05120062 CITY OF CUPERTINOsz �4Rm�a
BUILDING DIVISION PERMIT tl CONTRACTOR INFQRiVIATIONc .
BUILDING ADDRESS: ALL SEASONS REMODELING PERMIT NO 05120062
10826 BROO ELL DR
OWNER'S NAME: PFRMD ISSUE DATE
JOSEPH & SHARON SATURNIO 219 DEMPSEY RD 12/13/2005
E SANITARY N0. CONTROL NO.
(408) 946-4744
AA CHITECPENGINEER: B NG PERMIT INFO
BLDG PLUMB MECH
] 0 � 0
Y00 LICENSED MO ACC)R'SDECLARATION JobDescrition
wrt-; 1 Nmby tr0rm tIt I w licemcd side proviilom M ChaPar 9(eanmeamg p
i;,{ wIN VAt
Sc oT)()0)of DHWoo 3 ofde Budnev ad Profrdoru Code,and my lic^ Is 14 4t
SH .11ffnnxand'ffea . �� PATIO ENCLOSURE W�ELECT. (24r ' ) f'yq
g in Doc &mtrrcm �, 40
ARCHITECTS DECLARATION �� J �jd��
3FI�
I wdmannd my plam'htrl h sed u Public mca0
l' t; I:anad PtIXcavoml {"i
OWNER.BUILDER tfr DECLARATION
'E 00 I hcmhy (Sixt tlut 1 1- escmpt from We L'alaKno ,:taut City
for rte
0 o rolbwing rca'aa(Sauon]071 s,B„a....and Pmreaiam Code:Any city«coumy
$ which neurons a remit b anstruct alts,nnpo e,lona We m rtpair any aractmo 5l
prior tons lsunrce.sUb n ..the applicant for sah ,nnit to file a dgnod auirnicnt
this N allanw roman,to the Prowtions a the Co.”"gene Lsw(Cnapkr 9 Sq.Ft. Floor Area Valuation
,EC (csomerrtlog with Srstion 7000)of Dividon 3 of We Business and P,nf.itcu Cnde)or
M3 Nu he u.,t thacfmn std&Wda for ibc dlgM.,ian.Any HWJm of
Sccuon 7031.5 by any,appO tf«a permlt mbjccs the APPllard n a Civil Pcmlry M r Occupancy Type
set nwa Neo Rte tnm and dollen(5500}
❑1.am or tK Pmpny,«my, empbyca Nth wars u their ak aaepmadon,'
win donsi wos'a"d mevra isontlns"dcd«nfrertd fa'ale(Src.7 .Budnea Required Inspections
and Pmfeadm aCode:Tho Conan.tractor.LlLa.does net apply b an owner of q
property who bands«Stop.Neves..and whodoe'atah warthhneelfdo l Wgh his
moo anpLii pmvidrd that ouch impoamens are not imm�ordfaW its ale.B,
baweuer.de btulding nr hnpro.d to Nthm arc Saar of completion.the owre+-
Wilda NO Ise the Winkni or proving that be did not Wit or Impala to,purpose of
ak.).
❑I.as owner of the property.am a itsn rfy onaaaing Nth Tian" L9m1YlIX.to
000s o Ih pole¢(Sec.7044,Bwlnea and Pm(cuiam Code)The Combai U.
ccs¢Law des not AWY to N owns of poprny.wbo bald.«imprma d'aem,and.
who amnemf«auch Prop=with a eonuet"i liaised Pant to the Cobra '
I `Z Law.
❑I am mt rupt undo See B h P C f.this n:umr
Owner Dat
WORKERS COMPENSATION DECLARATION
I hueby aRhm abler pemlty of perjury one of the following dalaulmc
703�
N.e ad NII maiwin a Cerufu'ae aConan n eH-imum fa,wake's Camp
a provded(«by Section 57(p of tie Mbar Code.f«Ve pa/rcmara d the
f«which this prnnit U Luwcd.
Nue and will murrain Waiters Cno,its ion Imuran¢.as n bund by S«Uan
a the lab«Code,fa the pafomuna of the wart f«which this pamh I'Isv'aL Warker/y{,f,,C,�«�npenvUoo Imuran¢erne and Policy number amc.Wr FvaT/d PolicyNo.:�i>7-OD�Ol43-
CERnFlCA]E OF ExEMP ION FROM W ORKEAS'
COMPENSATION INSURANCE
Cribb,u radTrot beampk.d If Nc p in is for.len "Ints(5100)
«kis)
I anify tNt in the performana of de wart fm whkh this Fronk is:sat-d.I dell tot
anploy any person In any mawcr m as an bo.'one subject in tk Wonpaa'Contra•n.. ....
taws of California.Doc
A,lirsrrt
NOTICE TO APPLICANT:If.after maiing this Ceniri .^of E+empdon,you shoold
betaine aubjat to Ire Warks''Compematkn g idvu of theLaw Code.you most
.J Z foinwlN comply with aocb pa sora w NU Pei shall M dccmed makcE.
Z OCONSTRUCTION LENDING AGENCY
F.�; I Mmby affirm this then is a m oo lording arreY l«WC Pafamacc of
yn> ft wort for which dila Paton Is based(Seca 3097,Civ.C.) .
W�Q tenders Name
,, Z Lender,Addaoas
U0 I a y Nat I now rod this applo on W wn that t4 oboe INarmatlw is
"f"' c 1 era in comply Nth all city and county on imrces and'we Ian relating to
0 U buRding corsuuctlan.and bemby a«bodn mpeenwi.e,or this city to en'er upon tK
W shove mentioned l ni for lmp'mon purpaes
(Wc)agrte to ase.Indemnify and keep Innis'II City of Cupwino.plmt
Iiabllitimjudgmens.emu and espnsa whiN may In any way arose against sad City
U In c«ttnwuc of the naming of this permit
APPLI M UNDERSTANDS AND LL COMPLY WTm ALL NON-POINT Issued by:9 Date 2-
SORE Uj.ATTONS�
f�+��s���1��1� Re-roofs
Sign....,.of Appli.UCon Due
HAZA DWS MATERIALS DISCLOSURE Type of Roof
Will the appianl or futum Wilding o Pant pato«handk haardous iolc
u deftad by the Cupe w Muntklral Code,Chapter 9.13.and the Hn11h and Stray
ado'oto n53U.)7 a All roofs shall be inspected prior to any roofing material being installed.
Win the.pplkant«rave Wudingaeeupam ac egwPment«tkvkc wnkn If a roof is installed without first obtaining an inspection,I agree to remove
..it harvdnm air cboomins.a&fit by the Bay Arc.Air Qu.lh,M.V. all new materials for inspection.
District?
❑Y.
I bac road the harvdw'msamiWa reWoomon'umlr Clnpta 495 of tI Calif..
maSialth k Stray Cody,Seck.25505.25533 and 25534.1 oMcrsnnd dwiflhe bottom,
Jas tot ly Nreaerrant NuItum neapmdwitybnouI,the storm of de
rCyai whkhmustbc « of,Crnirc.eorox'ns y. Signature of Applicant Date
name«,ath«nnd.ant an All roof coverings to be Class"B" or better