01070134 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONT RACTOWINFORMATION
NJ.d
BUiLDINGADDRE•.SS: HENRY MANZLER PERvUrNO.
7491 KINGSBURY PL
WNER'S NAME: APPLICATION SUB DATE
HENRY MANZLER 07/26/2001
ZONE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
ww0 LICENSED CONIRACnOR'SDECons of CON Job Description
U 1 hereby affirm that I am of
Bu under and
Prodnns or Chxlacf 9(commencing p
With Section ndefec DiviainnJof the Business and Prn(essinns CnJe,and my license is
full nrrce and effect. INTERIOR REMODEL & ADD.
oz�- in n
i [)am clans Lieg 5/28/02 PER JOE A PERMIT EXTENDED TILL 11/28/02
FNF� [)am_COnlmclt)r
qq ARCHITECT'S DECLARATION NO MORE EXTENSIONS AFTER THIS .
F C
Xe 1 understand my plans shall w used as public records
OdU
ad Licensed Prof.ans al
OWNER BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractor's License l�a:fpt nip,7� tL fI�SY
a n 0 following Mason,(Section 703 1.5,Business and Professions Code:Any cif a y 7 F t7ada
a°d2� which requires a Permit to construct,alter,improve,demofian or repair any structure
m—'^ prior to its issuance,also requires the applicant for such permit to life a signedstate enI
fzo that he is licensed pursuant to the provisions of the Contractors License Lw(Cha qy 1 8 q. FL Floor Area Valuation
(commencing with Section 7(I(111)ofDivision 3 of the Business and Professions C e71�
—
that he is exempt dumfound and the basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a Permit subjects Ne applicant to a civilpenally off o�o ®dpg^NG APN Number c T e
re N
not moan Eve hundred dollars 4500). J L Y Yp
❑ h as owner of the property,or my employees with wages as their sole compensation, 3622 9025 . 00
will do the work,and the structure is not intended or offered for sale(Sex.7044,Business
and Professions Core:The Contractor's License Law does not apply to an owner of Required Inspections
property who builds or improves t himmi,and whodoea such work himself orthrough his
own employees,provided that tach improvements are not intended moRered for aide.If, 101 — FOUNDATION
however,the building or improvement is sold within one year ofcompletion,due ow:rr-
builder will have the burden of proving that be did not wild or improsx for purpose of 102 — PIERS
sale). 103 - UFER
0 I,as owner of the property,am exclusively contracting with licensed contractors m 10 4 - REBAR
construct the Project(Sec.7044,Business and Professions Code:)The Contractors Li-
conse Law does nor apply to an owner of property who Wilds or improves Ummon.and 105 - ANCHOR BOLTS
who commucttsLoceric Law.tar such projects with a conductorial licensed pursuant to the Contractors' 106 - SEWER & WATER
0 l am exempt under See. ,B&P C for this transit 202 - UNDERFLOOR PLUMBING
caner Dat 203 - UNDERFLOOR MECHANICAL
WOR K IS Its COMPENSAT]ON DECI RATION 204 - UNDERFLOOR FRAME
Ihereby ammunder Penalty ofperjuryone ofthemnowingdeclarations: 205 - UNDERFLOOR INSULATION
0 1 have and will maintain a Cenificatc of Consent to setNaxure for Worker's Compere
inion,az provided for by Section 3781 of Ica Isbor Code,for the frrformarrc of Nc
301 - ROUGH PLUMBING
conk for which this permit is issued. 302 — TUB & OR SHOWER
❑I have and will maintain Worker's Compensation Insurance,ax required by Section 3 0 3 - ROUGH MECHANICAL
37(x)of the labor Code,((it the Performance of the work for which this permit is issued.
My Worker's Compensation Insurance carrier and Policy number arc: 304 — ROUGH ELECTRICAL
Cartier: Policy No.: 305 — FRAME
CER'I'III ATE OF EX IWPI7ION FROM COMPENSATION INSURANCE 306
306 — HOLDOWNS
(7Tissectionneed makcomplerediftbel McnitisforouchundreddiAlarsolt)(1) 307 - INSULATION
onleAi') 308 - SHEETROCK
1 eerily that in the perfinmance of the work for which this permit is issued.)shall not 3 0 9 - EXTERIOR LATH
employ any person in any manner so as In become subjectto the Workers'Compensation
Laws ofcarfomta.Date 310 - INTERIOR LATH
Applicant
NOTICE TO APPLICANT:If.after making this CeniBcate of Exemption,you should 311 - SCRATCH COAT
become subject to the Worker's Compensation provisions of the Labor Case,you must 313 - ROOF NAIL
OO forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY 501 - FINAL ELECTRICAL ENERGY
I hereby affirm that lhercis acon..stmction lending agency lot hep ifnrmance in 502 - FINAL PLUMBING ENERGY
RS r>
the wurkName ch this permit isissued(Sec.7(197.Civ.C.)
