03040080 (4) CITY OF CUPERTINO 8 A
BUILDING DIVISIONPERMIT • aTONT.RACTORI
NF�RMATI ''
IY�TiSDDRvEs1CA CAMINO CT LENTZ CONSTRUCTION INC, J PERMIT NO.03040080
OAffibrEAGARWAL 5087 MAITLAND DR PBRMITISBN")", 5/2003
(408) 264-0555
E: SANITARY NO. 1 CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT' 0 PLUMB 0 MECH
r� 0
±op LICENSED CONTRACTOR'S DECLARATION Job Description
Z e hereby Affirm that 1 am licensed under And
Proteans of Chapter 9(commencing p
with Sccton]g)U)of Divixion3of theBnsineu and Profcuions Cadc,ma my license is
inmEmre.Ardefr� L .g_5 _ 2110 INSTALL SKYLIGHT (DINING RMFINALED
Pi Z License Class�-3��
i f o Dam i-.C Q contractor •-R.�)sr 34 "X34 "
e P� ARCHITECTS DECLARATION I�9 �]
` < I understand my plans shell be used as public=am& APR 2 V 2OOJ
6
f e Licensed Professional
OWNER-BUILDER DECLARATION
a f i hereby Allure that 1 1. exempt from the Contractors Ca License Law for the ��'�®I�w
.a
O� following reason.(Section]101.5,Business and ve.derindi Cade:Any city or county /G
which requires a permit re uiruwn,pima improve,h nomall.t lir repair any mnmurc
-i y pal hor e its issuance.p rsuanq the the applicant Of forsucthe Contractor's
permr's License
Law Chapter t
that he is licensed pursuommthc previsions Of the Comrutor's License law(Chantor9 Sq.Ft. Floor Area Valuation
i (eommcncingwiih Seclion7(100)of Divulan7af Ne Businesaend Profcuiom CMe)ur
3$ Nat les u exempt dmmhom and dm bub for Ne alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty or APN Number Occupancy
.at mom tw uane han Bhundred delta. p y Type
❑1,a owner of the prapeny,or my employees with wages As their sole comperotation, 32646012 . 00
will do the work,and do, MmaR isnot intended ar oQend fonele(Sec.7W.Business _
and Profanions Coal The Contralars License Law does rot apply to an owner or Re uired Inspections
property who builds or unproven thereon,and who doe such work himselfor through his 101 - FOUNDATION
own employers,provided that such improvements Are,not Intended oroRened for ale.It. 1O2 - PIERS
however,the building or improvement is sola within Arc year orcompleton,the owner-
builder will have Ne burden of proving that he did at build ar improve for puryose'of
103 - UFER
Asia.).
I,as owner of the o n am exclusive) contacting 104 - REBAR
Sepe y. Y gwithlicensed ntraators to
conswAwdoesct the netApply to 7044,Business of end Professions Code:)The Contractor's Li lOS - ANCHOR BOLTS
whoc Law doesnet
such Applytoithaorproperty wcensho eddsarimproves thmcon.ana 106 - SEWER & WATER
who contracts far each projects with aconuacmr(s)licensed pursuant b the Contractor's
laLaw.
0 m laexempt antler Sec. ,B&PC for Nis rcaeon 202 - ,UNDERFLOOR PLUMBING
203 - UNDERFLOOR MECHANICAL
Owner )YORKER'SCOMPENU ONDECLARADTION 204 - UNDERFLOOR FRAME
I hereby afftm under Penalty of perjury one of the fallowing Eeclantionm 205 - UNDERFLOOR INSULATION
Ave and will maintain a Certificate ofC.=nt to self-insure far workers Compact. 301 - ROUGH PLUMBING
n,As provided for by Section 3700 of the labor Code,fu the performance of the 302 - TUB & OR SHOWER
work for which this permit is iuucd
❑I have and will maintain Worker's Compensation Insurance,As required by Section 303 - ROUGH MECHANICAL
3700 or thefaborCade.fartheperformanceoftheworkforwhichthispermitisissued. 304 - ROUGH ELECTRICAL
My Workers Compensation Insurance carrier and Policy number arc: 305 - FRAME
Cartier. sml/r ?CL n rN Policy No.; /"/ /3-92
CERTIFICATE OF EXEMPTION FROM WORKERS' 306 - HOLDOWNS
COMPENSATION INSURANCE 307 - INSULATION
lir leu.CTMb Aced.need.1 he completed lithe permit is farooa hundred dollars(S I M) 308 - SHEETROCK
I certify Nat in the performance of Ne work for which this permit is issued.I shall not 309 - EXTERIOR LATH
employ any parson i a any manner sn As to become subject to the Workers'Compensation 31O - INTERIOR LATH
Laws of California,Data
Applicant 311 - SCRATCH COAT
NOTICE TO APPLICANT.If.After making this Ccnifinm of Exemption,you should 313 - ROOF NAIL
become subject to the Workers Compensation provisions of the Ichor Code,you am
Z� mnhwith comply with such provision.or this mh
peshdtlecm ..Rod.l be ed nkee. 501 - FINAL ELECTRICAL ENERGY
ti� - CONSTRUCTION LENDING AGENCY 502 - FINAL PLUMBING ENERGY
I herebywhich
Rirm that.it
iacommc.3M7.ndim agenry for the performance of 503 - FINAL MECHANICAL ENERGY
x E2 Nc ward fur which thb permit is is cor(Sec. le Civ.C.)
