00090147 CITY OF CUPERTINO ..
ndaDINC,DlvtstoryPERMIT 'C0NTRACT0R INFORMATION
_. ..
Il4N0 ADDRESS: PERhiI'I'NO..
• OWNFR,'S'N ..G6' ULIL.El I UFF, SHED
APPLICATI 14:7
ONE: ALBP,EISEN, EUGENE C 470; GIANNIST .. SANITARYVV.�) /(L41l0AsO.,
00 ARCHITECT/ENGINEER: x. IAL081727—BEL�i 3' BUILDING PERMIT INFO _
wy BLDG EI:F.CT ..PLUMB MECH
LICENSED CONTRACTOR S DECLARATION "
oy_ - - ' Deseription
I herrnyaflrnm t I r sed u d .T nIClapt 91<nm pg ,, Job _ -
}, -5 wlh5 + ]UfMll fU 3 fahL Bu n .adP fil,sum,CJ 1 on,llc e
Srt 1s
in fill firr d fi t. _ L N '
3,on NW lu- D,1 - Contractor - - ,
pace ARCH1rlCC1',S DECLARATION
BUILDING NEW--GARAGE-AND-.G JTTING, I.N HOT 1
1 I .t J yell kiln sts, �hliwmtnod,
Licensed Professional
ac 9
OWNER BUILDER DECLARATION �•y -
u3 1 thenel, ffirm Ih t I d fromhe C nl t License[,a,for the
fall 8 (Section 7011.5,B : J Prof _f. Coder Any lY county �4
+dFC whichI wmantIo cou'rou.t,tilar, P J + b'.brepair any:l a ... �, . -
E.3❑3 Pit I I: requiresthapplicantf pc 'll I Ib Ja'I•menl =
mache I,licensed PtT The pm,ninne,ofm trirobarm,,Lir nsLa (Chapter 9 Sq:Ft. Floor,Area, Valuation, .
• -(co+ ring w FSection 7gl0)m Dbs n3 fthe Bre+e JP ,Rasions Coact c•
or That he is esen+pl+herefron+and The basis far the alleged exemption.Any violation -
d ADI.S by any told leant for nM1 it,suhjeca an
The applict m a civil peaty
.I ml(Elh in Tice hundred dollars D500I,'- - APN.Number-. ',..�- 0000110pe.
❑ u owner of property,urn+yo+npmyws wim waead..x mdrsum auTnpan,naun,
wm e m i theo 1 is conintended - rr f apply]naa, ��507�Zt 1.9. squired Inspections =
Business d 1 , : l The Confucian's1 1 e I Pecs to an +
rof properly Who builds rariniproves herniation!who does such work himself _
o
through' aemployees,. p +`d such improvements tintended,lof
offered for sale If,h The h lting or e es: IJ 11 year of
aurmeow+erneerwwLem fdenprt+,ngTnatneaenotmaenr 516 -,-FINRL BUL-
'LDIhG • :,S.,:
Einpro clarpumneoJ '
..
y
0 1,as owner' a (it(be clY me"al :'vIY contracting 6 ih'licensed a nbacmm to - ,a
_
4
couturier a project(Se. Business anti Professions o )The Contin
Lice: L does net imply ,,an owner of etwho bult. ra then-em,
and who contracts for such projects with a contractors) licensed paretiona
to the -
CommcmrLs icemei.nw. _
❑lain exe Pl under Sec. - '. .B&Pc art QOon
OR KER'S MI';NSA'I'ION
I hereby affirm tinder Penally X11 ijuryone.of the following Jeda mi.im:
I have and will maintain a Certifeme of Consent to self-insure for Worker'.
+mpensution, as retired for by section 3700 of the Labor Code, Ter +be .
afoonunec ofthe work
to
T hixpermil.is Issued. -
❑Ih 1 will 'r W-A .0 tw of literature,as regvred by Salon
,9]00 f th I laCod t B pet f the k for wh ch this permit Ta -
ssnW.My.Wtrkcr:Cn npcmion lnsumn«carrier and Policy number are
Carrier: " Policy No.:
CERT1171CA'1'ION OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE 'Y"
(This swoon nred not be completed if the permit is for one hundred dollars
($100)or less.) - - -[certify Than n thookerombecansenflite k for which this scmit is':ued,l
+' 'hull not employ any person in any nwnn r to as to become subject to Ihn Wnrkerr'
Ciilupertinent Laws of California.Date -
APplicanl .