Lender's Name 503 - FINAL MECHANICAL ENERGY
W Q
az LeaittsAdd.. 504 - FINAL BUILDING ENERGY
U O 1 eenify Nal I have read this application and state that the above information is 505 - FINAL ELECTRICAL
W F correct.I agree to comply with all city and county ordinances and state laws relating It,
DU buildi as construct on,and hereby authorim representatives(if this c ty to enter upon the 5 GAS TEST
,W ahoy-dontioned property for inspection purposes. M7 — FIN
(Wc)agree m save,indemnify and keep harmless the City of Cupertino against
faA Iiabili ties,judgments,costs and expenses which may in any way accom against said City N CAL
U Z in consequence of the granting of this permit.APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT' Issued b} Date
SOURCE REGULATIONS.
Re-roofs 514 - NAL PUBLIC WORKS
49 T
Signature of ApplicxndCnmraclnr Dam
DA/ARDOUSMATT:RIALSDISCLOSURii Type of Rp!pf6 - FINAL BUILDING
Will the appfieanl ur future building cerapam store or handle havallous mmerial
as defined by the Cupenino Municipal Cale,Chapter 9.12,and the Health and Safety
Gale.Se
❑WYe, p P an zss33(an 0 N All roofs shall be inspected prior to fin material beim Installed.
Y roofing g
Will the applicant or future building mMt,ant use cyuipmcnt or devices which If a roof is installed without first obtaining an inspection, I agree to remove
mit hazardous air onnmminants as detined by the Bay Area Air Quality Management all new materials for inspection.
uishiel't
[I Yes ON.
1 have read the harand:ms materials requirements under Chapmr 6.95 of she Califor-
nia Hcallh&Safety Colo,Sections 35515.35577 and 35531.1 understand than if tw wilding
does not currently haw a tenant Nal it is my respomi hifiny to nouly be occupant of the
regmmmenrs which must he met prior in issuance of a Certihtat or Occapancy. Signature of Applicant Date
Owner or aullinewd agent Dale All roof coverings to be Class oBrr or better
60'
2 2" Lot size: 6000 sq. ft.
House size: 1218 sq.ft.
(existing original)
APPROVED
IN ACCORDANCE WITH THE CITY Oi
CUPERTINO CODES AND ORDINANCES 2
DATE 44 11
SIGNED 28
This set of plans ane specifications MUST
be kept on the i-,b&; all times and it is un
lawful to make any c.-nges or alteration:
on same withouitw t.Ln permission from
-46 6' 11P the building Oept,. City of Cupe lino.
The stamping of$n;a,an and specifications
SHALL NOT be K!it to da:mit or to be an
approval of the y,.ljai n of any provision- 100''
of any City O.dinance or State Law
Garage,
2&6"
24'8" 9.50'
5' "
Open porch
i
19.51'
311' JUL 2.5 2001 U
Paved driveway/parking
Sidewalk
•
121_�
I--3'2
t '
O B11
• O °
r °
14'11
r
PP TRY
PN 7REIR
GARAGE
rrp
JUL 2 5 2001 L✓I
OPEN f A
PoRCH Y
` N
•
k-3'2
8'1
00
O0
0
•
REFRIG
ORIGINAL
m
GARAGE,
i JUL 2 5 2001
OPEN
PORCH
•
May 22, 2002
City of Cupertino
Building Division
Re: Permit#01070134
1 request a six month extension on this permit.
Due to circumstances beyond my control in my business, I have been unable to complete the
work on our home at 7491 Kingsbury Place.
As we all know, the economy had been becoming progressively worse and, of course, 9/11 took
its toll. But to add to our problems, I purchased additional equipment that has added to my
overhead. This new purchase is just now beginning to pay expected dividends.
• 1 ask for a one-time six month extension that would give us the required time to complete the
project.
• Sincerely,
i
Hen anzler
7592 Kingsbury Place
Cupertino, CA 95014 �t MAY 2 3 2002
ey_
77/,�i
A fP A o
•
CITY OF CUPERTINO '
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: PERMIT NO.
