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03070089 [TY OF CUPERTINO CONT�=R ,CkT®°I RM OCRNFCSUILDINCbVISION pCRI N ' BUILDING ADDRESS: FIVE STAR WINDOWS a4 PERMIT N003070089 OWNER'S NAME: 1450 DELL .AVE Hit ISSUE DATE NE: (408) 370-3331 v�a a e8a 4w tl" SANITARY 0. CONTROL NO. ARCHITECT/ENGINEER: JUL 4 aJ LU^. BUILDING PERMIT INFO BLDG ELECT PLUMB MECN J80 - LICENSED CONTRACTOR'S DECLARATION1g `w iF 1 hereby affirm that I am licensed under provisions of Chapter 9(commencing B�r�ib.DesO�'ipnon ^iG4 with Section 7000)of Divittio 3ofthc Bin usiness end Prufc¢sinna Cade.and myli<enu is z L1enlsfocleandermetd2l C-11LIC.1 351 WINDOW & DOOR REPLACEMENT Date V cam" -2 BAY/BOW WINDOWS) C ARCHITE- CWAPIDNI 1 understand my plans shall he use u public Na o Licensed Pmfeesimod ^ OWNER-BUILDER DECLARATION 3�I I hereby strum that 1 am exempt from the Contractor's License Law for the 0 0 following mason.(Section 7031.5,Business and Professions Code:Any city or county m which myulres a pctm;t to construct,alter,improve,demolish,or repair any structure '^ prior to its iconnce.alsa rcqunods,applicant l7mmeh Permit o 111.signed statement that he is licensed pursuant n the provisions of the Common's License law Chapter 9 Sq.Ft. Floor Area Valu�ta�3�000 yFer (commencing with Section 7000)of Division 3 of the Business and Profcasinm Code)or $ Nat he is exempt therefrom and the bu's for the alleged exemption.Any violation Of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 3_M67-T.l.IVI. V00 Occupancy Type not more than five hundred dollars($500). T�sl lf.7 V'�I',7 ❑I,as owner of the property,or my employcu with wages as their$ole compensation, will do the work.and the stream,is not Intended or offered fonalefSec.7W,Business Required and Professions Cade:The connector's e arInspections Liam law docs not apply to an owner of propmywho Wilds or improve thercon,and whodaes such work himulfor through his 101 — FOUNDATION own employees,provided that such improvements are not intended or offered for sale,if. 102 - PIERS however,dee bulldi ng or Improvement 1¢mid within one year or Completion.the Owner. builder will have she burden of proving that he did not Wild or Improve for purpose of 103 - UFER m ` e.). 104 — REBAR ❑1,a owner of the properly,,Business ssivnd confessions with licensThe d mirmloou m Ca.hoes orf,,I,as ag ., rand Professions Code:)or ntp¢Conwaori Li lOS - ANCHOR BOLTS. CO.uolawdoser such plyman with ecfprchory who sedpurrimprovea thearromContracand tors ' 106 — SEWER & WATER who contracts for wcM1 pmjecu with a cnntranor(s)licensed pursuant to the ComnetoYa License Law. 202 — UNDERFLOOR PLUMBING ❑1 am attempt under Sep B 6 P C for this much 203 — UNDERFLOOR MECHANICAL Owner WORKER'S COMPENSATION DECLARATION 204 - UNDERFLOOR FRAME I hereby affrm under penalty of perjury one of the following deelmakum: 205 - UNDERFLOOR INSULATION I haw and win mlesta a Cenirate of Consent to salf-insure for worker's Comr c. 301 — ROUGH PLUMBING 0.as provided for by Sectiem 37M of the labor code,for the perfnm mes of the 302 — TUB & OR SHOWER work for which this permit is issued. ❑1 have and will maintain Worker's Compensation Insurance,as requited by Section 303 — ROUGH MECHANICAL 37W of thc Labor Code,for the performance of the work for which this permit is issued. 304 - ROUGH ELECTRICAL My WarGke�rr{2��.