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02030087CITY OF CUPERTINO
13UILDING DIVISION
- ,t ' I'• 1.'� I � • ' -
CONTRACTOR INFORMATIW -
PERMIT
h.•.1
1: �• 1.`.1 e:: �. E
BUILDING ADDRESS:
PERMIT NO.
10430 PLUM TREE LA
ALL SEASONS
REMODELING
02030087
OWNER'S NAME:
APPLICATION SUB DATE
DONNA & MIKE 'SNOW
219 DEMPSEY
RD
03/19/2002
fON'E:
SANITARY NO. CONTROL NO.
(800)834-4744
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
1
u C=1 L"1 I I
" LICENSED CONTRACTOR'S DECLARATION
1 hereby affmn that I am licensed under provisions of Chaper 9 (commencing
Job Description
j with Section 7n00)ofDivision3oftheBusi s ndProfessionsCode.andmylicense
in full 4
PATIO
ENCLOSURE W/ELECTRICAL.
is and ellen, /
License Lie, p _
(519
SQ. FT.) �����
_ Datr/ Contra,to �-
d
E®
ARCHITECTS DEC
i 1 understand dry, plans shall Mused as public recoNs g
MAY 1 3 2002
Licensed Professional
OWNER-BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Convector's License Low for ,he
following mention. (Section 90313. Business Ind Protrusions Code: Any city a county
Ig'1
BUILDING
I which requires a permit mcommuct.sher,improve. demolish. or repair any structure
D'pt^
3i Lv NG
i prior... intmax.,eho mquira theappicnm fasuchpvmit,.file au{nedsummcm
(commencing
mm enc it
cothahair licensed pursuint to Ne provisions of ofthe mprors andP lawon, Cor)
ssandim.,m,vi Code)
Sec,ion'/nand
Sq. Ft,
•, �', S.q.
Floor Area.
a llHI]on
awith
.1t he bell, for the
that he 6 ezempm thertfram and the basis fonhe allt{ed uemptian. Any violation
I
'
Wd.11majS5icarm 0oy'Nbjau the vpplicans tovcivil pemlry
.ofnm morello. fbvehund
umber
..., Occupancy Type
01, as owner of the property. ur my employees with wages as their sole compensmion,VQ1
--will do ,he work, and the acture is not intended or offered for sale (Sec. ]044.
102 -
-
PIERS Required Inspections
Business'and Professions Code: The Commcto,', License taw dal nm apply ,o en
owner of property Who build, or improve, thereon, end who dauuch walk himself
err througeh his own employees. provided. that such improvements am no, intended or
offered 'fois.Is.If. howown,he Wildin{ a,;mprovemntt i, roldwithin 6.f
103 -
"' "'
UFER
' -'-
completion,theowroo-builder will have the burden ofprovin{Ill. hedid I.,Wildor
104 -
REBAR
improve tar pxrPose or sola.).
105 -
ANCHOR BOLTS
-
re {wi,nEansdre,ntmemrs,o
C L acct
c um Business) oProfess
_ � 6 �-�
106 -
- ' E
SEWER & WATER
can Ne �
Eleni Mixer nne
resat (Sec. I-a owners prod ermfmiom Code:) The Convenor's
Licenu law eras not appty,o an ower of proprny who Wild.., empower,hereon,
202 —
UNDERFLOOR PLUMBING
and who contracts fa such, Pmjats With a cuntranogs),Iicertsed pursuant ro me
Coniracmrs Uccase taw.
-' ___203 —
.UNDERFLOOR' MECHANICAL-
❑Iamexempt under Scc. ,Bd:P,Cfonhiartason
204 -
UNDERFLOOR FRAME'
Owner COMPENSATION
' WORKER'S COMPENSATION DECLARATION
205 -
UNDERFLOOR INSULATION
Inertby.frmt anaerpmahyaf;erury ane ar,nt fnnaw;ng aalarada�t,:
301 -
ROUGH PLUMBING
302 -
TUB & OR SHOWER
1 h.w end will maiu,iin'a Cenifidme of Consent to sdGimum for worker',
Compensation. as provided for by Section 37M at the Labor Code, for the
3 03 -
ROUGH MECHANICAL
p ramanreorndwarkrawmmni,p mi,;aiaw.