7491 KINGSBURY PL HENRY MANZ ER 01070134
OWNER'S NAME: APPLICATION SUB DATE
HENRY MANZLER ��� 07/26/2001
PHONE: SANITARY NO. CONTROL NO,
C-Z ARCHITECT/ENGINEER: BUILDING PERMIT INTO
L w- BLDG ELECT PLUMB MECH
LJ L=:1 I� LJ
a H= LICENSED CONTRACTOR'S DECLARATION Job Description
O Z-C I herehy aRrm Nat I am licensed under provisions of Chapter 9(corromming
FyFw is infoRbon7.)ofDsman3ofthe BusinessvndProResiors Code,and mylkenu INTERIOR R MODEL & ADD.
x15 is iarseCotceand effect. ����� �
S c u ll License to Lic.p
m a as C Date Contmctar
ARCHITECT'S DECLARATION
I-L 1 ma crsmnd my plans shall he used as public records OCT 1 8 2002
r
M d es Licensed Professional
au. OWNER-BUILDER DECLARATION
`-'v I hereby elfin thm 1 ant exempt from the Contractor's License Law for me
following reason.ISeelma 7031.S.Business and Professi"m Code:Any city as county, 1 /^s$3 9 O O
z,x O which requires a permit to conserver.alter,improve,demolish,or repair any structure BUl LDI1{�V VI
i3E -privnu its issuance,als
a acquiree themplicam rorwnh pemeiem Ble railroad statement
- that he is finewasad pursuant othe pmbisionsrime CommctursLimma Lawclapier9 3 g��90T�f j�as;•, s = Valuation
comme
( ncing with Sectim7000)of Division 3 of dhe Business end Professions Code) y d s,V t
or that he is exempt theic6am and the basis for the alleged ennolni h.Any violation
of Sacrion 70315 by any effluent far a Petit subjects the opplicent to a civil Malty
:ofnobmofa than five hundred dollars($500) 101 APNP;aftATION "1`'' ':• Occupancy Type
01.as owner of the pmpeny.or my employees with wages as their sole competmtioo. I
will do the'wark:and the'suucmre'is norimmmd7ed or offered for sale(Sec. 14, - ,,.p q= -
'Boii"hub Professions Code:The Contractors License law docs not apply to an 103 - UFER Required Inspections If `
a ffc r of property Who builds or improves eheram.and who does such work himself
or through his own employees.provided drat such improvements arcam immaded or. 104 = REB_A_R ______-
-rte id f ole:IChow dhe Iwildi g mpmvowcm i. sola within Goan year of"-------10 5._- .ANCHOR BOLTS f.3 r ;,,,t ,
rompl a ,the own l Id ill have theburden of prov ng dant he did nm Wild an
rap f Proposer ' ' 106 - SEWER & WATER I _
_ _ 4as oyrear or the pmprny am ezclu:isely emanating with licensed contractors in —....—._.--202 – UNDERFLOOR PLUMBING' R�.:'
consumer the pmject(Sec.70b1,Business and Professions Cade:)The Contractors k•Ir
mud-mudowner
.properly who..minmms) ildesedmpmvaml.fla ^203 - UNDERFLOOR MECHANICAL''
s.a
f r-. _rod immes trm for such.pmjects.with.a.contmctodsl licenser Purtuanteo the. . ___ .-___.--______..__
entmemrs Ieemsef,.aw., '204"-"='-UNDERFLOOR";`FRAME-
- 205 - UNDERFLOOR""INSUL'rATION
3 ❑Ia pd updc ec. o _ P Qfor this rtas"n
' r'._ ... /
owh` da,E 7 '2G(O/ 301 - ROUGH PLUMBING
C MPENSATIO DECLARATION 302 - TUB & OR SHOWER
-�, In hereby affirm Drat pen ey�rpeDa 3�one r Tena rauawrngdeemmu""` 303 _ ROUGH MECHANICAL
❑ 1 h and will i-' - ca"diro n 'f Consent to seu.insum for Workers
ion
C.nn,mu , n pro xeJ-for by Section 3700 or [Joe th
c Labor Comfar e 3 04 ROUGH ELECTRICAL
Performanceonndwork fur whm
ieniapermitisissuea305 - FRAME
❑Ih amJwdrrt b nWsrke aCn xeaemnl tt a nhy,5,ribs 306 - HOLDOWNS
3700 f ine'Iabgr Code r r them perme of w ik for n h his mid,is 307 - INSULATION
is ued MyWorkers Co Tse t o Insure ce c and P y n her re,
..,crmr 's- _10poh
v
4 cy .30.8j..-L, ,SHEETROCK': `OsL. I.,- •
t CERTIFICATION OF E%EMPTION FROM WORKRRS ` '-,'3 0`9 '- -`E%TERI ORILATH'!'
