04040155 CITY OF CUt'ERTIN10 ' ^ 't
BUILDING DIVISION PERN4 C0N1fl2AC ORINI�URTN" N •'
auaulluc nuDRrss: STANLEY BRUNO PERMIT Ncb4040155
3220 LA 701-T-A CrE
tARCHITECTIENDINCER:
ER'S NAME: PERMIT ISSUE DATE
STANLEY BRUN 04/23/2004
NE: SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
moLICENSED COM'RACTOR'S DECLARATION
�
p Ihereby.from mal l am licensed under provisions or Chapter 9(womaueog lob Description
Z. with Scnion7IX%1)uf Divixion Sof the Business and Prufcssionx CnJc,ana myliccnse is
in fail Class Jerre='' REPLACE UPGRADE DECK
plan License Class Conor
r Date Contractor
ARCHITECTS DECLARATION
y�< 1 understand my plans shall M used ore public record.
�yU
u.h
Licensed Professional
`mg OWNER-BUILDER DECLARATION
Contractor's
ON
aIII0 I booby affirm un 1 am cBusin from tlri Comhanm's Code:License Law lou the Y/
iO O whichfollowro mason.(Section 1(131.5,Business and ve Tuns demolish,orAny my nr coumy
$ which itryircs n(areal re cores the alcor.imprnsu hpermittor repair any structure
IS (bathe iuissuancoalso asequins mnvisio antsof for Contrarmi0uicence awJ statement
IS
(bathe (Section to he ofDivino nr me Conlmctoh9Lmeopeowe Ccur)p Sq. Pt.Floor Area �Valuauon -
yl- Chat he
(commencingwith Section7000)of Dlvlsion3 oftheeged exemption.
or �/
ma he is exempt therefrom and the basis for the alleged exemption.Any violation of r
Swoon7031.5 bysny applicant for apclmilsubjecu the applicantlo acivil pcosityof 3561MZfn2et00 Occupancy Type
not more than rive hundred doll...($500).
P Y YP
0 1,az owner of the properly,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044.Business
and Professions Code:The Contractor's License Law does not apply to an owner of Required Inspections
progeny who builds or improves thereon,and who doessoch work himself or through his
own employees,provided that such improvements arc not intended or offered for Sale.If.
however the building m improvement is Said within one year of ccropelion,the owner
builder will have the burden of proving Chat he did nut build or improve for purpose of
Said).
0 1,as owner of Ne property,am exclusively contracting with licensed contractors In
construct the project(Sec.7044,Business and Professions Code:)The Contractor's Li-
come law docs not apply to in owner o(propcdy who builds at improves thereon.and
w}o contracts for such projects with a contractions)licensed pursuant to the Contractors
License Law.
or care or on cLScc. ,B&PCfn this rcaznIt
rcr Date
WORKE/}COMPENSATION OECLAg�AT(t/pN
hereby turn.undfr penalty of perjury one of the F wing declarations:
1 baso and will maintain a Certificate of Conum to self-insure for Workees Compen-
aalime,as provided for by Section 37M or the Labor Cade,for the performance of me
work for which this perardis issued.
0 I harm and will maintain Worker's Compensation Insurance,as required by Section
37W of the labor Code,for the performance of the work for which Nis permit is issued.
My Worker's Compensation Insurance carrier and Policy number arc:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORK ERS'
COMPENSATION INSURANCE
(This section recd rant tmeoraplatcd ildic permit is for one hundred d.11ars($100)
to,Icss.)
1 ecnify that in the performance of the work for which this permit is icmed,I shall no,
,mpayanypers lga`i nr It�c 'eabjeamlhe WorkerACompemadon
La so(Califor v
Ao l' m_ ttcc
N C TO A I\f!C making Ihm Crisnifcace of F.Sempbon,you should
ebb' 1 to the Worker' ompcnsation provisions or the labor Code.you mus
.J 7 forthwith comply with such provisions is,this permit shall be deemed revoked.
