The white vinyl window trim not exceeding a half-inch more than the existing aluminum
trim.
5. No grids being installed on the windows.
6. The glass being clear and untinted.
7. The windows being recessed like the existing windows and the wood trim re-installed to
maintain the exterior building appearance.
8. Any touch up painting being completed to match the existing colors.
Thank you for submitting your architectural request to the Association. It is suggested that you
keep this letter with your other important real estate documents.
Sincerely,
Community Management Services, Inc.
Bob Soares,A!Z anager
Cupertino Countrywood Homeowners Association
BS/R
cc: Board of Directors
File: 4
1935 Dry Creek Road, Suite 203 • Campbell CA • 95008-3631 o voice (408) 559-1977 • fax (408) 559-1970
i
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APPROVED
s �N ACCORDANCE RN ORDI
CUPERiIN
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pn :acrv �rF��ak , ; cuP;:tino.
The wi..ue _ ,:.,
The statnpi: E ni ttds Dane mit arutotcbeoar.
3Hi,Ll NOT be he:d top ovtstom
r nt the violation of sr VLaw.
t anv Citv Ordinance u.
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IN Al CORDANCE WITHRY
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;e�. i dv .ns UST
: ke 1 •:�rac d k i' un
o al era ions
�r nil,tt:ion for.
S, OLA/l 'S �h s pian rend specificat ons
I'L NOT 't, t,e.d to permit or to be a�
Dn •v; ^< ia6ti ;'r any prcris on;
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ZamaWITY OF CUPERTINOO
CUPEYOF PERMIT APPLICATION FORM ° '�' 754-1
N # Date: 0
Building Address: Mailing Address (if different from building address):
l I o bo Fire nR- I7
Owner's Name: Phone#:
bare ,v( L � ui C 2 Leo T 7 3k ( Lo
Contractor. 31) License#:
Contact: Phone: Cupertino Business License#:
Fax:
Building Permit Info:
'Bld Elect ❑ Plumb ❑ M h ❑
Job Description: ,
Residential ❑ obffi --& o ` rci
Sq.Ft. Floor Area: Ll $/Sq" t.:
Cost of Project: Occupancy Group:
Type of Construction: Please check this box if the project is a
second-story addition: ❑
ir—oi—ect Size: Standazd ❑ Large ❑ Major ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> I OOK to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M 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 <= 1000A ELECTRICAL
BELEC1001 Elec 600V> 1000A ELECTRICAL
BELE 200 Elec Svcs 600V <=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
1of3
tet"
CI TY OF CUPERTINO
BUILDING DIVISION PERMITCONTRACT,ORaINFORMATION �-
BDI LDING ADDRESS: GREGORY & CHRISTIE LAFRANC ERMI171,10.04060074
11060 FIRETHORNE DR
OWNER'S NAME: PERMIT ISSUE DATE
C GREGORY & CHRISTIE LAFRANC
E:
SANITARY NO. R 12 CONTROL NO,
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
LOP LICENSED CONTRACTOR'S DECLARATION
I hereby affirm)bat l am licensed under provisions of Chapter 9(commencing Job Description sem^
with Section 1IXg))of Divismn 3 of me Business orb Prufessionw Code.and my license is �0 N A LE`I 1:1 f
infnnto=and effact. WINDOW REPLACEMENT vu �J
,q: License Class tie..
ARCHITECTS DECLARATION JUL 16 2004
I undersand my plans shall k used as,public records
w
;aLicensed Professional BUILDING
S
OWNER-BUILDER DECLARATION
I krehy affirm that I am exempt from the Conuxcmrs License Law for the
00 following reason.(Section 103 1.5,Business and Professium Code:Any city or County
K a ff which requires a perrnit m construct,alter,improve,demolish,or repair any structure
so prior m its issuance,also requites tk applicants for such permit to Glc a signed suvmcar
that he is licensed pursuant to the provisions of the Common's License Law(Chapter 9 Sq. Ft. Floor Area Valuation
ce--m (commencing with Section 7")of Division Sof the Business and Professions Code)ur
y Nn =
he is crept therefrom and the basis for the alleged cumon
pu .Any violation of
Section 7031.5 by any applicant for a permit subjccis the applicant to acivil penalty of g QiffiBer0 0 Occupancy Type
not mare man five hundred dollar,(M).
