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03060099 CITY OF CUPERTINO ` yy"( 1 BUILDING DIVISION PERMIT GO RAOKINFO++ � •g`'" Y '(` BUILDING ADDRESS: PERMIT NO03060099 3060099 ??q2r g1rANDINQ OAK QT OW NEWS NAME: PERMIT LSSUE13Aj$ 2/ZOO 3 Aftlg; SANITARY NO.IJ/ 1 CONTROL NO. IF ARCHITECGPNGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH Sop LICENSED CONTRACTOR'S DECLARATION 706 Description u 1 hereby affirm Wet 1 am licensed under luminances of Chapter 9(commencing P n¢ with Section? )of Division 3 of dm Business ao$Prafcuinne Code,anemylicenuis <<� LIc,mmoC f . Lfo.g ? � UPGRAD WINDOW SLIDER Dam CondaW CONTRACTOR: TIMOTHY MCAULI�F CONST. ARCHITECI'SDECLAR N '`��'��p �® I -V Jia i ens shall be us dexpo i rw N P Ab 56� s LieevcdJ . 5�g JER-BUILDER DEC ON MAR 17 2004 nyny 1 he h aR dual".re exempt from IiramrY License Lew for the `p 0 fallowing mason.(Section 7031.5,Busin., t inns Coda:Any city or county $ which requires a Permit to conarwL a Imps .dcmolixh,or repair any suuclure y prior m its issuance.Also requires the applicwtfo such rermilto file asigned stsmmenl -�< Wet he is Iicenaed pursuant to the previsions of the Comrwtor'3 License Law(Chapter 9 Sq.Ft.Floor Area CUIL gn 0 $ (commencing with Section 7")of Division 3 of the Business and Professions Code)or y�.. Wal he Is exempt therefrom and the haau for the alleged exemption.Any violation of $14000 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy e not more than fns hundred dollars(5500). P Y TYP ❑I,uowner of Ne prop.rly.wmy employee with wages as dm'vaole wmpenvJon, 34250008 . 00 will do the work,end theswmure Is not Intended coffered forsale(Sec.7W,Busineae RRee and Posters new Code:The Convector's Licenx Law does not apply he an owner of 101 - FOUNDIf Inspections properly who builds or improves drercon,and who does such work f iontline though his own employees,provided that such improvements arc not lmmnded or offeree for mile,If, 102 — PIERS however.dee building or improvement is sold within one year of compludmi,theowner- builder will have fie burden of proving that he did not Wild or improve for purpose of 103 — UFE R u1.d' 104 - REBAR ❑1,an owner of We property,am exclusively conducting with licensed contractors to construct the pmjen(Sec.70a4.Business and Professions Code:)The Condacmr's Li. 105 — ANCHOR BOLTS torus law docs not apply in an owner of properly who builds or Improver Wereun,ad, 106 — SEWER & WATER ho contracts for such projects with a conuactw(a)deemed pursuant to the Convectors en,Law 202 - UNDERFLOOR PLUMBING I am exempt under So. .B&PC for this mason 203 - UNDERFLOOR MECHANICAL norloam 204 - UNDERFLOOR FRAME WORKER'S COMPENSATION DECLAidiTION I hereby affirm under penalty of perjury one of the following declarations: 205 — UNDERFLOOR INSULATION . ave and will mConfrontsainn a Confronts ofConsem to self-insum for Workers Compen- 301 — ROUGH PLUMBING ashen,as provided for by SCNon 3700 of the labor Code.for the performance of des 302 - TUB & OR SHOWER work for which this permit is issued. 303 — ROUGH MECHANICAL ❑1 have end will maintain Worker's Compensation Insurance,as required by Section 3700of the labor Coe.,for the performance of Wa work for which this permit is issued. 