Z51 _ CONSTRUCTION LENDING AGENCY
�-+�-+ I hereby affirm mal there iso construction lendingapncy Inc the performance of
ai the work fur which this permit is issued(Sec.3097.Civ.C.)
W Ca Len
eera Name
z Li dcr's Address �_..
U Q 1 codify that l ban read this application and sum that the show,information is -
correct.1 agree It comply with all city and county ordinances and state laws relating to
0 V building conslmctlon,and hereby authorise mprescmmtives ofadaclly to enter upon the
ahovo-mentioned Propertycosts
for inspection hichmpurposes.
F 4 (We)agree to save,indemnify and kccD harmless the City or Cupertino against
UN inconiegjudgments,cosmf the indOfthiseswhichmayinanywayaccrvcagmnslnaiUCity 2�
AePLICANec UNDERSTANDS
SA ANDpermiIssued by: Date
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT
SOURCE RL TI YS. 4 '
Re-roofs
c or Applie 0 erosion, ��/�� ate
AZARDOUS MATERIALS DISCLOyStflae Type of Roof
Will the applicant or future building occupant store m bandit hararJuus mvmrial
as deClecd by the Cupertino Municipal Code.Chapter 9.12,and the Heahh and Sxfcly
dc,Seniors 35531(.)? / All roofs shall be inspected prior to an roofing material beim
' ❑Ye. �Na p p Y g g installed.
Will mea applicant building ocetl antusee If a roof is installed without first obtaining an inspection, I agree to remove
pp s r o Air u m devices wheat g, p g
emitict? xaircrmaminanmasdcrincdbytheBayArcaAirQualityManagement all new materials for inspection.
District?
❑Ycs XINu
I have read the hand uassmaterials requirements under Chapter 6.95 of the Catfnl-
nice Hcalth&Safely Ciah,Sections 25515,25533 and 355341 understood that if IM Molding
does ort cumendy have a coact,mat it is my re.ponsibRay m unary the uccupanl nr me
hcyui no,w11 Y: molal mLI(d b'auanecofa Cr.6.uc Or [ [y'
Signature of Applicant Date
a r "^ C� All roof coverings to be Class "B" or better
ow c authodacl. Dam g
BRUNO REPLACEMENT OF EXISTING DECK 12 April 2004 Revision G
0(11220 La Jolla Court Cupertino,CA) Sheet I of
NOTES:
I. This plan provides the required information for construction of the Bruno Replacement Of Existing Deck.
F TimberTech TwinFinish 5/4 Plank(Cedar Color)Decking, Faschia Board,and Trim shall be installed
per Manufacturer Requiremems/Recommendations.
The Pier Block shall be embedded into the Concrete Footing to a depth of 34 inches.
4 Fastener shall be Redhead Anchor(1/2" diameter, 5" minimum Length)installed per manufacturer's
req uiremnets/instructions..
5❑. Location of TimberTech Ornamental Railing System(Cedar Color)with Flat Top Post Caps. Shall
be installed per Manufacturer Requirements/Recommendations. Gap between balusters shall not
exceed 4 inches.
