05010043 CITY OF CUPEWFINO _ PEAT .rYn"AF.s a N#_T '.S
ACTbRBUILDING DIVISION RINF
FOR?'IIK" JON"
z
�vYa."'[R$d'SZMw, dv'4d6 `
BUILDING ADDRESS: CHARLES SKKANDALIS PERMITNO05E0043
0122 MYRI? PT,
NER'S NAME: PERMIT ISSUE DATE
CHARLES SKKANDALTS
,1117.12 Il
PHONE: SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
BLDG ELELT PLUMB MECH
rC20
op LICENSED CONIRACfOR'S DECLARATION
£ F 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing e ❑ llon
<W with Seelion 7")of Division 3 ofthe Businusand Professions Cmk,and my he...is
j = in full mine and errea` REMODEL KITCHEN/WISSTEM
Liento Class Lic.r
t„p Dam Coronets,
ARCHITECrS DECLARATION
tau I understand my plans shall W used as publicrecords Ee�U� VI
.)IZ(IC
PAR I (_1,196
°u.y Licensed Professional
7 g OWNER-BUILDER mDECLARATION
2 a g 1 masa affirm that 1 oro exempt from the Convenor's License Law for the 4
59O following massa permit t 71131.5.Business and PimprOve. a moll Codc:Any city or county
m whichitsisesnpermit mconstruct,alter,It forsuch demolLsh,me a&imcdtatemem
-Z„ thither its lensed Palwrcgatthe thovisios or for Cont tmitmflc=LaNnammanl
EOG that WislittnuJ pursuanuotbe provisi�nsafthc COmnaur's Lima=taw(Chapter Sq. F[. Floor Area Valuation
Lt-$ (twoomming with Section 7(1W)of Division3 ofthe Bminesaand Professions Code)or
_
that he As aaonpt therefrom and the Buis for the alleged exemption.Any violation of li
Section 7831.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than fie hundred dollars03 1A&$3I51er0 0 Occupancy Type
1,u owner ofine property,or my cmploycu with wages As their sole co rrouration.
will do the work.and the,loomm is not intended or Offered fonale(Sec.IDM,Business
and Professiarts ss no
Code:The Contractor's License Law dot apply to an divorce of Required Inspections
Property who builds or improves themon,and who does such work himselfor through his
own employees,provided Nat such improvements are not intended or offered for sale.If.
howeler.the building or improvement is said within ane year of completion.Ne owner-
builder will have the,burden of proving Nat he did not Wild or improve for purpose of
soled.
❑I,as awrcr of the proprity.am caclusively contracting with licensed contmnars to `
construct the project(Sec.7804,Business and Pretensions Cade:)The Contractor's Li
ecom Law docs not apply m an owner of property who Wilds or improve themon,and
who
Contractssfata such projects with a eontmaoKs)licensed pu rams the Commdots
I.QI asn Law.
crop oder See .Bh PCfor Nis recon
- 0 1 l�
W00.KER'SCOMPENSATION DECIAR ION
I hereby eTo.un@r penalty of pc jury ane or mclollowing declarations:
❑1 haw and will maintain a Cenifcate of Comms to self-insum but WorimesComp rt-
sation,As provided for by Section 37W of me tabor Code,for the Omformance of the
work for which this permit is issued.
❑I bars and will maintain Workers Compensation Insurance,As requited by Section
37M of the labor Cale,for the Performance ofine work for which this petmil is issued.
My Wei Compensation lnsurana envier and Policy number art:
Cartier. Policy No.: _
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section teed rot W complcmd lane rcounit is forme hundred dollars(SIM)
less.)
I ceni(v that in the of the work for which this Permit 4 issued,I shall not -
employanypersoninany a nerve mtlmomA subject Into,Workers'Compensation
Lews of Califs 4ipp}r 117,0
April�.m
NorItE]Q APPLICANT:If,after making this Cemfmam of Eacmption,you should
br dhjea to the Workcrb Cam pemation provisions of the IsWr Code,you must
D forthwi th comply with etch pmvisiam or this permit shall he dcemcd¢mked.
