03040060 (2) CITY OF CUPERTINO y4
BUILDING DIVISION PERMIT �COiT� CTURINFORMA.TI
BUILDING ADDRESS: PERMIT NO.
10114 E ESTATES DR SMART WINbOWS & DOORS 03040060
0 ER'S NAME: PERMIT ISSUE DATE
ENDRA LIMAYE 6305 DOUGHERTY RD 04/10/2003
P E
(925) 556-6010 SANITARY NO. CONTROL N0.
ARCHITECTIENGINEER: BUILDING PERMITINFO
BLDG ELECT PLUMB MECH
i;; LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that 1 em licensed under pmvi ions of Chapter 91...mcing Job Description
�+ with Smdm7000)Of Di .km3ofthe Bmdi yd Profcssiuw oa my fit.is
aOG intullfo an —L'(0 �—
R H BAY WINDOW
Date _ Coatrra�Rtor,
ACr2E I BATON uMcrsundmy pbu atoll wused uadls uhlic mcortls
eLL
Licensed Professional
7/
g OWNE0.BUILDER DECO Contractors
onte ON Q�
COO 1 mem affirm on 1 am exempt from Ne Contra ofd Licence law for Iw
COO following mesa.(Salon 7e IS.Business and ve.dcouns Cock:My city m mumy
5$�
which requires•permit to mnswn,alter,wprow.acmrl W,a repair any swnum
prior m its issuance.also requires the applicant for such permit to file a signed.muccut
ESQ
that he is licensed pursuant to the Pmvislou of the Contractors!dense taw(Chapter 9 Sq. Ft:Floor Area VaI1J ion
ett (commencing with Section 700()of Division 3 of the Business and Profeaaims Code)or
3$ that he is exempt threfrom and the bub for the alleged campdon Any violation of
Section 7031.5 by any applicant for a Permit subjects the applicant m a civil penalty Of
.not mom than five hundred della.(5500). 3I�iafl)er O O Occupancy Type
1,u Ownor of the pmpcny,ormy employee with wa a u Noir bole comMmoon,
will
o Fin work.and
lme
aPrefaaleN Coda:eTbe eConl Caacmfs License Ltw aM
pes t apmolmicrul mortared far stle py m m Business
and. of 101 — FOUND
proPeny who builds m int II�tI1Qd�d Inspections
pm.�amemnn.anawhnantnOtcnwnstMmaeexcudf rashnt. 102 — PIERS
ownemployers,providedthatsuch impswldwi arenor;nuofc orledon.Intm.It.
Wildehme�rr the have
orimpmvematbwt hedidn Otte Sear orImproefmpurowns- 103 — LTFER
morderwlBh.wthewormorpomngUurwmanetwireorwpmwrapuryoaer 104 — REBAR
este.).
01.as owner of me property.am exclusively contracting with licensed eonteremmm 1OS — ANCHOR BOLTS
construct
mmLaw the
noet ott Apply win owner of pess roperty
µtaros n ata.or Im�thhmt�amine, 106 — SEWER & WATER
who mntncutw such pmJcm wlNamntma(s)IiavcdpursuammWeConuanots 202 - UNDERFLOOR PLUMBING
Liana law.
