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06060255.4 0 Z F a W M U U' Uz O F., U CITY OF CUPERTINOp I- tlyg«rx,ax^v=a'T TOR INFORIVIATI BUILDING DIVISION PERMIT d.1.NT12AC BUILDING ADDRESS: CRW INDUSTRIES. PERMIT N0.06060255 7949 RAINBOW DR OWNER'S NAME: PERMIT ISSUE DATE DEAN 1157. DELL AVE. 06/30/2006 ITATSUNO ONE: SANITARY NO. CONTROL NO. (408)378-2477 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description p I -by affirm hasI am licnucd under irrolmam of Chapter 9 (commencing with Seniors )IX10) of Division 3 of Ne Business and ProGssiuns Code, and my license is a Is 11 Io—and effuL ..2 u Z � �7 REPLACING EXISTING PATIO DOORS LIKE FOR LIKE SL License aay Lic. N _ l_01 ` Ut1s Dam Comacmr ARCHITECTS DECLARATION II undersand my plans shall he used as public mcards i ' Licensed Professional j OWNER -BUILDER DECLARATION 1 hereby vfrse that 1 am ucmpt from the Contactor's License law rat tW > following mason. (Section 7031.5, Business and Professions Code: Any city or county which reclaims a permit to earssWCl. alar, improve. demoteo. as .,.it say ammum, $5612 prior R) its issuance. also requires the applicant for such permit o rile a signed statement Ft, Floor Area Valuation e Nat W is licensed pursuant to the pmviamrunf he Contractors Uceme Law (Chapter 9 Sq. S (commencing with Section 1008) of Division 3 of the Business and Professions Code)or that he is attempt Nerefmm and the basis fu the alleged asempden Any violation of erU U Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mare dun live hundred dollars (s50? 0 I, u owner of the property, of my employees wish wages as Nch sole campcnsation, Required Inspections will do tW work, and lie swctum is not intended or offered far sale (Sou. 7W. Business and Professloru Cad. The Contractor's License Law does not apply to an owner of and who work himselrar through his property who builds or improvesch improvements am not own employees, provided inorimprovement Nat such is semenu arc not intended uaffered the ow.Ir- the owner- huilder . Ne Wilding or is sold within one year of caprow, `S enofpfor builder will have the burden of paving Nat W did not build of improve far puryou of Cara). I, as owner of the property, am exclusively emusaming with licensed mnuulars in the Profession; Code:) The tsacmr's nd not (Sec 7044, Business and ecesuuct propertywho vas es an owner of proper(} who Wilds or improves Norton, and. cave law dors not apply O who contacufor such pmjeeu with aconmetarts)licensed pursuantm the Contractor's a Lreme law. ❑ 1 am exempt undo Sec. . B & P C f"is reason Owner Dam WORKER'S COMPENSATION DECLARATION I hereby aRnn under penalty of perjury ane of the following dularations ❑ 1 have and will maintain a Certificate of Consent to self-inaure far WorkcrsCompen- ation, as provided for by Sutton 3700 of be labor Code. far the performance of the work for which his permit is issued. ❑ 1 have and will maintain Worker's Compensation Insurance, as required by Section 3700 of Nc labor Code, for the perfarmanu of she work far which his permit is issueA ' My Workers Compensa�tiaon lmuanc[q[, 'came, and Policy number ase: �a� Grricr.' r.