05080245 CITY OF CUPERTINOx�«t6kkf"
BUILDING DIVISION PERMIT CONTRF.GTOR�INFORMATI®N i
BUILDING ADDRESS: NULIGHT SOLUTIONS, INC PERMIT NO.05080245
OWNER'S NAME: PERMIT ISSUE DATE
ROSDORFF JAN T
E: SANITARY NO. CONTROL NO.
(408) 254-6661
ARCHITECT/ENGINES it BUILDING PERMIT INFO
BLDG ELECT' PLUMB MECIi
L7 0 0 0
LOpENSEDCONTRACID DE LARATION lob Description
1 login,affirm s 1 am liatucd un r provisions of Chapter 9(commencing p
�xw with Section 7")of Division 3 of tW Bus sand Professions Code,and my license is
in full ionic and effea INSTALL SKYLIT
j Pte{? Licevc Class Lk.M '
nF p Dau Contractor
ARCHITECrSDECLARATION
1 understand my plans shall W used as public records
IU
3 Wit', Licensed PmRssional L _
to OWNER-BUILDER DECLARATION J
I botchy affirm that 1 am cxcmpt from the Contractors License Law(o,the
00 following moon.(Session 731.5.Business and Prefessiov Calc:Any city or county
is m ff. which¢quirts a pumit to enrtsWe4 stun impmw,demolish,or repair any xtruemm \ 2 4 O O
poor nits issuance.also mquira die applicant for such permiuo file a signed statement
Mai he is licensed pursuant to the provisions of the Contractor's 1-mense Law(Chapter 9 Sq. Ft. Floor Area Valuation
e�0 (commencing with Section 70010)of Division 3 of the Business and Professions Cac)or
y Not he IS exempt Ncmf sen end the basis far the alleged exemption.Any violation of
Section 7031.5 by arty applicant for a permit subjects the applicant 0 a civil penalty of
not more than An hundred dollars(5500). r cupancy Type
0 1,AS owner of Ma progeny,Or my employees with wages as Heir sole compensation,
will do the work.and the structure is not intended or offered for side(Sec.7044.Business Re tasted Ins actions
and Profession"Codc:The ContracmYs License law does not apply to an owner of q p
property who militant improves,thcmon,and who doessuch work himself or through his
own cmployma,pmvidcd that such improwments ate not inundcd or offered result,If,
however,Ne building or improvement is sold within one year of completion,the owner.
builder will have the burden of proving Nat he did not Wild or improve for purpose of
sale.).
0 1,as owner of the progeny am exclusively Contracting with licensed eontrutms 10
consumer Ne project(Sec.7044,Business and Prefessiov Cade:)The Contractors U.
cave law does nes apply to in owner of property who Wilds or improves thereon,and
who contracts for such projects with a eonuumrts)licensed pursuant in do Confromofs
Lkcnu Law.
O lam exempt an/dj ec _ B&P C for this reason
Owner • Dau
K R'S COMP Ns ' ECLARATION
I hereby aBirn under pevlty of pe ury ane of the following declarations:
1 hso t end will maintain a Ccoificateof Covcnl to self-hourt res WorkcesCompen-
satlon,as provided for by Section 3700 of the Labor Code for the performance of Ne
work(or which this permit is issued.
0 1 have and will maintain Workers Compensation Insurance,AS requimd by Section
37W of the Labor Com.for the performance of Ne work for which this permit is issued.
My Worker's Compensation Insurance carrier and Policy number am:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu sx0m need not he completed if the permit is reform hundred dollars(5100)
or less.)
I certify Out in the Perri ngroca of Ne work for which this permit is issued.I shall not
employ any porn.in any manner son as At become nbjccuo the Workers'Compensation
Law,of California.Dau
Applicant
NOTICE TO APPLICANT:If,after making this Cen Eeme of Exemption.you should
become subject in the Worker's Compnwtlon previsions of the Lahr Code,you must
.,O forthwith comply with such provisov or this permit shall W ddmcal mwked,
'z CONSTRUCTION LENDING AGENCY
I hemhy armor Nat Nem is a mvtvninn lending agency for the performance of
2' the walk for which this permit is issued(Sec.3097,Civ.C.)
