03040016 (3) CITY OF CUPERTINO
BUILDING DIVISION PERMIT �d��AR � � f�1 •,,
BUILDING ADDRESS: PERMIT NO.
10172 FIRWOOD DR LENTZ CONSTRUCTION INC, J 03040016
OWNER'S NAME: PERMITLSUEDATE
HOLBORN HARRY 5087 MAITLAND DR 04/02/2003
(408) 264-0555 SANnARY NO. CONTROL NO.
ARCHI'IECVENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
!Oo LICENSED CONTRACTOR'S DECLARATION i Job Description
w 1 hereby affirm Nat 1 sm licensed under prevWms of Clepu r 9(cvrnmcncing p
wish Satin]q0) fDivill NCB 'n WPmfessiaal Coleandmylicsnoxis
: m in full forts en �-/
on
: License Class �3 0 on
'wSirl£aTj117.&IbTCHEN SKYLIGHT (3 'X3 ' )DanDate ARCHRELTSD LARATION! C..�S 0,vl�11F1166.CC16.a�J
les udon,plans shall Public records
S. lensed Ponfics.lan.I APR 0 8 2003
OWNER-BUILDER DECLARATION
p, i hereby AM.Net 1 em exempt from She Comrades License law for the
COC following moon.(Sation](O 13,Blies and Prof ssdum Cork:Any city or county fW1
which me,doea a permit to construct.altar.Improve,demolish,a aryl,Ny curium
_Z i prior to its issuance.also requires the applicant for such Permit m Ele aligned w.m
< that he is licensed pursuant to the Provisions of the Contractor's License Law(Chapter 9 Sq.Ft.Floor Area Valuation
€$ (comscreingwith SMion7000)of Division 3of the Business end ProfusiwuCook)or $1875
Net he is exempt Nertfrom and On balls for the alleged eaCmpllon.Any violatfol of
Section 703I.5 by any applicant for a permit objects NC appllCNt m a CMI penally Of pK I,1}(O.�er• O O
not more Nen Ove hundred dollars(S50OL lei `�L-� Occupancy Type
❑tuowner Of Ne pmperty,or mY employees wish mjual0telr wlc cempew0on,
will do the.6.and the.wnute is nut intended or offered instal.(Sec.7064.Business
And Professions Code:The Co rnselofs License Law dna not apply m In owner of 101 - FOUND.$Tq1Db10 Inspections
property whowilds or implores Nerepn,and whodocsuch workhimelforthmugh his 102 - PIERS
.?,employ. .provided Nal such rt Improvements anot intended mortared fornale.If,
howmwr,Ne bulldingor lmpmvememis old withinoneyear ofeompledon.Ocowner. 103 - UFER
Wilda will hal the burden of pmvmg Nat M did not wild or impmm for purpose of 104 — REBAR
D 1,as owner of the propeny,am exclusively contracting with licensed contractors;to 105 — ANCHOR BOLTS
construct the project(Sec.7W,Business and Profusions Code)The Comiscute,U.