304 — ROUGH ELECTRICAL My Worker Cnmrenseit lnsurawsetrria and Panic ownwrae. .305 — FRAME CERTIFICATE OF E%F,M FROM WORKERS' 306 — HOEDOWNS COMPENSACI NINSURANCE 307 - INSULATION (Thlssection wed mwhecompleml lfthe pcmdtisforoachundmddollau(5101)) 308 - SHEETROCK `due's) 309 - EXTERIOR LATH I unify that in the performance 0 work for which Wia kgnit is issued,10411 not 310 - INTERIOR LATH employ any rson in an eon waeto ccs csub' t Workers'Compcmadon Laws.of ratio a 311 - SCRATCH COAT Ap ant N TO AP LICA a ;r making lis 5AGENCY c m>f Exemption,you should 313 - ROOF NAIL be o aubjwt to the WOJk r' mpcmeuon proWeichor Cotic,you mux Zfo wiNenmriy wiW.AG mviainm or Wisp aJ oewmed rmnme. 501 — FINAL ELECTRICAL ENERGY O 502 - FINAL PLUMBING ENERGY I hereby off.that Were is a construction lending agency for Joe performamcof 503 - FINAL MECHANICAL ENERGY thcwon s for Namewhich this permit uissued(see.3897,tie Cd Lenders Nam. 504 — FINAL BUILDING ENERGY 3. Q LcmtlersAdd. 505 - FINAL ELECTRICAL p p I unify that i have read this application and sum that the above information is 506 - GAS TEST Y F correct.I agree he comply with ell city and county ordinances and awe laws relating to �U building construction,and hereby influenceuonce mpresenwivn ofNia city to enter drum the FINAL PLUMBI G above-mentioned properly for inspection purposes. 0 8 F IWNG L (We)agree to ane,indemnify and keep harmloss the City of Cupertino against n liabilities.Judgments.costs and expenses which may in any way accros against said City ,Z in consequence of the granting of this permit. APPLICANT UNP RSTANDS AND WILL 0 WITH ALL NON-POINT Issued by:5 Datec SOURCE TIONS. [� _ Re-roofs Si et fAp Con} cur Dem HAjARDOUWflul ATE L ISCLOSURE Type of Roof Il the appf nwrfumrc in tt Istorc or handle hav4rdous mammal as def ed by ft Cram,no Municp t,9.12,and We Health and Safety ode. `7 Yes 532(a)? All roofs shall be inspected prior to an roofing material beim 1`7 Yes N P P Y g g installed. Will the applicant or future building oecupant use equipment or Devices which If a roof is installed without first obtaining an inspection,I agree to remove h...MO.air contaminants as defined by du Bay Aro Air Quality Management all new materials for inspection. wiet? ❑Yes No I have mad the hmsrdous mammals requirements under Chapter&95 of the Cafror. _ nia Health&Sa(csy Code,Sttdom25505,25533 and 25534.1 undersmntl ifthc building dos not currently have a mnank that it is my reapomihility W until occupant of the �myu menu which reef poor to issuwcc ora cnificam wwcy. Z gnature Of Applicant Date v % J/ Dam All roof coverings to be Class "B"or better CITY OF CUPERTINO 0", ' PERMITC®11YtAC`TOXt`I1VkOItMr� I' BUILDING DIVISION oda„.,,y ,may L,f �ft.�, lu, S.'^^.Ss' BUILDING ADDRESS: PERMIT NO03060099 0E3y0 6 0 0 9 9 OWNER'S NAME:q9r QT PEaMrr lss�g`/ .L2/2003 SANITARY NO. CONTROL NO. E: BUILDING PERMIT INFO ARCHITECl/ENGINEER: BLDG ELECT PLUMB MECH 0 0 0 0 ?Go LICENSED CONTRACTOR'S DECLARATION lob Description W. 1 hereby affirm Net 1 am licensed under provisions of Chapter 9(commencing Fro, with Section) )of Division 3 of the Rusinus{�Prufcui^m Cndc.andmylicenxis ^-<o�, int°"fore°.�t,' ��yf ✓7 �'7 ��/_ UPGRAD WINDOW SLIDER p z License C "g Lk.0 �_ Date Com mm CONTRACTOR: TIMOVgr"LIIS'ICONST. ARCHI'IELT01=5R N I ani shell x u u:R� me 1 7 2004 Llcem��— — `'�-- ; , MAR 3 QatI..BUILDER DECUA ON s� I W h affumihet 1 am exempt fmm.mo'Cttinimcrora License Law for rite -00 fallowing auon.