NOTICE'rO APPLICANT:lf,alter making This Ccmifcuteof Bxcnitum ,you should _ -
become subject mIncW k -C m
pem ' p s of tire Larm,Cdr you mast
0�s � -fcdtwlb en any,m 1,rowimoroo,th':pe I bull be doomed m,ofed, - - -
'r^� i ' a CONSTRUCTION LENDING AGENCY
I h ny 0 rm Ih I II :frac
tion
1' g.agency for the perrartnanw
Leah work for h¢h Ih Pr nix ued(S 9(1W C'v.C)
Q Leader:Name
z .Lend Ade ::
i Ieeify o'c Ia': a I I'IT Th uh f I 1y, ✓cn'rt f.l g I comely 'th II city
ly I county In' e" d,tt Icing-
fi r) mbuldT b aucl dh by A p tf -of this city in T upon
'
Ty L� the ti t. d Tinfatoryf P I P p
E. py
(We)agree I J ly ad keepl less lot City fCupn g:ml -
w. VI
liabilities,( cigllm costs IJ .pe: whichanyinany 'Y cue against said - - s < '
V City c nvµuence of Th g tang of Ih'e Paan T
APPLICANT UNDERSTANDS AND WILL COMP WITH ALL stool ( )
SOURCER LATION .Issued bya -Date '
unfractor -- Deff Re-roofs ,
HAZARDOUS MM RIALS DISCLOSURE
wdida, iiso,or home n Ia g«nuPam gate ar n n le 'm` need Type of Roof
as dot+:d by In. colo Mufcipl Code,Chafer 9.12and the Doctor and Safely
Code.Section 25532 Jp if' y - -" ' ;-'," I • m„
❑Ya. 13 No All roofs shall be inspected prior to any roofing,material.being installed.
Will mepneumo;fabore Erldingaccapam use equipmen,mdeviees.which If a roof is installe'd'without first obtainingan inspection, lagree-to remove '
mnh>u-I tat T. formed by lne Bay A Quality Management _ tp g
DixTr T • all new materials for-inspection Applicant understands and will comply with
ill °Y °N all non-point,source regulations
cc,
r I race et 1 lh h J materials equve nm is d 2 Ch ptcr 695 0l hat
onto
hu I Head l&Safety Coal:.Sections 25505 t itis y r 25534.1 icy m bland mal
if O+e building tine' rtendyish al, bin an
tL.my re'gtnsibllity to notify the
ecupam mquiren cots which mux b•mm +r to its ee of e Corti¢ate of
air
'Signature of Applicant • 'Date
rmmmar:p aloe All roof coverings to be Class." "or better
OFFICE
a
4
F 48' 6'
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HOUSE
9r-a•
x� 3s•-e• � NOV 0 s 200
By
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TOT TUR �
APPROVED
I IN ACCORDANCE WITH THE CITY OB
111 BECK CRTI$0 CODES D ORDINA CE9
V
1 V
DATA_
SIGNED i GENE AETSEN
19139 COZ82ETTE LN
CUPERTINO, CA
This set of pla and specifications MUST
be kept on the ;tob at all times and it is un .
lawful to make any changes or alterations
on same without written permission from
the building Dept., City of Cupertino. PLOT PLANS
The stamping of this plan and specifications CHECKED 8$ f x
SHALL NOT be held to permit or to be an
approval of the violation of any provisions GAT //O W
. of any City Ordinance or State Law.
PY
PLANNING DE;pTa
DATE
BLDG. DEPT.
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'CLASSIC GABLE' IM -Mmm THE SHED SHOP
-+ FREMONT, CAig 37341O 94539 5
(510) 623-9100y lZ
10300 Torre Avenue
Cupertino, CA 95014
CITY OF
Building Division
CUPERTINO
(408) 777-3333 (fax)
July 31, 2001
Homeowner
19133 Cozette Lane
Cupertino, CA 95014
SUBJECT: Permit#00090147/garage and hot tub, needs final inspection
To Whom It May Concern:
We have been going through our' files in the Building Department, and contacting those
people with permits remaining "open". The status of this permit is now expired because
there has not been an inspection called within six months (180 days).
Our inspection records show the subject permit has not been signed/released by the
building department. There are times, however, when an inspector will sign the permit in
the field but not report the finalized status to the clerical staff. This happens when the
final inspection is called in as a "rough" inspection by the contractor/homeowner when it
should be, in reality, the final inspection for the permit. If this is the situation and your
permit,card-shows the,final sign7offwould you please contact us so we may complete
1- - , , , .,c ,� , ; — t � , —
our com�u'tei recoi&9 if the permit is not signed off, please call to schedule an inspection
for final closure of the permit.
Because of the large volume of paperwork within the building department, we cannot
separately monitor the progress of each permit. We ask that you give this notification
your immediate attention. If we do not hear from you within ten (10) working days we
will void the permit and dispose of the permit application.
Thank you for your assistance.