ti'O CONSTRUCTION LENDING AGENCY
I herebywhich
chmi that them is s construction lending agency far to,terfurmancc of
the work for which Nu permit is issued(Sec.7897,Civ.CJ
1 Lendcra Namc
D z Lenders Address
].7 0 1 certify that 1 have mad this application and slam that Ne above information is /
y F CO eel IagcetOcomplyWith altCity and County oNine
ansand star laws relating to
buiI,
J C.) ng Lomwetion,end hereby Authorizemprimotaives of this city to enter upon Ne
h
amc-mentioned protc costs
for inspection purposes.
a IWO agree to save,indemnify and keep harmless de City o(Cutenim against
;JzZ inemnsequudgmcn0.cm6and of thismmit. may in any way aauc againsfsaid City
in conuquencc of the granting of this Permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUR EREGULATIONS. __ppi tj
JA f L) L I U ti Re-roofs
St Iitm Of ApplmamJCantrautor Dam a
.�h HAZARDOUS MATERIALS DISCLOSURE---7 Type of Roof
Will meapplicantmfuture Wildingoompanumre orhandlehar ousmaterial
as di by the Cupertino Municipal,Code.Chapter 9,12,and th<`W alth and Safety
Code,Section 25532(¢)7 2ND All roofs shall be inspected prior to any roofing material being installed.
Ya
Will the applicant or future building occupant use equipment ordcvicu which If a roof is installed without first obtaining an inspection,I agree to remove
emit hanrdnus air contaminants As dcGned by the Bay Area Air Quality Management
District? all new materials for inspection.
❑Yea [! -
I have mad the huamdous materials mimmemer.under Chapter 695 ofine Caliror-
nia Health dt Safety Code,Secuon,i,lM,25533 aat 25534.1 understand the tribe Wilding
docs not currently haw a tenant,that it is my marommility to notify me cumPom or me
not, eats whmhmus`he mm or qt issuance ora Cehtifcate of Occup cy.
i` CJ t Signature of Applicant Date
own raothoriscdagcn D„e All roof coverings to be Class"B” or better
CITY OF ClNO zrer�r 0 134
BUILDING DrvlsloN PERMIT CONTRAC�'TURaINFORMATION• y
ILDINGADDRESS: CHARLES SKKANDALIS PERMIT NO 05010043
NER'S NAME: PERMIT ISSUE DATE
CHARLES
ONE: SANITARY N0. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
!oo LICENSED CONTRACTORS DECLARATION O O O O
Lw 1 hereby affirm that I.m licensed under provisions of Chapter 9(commencing Job Description
`Z� with Se
.5 Division Sof NC Brommasand Prufessitms Code.and my license is
<a Ldefm" REMODEL KITCHEN/WINDOWS/ELECT. SYSTEM
License full
force and Lic,p
=Fp Da¢ C.mmcter
n f r} ARCHITECTS DECLARATION
I w 1 ula
understand my pns shall W reed as public memda
U
n
e G Licensed P dessimn.l
c ,5 OWNER-BUILDER DECLARATION
a y I herchy affirm that I am exempt from do Cn ilmetor's License Law for the
00 following mason.(Section 7131.5,Business and Professions Code:Any city or county
<$ which¢quirts a permit to consumer.alter,improve,demolish,or repair any svuaure
prior to its homine..alsu requires the applicant forsuch p.rmiuo fie a signedsmtement
aro
that n,islicensed pursuanunNcpmvisiros.111mCmaraauraLicense Law(Chapmr9 Sq. Ft. Floor Area Valuation
2a (commencing with Section 1000)of Division 3 of the Bu.inessand Professions Code)or
v $ that he Is exempt therefrom and be,basis for the alleged exemption.Any violation of
Section 7031.5 by eM apPliant for.pc.I,subjects the applicant I...ivil crudy of Occu ane TYPeam more man five hundred dmlrs(ssmk 3Y 3p3Uer00
Q I,as owner of the property,or my employees with wages as their olc compensation,
will do the work,and the swcsum is not intended or offered for sale(Sec.7044,Business
and Professions Code:The Contractors License Law docs not apply to an owner of Required Inspections
Property whobuilds or improves ftmon.and whodees such work himselfor brought his
cur.the building
provided that r such improvements are not eroded or neem.for aide.If.
owne employees,
o e buildingde improvement is old within one Kte o(completion.offered
be ownet.
builder will hew the burden of proving that he did not build or improve for puryou of
QslcI.).w
cownepr roof dm(p
consbe ocp1ny,em exclusively contracting with licensed contractors,to
04 ,
Business and Professions Code:)The Convxcor's Li. O
cave hw docs not apply m an owner of property who Wilds or improvss durcon,and
who conafor such proje
Lcs with a contnmor(s)licensed pursuant to the Convector's /
Law.w.