304 -
ROUGH ELECTRICAL
01 haw md'wilt maintain Workcr'S Compeination Insurance,'.i required by Section
305 -
FRAME
37M of the labor Code, for ,he Performance of the work for which ,his retrain i,
tapveer.Mywarker'acampenrvnan m��ran�e �er,ier.roa Poucy nameer.rt:
306 -
HOEDOWNS
a� alryd
307" ;,:INSUliATION„-,
- CATION OF E%EM ON FROM?i'ORICERS
”
"(Thii'mc0erineednot be completed itthe permit is for one hundred dollars
_._..._...__._308
309 .T
EXTERIOR-.::.._.
..' I .
(sIBB)e,na�a) ;_
310 =
INTERIOR LATH:
in the
y,. eP o eat this I,i„aid.)
ern
311„-
SCRATCH;COAT
in an, mummer ad is .6 bbeman, sub ro Ne Walk..'.-.
small am lora,
° yw°Y°ciaa° ”"'
Cam notion Lew, of C1lifamie. Date '•
313 -
ROOF NAIli *”
-Applicant
501 -
FINAL' ELECTRICAL ENERGY
� .. '
CA
TNOTICE TO APPLICA :If; efmr makinpthes Cenificne of Exemption, you ,hauler
bto......jis"6"e Worker's Compensation provision) of the labor Code, you must
502 -
FINAL PLUMBING ENERGY
forthwith mmpry wim,uch provisions or,hi, peanut mallM dmmd revoked.
- 503-.--.
FINAL MECHANICAL •ENEId'GY
Iher `—CONSTRUCDoNLF.Noherelaeno "-'
1 hereby aFnn that ere is a consw Ming a{eaj for the per(ormince
9,
k foe which Ni, rtnit is Issued lSce Jet...,
504 -
FINAL BUILDING ENERGY,;'.'
,'
-Leode iorName'....... _. ... :.. :,`.�
m
. .50,5 -,
FINAL., ELECTRICAL
LtMer,oddre„ ..
506 -
GAS TEST
nein that the above information is
Ianee mm thaw read thisapplicationandu
507 -
FINAL PLUMBING
I
oand
<0 buil 1 {rte to comply with eb airy end county ordinances and state laws enter upon
the.1amgm tmad prerodhcrthispecby oniereposes. iwa Of this city to enter upon
508 -
FINAL MECHAN I CAL
the abo(We)hi emiaw; twforifyIdton kepharmte.,
IWe)e{rcbso'vw;ideodlify end keep hamdeii the Cityof Cupenine against
509 -
'
FINAL GRADE
expense, which may in any way aaroe a{einn and
Ca y n, co sequence caro Seem
City in consequence of,he'gransin of lhILLCOL "'
'APPLI
510 -
FINAL P I NG
GNDERST S WB.LCOMPLYWImALL.NON INT'
Issued 41 4r
C WORKS
N Date
gnaturto Applicanttr.nar '. •• ".•..... .•. ,e,..
HA RDODS MATERIALS dISCLOSURE'
Re-roofs
amiwll'theappliniiia,fururebulldinj'occupeatnortafiudlytiizardwsmodal
defend
Type of Roof
....
at by,she Capacitive, Municipal Code, Chaper, 9.13, a d the Has0 and Safety-
C.de Satog233321gn
..... .
