The URL can be used to link to this page

03070235 CITY OF CUPERTINO 'Y N.#355'xs6x*��r, th'a�k s '++•.n'-; '"�'F Vass tj BUILDING DIVISION PERMIT CONTRACTOI2INFORMATI s BUILDING ADDRESS: TIMOTHY MCAULIFF CONSTI . CO.PERMIT N°03070235 OWNER'S NAME: 14850 ELL'TON DR. PERMIT ISSUEDATE GOHRING 3 PHONE' . (40B) 879-0790 SANITARY NO. CONTROL NO. RCHITECUENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB ME.CH 0 0 0 0 �O p LICENSED CONTRACTOR'S p DECLARATION Ex 1 ion,hereby D arum that r am B=mxe ander praviamns or Chapter ro(commencing Job Description <re wish Section] )of0ivision Bofthc BusinesvenQPrufcesiom Cnde,end myliccnx is n mmpm nderreet. �,Q/ REPLACE WINDOWS & ELECT WIRING Licen t Lie.IL, Dom Contractor 't: ARCHITECTS DEC a. reTION FINALE° f U Iunderstandmyo.m.haliheusedas pas enNs an.a t; Licensed Promotional >—c 1 7 2003 c � OWNER-BUILDER DECLARATION D� L tJJ 'X I hereby affirm that 1 am exempt from the Comractof.License Law for the O o following reason.(Section]11]1.5,Business and Professions Code:Any city or county 5 m which requires a permit to construct,alter,improve,dcmnlixh,or repair any structure S16000 �y prion,its iuuanec,III.requires the applicant for such Permit to file a signed statement 2 thothcislicenxdPtusua mtothe provisions ofthe Contractor's LicenxLaw(Chapter 9 Sq. Ft. Floor Area Valuation 3 $ (commencing with Section]000)orDivision]nfthe Business and PromaxionsCode)err 34250020 . 00 Nat he is exempt therefrom and the basis for the alleged exemption.Any violation or Section 7031.5 by any Applicant for a Permit subjects the applicant o a civil penalty of APN Number Occupancy Type not mom than five hundred dollars($50[y. P Y YP 0 I,as owner of Ne pmparl of my employees with wages As Noir able compensstion, will do the work and Ne structure is not intended or offered for sale(Sec.7044,Business L J.L — send Profession.Code:The Contnaor)Liceme law docs not apply td as owner of 10 2 — PIERS d Inspections property who builds or improves thereon,and who does such work himself or through his own employees,provided that such Improvements are not intended or offered for able.If. 103 LIFER however,the building or improvement is sold within one year of completion.the owner. builder will have the burden of proving that he did not build or Improve for p.m..of 104 — REBAR `are')' 105 — ANCHOR BOLTS ❑1,as owner of the property,am exclusively contracting with licensed contractors to 106 — SEWER & WATER construct the project(Sec.7044,Business and Professions Code:)The Contractors U cons,law dors not pply to an owner of property who Wilds of Improves thereon.and 202 — UNDERFLOOR PLUMBING who contracts for Inch pmjecu with a contractor(a)licensed pursuanuo the Commuoh cense 203 — UNDERFLOOR MECHANICAL VL'itlaw. Y l am exempt under Sec. B k P C far Nis fessan 204 — UNDERFLOOR FRAME Owner Date 205 — UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION I hereby affirm under Penalty of perjury one or the following declafations: 301 ROUGH PLUMBING . I bas and will maintain a Certificate of consent to xlBimum for Worker's Comped- 302 TUB & OR SHOWER vion,m pmviticd for by Sarlon J]00 of the V bot Code,for Ne pertonmmee of the 3 03 — ROUGH MECHANICAL dkmrwnichthisPermitiniuod. 304 — ROUGH ELECTRICAL 1 have and will maintain Worker.Compensation]mum=,Is required by Section 5700 of Nc labor Cade,far Ne peffarmancc of Ne fo'which this permit i.issued. 