03100160 CI'CY OF CUPER'CINO "'+; �'�" w'd
BUILDING DIVISION PERMIT s.,�CONTRACTR�INFORMA"CIO,
BuO.DING ADDRESS: - MASTERCRAFT BUILDERS PERMITNO03100160
?1 4 Tnm<woon pig
OWNER'S NAME: P 0 BOX 2415 PERMITLSUEDATE
DEN JOYCE M 10/22/2003
y E: (650) 369-0894 SANRARY NO. CONTROL NO,
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
10 z LICENSED CONTRACTOR'S DECLARATION
U I hereby affirm that 1 am licensed under provisions of Charter 9(commencing lob Description
;� wAh Sce1ion mntO of D' om3of Ncautin¢�aniftleas ns Cede,andmylicense is /
„ in full( ardCrrect t �GSKYLIGHT nY/
q is Li«mac clava r.l «�- y
F Dam ARCHITECrS tractor RATION
ticn ons shall W used as lie records /
€� 3
LL LICe11Y PIa l' al
OWNER-BUILDER DECLARATION
4 I hcrthy.4SCc that 1 am exempt Bum the Camm�ore License Law for Nc v
O following mason.(Section 7131.5,Business and tie.de fans Code:Any can or courtly
Which rcyuifns a .it
m construct,alter,improve.h Permit
e mitt or repair any structure 2000
tpoor hat hes its tensed ,..an,10 to tW applicant for Contractor's
filcaaigaw(Cha mem
< (commesliansedfunuanuONeofDivionsn O(LWB Business
ndPrselaw(Chafmr9 Sq. Ft. Floor Area Valuation .
M (cat he is
(commencing with Section7000)and the Division r of the Business and on.Any
Cade)of 34214035 . 00
� Net he is exempt therefrom end the breis for the alleged exemption.Any vlalation o!
Section t031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type
not mare than Eve hundred dollars(S500),
❑ I,as Owner of the propeny,M my cmploycca with wages as their sole compensation,
will do the work.and the swcwm is not intended or offered for sale 7044,Business Required Inspections
and Profeations Code:The Contractor's License law dean not apply to an owner of q P
progeny who builds or improves thereon,and who docs inch work himself or borough his
own employees,provided that such improvements an,not intended or offered farads.If.
however,the building or improvement is sold within one year of completion.the owner.
builder will have the burden of proving that W did not Wild or Improve for purpose of
sale I.
❑1,as owner of the property,am exclusively contracting with licensed conuenon to
coniwct the project(Sec.704a,Business and Professions Code:)The Convector's Li.
cense law does not apply to an owner of progeny who Wilds or improves Nemon,and,
who onuacu for such projects with a eonvacmrts)licensed pursuant to the Contractors
rase Law.
am ex der lSec. Bd:PC for sere on
Owner' un Il'`/A r—f I Da¢ .
W RKEW OMPENSA ON RATION
1 hereby all under penalty of perjury one of the fallowing declarations:
1 have and will mainuin•Certifies¢of Conserv to Self-inwm for Worker.Camp n'
sation,as provided for by Section 3700 of Ne ISWr Code,for the performance of she
work for which this permit is issued.
❑I have and will maintain Workers Compensation Insurance,as manned by Section _
3700 of the Labor Cade,for the performance of the work for which this permit is issued.
My Workers Compensation Insurance carrier and Policy number am:
Cartier. Polity No.:
CERTIFICATE OF EX EMP ION FROM WORKERS'
COMPENSATION INSURANCE
(This suction need not W completed if the form!,is for one hundred dollars($N))
or lea.)
1 certify that in the ionones of the work fo hien s's ferrels m issued,1 shall nm
employ any gena U�PwaM ccan a{gltc wsphl workcre'Compcnsation
Law of Calif f', t, G/L/J
APPS n,
N ETO A PLIANT: ,after making this CeNficate of Exemption,you should
be a subject to the Worker's Compensation provisions of the Labor Code,you mus, ,
7Q forthwith comply with such provisions or this Permit shall W deemed revoked.
