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07100055 CITX OF CUPERTINO n '`' ' ' BUILDING DIVISION` �E1�1�11T �G��T� �'�� I��I�� ' >; ,:.:; ,..: : ;. ,:. _:: _.,,.. BUILD D ESS: PERMIT NO. �� l LA MAR DR DAVE &`�UE R.ANNEY 0 710 0 0 5 5 . PERMIT LSSUE DATE OWNER'S NAME: DAVE & SUE R.ANNEY 19841 L[� MAR DR 10/05/2007 SANITARY NO. CONTROL NO. PHONE: BUILDING PERMITINFO 2CHITECP/ENGINEER: BLDG ELECT PLUMB MECH �� 0 0 0 i p Q LICENSED CONTRACTOR'S DECLARATION JOU DeSCiIPtlOfl � v� ! hcrcby affirm that I am licenscd undcr provisions of Chap�cr 9(commcncing ; z� wiUi Section 700U) af Division 3 of thc Busincss and Profcssiuns Codc and my liccnu is RE - STRU( : TURE 2 W I NDOW S, RE PLAC E 1 W I NDOW , ADD �� a in full faccc and effecc i�? LicenuClass ��.� INCANDE.`iNT LIGHTNG ON DIMI�IER� ENCLOSE AN :�� Da � ARCHITECI'S DECLARATION EX I S TNG ;� U I undcrstand my plans shall Ac uscd as public rccorci4 DOOR . ° u. y Liccnscd Profcssional • � < OWNER-BUILDER DECLARATION '�� 1 hcrcby alTirm thai 1 am exempt from ihc Contractor's Liccnsc Law Cor thc � p O Collowing reason. (Sccdon 7O31.5, Busincss and Profcssions Cak: Any ciry ar crounty < � which requires a pcmiit to conswct, altcr. improvc: dcmal'vch. or repair any structure ° Z} prior ui i�s iuuancc. alsu rcquires ihc applicant for such permit �o filc a signcd sia�mcnt �, Valuation �= o that hc is liccnscd pursuanl to thc pmvisions o( ihc Contractor's Liccnsc Law (Chaptcr 9 ,>q. Ft. Floor Area $ 5 0 O 0 u t- �(commcncing with Scction 7000) of Division 3 aC Ihc Busincss and Profcssions Codc) or L �.. �hat he is e:empt tActcfrom and the bazis for the allegcd exemptioa Any viotation a[ Section 7031.5 by a�ry applicant for a pecmit subjecu U�e applicant to a civil penalty of Number Oceupaney Type not more than fivc hundred dollars (SS00). 3 6 9 1 � � 3._�� ❑ I, u owner of ttie properry, or my cmployces with wages as their solc compensadon, will do thc work, and ihe stcucture is notintendcd or affered for salc (Sec. 7044. Business Re uired Ins ections and Pro[essions Cade: The Conuutor's License Law does not apply �o an ownu of q p property who builds or improves thereon, and who does sucA work himself or Uuough Ais own employccs, providcd �at such improvements are not imendeA or atfered (or sala [f. however, the building or improvement is sold within one year of complction, the owner- builder will have the burden oC proving that he did no� 6uild or improvc for purpose of salc�). :� I, as awner of the propeny, am uclusively conuacting wiW licensed rnnuxwrs to nswct the projea (Sec. 7 . Business and Pro[essions Code:)'I7ie Contrxtor's Li- ccnse Law does aat apply an owner of propercy who builds or improves the�eon, and , who conuaas [or such pro' cts wi�h a contnctar(s) littnsed purswnt to �he Contracto�s License Law. ❑ I am aempt der . B dc P C f this ! Owner Date _... __ - WO S COMP SA ECLARATION . I hercby �rm under penalty ot pe of the follawing declaruions: '"� I hs.