305 — FRAME My warble.Compensation lmann=artier of mberare: 3O6 — HOEDOWNS Poli 6 307 — INSULATION CERTIFICATE OF EXEM NFltOM WORKERS' COMPENSATION INSURANCE 308 — ,S'HFii'ETROC'K (this section decd not he completed lithe Permit is for one hundred dollars;($NB 309 — EXTERIOR LATH or le:`') 310 — INTERIOR LATH - I ccnify thel i th performencc of the work for which Nis permit u iumtl,I shall not employ myR m anym�cra�to Mcom bj�at�theworkcs'Compeusation 311 SCRATCH COAT L,w.arcai — •- / 313 ROOF NAIL APPlicam� _uic. � •q�_r�ln�+ N�T'tCE TO APPPLE rte ma"kfng Ns dram of EaemPtmn,you should 501 — FINAL ELECTRICAL ENERGY bpc e.uhJcn m e Wor a CamPcmalion w11m of the Labor Cpdc,you must �O ro th comply ornvisinm or Ni.permit short pa, revoked. 502 — FINAL PLUMBING ENERGY CONSTRU T10N LENDING AGENCY 503 — FINAL MECHANICAL ENERGY N I hereby am". at Nem isaconauvcton trading agency nor the perfufman=or 504 — FINAL BUILDING ENERGY z > Newark for which this permit is issucd(5=.7097,civ.Cd 4Lenders Name 505 — FINAL ELECTRICAL Q Z) Z Leadcr.Addross 506 — GAS TEST Jp I certify that l have read this application and sure that the above Information is 507 — FINAL PLUMBING worn.I agree to comply with all city and county ordinances and some laws relating to �U building construction,and hereby amhonve deprou dues of this cityto enter upon the FINA MECHAN CAL ahovcmemiuned Popeny for inspection purPom. O'9 FIN (We)agree to rove,indemnify and keep Emblem the City of CuNnino against r gn liabilities,judgments,costs and expenses which may in any way acerae against said City C, )`A I NG J 7 in consequence of the granting of this permit. r7 APPLICANT UNDERSTANDS AND WILL COMPLYWITH AL NON POINT Issued by:5 WORKS Date , S URCE ER GL1hTIONS. - G` Re-roofs i oro of Ap,Ii n ore n Date AA�� DOUS MATER ISCLOSURE Type of Roof Will appliS5arBur fumrebuildin a nulom or handleh mfous material had onned y NS,OGpenioo MunicipatCode.Chapter 9.13.and the Health and Safety Cod e.sec ssyz(a)7 [j yes Na All roofs shall be inspected prior to any roofing material being installed. �t Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit h....dom air contaminants as dcnncd by the Bay Arca Air Quality Management all new materials for inspection. Dhtriet9 [3 Yes No - Hit rtaJ Ne hnuNmms memrialimyvirements un@r Chapter 6.95 of the Califoo- 7�q a HmlthkSafety@4,Sccdum25505,35533.d25534,1.n swnd atif the Wilding =.not cumamly h vea tenant.that it is my respomihil4y no'fy Occupant of the 1'mmuwhie stmmn pnarwissaada of cnifica a raPadcy. _ Signature of Applicant Date ourar agent Dale All roof coverings to be Class "B" or better RV C�Y OF CUPERTINO o s 7 Z3 CITY OF PERMIT APPLICATION FORM CUPERTINO APN # Building Address. y - Mailing Address (if different from building address): Owner's Name: Phone#: r ri kl Contractor: License #: i of ` atl ?/,,' 7393 Contact: Phone: Cupertino Business License#: Fax: Building Permit Info: Bl Iec P u Mech Jo e cription: Residential ❑ ^ ' er Sq.Ft. Floor Area: r Cost of Project: Occupancy Group: Type of Construction: Please check this box if the project is a 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> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> IM 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 BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING • z267 � lof3 �s� 0r � CIOY OF CUPERTINO CITY PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi-Family Res MECHANICAL BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL BNEWMULTI Multifamily Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BNUMULTI New Multifamily Res 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 BPINfERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Repipe 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 clip MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Fumace> 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 Devic e/A aratus ELECTRICAL • 2 of 3 �- CITY OF CUPERTVS CUP TYOF O PERMIT APPLICATION FORM QuFee ID Fee Description Fee Group BREMRECEPT Rc tl Switch & Outlets ELECTRICAL • BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 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 Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECIIANICAL • PPERMITFEE Plumbing Permit Issuance PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING 3 of 3 ( ,,,: Soy ^ U ITTAL NA 1 i � S � q6 �� 503 ; p 40 - . JU S i 8Y LV CAS, 7,$LAp Awl5GAM Ill lilt , I - [" UP DATE � )J E SIGN — - 7 This e' ¢ ,s ur �0�3 [ on m .S 9 the r, r° n ! ` 3 i 7tete �w - --.ALL -7 =-7. .-.. L A p _ I W 30b2tj � � � j j t►RE �L � I4ejwooc+ P lSc� 7-30-03 D 1yorrTA - EAST 6LEV��r`��t 73OL aFi CITY OF CUPERTINO > '" � 'B+ w r "•Yt :a �',? BUILDING DIVISION PERMIT CONT RACTOR INVORMATION "'. rxt, BUILDING ADDRESS: TIMOTHY MCAULIFF CONSTI CO,PERMIT NLb3070235 'R's NAME: 14850 ELETON DR. PERMrr ISSUEDATB GOHR NG KURT K AND ERIKA A 071311 003 PHONE: (408) 879-0790 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH ±oo LICENSED I�F L DCONTRACTORS DECLARATION 1 hereby afmlthatlent licensed underprovisions orChapter Y(commencing Job DBSCr1pIlOn 15� with Sccliun Bnf Division Jof NC Business en Profcuinne Codc,end myliccns is i�: mmufn ndefren. REPLACE WINDOWS & ELECT WIRING Licca a Lie L F Dale Contractor QQ ARCHITECPS DECL TION records ■`'NALE® f a W us 1 understand my plans shall ed u p )yU l; Licensed!Pvfcuinnal DEC 1 7 2003 3 BUILDER DECLARATION OWNER <I 1 hereby affirm that 1 am exempt from Ne Contractor's License Law for the ❑o following reason.(Section 71131.5,Business and Professions Calc:Any city or county 59 r� which requires a permit to construct,eller,improve,demolish,or repair any structureO prior its issuance,also requires the applicant for such Permit to file a signed statement pZ< litobe is licensed pursuant to the previsions or the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area WILDINQdtion u+t-a (commencing wi En Section 7MI)el Division 3 of the Business And Pnifeasimes Code)or 1 'RE that he u emmpt therem froend the basis for the alleged exemption.Any violation of 3425002 0 . 00 Sectlon70JL5 by any applicant fora period subjects the applicant ane to a civil Penalty of APN Number . . Occupancy Type not mom thmfive hundred dollar,(5500). - - P Y YP ❑I,as owner of The property,or my employee,with wages As their sole compensation, will do the work.and me,net..is or intended or offered for sale 70,4,Business 1 U I — and Predications Code:The Comractors Licave law does not apply man awner of 10 2 - PIERS d Inspections progeny who builds or improves themon,and who does such work himself or through his own employees,provided that such Improvements are not intended mofRred for sole if, 103 UFER however,the building or improvement is sold within one year of completion.Ne owner- builder will have the burden of proving that he did not baud or improve for puryas.ar 104 — REBAR sade1 105 - ANCHOR BOLTS ❑L as owner of the progeny,am exclusively contracting with licensed contractors to 10 6 - SEWER & WATER construct the prject(Sec.7044,Business and Professions Code:)The Contractor's Lt ,eve law does not apply to an owner or property who Wilde or improves