�Cp�lmOnperualion In unnce Cartier and Policy no _0Z e �yy Carrier:slWtN�� Polity No.:) ✓:5�3G�_0Z 305 — FRAME CERTIFICATE OF EXEMPTION FROM WORKERS' 306 - HOLDOWNS COMPENSATION INSURANCE 307 — INSULATION Cnexced,n need notWounpleteJ if the permit la for one hundrttldnlhn fIlIX17 308 - SHEETROCK 'ricks.) I eeNfy that in the performance of IM work for which thin Permit is issued.1 man not 3 09 - EXTERIOR LATH employ any permn in my manner an as to become subject o the Workers Compensation 310 — INTERIOR LATH Law n of California.Dau Applicant 311 — SCRATCH COAT NOTICE TO APPLICANT:II,aRer making this Certificate of Exemption,you should 313 - ROOF NAIL become subject to the Worker's Compensation provisions of the Labor Code,you must JZ forthwith comply with such provisions or this Fermi tshall bedeemed hooded, 501 — FINAL ELECTRICAL ENERGY Z 0 CONSTRUCTION LENDING AGENCY 502 - FINAL PLUMBING ENERGY 'Cd ^ work iam.chUldthetthcmiuconswninnlcndingagcnryfnnhcperfurmanccuf 503 — FINAL MECHANICAL ENERGY C the work fur which this permit is issued(Sec.3097,Civ.C.) w^q Under.Name 504 — FINAL BUILDING ENERGY Lender's Addmu az 505 — FINAL ELECTRICAL U O 1 certify that 1 have read thisapplication and loon and sem that the above information Totaling to 506 - GAS TEST t2v cortecL legrce to Comply with all city and county oNinances and mus laws relating to 0U building construction,and hereby amhorim representatives or this city 10 enter upon the FIN PLUMYING G U move-mentioned property for iupeclion purposes. C3. (We)agree m save,indemnify and keep harmless the City of Cork, i o against O 8 F I L Tg Iiabilides,judgmcnts,costs and capcores which may in any way accmc agaiuluid City 5 V 7 in eon Puenceor the granting of this permit. r7 APPLI A NDE STAND ND WILL COMPLY WITH ALL NON-POINT Issued by:5 Date LAT t _tlfat—Nj Re-roots 514 NAL PUBLIC WORKS igna m of Ap omVC ns. or Inbox T HA A OUS MATERIAISDISCLOSURE Type of Root // Gf, L Il thea liant rfumrt building oceupanfnoe or handle hazardous material 1 u define y th Cupeninn Municipal,Code.Chapter 9.12,and the Health and Safety Code,Sc❑cty s ss3z(.)+ NO All roofs shall be inspected prior to any roofing material being installed. Will the appncmtar mnrc Wildmgaa'pam amequipment nr devices wn;en If a roof is installed without first obtaining an inspection,I agree to remove mit hazardous air contaminants ss deft ed by the Bay Arca Air Ouality Management all new materials for Inspection. uricR ❑YesNo Ihave mad theh ardmusmaurials myuirtments under Chapur 695 of the Califon ria zilItcalth SvfmyC c,Secduns 255115,25533 and 25534.hmdelood that if he buil ding dues rot rtcnlly hvux a anent,thel L is my responsihllity 10 notify the occupant of Ihv mulctmi¢kmanecaraceNnaemorOceavey. Own ortitri'rc agent Signa[ureofApplicant Date 01 l All roof coverings to be Class "B" or better Doc ( .. kITY OF CUPERTINCO rj z o7o a� CITY OF PERMIT APPLICATION FORM CUPEI1TINO IPLPN # 00 IS- 7 d 3 v ? 3 Date: Building Address: Mailing Address (if different from building address): Iq 67 aIm Owner's Name: Phone#: mi ,v1 U 8 -25 7— 30�b Contractor: � License#: FIVe, EfG1 S &2S391 Com4ct: Phone:1408 370-333( Cupertino Business License#: �� P{ Fax: *09-3Z-3410 Z300 Building Permit Info: Bldg Elect Plumb ❑ Mech ❑ Job Description: Wk1d Cts. C,vlry% I Residential 1zY Z Wnno WtrdaWs Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: 24 000: GoOccupancy Group: Type of Construction: Please check this box if the project is a l r I0.UA-0 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> I OOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1 M 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<= 1 OOOA ELECTRICAL BELEC1001 Elec 600V> l 000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. HousingMit. Fee BUILDING 1 of 3 Sz) Shining Above The Competition D Family Owned and Operated since 1983 • 1450 Dell Ave., Ste., C, Campbell, Ca 95008 Tel 408-370-3131 Fax 408-370-3110 License # 628381 Omly the besC DATE:Ojlji�103 JOB NANIE: ........ ......... ............... .. ........... is ....................... ....... .......................... .......... ......... .......... .... ......................... .............. I ......... ..... ........... .......... ........... ............. ............... .................... .............................. ........... T t .............. .......... .............. .............. ........................... r........... .... ..............- .......... ............... ........... ................ .......... 4 1200i� JUL .............................................. ............... Dr Never Promising More Than We Can Deliver. Striving To Deliver More Than We Promise Shining Above The Competition • D Family Owned and Operated since 1983 1450 Dell Ave., Ste., C, Campbell, Ca 95008 Tel 408-370-3331 Fax 408-370-3110 License # 628381ly�]CSt DATE: 'OR NA I h8 , � I 1 E ...GaI. J�1Ul �til v4�e I V V •moi_. i � ....•i0.'- ; _<�� '.... . ... .. 4 `....... � �v .._.. _. I � I I al ' I r ......_ _ L...... 1 -. .. I r v .. c` - E I ...Y``n1 ...... L-1111-1 I .......... t L ,- ._ ..... __.. I _.. .......... L.1. i.. ......., c... _w.. r....... I..... u t _ __ ..... ©. ..,« I p . I I .-.. .... / X) r �t / I aiI r i ........ .., v ....... ............ - I I ®1 i Never Promising More Than We Can Deliver. Striving To Deliver More Than We Promise Shining Above The Competition . Family Owned and Operated since 1983 MM 1450 Dell Ave., Ste., C, Campbell, Ca 95008 C1Tl T17C Tel 408-370-3331 Fax 408-370-3110 License # 628381 y best DATE: J06 NAME: ���1'/ 2•-1 p, " I I f I 07/� X03; _� Na II , I l I '?,p a ........ Ex ... i ... , < . K-0 r ...... • a & 4 � ff II ':........ �......... t ... ......o... ..._..._.. ....... .. .. .. ...... . i L... ._._.I. ...... __.. , :._.........� ; . . ........... a� ......... I �.._ j. ..... 9� f � �� x � 1� , . . 1 iL ,, �f 5.... �C) r/2 JUL,1 4 2003 ...... f _ i Never Promising More Than We Can Deliver. Striving To Deliver More Than We Promise Shining Above The Competition Family Owned and Operated since 1983 1450 Dell Ave., Ste., C, Campbell, Ca 95008 besf- Tel 408-370-3331 Fax 408-370-3110 License # 628381y DArEI: ,Io6 NAMFGW�'! � f II A , 1 s .• r i...__ j. b ....... ... y. ......... • ... 3 ' 10 eo6j ........ .. ; fa< I f ! i.... ........... .�....... _......... ! .._...... .....f .. _ t , .... .IS .ngce�'a'b.e' 100 X ! i I � i 1 I (;,p rlk5 e. 7 w JU(..._�. 4 2003 ! Never Promising More Than We Can Deliver. Striving To Deliver More Than We Promise Shining Above The Competition mp-ffl� D Family Owned and Operated since 1983 IM 1450 Dell Ave., Ste., C, Campbell, Ca 95008 Tel 408-370-3331 Fax 408-370-3110 License # 628381 Clmly the be DATE: pl NAME. .............. .......... J. . ............ ........ ........... k4 .......... ... .......................- ........................ . ............................. ............ .......... \40 ........... S� '-j ..........t ...... .......... S ........... W,,-) vb .............. i 011 .......... ............ ................................. . ....... .............. .......... ....... IU L 1 4 23 .......... ........... Never Promising More Than We Can Deliver. Striving To Deliver More Than We Promise Shining Above The Competition D Family Owned and Operated since 1993 1450 Dell Ave., Ste., C, Campbell, Ca 95008 Tel 408-370-3331 Fax 408-370-3 t 10 License # 628381 Clemly the be ......DATE: JOBNANNIE: H ................................. ........... .......... ........... ............. .......... ..................... ................... ............. ........... ........... ..................... t i ......... .......... ........... . ...................... . ............ ...... .......... ............. .......... X t7 ......... ......... ............ ....... .......... ........ .......... ............ ... ......... 1 .... ........ .......... ............. ........... .......... X. (Z5_ .................... .............. ............. lc� ................ LP 4.2003 - J1 Never Promising More Than We Can Deliver. Striving To Deliver More Than We Promise CITY OF CUPERTINO - "�` 'tv'st>� ` +3r` �3 BUILDING DIVISION PERMIT WtONTkWTOR INTURMATION ; BUILDING ADDRESS: FIVE STAR WINDOWS PERMIT N003 O 70089 OWNER'S NAME: 1450 DELL AVE PERMIT ISSUE DATE NE: (408) 370-3331 SANITARY 0. CONTROL N0. CHITER/ENGINEER: BUILDING PERMIT INFO BLDG ELELT PLUMB MECH 0 0 0 0 uo0 LICENSED CONTRACTOR'S DECLARATION 1 berchy affirm that 1 am Iicensad under previsions of Chapter 9(commencing Job Description z wish Scairm700ff.fDivisio 3arthe Bu9nen.napt arouions Code ad my license is � z Li en¢Cleand ermn.Ql Ly.M to $ l WINDOW & DOOR REPLACEMENT Dam V corer -2 BAY/BOW WINDOWS) . ARCHITEcrs pEc 1 uneentanJ my plans shall he urea u pante vs JUL 2 3 2003 u Gf Liccnsyc Professional aS OWNER-BUILDERexemptDECLARATION 0 1 hereby rosea .(firm that 11. exempt from the Contractor's Co e:Any c Law for the 1-❑O followingm+eon. eardut Rag LSBmluer. and pe.de Professions Calc:Anycitymmunry 11 y p�/'� $'a which myuircsapermit re construct,dment rorsuh retails fie a signed swcmm U'LDIIN�7 Prior mits issuance,also nt to the the isionsOf far eachpermitmfileae Law NRmenl yNs O (comm ie eanmd pursuant 7")provisions of the a Business Llanac laW(ChapterCode)or SQ. Ft. FIOOT Area Valu 0131O 0 0 NO 4-$ (commencing is xempthSmion ID00)of Division rte heetodc Business and Professions Cod e)or 4C`S .. that he h 31.5 b tan,applicant li and ola beau for bj chs dic exemption.Any vinhtion of notSectionre than by huh redinm rs 35M).it subjects the applicant m a civil Penalty of 3_4ftT�7rp7,§er0 0 Occupancy'fType not more men fire hundred dollar(SSW). ❑1,as owner of the pmpyny,or my employees with wages as their sole compensation. will do thew w&and the machine isnot amended or offered for sale(Sec.70th,Business i are Red Inspections and professions Cade:The Conuacmes es License law donot apply to an owner of p Property who build+or improves themon,mal who doessucn work himseaonhrough his 101 — FOUNDAT ON own employee,porvided that such improvements am not balanced or offered foray.If, lO2 — PIERSho however,the building or improvement is sold within one yea orcomplction,Ne owner- buuder .will lure the burden of proving Quad he did em build or Improve for purpose of 103 — UFER sale.). ❑1,as owner of the progeny,em exclusively contracting with licensed conaac(on to 104 - REBAR comact the project(Sec.7W,Business and Professions Cotler)The Contractor's U. 105 — ANCHOR BOLTS. come law does not apply to an owner of pmpeny who builds or improves thereon.and, lO6 — SEWER & WATER who contracts for such projects with a contnpursuant ctot(m71iceme0 pursuano the Contractor's Ll°emm U. 202 - UNDERFLOOR PLUMBING Fl 1 em exempt under Sec. B k P C for this mann 203 - UNDERFLOOR MECHANICAL Owns ate WORKER'S COMPENSATIONDECLARADTION 204 - UNDERFLOOR FRAME I hereby affirm under penalty of perjury one or the meowing declarations: 205 — UNDERFLOOR INSULATION 11kaveend will maintain a Certificate of Consent to sclr-Insure for worker's Camper. 