Z CONSTRUCTION LENDING AGENCY
1
hereby aR rte Na,thine is a Construction knding agency for the or
NC wad In,Which MsperMlbbound
(So,..3Civ.C.)
z1 Q Lender's Name
Lender's Address
�Z
;J Q I certify Net 1 have read this application and sum that the above information is
F' correct.I agree to comply with all city and county ordinances and aunt laws relating to
0U building construction.and hereby authorise rep¢tenutives of Nis city to enter upon the
N 6Wi above-mentioned property for inspection purposes.
(We)agree to save,indemnify and keep harmless the City or CPPCfllna against M
tiN
liabilities,judgments.coats and expenses which may In any way actinic against aid City - /q('�� 0 '✓'7
Z in CoaaegneaCe of the graining of Nis Permit. r/ U
1 APPLICANT UNDERSTAND D WL COMPL WITH ALL NON-POINT Issued by: Date
SOUR R ULATIO S.
_
Re-roofs
igna ser fAPpIm HAZARDOUS MATERIALS DISCLOSURE arc Type of Roof
Will the appEcam ser rumm building occupanumre in handle h t.rhnis material
as dented by be Cupertino Municipal Code.Chapter 9.11,and be Health and Safcty
Code.Section 25531(x)7No All roofs shall be inspected prior to any roofing material being installed.
oYns Na
Will the applicant or fuwrc adding occupant use equipment ordcvicns which If a roof is installed without first obtaining an inspection,I agree to remove
I nit havardnux air Cimuminents u defined by the Bay Area Air Quality Management all new materials for inspection.
vial
❑Yes ><
1 have mal the hvzrdousmamrials requirements under Chapter 695 of dm Califon
n Health&S6tycatle,Seeu..MM5.25533aod25534.1unde and out be,Wattling
di no,Currently have a tenant N 't is my respomibilit m m'§ly Nc outspent of Nc
mgmm nkwni moat merit orafaaaneenr a m,WufOceupmey Signature of Applicant Date
Oser au horned agent Dat All roof coverings to be Class"B" or better
CITY OF CUPEWrINO
p:
BUILDING DIVISION PER CONyTRACTinR INFOIiM�ON
BUILDING ADDRESS: MASTERCRAFT BUILDERS PERMIT N003100160
OWNER'S NAME: P 0 BOX 2415 PERMITISUEDATE
EDEN JOYCE M 10/22/2003
NE: (650) 369-0894 SANITARY NO. CONTROL NO.
ARCHITECTIEN01NEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0
;Oo LICENSED CONTRACTOR'S DECLARATION 70b Description
1 hereby affirm that 1 am licensed under provisions of Chapter 9(commencing
With Section? MI of Div' on3 of the BoauZ end Pruressi ns Codc.end license is
M L ease naciroa r \ G >�L)�y SKYLIGHT
Date
iIt-p Dale^ tractor
!>EO ( l ` ) ARCIIITECI'S C RATION
�5qu.c /ttyddcn ons shallbetoedes he
records �'� pA s �®
j License Pns c al . o
OWNER-BUILDER DECLARATION
<p i hereby affirm Out 1 am exempt from the Contractor's License Law far the NOV 1 8 2003
O O following reason.(Secdun 7031.5,Business and Professions Code:Any city or county
S$ which requires a permit to construct,&Ileo improve,dcmnl'uh,or repair any structure $2000
prior 4o its issuance,also inquires the applicant for permit to Glc a signed statement
< that he is licensed pummallathe pmvisionsurthe ContractoisLicense Law(Chapter 9 Sq. Ft. Floor Area �peI�.� /fie Valuation
2 G (commencing With Section 7")orDivisiou3ortheBusinemandProfessionsCm.)or W LDING
Inn he is exempt therefrom and the bssu for Ins alleged exemption.Any violation of 34214035 . 00
Section 1033.5 by any applicant fora permit subject,the applicant to a civil Penalty of APN Number Occupancy Type
not more than fin hundred dollars($500),
❑1,as owner of be property,or my employees with wages u their sole compensation,
will do Ne wort,and the strucwm is not intended ac offered tarsale(Sec.1061,Business
and Proressmns Code:The Cana&at.e.Licame saw does at apply to an owner of Required Inspections
property who builds or improves theman,and who does such week himself or through his
own employees,provided that such improvements are not Intended or offered formic.If,
however,Ne building or improvement is sold within one year of complexion.the Owner.
builder will nave the burden of proving that he did ma build or improve for puryose of
&ate.).