❑T amaroptuncer See ,B&PCfm,b,mamn 203 - UNDERFLOOR MECHANICAL
o r 204 - UNDERFLOOR FRAME
WORKERS COMPENSATION DECLARATION 205 — UNDERFLOOR INSULATION
hereby affirm uKderpendty ofpto.,..Of the lnllowing dmlarta...: 301 — ROUGH PLUMBING
❑Ihawwd will mm.1shn aCeNflakofConsemmalr-Wert forwort.hcmnpw- 3OZ — TUB & OR SHOWER
Sarson,u 00 Provided for by Section 37of don labor Code,far the performarce of the
woh for which this permit 4h,mu. 303 - ROUGH MECHANICAL
❑l have and will maintain WOftes Compensation Wassacc,as required by Swim 304 - ROUGH ELECTRICAL
nddordtelaborcoae,rormeperro.n.n<eordawortt wbehmNpernuNwaea. 305 — FRAME
My W-11ones Compewdon Insurance carrier and Pot umber art:
C ria 'irt'4t�Fvb1� Poliry o.: 306 - HOLDOWNS
CERTIFICATECOMPENSATION
EXEMPTION FROM ORS 307 - INSULATION
COMPENSATION INSURANCE
(ihb seetim arA not w completed if the paraft N forms,hundred dollara(SIM) 308 - SHEETROCK
"rleja) 309 - EXTERIOR LATH
laniframinoninmyn.aeorwswett,her wInomwhmectOneWor,,nsComewlna 310 - INTERIOR LATH
employ any peon in any mannersossmwcome sobJeclmthe Worgcri Compensation '
Laws orcafmmis.Date 311 - SCRATCH COAT
Applicant 313 - ROOF NAIL
NOTICE"blue'
APPLICANT.q after COMmaking this Cisions of the
LsMr Crude,you
should
Obecome subjectmNe woher'a Compor this pmvbkes of rdo ubor COsed_ mum 501 - FINAL ELECTRICAL ENERGY
ftrenwimeomNywimsuch pUCTI NLENDIiGAall Gwxemeare„,ma. 502 — FINAL PLUMBING ENERGY
door more
m AGENCY 503 - FINAL MECHANICAL ENERGY
I wmwhich this
Nat Vert b amn(Sce.m.Wing agency for dre performance of
G> thnder's orwhkhthbpemurbissued(sa.3on,civ.ea 504 — FINAL BUILDING ENERGY i
a Q Lender's Namc
DandersAdd. 505 - FINAL ELECTRICAL
)O 1 cenffy that I have read this appRadon and auk that the above information b 506 - GAS TEST
) Wildingagrcemcomply.andherebyh all citywdcounty pausa uiences sorandaukkwlrthongm "7 - NAL PLUMBING
)U wOdingconawction,and hembyauthodmrtprtaenutiwsor Nis city to enkrupnn tintW above-mee)Agree Wu ylm;unifyan keeplu N L MEC ICAL
gy (Wc)agree m caw.indemnify and Fmp harmless the City of Cupertino againstto Ihbilila,Judgments,tauwdexpcnseswhi<hmrylnwywayaccrueagaiuraidCityz in conacqucna of tis,grnting of this launch. NG
^
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL N -POINT Issued by: Date
e G /b 6 Re-roofs
Signatu of AppliaCo
nu ntrwtor D
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or forum wilding eceup of stem or NMI.hmaraous matedd
as reflood by the Cupertino Municipal Code,Chapter 9.12•cod the Halth and Safety
Section 25532(Q7
❑Ya 02NO All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or forum building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
Fruit Wardous air cmuminwu as defined by the Bay Ama Air Quality Management
Dlstrict7 / all new materials for inspection.
0Yca Ne
I have mad the hanNws mxeriah requimmmU under Chapter G95 of due Glifor.
nbHcelth&Safry Cade.S-dm2S505.25533sm] 53.1undcrstsM dut;fthe wilding
docs not c Candy bow a Imam,that it is my res pouildl;ty at,the eavpwt of da
mquw n whit ata be rat priorm issuance of a CaOlkak Occuprmy.
�! �n3 Signature of Applicant Date
boner or author ed agent Do All roof coverings to be Class "B" or better
S, i R U C ' T U R A L C A. L C ,U L A T I O N S
F 0 R BY
• Mr . & Mrs Lime Residence DPK Consultants , Inc .
10114 E Estates 586 Woodward Pl .
Cupertino , CA Fremont , CA
A R C .H I T E C T Smarts Windows
OR 6305 Dougherty Road
Contractor Dublin , CA 94568
I N D E X
C A L C U L A T 1 0 N
APR is E i,! r r; ,
Floor Plan By
L- 1
lAtpral
is
-2', L-3
Section thru Ray Window L-4
• -- APPROVED
C O D E : 19 9 7 UBC IN ACCO n ucS ORDINANCES
CUP-ERTIN .ODE. "
DATE
SIGNED_
This sat of p' ns and specifications MUST
be kept on .ne JV" is
tin
lawful to f ake any changes or alteratlont
-- '^µ°n nP mission from
the building Dept., City of Cupertino.
T�;�R�r chis oleo and specifications
SHALL NOT be held to permit or to oe U."
nroval of the violation of any provl910116
of any City Ordinance or erne L .
n�l�fl(r�C�
UUu .3 �...
u ool�
25358 i Ci
D P K CONSULTANTS SHEET No.