a q Leader's N.. 504 - FINAL BUILDING ENERGY
JC) LnaerIeaifYI 505 - FINAL ELECTRICAL
Q 1 certify Nat 1 low mW this application and sine than nd above information is
yF correct. Agrcetoicomply with
rebyautyandrie county ONinesofthis sate le order
upon the 506 - GAS TEST
�C.I building canswctined roAnd hereby authon PUTOesenletivvalthiwiry tocnmr upon the - FI&&ING
above-(We)Rea to A.fordamnify an p=p ha(We)agree m ave,indemnify and keep harmless the City or CupertAS against 08
FIAL
fA liabilitiu,judgmenu.cosu end expenses which may in any way acne egeinsuaia City S
;J Z a mnsequcoca of the granting of this permit. /N
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date `I (o
SOURCE REGULATIONS.
d / ; o--� 4-ij03 Re-roofs 514 NAL PUBLIC WORKS
Signatureof ApplicanUContrumr Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof ,
Will the applicant or future building Occupant store or handle hazardous materiel
As darned by the Cupe o Municipal Code,Chapter 9.12.and the Health and Safety
Cade,Section 25532(x)?C]Yes \NoAll roofs shall be inspected prior to any roofing material being installed.
❑Yes Nu
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
nrardnus air cont anti u dcfncd by Ne Bay Arca Air Quality Management
.ict? all new materials for inspection.
❑Yes No
1 have mud the haurdsms materials requirements under Chapter 6.95 of the Califor.
15533
that
fft
vr�-51/ o Hmlth,SSafety Code,Scua . nd25534.1 untlersund . uildingdsacurrently hawahemoa that it IS-1motonndfyteace.pant of themyuirmmcntswhich must he mmplaiaan«.(ACaoJBcamaraap.ncySignature vo7„f t A�ppalicant Date�auQ / , L
1J'
Owner err euNori'rcd e6e^t DRIBe All roof coverings to be Class"B"or better
/
y:
PA
TM
G�Iz�yvv
• `�0�3 ie ata
'I
CURB MOUNT INSULATED GLASS SKYLIGHTS
;PECIFICATIONSt Curb Mount Glass Skylights shall be Model No_, as manufactured by
-IPK, INC. of Phoenix,/Arizona. The skylights shall be factory assembled units. Glass skylights
nade by HPK, INC. are available in either Single-Glazed or Dual-Glazed. Single-Glazed (5G)
kylight units come with 1/1' Laminated Safety Glass with a .030 liner, Dual-Glazed (DG) units
Ire manufactured with 1' insulated glass. All insulated units have 1/4' Tempered outer glass, a
i/2'air space and a 1/I' Laminated inner piece of glass. These units are also made with a
Breather tube Installed to allow for differences in air pressures. Glass is available in either
ironze, Clear,or Gray. The skylight frame and retainer cap shall be 6035T5 extruded
iluminum with a minimum wall thickness of .062 inches. The skylight frame shall have an
ntegral evaporative condensation gutter, exterior drip and drainage slots. The glass skylights
:re also available In a SELF-FLASHING style frame per request
•
MODEL I.D.
I xx
211221 21N'.22'/.'