❑ I,as owner of be property,am.1t..ively comometing with licensed contractors to
construct the project SCC.7044.Business and Professions Code)The Costumier's Li.
cove law does not apply to an owner of property who Wilds or improves Neuron,and.
�Ow�
onthoufastest projects with a eontnnorD)licensed pursuam to Ne Convector'.
raw Law,
am ex under 1Sec � B&PCfw ism on
ner' 1't'`/A r1-Y Dale
W RKER' COMPEN A ION E ARATION
I hereby unarm under penally of perjury one of the following doelarationte
I have and will maintain&Cenifcida of Conant to self-insum for WorimesComfort.
Lion,ea provided for by Section 3100 of the labor Coca.for we performance of the
work for which this permit is issued.
❑1 have and will maintain Worker's Compensation Insureaue,u teyvired by Section
3100 of the Labor Code.for the performance of the work for which this permit is Issued.
My Worker's Compensation Insurance carrier and Polity number am:
Caller. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Tru section need not hecompleted If the MMIL is foroee hundred dm as($10(0
or less.)
1 certify that in the.gerformame or the work fo blebs permit is iuucd,I atoll not
c ploy any pcmon'n ccsn q}nbe c�pb dmWortrri ComPcmatlon
Law of CelifA � (L l GJ
App'c m
N E TO PLI .Nf: after making this Ccoof Exemption,you eMmIJ
me subject to the Wukci s Compensation provisions of the labor Code,you..at
Oforthwith comply with such provisions or Nis permit hall rte deemed mvokcd. '
7) CONSTRUCTION LENDING AGENCY
1 nanny a1Brm Out Jere it.ed see.30 lending agenry f.the Fair u,mence u!
JJ the Lework for which this pemle la Issued(sea.3001,civ.c)
iCa Lenders Name
Z) 2 Lender's Add..
Q 1 coolly Nu 1 Mw read this appliestion and solo Nat the&bow informadua is
� (~ correct.I agree to comply with all city and county cadences and state laws relating to
7 V building conswmlon,and hereby authame representatives or thio airy to enter upon Nc
Gabove Mentioned properly for Inspection purposes.
(We)agree to save.indemnify and keep harmless the City of Cupcnino egainu
rR) liabilides,judgmena.eosu and expenses which may in any way act=against mid City / 6
in
of the gmating
Z APPLICANT UNDERSTAND(this Permit.
W L COMPL WITH ALL NON-POINT Issued by: Date 1
SOUR 0. ULATIO S.
13 Re-roofs
Igna ser fApplrcaH HAZARDOUS MATERIALS DISCLOSURE are Type of Roof
Will the applicam or future building occup&m store or handle hoa
uremus material
m hMed by Ina Cupertino Municipal Cash.Chapter 9.12,and the Health and Safety
Code.Season 25532(a1 All roofs shall be inspected prior to any roofing material being installed.
El Yes Nu
Will the applicant Orrwum tiding occupant ax equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
mil hanumus air contaminants u de fined by she Bay Area Air Quality Management all new materials for inspection.
aric0
❑Yes Nu
I have read the bvsrdnusmamrials icyviremenu unh,Cbmar,&95 artheC&lirm-
0q Hc.lN&safcrycah,ScNom25505,25533and25534.1unhrauvblhuirNe building
Joks mol curtendy now a"rams,th tis my msponeihilil to noyly the occupms of Nc
require rlustmotp .,usna C.LTa cawofOccupanry Signature of Applicant Date
Oase a horisJ opcm De, All roof coverings to be Class "B"or better
-1 -- - —
T! 2�C4 I
j ruasa#URDANCE WITH THE 1TY pR
— --- , VVY NANCES —
I I I
-SIGNF�
Ions'-- !
