04060101 (4) CITY OF CUPERTINO s-� ry.�a°^'� y�
BUILDING DIVISION PER Ts�.V� rA\C?.4A�v Al1r l�MA,
BUILDING ADDRESS: SIERRA LUMBER & FENCE PERMITND04060101
21952 LINDY LIN
OWNER'S NAME: - PERMIT ISSUE DATE
CANDAN TAYSI 1711 SEN
E:
SANITARY NO. CONTROL N0.
(408) 286-7071
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
eZi00 LICENSED CONTRACTOR'S DECLARATION
C I hereby off rte that I am licensed under provisions of chapter 9(commencing Job Description
U in ful micamudc)uf Divixion3of he Busitmcv antl Prufcssions Cotic.end my license is ( ) a��� as m r,t �®
"o wr hmn mrce arta area. REPLACE E DECK ■b ,N�FdY/i'S'1YEfISa -
�Z_ License Class Lic.If
M�❑ Dam Camrecmr
U1 understand my plans hall he use DECLARATION p n"Rttn�ed JUN 17 2004
3�G Licensed professional
OWNER-GUILDER DECLARATION BUl ® NG
<F I hereby affirm that I am exempt from the Contractors License Law for the ,tl
i a O following reason.Send un 7031.5,Business and Profesxioos Code:Any city or county
m which requires a peril us construct,alter,improve,demolish,or mpair any ssrucwre
Fib prior to its issuance,also requires he applicant for such Permit o rile a signed statement
Sthat he is licensed It u
umuannheprovisionsoftheConrnur'sLicenulsw(Chapter9 Sq.Ft.Floor Area Valuation
Wt$ (commencing with Section 7")of Division 3 of he Business and Professions Code)or
s 3
that he is exempt hemfsom add the beau for the alleged cxempd con Any violation of $3500
Soudan 7031.5 by any applicam for, unnit subjects he applicator Io a civil pemhy of APN Number Occupancy Type
net more hen I..hundred dollars(5500).
❑I,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered far sale(Sec.7044,Business
and Professions Code:The Conuacmes Lianse Law does not apply to an owner of Required Inspections
property who builds c r improves hereon,and who does such work himself or through his
own employees,provided thatsuch improvements are not intended diapered forsele.IL
haw er,the building or improvement is sold within one year of completion,the owner.
Wilder will have the burden of proving that he did not build or improve for purpose of
sale.).
1.u owner of the property,am exclusively contracting with licensed connectors to
construct he project(Sec.7044.Business and Professions Code:)The Contractor's Li.
cense Law does not apply to an owner of property who builds or improv¢hereon,and
who contracts for such projects with a eonuaaor(s)licensed pursuant to he Contractors
Luense Law.
Ore, amp under Sec. B&P C for this reason
no. Date Lh_bY
VO K 'S COMPENSATIO ETION
1 hereby affirm ander penally of perjury on f ollowin,declensions:
I have and will maintain a Certificate of Consent o self-insure for Worker'sCompen-
cation,a provided for by Section 3700 of Ne Labor Code,for he performance of the
work far which his perft is issued.
1 have and will maintain Worker's Compensation Insurance,as required by Section
3700 of he Labor Coca,for he performance of he work for which his permit is issued.
My Workers Compensation Insurance carrier and Policy number am:
Cartier. Policy No.: .
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(this section need not he completed Rim Permit Is Burned hundred dollars(SIM)
or it .)
I certify that in the Performance of the work for which this permit is issued,1 shall not
employ any Person in any mannerso as to become subject to the Workma Compensadon .
Laws of Celifomia.Date
Applicant
NOTICE TO APPLICANT:IL afar making this Cen ficate of Esemprion,you should
become subject in the Worker's Compensation provisions of he Labor Code,you must
.JO forthwith comply with such provisions or this peril shall he deemed revoked
'z' s CONSTRUCTION LENDING AGENCY
[-+�2 I hereby alRrm hat her,iso construction lending.gcm,for the pcmrarm.of
IY> the work for which this permit is issued(Sec.3097,Civ.C.)
GQ Lender's Name
z'Lender's Address
V Q 1 certify that I have read this application and scam that fee above Information is
lT. F' cora I agree to comply with all city and county aNinances and stoic laws relating to
O V building construction,and hereby mthorim representatives of his city to enter area the
W ahov-mentioned properly for inspection purposes, q
(We)agree to save,indemnify and keep hamlcss the City of Cupertino against I
i.r cc,1 liabilities,judgments,costs and expenses which may in any way acme against said City
V z in consequence of the granting of this permit. -�
APP UNDERSTAN AND WILL COMPLY WITH ALL NON-POINT Issued by: dia Dat
AV
SOU CER ULA
TIONS.
