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02040163 (2) CITY OF CUPERTINO - - BUD,DINODMSION PERMIT CONTRACTOR INFORMATION:.- BUILDING ADDRESS: PERMrf NO. 8187 PRESIDIO DR 02040163 OWNER'S NAME: APPLICATION SUB DATE PURNAVEJA CHAYABOON ET AL 04/30/2002 tr�• PHONE: SANITARY NO. CONTROL NO. g ARCHITECTIENO WEER: BUILT PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION ZI hereby affirm toad I am licensed under provisions of Chapter 9(commencing Job Description e�Jt with Section 70010)of Division 3 of the Bosincss�(W, Pmfe/asiuna Code.end my license BED & BATH REMODEL i Wen X11@ ,5 deR Lic.0. (o ��-� 3 o CCJJCT'SDEon"Cor „ON g FINALED lb&0 1 understood my pianissimi be used.,public suras Licensed Profwioeel FEB 1 9 2003 a� OWNER-BUILDER DECLARATION ut 1 be by eFno ton 1 am exempt from the Convenor's LiCome Lew for Ne- C?" following rteson.(Section 7031.5,Business and Professions Code:M cit Court F O which requires a permit to construct,alter,improve,demolish,or repair my svucmrt $50000 j 3$ -mourn w iuuavre,alsomquires the applicant for such toaster's Neaeigoni summent ING unit h5 iflirnroed pursuant to the provisions of the Correctors License Law(Chapter 9 IFI��tfsf5ne , Valuation ','C7 -2 - ...- memmendng with Sanies 7000)of Division 3 of the Btuimesa and Professinm Cod.) ('! `I ( I� _. T STY :^vt dL( j. or that He Is exempt therefrom and the basis for the alleged eamptio6.Any violation - 'of Section 70315 by any applimo6 fore pemul subjects doe e,licam to a civil penalty of not mom than five hundred dollars($500)' 101APN 9DATION Occupancy Type Dl,m owner of the property,or my employees with wages as their sole Compensation, 102 _ will do the work,and the suuerure'is not Intended or offered for sale(Sm.7044, t Business and Pmfenims Code:The Contractor's License law docs not apply to an 103 — UFER Required Inspections owner of pmpeny Who builds or improves thereon,and who does such work himself or through his own employees.provided Nat such improvements are not Intended or 104 — REBAR _ oRemd for Tale:If.however,the Wilding or improvement n sold within sure year of 105 — ANCHOR BOLTS completion,the owner-builder will have the burden of proving that he did not build or ' Wproverorpm PXm.fsXa.). 106 — SEWER & WATER _. ._ „D - . .. . . _8w 202 — UNDERFLOOR PLUMBING -_ ❑7,u owner of Ne fro penY.. _em. -0 xc_lusi.vely comox._un _ th licensed comments to consumer the project(Sec.7044,Business and Professions Code:)The Conmctora ' License Law does not apply to an owner of property who builds or improves thereon, 203 — UNDERFLOOR MECHANICAL .and-whocmoomm.for such projm s wither commebu(s).Ecamed pumaant m the ... 204 - -UNDERFLOOR FRAME-. Contractors License law. ❑lame.empt..&is.. B&PC forthis mason 205 — UNDERFLOORINSULATION one, Date301 — ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 TUB & OR SHOWER Ihereby aRrmunder Penalty ofperjury one othe following decimations: 303 — ROUGH MECHANICAL ❑ 1 have and will maintain a Certificate of Cement to self-insure for Worker's a 3 04 — ELECTRICAL ROUGH :�. Compensation, as provided for by Section 3700 of the labor Code, for the 305 — ROUGH perNmorso of the work for which this permits is issued. FRAME ❑l hive and will maintain Workers Compensation Insurance,as required by Section 306 — HOLDOWNS 3700 of the Labor Code,for the performance of the work for which this permit is 1 .My Worker,COmperostion Insurance wrier and Policy number em: 307 — INSULATION u. .,cv.cg S/b7v: rS,Poh.y GZ57fb ,... . .. '30'8," }IEHE9TROCK : , .. . . . . .._ CEKEM N PROM WOR RS:' ' ' - COMPENSATIONINSURANCE '.' t • 9 RT R°I OR- -LATH-' .. .p. .. _.t.. .... ..._. 3. . ........... ..__1.0;..._._TNTERIOR....LATH— '(TMs sdfiov need not be Completed if the permit is for one hundred dollen - (sloo)orleee.) 