[7] dander's Name
a.
Z)z Under.Address
U O I certify Nn I have mad this application and sure Nat the above information is
it,P carton.I agree in comply with 01 city and county ordinances and sum laws rearing to
0U Wilding contraction.and hereby authorise mprventativis of this city to enter upon Ne
r above-mentioned property for ivpenian purposes.
Hgk, (We)agree to save,indemnify and keep handless the City or Caperton against
rq liabilities,judgments.costs and expenses which may in any way sector,against said City
UZ in consequence of the granting of this permit.
APPLICA UN STANDS OWI L COMPLY WITH ALL NON-POINT Issued by: Date
soURC E AT Nle
Ct �Z.f. Of
sign" c ApplianVContmctof Date Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future Wilding occupent store arhandle hazardous material
AS defined by Ne Cupertino Municipal Code.Chapter 9.12.and Ne Health and safety
Cabe, �Yc, C3 No ScedezsP25532(.)? All roofs shall be inspected prior to any roofing material being installed.
PhWill 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
it vardmos air contaminants as defined by Me Bay Area Air Quality Management all new materials for inspection.
District
O Yes 0N
I have read the hazardous materials requimmcnts under Chapter 6.95 of the Califor- ,
ria Health&Safety Code.Sections 25505,25533 and 25534,1 understand that it the Wilding
does not cu ny have a tenant.Nat it is my responsibility,to noddy tis Occupant of Ne
requbcm n Mr 4 aanmea1acerercateor eapaee Signature of Applicant Date
$ ZG o
own a digi.dAgent / Date All roof coverings to be Class"B" or better
CITY OF CUPCRTINO
BUILDING DIVISION PI;RN� C®NTRACTOR.INP'ORMN --
BUILDING ADDRESS: NULIGHT SOLUTIONS, INC PERMIT 50.05080245
ER'S NAME: PERMIT ISSUE DATE
PHONE: SANITARY NO. CONTROL NO.
(408) 254-6661
ARCHITECrIENGINEE n BUILDING PERMIT INFO
l / BLDG ELECT' PLUMB MECII
Lop ENSEDCONTRACTO DE'LARATION Job Description
w p 1 hereby affirm that 1 am licensed un r pmvisions of
'Ch
9(commencing
U wiNScmud7f0BafDivision Sof the Busies s and Professions Code.end my license is
�„ in full force and effect. INSTALL SKYLIT
a i;2 License CI,.. Lk.N
n t-� Dale Cunuumr
ARCHITECTS DECLARATION
I understand my plans shall W used as public regards
�yU
; Licensed Pmfcssiunal
0G
S OWNER-BUILDER DECLARATION
1 hereby notio affirm that 1 am exempt from Ne Contractors License Law for the
_M0 following masa..(Sdalu(1 71131.5,Business and Prooriionsdemolish.
Code:Any city m cltuny
K m which acquires a permit w een;(be alcor,imprnvc,demolish,a e a sig any structure $2400
ptionois issmnee.also mquita the applicant for such permit to Okasigned su¢mem Valuation
that he is licensed pursuant the previsions of the Contractor's license Law(Chapter Y Sq. Ft. Floor Area
(commencing wi th Section 7")of Division 3 of the Business and Professions Code)or
i — that he is exempt dumfound and the basis fur the alleged exemption.Any violation of
Section]031.5 by any applicant for a permit subjects Ne applicant 10a civil penally of r 0 0 Occupancy Type
not more Than five hundred dollars(SSW).
❑ I.ed owner of the property,or my employees with wages as their sole compensation,
will do the work and NcsW<ture id not intended or offered for side(Sec.]W4,Business Required Inspections
and Professions Code:The Contractors License Law does not apply to as owner of q p
property who h.prs or improves that such
imp,and who docs such work mr.ffiror through his
Own
ver,m building
thattach impssold ittarenotintendedmpletion,mad for sale It.
hoilder the building or den of pmcnussoldwithinate year of completion,the owner.
builder will have on,burden of proving that W did not Wild or improve for puryou of
sale.).