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APR 1 02003 U
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tE? r3 ,-L7' S To 13c ,ADOF- D 5E.E PLAN
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" AY OF CUPERTINO • 0 3 qo ° b
CI
CUPEIPTWO PERMIT APPLICATION FORM
4je � =T.77 ' 3Z bz- J0366 Torr /i✓,(
APN# �p Date:
Building Address:
1011'1 F-as �stzt�es
Owner's Name: Phone#:
a2 I ' ` lD$ '�i
Contractor: 3
sm-art W t h & S S
Contact: Phone#:
zn dal c I Z5' s5b—hol0
Applicant/Contractor: Fax#:
']ding Permit Info:
1 g Elect Plumb Mech
o escription: �3z ow
Residential: — ommercial: l
Sq.Ft. Floor Area: $/Sq.Ft.:
Architect/Engineer: Valuati n: p S0O
ype of Construction: Occupancy Group�-
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile . BUILDING
BELEC1000 Elec 600V<= 1000A ELECTRICAL
BELEC1001 Elec 600V> 1000A ELECTRICAL
BELEC200 Elec Svcs 600V <=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
BMITIGATR Res. Housing Mit Fee BUILDING
BMNIEWMULTI New Multi-Family Res MECHANICAL
BNEWMULTI New Multi-family Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
IBN'TJCOOMMP New
/C�po�mm Plumb PLUMBING
� C(1, v f _.� �` 1� f3 � � �
�` 773 . 7
CITY OF CUPERTINO
BUILDING DIVISION PERMIT <CONTRACTOR,ayg_I,,,NFORMATION t
BUILDING ADDRESS: � PERMIT NO.
10114 E ESTATES DRSMART WINDOWS & DOORS 03040060
OWNER'S NAME: PERMIT ISSUE DATE
�' JENDRA LIMAYE 6305 DOUGHERTY RD 04/10/2003
(925) 556-6010 SANITARY NO. CONTROL NO.
7AIIII�MCTMNGINCISR: BUILDING PERMRINFO
BLDG ELECT PLUMB MECH
uo6 LICENSED CONTRACTOR'S DECLARATION O O O O
(� 1 hereby affirm that I am Reo,xed under previsions or Chapter 9(commencing Job Description
e�
with Section 7")of Division 3,f the Bassin asd Pmrcai��nd my license is
mth fo an
BAY WINDOW
p DateCon ncmr FIAL
7W ARCHITECTS RATION N,v L
F �
;aV
understand my phns shall be used ublic mcoN+
o� Licensed Professional SEP 2 4 2003
iS - OWNER-BUILDER DECLARATION
i y 1 hereby aRrm that 1 em exempt from Bte Comncr y s License law for the
COO following moon.(Section 7031.5,Business and Pmressimu Code:Any city or county
5$ which requlros a Permit m cone Wer,site,Improv,demolish,Or.,air any structure
prior to its issuance.arm requires the applicant for such Permit to file a signed comment ou
ga $ thatheislicenedpursuantmtheprovisionsofNeContractor'sLikensla.(Chapter9 Sq.Ft. Floor Area $ V�lgVon
YFp (commencing with Section 7Wo)of Division 3ofthe Business and ProlonionsCode)car 6 4U
3
that he is exempt therefrom and the basis for Bte alleged exemption.Any violation of
Section 7031.5 by arty applicant for a Permit subjects the applicant W a civil penalty of
not more Nan Ere hundred dollen(5500). 3 b`YU-/U 6 UeL 0 0 Occupancy Type
0 1,as owner of the property,or my employees with wages as their rete compensation,
Na PProdo less work. oddee:TIM ca�tr.c or.iia L.:a fansale p b e�men of 101 - FOUNDMtjtQdeTd Inspections
property who builds or improves thereon,and who dean mchwork himselfor Wough his 102 - PIERS
own employees.provided Narsuch ireprommenU are not mann dad oroResed forme.H.
however,the building or improvement is mid within on year ofeompletion,the moor, 103 - UFER
Wilder will have rite burden of proving that he did not wild or improve fa purpose of 10 4 - REBAR
cele.).