\ICP- 1R.1�A \'IAI'3GPO[icy No:�7�t1'a_, yL�_ CERTIFICATESF EXEMPTION FROM WORK ERS' COMPENSATION INSURANCE (This seedon uad not ha eoreprrcd if dr permit is forom hundred dollars (SIM) of lest.) I ceniF that in Ne performance of the work for which this permit is issued, 1 shall not employ any person in any mamrerso as as became abject to NC Workers Compensation Laws of California. Dam Applicant NOTICE TO APPLICANT. If, after making his Ccniricate of Exemption. you should become Subject to the Workers Compensation provisions of this labor Code, you must jforthwith comply with such provisions or his permit shall be deemed revoked. j2 CONSTRUCTION LENDING AGENCY 1 hereby affirm has Nem I,, construction lending agency far Ne performance of ybe work fur which this permit is issued (Sere. 3097, Civ. G Lenders Name y Leaders Add. I Certify thn 1 have read his application and sum has the shout information is ' COMM. I agree to comply with all city and county ordinances and auto laws misting m building construction. and hereby authorise mpo:sermlives of this city to enter upan the dJ ahovcmenuoncd propcny forimpcNon purpose& Z.(We) agree to ave, indemnify and keep harmless the City of Cupertino agmnst may in anyway acemc agaimuaid City ecosuang of this Permit. inof theof this permit. Z A consequence of UNDERSTANDS -' NT UNDERSTANDS AND WILL COMPLY WITH F ALL NON -POINT Issued by: Date so I SOU EG LATIONS. "Sid 1,-A U Re -roofs Type of Roof Sigmsum ol'ApplicanVConuaeter Dam HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store of handle hazardous material as dermad by Ne Cupertino Municipal Code. Chapter 9.12, and the Health and Safety Code. Section xss3z(a>7 ❑roc All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to Will the applicant or future building occupant use equipment or devices whim remove emit hazardous air conmminanu u nerd by be Bay Arta Air Quality Managemew allnew materials for inspection. District? 0 Yea I have mad thehma tmsmamrialsmquimmensun@r Chapmr6.95ofthe Califor. nu Health&Safety Co ,Sccd=25505.25533md25534. lunderstandthetifOm building does not currently have a mnane that it 4 my responsibility in notify the occupant of the rey awfich mJssbc 1p'r issuance fa CcrdOcamofOcup I`" m Cy Signature of Applicant Dale ; 51D. All roof coverings to be Class "B" or better Owner or authorized agent Date 0 CITY OF CUPERTINO *m 1 of 1 PERMIT RECEIPT • FEE ID BENERGY BPERMFEE ma-Ul om. Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 36210013.00 DATE ISSUED.......: 06/30/2006 RECEIPT #.........: 35080 REFERENCE ID # ...: 06060255 SITE ADDRESS .....: 7949 RAINBOW DR SUBDIVISION ...... CITY .............: CUPERTINO IMPACT AREA ...... OWNER TATSUNO DEAN ADDRESS ..........: CITY/STATE/ZIP .... , RECEIVED FROM ....: CRW INDUSTRIES CONTRACTOR .......: BILL BURR LIC # 23525 COMPANY ..........: CRW INDUSTRIES ADDRESS ..........: 1157 DELL AVE. CITY/STATE/ZIP ...: CAMPBELL, CA TELEPHONE ........: (408)378-2477 14"*% PERMIT FEE VALUATION VALUATION PERMIT FEE TOTAL PERMIT : METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT 0 OPERATOR: amyw COPY # : 2 QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 126.36 60.65 0 00 60.65 0.00 5,612.00 .126.36 0.00 126.36 0.00 5,612.00 0.60 0.00 0.60 0.00 126.36 168.63 ---------- 0.00 ---------- 168.63 0.00 356.24 0.00 ---------- 356.24 ---------- 0.00 AMOUNT ------------ 356.24 356.24 NUMBER ------------------ 3197 CC�- CITY OF CUPEkTINO Ct'%Y OF CUPERTINO PERMIT APPLICATION FORM APN # 1�1(940 Date: - Building Address: Mailing Address (if different from building address): BAPPLOTHER Owner's Name: Phone #: qo� BBOILERI Boiler <= 100,000 Btu Contractor: d Q„ License #: �` O �IOZuVlj Contact:Aid ��A � k� hone: LAOj)'5"1$ 2 Cupertino Business License#: ax: ckcb 3"14 N Cq Building Permit Info: 2gW6%n% �K S�{inch iWc ^ocS- l..,Ila- l 11CQ - SUcLeca Boiler > 500K to 1M Btu Bldg W Elect ❑ Plumb ❑ Mech ❑ Job Description: Residential ted' Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project:�� Occupancy Group: Type of Construction: Please check this box if the project is a /U L second -story addition: ❑ Project Size: Standard ET�' Large ❑ Major ❑ BUILDING Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL 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 <= IOOOA ELECTRICAL BELEC1001 Elec 600V > I OOOA ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of CITY OF CUPERTINO CITY OF CUPERTL ) PERMIT APPLICATION FORM 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 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 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 BREEMFURN 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 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 2of3 CITY OF CUPERTINO 0 CITYOF PERMIT APPLICATION FORM CUPERTINO • 3 of 3 Quantity 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 Insection 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 MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/ Multi-Fam PLANNING PLLONGRNGR Planninjj Long Range Residential PLANNING ZADDCHG Address Change BUILDING • 3 of 3 0 Ll 0x 66 FIXED T"PDlEO REpI.ecING� 6°x8° (EJ 5'x68 X o PATI0 S(,IDEYL REP I91? 6�xy� ,(E) 'Wir ELwomoN -�bk S�oPE ' RETYLO FITt1N1, REPLOCENfp OF (y) TEMPEnEb FIXED Wo•400W1 AND W IEMPenEb SUOW4 PAM -Doo4S BIKE fbR LIKE SalmLI. ALL. vN rrs 70 BE VYNIL FR4ME AII7-pI DOAL PANE Low E (at4ss- ' Lor IS A CwimeK VNIr OFF OG RAINBOW DA.IvE Amb MqS SANDW SETCAZMT. SCALE KEI( CES = 15 EXIM44 WikbowS NOT Pmr OF REmovAnont F40Mr b?xb$ ox P4770 ro oen IZE-&qr 1'44 FIXED TEMP"tb REPLA W14 47 3? X,4? 5`x68 6c-) XO PAT70 ,TWDE�L REOca L1+tG Fnoxlr 6i-evno#4 PAM $ow Dove 5� x N9 (E) y°x2° OF) BoXZb IN ACCO D NpROver) (E3 MME PERTIN�DEs cE ANO OR INclry Of CES 'IGNED 30 —cle rh+s set of a kl o on hl eliob aI if Was n an hmesand it Mun, he b(fil g hout nwnt a Ses or alteration, the stamPin Pt., Ciry of Perm+sglon /r l vro a No ° elhdstolan °Sp0. ec tion,n. if anV Ci viola6onPer i, or to be tY Ora+nance of °t any Prov a GAd4br • r-1 79y9 RAIK6ow D2tVE CUPEI'L'n4p CA 9501y TATSVNOI DEAN KESIDEIJ(E i mac to UE i<i P +� u i- f=— enL e, 0 =0, �pC 5me EEC Y�a i OC z V W� a� U 2 UC U. OF L F� v2 t CITY OFCUPERTINO' �' "�� •"'"�''' CONTRACTQRINV,QRMATION BUILDING DIVISION PERMIT BUILDING ADDRESS: CRW INDUSTRIES, PERMRN0.06060255 7949 RAINBOW DR OWNER'S NAME: PERMIT LSSUEDATE TATSUNO DEAN 1157 DELL AVE. 06/30/2006 [.IONE: SANITARY NO. CONTROL NO. (408)378-2477 ARCHITECT/ENGINEER: BUILDING PERMMINFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION o Job Description at 1 am licensed under provisions of Chapter 9 (Commencing 1 hetcby affirm that with Section 7000) of Division 3 of the Bush. and Prerca tor, Cadc.aM any licenm is infullroinundeffal. a_ a 24�U REPLACING EXISTING PATIO DOORS LIKE FOR LIKE SL Liccnx Clv/ Lic.Is Dole[ 01 OlP Contruea ' V ARCHITECTS DECLARATION [understood my plans shall he used n puhlie records Licensed Professional OWNER -BUILDER DECLARATION li e Conlsmr's License Law for the 1 hcrehy affirm Nat I am eumpt from Nu following Masco. (Scedon 713I.S. Business and Profcstim. Calc: Any city of coumy which tequiru a Nmtit to construct, alter, improve, demolish• or repair any structure $5612 prior to its berartm. shot on,rid.the applicant for such permit m 010 a.grsedousun m licensed Sq. Ft. Floor Area Valuation that heisConneaut tothcpmvismns,oftheConuacturiU..Law(Chapter9 i s (commencing with Section 7")of Division 3 of the Businasond Profusions Code)ser that he u exempt nh",.fmm and the buts for the alleged eumplion. Any violation of eT , Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant M a Coil penalty of not mart than five hundred dollen ($500). I•uowmrofthepropmy,mmyemplo withwageautheirmlecomprn don, Required Inspections will do the work, and the structure is norimmnded oruneled foras e(Sce. 7044. Brattw and Prefecaans Cade: Th CaatfmMrs Licesau law acres test apply to an owrcr of property who builds or improves Neson, and who