311 SCRATCH COAT anann "'. . . ,th_ , .. 313 ' ROOF 'NAIL :. .. . ...... _. ., ._ .. .. .. ' 1 ceatity Nat in e perfomunce of the work for which this pemdt is issuer,l of employ any Person in any manner so as le become subject to the Workers5 01 — FINAL EliECTRI CAL`8NBRGY Compewdon laws of California.Due . Applicant _. 502 - FINAL . PLUMBING ..ENERGY .. NOTICE ToAPPLICANTthe Worker's If.Compensafter oo�Ftion of Labor n.Code, you muld st 503 — FINAL MECHANICAL ENERGY Z become i comp ro the Workers visio seuos p orm, n of the labor Code,you mum , OO forthwith complywnnmchprovisionetarthis permitsha06eaeemeemvoked. 504 -. .FINAL, BUILDING_ENERG CONSTRUCTION LENDING AGENCY 1 hemby elfinn dna Nem is a conxwdon lend' agrnty for the perfoomence 505 — FINAL' ELECTRICAL m of the work for which this permit is issued(See 3097,Civ.CJ Lender's blablame,am .... .,. .. 506 — GAS TEST .. amaereAddress 507 — FINAL PLUMBING U-C IagreethnIhave madIdsityandapplication suersusethattheabove ilawsrBedroom onis 508 — FINAL MECHANICAL w.H correct.I agree m comply with 411 city and countyscirmonces and nate Iowa enter upon 509 — FINAL GRADE O:v the Wle-ming amwcfiogendhercbyeuctionpes eposes. vee ofhicirymcmerupov 510 — FINAL PLANNING Ig] the abo(we)all propsave,indemnify for inspection and keep puryoses. z, (We)agree save,inmmNty end keep hamdesi the City of Cupmgai st suer r V1 liabilities,juegmrnu,co u ed expemes whit may in any way eccroe against eerie 514 — FINAL PUB I C WORKS V. City in consequence{fit$/"fia grow ing of this nit. OURCECAN RTE� �7DNs/ Dl COMP 'yIITH'A1.LNONY6L Issued by: Date sigoaw o lican on Date - , Re-roofs -' IIA2 n D.U.MATERIALS DISCLOSURE „ the applicant or future Wilding oempan nom a handl,heraMous materiel Type of Roof . ... .. m def ed bythe Cupertino Municipal Code,Chapter 9.12,and be Health and Safety Code.Section Oyes 25532(.)? All roofs shall be inspected.pi'ior to._any;roofigg.material being,installed. wilitheapplicant orfuture huddling«mpentuse quipmen;orde.iceswhich If a roof is installed without first obtaining an inspection, I agree to remove ' emit h.samous ter contaminants as defined by the Bay Area Air Quoliry Management Diann? all new materials for inspection. Applicant understands,and.will comply with tR .. ❑Yes ONo - P PP. P Y f )� all non-point"source regulations. I have read be Mrallous materials requ remems under Chapter 6.95 of the - CalifomiaHealth&Safety e,Se6tiona 25505 533 and 25534,1 undenund that if the Wilding does not poly bav a tenors, u it Is my msponsib0iry ro notify he m�ccuPem of the aqui ¢nn whit must b n or s m issuance of l Ce Totem he ap - ,e, Signature of Applicant Date Jv p rano au edagent - Dam All roof coverings to be Class `•B"or better t OFFICE - CITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO APN# / _ O l Date: 9 ,, A-L- Building Address: 647 FI�5 Owner's Name "� ,� RPhone #:� �d�� 6Sd • 3qo - 9S4S Contractor:_ License#: aeV 17 P2ff Contact: Phone#: Applicant/Contractor: Fax #: Building Permit Info: Bldg ect b Mech Job Des 'ption: , Resid ntial: Ae-'D f- ?4-r7/ Commercial: Sq.Ft. Area: $/Sq.Ft.: Architect/Engineer: Valuation: Type of Construction: Occupancy Group: 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 BtUDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax-Resi/Mobile BUILDING BELEC1000 E16c 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 BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housing Mit Fee BUILDING ( 8-/ 77 lof3 ( 7 � sr� - - - - - - - - - - - - - - - - - - - - - - - - - /7 APR 3 2002 \ 8020 \ EXISTING DOOR AND WINDOW m \ ® TO REMAIN ' \ d SUBMITTAL \ 2468 #1 MASTER X// \ BDRM \ 13'_1" x 10'_11„ O A o O \ \ def / MB o !