List-of Drawing Sheets:
Sheet 1: Notes � �®
Sheet 2: Site Plan Overview �U
" 'Sheet 3:. Girder/Ledger/Rim Joist/Footing locations
r
U�� �Shy4�SectionsrA-�and B-B
L�IVJ
APPeet 5: Landing/Step/Railing Details(With Elevation View)
231004
uICI� �g
� �,ERT166�®
G 0EPARTjWEfgT
SASE mts MU
sPecdicatt is urit
SSGN�
set of at all rimes and t 1606
'Skis ttte job changes on a1ot( 1totA
De keQti make all, petmissi
tn;itA ,�uttt wn � Cupe�no� oto
sa Dapt.Cfil and sS Cic'o aft
ire Ut cog of� �paptitt Or tAonP
i4P10y'al.�,a tR.gtS.�tff
SITE PLAN OVERVIEW 12 April 2004 Revision G
Sliding Glass Door(6'x 8'(existing) Sheet 2 of 5
Xxx
Concrete /
Concrete Slab(existing) Walkway
(existing) /
/ House Wall(existing)
16'
Deck
20'
Concrete
Walkway
® (existing)
N- ' :
Deck Outline:
Grass
Lawn
10'6"
. 'tree
Tree
existing
concrete
walkway
•
Girder/Ledger/Rim Joist/Joist/Footing Locations 12 April 2004 Revision G
• _
1'6" I,._ Section A-A(see Sheet 4) a— Sheet 3 of 5
A
� 2" x 6" Ledger 3' 10"
2" x 6" Joist 16" OC 6'
4' 10" typical t
4" x 6" Girder
/ typical
5' 6" 5'6" ►i
36" x 16" x 3 18" x 18" 12" Deep 6
1/2" / Concretepica)Footings
typical
15,2" a u J
BB
Section B-B(see Sheet 4) 6'
4'6" 4,6„
—
3'6" —► �— 3'6" —►
2" x 6" Rim Joists
typical
f
10'6" ►
SECTIONS A-A,and B-B 12 April 2004 Revision G
Shat4of5
section A-A(from Sheet 3): Ledger Mounting Section B-B(from Sheet 3): Footing Location Stack-Up
L_AN_DING-LEUGER (typical)
decking Deck
atg Fascia
--------
2 (typical
26 Gage Flashing /
(flush to decking top)_�_
Ir
3/8"x 5"
Lag Bolt �jvr- - — 2"x 6"Joist
3/8"washer /
4"x 6"Girder
2"x6"Ledger �
i
Sacco(existing) /
2"x 4"Joist(existing) E3 Fier Rlmk
DESK LEDGER \�
decking \
26 Gage Flashing _ Concrete Foundation
- (flush to decking top) (existing)
Concrete Footing \
•
12"washer
aFastener /
Sacco(existing) —I
LANDING/STEPIRAILING DETAILS: 12 April 2004 Revision G
® I
Sheet SofS
:b- N
3'10" 1WmimilsIntding 3'10"
-►
T —► 14-
18. .4— N
n
1 Deck
u pa
DN 5. $
Deck Steps to have 11"Ttead,7 12"risers,
2"x 12"Stringers (Typical cot to fit). C
F � Y
,S.
5
5
OVOER-BUILDER VERIFICATIVT
1. (Check one) I or my immediate family (parent,spouse or child) will perform:
SA. All the work authorized by this permit
B. _ A portion of the work
C. None of the work
If B or C is checked,complete 2 or 3 below.
2. A state licensed contractor will be hired to do:
A. _ All of the work
B. A portion of the work (complete section below)
Contractor Address/City, Phone # State License # Type of work to
vc uava:cccu
® 3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or
portions of the authorized work. I understand that I may be an employer (see reverse side). A
Certificate of Insurance covering workers' compensation must be on file at the City of
Cupertino Building Department office.
Person/Firm Address/City Phone Number Type of work to be
performed
...............................................................................................................................................................................:.....
I declare under penalty of perjury that the above is true and correct. I have read and understand the
Owner-Builder Information (reverse side).
Property Owner's Signature u r� ate:
Job Addres Z �0 4 `� C-
(tel Permit#
Any changes to the information provided on this form shall be submitted to the City of Cupertino Build
® Department.
City of Cupertino Building Departmer�
CITY OF 10300 Torre Avenu
C U P S kT'N O Phone: (408)777-3228
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
the property improvements specified.
For your protection you should be aware that as owner-builder you are the responsible party of record
on such a permit Building permits are not required to be signed by property owners unless they are
personally performing their own work. If your work is being performed by someone other than yourself,you
may Protect vourself from Possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all
permits for which they apply.