(Section 7031.5.BuinessyyMM Pmreaaiuns Code:Any city or county 3_ which requires a permit m eturn cL afte(impmve,dcmeluh,m spaifenY overtureBUILDING prior m its issuance.also requires the applicant foriuch Permit to rile a signed statement Valuation ss< that he is licensed pursuant1.Ne provisions^f the C°mmctor'sLicenseLaw(Chapter 9 Sq.Ft. Floor Area ra'O (commencing with Sudan 7000)of Division 3 of the Busitmamd Nofessions Cady tar 14000 y $ that x IS emmPt Nuefmm and the basis for the alleged merriment.Any violation of Section 7031.5 by any applicant for a permit subjects the optimum'to a civil penalty of APN Number Occupancy Type not mora man five hundred dollars($50B. 34250008 . 00 ❑1,u owner of Qm pmprny,ter my employees with wgm u Meir mle compenudon, will do the work and me structure is not intended crortered rot sale(Sec.7614.Business 1 d Inspections and Professions Cade:The Commences License Law does not apply m an owner of 101 - FOUNDA- T X p property who builds or improves themon.and who duessuchworkhimselforderough his awn employees.provided that such Improvements art not intended or offered foraale.if. 102 - PIERS however,no building or imprewment is mid within an year of mmpledon,the awoer- builder will haw the burden of proving that he did not Wild or improve for pump=of 103 - UFER sale.) 104 - REBAR ❑1.a owner of the property,am exclusively contracting with licensed convectors lis 10 5 - ANCHOR BOLTS consumer the preject(See.7044.Business and prefrssiena Code:)The Convector's LI• cense law does not apply to an owner of property who Wilda or improws mea°^,and, 106 - SEWER & WATER - h.amcunorµufor such pmjcctswith aconmanons)Ilenneedpursuant mm the 202 - UNDERFLOOR PLUMBING lcaemptundersec. .BGPCfarthisreasan 203 - UNDERFLOOR MECHANICAL nes WORKFA'SCOMPENSATIONOECu Pam 204 - UNDERFLOOR FRAME Ixmby WORer KERder peCOMPENSAof ryone afthefollo [O decimations: 205 - UNDERFLOOR INSULATION I haw and will maintain a Corafrma of Consul to ael6imme for workers Compen. 3O1 - ROUGH PLUMBING urian,u provided for by SeNan 7700 of the labor Code,for the performance of the 3 02 - TUB & OR SHOWER _ work fee whim this Pewit la issued.-- 303 - ROUGH MECHANICAL 1 have and will maintain Worker's Compensation Insurance,as required by Section 3700 of the labor Cade.for the pctomancc of the work for which this permit is issued. 304 - ROUGH ELECTRICAL My Worker C°mpemodon Insurancecareicr�Vagndd PPooi cccnumxram: 305 - FRAME CERTIFICATE OF EXFE�M1PfjBN Flt0M WORKERS' 306 - HOLDOWNS COMPENSAV16N INSURANCE 307 - INSULATION . OMamnion need not he completed iflx Permit s far one hundred dollan($11f0 308 - SHEETROCK `Takao') 309 - EXTERIOR LATH I unify that in the perforeaance u he work for which thiannd,is Issued.I shall ret 310 - INTERIOR LATH Our any nson inan ann soasm ccu esub' it Workers'Compensallon Laws orcano e 311 - SCRATCH COAT Ap teanl �t N 70 AP�LICA a tier mekmg is edjni'eIn (Exemption,you shnuW 313 - ROOF NAIL b o auhj.t to the Wo�I.•r'y•�ampenmtion preyisioni the Labor Code,you must z to with comply with Qemrrnvisirmammiapu uab611xdurnedrevoked. 501 - FINAL ELECTRICAL ENERGY �O CONSTRUCTIONLFNDIN�AGENCY 502 - FINAL PLUMBING ENERGY 4 Ihcrebyar0emthatthereiaaconstructionrodingagencyformepufurmanccuf 503 - FINAL MECHANICAL ENERGY 'lr F>-r the work NrwhichChiapermitisissuctl(Sec.7097,Civ.C.) 504 - FINAL BUILDING ENERGY ]1 A Lenders Name a yLcnder's ddreaa 505 - FINAL ELECTRICAL O O I comfy that I haw road this application and state that the aWve Importation is 506 - GAS TEST ,j,E. coment.I agree to comply with all city and county ordinances and state Is.relating to FINAL PLUMBI G �YJ building