06090263 CITY OF CUPERTINO
BUILDING DIVISION PERMITTNF,ORMATIONV
BUILDING ADDRESS: NULIGHT SOLUTIONS, INC PERMITNO.06090263
7899 ROBINDELL WY
OWNER'S NAME: PERMIT ISSUE DATE
JANE FERGUSON 1900 DOBBIN DR. 09/27/2006
NE:
SANITARY NO. CONTROL N0.
(408) 254-6661
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
I0, LICENSED CONTRACTOR'S DECLARATION
to I hereby affirm Nat 1 am licensed another provisions of Chapter 9(commencing Job Description
viN Section 7OI111)af Division Sof Ne Bus.and I'miCSsiom Codcmd my license is
>>„ in full force ande(f4L INSERTING 2 SKYLIGHTS INTO FAMILY ROOM AND
az�z License Class Lied
DateContractor BLOCKING OFF OUTSIDE ENTRY DOOR
=�
ARCHITECTS DECLARATION
i e< 1 understand my plans shall be used a Public mwrN
:.0
G
� Licensed Professional
3 OWNER-BUILDER DECLARATION
t. I hereby affirm Nat 1 am exempt from dm Contractor's License Law for the
❑O following Mason.(Section 703 1.5.Business and Pmfestlom Calc:My city or county
'm T which requires a permit be ennsuux,glut,improve,demolob,or repair any structure:
prior an its issuance,also requires the applicant rot such permiva rile.signedoammcot
Nat M is licensed pursuant to Mepmvisims of Ne Contractor's U.=la.Ch.ptu9 Sq.Ft.Floor Area Valua[%3845
452 (commncingwiNRction7g )o(Mvuion3of Oe Businasand Profmiom Codc)or
Nat Me a uMe Nmefrom and basis for the alleged exemption.Any violation of
Section 703 L5 by any applicant for a permit subjects me applk.nuo a civil penalty of AEN Number OccupancyType
not more Nan five bundred dollars(5500? 36 219025 . 00
YP
❑1,as owner of Ne pmpertY,ar my wployces with wages az Neu solceanpewdon,
will do that.k.nd Neswcmre u but intended meffcred forralc(Sec.too.Business Required Inspections
and Professions Code:The Contractor's Limnsa Law does not apply to e an owner or q P
property who bui lds or im proves thermn,and who does such work himsel f or duough his
own employees,Me Wiprovided pr such improvements asenot intendedopletiod for role.If.
builder,Ne have
Ming or improvement u sold within one yeara Improktim.the purpose
of
Comer-
builder will have Ne pard.of proving Nat he did not hulk m Improve for purpox of /
Able
1,as owner of het Set.propery,,Business siv m contracting with Iimved convectors i.
censsrum,d projem(Sec. A An wnerOfam Pr,who ts Cade:)The Convenor's Lid
cane law does out b ao owner of property who builds or improves cheroot and. /
whonse Law.for such pmjeeu with aeamranar(s)licensed pursmm so the Contracloh O/
License Law.
❑lama y_rapt tinder ,Bot PCfv Nts n
Dm Owner
WORKER'S O PENSATION DECLARATION
1 hereby,from under ty of perjury om of dm folbwing d is is I
1 ham and will maintain a Certificate of Consent to self-insure fm Worker's Canpen- VO
sadan.az provided for by Section 3]00 of the Labor Code,for Ne Performance of dm
work for which ma Amit is issued.
❑1 have and will maintain Worker's Compenaation Insurance,as required by Section
3100 of the Labor Code,for to perfomarce offs were,for which this .it is issued. ,
My Worker's Compensation Insurance artier and Policy number am:
Cartier, Polacy No.: _
CERTIFICATE OF UWP 1ON FROM WORKERS'
COMPENSATION INSURANCE
(Thu section need nut be campkmd if the permit is furore hundred dollars(SIM)
or kis)
I cartify Nat in Ne performance of Ne work for which Chia Permit Is issued.I shall not
employany person in any manner soazm o club' t aCh otters'Compensation
laws of Cali in^�A.Data
Applicant d M A- O!