anal Law does not apply to an owner,of property who wilds or impmws thereon.And. 106 - SEWER & WATER
who contracts for such. pmjea,with.eons clortglicensed pursuantWthe CmurNmn' 202 - UNDERFLOOR PLUMBING
OlsmaxUSS.Lam apt un-der�Sec .Ba PCfm this Toxon 203 - UNDERFLOOR MECHANICAL
204 - UNDERFLOOR FRAME
WORKERS COMPENSATION DEC .TION
205 - UNDERFLOOR INSULATION
Wl hereby afrmrm under roundly of perjury one of the following dalanEona: 301 - ROUGH PLUMBING
.ndwmm.inwnaeemBcateofConsemNNlf-bnum(mwmker.Comp.n•
.al proNded(a by Section 3700 of the labor Code.for Nm
She peRelame of the 302 - TUB & OR SHOWER
wwk for which Nis permit ht issued. 303 - ROUGH MECHANICAL
D 1 here and will maintain Woheh Compctwdon ISnun rce.a res uirW by section 304 - ROUGH ELECTRICAL
37M of Ne"her Cade.for the Kr(mnlNCe of Ne wells for which this permit is burial
s>Com^pealatio}n Insurance casriuPoanIdIryPoNlioc.y:nu4mber 1art3:A j -UZ 305 - FRAME
1)_7W0(
306 - HOLDO
WNS
COMPENSATIONINSURANCE 307 - INSULATION
Obibaeethn need not wcompleted B Or Permit is fares hundred dolWa(SIM) 308 - SHEETROCK
mltSs) 309 - EXTERIOR LATH
1 certify that In the of the won fm which Nis(wait t,blood,I awl not 310 — INTERIOR LATH
employ Any Person in any manner N AS lo become subject to the worters'Compenullm 311 — SCRATCH COAT
law.of C.lifomia.Den
NOTICE 313 - ROOF NAIL
NOTICE TO Subject
to On Woda'.after peeking this selsio ateof Labor
ab Exemption,you y should
wsmmehcomplo it wort Provisions
pmvitstalof SemedrCoded. most 501 - FINAL ELECTRICAL ENERGY
zfo NwiN comply caw such Provisions m LE DING AGE w decreed re ot.d. 502 - FINAL PLUMBING ENERGY
CON5IAUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY
t•+� l for whichithi Nat there issued
s ro (Sec.307.
n 7.C7 agcnry for da performatere of
Ili> Naw,esName hthLLp.rmebis,ted(Sa.3G9P,cw.C.) 504 - FINAL BUILDING ENERGY
W Q
La does Name
Z LcZasAddm.• 505 FINAL ELECTRICAL
U Q 1 comfy Oat 1 have reed this application And State Nn the show Infmmulun is 5 0 6 - GAS TEST
W.F construction.N
CO MM I agme to comply with all city Nd county adinNtts and lute laws tclating m S 7 - FINAL PLUMBING
OU building construction. d hereby auNlo odm nepmsentadws of this city color upon Be
W aluwa-mentionedpmp.nyfor Inspection purposea O — FI L MEC ICAC
(We)agree a ssv.,indemnify And kap harmless ftCity of Cope..against
y Ilablli0es,judgmcnLL,CosLLandexrynseswhkhmglnenywgacrueagain[ImidCily 09 - FI
J 7 in wnsrquence of the granting of this permit.
�7 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: 5 ING Date
SO RCE REGULATIONS, _
n S" -•'c ��' {'J' Re-roofs
Ignalum of APpllamConlraCbr Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will nn,applicant or futmc wilding occurym nom or candle h.ratdaus material
AS defined by On Coram.Municipal Code.Chapter 9.11.W the Health end Safety
Coda,section 25531(a)?
C]yes All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant use co ulpmNt m dcviaa which If a roof is installed without first obtaining an inspection,I agree to remove
a'rardnus
it contaminants ss de0nnd by the Bay Arta Air Quality Management all new materials for inspection.
ittT
DYcs erg.
I have mad the harardtws msterials sequiremew under Cluplor 6.95 of the Olifor.
nu H.I"SafctyCode,se .2550.15533u 25534.1uruktROMNnifSM wilding
don rat currently how a Roam,that It LL my res menjbillty m belfy On occupant a the
uirtrncnn which muss w
act prio ceofsCcilo Ou
✓ —
)<)31 Signature of Applicant Date
Owner or.ushanrad agcnl Date All roof coverings to be Class "B"or better
De Anza Oaks Homeowners Association
Architectural Alication
• NAME OFOWNER(S):
ADDRESS OF HOME: 10172 !'^ �G{/�d�j ��/Z/(Il, UNIT#t/)F'C
TELEPHONE NUMBERS
GENERAL DESCRIPTION OF PROPOSED WORK: - �+_ F" .L
p 2 2003
�[ 5 dial _
CONDITIONS OF APPROVAL:
Applicant understands and agrees that this Application does not fulfill all of the conditions and requirements for an
approval. In addition to this completed"Architectural Application" form,the applicant must submit to the
Architectural Committee drawings and specifications showing the nature,kind,shape,height,materials and locations of
the proposed architectural alteration. The submission must be in writing. The Architectural Committee may require
additional information as it deems necessary to make a decision. Until all information is submitted to the committee,
the application will be deemed to be incomplete and the application will stand disapproved.