2114 _22N x 34Vi'
M2 22N'slfiN'N 46A'
A �I
5232 K
. •�w- 5032 46 W 6 '
. •� t5'x 61 ' Ot
w tr+ GUM cur paa rw,n aun
aplbCMINGWO1MUR I
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I.I.gM1111
y11NIY1 C AZING YINVI
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CAIxI1,1G 1[.I1v1
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n
4 \I rr ter.rrlru wrt7lero,l w.I,r
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slip
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` SeL3*L; UNIFORM BUILDING GUuta
Sk,S#nrtrrsnjleofkstduaude{reesfmmduhwbcowptctedoflbs
.nualnerk..toceurporurPlanedtheeaotan.a.bhepla+r���
triahaa rgair�toe dtitmr+e Aytiglus may be6rstaited in arc ga
.tbee tM blot skpe i143 degas«pater mora borimntaL
74rtks
� �—
�,'
Ilk VrV
� � •- . .- a.Y to tu�Nrd
� c
1/2 SHEEtr"toc.1L � , .
l oC
SKYLITE -DETAIL.
* d63
ror2
90e UNIFORM ME ewe
Secllon'306—Vent Termination UNIFORM PLUMBING COOS
W Each vent pipe or slack shall extend through Its flashing and (e)7)yeLTIfeLvrntingsystems shall terminate Doeleu tst
Shall terminate vertically not less than six(6)inches(152.1 mm)above ft mol dowgb.hilt u pastas ox less than 4 feet frees d any then
the roof nor less than one(1) foot(.3 n4 from any vertical surface. building Whicit extends atm angle of more dman 43>ces uPw
(b) Each vent shall terminate not less than ten(m6)feet(3 m)Iron• boriranul.
Or at least three (3) feet (.9 m) above, arty openable windoK door, (r)Vena tminds.Venting systems shall terminate not less tAan4f
opening,air Intake or vent shah.nor less than three(3)feet(.9 In)in or4fatbaimntaffyfrom.n rlessthm t foot above.my dom window cc
emery direction from any lot line;alley and street excepted. air inks into=7building-
TRVS� ROOF : SEE �'N6%/,veef>va,o- C•wtCUioN5 RE : CST TRUSS C"O"S
0
Skyl4ht Framing DebW
Roof Framing Around Openings
• • Headers with a span exceeding 4' must be framed with trimmers and
header rafters that are doubled or of lumber of equivalent cross-section.
• The ends of header rafters more than 6' in length shall be supported by
framing anchors or rafter hangers unless the rafters bear on a beam,
partition or wall.
Load-bearing wall or beam
Double headers-
when span exceeds
4 feet Width
Tail rafters Length
' Double trimmer rafters-
when header span
exceeds 4 feet
Rafter
Wall or foundation
Rerreled Paper
c, ��
. t
tTY OF CUPERTINO •
CUPEI�F PERMIT APPLICATION FORM a `
Ak
APN# Date:
X16- v/J- "1--/S Q3
Building Address:
�2a/-75- U//a �i9m.iJC7 (°Z�
Owner's Name: Phone#:
/'-")S// 2/.-, 9 Z 99 / - 99/0 S'G$'- X3'7/
Contractor: License #:
•T•%.or z L'.y�,gr //)C- x.568/7
Contact: Cupertino Business License#:
.T�2. (cnrZ 390-D?y '! ! 6-°763
Building Permit Info:
Bldg Elect ❑ Plumb ❑ Mech ❑
Job Description: SnS7-,9L-G. 341-x,3y"
Residential bin n - /z,x m 5"//'6,V7- Commercial ❑
Sq.Ft. Floor Area: $/Sq.Ft.:
Cost of Project: Occupancy Group:
—
Type of Construction:
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to IM Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75MBtu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX hid/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
BMITIGATC Comm. Housing Mit. Fee BUILDING
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1NIL ?ITY OF CUPERTINO •
CITY OF PERMIT APPLICATION FORM
CUPEkTINO
al Quantity Fee ID Fee Description Fee Group
BMITIGATR Res. Housing Mit Fee BUILDING
BMNEWMULTI New Multi-Family Res MECHANICAL
BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL
13NEWMULTI Multifamily Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BNUMULTI New Multifamily Res PLUMBING
BNUSFD New Single Family Res BUILDING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspoo PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pblg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste hitcrce for 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
IMF BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinklerBackflo PLUMBING
BPSTORM StomVRain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water HeaterNent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 clip MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfrn MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFD:T 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 A liance ELECTRICAL
BREN20LE Pole/Platform Fixture ELECTRICAL
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' CITY OF CUPERTINO
CITY OF PERMIT APPLICATION FORM
CUPEkTINO
Quantity Fee ID Fee Description Fee Group
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
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 I Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL S ecialIns ection BUILDING
BSWIM Swimmin Pool BUILDING
BTEW Tem oraz Power ELECTRICAL
BTEMPPERM Tem orar BldgPermit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical s foot ELECTRICAL
EPERMITFEE I Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issuance PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
ZADDCHG Address Chane BUILDING
•
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