NOTICE TO APPLICANT:If.after mak Nu Ccniriam of Exemption,you should
bce'omc Subject to Nc Woher's Compcn ion provisions of Nc Labe,Cole.you must
.J z forthwith comply with each provisions or Nu permit stall be dmmed revakcd.
7-'i CONSTRUCTION LENDING AGENCY
r
[—� 1hereby.frim Mal Mom u.cot(So,.
.0 h, agency far Ne Performanceof
Cl. Le work fur whirl this permit u usmd(Sec.309'1,Civ.C.)
!y Q Lender's Name
Z)z Lender's Address
U Q 1 certify Nat I have rad this application and sato Nat me above information is
Is. F• correct.l agree to comply with all city and county ordinances and state laws relating to
OU Wilding Construction,and hereby authorne representatives of this city to enter upon the
r G above mentioned PMKCIY for impccdon purposes.
(We)agree to save,indemnify and keep harmless the City of Cupcnino against
ti N liabilides.Judgmcnv,costs and cxpcnacs which may in any way acnac apiusssaid Ctry
U �--s consequence ar the granting of this permit APPLICANT _ /)
t^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOU ertecuj_Anons. Z�� g/ /G f
$,gKLsL, a 7 O
us recfApph a hetet ate Type of
H Rutum TERIALSDI$GLD$D E Type of Raof
Will dm a,Cupertino
ti or future building e.Cloqu,9.1 or Imndlc health Anmaterial
As defloodSec by the 32(A) Municipal Cade.Chapter 9.13.and tbe Health and Safety
Chole.Section 1ss32a)t
CI yes 4. All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant vac equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hazardous air contaminants As tkrtned by the Bay AMA Air Quality Management all new materials for inspection.
Dietrich ��..//''
❑Yes L?svu
I have reef the ha>udnus mamriala requimmenu under Clupmr Q95 afdre Calif.,
nig HWIN&Safely Cak,Sections 25505,35533"25534.1 undersand Natifthe building
dog not cumndy have a tenant,Nat it u my reapamihility to no the ac ant of Ne
reyni menBwnkhrtytaaacrompdormirsaattcenfaeenirmase asap y. Signature of Applicant Date
z
Owner or aurhori>cdasem J ow All roof coverings to be Class"B"or better
Community Development
10300 Torre Avenue
J Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408) 777-3333
�UPERTINO
Building De zutment
JOB PAD DRESS: 789gc O6/�5C 11 tii y PERMIT # � a&
OWNER'S NAME: c/A/V(S -r-7'p8Y -E►e PHONE# „_ � �
g —p c3
GENERAL CONTRACTOR (ALj i ( FAX #
I am not using any subcontractors: C a" 97f > i
Si tune Date
Please check applicable subcontractors and complete the followin information:
69 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
/Q." 70G
Owner/C tractor Signature D to
CITY OF CUPERTINO
!m 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 3
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 36219025 . 00
DATE ISSUED. . . . . . . : 09/27/2006
RECEIPT # • . . . . . . . . : 36233
REFERENCE ID # . . . : 06090263
SITE ADDRESS . . . . . : 7899 ROBINDELL WY
SUBDIVISION . . . . . . :
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . :
OWNER . . . . . . . . . . . . : JANE FERGUSON
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : JANE FERGUSON
CONTRACTOR . . . . . . . : MARK EDWARDS LIC # 26128
COMPANY NULIGHT SOLUTIONS, INC
ADDRESS 1900 DOBBIN DR.
