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04060209 (2) CITY OF CUPERTINO 7"�*�' '�°rp��e'��+` �a4i' ��,��♦`�` BUILDING DIVISION PER COL ',,T,, 0,T'0jkr1�F0,L�l�lis BUILDING ADDRESS: GREENHOUSES ETC PERMITN904060209 2247(; T.TNT)A ANN rT OWNER'S NAME: PERMIT ISSUE DATE ALLAN &' CA E; SANITARY NO. CONTROL NO. (408) 44 -1224 ARCHITECTIENGINEER 08 446- ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECTPLUMB MECH YDO LICENSED CONTRACTOR'S DECLARATION lbDescrip hon u 1 hemf@then hy am I am licensed under m omo provisimf Chapter 9(co mencing with Smon7Wo)of Division3ofthe Businasaand Penfnsiom CoM,andmyliccnseis mfWlmrta ane ercem. OPEN 1 NEW WINDOW IN BEDRM of 5 n Z Licen¢Close LIC.p 45 ARCHITECTS DECLARATION N4 C 1 understand my plans shall be used a public records DU Lkcnmd Professional OWNR-BUILDERDECLARATION y I hemhy.(lion then IE.1. nempl from He Contrumh UAny C law for she O p0 following mason.(Section flmear Business and pee.doinns Code:Any an omem. county $f which reyWrn a e.also m coriswn,else[improve,de permit t or repair any statement poor in issuance,atmrequire theapFtinnl for such Fermis l0ie s Low(Chapter �x?xa shahs is licensed pursuant tion 7 He Provisions of thrid Buamuri Liccnaelsw(CNFmr9 Sq.Ft. Floor Area Valuation zs-p thamme lesion therefrom the Division fro(Heegedeuandon.fMyvi Code)or ey$ Sec io is eaemps any applicant li ane Ne aper for He adlobjects due exemption.t.Any l violation of Section 7031.5 by any applinnl fora permit subjects Ne applicant m a civil Immlfy of 3 2P63N3iQ1ffaetO 0 Occupancy Type nos more than fol hundred tial,,"(f500), ❑1,as owner of she property,of my employees with wages u their sole compensation, will do the work and theswmum is not intended oroffered f reale(Sec.70".Business and Peninsula"Cede:The Conuacmrn a License law donot apply to an owner of Required Inspections preFerty who builds or impmoa Ihemon.and who does such work himself or through his own employes,provided Ha such improvemenmam not Intended oroRered for sets.IC however,the building or improvement is mid within on year of completion,the Owner. builder will have the burden of proving that he did not build or Improve for purpose of sale.). 1, re as owner of the property,am clum sively contracting with licensed contractors o vrtm d e project(Sec.70".Business and Professions Code:)The Communities Li. come law don not apply to an owner of property who builds or improves Hereon,and who convects for such pmjecu with a consrmaoKq licensed pursuant to the Contractor's License Law. ❑l am exempfuneer C. .B&P C for this mann e t/ yf Dam --,2�'(J —^ W 'S OMPEN ATIOND LA0.A ! I hemby aRnn under penalty of perjury one f He following declanuo es, I have and will maintain aCeniftnte of Consent to self-insum for WorkersCompen- sadon,as provided for by Seedon 37W of He lata,Cade.for the performance of the work for which His permit is Issued. ❑1 have and will maintvn Workers Compensation Insurance,as required by Section 3700 of the Labor Code.for the performance Cliffe work for which this permit is issued. My Workers Compensation Insurance artier and Policy number art: Cartier. Policy No.: r CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed It the Permit Is for one hundred dollars ISIW) - or Ina) I certify that in the performance of He work for which this Permit is issued.I shall net employ any person In any manncrm as in become subject to the Workers Compensation Laws of California.Data Applicant NOTICE TO APPLICANT:If after making this Cenificam of Exemption,you should Wonsan subject to the Workers Compensation provision.of He Labor Code,you must forthwith Comply with such provisions or this Permit shall M doomed Bwokcd. Z .