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05050136 CITY OF CUPERTINO BUILDING DIVISION PpRMIT kCONTBACnRNF,ORMATIO, OU ILDING ADDRESS: TAI—FEN HO PERMITNOO 5050136 OW HER'S NAME: PERMIT ISSUE DATE TAT-EEN 140 _"0 ONE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH _op LICENSED CONIRd under DECLARATION tit F❑ 1 Mmby affirm that l am f,W Bu under pmvitlom of Chapter 9(commencing Job Description �<W with Section 7IX1U)of Oivisionlof the Busircss and Profession Code.and mylicense is Trot mm.and err.a ��,, p�p �® ? in Class Lm.a STORAGE SHED (10 'X18 ' ) ®`fid @q� ni-� Date Contractor ARCHITECTS DECLARATION WI undersandsh my plans all be used u public records U / r. Licensed Proposal...I 2005 OWNER-BUILDER DECLARATION <I 1 hereby alTrm that I am exempt from the Contractor's License Law for the n o following mason.(Section 703 ZS,Business and Professions Code:Any city or county Okla )nn v;6� which require a permit to conswm,alter,improve,demolish,of repair any soucture prior to its issuance.also reforms the applicant for such Permit to film signed statement < that Wheli..nsedpursuanu.ReprovisionsafthcContractor's LicenseLaw(Chaplce9 Sq. Ft. Floor Area I �Fm (commencing with Section Mall)of Division of the Business and Professions Code)or W. that he is exempt themfmm and the bmu for the alleged exemption.Any violation of Section 903.5 by arty applicant for a permit subjects the applicant to a civil penalty of 3 r.A'PtDIII'Q.1&Wr Occupancy Type notmomthmfivehundreddollaa(ssoo). P Y YP 0 1,m inner of the pmpwy,ar my employcu with wagn u Noir xolc cimpenaatlon, will do the work,and lie swcture is not immded or offered tonal.(Sec.70aq Business and Pe fessi Code:The Comencmn License Law doses not apply us in owner of - - Required Inspections property who builds or improve thcrcon,and who does such work himself or through his own employee,provided that uch improvements are not intended or offered for sale.If. however,the building or improvement is sold within one yfu of completion.the owner- builder will have ton Writes of proving that he did not build or improve for puryia of sal..). ❑1,as owner of the property,am exclusively contracting with licemed contractors to construct to pose.(Sec.70W,Business and Frascati...Code:)The Conuscmr's Li- crose law doe not apply in an owner of property who Wilds or improve thereon.and who conlmcu for such projects with a contractor(s)licensed pursuant o the Contractor's License Law. ❑1 am exempt under Sec. .B&P C for this moon Owner Date WORKERS COMPENSATION DECLARATION 1 hereby aMon under peulty of perjury one of ton following dalarauom: I have and will maintain a Certificate of Consent to self-insum for Worker's Compen- sation,u provided for by Section 3700 of the LSWr Code,far the pe fmmance of ton work for which this permit is issued. ❑1 have and will maintain Worker's Compensation Insuunce,u required by Section 3700 ofthe bor Code,for the performance of Ne work for which this aonit is issued. My o pemation lnsun�tt c,m�'gsvanu Polity number are: Ca Q / Polity No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (lTis section need nil W completed if to permit is for ane handmil dollara(SIM) or loss.) I minty that in theperformance of the work for which this permit is issued.l shall not employ any person in y manner an u m become subject m the Workeri Compensation LawsofC Laws f ppli NOTICE TO APPLICANT.If,arm,making this Cenificate of Exemption,you should become subject m the Worker 3 Compensation provisions of the Labor Code,you mum .JO raMwith comply with such Provisions or this permit shall be lamed revoked. Z "' CONSTRUCTION LENDING AGENCY FI bemb Rrm that Vert iso omuumion lending agency my for Ne performance of FC > the work for which Nis permit is issued(Sec.3(197,Civ.CJ W Q Lender's Name DZ Lender's Address U Q 1 certify that I hese rod this application and sum that the above information is Iy F correct 1 agree to comply with all city and county ordinances and sum laws relating to 0Obuilding conswclion,and hereby authorim representatives or this city to crime upon the �W above-mentioned property for inspection purposes 4 (Wo)agree to save,indemnify and kap harmless the City of Cupertino against f^'p/ Iiabilhiu,judgmenu,costs and expenses which may in any way ammo against said Ctry 1)Z in conseqummo.flhegmmingirlhis permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date rRC�R§GULATIONS. — `�w JJ/c/�lo s ds Re-roofs Sig azure of ApplicaTDam HAZARDOUS US MATERIALS DISCLOSURE Type of Roof Will line applicant ser fumm building Occupant store or handle Health and u defined ni 25 32(a)l nn Municipal Code.Chapter 9.13,and ton HcaOh and Safety cote.scctmn zssl2(aYr All roofs shall be inspected prior to any roofing material being installed. ❑Yon ,�No Will thea licant of future building Occupant useequipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove pp s p Is hazaAnus sit oonmminan0'as JcfncO by the Bay Arca Air Quality Management all new materials for inspection. tr'os9 ❑Yes Poo 1 have mad the havardous mamrialsrequircomots under Chapter 6.95 of the Califor- niaHealth stay Codc,Satom25505.2533ond25534.IundemuM irthe building rot y hmc a tenant,that it u my repimibility m nodly d_o on�ccupant of the quimm job mostWom"cormismancc coif. IF c Signature of Applicant Date Owner or authorized agent Dam All roof coverings to be Class"B"or better - , - Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY 0, Fax(408) 777-3333 UPEkTINO ByRding De artment JOB ADDRESS: PERMIT # 1,?