All roofs $hall be inspected prior any,roofing material being installed.
u Will she applicant ,fumnI Wilding d Parr use equipment or devices which
ami, himdoasw contaminants as defined by Bay
,to _
- If a roof is installed without first obtainingan inspection; I'a ree Iremove
P g
she Area Air Quality Management
"'
. /
°Yea
all new materials
..
for inspection. Applicant understands and will comply, with
..
all non-pots[ source
_
iegulauons., ,
I have reed the regmrtm rots udder r 9ta of the
-
Calddmili Health s Safety Cody: -
Codub Sectors
sl2 and 25534. 1
4. I understand
e n that
real,
y, Car have t
'Vena bu'Itlingdoes rim currtnay havea,tarum,,M,i,i, myamalmocb0itymirlify the-
that itis ily to of
dexi( , f Ne rt tai roti mon he con
9 . prier ro juvaae o(a Certifibaa of
Signature of Applicant Date
-
r
All roof coverings to be Class "B" or better'• -
venal err aaNgd gem';,; ,a
._. . OFFICE.. ----- ------
... . - . _ ... .... . .
CITY OF CUPERTINO Z u3 o a
�OF
CUPERTINO PERMIT APPLICATION FORM
APN # Date:
Building Address:
/0.30 RLuM
0v/��r_1er's Name: Phone #:
® —Z
Contractor: License #:
Coif act: —�— Phone #: �fDB
1614ViO If
Applicant/C tractor: Fax #:
r Gci.�C4, yffl,s63-
Building Permit Info:
c Plumb Mech
Job Description: T.vlYgcc tG�o. di4ysF gpyeo+�Eo �,yyiD GNcGcw�t w Pt6�,
Residential: Commercial:
Sq.Ft. Floor Area: eicn Fr
Type
Quantity Fee ID
BAPPLOTHER
BBLDGFEE
BBOILERI
BBOILER2
BBOILER3
BBOILER4
BBOILER5
BCONSTAX
BCONSTAX
BCONSTAXB
BCONSTAXH
BCONSTAXR
BELEC1000
BELEC1001
BELEC200
BENERGY'
BENERGYADD
'_ BINVESTIGA
` BMITIGATC
e-0
Fee Description
Fee Group
Other Appliances
MECHANICAL
Bldg Permits . foot
BUILDING
Boiler <= 100,000 Btu
MECHANICAL
Boiler > 100K to 500K Btu
MECHANICAL
Boiler> 500K to 1M Btu
MECHANICAL
Boiler> 1M to 1.75 M Btu
MECHANICAL
Boiler> 1.75M Btu
MECHANICAL
Construction Tax
BUILDING
Ind/Off/Comm/Quasi
BUILDING
Con. Tax for BQ Zone
BUILDING
Hotel and Motel
BUILDING
Constax — Resi/Mobile
BUILDING
Elec 600V <=1000A
ELECTRICAL
Elec 600V > 1000A
ELECTRICAL
Elec Svcs 600V <= 200A
ELECTRICAL
Energy
BUILDING
Energy Add Multi
BUILDING
Investigation fee
BUILDING
Comm. Housing Mit. Fee
BUILDING
1 of
*170J
i
v
01
OFM
-!' •7-4260
IFA m ". PAW
' vDC SPFAmmm CK SQM
1 ,
d�
IJK
Y
L£4EWd
FLOW d1REC T/ON
GRADIN& (VOTES :
ORA/NAGE AWAY PROA9 h'DVSE e lWI
is Ta ze 2 % MIN/MUM ANU
17. Ta A YUBL:G WAY.
ELECTRICAL POWER PLAN
scuffu IW
GENERAL NOTES-
• ALL ELECTRICAL EQUIPMENT SHALL
BE U1- LISTED AND INSTALLED IN
ACCORDANCE WITH ITS LISTING.
• GROUNDING AT MAIN PANEL IS TO BE PER NEC 250-61
• SMOKE DETECTORS ARE REQUIRED
IN ALL BEDROOMS, HALLS TO BEDROOMS,
FLOOR LEVELS, ETC.
• ROOF DRAINAGE FROM NEW STRUCTURES
MUST BE CONCENTRATED IN ITS FLAW SO AS
TO DISCHARGE SURFACE WATER IN ANY MANNER
ACROSS ADJACENT PROPERTY LINES.