If you plan to do your own work,with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection
If you employ or otherwise engage any persons other than your immediate family, and the work
(including materials and other costs) is$200 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
If you are an employer,you must register with the state and federal government as an employer and
you are subject to several obligations including state and federal income tax withholding,federal social
security taxes,workers' compensation insurance,disability insurance costs,and unemployment compensation
contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are
especially serious with respect to workers' compensation insurance.
For more specific information about your obligations under federal law,contact the Internal Revenue
Service (and,if you wish,the U.S. Small Business Administration). For more specific information about your
obligations under state law,contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale,property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees,without a licensed contractor or,
subcontractor,only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an owner-builder
building permit,erroneously implying that the property owner is providing his or her own labor and material-
personally. Building permits are not required to be signed by property owners unless they are performing
their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License
Board in your community or at 1020 N Street,Sacramento,California 95814.
Please complete and return the enclosed owner-builder verification form so that we can confirm that
you are aware of these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
Building Department, •
City of Cupertino
Printed on Recycled Paper
Zfflm �ITY OF CUPERTINO* C)
CITY Or PERMIT APPLICATION FORM
CUPEkTINO
APN #3/J_/ Z Date: � 23/,Z/
Building Address /..A .J���a Mailing Address (if different from building address):
//ZZo Cr
Owner's Name: Phone #:
S�Ai✓ ,�2vN v
Contractor: License#-
6114
Contact: Phone: Cupertino Business License#:
Fax:
Buildin ermit Info:
Id Elect ❑ Plumb ❑ Mech ❑
Descripti ihn v�xaq/>E
esidential �EA-4cc l�Ec/� E1'iSr7�/�' Commercial ❑
Sq.Ft. Floor Area: $/Sq.Ft.:
Cost of ProjeI Occupancy Group: /
/pov^
Type of Construction: Please check this box if the project is a
second-story addition: ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot 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 Boder> 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
BMITIGATC Comm. Housing Mit. Fee r BUILDING
vJ
1 of 3
CPPY OF CUI'I?IL'1'INO
BUILDING DIVISION PERMIT CONIRAC§-I0'RaINF0RMATION
l^:
nun.Dlrvc ADDRESS: STANLEY BRUNO PERMIT N`04040155
FR'S NAME: PERMIT ISSUE DATE
—fill
STANLEY BRUN 4
JNE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINHER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MFCO
nati
o LICENSED CONTRACTOR DECLARATION O O O O
to F 1 hereby cram that I am licensed order pmvisims of Chapter 9(commencing lob Description
?y with Section 700G)rf Divi ..3.f me Business and Professions Cnde.and my license is
in mumrceanderr«I. REPLACE, UPGRADE DECK
,,nK Collins,Class Lice
gyp DamContractor
'` ARCHITECT'S DECLARATION
Sa W a I understand my plans shall be used as public records
or
oa.
s O in Licensed Professional
OWNER-BUILDER DECLARATION
a5 1 hereby affirm that 1 am exempt from the Contractor's License Law for the
00 Billowing reason.(Scri on 7131.5.Business and Professions Code:Any city or county
K which requires a permit to Construct alter,improve,demolish,fir repair any structure
'liy prim to its isance.also tribunes the applicant for such permit to file aligned statement
sa that he is Licensed pursuant to the provisions of the Contractor's License aw(Chapmr9 Sq. Ft.Floor Area Valuation
yt-� renmmenci ng wi th Section 70(10)of Division 3 of the B usinccs and Professions Code)or
i 3 that he is exempt therefrom and Ne basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for.permit subjects the applicant to a civil penalty of 3.5NT2ZMHa cr00 Occupancy Type
not mom Nan five hundred dollars(5500). P Y YP
0 1•as owner of the property,or my employees with wages a their sole compensation,
will do be work.and the structure is not intended or offered for sale(Sec.7014•Business
and Pmfeaxions code:Tire Contractor's License Law does not apply to an owner or Required Inspections
Florally who builds or improves thereon,and who dna such work himself onhmugh his --
own employees,provided that sum improvements are notintended oroffcrcd formic.If,
however.fie building or improvement is mid within one year of completion,the owner.
