06120029 CITY OF CUPERTINOr�; ,w �'" °" �' ""'t' ° �
BUILDING DIVISION PERMIT kCCNTRACTOR INFOT.iMATIQN
BUILDING ADDRESS: ALLBRAND WINDOWS PERMR NO.06120029
7653 NORMANDY WY
OWNER'S NAME: PERMITISSUEDATE
MARTINEZ JOHN AND RADENA 551 INDUSTRIAL RD 12 /11 /2006
NE:
SANITARY NO. CONTROL NO.
(650) 622-0330
ARCHITECT/ GINEER: BUILDING PERMITINFO
BLDG ELECT Pt!LUMB MECH
0 (�
:00 LICENSED CONTRACTOR'S DECLARATION - lob Description
i U C 1 hereby affirm Nal 1 am Iiss:vM under provisions of Call9 mummcncing
LI Ou iN Section 7")of Division 3 of the Business and Profession,Code,asW my license,is
�mnforceandeIT S REPLACE/RETRO FIT WINDOWS
License Clasn Lie.#
�,❑ Dae 12 g l l y�TS DEwr D+.�
�7 ARCHITECTS OFDIAR ION
I undersand my Plan,shall he used v public menrN
>yU
C� Licenttd Profetia
on
3 Oat I am exempt
DECLARATION
ConTION
e c 1 hereby Maso .Karo Nat 1 1. uempE tram 1Pr Cositur, o License Law for the
.
cc following muom.(Section,RDL3,Business and Pmfestion,Conk:Any city or manly
<$'n which aquiresaNull to e.shtrecmnsdine plopimprovedemolish, fieas-into ganyImswm 7915
?I< that x i ts issuance.aHo require thnvisio s of roe such Permit w eek a LAA(uwmcm
e O that W is ci ns it pursuant w the provisions of the Comranoss and
Professions
Law(Chapue 9 Sq.Ft.Floor Area Valuation
(commencing 13 exa pt therefrom
and t f Division.or the Businesscanar pt Pruressy vi Code)or
�5$ Nat h is essmpt thmefeao and the basis for the alcgrA esempdom My violation of
Section 7031.3 by airy applicants,for a permit subjects the applicant to a civil penalty of r Occupancy Type
not mom than ave hundred dollars(3500).
1,ss owner of the Property,or my employees with wages as th,ir in compenssuon,
will do the work,and On swcmrt is not intended or offered for sal,(Sec.7044,Business
and Profcssimet Cade:The Conuacmrs Lease Law don Out apply in an avers of Required Inspections
property who builds or improves thereon,and who das such work himselfor through his
awn employees,provided that such improammu art ME intended aoffcred forasle.If.
howevv.the Wilding or imPrOwment is sold within one year of campletiam,the owoeo
builder will have the burden of proving that M did not Wild or improve for purpose of
sale.).
❑1.In owner of the property,WE exclusively contracting with licensed mntnnnrs It,
conaroct the project(Sec.7W4,Business and Profeaions Cade:)The Cona¢ter's Li.
conte Law does not apply w an owner of property who Wilds or improma uemon.and.
who conuecu for such projects with a eonuanar(s)licensed purauanl w the Cnnu ccule,
License law.
❑lamesempturel See .B&PCfor Numason
Owner Dau
WORKERS COMPENSATION DECLARATION
1 hemby affirm under penalty of perjury one of the following declarations:
1 ha m and will maintain a Cerdfsese of Co..,to self-inmm for Wark aCompete
scion,u provided for by Section 3700 of On Labor Cade.for du performance of Ne
work for witve andch Nu permit is issued.
w hawill maimmin Worker's Compensation Insurance,On myvimd by Section
37M o(NeLabor Chun,(Or Ne famOmane,of the work for which Nu Permit maned. '
My Worker's
Compensation Inmraee mrim and Polity number aro:
Cartier, rKovgp. Poliry No.: 166 R? 25'
CERTIFICAEq OF EXEMPTION MOM WORKERS'
COMPENSATION INSURANCE
iThissection used motbecompkud if the Permit Is foroa hundred dollars(SIM)
or Less.)