❑has owner of project
See 70y..B tuddia and contracting with licensed contractors t.
eco athe
es,or (See.1.344,Businessand Prowhooads ori pro Co demand. nd
chose Law tloe not apply loan with
a or property who seside or improve demand.and
who contracts for such projects with a canvactor(s)licensed pursuant It Nc Contractors
License Law.
❑lam eaemptund ee ,B&P C far this,anon
r Date Z b J .
O K R'SCOMP NS ECIARATION
1 hereby affirm under penally of per ury one of the for
declarations:
❑1 have and will maintain a Certificate,of Consent to self-manim for Worker's Compen-
sation,as provided for by Section 3700 of the labor Code.for the performance of the
work for which his proton is Issmd.
I have and will maintain Worker's Compensation Insurance,as required by Section
3700 of the Labor Code,for the performance of Ne work for which this permit Is issued.
My Worker's Com remotion insurance corner and Policy number aa:
Camel: Policy No.:
CERTIFICATE OF E%EM MON FROM WORKERS'
COMPENSATION INSURANCE
(This section need not he completed if me permit Is for one hundred dollars(S I00)
u Ices.)
I ccmIv that in Ne performance of the work for which Nis permit is issued.I shall not
employ any person in any monodist a to became subject to the Workers Compensmion
Laws of California.Date
Applicant
•NOTICE TO APPLICANT:If.after making Nis Ccnificatc of Eacmption,you should
become subject an the Workers Compensation provisions of the labor Code.you must ,
.JZ forthwith comply with such provisions or this permit shall W deemedrevoked.
ZO CONSTRUCT ON LEND ING AGENCY
'r~• Ihereby affirm that Nem is a emtslrvetion lending agency for the Performance or
!Y 7 No work fur which this permit u issued(Sec.3097,CO.C.)
W Q Lenders Name '
G tender's Address -
U C) 1 certify that I have read Nis application and stale that Ne above information is
(y F corms.l agree to comply with all city and county ordinances and dote laws relating to
�U building mnswaion,and hereby authorix mprecnativa of this city to enter upon the
r W abovomcroioned property for inspection pugtous.
(We)agree to save,indemm fy and keep harts less the City of Cupertino against
Tq liabililles,judgmenls.ones andapenscs which may in any way aroma against said City
U in eoneequonce of Nd pardog of this perm it. Dale
�-^ APPLICA UNrySTANDS D WI L COMPLY WITH ALL NON-POINT Issued by:
SOURCr�aHE��gc�ATE�oN
1i�.S( /
Sig2 L, � of Re-roofs
wt cApplicanUConvanur Date
HAZARDOUS AATERIALS DISCLOSURE Type of Roof
Will Om applicant serfumrc building occupant state or handle harardmes minimal
as defined by Ne,Cupertino Municipal Code.Chapter 9.11,and the health and Safety
ode,Station z553z(a)'r All roofs shall be inspected prior to any roofing material being installed.
❑Yes E]NO
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
emit haiardous aircontaminans as defined by the Bay Area Air Quality Management all new materials for inspection.
District?
❑Yes C]No
I Aave mad the hvanlnus materials requircmcros uON,Chapter 6.95 of the Calif d.