• PROPOSED LC9A. PATIO ENCLOSURE TO
i�
MATCH EXISTING EXTERIOR
Z a
• ENCLOSURES ARE NON -HABITABLE AND
00
NON -CONDITIONED SPACE WITH SCREENED OPENINGS
Cn }
ORTFMPERED GLASS PER#ACIB-RIo"JWRLQ.
ti
• ALL BEDROOMS SHALL HAVE REQUIRED MINIMUM
W
AMOUNT OF EGRESS WINDOWS.
w
A
KEYED NOTES:
a r
OI EXISTING TOTAL SQUARE FOOTAGE 1,693 SQFT.
WIDTH - 20' MIN. CLEAR
O NEW TOTAL SQUARE FOOTAGE WITH
WITHa
ADDITION OF PROPOSED LC-B.O. PATIO ENCLOSURE
PATIO ENCLOSURE TO BE 2,212 SQFT.
w
LEGEND:
0
6'x 6' SLIDER
® 10' x C WINDOW
PLOT PLAN © 3'x 6'DOOR
120V OUTDOOR ENTRY LIGHT
- - — CURB QR.Ala • 120V DUPLEX RECEPTACLE
SINGLE POLE SWITCH
120V CEILING OUTLET
EMERGENCY RESCUE WINDOWS
OPENING HEIGHT - 24' MBI. CLEAR
WIDTH - 20' MIN. CLEAR
AREA - 5.7 SQFT. MIN. CLEAR
w
SILL HEIGHT - 44' MAX.
,'C
a
J
w
CONSTRUCTION SHALL CONFORM WITH THE FOLLOWING:
BUILDING SECURITY ORDINANCE
a
UNIFORM BUILDING CODE - 1997 EDITION
NATIONAL ELECTRICAL CODE - 1996 EDITION
$
LEGEND:
0
6'x 6' SLIDER
® 10' x C WINDOW
PLOT PLAN © 3'x 6'DOOR
120V OUTDOOR ENTRY LIGHT
- - — CURB QR.Ala • 120V DUPLEX RECEPTACLE
SINGLE POLE SWITCH
120V CEILING OUTLET
'`�--ZX6� Exr;�ud�o GDr3-TS
Fror ALvM. 71/E£ HLGGf-:e -t)gp"
12) rwo BAS£
.v L.
�,� 2`X 3" Exr/FvnrG TvSE
�— SAME AS AEDVG
Bi4SE Ex PF.VGt.t ;
yg6E ZRE1 Z
Na TEs:
3G" --
T
;,.�.,•- :�>.;:,- _ T �NI C�rVCRETE SLAB
,7?7! !L'N.rN. - �A
o
CONSTRUCTION SHALL CONFORM WITH THE FOLLOWING:
BUILDING SECURIIY ORDINANCE
UNIFORM BUILDING CODE 1997 EDITION
EARTH NATIONAL ELECTRICAL CODE 1996 EDITION
m
N.T. S. • •
W,
LEGEND:
OCz
co C
wU
�QL
F- Z
w
iz ar<
oaDy
330
ix6xes
sa
iF0
i
3l"
O z
z?
{a; r
CITY OF NO
ILDING DIVISION
PERMIT
CONTRACTOR INFORMATION:
BUILDING ADDRESS:
PERMIT NO.
10430 PLUM TREE LA
ALL SEASONS REMODELING
02030087
OWNER'S NAME:
APPLICATION SUB DATE
DONNA & MIKE SNOW
219 DEMPSEY RD
03/19/2002
PHONE:
SANITARY NO. CONTROL NO.
(800)834-4744
ARCHITECf/ENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MF.CH
LICENSED CONTRACTOR'S DECLARATION
Job Description
P
I hereby affirm that I wn licensed under provisions of Chapmr 9 (commencing
with Section 7W)of Division 3 ofthe Busio.rs/and Professions Cale. and my license
in ran rf�:Yana
PATIO
ENCLOSURE W/ELECTRICAL.