0 1,as owner or Ute property,em exclusively contracting wide licensed contractors to 105 — ANCHOR BOLTS
construct he project(Sec.7B4d,Business and Professions Code:)The Contrmtor.U. lots — SEWER & WATER
came Law dm m v not apply an owner of property who wilds or improves thereon,and
who contracts for such project with a cenuacreKs)licensed pursuant to dee Convectors
Licenm law. M
202 - UNDERFLOOR PLUMBING
O l un exempt under Sec. ,B&P C for this mason 203 - UNDERFLOOR MECHANICAL
Owner Dam 204 - UNDERFLOOR FRAME
WORKERS COMPENSATION DECLARATION 205 - UNDERFLOOR INSULATION
•I hereby affirm under penally of perjury one of Ne following daclantions: 301 — ROUGH PLUMBING
raw and will!for byn.Cert;37M ofCe LadWr Code,
performance,
Compere 302 — TUB & OR SHOWER
work f r provides for mi ss issued,
neo or the labor code,for the perrorm.na or me 303 — ROUGH MECHANICAL
work for which this permit is issued.
0 I have and will maintain Workers Compensation Insurma,as ramined by Section 304 - ROUGH ELECTRICAL
3700 of the Labor Code,for On perfmmentt of Ne work f which Nis pamh ie issued. 3 0 5 - FRAME
My Workers ComperuNron�`Ins,uy�rantt carrier and Por uon I.-
crde �ZF}i�ri/Q1U Pou`y o.: Z 306 - HOLDOWNS
CERTIFICATE OF EXEMPTION FROM WORKERS' 307 - INSULATION
COMPENSATION INSURANCE
(Thu section used not be completed ifrhe Permit isfaoa hundred doltars(g IM) 308 - SHEETROCK
"r lCt3.) 309 - EXTERIOR LATH
1 certify Ner in the perfnrmana of rhe work for which Nis permit is issued,1 shall not 310 - INTERIOR LATH
employ any petsonin my manner An as to become subject to the Workeri Compensation
Laws of Califo311 — SCRATCH COAT
mia.Date
Applicant 313 - ROOF NAIL
NQTICE TO APPLICANT.use Work IL after making this Cisions of of Exemption,you should
becomesubject Comply it worn pmviompeondonpmvit hot or the LAW Coked. most 501 — FINAL ELECTRICAL ENERGY
J ,Z forthwith cempty with such pmvismna or this Permit mailwdccmce rewkce. 502 — FINAL PLUMBING ENERGY
z� CONSTRUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY
1 her which In Net mcrt iso ed(See tion lending agency for the Performance of
i0z> Nnder's Wwhchm Permit isiasecd(s .3o97,Civ.ca 504 - FINAL BUILDING ENERGY
andersNune 505 - FINAL ELECTRICAL
z Lender'sAddntsx
:L O 1 certify Ner 1 hive mad Nis application and sura Ner the awwawsinformation is 5 0 6 - GAS TEST
yh correct.IagreetocomplywitAll city ri ceuntymdinanasand sumrevsrelatingin
e 5 7 - FINAL PLUMBING
V woven rrimnctionandher ins euNon prepmsenmtiv of Nis City menkrupon Bm
awwmemioad Property for inspection purposes. O — FIN
L MEC ICAL
y (We).gree resaw.indemnify and kap homiest;the city of cupert;m.S.imd
Jh liabiliria,judgments,cosuandexpenseswhichmayinmywayacetaagainstsaidCity 09 FI
7 ;n consequcna or Ne granting of this permit. 5
rte-
APPLICANT
Ek ATIONSAND WILL COMPLY WITH ALL N -POINT Issued by: _ NG Date
Re-roofs
Sigarm 01 APPRcmvGonlr.cmr pa
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Wftl BC applicant Or future wilding menpmisrom or handle h onolous maerial
as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code.Section 25532(.)? �/
[:)Y. tilde, All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building=upam use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
mrimct7 r.rdrms air contaminants as defined by the Bay Arca Air Quality Managorman all new materials for inspection.
OYes Nu
I how mW the hasudouseraterials requiremcnu under Chapter6.95 ofd.Califon
nu Health&SafcryCode,Savms25505,25533 and 25534.1 understand thuifthc wilding
date not c rmntly hew a mnanr,Nm h u my nexpono billy lily the occupant of the
myuimi uwhic cast4 cl prionnissuma ofa CcniOcam Occupancy.
/ 10103 SlgnatureofApplicant Date
—ncr car emhonrcd aFcnl v All roof coverings to be Class "B"or better