ria HeuIN&Sof ty Code.Smdotu 35505,15533 and 25534,I undersand thatiftle,Wilding
docs not cur Ily have a dcromL that it is my responsibility to notify the Occupant of the
requircm tow; msWmLpriortoi uanreofaCeNficateof part, Signature of Applicant Date
A-IL �' 2'1° v All roof coverings to be Class "B" or better
Own ser, thmirtd agent / Dam
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CITY OF CUPERTINO
I em 1 of 1 PERMIT RECEIPT OPERATOR: conniew
COPY # 3
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 31642006 . 00
DATE ISSUED. . . . . . . : 08/26/2005
RECEIPT # . . . . . . . . . 30951
REFERENCE ID # . . . : 05080245
SITE ADDRESS . . . . . : 20303 CARTWRIGHT WY
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : ROSDORFF JAN T
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2227
RECEIVED FROM . . . . : MARK EDWARDS/NULIGHT
CONTRACTOR . . . . . . . : MARK EDWARDS LIC # 26128
COMPANY . . . . . . . . . . : NULIGHT SOLUTIONS, INC
ADDRESS . . . . . . . . . . : 1900 DOBBIN DR.
CITY/STATE/ZIP . . . : SAN JOSE, CA 95133
TELEPHONE . . . . . . . . : (408) 254-6661
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
------ ---- -- - - --- ------- - -- ---- ---------- --- -------
BENERGY PERMIT FEE 1 . 00 34 . 86 0 . 00 34 . 86 0 . 00
BPERMFEE VALUATION 2, 400 . 00 83 . 16 0 . 00 83 . 16 0 . 00
BSEISMICRE VALUATION 2, 400 . 00 0 . 50 0 . 00 0 . 50 0 . 00
BPLANCHK PERMIT FEE 1 . 00 83 . 16 0 . 00 83 . 16 0 . 00
TOTAL PERMIT 201 . 68 0 . 00 201 . 68 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
------------- - -- - ------------ ------------ - -----
OTHER 201 . 68 VISA
------------
TOTAL RECEIPT 201 . 68
To:Mark MarkPof 2 ® 2005-08-26 02:08:31(GMT) 14085499809 From:Kapil Bhat,agar
•
Vista Garden Home Owners Association, Cupertino, CA 95014
August 25, 2005
Ref: 20303 Cartwright Way — Letter of Approval for Skylight
To whomever this may concern:
Please note that the Vista Garden Homeowner Association approves the
installation of a skylight at 20303 Cartwright Way, Cupertino, CA 95014.
® Please contact me should you have any questions.
SiNing Chan
Secretary, Vista Garden Homeowners Association
408-777-0706
AUG, 2 6 2005
l
Vista Garden Homeowners Association, Cupertino, CA 95014
O CITY OF CUPERTIN#
CUP TYOF O PERMIT APPLICATION FORM
APN#3 ` Z a 6Date: I I
Z� 4S l 2S �S
Building Address: 1v�ailing Address (if different from building address):
2 0303 Cc�t 4�� to E lnl4CAAerf\^,z) ,Cc, ol(golLi
Owner's Name: Kr, t Q)CA mQ L f IPhone#: -7 2-S'-
Contractor:
S--Contractor: NJtkLA So(ve-hoes 1 ^C License #:
Contact: D1,
00 Phone: Cupertino Business License#:
Fax:
Building Permit Info:
Bldg t SLi lt' 11-- Elect ❑ Plumb ❑ Mech ❑
Job Descriptio
Residential ❑ I'4—kA Commercial ❑
Sq.Ft. Floor Area: Sq.Ft.:
Cost of Project: C) ra Occupancy Group: S
Type of Construction: Please check this box if S_F the project is a
second-story addition: ❑
Project Size: Standard Large ❑ Major ❑
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 1 M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/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
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*CITY OF CUPERTIN#
CITY OF PERMIT APPLICATION FORM
CUPERTINO
Quantity Fee ID Fee Description Fee Group
BMISCELL Miscellaneous Fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE -PbIg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPIN"ITERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
BPREPIPE Repie Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinkler/Backflo PLUMBING
BPSTORM Storm./Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain & Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water Heater/Vent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
BRENLkMiAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Fumace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
Ah BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
2 of 3
,ak , i -.
'PITY OF CUPERTINO
CITY OF PERMIT APPLICATION FORM
CUPEkTINO
Quantity Fee ID Fee Description Fee Group
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 Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
r
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING Ap
PLLONGRNGR Planning Lone Range Residential PLANNING
ZADDCHG Address Change BUILDING
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