-Z ZoAoG-2 At44. -iL-%KD o So.S o/ OWNER'S NAME: — PHONE # -?t%, 7r4- - GENERAL CONTRACTOR: FAX # / I am not using any subcontractors: / ��s- Signature Date Please check applicable subcontractors 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 Wood Page 1 of 2 • y qjI , . t Keywiin :e �'ialr:am$).'1 b Yi'N:�I 'il��•l.~T IQ E Catalol e r • � � • • r • r r . . r . Not registered yet?Register today. A IMasterCard?Backyard Makeover Sweepstakes You are here > Home > Shop > Garden Center > Handy Home Products Somerset 10 Ft.x 18 Ft.Storage Building Wnh Floor Kit, -F Back to browsing products PROdOCTIMAGESPECIFICATIONS 1 Handy Home Products l " . Somerset 10 Ft.x 18 Ft. Storage Building With Floor Kit" Model 18417-8 Our most versatile building...Install pre-assembled,pre-hung 5 Ft.4 In.w x 6 Ft.h double doors centered or offset,on save or gable side.Handy Home Products'do-it-yourself building kits are completely pre-cut-there's nothing to sawl No special carpentry skills are needed to build a Handy Home building-we've designed each one with you,the do4t-yourselfer, in mind.All thaYs needed are a few common household tools and a little �; �• spare time.To make your project even easier,each kit comes with fully IhJ'1� C8 Illustrated,step-by-step instructions to ensure that you'll be proud of the 44fftli! 13 results. IMPORTANT BEFORE ORDERING-Check with your local code � •EDU authority before placing your order. Homeowner must obtain building It',fory...If's Hr;mt permits,zoning variances&subdivision covenants PRIOR to ordering. The state,city municipality and/or Neighborhood Association where you IL ENLARGE live can provide articular requirements.CURBSIDE DELIVERY ONLY- Curbside Delivery provides delivery to the curb of your driveway only.The driver will not be able to bring your item(s)to your backyard,garage,side of house,etc.Home owner or authorized adult must be present at time of �1 This item cannot be gift boxed delivery.This service does not include set up,assembly or removal of packaging materials.To obtain Instruction manuals for permitting or - Usually ships in 2-3 business days delivery specs please contact the Home Depot internet customer service -Returns subject to a 15%restocking fee.>Learn m< center at 1-800-4303376.*Somerset shown with optional accessories: -Recipient must be present at the time of delivery.>L 10'Reverse Gable(Catalog#173023)and 3 Large Round Top Windows (Catalog#173019).This item comes with a Floor kit.If you prefer to build on a cement foundation,please order the Somerset 10 Ft.x 18 Ft. Storage Building(Catalog#173024). •Everything is precut,nothing saw Apy, •Easy to assemble with hammer,r,screwdriver,tape measure,level and stepladder •Strong wood construction withstands demanding wind and snow loads i •Patented Stud Wall&Rafter Construction features 2 x 4 framing and provides the ultimate in strength(U.S.Patent No.5,937,591) •Will not rust,dent or sag •Factory-primed SmartSide?siding-an engineered wood product-is treated to resist fungal decay and wood-destroying insects •Premium trim for a beautiful finish •Pre-assembled,pre-hung 5'4"w x 6'h double doors can be installed on the save or gable side;doors feature continuous hinges for added strength •Crossbucks add extra rigidity to doors-unattached for those who prefer �\ the look without crossbucks i •6'hi hside walls C Rqak A' EjV�D Paint nt sTingle to suit your decorative taste(paint and shingles sold Ir/QY separately) AV• Z 5 2(70, / •Soffit Overhangs protect the siding from continual exposure to the elements •Premium,rust-resistant, keyed locking lever offers security for your building's contents •All nails,screws,hardware and simple,illustrated instructions included •15 year limited warranty Internet(Catalog#173027 Store SKU#461581 Price:$2,117.00/ea Cityd: • r r ffJC7- tO�01 =( CITY OF CUPERTINO 1 COPE TING PERMIT APPLICATION FORM O��J l R APN# Date: • �o < los r��-r/os Building Address: Mailing Address (if different from building address): 24z 7 Soow�e.¢ �Ve, :K.o e A . 44SV1 ¢ Owner's Name: Phone#: - t4D 4x18- Contractor: License #: Contact: Phone: Cupertino Business License#: Fax: Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Job Description: 1 Residential ❑ S+61-&d1^Q -E Commercial ❑ Sq.Ft. Floor Area: t $/Sq.Ft.: l0 x t $ Cost of Project: 12� Occupancy Group: l� Type of Construction: c Please check this box if the project is a AOLJ e second-story addition: ❑ Project Size: Standard ❑ Large ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL 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> 1.75M 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 BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 27773 1 of 3 45" / / b CITY OF CUPERTINO CUP TYOF O PERMIT APPLICATION FORM QuantityFee 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 Pblg 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 rinkler/Backflo PLUMBING BPSTORM Storm/Rain Water PLUMBING All -I 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 BREMAIRHAN A/C Units<= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BRENIFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> I 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 2of3 ra% � ; CITY OF CUPERTINO CUPERO PERMIT APPLICATION FORM Quantity 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 3of3