.m eximp ndla`'r Sec. ,BkPC�for this Sazon
WORKER'S COMPENSATION D[CLAR ION
I Mmby eRrm under pcnahy of perjury oro of the laWo,declarrumns:
1 have and will maintain a Cenincam of Continua Self-insure for WOrkersCompen-
sation,ss provided for by Section 37W of the Labor Cock,for the performance of the
work for which this pamrit is iaued.
Q 1 have and will maintain Worker's Compensation Insurance,a rcquimd by Section
3700 of the Labor Cod..for me performance of the work for wbieh this permit is issued.
My Worker's Compensation Insurance carrier and Policy number am:
Cartier: Policy No.: _
CERTIFICATE OF EKEMMON FROM WORKERS'
COMPENSATION INSURANCE
(Thuaection recd reel beeomplewd if[be permit is fvorc hundred dollars(SIOt1)
or less.)
1 Mni(v dot in meof thew k for which this Permit u issued.I shall not
mpinyanyperonidany .ro o me subjeel to the Worker;Compensation
libinLawsonsond 1e 7�0S
NET] E APPLICANT:IL atom making this Cendlefficof of Exemption,on,you should
�Ohung bjeet y the Worker s Comas of this provisions ofd a Labor Code,you mum
foMwith comply with such provisions or this Permit W tl..mcd revoked.
z h CONSTRUCTION LENDING AGENCY
I h.rcwh ch affirm that them is s construction d(Sec0 lending agency for performance of
Y�
be work for which this permit u issued(Sec.Joni Civ.C.)
YQ IsndcrName
5 z Lender's Address
1
..7 Q 1 eenee rem 1 have read this city
and c un county
o fins that Be above information is
Ucoemy Wilda.l ogre to comply with all city sad county oN fives or and abo laws r upon t e
Wilding cottoned mxriyhereby author p reprexnusiws of this oily reenter upon the
C ahovomentinneents.costa
rot dex,nows purposes
(We)agme to save,indemnify adl keep harmless the City of Cupcnino against
h inconsequne of the
cossantl kxpcnusmit. they in any way secret againsfsaid City
J z in consequence of be granting of this permit.
^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
Sou E EG LATIONS.
L t 0 ^ Re-roofs
Si sere of Applicam/COmracor Dao a
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant ser future building Occupant store vb and ha ca dotsmaterial
fined by the Cupertino Municipal Code,Chapter 9.12,and the Ire and Safely
.Section 25532(a)?
❑r.a (yrit All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it ha'urdous air contaminants an defined by the Bay Arca Air Quality Management all new materials for inspection.
,.vitt?
C]Yes IJ nu
1 have read the,hmardnus materials requiremew under Chapter 6.95 of the Cali foe
nia Health A Safety Cmle,Sodov 25515.25533 and 25534.1 understood that ifthe Wilding
does not currently have a emnt,that it is my mspansibility In fury IW racupenl or the
mqui c9LswhicIf Wmet r isuancco(accruncaoOnOcmp ley. Signature of Applicant
L Dale
Own rauthorixsdagent Dale All roof coverings to be Class"B" or better C
. o vo e N
• APPROVED o5
o W17H 7H .CITY
tN ACCORDANCF� AND R tN.AP
ccl
EL
CIIpR71N0 C
AT
iMicrowave SIGNED
y 23zs32'wlde ecitications MUST
Fridge This set ofan• all times and it is un
De kept on In.-Mat mchanges or, alteration4
lawful tom ' I-witten permission from
r on same v @m > of Cupertino.
