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06020172 (2) CITY OF CUPERTINO '" �' -� '11t" °*' BUILDING DIVISION PERMIT COMHU' CTnR INFO AVOW* ' a`ysa.3c F.'t�na~Tx,>x ,X. t.;i to fiU1LDING ADDRESS: ROCKY LOWELL CONSTRCUCTIO PERMTN006020172 �- 371 MANN DR ITS NAME: PERMIT LSSUE DAM KATHLEEN ELLIOTT 10311 MANN DR. - 02/28/2006 ONE: SANITARY NO, CONTROL NO. (408) 930-6786 ARCHITEMENGiNEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 30p LICENSED LDCONTRACTORS DECLARATION loaffirm that Iamlicensed under previsions ofChimer 9(commcming Job Descriptiontion wide Section 700)of Division 7 ofshe Business and Pfesoc,Code. nd my tic^"a u In fall faaeand.11m. ADD HALF BATH & CLOSET IN BEDROOM, Lkanm Class Lie.Is Contractor MINOR STRUCTURAL ' pt Dak TSDEC "} ARCHITECTS an DECLARATION 7 1 uMcrewnd tela plain than M uutl u public mcmdt 14 It c Licensed Professional �� OWNER-BUILDERmDECLARATION I hereby.(fire that I nm exempt from dac CononesCo License Law for the v O following m n,a. on,t R131s.B.saw.a and Profnsaiuns Cod,:My city or county v/O which mquirea a pumh to construct.alter,improve,dcmaliit t fl repair any aWqum 1e mantes Removed pursuant requites thoapplicant fa Coninumi's Uccrosiguedsuumcm G Neth,isncing wit putauant loth)of Diawiuo(Me CO,Irumra el Protiaw(s Code)9 Sq.F[. Floor Area V81Dat1 $ that he Is engwith therefrom and basison3 oftbueged ecompti n.My Code)or that he ls eumpt therefrom and sere bolt for,gat alleged eumptim.MY violation of Section NOLS by am/applicant far a permit subjects the applicant to.civil penally of plan ber Occupancy e not mare than five hundred dolWs(SXD} 32645028 . 00 - Typ ❑L se,owner of the property,or my employes with wgu as their role compensation, Will do the wort,and the amumure isnot intended or offered forsak(Sec.7044•Business and Piefesaians Code:The Carmichael Littnle Law does not apply to N owner of Required Inspections property who bantam improves thereon,andwbu6masuch work hinisa fan through his peso employees,provided that such Improvements are notinurued ano0ered fm We.IL however•rte building or Improvement is sold within am year of completion,the owner, binder win ham the burden of proving that M did ret Wild m Improve fm purpose of "to I. ❑1.u owner of the property.1m reclusively cmmuung with licensem consumer the pmject(Sea 7044.Business and Professions Cade:)The Co metals U. tense law does not apply to an owner of property.who Wilda or improves,themes•and, who carmen for such proJeeu with a eorambod0 licensed pursuant to the Contnmors L.Icense Law. s lam reemp1 under ,B&P C As,this maxon r s' WORKER'S COMPENSATION DECLARATION 1 heaby allim under penalty of perjury tem of the fallowing declanUmu ❑I Inward will nummin•Ceniscom fCament m self--imus for Warrens Cowper. -salon,u provided for by Section 3700 of the labor Cade.for the perfamance of the work for which this permit is IabuN. ❑1 have and will maintain Warke's Compermtim hoodam,u requited by Scam 31 M00af the labra Coda far the performuseaf the wank fm which this Permit is issued. My W,nkel Compensation Instant=carfier and Policy number am: Calder. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE or kis.)(Tltii=I—rend amt be completed if the permit is for am hundred dollars g$100) 1 canlify that in the performance of the and fm which thus permit Is Lamed,10.11 not ' caploy anypermnin any manrcrwu ecom b' otheS Pr r pensNm Laws of Cuifornia.pyg - / ' Applicant �j( NUTICE Tp—LICA .If.after making this Cenlacme of Exemption,you should become subJect he the Wallace-Compensation provisions of the Labs Code,you most ., forthwith comply with such provisions or this permh Nall he dttrmd rewkm. z H CONSTRUCTION LENDING AGENCY [-i 1 hereby seam that them Is a construminn lending agency for the perfurm ace of CYi the work for which this permit a Issued(Sea 3097,Ci,C.) 6i Q lentleh Num lenders Address U6Q 1=fly that I have read this application end!tete Nn the abort mromalim 1. LL w+ comm.I agree to comply with all city and county