Applicant further understands and agrees that in the event that the modification is approved by the Committee that they
may impose"Special Conditions"of construction and maintenance on the approval of the Application. Any special
conditions shall be attached and be a part of the approval. Any deviation from the approved plans,specifications or
special conditions will cause the permit to automatically terminate and become null and void. Applicant understands
• and agrees that if applicant fails to conform to each requirement then applicant authorizes De Anza Oaks Homeowners
Association to have the work brought into conformance with approved plans,specifications and special conditions.
Applicant further understands and agre the 1 g�sincurred by the Association as a result of bringing said work into
compliance will be a personal obli ation�Pthe'ovTmer' Such costs shall include the costs of construction,
reconstruction,administrpfees',Ranorne WK,Tti(pEi&afid consultants charges, and court costs, if incurred. It is
also agreed that no work Tidi�lg'tieI i' ed W11118varSiolation of any of the provisions of the Association's
Declaration of CovenantsConditri s or any applicable building code.(2)be an annoyance to any
resident; or(3) increaself}me cost mEd hytlb#,Association.
SIGNED
It is further agreed that Inithe;ev-e tt p icatiopcisiapprowyed all maintenance,repair or replacement of the approved
item will be the sole responsibility ,theelot ow Cr;pnddfur. ,that any expense incurred by the Association that is the
direct or indirect result bfmthe approyed chapgeoliall alsoubeae;sole responsibility of 16t3'wtic . lk9pwoCID
I¢�M
initiated with consideratiomof the,terrain;tslgpe,estheticds#time„and noise considerations ?I? I�the building Dept., City of Cuperprt9, �jiJ
Applicant understands that allinecessaty.;permitsiattd approvalstfrom applicable governmental jurisdictions are the sole
responsibility of the applicant acid tharComm itteeiepproval of this application is subject to the applicant receiving all
such necessary petmits3ndtapprd%;@s.vimlali�n of ara)r ptmtootts
,if any City Ordimom ev 9Ae KAW,
Applicant agrees to use licensed and insured contractors for any and all installations or to make the Architectural
Committee aware when this is the exception. Applicant agrees to notify the Architectural Committee upon
completion of the project so the Committee may inspect and determine compliance with each and all of the
conditions of approval of the application.
THE UNDERSIGNED AGREES TO THE ABOVE CONDITIONS
/9"Z DATE:
• Homeowner's SignatVe
FOR CO MITTEE USE fflVtY
Approved Denied Dat ' ' `_. By: i;- - r.�` �'� l ✓
Comments:
ucapp.doc
TM
CURB MOUNT INSULATED GLASS SKYLIGHTS
SPECIFICATIONS: Curb Mount Glass Skylights shall be Model No—, as manufactured by
HPK, INC. of Phoenix, Arizona. The skylights shall be factory assembled u
made by HPK, INC. are available in either Single-Glazed or Dual-Glazed. 5 5
skylight units come with 1/4" Laminated Safety Glass with a .030 liner. Dual Glarde
I$G�UN03
are manufactured with 1" insulated glass. All insulated units have 1/4" Tem ereter glass, a
1/2" air space and a 1/4" Laminated inner piece of glass.These units are als with a
breather tube installed to allow for differences in air pressures. Glass is avai
Bronze, Clear, or Gray. The skylight frame and retainer cap shall be 6035T5 extruded
aluminum with a minimum wall thickness of .062 inches. The skylight frame shall have an
integral evaporative condensation gutter,exterior drip and drainage slots. The glass skylights
are also available In a SELF-FLASHING style frame per request.
MODEL I.D.