~y. CONSIBUCTION LENDING AGENCY (•+ I handy from that Hem is a construction lending agency for He Performance of He work for which this permit is issued(See.3(197,Civ.C.) W A Lendcre Name z Landers Add. V Q I certify that 1 have mad this application and sum that Ne above infoorodun is !' conem 1 agree to comply with all city and county ordinances and lute laws miffing to C)gl'J' building cmccoodion,and hereby millionaire mFmeemalbes Of this city to enter upon led LTt shove-mentioned to a",fin imnify ad Purposes JI (We)agreer so cove,indemnify end keep may in an the y K of Cupertino against C Tag liabilitiesenceofnue Swung end of this permit. cony in any way eccme against said City s� ('),'� A consequence of He granting of this permit T� G APPSICANT UjJCi�RST DS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date e 5 RCE UL V S. _ �—��G Re-roofs sere of Applic Contracmr Dela HAZARDOUS MATERIA E SCLOSURE Type of Roof Will He applicant or future building Occupant or handle hiloodous material a defined by the Cupenino Municipal Code,Chapter 9,12.and the Health and Safely Code.Section s5320()? All roofs shall be inspected nor to an roofing material bei" 0y. OdNa P P Y g g installed. Will the applicant Of future Wilding Occupant am equipment or Jcvies which If a roof is installed without first obtaining an inspection,I agree to remove It harardnus air contaminants pe defined by the Bay Area Air Quality Management all new materials for inspection. District O Yes kXNo I have read the hoardsuemamriar m paimmenu under Chanu r 6,95of thc Califor- niaH"Ith&SafesyCode,Sections 75505.25533 uW 25574.1 understand thin if the building dam mol crosend h C a Coan4 that it r my responsibility w andfy 0u mcup sal of He mqui `F ie usfbemstptla,tuipea ceancenificamarOccapaney. Signature of Applicant Date O tfr surfacer agent Data `�� All roof coverings to be Class"B"or better *ITY OF CUPERTINO '* o tj Z v CUPEI�TINO PERMIT APPLICATION FORM 7 N# / Date: Building Address: Mailing Address (if different from building address): o2a Z/ Z 6 4.t AJ G7- 0-1-e00L--7;1t Owner's Name: Phone#: Atm .v 2 , 9' V0R-) 0 -S'i-7 Contractor: �/Z CEN Noce 5�=5 ,—C License#: ` &,,6Y Contact: Phone:`lofs q4-6-(2ty Cupertino Business License#: VIG.T-o/2. HC-9c_.Att Fax•yov)ase • oriG Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Job Description: Residential 4 w1 .0 D ou9 i v oo N Commercial ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: Occupancy Gro - Type of Construction: Please check this box if the project is a second-story addition: ❑ ro'ect Size: Standard ❑ Laze ❑ Major ❑ Quanti Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL 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 BtuWBUILDING NICAL BCONSTAX Construction TaxDING BCONSTAX Ind/Off/Comm/QuasiDING BCONSTAXBQ Con. Tax for B ZoneDING BCONSTAXH Hotel and MotelDING BCONSTAXR Constax—Resi/MobileDING BELEC1000 Elec 600V <= 1000ARICAL BELEC1001 Elec 600V> 1000ARICAL BELEC200 Elec Svcs 600V<= 200ARICAL BENERGY Ener DING BENERGYADD Ener Add MultiDING BINVESTIGA Investigation feeING 1 of ��G 0 . a45 *ITY OF CUPERTINO CUPEI�TINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. HousingMit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb 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 BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Cbeck 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 cfm MECHANICAL BRENLUZHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace 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 BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating . MECHANICAL BREMRESAPP I Remodel Res Appliance ELECTRICAL 2 of 3 OCITY OF CUPERTIN(P CUPEkTINO PERMIT APPLICATION FORM uanti Fee ID Fee Description Fee Group 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 EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Ad&ess Chane BUILDING i i • 3 of 3 1 , • APPROVED IN ACCORD CE W THE OF CUPERTIyd S D CITE ® Tr+s sEt of pl s d riffications MUST be k... ;.T the at all times and h is unlawhA t any changes or alterations on same + I�,riiton permission from hom ft Building L • .n, City of Cupertino. 