ordinances and fou laws mining in O>, building construction•and hereby authamm repaunwlma of this city to near upon tlrc [fI�L. above-mcmiomd property for impaction purpmes.a LL (WW,)agree to cow,indemnify and keep homeless the City of Calamine,against I..i y liabilities,Judgments.emu and expenses which may In any way game against said City V 7 In consequence of the Starting of this permit. -2-0(-' ��'v C APPLICANT UNDERSTANDS AND WILL COMPLY WITH A N -POINT Issued by: Date �- a • CE UytT10N - �f/O� "f Re-roofs 2�- IgnuurcalApplican onmecta' Dau HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will ds applicant m future building meupanl same or handle hoodoos maurlal farad by the Cupertino Municipal Code.Chapter 9.12.and the Heald and Safety Smiles 25532(.)7 All roofs shall be inspected prior to any roofing material being installed. ❑Yes ❑Nu Will the applicant en(more Wilding. Pant use egoipmant m tkvies which If a roof is installed without first obtaining an inspection,I agree to remove it hazardous air conWninsnls u relined by the Bay Ma Air Quality Managemma all new materials for inspection. DluricR p ❑Yes ❑No I ham mad the hasum ous materials requirements underChapier 6.95 of the Ceilfor. rat Heslk&Safety Cade,Semiom25S05.M533aa125534.iundemundthuifthe building data not cumntly have a saint.that,It L my impeccability to floury and occupant of the m i�my�iwh}'�hmuuWmet 'I talssoanceo .Canneries ofOccupancy. Signature of Applicant Date .?—z8—ay Owner or authorudaganl pqs All roof coverings to be Class"B"or better A,*7 �Wa r ►' ✓ e� � • Elliott Remodel Specs Note: no new square footage added —remodel of existing space only. Pining 13ac4+'OUM ' ' Room Remodel td Bedroom+ 1/2 Bath Move existing HVAC register to ceiling in bedroom — c In soffit' Add one outlet each to 2 exterior.walls Closet 5' louvered French doors opening from center 'Center ceiling fluorescent light on switch w/motion sensor 57" rod across back Shelf above rod 1/2 Bath 3 5' louvered French doors opening at center(right side with bolt) Kohler Wellworth pedestal lavatory w/single hole faucet drilling 22"W'x 18"D x 34" (K2293-1) Fluorescent light above mirrored medicine cabinet over sink 1'x2' Milgard double pane slider window centered on exterior wall 6' high Tile floor Kohler Wellworth Lite round front toilet 27D x 20"W x 28"H (#K3423) Delta single handle faucet o 2GFI outlets t� 4 - I �- FEB 2 8 2006 I rr - - - - - - - - - - - - - - - - - - - - - - - - I � I � I I I i I SUNROOM MASTER (UNCONDITIONED) . N� BEDROOM OFFICE i -5 1 4" \ SLOPE --- -4 1/2" I STEP STEP I � I I I BATH 2 ------ +0'-0" I CD UVINC/DINING 0 BATH 1 BEDROOM 2 I I I I I I I KITCHEN o 000 HEDROOM 1 I I i ❑❑ i I r-- 1 I I I I I GARAGE f- - .- - - - - - - - - -- - - -- -- _j I I I fox ISTINFa I I I - - I S H I D A I SAN FRANCISCO L - -- '- - - - - - - - - - - - - -.. _J (4 i 5 - 577 . 73521 ke11yeye@hoImaII 17 M,4fz 2vo�. �g I O ELL I C,-F-F ........ ... KHG 4x 5 NL.. I X14.1.. -111.. --IAO -> fu yl OR IH :9 ~ ^ ` ` / \ { / % , : _ 7r o _ } t ± } ; $ . / \ � \ a5zo tr 06) c m _ } / \ \ / a � \ � O) I/� - � Y� - CITY OF CUPERTINO MTPI&I4A cuP a 172— 7,xN 3 21 6 497 02 8 Date:o2 _021t - v'LOO& BBiuiilding Address: Mailing Address (if different from building address): 0 3-7/ I;Va- nn JD rI' ✓V- ner's Name: Phone 4 D i q 7 3 _ 5-9 /moo D Contractor: License#: t o" CoNSfru��iol�l 3 8 7 70 Conta t: Phone: -725--0/17 Cupertino Business License#: konkv Fax: -y ZS- 8/bh Building Permit Info: Con`�Cjfvuc¢ inj YA :C l3aVti q C/07Xe f in x 4 i 11 bldg a Elect ® Plumb ® Mech � Job Description: Residential ® Commercial ❑ Sq.Ft. Floor Area: I-Mq.Ft.: cost�o�o�O occupauc�oyp: Type�lof Constructio Please check this box if the project is a second-story addition: ❑ o'ect Size: Standard ® Laze ❑ Major ❑ uant ity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BB,OILER3. 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 End/Off/Comm/Quasi BUILDING BCONSTA-XBQ 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