CITY/STATE/ZIP . . . : SAN JOSE, CA 95133
TELEPHONE . . . . . . . . : (408) 254-6661
*EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- - - - ------- -- -- ------ ---------- ---------- --------- -
BENERGY PERMIT FEE 104 . 76 50 . 28 0 . 00 50 . 28 0 . 00
BPERMFEE VALUATION 3 , 845 . 00 104 . 76 0 . 00 104 . 76 0 . 00
BSEISMICRE VALUATION 3 , 845 . 00 0 . 50 0 . 00 0 . 50 0 . 00
--- ------- ---------- ---------- ----------
TOTAL PERMIT 155 . 54 0 . 00 155 . 54 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
- ---------------- ------------ ------------------
OTHER 155 . 54 VISA
TOTAL RECEIPT 155 . 54
s
•
....... .......... be
Ino med m Nae x imhu tbore ale pla addle room tool,colatmcted of nu-
tolalau.Mired forawfrunc.Skylights maybe inalJkd in the pt—waffle mor
y :wb.,the roof stop,u 05 demo,.....-...t.....,a..:...-..r
-PLAH VIEW: � Mrrj —fco—f}
�1
CiZke �� Sk 'PROVIDE ICBDm Ut,,2 211.
AI MANUF).CTVKER19.5PE(
'^< ` PRIOR TD FRAME INSPECTI,
V I FS IO�
S KY LI TE DE TAI L
{�rir2 OPEN/NB- SKy��Tes
Section 6011—Yen(Termination UNIFORM PLUMBING CODE UNIFORM MECHANICAL CODE
(a) Each%11111 pipe or slack shall extend through IIs Ilashlnp and
shilllaminate vertically not leas than six(6)Inch-;h
r IheercWtl uywldchcntio�ayatema ahallterrmnem not laatNnlfm above
the roof III leas than one(1)roof(,71Id Isom any renkal surface. s grin oor leu Ihae 4 1m from say portion of tiro
(o) Each veal a1Wl lerminate not 104 than len 1 lee O I buiMina which umidr N as anile o1 mom than 45 degas op ewd from the
or al least three(3)Iee1(.9 oponabl 1 window,m)dom, korimoW.
t1a-bore,any an thre ( )feet( men, (U VenllkrminJs.VentingaynemsJrJltumttomna lmthaux fcelheiew
every it air Intake or rent shall nor less than three op teal(.9 m)In v�
every direction from mylol line;alley and alretit exeopted. q-1 or'dul oaftyb W's.larkuNanlfrmtaeore.anydom,wiodoworlrsriry
lL7h au ides Into any tm)Wnp ,
t1) WRVS$ ROOT= = SEE �N!r/eJSCFLNlr CaLCU LATio/JS REE Carr 7Rv55 CFfoxDS
s� 1f PNku v5 ARE TD PE 1>1Db1f1,I 7f1l M$PT
,A`I411217yRO THS /9 m-RG Ci.e.. S"i�6 oFTlt, W Ae B24c6 SPskl.v�r�n B<a9 iv
•
'lop?
mnumrd a ken l inches RIM e&MOM-FdOMfm.wreeomwadefm.-
\\ kdsk aregakedfor tin Diane.SkYHO"wyae Wnfled in the plmeofthemd
yrr \ :when the roof dopa k e3 derren,........r..�w:......., . j
�PLAH View.. - R4 HIN _ �'�-�(�}STS 1.
'
YC f7�� PEND M&NUPACTURERt9.SPE(
1C PRIOR TD FRAME INSPecTIt
V16L_W (. fSiT .
/pt�
m
(z):oP4NI SIDIE
OF
444 N
.� KY LI E DETAIL
/rot2 OPEN/NCr 5K�/t/TES � •
.Section so—YaµTemd"Uat UNIFOAM PLUMBING CODE Sae UNIFORUME=GI,CODE
. (y Etch Sent PIPS a pack rhaB.extend thmu0h He Ilashing and (c)'fype L.Type L waft systema doll umdnge cot krp taut Z teaamro .
sita8lamtinala YMIdtIIyDW bsa titan aht(q Inches(1521 mmlalwre �f tae roof through wWdt a paw em hu fto a tsar from my pcnho of the
lea roof W Nu than Ona(1)bol W m)from ant,vattka wrja a 01 aoUdn{ahidt atendt m an wtsle of new then IS dcpas a"ham at
tx(al'Full v�I e�less than ton(10)that P!N rmm.. brlmmd.