Sincerely,
,CITY OF CUPERTINQ
Qris�y Akati�f, Administrative,Clerk
Printed on Recycled Paper
hl
CITY OF CUPERTINO x - • — t ',',
BUILDING DIVISION PERMIT' „CON1ItACIORiINFORM,&Tl" ,';
RIMLIIIN(1 AOHRH9S- - PLRMII'NO,
Gwm:as NAM 1.+:3 CtCI7.'F_'TTf' L.f-TINE. I I IFF !il1E 1? nrrl.lcnnn��,y�z�4v,1 "vl
rvlx (il SANrrnliv
ARCIIHECI71iNGiNERR: i'I IIINIia BUILDING PERM 1T INIY)
r. 4411t.i k r"' .,iJ�t:S,i
1?LLiCT 'I.UMI MECH
pooza . 1.-1 ru,t§ tJ:,,f 5 wt'')•' t1 1 J 1. .I
f� F y
c INSPECTIONSi� :'fit `+ ft gEE,n $ -rWDATE i1NSPEC', '1'OARRANGF INSI`I CIION
w +- s 15, I x UlA_a u'.- • ,; a h ....x IIIc 1)1'SCRIPTION
te e• CA1.1.777-3225 MONDAY I RIUAY 24 HO 1RS RENIDENI IAJ,;
�.Z I OUNDAI ION/PIERS/II U.S BEI()It[;REQUIRED INSITC PION JOB ADDRESS J SFUWL J KITCHEN REMODEL
C w LIFER GROUND AND PERMIT A ARE NEEDL'D WHEN PHONING. J AUDITION J PLUMBING RE-PIPE
PAD/SET BACK-CERT J MUl:rl-UNIT J STRUCTURAL
p i v ItE51DP.N'II AI. COMMERCIAL OT'HEIi MODIFICATION
l3 LL H GARAGE SLABS/PRL'GUNI'I'E J INTERIOR ❑Cf MODIFICATION
IMNEY REPAIR
`—`p a HA'l.AJjDOUS LIRE-ARLA J SWIMMING POOLS
w POUR NO'CONCRF.9'F?UNTIL`ABOVGFIAS BEEN SIGNED "(` INTERI EMf?Nl'
g a C UNDERGRO1JND/SI.AH J YES II I miA.i.mnJ Thal iI I all A-4 nrFnnEl J 13ATI1 REMODEL/ EP 1 MLIT ON
PLUMBING
< F,LECI'R[CAL LJ
Ldliul LQfLU.k
`w C m "DO NOT POUR`FLOORUNTIL ABOVE HAS'BEENSIGN EDY�4P,1"p+-Y'a'+' CUMIVIER
c 6— EXISTING ROUT'IX)VI?RWG CIQL;
PLUMBING r J NEW BI.UG/ADDITION IJ DEMOLITION r
MFCIIANICN• Nuniher of c,,i ting nrvcrings J TENANT ❑ FOODSERVICE
IMPROVEM EN'T '
IiLEC"I'RICAI' To he removed 'I'o He remined ❑ O'TIIER
FRAMING VENT'S 4,
INSLII.A'I'IUN
'FL3ACB'NdSUBFLOOR'1T4H!XBOVE'HAS BEEN SIGNEUzd'''sI3!"t° 'TVPR OF ROOF COVERING
ROOF SIJENI'H/DINT[RAM MX.,_IS HQ; PROPOSED: {
PLUMBING J Bull)-Up Rool CI Buill-Up Rnal
'PLIES A SIIOWEIt PAN CI Anphnll Shingle, Cl Aaphull Shingle,
MECHANICAL ❑ Woad Shake, ❑ WeW Shakes
ELECTRICAL/POOEBOND J Wood Shingles ❑ WaoJ Shingles
FRAMING/SPAIRS/F.EGRESS Cl Other(Speeily) ❑ Other(Specify) `
IJIMLIULNI LATION Plnvide I.C.13.0.Repnd No, t
ER NO WORK LINTIUABOVE HAS BEEN SIGNED'k'-'r"'di§M1?'kR' Proride MI'gr.hls3ullulion Specs.
LX'I'13RIAL SHEAR/IIOLD DOWN
IN'IjiIOOR SIf EAR/I IOLD DOWN t
S I IEE'I'ROCK/SI ILI;I ROCK SI II4AR INSPECTION SPECIAL INSPECTION REQUIRED ❑ r;1 DATE INSP
E ERIOR LA'l'I l/W-SCREED
_y5
Snow ER LATH
'NO TAPE OR PLASTER UNTIL ABOVE HASIBEEN SIGNED +1'8-
SCRATCH COAT I
SEWER/WATER I
'TEMPORARY AI PHOVALS
i
(1l'CUI'ANCY h-�
z PLANNING 777-3308 vT 1
z Q GAS7FS'I' U
GRADE(PW.777-7754)
j HANDICAP
.J Q FI-F("I'RICA]:
PLUMBING
s. ly MECHANICAL ,
" L11 ENERGY
J Z j
.. VISUAL FINAL ONLY
BUILDING U I
pIKCUPANCY„tOF,RUILDING IS Ng4jr ERM YTTTEDr
IrFUN,mj'Il;BU1441N0 PINALPIS S10NBl)BYpBUILDIN014 eytk{�i
WSPECI'OR .�' r �,aP', t�.�';) ,* lr.`Fi �H') ,j• CERTIFICATE OF OCCUPANCY❑ }r
C_..
IN --
PLYWOOD:
IN-PROGRESS
ISP. UNIE ' INSP. _ DATE INSP,
'I'IiAR UFF INSPGCI'ION: DATE
BATTENS: FINAL:
INSP' DATE. INSP. DATE INSP. DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
APPLICANTS,POSTING COPY I