I eenify Out in Ne,performance of the work for which Nin permit Is issued,I shall nes
employ any person in any manmerso as an become subject m the Workers'Compersation
Laws of California.Dau
Applicant
NOTICE TO APPLICANT:If,after making Nu Ceniacam of Exemption,you should
become subject in Ne Workers Compensation provisions of the Labor Cade,you most
.,z forthwith comply with such provisions or this Permit shall W doemed rovmked.
z O CONSTRUCTION LENDING AGENCY
F" I hereby alarm that Vert u a construction lending agency rot the performance or
ori Nc work for which this permit is issued(Sec.3097,Civ.C.)
6W. Landers Name
a z L.cMdefa Add.
V Q 1 certify Nat 1 have mad this application and sue that one above ireforroltiun is
U, corm.1 agree to comply with all city and county oNiruncesand sum laws relating to
QU building construction,and hereby authorim wproaematives of this city to enter upon Elbe [ ,/]1y(/�g /
r0. aha.,-memiuncdms.Woy forinspectionpurposes. �/�^�/K/V
(WE)agree w use,indemnify and keep hsrmleas Ne,City of Cupertino against
Uz Lobilities,judgmenu,casu and expenses which may in any way accrue against said City
n APPLICANT
of th,granting SNis permit.
^ APPLICANT UNDERSTANDS WILL COMPLY WITH ALL NON-POINT Issued by: Dale
SOURgCC"NF�.UL S.{Y/ � _ w✓I t I 1 �n E, Re-roofs
Signature mf ApplicanUComrPau
HAZARDOUS
S MATERIAL. t DISCLOSURE Type of Roof
Will the applirant wfuture Wilding azvpantstorea hn the
h Health
anmaerial
az E=y
rtino Municipal Cod,.Chapwr9.13.and Ne Healthand Safety
? All roofs shall be ins ected rlor to an roofin material beim�.kl� p p � Y g g instal]ed.
n`pe mmm bwmin am If a roof is installed without first obtainin an ins ction,I a ree to remove
g pant use eyaipmmt a devices which g � gumirunu u defined by Ne,Bay Area Air Quality Managconom all new materials for inspection.
Distric
❑Yes EINE"
1 have real Ne haatdmsmauriab uquiremcns under Chaper6.95 of the Califmo-
M3 Health&SafelyConk,genions 25505,23553 and 25554.1 unkisaW Naifue Wilding
does not cun,ntly has a ennnn Nat' my mtpooubditY w notify,E e occupant nr thc
myu' a wnkn WneEp' e ,:zaane,paewaeawmr«mpan,y. Signature of Applicant Date
All roof coverings to be Class "B" or better
Owner err authorisd agcm D�
�7 t• ^ �+
T � �3 YVorwQ�n� 7 _-" WQy.) �.cr,{>e,�•i'ikO ;l. Cc) '�50��
FLOO(�
L RN
Most
APP
.n ACCORDANCE WITH,THE CITY Ot-- ---
CUPERTINO'CODES,ANf) ORDINANCES r
)ATEA/
SIGNED
(his set of
ptaris and Specifications ,MUS.
�e kept on the job at all times,and-it is um -
awful to make any changes_-or_.alteration• ..
m same withOut"written permission, Iron. ..
the building D
The apt City of,Cupertino.