�e and will maintain a Cenifca�c o(Consent to sel(-insuie for Workc�s Compen- on, as providcd for 6y Section 3700 of �he Cabor Code, for the pedormarce of �he :k for which Wis pertnit is issucd. ❑ I havc and will maintain Workcrs Compensauan Insunncc, az ccquired by Sccuon 3700 oC the Labor Code, for the performance of �he work for which �his permit is issued My Worker's Compensation Insurance carticr and Poliry number are: Camer. Poliry No.: CERTIFf OF EXEMP7'(ON hROM WORKEStS' PENSATION INSURANCE (ihis section need t tie comple�ed if the permit is far onc hundred dollars (S 100) nr Icss.) �- I cenify tlics in thc perf � an of ihc wo fw whi �his pertnit is issued, I shall not e�ploy any person im m �cr so ihe Wq(ke�s' Compcnsation Laws of Cali[omi a Applicant NOTICE CAM: lf, aftcr making C'6ca�c oC Excmp6on, you should bccome 3ubjcct to the Workcr's Compensatio prov' �s of thc Labor Code, you must �,Z foMwith comply with such provisions or this' ' shall bc dccmcd revoked. � O CONSTRUCTION LENDING AGENCY E- � 1 hcrchy arcrm that thcre is a consuuction knding agcncy for thc perfortnancx uf _ �� thc work fur which this permit is iuucd (Scc. 3097, Civ. C.) W A Lender's Namc ' a z L.cnder's Address V � 1 certify that I have read this appliea[ion and state thu �he a6ove informatiun is �""" cortcct. 1 agree lo comply with all city and county onlinances and stau laws relating �o rJ U building conswction, and h by authome rcpresentaiivcs of this ciiy to cntcr upon Nc � W abovomcntioncd propcny inspccuon purposes. a (Wc) agme to sav mdcmni( and kecp harmless thc City o( Cupcnino against I �� liabiliuu, judgmcn�s, c and expc scs ' may in any way accruc agains� said City V z in conscqucnce a( th g ting o( �his perni Date �� APPLICANT U ER ANDS AND COMPLY WITH ALL NON-P rrr Issued by: � SOURCERE LAT! NS. /` U �� U Re-roofs Signa of ApplicanVContrxtor �a T e of R�of HAZARDOUS ATERIA D[SCLOSURE }r(� Will �he applicant or futurc 'Iding pant stare or handlc harardous matcrial az dcfincd by the Cupertino Mu cipa adc. Chap�er 9.12, and thc Heatth and SaCety c� ,Section25532(a)? All roofs ;;hall be inspected pcior to any roofing material being installed. ❑ Ycs No Will thc applicant or f mrc building occupant utc eyuipmcnt ar dcviccs which If a roof i:: installed without first obtaining an inspection, I agree to remove - mit harardous air contam' u dcfincd by thc Bay Acca Air Quality Managcmcnt all new m aterials for inspecrion. �csu�� ❑ Ycs Nu 1 havc rcad �he s matcrial ircmcn�s undcr Chap�cr6.95 of ihc Califor- I nia Hcalih & Safery C ecdons 25505, 25 and Z5534.1 undcrstand ihat iC �hc 6uilding docs not currcntly vc �cnan4 that il is responsihiliry W naiCy thc occupant f Nc rcyuircmcn�c w' h mu bc me� priorto' uancc fica�c of � / i Signature of Applicant Date � v All r oof coverings to be Class "B" or better Ownc r autharized agcnt °-` �� U� � CITY OF C'UPERTINO ��n�f pERMIT APPL�[CATION FORM CUPEI�TINO Date: aPN # ��Oq � t� C�,3 l. 0 � Cj �r--� � Building Address: �� Ma}lin.g Ad�ess (if different from uilding address): rl/�J �-t G G� �� Own r' Name: - Phone #: -�-�� - �?a�h� �/��-"��'-�s�� Contractor: � /' n � License #: � �� Contact: Phone: Cupertino Business License#: C�� Fax: ' Building Pe it Info: Y-t' S t,l,(�t.t-Y q� (.l) � �'-� s �� a� �� '�'� l � G h 5�,ti%= (� V�i� ��'' �t vr