(3)feeld'.W a'=It SdMIC11%dom, fO VentTtrrduls.VmdnaeynemsdnR tertidaeea hudmefeu 6dow _
opudnp,air intake ofwnt dWl rgr lets than three(.1)feet(.o ro)In - .
7 tEreellai hem any bllkq;a0 and alrept'eedople0. ore kdkorimnkllrrOmn,nmlmNm i foeratow,anydomwiadowor .f .
I arida aao my btdWIM. . Pan .
V$SRob:—' 'SRee CVT TRUSS CM07cD5
s� Sf Pueua5 ARa; Tc >gE r1aD�fi�A� 7�#_el Mf
ZA�766nPljypEk �f1>S /9 u,�G Ci.e- S) ofFa+N) dRAr6 SPAc�N/ti
• N
1- CITY OF CUPERTINO
arvov PERMIT APPLICATION FORM
CUPERTINO
N# B&I- 9 — O Date: _ 2-7-a r%
Building Address: Mailing Address (if different from building address):
W10, CO&QCkeLl_ \NCOCUIWO
Owner's Name: Phone#1
,1A[\X FCRCi0SQQ 408 asp• 07:3a
Contractor: License#:
Nv�IG -r So�i�iolsS �a . .
Contact: Phone:({.DS 3Y4- -14t--7 Cupertino Business License#:
MASK 4�_7DWARDS Fax:
Building Permit Info:
Bldg Elect ❑ Plumb ❑ Mech ❑
Job Description:
Residential Commercial ❑
Sq.Ft. Floor Area: /l.;j R r/N a Y�/ �q.Ft.:
4W $v P-0 M cn /VD 6 G-vc.Pc,Nq o FF o c�Tsl
P 177-Cost of Project: i Occupancy Group:
0 4L�135 3
Type of Construction: /M,SsgT/n/ 5WY1 / ' . Please check this box if the project is a
F AND 81- crFou-.sto6E/JikYzcoR second-story addition: ❑
roject Size: Standard ❑ Large ❑ Ma or ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> l OOK to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> IM to 1.75 M Btu MECHANICAL
BBOILERS 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> IOOOA ELECTRICAL
BELEC200 Elec Svcs 600V <= 200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investi ation fee BUILDING
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CITY OF CUPERTINO
CITY'OF PERMIT APPLICATION FORM
CUPEkTINO
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 Pb1g 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 Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/A aratus ELECTRICAL
BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL •
BREMRESAPP Remodel Res Appliance ELECTRICAL
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CITY OF CUPERTINO
"TM°` PERMIT APPLICATION FORM
CUPEf�TINO
Quanti Fee ID
Fee Descri tion Fee Grou
BREMSIGNAD Rmdl Signs Add Branch
BREMSIGNS ELECTRICAL
Remodel Signs, Mar nee ELECTRICAL
BREMTHEATR Theatrical Li htin Fix
ELECTRICAL
BREMVENFAN
Vent Fan Sin le Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial
BSEISMICREBUILDING
Seismic Fee Res BUILDING
BSPECIAL Special Ins ection
BSWIM BUILDING
Swimming Pool BUILDING
BTEMP Tem oraly Power ELECTRICAL
BTEMPPERM Temporary BldgPermit
BTEMPSVCS BUILDING
Tem Dist Svcs ELECTRICAL
BUSLIC Business License
ELECTRICBUILDING
Electricals fooEPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanical s . foot ELECTRICAL
MPERMITFEEMECHANICAL
Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue
PPLBG Plumbin Fees foot PLUMBING
PLLONGRNGC Plannin LR Comme/Multi-Fam PLUMBING
PLLONGRNGR PlanningLon Range Residential PLANNING
PLANNING
ZADDCHG Address Change
BUILDING
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