uis eBect, Jct
eenr-��� uc. «
(519
S4 . FT . )
Da ,{"�� C^mmn^
ARCHITECT'S DEC \TION�rEMOLLtG(4f(�'
I understand my plans shall be used us public records
ar_ a B �ii
IP1�r 6�, LF -93
Licensed Prefesri... I
1 hereby .(firm that 1 um camp( from the Contra. nsw Law for she
atIamexemptOWNER-BUILDER m the Contractor's
MAY 0 8 2002
a :
fulleswhich ing (Section ]W Businesswad Code: Any city orco.my
mos derons
requires . improve. or repair sbucwre
which requires a .I, to conswn, alter. improve, demonic
-prior t uwli q .m applicant for t ed
_.-.-_-
S . Ft.
i 1�,
Floor -Area p.'.
a nation
Commarnuonense Lww fClmment,
(hone licensed p rsuA n700the provisionsof (heCommcines andPeLewonsCo e)
(coat Section f Code)
Businessandimi.
n n6 with e rasionoofea Any violation
or Sha( M1c is land he haus for the tl u
omen Any
tang
s r t: sLq i' `.
•'1'� `�•�
,_BUIL
subjects th Besot to
- of not mor ](th n iv any applicant for a permit wbjena me applicant m n civil penalty
31.5 b applicant
.rna(m.remwt6.enanareaamlars(ssto).
A
umber < ..� ... Occupancy Type
O 1, as owner of the property, or my employees with wages as (heir sole compensation,
102 -
-
PIERS Required Inspections " •' B'--''�
-will do Out and Elie stoicism isnotintended or offered for sale (Sec. 7(A,L
Business and Pmfcssions CdA The Contractor's License Law does now apply t. an
owner of property Who builds m improve, (hereon, and who dos such work himself
or through his own employees. provided than such impooemems are not imeoded or
10.3
offered f I If, b -w the bre Idm6 t P e t s sold tlhbe yew of
-domplcinn,the
104 -
REBAR •.'f '•( tS'll V•
nwtcrb�Iderwill have the names of proving that hedid not buildor
improve for purpo>aof sat"').
105 -
ANCHOR BOLTS
th - - - .... _ ... - -----
Ol:asownaaf(heinert liness I i lCWenxdc.wmn.tto
D p r. a(^e=c rat^^eae'^s wt
106 -
-
SEWER & WATER
n (Sec.
construct the does appl ]tai, Busowner o and Pmfcssions Ccde:) The Contractorneon,
License Lawd«anm apply man.wnwth Dmpmr who b.Bdssed
202 -
V
UNDERFLOOR PLUMBING '• ...
pursuant to the
for. such projects with a.c.nwa.r(s).li<ensN Dursonm a. me
and who er License Ww.
c0m
.... ..... ...._.___-_...
203--
UNDERFLOOR' -MECHANICAL ----
in asam.icenae (.,; , ,, ,,.
❑IemaemptunderSec.' .B&Pc orthapower
204 -
UNDERFLOOR'' FRAME""
Owns ""'"' ""' "nett'°' -
205 -
UNDERFLOOR INSULATION
WORKER'S COMPENSATION DECLARATION
301 -
ROUGH PLUMBING
Ihcmbyaffirmunder pro undyofperjuryone nf,(hefollowing dmlarn(ions.
302 -
TUB & OR SHOWER
❑ 1 hcive and will mi 'a Cehf6cwe of Consent m self-inaare for Winker.
3 03 -
ROUGH MECHANICAL
Compensation as provided for by section 3]W of the Labor Code, for the
Dee.mrswee of he wank for whkhmi, pem,i is iamm.
304 -
ROUGH ELECTRICAL
❑ 1 have and will maintain WoAcr's Compcnsation Insurance, as required by Section
3 05 -
FRAME
3]00 of the Labar Code, for the perfoor ance of the work for which this permit is
issued, My W rkersC pc iru nl tarance carrier and Policy number are -
306 -
HOLDOWNS
L J a Polity N
iei�sY�Yrdc !/i✓AA 1/3 G0.49,93 GD
r^ 307
_
;;INSULATION,,,
'
,,.CERTIFICATION OF EXEMPTION FROM WORKERS"
\ "
308
SHEETROCK.'''.,.
. ; " COMPENSATION INSURANCE.' „ _ _ .