n� � r-e v� L�l �� ''^ �=' n� s� i-��C� cfz� .,/ � � � Bldg ❑ Elect lJ I'lumb ❑ Mech ❑ Job Description: Residential Commercial ❑ Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: �� ` Occupancy Group: � � Type of Constructi : ,^- -- Please check this box if t� project is a second-sto addition: Project Size: Standard ❑ Large ❑ Ma or ❑ Quanti Fee ID Fee Descri tion Fee Grou BAPPLOTHER ��ther Ap liances MECHANICAL BBOILERI. Boiler <= 100,000 Btu MECHAlVICAL BBOILER2 Boiler > 100K to SOOK Btu MECHANICAL BBOILER3 Boiler > SOOK to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILERS Boiler > 1.75M Btu MECHANICAL BCONSTAX ��onstruction Tax BUILDING BCONSTAX In�i/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Ta�c for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Co :istax — Resi/Mobile BUILDING BELEC 1000 El ec 600V <= l 000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD l:nergy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of 3 x s� � � CITY OF C'UPERTINO , � n�F pERMIT APPL=[CATION FORM CUPEI�TINO Quanti Fee ID Fee Descri tion Fee Grou BMISCELL nliscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME N�;w Comm Electric ELECTRICAL BNUCOMNIM Nev�- Comm Mechanical MECHANICAL BNUCOMMP N ew Comm Plumb PLLJMBING BOVERTIME In�pection Overtime BUILDING BPBACKFLOW At�nospheric Vacuum PLLJMBING BPCESSPOOL Cesspool PLLJMBING . BPERMFEE F�ld Permit Fees BUILDING BPFIXTURE Pbl Fixture PLUMBING BPGAS Ga: Pi ing System Fee PLUMBING BPINTERCEP Inc. Waste Interceptor PLLTMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Pla�i Check Repeat Fee BUILDING BPREPIPE R�� i e Of Fixtures PLUMBING BPSEWAGE '�ewa e Dis osal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Law n Sprinkler/Backflo PLLTMBING - - BPSTORM - Storm/Rain Water PLUMBI�iG BPTRAP Kitchen Trap PLUMBING BPVENT A: t of Drain & Vent PLUMBING BPWATER Inst<<lUAlter Water Pi e PLUMBING BPWHEATER W ater Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Iteinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfin MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHAlVICAL BREMAPPLI ��ppliance Install MECHANICAL BREMBUSWAY R emodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Re: ocation of Furnace MECHANICAL BREMFURNOV Relu Furnace > l OK btu MECHANICAL BREMHEAT �:eater Installation MECHANICAL BREMINHOOD In,�tallation of Hood MECHANICAL BRENIMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Po e/Platform Fixture ELECTRICAL BREMPOWER PowE r Device/A aratus ELECTRICAL BREMRECEPT Rc � 1, Switch & Outlets ELECTRICAL BREMRELOCA R:location of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Rerr�odel Res Appliance ELECTRICAL 2 of 3 � CITY OF C'UPERTINO �n�F PERMIT APPL;[CATION FORM cuP�� n�o Quanti Fee ID Fee Descri tion Fee Grou BREMSIGNAD Rmcll Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Ve�it Fan Sin le Duct MECHANICAL BREMVENSYS Vf ntilation S stems MECHANICAL BSCBLVD ��cb Specific Plan BUILDING BSEISMICOM Sei smic Commercial BUILDING BSEISMICRE �ieismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP T em ora Power ELECTRICAL BTEMPPERM Tem ora Bld Permit BUILDING BTEMPSVCS Tem Dist Svcs