719 of this plan and wificatione '_-A 01 -- ..__.. ._. _ o� ' !.-,o violation of any provisions of ..+., ice or State Law. aq lays uope'alle ,D avnm w sem pnpi WOJIP&AQWal leualew gy S188300 "(3O3AON3AOW3N lV IH31VW 'El Poun su,e�(a. �anoons 'o''a.Dgel 'a,I-a ue aq Ileys sl'om yens Auy *to' Aip'm s.1,w.a, Aq pasnea a6e inoA LII, non . Ujaik uadaey m Aue w+o jao of P01611CID Aq tou Ile.Ys .ouenuo HOUSES, GTV■ Lic. #496664 S. De Anza Blvd. • San Jose, CA 95129-4606 • 408-446-1224 • Fax 408-252-0126 www.greenhouses-etc.COM CONTROL NUMBER Contract and S+7pecifications CALOL— CjG 'y I A tom! La NOME PHONE +�_ St BUS, PHONE -. Hrting BUYER Staarting-'-- 711 22416 Ler .9hj Ari i I, Ja 4 �� ( 4 Date ADDRESS C CITY �� I -- Z'P Apprns. )Q Completion l u JOB SITE CITY _ _—_._ Date r Purharr Agra To Buy From Seller And Seller Agrees To Manufacture And Install At The Anove Address The Following: /N51AL.L t4lL ,42 D C %,� SS1� a r Jpcw 7y.r Pit:w c P N t J' L� !,�J Q P(Z� VT tj /445'A0t ti 3! laiHE /L N�cc�S /J � � e ,>s""Lo e r W �' ,2FD Lnj a in i C" W r/La l-r i w r L• D O Lui J' w!f-,a P OP-- / v `i N �a S ;t �. L" ,2 t ✓s id T Tb P/2- a V,red �Eti iltt A2la /AiSG. E A 'Tt N"Q - ! �'S !'IEC i f- '-`l ria jo 't•J ; I ri 4 !Jv C t._ jF-0 !r4 T7d 15 P/— 1 F L rr © V %F-(I- 5 1 �L o-/ L)-� L Nb o w 4 2 7c 6 S' t ' • 6�-'ire?-t P IC2i V-+ D c w i a. 3 `I I IF s � i ,� r�rrsv ) - 1546 S. De Anza Blvd. a San Jose, CA`95129 Oats) 446-1224 4 Fax (408) 252-0126 ® CSL 496664 a 2x`F v r j ��� CITY OF CUPERTINO ° BUILDING DIVISION PERMIT CON%P7li.CTIZ�IN.C„',UA,7'I01 .r'" .xd`�.',i"P •a-+m�r.o. ,.4�S r�. BUILDINGADDROS: GREENHOUSES ETC PERMITN904060209 476 T.TNnA ANN rT NV R'S NAME: PERMITLSEUEDATE ALLAN & CA E: SANITARY NO. CONTROL NO. (408) 446-1224 ARCHITECT/ENGINEER 08 446- ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 e! t� MOp LICENSEDCONTRACn&,Novi.m.of Top. �i nI thereby..70,fRf Nnlamfa,Bom.and Pr.fnof Chaper9(co Been.I, Job Description PO�u ALEM ^� with Section]OIXO of Diviilon3of the Bminess and Prufesluns Cade.end mylicense is PON 5 n in full force and orient. OPEN 1 NEW WINDOW IN BEDRM. z License Class Lk.Is �Jggqq Dae Genveno, JUL 22,2004 p ARCHITECTS DECLARATION 'u3l I understand my plans shall he used as public records cr^ Licensed professional Sui�p w gp�+9r OWNER-BUILDER DECLARATION urO ,Y $ I hemhy alRrm that 1 am exempt from the ComractoYa License Law for she cc following mason.(Seed.7031.5,Business and Profeasums Code:Any city o,county $LL which requires a permit to conmud a@r,improve,demolish,or repair any stmcture Fid^ prior to its issuance,else requires the applicant!orsuch permit to file a signed statement that he is licensed pursuant Be,provision of the Comment's License Law 9 Sq.Ft. Floor Area Valuation wtt $ (commencing with Section 7")of Division 3 of the Business and Professions Code)or that he is exempt therefrom and de basis for de alleged exemption.Any violation of Sadon 7031.5 by arty applicant for a permit subjects the applicant to a civil penalty of 3 2VP1ZM-taet0 0 Occupancy ye e no,...Nan live hundred debts;(S500). P Y'T'7P ❑I,as owner ofthe property,or my employees with wages so;their sale compensation, will do the work and Ne swcture isnot intended or offered for sale(Sec.7044,Business