. -
Sri,
EXTERIOR__liATH---- -------
... ,
L
(Thi;-------
uctlori riccd no, be rnmplded if the permit s for one hundred dollars
310
-
INTERIOR LATHi
fslot)ar maa,7 a.. ,-_, ...
-
,,,•-. ...,.�� .
^11' I certify Oat in thePerformance a thework'(r which th permits issued, i
311"-
� .�-• `-
SCRATCH COAT c b
Miall of empl Y any pe y manner to become s b)ect n. the Wotl:crs
_
313
v
ROOF NAI s•r
Compcn.t nLew,.fclf Dwe
Applicant -'" .. " 1
501---FINAL-ELECTRICAL--ENERGY
I NOTICE TO APPLICANT If, for mall",@a Cenificam of Exemption. you should
becomesubjecttothe Worker's Cmialmatinn'provisionsof the labor Code, you mum.
502 -
•-•.
FINAL PLUMBING ENERGY
Tarin with comply will such pmvismna m this ..it shall be deemed resoled.
503 ----FINAL..
MECHANICAL -ENERGY
•'CONSTRUCTIO,NLENDING AOENcv
•' d m
504 -
FINAL BUILDING ENERGY; .'.,•. •.•tb
'
Ih,ireny IYmtm uh ncbno ( g ,c yf perfrtnancc'
rate kr sesta perms L. a(sec ao9] c c)
Inde N e'. "
Lead odd
_. 505 -
506 -
FINAL L
-ELECTRICAL
GAS TEST •,•-'•,
loco fym �Ih dm pylic( etc m(m n.romwu.nrt
507 -
FINAL PLUMBING
correct. g lir ply th411city and countyordinancesad.(( i refining
508 -
FINAL MECHANICAL
to building consuucionana hereby emnorie representatives ofths city to cater upon
the abo.e.mentmged pmpcity for inspection pur ,r..,
(We) agdos a 4d fy and keep M1 sthe City fCupen ugans(
509 -
FINAL GRADE
liabilities. judgments, t agpesea nmmr�any yaccrue,sam�t,aaid
City c se, c ce of the'gtanttng of thispemnit.
510 -
FINAL P ING
v
:APPLIC DS WILL COMPLYN'ITHALLNO '"'
11
Issued 1v4 �
N C WORKS Date v
,rUNDER$T
S U .F LEGUf: 1 t
am ...
eC
.i,,nz�urro APPlicanV banor •""""; "'i ",. , : rte •.
HA.ARDOUS MATERIALS DISCLOSURE
Re -roofs
c ' ,....i ogre or handle hwmd. s mat ri
cupce Mnicpaal CodeC
--TYPe of Roof
-.
e. chpier.9.l:. nod dre Heaitn and Safety
as deindby aihe ty
25532(a)? -
.) I'
Code Section b 1":rt
°Ys aN I
All roofs shall be Inspected prior to any, roofing,material being installed.
- Winoapplicant run renuiidn, p use equipment rd which
If a roof is installed
without first obtaining an inspection; I'agree.[o remove
nit h ardoas at, h t n sante as derma by the Bay Area A Quality Manage vent
- Diamm?
all new materials for inspection. Applicant understands and will. c_o_mply, with
-
0Ye MNo
all nor -point source
regulations:,
I have read�thc h i6rdous moieri.1, reqs rements under'Chapter 6.95 of the
Callydmi. Hefts& Srr1w, Code, Sections 25505, 255]3 and 25534. 1 undemmid dist
--- - --'
if Mebuildin does nm curentl have a tenam, than it is n,
g y yresponsinf
-
"- .
Sn mcS Prior m is .taco o. a Cmi. . of
t f (hc r qui nti Ceinoctir: f
Gs, ...
°L r>'r'/ � •,�. •..'
Signature o_fApplicant Date
All roof coverings to be Class "B" or better' ,' I
wncr or authorix e n� ..:. ...... . , 1e
_ „ ..8. .....
' ....:.. ........ . .. OFFICE ... .. _. .__. _.. ..- ._.