O I,m¢sone of tk pmpeny,m my cmploycu with wages u rkb sole wmpcnsation,
will do one work and mestrvemc is not intended m.ffa ad fonuk(Sec.7044,Business
and Pnrfesu'ons Cox:The Comm odes Lice=Law does ant apply to an Owner of Required Inspections
propeny whii buildsorimprovev thereon,and whod«sauch work himself orthrough his
own employees,provided that such improvements are not intended oro@Cod rursale.If.
however.the building or improvement is sold within one year of completion.hamper.
builder will now Use burden of proving that k did not Wild or improve for purpose of
sale.).
low(
.az owner of the property,am=elusively convecting with licensed comm ma m
N'wet me project(Sec.7044.Business and Profusions Code:)The Contranwrs Li
e Law does not apply to an owner of pmperty who Wilds or improve menton,and
contracts for such projects wit a contractors)licensed pursuanuo the Contractors
nam Law.
am=emptu Sec. .B&P C for this mazmn
y L� .>S�—�� I re (o to o
/ WORKER'S CO NSATION DEC. RATION
1 krcby affirm under penalty of perjury one of me following declarations:
have and will maintain a Ccnificate of Consent m self-insure for Worker's Compeer-.
radon,in provided for by Section 3100 of the Latmr Code,for Ik perfmman«of the
work for which this permit is issued.
❑1 have and will maintain Worker's Compennuon Insurance,as ne,nmd by Section
37M of me Labor Code.for the performance of the work for which this permit is issued.
My Workers Compensation Insurance carrier and Policy number are:
Cannier. Policy No.: v
CERTIFICATE OF EXEM MON FROM WORKERS'
COMPENSATION INSURANCE
(This section need not k completed BOW Icwit is foram hundred dollars(SIM)
or less)
1 eerily Nat in the performance of the work for which this permit is issued.I shell not
employ any person in any manner an as in become subject to tbe Workers'Compensation
Laws or California.Dole
Applicant
NOTICE TO APPLICANT:IL door making this Cenifcim of Exemption,you should
become subject in IW Workers Compcmadon provisions of me labor Carl you must
.J O foMwim comply with such provisions or this permit shall W deemed invoked.
z '-" CONSTRUCTION LENDING AGENCY
1Wrahy aM,m mm there iso construction lending agency l'nnhe performance of
x 7 tk work for which this permit is issued(Sec.3091.Ci,C.)
0 Lenders Name
=z 1<nder's Address
VO 1 ccnify that I have read this application and stain mat me aW ve information is
[I.^ cone¢I agree to comply with all city and county oNinantttat
s and se laws relating m
O CSJ^ building construction.and hereby authorize roprtsenutins of this city in enter upon the
alwve mentioned propcny for ios,imuon purposes.
Fd (We)agree to save,indcami fy and keep harmless the City of Cupertino against
N
liabilities,judgments.costs and as,.which they in any way a«rougai.,said City
V Z in consequence of the granting of this permit. fh---
PLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:S4tQ� Date( V
URCE REG LATIONS
A- �L
Signature of ApplicanUCo' mor w Re-roofs
= DO IS MATERIALS DISCLOSURE Type of Roof
Will Ik applicant or future Wilding occupant amts or handle hazardous material
as defined by dm Cupertino Municipal Code.Chapmr 9.12,and me Health and Safety
ode.s«year 3z(.)1 u All roofs shall be inspected prior to any roofing material being installed.
❑
year
Will me.pphrant or ruwm Wddms«eapant a:r ewipment or devices which
If a roof is installed without first obtaining an inspection,I agree to remove
I hazardous air conchummants az defined by the Bay Area Air Quality Managcmcnt all new materials for inspection.
,arin? 111
❑Ycs y3No
I have mad the hazardous materials mquir men¢under Chapter 6.95 of the Califon
.is Healm&Safe,,Code.Seen..25505.25533 and 25534.1 unxrsund in.ifthe Wilding
d t curremly hove a vnan4 Nat it u my responsibility w nndly the«cupant of the
mqw cn1%hicyymnvkmepriortoissuanceofaCerti6cimofOccupancy 'L Signa[ureofApplicant Date
m 6�$,�T All roof coverings to be Class"B" or better
Owner or immmimd agent Date