stam
ping of this plan and-specifications �,�I v GD
SHALL NOT be held,to.permit-or-to be-ar '--
approval of the violation_of.-a DEC I 1 ='
nY provasson
2006
dY ce.ot..rate ___. -; -
� any C- Ormnen
.,. •. M $ate, M., �� v. >:
F
FRocva
(9"F Gc
oar
•�I'uccp .,(�`lCIL
� V
, ., Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
46UPER,TINO
Buildin Department OB DDRESS: PERMIT #
6S3 Pvl -wravJ, W&., . D,5/ Zoo Z 9
OWNER'S NAME: To h ` PHONE #
GENERAL CONTRACTOR: , 1 7;ti FAX #
1
I am not using any subcontractors: (2 / 11
Signature 1 bate
Please check applicable subcontractors and complete the followin 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
r• � e--- / 1 `�
Owner/Contractor Signature Date
CITY OF CUPERTINO
1 of 2 PERMIT RECEIPT OPERATOR: bethe
COPY # 2
Sec: Twp: Rug: Sub: Blk: Lot:
APN . . . . . . . . : 36611163.00
DATE ISSUED. . . . . . . : 12/11/2006
RECEIPT #. . . . . . . . . : 36993
REFERENCE ID # . . . : 06120029
SITE ADDRESS . . . . . : 7653 NORMANDY WY
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : MARTINEZ, JOHN AND RADENA
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-5252
RECEIVED FROM .. . . . : ALLBRAND WINDOWS
CONTRACTOR . . . . . . . : JACEK PASTERNAK LIC # 24829
COMPANY . . . . . . . . . . : ALLBRAND WINDOWS
ADDRESS . . . . . . . . . . : 551 INDUSTRIAL RD
CITY/STATE/ZIP . . . : SAN CARLOS, CA 94070 -
TELEPHONE . . . . . . . . : (650) 622-0330
OE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW HAL
__________ __________
BENERGY PERMIT FEE 1.00 34.86 0.00 34 .86 0.00
BPERMFEE VALUATION 7, 915.00 147.96 0.00 147.96 0.00
ESPECIAL NO OF HOURS 1.00 68.04 0.00 68.04 0.00
BPLANCHK PERMIT FEE 1.00 83.16 0.00 83 .16 0.00
----------
TOTAL PERMIT 334 .02 0.00 334 . 02 0.00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
101 FOUNDATION 102 PIERS
103 UFER 104 REBAR
105 ANCHOR BOLTS 106 SEWER & WATER
202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL
204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION
301 ROUGH PLUMBING 302 TUB & OR SHOWER
303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL
305 FRAME 306 HOLDOWNS
307 INSULATION 308 SHEETROCK
309 EXTERIOR LATH 310 INTERIOR LATH
311 SCRATCH COAT 313 ROOF NAIL
501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY
503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY
505 FINAL ELECTRICAL 506 GAS TEST
507 FINAL PLUMBING 508 FINAL MECHANICAL
*9 FINAL GRADE 510 FINAL PLANNING
4 FINAL PUBLIC WORKS
Q CITY OF CUPERTINO
CUP TYOF PERMIT APPLICATION FORM
APN # 36t0 —11_14 Date: 1-2 / 11 /06
Building Address: Mailing Address (if different from building address):
'SG53 Wovwav,A, Wa4 , Com, , f,N"O CA 95014
Owner's Name: I 1 1 4Phone
kn 9 VaAetia :ane �- tJ8 46- 6Z
ontractor: License #:
Ni Gro" V,�; d0-.�5
Contact: pp Phone: I Cupertino Business License#:
A n tM �a5 i Fax: 650 00- 5
BuildngP rmitInfo: wJ)40, 5 veiI'lac; ( We or I , I.e � Ye �o , f Wim aa5
.1 AOD`r SI"clev (N F) 1 &a w„n 1 !
BldgLCA' Elect El7 Plumb ❑ Mech ❑
Job Description:
Residential UK Commercial ❑
Sq.Ft. Floor Area: Sq.Ft.:
Cost of Project: p r Occupancy Group:
Type of Constriction: Please check this box if the project is a
---/ second-storyaddition: El
ro'ect Size: Standard L� Lar e ❑ Ma'or ❑
QuantityFee 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
BINVEST[GA Investi anon fee BUILDING
1 of
�� - CITY OF CUPERTINO
c1, PERMIT APPLICATION FORM
CUPEI,TINO -
Quantity Fee 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
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
BREMFIXT 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 Mise 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 Flood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
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ppb CITY OF CUPERTINO
cuP TYOFirvo PERMIT APPLICATION FORM
Quantit 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 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 Mechanical sq. foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
PLLONGRNGC Planning LR Comme/Multi-Far PLANNING
PLLONGRNGR Plannin Lon Range Residential PLANNING
ZADDCHG Address Change BUILDING
•
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