does such wart himsi If m through his own employees, provided that such improvements are not intended oronemd forsale, If. howam. the Wilding or Improvement is sold within arc yev of smmpledoa, the owner builder will have the innocent of proving that he did not Wild or improve for pupos of ate.). ❑ 1. ru owner of the pmperty, exclusively with ConuseMrs i- ;) rued Prof long eonswet Sec. . Business Code:)Tec Canso.. Liit pmjcct(Sec. ]044.ofand Genu Law docs of property wce sed or improves thereon• and d apply pe an rs,w who Wilds O� a for such projem with a contnmor(s) licensed pursuant to the Contranors who. r s with p Lacca Licl Law. ace ❑lam exempt undm See ,BhPC(or Zhu mason Owner Date WORKER'S COMPENSATION DECORATION 1 hereby affirm under penalty, of perjury one of the following dedara0ons: ❑ I ham and will maintain a mM of for Wmkdsce provided for tion 3 the LOW,Code. for Section J]00 of the Vbor Code. far Ne Performance of the of Me wrotef r mi wrote for which this Permit is issued ❑ I have and will maintain Workers Compensation Insurance, u required by Smdw 37W of the labor Code, for the performance ofthe work for which this Permit is issued. ' My Workers Compmuadon 1.7g( *can ell�and Policy Wei cert: Came. %CP. `�V1Xi '1lkhl -Ilcy N..:';;t[' 00kb-1 C&FICATEXF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Thu section need nut he completed if the permit u forone hundred dollars ($100) or leu.) 1 cerdfy Net in the perfi munrce of Be work for which this permit u issued. l shall Out employ any peraan 10 any mNllelm n In become subject in Ne Wafter$ CimuNtood.. Laws of California. Dart Applicant NOTICE TO APPLICANT: If. after making this Cenificam of Exemption• you should bcCome subject m the Workers Compensation provisions of Nc Liner Code, you muse ' forthwith Comply with such protrusions Or Nu Permit shall he deterred rooked. i Cal ' I W themUCTIONLENDINGAGENCY by thi Nat Nem is agency for the performance of r which sued (Section 7. Cing ' work for which this permit is issued (Sec. J09]. Civ. O) Le Lender's Name Lenders Address i 1 mildly that 1 have read this application and sou out On. above infommfian is ' cortex 1 agree M comply with all city and county ordinances and sate laws relating M building construction, and hereby amhorim o presenutiva of Nis city to enter upon the 1 aluve mentioned property for impecdon purposes. (We) agree to save• indemnify and kap hmmlex the City of Cupertino agaimt j Iiabilides.judgments,coau and expenses which may in any way acesue againrtuid City in consequence of the granting of this permit ' APPL NT UNDERSTANDS AND WILL COMPLY WITH ALL NON Issued by: 3tZU -POINT SO Date EG4LATIONS. Re -roofs Signatumof ApplicanUConuscmr Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will tW applicant m future Wilding oceupant store or handle hararem s material u defined by the Cupertino Municipal Code. Chapter 9.13. and the Health and Safety Code• Section 35533(')?/ ❑ year 19 Ne All roofs shall be inspected prior to any roofing material being installed. ��/// Will Ne'pplicant or future Wilding axvpant use equipment or devices whim If a roof is installed without first obtaining an inspection, I agree to remove P emit hmNnus air maminapilarfircul by the Bay Arta Air Quality Management allnew materials for inspection. Cigna' Yes In ave MaJ Ne hvardnes mamriats aquimmcnu under Chapter6.95 ofNe Glifw nu HralthkSafety Cock,$ceti.0 M5.35533'nd355M.1tm .dthuift Wilding docs not cuncnt)y hzx a mnML Nat is u my n mmibility M nodl'y 0c asupmt of Nc roesenuwlohmastM p'r issaanadfaCcnifiaamorOccupancy.� mc�Signature 1��k./.l ��r.AD1,m of Applicant Date ~' D All roof coverings to be Class "B" or better Owner or ammori7,Cd,,Mgent