/ co J \ / \ \/ / EOUIPMENNTONGFI W / APR13 0 2002 J i / / - CIRCUR m A STUDY yam/ p E I " I Z oQ 288fm a -1 9'-10" x 8'-8" i Fcl m I Q 9L G n 9'-10" f 1 °o RELOCATE THIS WINDOWTO m a Q 0 /NEW STUDY _5068_ m LL U o i � - I -28se c c o o31-01. r- I nauea m rmu. 1 3 / 3 :: v m �o _ -- _ .. N o n NEW 3X8 DBL HUNG - I / C (TEMP GLASS) / V m 4888 m / � / T 'O D CFICE COPY (� o O N , > ZSOFFIT C a c REPLACE EXISTING BELOW i 7-0"WICABINETS Q C F.A.U.WI NEW 90% b CL O _ EFFICIENT FURNACE 4) Q 0 I / ch 0 M APPROVED ch m IN ACCORDA WITH THE CRY OF \ \ N ^ CUPERTI SAND \ a i1p - - - - - - - - - - - - - jL DATE m STONED / - mp TMs set-at p arse and wedllca0om MUST he keol on the job M all%mea and it s w4ftwu to lr\114 ff%Ke Bltr tl1UIQet OY akeraliorle oft tent wtM7Wwritten Pemliwion hone 4 dent,Cit'of Cupertino. The stamping 0l this plan end W90003111110ne SHALL NOT be held a pant Of to 00 An approval of the vi0lahon at airy provwo of Scale: EXISTING PARTIAL FLOOR PLAN ang0Ity0"ALtaLE®END NEW PARTIAL FLOOR PLAN SCALE: 1/4"= 1'-0" noted SCALE: 1/4"= 1'-0" (E)WALL TE REMAIN Job No. Date: ® NEW WALL April 30,2002 Sheet Title A-1 CITY OF CUPERTINO - BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: BUILDING ADDRESS: PERMIT NO. 8187 PRESIDIO DR 02040163 OWNER'S NAME: APPLICATION SUB DAM PURNAVEJA CHAYABOON ET AL 04/30/2002 HONE: SANITARY NO. CONTROL NO. Real ARCHITEC 'ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH y i I__I C=J L-71 i5mZ LICENSED CONTRACTOR'S DECLARATION Job ���® yo Ihereby e).1 ivi1amlicensedunderprovisionsofChaptm9(commencing BED & BATH REMODEL,esc ,miy with full kn7000) fUivisinnlaf the Businesaa PmPosxionx Cade,end my license iWai sell eandeff 1� 1 9 2003 z e 6 Lie+nu s Lia.#2" fo a S DECLor .e ,.. FEB. a O ARCH ll be use as pu ATION ,. I undersand my plans shall be used ax publicrecords .gooLicensed BUILDING e2 OWNER-BUILDIiBDECLARATION ,n 1 hereby affirm that I am exempt from she Contractor's License Lw for Ne following rcemn.(Section 7031.5,Business and Professions Code:Any city or county $50000 N$,] which requires a permit to construct,alter,improve,demolish,or repair any stmcium 63$._pa _--------- -------- that - - that nqi)licensed _ pursuant w the provisions of the Contractor's License Law(Chapter 9 (commencing with Section 10001 of Division 3 of the Business and NofValuation gssions Code) kya,?i+,•�"13�'�7,'1.2:VT r��VjY�?a l.j;a ia_3;N.• or that he k exempt therefrom and the basis for the alleged esemptiop.Any violation -ofSmtion 7031.5 by any applicant fore permit subjects the applicant to a civil penalty 'afoot more than Bre hundred&11.(s500). 101APN�5C�i6bAT ION a1 - Occupancy 'Jp e Cl 1,as owner of the pmpmy,or my employees with wages his their sole compenmtinn, 1 02 - PIERS _ '-wend ill do the the structure isnot Intended'or offered for sale(Sec. ._ - rBusects aad'Pociamions Code:The Cammmmn License La,, not apply m an 103 - UFER Required Insoeetions,.' ,,, s owner of property Who builds or improves thereon,and who does such work himself 104 - REBAR _ or through his own employees,provided that such improvements am not intended or offered far sale:I E however,the building or imp "'y"' -' rn of proving tuW within not ear of 105 - ANCHOR BOLTS iamPktion,the owneQW ilaer will have the burden of proving that he did not build or '" `� mprove for purpose of sale.), 106 - SEWER & WATER _.. 2'02_. = UNDERFLOOR 'PLUMBING' - O L as awaer of Ne property,am exclusively d Pmemi.ms,C limnsThe C.t.cl r'a cinswathe project(Sec. to an Business and Professions Cam:)The Ces,lumr'x 203 - UNDERFLOOR MECHANICAL'"'"` License Law dos not apply men owner th property who builds or sed.proves,.w the - " wd.who.mmrwts.far such projects with-+eomwnoHg.lmensed.inrsnam.ta the- 2'04--- --UNDERFLOOR--FRAME-FRAME... Contractors License Law. ..._ ..