r the buildir ,°r s plan
The U"", ty
Is plan and specrfications
SNAII N4411 d to permit oc to be an
®PProval ��olation of any proY1
't enY Mance.oC State��
m
in
4"Sheetrock Wall
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l PROJEGT LOCATION: <
10177 MYER PLAGE z
Q
• WHEAT N DR
STEVENS GREEK BLVD
I
PLAN
LOCATION MA NOTH
SCALE: NONE
APPLICABLE CODES
O 2001 CALIFORNIA BUILDING CODE
O 2001 CALIFORNIA MECHANICAL CODE
• O 2001 CALIFORNIA PLUMBING CODE
O 2001 GALIFO AL Iff
6
O 2001 NAT RC GOOE
O 2001 CALIFORNIA FIRE CODE
1. A.P.N. 316-23-051
2. OGGUPANGY TYPE: R
3. ZONING DESIGNATION - RESIDENTIAL
4. SGOPE OF WORK: GREATE AN OPENING
IN A NON 'SHEAR SHEATHED' INTERIOR
WALL BETWEEN KITCHEN ! LIVING ROOM
Doorway nn ni g for SED aaey�
Roberta& Charles SkandalisP4 °
10177 Myer Place, Cupertino, CA 95014 uy(Nyllbl@ � 0 ��� m�cC 388
Telephone: (408)255.1819 19952 Homestead Road • Cupertino, CA 4
Date: 11/17/04 Tele:(408)257-8500 Te1eF=(408)257-8844 9g 2-
CF C
(E) LIVING ROOM
�---r-
Z
F(E) KITCHEN O
VIEW "B"
w
� I
PLAN.
PARTIAL PLAN NORTH
SCALE: 1/4' = Y- 0
(E) D L TOP PL TO REMAIN
(N) 51MP50N FC4's
II II
(N) 4x12 OF #2 HEADER "
II
w/ FC4's, TOP AND BOT "
ALL FIN15H TO BE GYPBD
0 MATCH ADJACENT, TYP. (N) 2x4 DF STUD w/ TRIMMER I I
II II
II II
ASE OPENING WITH
G/TRIMS TO MATCH REMOVE 2 x 4 STUDS AND BOTTOM "
PLATE AT SUBFLOOR (DASHED)
DJACENT OPENING'S
II II
36' WIDE OPENING - VERIFY
II
I I
(N) 2x4 OF STUD w/ TRIMMER
I II
II II
0 I O I
(E) FLOOR JOISTS AND SILLS `4
*SGALE:
REMAIN UNDISTURBED
) SIMPSON FG4's, TYP. "
II II
FE-ROUTE U
5 REQUIREPLYWD SUBFLOOR REMAIN "
II II
II
OCK SOLID 1 JOIST BAY EAG
LI _LI
E OF (N) OPENING
2SSTORY GONG FOUNDATION
D SILL PL TO REMAIN UNDISTURBED
I I
, ,P.
B. vlEw �
SCALE: 1/2- = 1'-0"
2 of 2 DQOr nav OQoni__n�p�far MC
Roberta& Charles Skandalis piNE c
10177 Myer Place, Cupertino, CA 95014 SOME 0 A70 � 889
Telephone: (408)255-1819 19952 Homestead Road • Capertino, CA 9601
Dote: 11/17/04 Tele (408)257-8500 Tek Faz.•(408)257-8844 0?q�k124`4,�P
f orcNd�
a
ter CITY OF CUPERTINR o
• CUP TYOF NO PERMIT APPLICATION FORM
APN # 3( / 3 0� Date:
r
Building A(� ss: Mailing Address (if d' erent o building address):
I o l"t—1 1 lY Pc
Owner arae: Phone #:
CK-r�rzt�5 SKa,.t� 2• 4o9- Zss Ig l9
Contract ' License#:
Dwnev �Uu�l&e.v
Cont t: -ReQrA°a, Ph e: Cupertino Business License#:
SI Oht-
Fa4og-256-1819
Building Perm, fo:
Bid Elect Plumb Mech ❑
Jo' escription: j .�J
Residential Elo erc al U C/
Sq.Ft. Floor Area: i $/ . O�
Cost of Project: / Occ ancy roup:
ype of Construction: Please check this box if the prolec is a
second-sto addition: ❑
Project Size: Standar ❑ 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
1 of 3
. o vo e N
• APPROVED o5
o W17H 7H .CITY
tN ACCORDANCF� AND R tN.AP
ccl
EL
CIIpR71N0 C
AT
iMicrowave SIGNED
y 23zs32'wlde ecitications MUST
Fridge This set ofan• all times and it is un
De kept on In.-Mat mchanges or, alteration4
lawful tom ' I-witten permission from
r on same v @m > of Cupertino.