COMPENSATION INSURANCC _ _
i - r r. ._..___.. ..
gun t - " p ferretsrrame namarcd nauar, 310:;', { INTERIOR_..LATH , .'=LL . � , `1,;..,lt..�.. ; I, '
(Th senior nerd nod be ret n lard if the
($1 or Ins.) ,,,,,,,,,,;,, , ,;; 311 SCRATCH COATTI r I .
1 n ..,.... .-.,..
I certify that the pvrf r 1 the k r h r this per i i i sit J tl
3 T 3'"`=r"ROOF"NATE,,,
'
'shut n d empty ryx do y ; r trims sn)ctt ,tpe'Wokern 501 - FINAL ELECTRICA'li`ENERGY
Cmpenut laws fClf to 'n'ne
.:Appacam r � .,..____502-- ----FINAL.-PLUMBING .ENERGY- --..
O ._N_OICE__ _.O._. AN.Ifarta
bemaasubject
ub ctu1.-hec sCnorx
nks li eetfet fthfeLxeaLabor
uCbadd,you hmtwht 503 FINAL MECHANICAL"ENERGYZforth itm mply with ucmvisionsothin pethnllhdcemedrevokud
___-- ,- 504_ _FINAL__BUILDING--.ENERGY___
_-.{
_--- -
011 117 1. CbNSTRUcION'LENDiNGAGENCY 505 - FINAL ELECTRICAL "
nI h rcby uflirm mm there is o con d et n lending agency f th pe rmm�e f.', u 'T
a erre ra men this py I` . ed(q l W7 o c) - ,_ .e,",.,;,_a. 5.0.6-.- GAS TEST _--- ---._. - ---
a. Lender'shame — — 507 - FINAL PLUMBING - _
�,Z Lenders Add ss ^_ _ 1'1 rs G
U'O co IcemfgthtIhas, adth'appl at rrmsttethrth boemformminis 508 - FINAL MECHANICAL
QI~, act.1 agree to comply with all.city and county ordinances and star.lows rclmmg 5 0 9 - FINAL GRADE
:V to building miction ndhrcpy auihoz prcenttoee rah'.ctyt ewer upon
w mem cru, pp frylor n.prcu npmp 510 - FINAL PLANNING
t:-L (0.e) g to ale ndemnify and keph Ienrthe Cityof Cupenmo ugann
F m lit to , d nescore tlexpense which may any ay ucc see againsd smJ 514 - FINAL PUBLIC WORKS G
J Z
City neons NC fm pro rngori d -
APPL UNDF. DS ILLCOb LY WITH Al L N N POINT'
S GULA Issued by: ate
-c Sign tore or ieanVComraedm :,„ esl dN01n r"'i. Re-TOOTS
HAZARDOUS MATERIALS DISCLOSURE , ...'.
Will the aVpiicdnt&future diilding a upvit stain in handle h=.matrn.J Type of Roof.
asdfcdbythe Cit M1fyyy ryryryaaaI Cod Chapter 9,17 and me Health and Sufedy
CN Section❑ 3553'_(0) s) Y of `C - 4 t s o1L 1 r.n, e . 1. ...
/b� All roofs shall be mspected,prior to any roofing.matenal being installed.
y r W II sh< ppi¢ t r rare bei IJing ac pat n equ pmem or Je ces h h 's
"ether rdaeq cora t e6nedbytn B yArc ArQualtyM nagement If a roof is Installed without first obtaining an'inspecuon I•agree.tfi remove
D m<t all new materials for inspection. Applicant understands and will comply with
I have eem'lthe harard"us.matenals mquirttreat,under Chapter 695'ofthe '
Cahfomia Heaitb&Sarety Cada Semiana:5505.35533 and 2553,:I,understand tam
-lfthe WtIdm dozxn IcutrenI h vend ad eh d e myth pun. barye notify the ______........_ .. ____ __. _----
in
, �-
ace path o ghuemem hi',h 1 be toed pr t "once of/v C mf�ere f
F �`" 7h�/ Signature of Applicant . _. . _ _ Date
ra elizea ag e t - oder, All roof coverings to be Class B" or,better' "
OFFICE -- - - - - --- -- - -.. __ . _. . .