11-o Re-roofs
gnawre ofApplicaH rCondamouHAZARDOUS MATERIALS CLOSURE x¢ Type of Roof
Will the applicant or future building occupm m or handle havardous material
as defined by he Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Section 25532(a)
❑tics ? All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
it hazardous air contaminants as defined by the Bay Arca Air Quality Management all new materials for Inspection.
District?
❑Yes DNo
I hese mad he harzrdom materials requirements under Chapter 6.95 of he Califor-
nisHe cry Cod c,Sections 25505,25533 and 25534.1 understand that if he building
d not cum tly have a mnam, t it is my responsibility to nobly he a:cupnt of he
quiremrts hichmust
bemet
PH 'ssumcomrscertlfcamofOccur ey Signature of Applicant Date
wnerorauhori�.cdagent Dam b All roof coverings to be Class"B"or better
• City of Cupertino
Plan Check Transmittal
Permit# 04060101 Control# 13294
Project DECK REPLACEMENT Plancheck# 1
Address 21952 LINDY LANE FileDate 6/11/2004
Owner. TAYSI
Description DECK REPLACEMENT
Plan Check Status (attach comments and return to Building with plan set)
Plan
Dept check# Date Due Date Staff Comment Date Approval?
Building 1 1 16/1,1/200416/25/2004 POH 6/11/2004 ❑N6
Assessor 1 1 16/11/200416/25/2004 1 SENT 1 6/11/2004
Additional Plan Check Fee ❑ Hours,_
Planning Fees
Housing Mitigation Fee Amount
Heart of the City Specific Plan Fee Amount
•
W10F
40ITY OF CUPERTINO 6CUPIPERMIT APPLICATION FORM
A oft,
IWPN# / o� Date: Oy
Buildina�ldr�: ` Mailing Ad s 'f ifferent from building address):
G � t
Os Name: ti Phone#:
Contractoit e r License#:
Conta Phone: Cupertino Business License#:
Fax: Zs3 3'It
Building Permit Info:
Bldg ❑ Elect ❑ Plumb ❑ Mech ❑
Job Description: `�L� K ; S'ti c
Residential ❑ Commercial
Sq.Ft. Floor Area: $/Sq.Ft.:
Cost of Project: Occupancy Group:
Type of Construction: Please check this box if the project is a
second-story addition: ❑
o'ect Size: Standard Laze ❑ Major ❑
Quantity 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 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
•
1 of 3
r�
aw
OITY OF CUPERTINO
CU%P
PERMIT APPLICATION FORM
ERTINO
uanti Fee ID Fee Description Fee Group
BMISCELL Miscellaneous Fee BUILDING
BMITIGATC Comm. Housing Mit. 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 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 c&n MECHANICAL
BREMAIRHAN 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 Remodel Res Appliance ELECTRICAL
2 of 3
40CITY OF CUPERTIN*
CUPEf�TINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Group
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Sips, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb S ecific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimmin 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 Address Change BUILDING
3 of 3
8 1 7 1 6 5 14, 4 1 3 1 2
MCE C
rUPERTINO
CITY �� MME
1lILOI�G OEPA NT
4x4 POST TYP
5 EQUALLY SPACED
C 2x2 POST TYP @ 6"O.C. 2x6 - C
2x4
V111\VL \\1,,,
6 2x1° t 111W
2x62x6 B
2x6 2x10 2x6 SIGNED
This set of pla 1s and specifi dons MUST
22• De kept on the job at all times and it is on
lawful to maKe any cringes u4 mrmaualr.
on same without written permission frog:
the building Dept., City of Cupertino.
RAILING DESIGN The stamping of this plan and specifications
A SHALL NOT be held to permit or to be ar.
approval of the violation of any provisions A
of any Oity Ordinance or. We Law-
o-
8 7 6 5 4 3 2M 1 � ��
7{ �
i`
_ _ amore m�.a II xx w
2x12 @ 16"O.C.
(EXISTING)
C :
RECE
C
7
B B
NAIL rSPACED
EADER
2x12 @ 16"O.C. 2x6)
INTO EXISTING
2x12 @ 16"D.C. 1x4 SPACED UNDER
CUT TO 2x10
CUT TO 2x10
DECK FLOOR DESIGN
A
21952 Lin€ly I asses A
w Deck Repair
- REVISION REV STATUS
2 t SHEET OP SHEETS - m-•- O- -
8 7 6 5
4