themon,and 202 - UNDERFLOOR PLUMBING .. who contracts far such projects with a aomenctor(s)licensed pursuant to the Contractor" Lieeva Law. 203 - UNDERFLOOR MECHANICAL •�]Iame.cml%rmder Sec. ,Bk PCfarthi,vavon 204 - UNDERFLOOR FRAME Data 205 - UNDERFLOOR INSULATION WORKER'S COMPENSATION DECLARATION I hemby affirm under pemtlty of perjury one of Ne following declarations: 301 — ROUGH PLUMBING ❑Than and will maintain a Certificate of Conant to self-insum for Workers Compen, 302 TUB & OR SHOWER satin.,As provided for by Section 3700 of the labor Cade,for flan performmce of the 3 03 — ROUGH MECHANICAL work per which this p.it isissued, 304 - ROUGH ELECTRICAL F11 have and will maintain Worker's Compensation Insurance,as required by Section 7700 ofthe labor Codc,for the performance or Ne ror which this Permit i,issued. 305 — FRAME My Workers Compensation Insurance artier a' nuntW,am: 306 — HOLDOWNS P°I 307 - INSULATION CERTIFICATE OFEXEM NFROM WORKERS' COMPENSATION INSURANCE 308 — S'HI.ETROC.'K or less.)(This section need not necompmmd ifilm lermb is rorone hundred dollars($100) 309 — EXTERIOR LATH I certify this i th 7;rumunm oldie work for which this permit u issued,1 shall nm 310 - INTERIOR LATH employanyPe nanymy� time ub'mnotheworken'Compcnstuon 311 — SCRATCH COAT Law,cant .ossa 313 - ROOF NAIL Applicant c Nd�`tTr'ftc�fE TOA PLI Bc makng tlu. Ram of Exemption,you Abr.5 501 - FINAL ELECTRICAL ENERGY bpeAdlA mhjmt to a we, s Compensation Q arena of tW LaWr Codc,you most .)Z rai7MMd0tttt th enmpy provisions aphis permit shall he deemed revoked. - 502 — FINAL PLUMBING ENERGY �� CONSTRUCIONLENOINGAGENCY 503 - FINAL MECHANICAL ENERGY I hereby ART.Nat there]. v mwminn lending agency for IAC perfamaa:n of 504 - FINAL BUILDING ENERGY 3> the work for which this permit isissued(Sm.3W7,Civ,C.) 505 - FINAL ELECTRICAL i7 Q Lenders N.. jZ L naerYAda t 506 - GAS TEST ;,)p 1 certify Nat I have reed this application and sato that the above information is 507 - FINAL PLUMBING correct.I agree to comply with all city and county ordinances and State laws hi to jUbuilding construction,end hereby atuhorim mprmlitstivcs of this city to enter upon the FINA MECHAN CAL 4 above-mentioned pmpeny rot inspection purposes. O9 FIN :a (We),gree m save,indemnify and trop harmless the City of Cupertino against N liabilities,judgments.costs And expense which may in any way accrue against mid City 5 A NG JZ toeonugmnce of the gmnti ng of this Permit. " APPLICANT UNDERSTANDS AND WILL COMPL WITH AL NONPOINT Issued by:5 WORKS Date S URCB ED$ f1.ATIONS. �— Re-roofs ore ofAppli en' ant ct DateA DOUS MATER ISCLOSURE Type of Roof appli ser future buildin cu nt store v handle hemrdoos muco.] azdeth penin.Municiryl C .Chapmr 9.12,and the Health and Safety 5532(.)+ All roofs shall be inspected prior to any roofing material being installed. Yea ,�t No Will the applicant of future building occupant use equipment at devices which If a roof is installed without first obtaining an inspection,I agree to remove Anti hrivdous air contaminants As defined by the Bay Area Air Quality Management all new materials for inspection. District ❑Yes �No I have mad do,hararthms materials requircmenu under Chapter 6.95 of the Cali per. As Health k SafetyCode,Sections 2554()5.25533 and 255]4.l undcnwnd At if Ne Wilding does not currently h tic a lens..Net it is my rest onsihility in I. ce nupant of the mq/ircm tswho to he met nor to iuvanecof ertmca0 mpaucy. Signature of Applicant Date o ,roti sent Dam All roof coverings to be Class "B" or better