r the buildir ,°r s plan
The U"", ty
Is plan and specrfications
SNAII N4411 d to permit oc to be an
®PProval ��olation of any proY1
't enY Mance.oC State��
m
in
4"Sheetrock Wall
—m F o
tall cabinet
_-- - - a - a 5. (up to granite)
c o v a
- _ o-" ata �,N D b' ?QQJr
O _
o c m m
71
-17
12
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a r, b ���T4 ✓ "t� P
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fi Z.. yn. ni
t
�` r
l PROJEGT LOCATION: <
10177 MYER PLAGE z
Q
• WHEAT N DR
STEVENS GREEK BLVD
I
PLAN
LOCATION MA NOTH
SCALE: NONE
APPLICABLE CODES
O 2001 CALIFORNIA BUILDING CODE
O 2001 CALIFORNIA MECHANICAL CODE
• O 2001 CALIFORNIA PLUMBING CODE
O 2001 GALIFO AL Iff
6
O 2001 NAT RC GOOE
O 2001 CALIFORNIA FIRE CODE
1. A.P.N. 316-23-051
2. OGGUPANGY TYPE: R
3. ZONING DESIGNATION - RESIDENTIAL
4. SGOPE OF WORK: GREATE AN OPENING
IN A NON 'SHEAR SHEATHED' INTERIOR
WALL BETWEEN KITCHEN ! LIVING ROOM
Doorway nn ni g for SED aaey�
Roberta& Charles SkandalisP4 °
10177 Myer Place, Cupertino, CA 95014 uy(Nyllbl@ � 0 ��� m�cC 388
Telephone: (408)255.1819 19952 Homestead Road • Cupertino, CA 4
Date: 11/17/04 Tele:(408)257-8500 Te1eF=(408)257-8844 9g 2-
CF C
(E) LIVING ROOM
�---r-
Z
F(E) KITCHEN O
VIEW "B"
w
� I
PLAN.
PARTIAL PLAN NORTH
SCALE: 1/4' = Y- 0
(E) D L TOP PL TO REMAIN
(N) 51MP50N FC4's
II II
(N) 4x12 OF #2 HEADER "
II
w/ FC4's, TOP AND BOT "
ALL FIN15H TO BE GYPBD
0 MATCH ADJACENT, TYP. (N) 2x4 DF STUD w/ TRIMMER I I
II II
II II
ASE OPENING WITH
G/TRIMS TO MATCH REMOVE 2 x 4 STUDS AND BOTTOM "
PLATE AT SUBFLOOR (DASHED)
DJACENT OPENING'S
II II
36' WIDE OPENING - VERIFY
II
I I
(N) 2x4 OF STUD w/ TRIMMER
I II
II II
0 I O I
(E) FLOOR JOISTS AND SILLS `4
*SGALE:
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II
OCK SOLID 1 JOIST BAY EAG
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E OF (N) OPENING
2SSTORY GONG FOUNDATION
D SILL PL TO REMAIN UNDISTURBED
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SCALE: 1/2- = 1'-0"
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Roberta& Charles Skandalis piNE c
10177 Myer Place, Cupertino, CA 95014 SOME 0 A70 � 889
Telephone: (408)255-1819 19952 Homestead Road • Capertino, CA 9601
Dote: 11/17/04 Tele (408)257-8500 Tek Faz.•(408)257-8844 0?q�k124`4,�P
f orcNd�
a
ter CITY OF CUPERTINR o
• CUP TYOF NO PERMIT APPLICATION FORM
APN # 3( / 3 0� Date:
r
Building A(� ss: Mailing Address (if d' erent o building address):
I o l"t—1 1 lY Pc
Owner arae: Phone #:
CK-r�rzt�5 SKa,.t� 2• 4o9- Zss Ig l9
Contract ' License#:
Dwnev �Uu�l&e.v
Cont t: -ReQrA°a, Ph e: Cupertino Business License#:
SI Oht-
Fa4og-256-1819
Building Perm, fo:
Bid Elect Plumb Mech ❑
Jo' escription: j .�J
Residential Elo erc al U C/
Sq.Ft. Floor Area: i $/ . O�
Cost of Project: / Occ ancy roup:
ype of Construction: Please check this box if the prolec is a
second-sto addition: ❑
Project Size: Standar ❑ 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
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