__ __.,__........._...___.._. _ .. ... - ❑lameaemptunderSec. ,B&PCfor,.is reason 205 - UNDERFLOOR:' INSULATION . .. own'r " ' '''Date 301 - ROUGH PLUMBING WORKER'S COMPENSATION DECLARATION 302 - TUB & OR SHOWER / •s Ihereby affmi under part+Ityofperjury one othe following d«lamrons: 303 - ROUGH MECHANICAL ❑ 1 hove and will'maintain'e'Ccnific+te of Commit to selGinsure for Worker's 304 - ROUGH ELECTRICAL Ij l Compeilmd.n, as provided forby Section 3700 of the Lothar Code. far the performance of the work for which chis perrm,is issued. 305 - FRAME ❑1 have said will maintain Worker's Compensation Inmmnce.�es requnia bi Section 306 - HOLDOWNS _ - 3700 ofthe Lm.rCode.far the,perfadnaaee of the wQ,kfar which..is pinata is 3 0 7 - INSULATION Its d.M/y�W kers Com/pensthan Insurance carrier and Policy number arc -i - ^- n, FJ 4+ )e Sl�Nyt yn vd .._6zS746'j,', 3019 r ' 'IKl y CMPON FROM w , )1EXTERrORLATH.: COMPENSATION INSURANCE ' a 1 =INTER-IOR,._.LATH_ .;-_-.._ ` .. ----- --- (S� (ThCss,Non need not hs completed arae perms is nor one hunerce donors 311 SCRATCH COAT r 31.3,_.:_--ROOF=NAI L_.:_ - to wfy,heti nth peso a e fIh kf wh,hrhspemutsis rA I - ' han'noty ply Hype m nynannr' + mbecom bjecttolNeWorken' 501 - FINAL ELECTRICAL'71�ENERGY Comichmairo Laws of C 1 f m ,Date. - ' NOt - _.... . . 502-._........FINAL ...PLUMBING_.,ENERGY .. _ _.. . _. . NOTICETO APPLICANT:Wmkr eft k' m cnor<mf the ', _ m 503 FINAL MECHANICAL -ENERGY g p.on ou shb z M1ecome subject the Wo Ae C mpcnwuon p o id f Ih Labor Code y , O � Tann ,hco-pIy ',h npr sonsothispe t Huth demd 1. ked. _ 5,0.4 -_ .....FINAL BUILDING-ENERGh CONSTRUCTION LENDING AGENCY 505 - FINAL ELECTRICAL I hereby affirin that them is aconstna' n lending agency for the parfotmence W G lar Mot1have rcea lhisa licanon dna atom that 506_ - GAS TEST Led sN Y PP _.._ .. _ .. .. of N k f which ire Fermi saved(Seo 3097 C . Z Lena Address 507 FINAL PLUMBING �,I GO 'nh above 508 - FINAL MECHANICAL Fmi E.i tortes I agree Ip comply with all city and county ordinances and auto laws mlming 5 0 9 - FINAL GRADE f, to building constructionand hreby authouncerepresentativesoftht city to eater upon 510 - FINAL PLANNING ,W Ne nbo oto edp pay furinepmo pryo s.. _96 n (We)agree to see indemnify nify ens keep hanNesi the Qty of LLpmino again, , rA liabilities,judgments,mist ad expenses h c m y,in any way awe against said 514 - FINAL PUB IC WORKS City n con eyuenk / gra ng of Iho i " " PPLICANT U11q pS AND W COMPL ALL NON. otfacER CTIONS 6L Issued by: Date Signaru o liana omw " . -, 1 Date Re-roofs ' AZARDOUS MATERIALS DISCLOSURE - 7 t Pore b Ruing bac pant store or handle harerdous material Type Of Roof y ptnino Municipal Cod Chapte 9.12.end the Health d Safety as dl tab N C (rl S. 7 x y.,, 1 c 'rx, laa,xu c, krk t it a,.• - , w`d+ [I" I s .All roofs sh_all,be inspected poor to,any,roo_fing.ma[enal being installed. code Se Ito ss3z W'IlN pylic t n cbuiltlingsession,tauequpatenttodeviceswhich If a roof is installed without first obtaining an inspection; 1'agree toTremove `ren havrdoos is containment,no d Bnad by the B y Area A Quelny M n+gemenr 1 District? all new materialsforinspection. Applicant understands and will comply with ❑Y r, r oNa - all non-poilit source regulations.' .,; 1 h v 'resd the hexa dous'mteiiels ttgmrements'under Ch pier 6.95 of tie Caldomn Health&Safety e,Sections 25505 533 and 255341 understand Nat ifdsebuilaZd- . 1 huv aipnant, it ism ponsibility to notify the'if t panl s wh c most t or.to ithe f Signature oApplicant _ Date Odna,o a agent ode All roof coverings to be Class "B"or better t .. . . :. , _. .. .. _...OFFICE- ...- ... .. . . . . .. . ... ..... _.. ._ r ' _. .