i I I I Oe kept ob at alf tirpgs anA ih j
I- i__i_. — wi �I ` o rma e an thanes ;or ajteratfons l
� F-vrrttetrParRflSSio /OR'-- —.---F�---
a ,ty of Cudertirrn _
� I sPlaMand �PeclPlcatlona
�PProv!I ot'th �6orrttk ort�b e — ---� �—
olation of o
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UBC page 287
F; 2517(h)4 Section 2517(h)4
� ' '
sig .
�eetion
106 . FRAMING AROUND OPENINGS Roof Framing Around Openings
Section 2517(h)4. Framing around openings. Trimmer and header
rafters shall be doubled, or of lumber of equivalent cross-section, when the spa
of the header exceeds 4 feet. The ends of header rafters more than 6 feet long
A J shall be supported by framing anchors or rafter hangers unless bearing on a
m beam,partition or wall.
C= [
This new item providesrequirements'for roof framing at
rt Load bear ng wauorbeam Openings such as skylights,,fireplaces, etc. In the previous co(
} V c there was no language in the roof-framing section to detail
[ framing around openings in roofs.
L :: [ Now, headers with a span exceeding 4' must be framed with
trimmers and header rafters that are doubled or of lumber of
Daum headers-
equivalent cross-section. Also, the ends of rafters mega than 6
�;`�wheri span exceeds width [ f � in length shall be supported by framing anchors or rafter
L,J
r to feet hangers unless the rafters bear on a beam, partition or.wall.
Length
ViTiff rafters g
-
'��
.q�,, _:.,,:♦:;. Double trmmer rafters-
en header span .
ceeds 4 feet
�... h
undation
tA.:1,tF
µ qq
a4!Y 68 [ I,1 fig
vf
1x3 OFFICE ; e�
CED
F-7 1(0
g
— Cannot loe „ stall'ed w'l A A- 'fit
A,�eWe r ve.vtt -Ger- rn',
C�v�►�ot 1;� ir5-Y,� � �ec� ►r bay
ovP.�rhav� o, �t�erlo� walk
M astereraft
B.A Architecture
Gen.Contractor Uc.1484350
Keith Fackrell
r I P.O.Boz 2475
Redwood City,Ce.94054
1 (800)9858289
1 (416)
..a
aCITY0
OCITY OF CUPERTINO01
CUPERTINo PERMIT APPLICATION FORM
7BN# Date: O
uildin Address:
Owner' Name: Phone _
e gS
Contractor: License #:
�/ 0
Contact: I Cupertino Business License#:
92 Building Permit Info:.
Bldg Elect ❑ Plumb ❑ Mech ❑
Job escription: 1
Residential l 1 vt Lon Commercial ❑
Sq.Ft. Floo Area: $/Sq.Ft.:
Cost of Project: Occupancy Group•
Type of Construction:
• uauti Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
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 <= 1O00A ELECTRICAL
BELEC1001 Elec 600V> IOOOA ELECTRICAL
BELEC200 Elec Svcs 600V<=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD - Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
• Z3s^J6
1 of y/ /� . 0S
1 *ITY OF CUPERTINO
cuPEr�F PERMIT APPLICATION FORM
QuantityFee ID Fee Description Fee Group
BMITIGATR Res. Housing Mit Fee BUILDING
BMNEWMULTI New Multi-Famil Res MECHANICAL
BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL
BNEWMULTI Multifamily Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BNUMULTI New Multifamily Res PLUMBING'
BNUSFD New Single Family Res BUILDING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pb1g 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 rinklerBackflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water HeaterNent 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
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace> l 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
•
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'ITY OF CUPERTINO*
CUP rVOF NO PERMIT APPLICATION FORM
QuantityFee ID Fee Description Fee Group
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
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 Inspection 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
MPERNUTFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issuance PLUMBING
PPLBG Plumbing Fee s foot PLUMBING
ZADDCHG Address Chane BUILDING
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