1 CURB
2524 22%'•221/1
.V.<... 2840 22%'It 34%2
2852 22%'[46142
t7 4052 34%'•46%'
.: ::: 5252 46W 1146'/12
CLOWCUMANUALMIAN
YIAIMII NYIrma,=
-1/T•IfNA11D AIR VACI MIONIIk
121NOY51Y YOCU
AINWVI
GLAJJ GVIMn �CQ•040N
fA1A•IIK. •LLIO.T
T Or"" fC•iw!
w uwwnD cuts Imola
wn4sq sArm vu `I�
WAIL w,CD•4O110M1VF COA/Y1G FOR N.AII,D,G
ANDR0o11MG
IWAfYL U
1.
W
1vY
•
- - _ 4
y �a sif Zi
C c, �mgmm{${�� m
R y M �� 3 rj 0 ✓
7r 0
=
� 7 /
� 0000.E R
� N3RE
a ..,4r � I QV
Y
M
OR nyY "3 M• z ILI
m 5a; og APR022
o
Y ] 3 � 7 3f
yA O ; ` Z
z i ns Ir rJ 'I
ILn 3 �cu 3u OF
A ioF3 = 3 � cf
u� O N
M 31L
2 '•�`� t g S r4i $ � :
it
si 6
OIL
0I' s' :S �s• � i � I= c 5
•{
� � RK
ir
95
n
g �• : ;F
nx 0
t _ z
Lh
G�
Skylight Framing Detail
Roof Framing Around Openings
• Headers with a span exceeding 4' must be framed with trimmers and
header rafters that are doubled or of lumber of equivalent cross-section.
• The ends of header rafters more than 6' in length shall be supported by
framing anchors or rafter hangers unless the rafters bear on a beam,
partition or wall.
Load-bearing wall or beam
Double headers- I R 2 2003
. when span exceeds X
4 feet ' Width
Length
Tail rafters Len� 9
Double trimmer rafters ce,uny -30's,s
when header span
exceeds 4 feet
Rafter
Wall or foundation
RmrI,APoIKr
/I
*rY OF CUPERTINO /
•CUP TYOF O PERMIT APPLICATION FORM
APN # Date:
Building Address: _
j0172,
f i Ric cr cl /'c
Owner's Name: Phone#:
,/f)rn 6 0/2/) Y 71
Contractor: 7License #:
T. .LTZ L'Z�✓157 //)C 4-156 rY/lo
Contact: Cupertino Business License#:
TL�/2 y [,[./)7Z
Building,) rmit Irifo:
Bldg Q Elect ❑ Plumb ❑ Mech ❑
Job De ption: ( ,
i ential p Commercial ❑
Sq.Ft. Floor Area: Cc��c� v�) $/Sq.Ft.:
9
Cost of Project: Occupancy Group: _Z
Type of Const ction:
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
BB0ILER5 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
EEO BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
BMITIGATC I Comm. Housing Mit. Fee BUILDING
lof3
r
tTY OF CUPERTINO
CITY OF 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
BNUSFD New Single Family Res BUILDING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE PbIg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
j BPLANCKREP Plan Check Repeat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
Nor BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinklerBackflo PLUMBING
BPSTORM Stonn/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pipe PLUMBING
BPWHEATER Water HeaterNent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 clip MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfin MECHANICAL
BREMAPPLI A liance Install MECHANICAL
WBREMFURN
SWAY Remodel Buswa s ELECTRICAL
IXT Li htin Fixtures ELECTRICAL
RN Relocation of Fumace MECHANICAL
OV Relo Fumace> l OK btu MECHANICAL
EAT Heater Installation MECHANICAL
OOD Installation of Hood MECHANICAL
ISC Misc A aratus ELECTRICAL
APP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
2 of 3
$ - CITY OF CUPERTI�O
CITY Of PERMIT APPLICATION FORM
CUPEI,TINO
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 Sips 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 Elk Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issuance PLUMBING
PPLR Plumbin Fees foot PLUMBING
ZADDCHG Address Chane BUILDING
•
3 of 3