ELECTRICAL BUSLIC ��usiness License BUILDING ELECTRIC l:lectrical sq foot ELECTRICAL EPERMITFEE ElE c Permit Issuance ELECTRICAL MPERMFEE M echanical sq. foot MECHANICAL MPERMITFEE Me�:h Permit Issuance MECHANICAL PPERMITFEE Plu�nbin Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Plannin LR Comme/ Multi-Fam PLANNING PLLONGRNGR Plannin Lon Ran e Residential PLANNING 3 of 3 CITY OF CUPERTINO 7 ITEMS OF 7 PERMI�' RECEIPT OPERATOR: patq COPY # : 1 Sec: Twp: Rng: Sub: Bl}:: Lot: APN ......... 36��10031.00 DATE ISSUED .......: 10,05/2007 RECEIPT #. ........: BS(�00002905 REFERENCE ID # ...: 07:.00055 SITE ADDRESS .....: 19f�41 LA MAR DR SUBDIVISION ....... CITY .............. CUI'ERTINO IMPACT AREA ....... OWNER ............. DA�'E & SUE RANNEY ADDRESS ........... 19£141 LA MAR DR CITY/STATE/ZIP ...: CUF'ERTINO CA, 95014-3310 RECEIVED FROM ....: SU��ANNE M RANNEY CONTRACTOR .......: LIC # *OWNER* COMPANY ..........: DA�'E & SUE RANNEY ADDRESS ........... 19f�41 LA MAR DR CITY/STATE/ZIP ...: CUI'ERTINO CA, 95014-3310 TELEPHONE ......... FEE ID UNIT QUANTITY ��'IOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BENERGY PERMIT FEE 115.56 55.47 0.00 55.47 0.00 BPERMFEE VALUATION 5,000.00 115.56 0.00 115.56 0.00 BPLANCHK PERMIT FEE 115.56 154.21 0.00 154.21 0.00 BREMFIXT NO. FIXTURES 4.00 4.80 0.00 4.80 0.00 BREMRECEPT NO. OUTLETS 1.00 1.20 0.00 1.20 0.00 BSEISMICRE VALUATION 5,000.00 0.50 0.00 0.50 0.00 EPERMITFEE FLAT R.ATE 1.00 40.79 0.00 40.79 0.00 ---------- ---------- ---------- ---------- TOTAL PERMIT : 372.53 0.00 372.53 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 372.53 VISA --------------- TOTAL RECEIPT : 372.53 -�-'�' .. �'�S. §�- "T��' Y .;� ,� 3 c-z �wt� �� t'� � � q � e, � £ _ � � _ __ -- -- . �,...�; �,�� ..�..�..�;�s:�w..�� — fs- `r� �, Y' � �`�,s�Z.ny��'� 'w�E"�'r a"� � R .s�`"'x�a �a:! � �� -.��' %�.:ai�"�F-'�`'7-^Y`� '§ 'Sk€€?:y � ,�,c � _ __._. _.__—__. Y s .. � '�t� i '�.».5s."',F �»�d��w`�8��i� - _ "1-� � �� . `��-.�+'�'�� 7 "$.v" � °4. ys «. �` .��e� � � �� ; -z'' : <3 A a � s °'� r � tw*a� - . �� "�"��,�� $ �� S �� r': �� F �� '� �� . '�; 3t ;, �;�...rs�t :�� "� �� .,� �;�� <.4�«.�, � = 4 `: g�� s �` �-� �rt,�. '�a,.`��,:� � CUPEf�TtNO ' ` ' ' � _ � , ... :�. . . �� .. � Assessor's Parcel Number: — Name of owner. � � L � � � � `'� � �� °'1 � �� -� _ - �_ , , �� l �. � � �t I`l�1';�� _i � �� __ C_ i. �� - . � . Pro}e�t adar�ss. 1 �___L—_ — l� �,� �,� ' ., � Phone. � �L; �� < > _ � ,C _ �r--.. 'C�(,'�� -�� Contact person. � [ �( � ��'� �� t�"��'=-- � j Fax. � e foota e of lot. �� '�� Nct s�uu � E� Proposed Square footage: First floor: k� Second floor: �.– Garage: �---- TOTAL: Are there at least two 10 foot by 20 foot cleaz sp 3ces inside the garage? Y�N Is privacy protection planti.ng reQuix'ed for the pr�ject? what floo s is work being done? �� On r( ) �' �� ,� i �f�Cfi �� . v_�f' �%�4�1.K L�VZ� Brief description of work. � � ��L I \ ' 1 �,. � ? t� �--�� ' 1 � V � - 2001 CFC �-1� 2001 CMC (Y- I� � Code editions: 2001 CBC � � 2001 CPC �- N} 2001 NEC �� 2- � ��` �'�� `�-� Effective ��1'Q2 �Fs � s o �� Plan Review Process Work Book Page -B-Revis�:d 8/22/OS .. � i � � Gliding V1fn�dow \ I 60wx361i \ \ \ w �, w �, � I � � �� \ I O � U U �. I 3 � 0 c� '! � � W � w � c m � I � � W � �, W —' I U � U I � � I V Z �-- ----------- z � I -------------- W � � a � W � � � � � � W � 3 °� � Z � � � � . >- g ' � . �-" � � — w a I � ° �X Z 1 � o � � Q � '` m �' � � I � �-�- V � , I � �" � � � I � � / I / � • saag ap�s sn�d y pg x �n ZL ; �.. aooa oi�ed 6uip�IS " Y / �� I � � � W , ��__ _ -__° _____ J � I � `� z � i a > � --- U cc I i Y� � � ----------- � I 9, � � . I z � : � � ► ��^---� �- t — - -.�•„-„�.--- �._..-�— ^�= ,�,.? .� �r- '"�....--�-- ---t- F �+ '� ' ,: � t _ :, � '` y ` ��. p z �� t � c a �� . :a- � .. �k � X � ,. µ R ,r� s� �xa."4 ,a; . .�� . � � �� — , ';F�' � k"` .�� .��, � . ..�.� I ��.,1i� .: � s .. J��T �O�ER SH��'� � ' �z''� a �-1 ^ � r +,�rr ��.e��.7'r77m- ',� .. �c:." x .,qyr A �� r M rt�u ��, �"�,:t .�.� * '-k t ;�r A . a aaY-r "e' _. _ OF � �"x,'`"�r,�� x y��, ��.s�� .��'��'�'��'��'"�� : Y'�.., ta..�y� �,� `�d�x`° ,�,.d .� � t _ a � ti� ^+ cu�E��va � . �. �.. �.. ri a. ..,_ ..v., : �,..,,. .. . w . ... _ , . � �...��. .�.��=,:R.., Assessor's Parcel Number: — � ame of owner. �: � �� .� CZ. d'1 l''1 ° Z--- -� N r , C� � l_C�. ��'� �� `--� I� • � c� � ,�, _ � ��'� , �roj ect address. J 1� I I �� p � t�/ C�i c� - � ^ a Phone. �C� �}... � `� � C �� Contact person. � .Q � %9 �' 7l'�'f =P - � — � Fax. � Net square footage of lot. �2� � j V� E�, Prouosed Square footage: First floor: _ x Second floor: �— Garage: �� , TOTAL: �re tlzere two 10-foot by 20 foot-�lear_sp��ces_in,s_ide the ara e? Y N g�-- -- -- -- - - --- - Is privacy protection planting required for the pr�>ject? On what floor(s) is work being done? �� Brief descri tion of work. �� I,�) I l�l� C� �� . -�!> ��l L..Q U✓l �- �' P � -�i i � Iti,� V�. ��n � �;^ 0/1� P V1,C I l� ��-' .I � L�L ° � ejC ( Sl'� � (`�(�Z)�/ : 2001 CBC - I�2001 CFC � r�2ooi cMC (Y- rr� � Code editions � 2001 CPC (�-1� 2001 NEC �� I� �' ; 4 2`-( �►� e�. � �j pPPRO V C �N ACC1lRDA O�ES P ND ORDtNANCE�+ Effective 11/1/02 � CUpERTiNO C � . r�? E j , � A7 � � . � � .._. �AT ,._._.._.s..� ""� � j"'._..-�--� Us+ / ■ `f��aH� . 1 _ ��Gllic8b \. �� 1� �@ �3f �`�!}�; dilt. i• � � �� e�t b�t tr�,. i}!;� �1 a'i t�m�s and it is ti�: � ;}r ,� � 3r,_,�;s or altesatia�` � 1��ta1 Et� ►�,,�: � froz� ��`�� , � ��„�7is�iWn � �aii ��i� �roi�ts� �r,. �� .,v� w ;,t1@ ��1fi�'t��n'.�. 4ii: «� .� t,; '��) (i� i1t±��Cit,G3�iC3,tCl�'� � t`�o �f2�'';��tt�, t;i ,4� � ; `. �t1 t;: �(�� ':�#��.�. lv'+:h� �� i�,� t3 pe��aa�t 'c�' t� t� ar �' {`U �� !i� ��? `� i �Y �,?'i!� � �� ;.. � ,, y^� ;a ,Y� "�'t 'P 't"� �,'1?d1°R' �I � Plan Review Process Work Book Page -8-l�evise� l 8/22/OS �� ' i i , � � -.�- z I , ' 1'6 � � � _ � �_ ° n � ' p . I � Z � I ,� � ------ v — — --- � m w I c� - . � � I I Siiding Patio Door � / 72 w x 80 h pl� s side lites � � D � � _. I � x � . N � I � � � I , � r � � � � � m -��-I ? 0 � D I z wo x�� m . � � -v -� � Q N � � � �� I � �a � � � I c m � I � � rn � 0 ° � � m � ' Z ------------------------ --� o � I m I n � � � � m � I m � �. � o ,� � ,m I m , X � � r .\_ �� o I � x O x O � I � � � � � I � I \ � I \ 49£XM09 \ n+wpuM 6uipi�� I \ �