and Pmfessm.Code:The Cmara m'.Liam.Law does not apply b so no,or Required Inspections property who buildsmioproves thereco,and whCd.,.h work himself.,through his own employees,provided that such improvements are not intended oro0ered forszle.If. however.the building or improvement is,old within one year of completion,the owner- builder will have the burden of proving Na he did not build or Improve for purposa of sok.). �yay/I as owner of de property,am exclusively contracting wish licensed convacma to kolutmet the project(Sec.7044,Business and Professions Code:)The Conmcmrs Li. Co..law docs not apply to an ownor of progeny who builds or improve Nero.,and, who convects for such projects with a contractor([)banned pursuant to the Convectors License law. I ern exerdpfunde c. ,B h P C for this resson e V Dee W 'S OMPEN ATIONO URA \ I hereby aBirm under penaltyof perjury one f she to, declarations: 4bloon and will maintain aCeNfieue of Consenuo self-insure for WurkariComper- .tion,.provided for by Section 3700 of the labor Code,for Ne pesf.nnana of the wok for which this permit is i.ved. ❑I have and will maintain Worker's Compensation Insurance,.required by Section 3700 of the labor Code,for f Performance of the work forwhich this permit is issued. My Workers Compensation Insunue.artier and Polity number ate: Cartier. Polity No.: - , CERTIFICATE OF EXEM MON FROM WORKERS' COMPENSATION INSURANCE (This section sound not hecomplmcd if the permit is roronc hundred tell.(g IBB) - nrina) I anify that in the performance of the work for which this permit is issued.l shall not employ any person in any motorman as in become mbjecuo the Wortrra Compere.tion Laws of Caliternin Dae Applicant NOTICE TO APPLICANT:If,after making this Ceniftcac of Exemption,you should become subject to she Worker's Compensation provision of Ne Lothar Code,you must .J Q forthwith met with such provisions or this Pcrmh shall he darned revoked. Z► CONSTRUCTION LENDING AGENCY �—t I hereby af0rm that Bme is a construction lending agency for the performance or C► Btu wurk for which Nis permit a issued ISa.3097.Co.C.) Lenders Nsmc IL z Lender's Address U O I ceNfy that 1 have mad this applinmion and sue that Ne above information is I4 P Cortcct I agree to comply with all city and county ondinances and sue laws miming m O V buildingc.mtmcsion.endhereby.NorimrtpresentatigaofNiscitymemaupnnBe above-mentioned property for impaction purposes (We)agree to save,indemnify and keep harmless the City of Cupertino against ,A Ilabllitmajudgmenu,costs and cap.which may in any way accrue against sold City U in consequence of Ne Booting of this permit 2 ^ APP ANT Uri RST DS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date S CSE L Re-roofs ureof Appli .nB.e'or Dae HAZARDOUS MATERIAL4ZiSCLOSURE Type of Roof Will she applicant or run=building accupanl.lure or handle hazardous material e0ned by the Cupertino Municipal Code.Chapter 9.11,and the Heath and Barely .ScNea 15531(a)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yca IIT No Win theapplicani or future building Occupant me,equipment ordcviaa which If a roof is installed without first obtaining an inspection,l agree to remove I Im abuts air contaminants.defined by the Bay Arca Air Quality M....cmem all new materials for inspection. ndct7 Yes )(Ne 1 have read the hazm hos materials requirements under Cheptcr 6.95 of the Califor- .is Hcal"SafctyC.dc,Sam.15505,25533 and 75534,1 undema,W Nu if Btu building doe not cuoeml have a that iB u my rnpnnsaility to notify the occupant of the myui e t be mart prior to oc, a of o cCmr,cam of Oceupan yH _ _ Signature of Applicant Date O ,aath.d,c ,gem D,m All roof coverings to be Class "B" or better