construction,and hereby euthome representatives of this city reenter upon the shout-routiurred property for inspection purpoemv 0 8 FI L 4 d (We)agree to save,indemnify and keep harmless ate City or Cupertino against r CG liabilities.judgments.costs and expenses which may in any way accnarue against said City A J Z in coqucnce of the granting of this permit r-� APPLICANT UND 0.STANOS AND WILL CO WITH ALL NON-POINT Issued by:5 NG Da SOURCE TIONS. �UJD=17 WORKS _ Re-roofs Si aro fApp) VC°9-10 y� -Des HAZIRDOUS MATERIA ISCLOSURE Type of Roof Ill in,appliant or ruwrc buildingvccu t smrc or handle havardoue maurial as defined by the Cupertino Munimpal C d� per 9.13,and the Hmlm and Safety Come.sceadn3553z(y+ /�9 All roofs shall be inspected prior to any roofing material being installed. ❑Y I�Nd" Will the applicant or future building Occupant um equipment or&vim which If a roof is installed without first obtaining an inspection,I agree to remove emit havardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑YesIY1 No 1 haw road the Im.Abo sma nd.1,requiamentsunder Chapter 6.95 of de Califor- nuHmlthB:SefcyCodc,Sadons 35505,35533 esu1255J4.I understand uifde Willing does not currently have a tenant that it u my responsibility m nodi occupmt or the yes rourns.hich riBIS4 met priortu issuance ore crurm¢ cuvcy. , gnature of Applicant Date _ All roof coverings to be Class"B” or better Owrmrn r r. scent Dam ' AY OF CUPERTINO g q CUPEkTINO PERMIT APPLICATION FORM N# 7, ot Date: 7�y g/ Building Address: �2 V Owner's Name: Phone#: yo g S,� S E Contractor: License#: c C Contact: ICupertino Business License#: BuPermit Info: Bldg E ct �1 Plumb ❑ Mech ❑ Job Desc ption: Resi_dWtial Sq.Ft. Floor Area: $/S .Ft.: Cost of Project: Occupancy Group: Type of Construction. 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> 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 <= 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. Housin Mit. Fee BUILDING z72 � 1 of 3 CfY OF CUPERTINO aClAo" PERMIT APPLICATION FORM CUPERTINO 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 BNUSFD New Single Family Res BUILDING 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 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 cfin MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Fumace 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 2of3 Sim, 0 CITY OF C'UPERTIA% CITY OF PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group 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 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 EPERNHTFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issuance PLUMBING PPLBG PlumbingFee s foot PLUMBING ZADDCHG Address Chane BUILDING • 3 of 3 � 3 r t , SUBMITTAL - #1 i D 4^ JUN 2 003 i S� � g By 11 MFwArA �f vi � ' �9�.► zeal l �ll��L��E � Lug ��'� � ��fj�t p /L/C- W �kEN h door 5061 w�H >� Cr r. 0116h G( oUrGf/ffl q APPROVEd ,J THE CITY 01 IN PCC D NDCE W ND OROIH CUP ll� OAT SIGNED This set o tans and specifications M ; �0 hi 'Si � pe kept the job at all times and it iutC' �! lawful t make any changes or, alters ons ` rn on sem without written per , tuO 1 J wilding Dept., City of Cu= o. fH� 4 ing of Chia plan and speafioa'Ona� ! _. 3OA�� NG ofd to permit at to a I an V tWeval gf the v, ' n of any ptraviaien ` � . A eaW F tW Wim" �W VOL- -- �- ` Ll 1-10 , f I TE 6 6- 03 ; �'AT� N, 1"� �1Vrc.R10 ' � ;' WALL E L EW -rIon1 8 ro r�rAwn T�r1 a sheer I o i' Sheers IF M -