301 — ROUGH PLUMBING u provided for by Section 37W of the labor Code,far the performance of the 302 - TUB & OR SHOWER far which Nis permit is issued. ❑1 have and will maintain Worker's Compensation Insurance,as required by Section 3 03 — ROUGH MECHANICAL 37W of the Lobar Code,for the performance of we work for which this Permit is issued. 304 — ROUGH ELECTRICAL My War kG��ryC9mnpensa(in In unnee carrier and Policy nuam��ker re Grncr:c 1V Policy No.:� ✓�M '-0Z 305 - FRAME CERTIFICATE OF EK EM PTI ON FROM WORKERS' - 306 — HOLDOWNS COMPENSATION INSURANCE 307 — INSULATION . (This section need not rte completed inm Permit is for am hundred dollars(gHart 308 — SHEETROCK or lame) 1 certify that in the performance of the work for which this permit is issued,I shell not 3 09 - EXTERIOR LATH employ any parson in any manner so as in become subject to the Workers'Compensation 310 — INTERIOR LATH LawsCalifornia, a311 - SCRATCH COAT Applicantcant la NOTICE TO APPLICANT.If,a0cr making Nis Car ifiala of Exemption,you should 313 - ROOF NAIL become subject to the Worker's Compo nsaion provisions of the Lamm Cade,you must .JO forthwith comply with such provisions or this permiishall hcdeemed revoked. 501 — FINAL ELECTRICAL ENERGY ? ^ CONSTRUCTION LENDING AGENCY 502 - FINAL PLUMBING ENERGY .F r Ihewhy ofrmh that them is a construction lending agenry for the performance of 503 - FINAL MECHANICAL ENERGY �R'i > Lewurk far sNameichthiepeaitieissucd(Scc.3cy97,Civ.C.) 504 FINAL BUILDING ENERGY Q lanecr'a Name - O Z Lcnder'e Address — U O 1 marry that 1 nave read this application and nate that the.move information is SOS FINAL ELECTRICAL correct.I agree to comply with all city and county ordinances and sum laws relating to 506 - GAS TEST OU building concoctinn,and hereby amhoare reprcacnutivet of this city to enter upon theFIN PLUMB G shove-men(irned property for inmecuon purposes. f�„y (We)agree to save,indemnify and keep hamlea the City of Cupcnino gainer 08 FI L h liabilitics,judgmcnu,cosi and expenses which may in any way acme againstsaid City [J7 in cone)ucncc of the gnmi^g of thio permit. 5 •7 AP A NDE AND NO WILL COMPLY WITH ALL NON-POINT Issued by:5 ING Date TC LAT 01hWo Re-roots 514 NAL PUBLIC WORKS igna to fAp in HA sur or em HAA urs MATERIALSDISCLOSURE Type of Roof 7 How. thane rfuluni Municipal o Occupant.Char9.12.re handle Heath andua Safety ac dcfinc y(h Cupertino Municipal Code.CNpmr 9.11,mJ the Health end Safety cwo.senor ss3xa)+� 0Y. All roofs shall be inspected prior to any roofing material being installed. ' No Will me appease(or future building ongpamt au equipment or devices which a roof is installed without first obtaining an inspection,I agree to remove hasardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. n7 oycsN, IhavcrcaEtheh srdnusmeterialsmyuiremcntsunacrChapmrh95ofthcCalifor- m.Heshh .-SafcyC .Sc .2SSOS.M533 and 25534.1undc.d thief ate building dttx not rten ly hew•tenant Net l u my mepomihility m notify the rccupmt of the most nroisscaacnfacrnlllcamafaccancyy' Signature of Applicant Date I Dam All roof coverings to be Class"B"or better Own ear (h rive eFcm