builder will have the burden or moving that he did not build or improve for purpose of
sal
❑e1.as owner of the properly,am exclusively contracting with licensed contractors to ` g+
Construct he reject(Sec.71144,Business and Professions Code:)Bre Conmctor's Li. V
cense law does nm apply W an owner or pro,my,who builds or improves thereon,and
wlm contracts for such projects with a contractors)Iicensd pursuant o the Contractor'a
License law.
❑lam exempt unclarsee. ,B Ar P Cfnthis mason
Data
WORKE COMPENSATION DLCLA AW nN
hereby affirm un rpenaby of perjury One of the gdeclarations:
1 have and will maintain a Crrtircateof Cnnxnt m self-insure for worker's Compere
sation,az provided for by Section 3700 of the labor Code,for me performance of the
work for which oris mmmil is issued.
1 have and will maintain Worker's Compensation Insurance,is required by Section
37M of the labor Code.for the performance or the work for which this Permit is issued.
My Worons Compensation Insurance carrier and Policy numM1cr art:
Cattier. Policy No,
CERTIFICATE OF EXEM MON FROM WORKERS'
COMPENSATION INSURANCE
(Thi,section need not be completed Irma Permit is for one hundred dollars(SIO(i
fir IcaiJ
I certify that in the nnfeemence of the work for which this permit is issued.I shall not
employ any per,.n;V4 ma On r n es bjceuouhe Wroorm'Cion,miaton ,
Laws of 511,,,n,,&_ia ..(� c
Ap raterm s�
E akmg tbt Centltcato of Exemption,you sM1ould
come the Worker' pensation provisions of the Labor CnJe,you min
.J Q ronhwith comply with such provisions or this permit shall he deemed ranked.
ZZ7 CONSTRUCTION LENDING AGENCY
[--� I hereby affirm that Nere is a construction lending agency lot the performanm or
xthe work For which this permit is issued(Sec.3097.Civ.C.)
Be
Lender's Name
e. Under's Address
D
U Q 1 certify that 1 base read this application and stale that the above information is
ty E-' correct.I agree to Comply with all city and county ordinances and state laws relating to
0U above
bbuilding anm..d pic,and for inspection
ns authonprposesemativcs of this city to enter upon me /)
,t Q. annvr(we)agree
to saveery for imnify an purposes.
(we)agree to save,indemnify and which
harmless the y ac accrue
Cupertino id City
Fro liabmmar;judgmentseCosa and expenses which meyin any way aecmc againsLx.iO City
CJ z A APPLICANT
of DERST ng Of this permit
^' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURCE RE 1 S.
2' B� Re-roofs
coI Applic o tIzGG �\ a¢
AZARDOUS MATERIALS DISCLO^�II4R Type of Roof
Will the applicant or future building occupant store t^af4, rdle hanummus mourned
L-del ini to the Cupeni nn Municipal Ccdc.Chapter 9.12,and the Health and Safety
e.soernzss3z(an // All roofs shall be inspected prior to any roofing material being installed.
Yes XNu
Will Thr applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove
.d hrrmdnus it com.minmrs as derned by the Bay Arca Air Qrnihly Management all new materials for inspection.
inricR
❑Yes
I have read the hrraNnos mamrials reyuimments under Chapter 695 of the Califor-
m.Health G Safny Codr,Sccuua 25505.25531 and 25534.)undimand thmifthe building
doe not currently bac a ocrant ds
dot it o my i ,romi bility m notify the taaumant of me
rayl memswb most melpd nance,ofacertlficareor acey Signature of Applicant Date
0 rarmrrneda wlr All roof coverings to be Class "B" or better .