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00040158
BUILDING DIVISION - PERMIT tru Y N" - PHON�' - 40$ Z45-4$gZ. -.ARRCHH�RLE�CT/ENGINEER .00 tf g 1 V�if 1. JAIVi z v �i < N•/V �« LICENSED I CONTRACTORS DECLARATION 1 hereby aBnm Net 1 I licensed atla and Proonx of Chapter 9 (commewing �mFtOJi� with Section 7IXp)ofDiviaion3of theBminess wdltofmiaw Code.andm licenw is -c < in full Twee W effect. ad, cin Lie Li . # w 3 m N Date Conuacmr F O g ARCHITECTS DECLARATION O eyidcryed I be used n public rccada - a S oe lacenscd-Nano/ bi �ga�'� X ^_ 11.. OWNER -BUILDER DECLARATION F Z a 1 hereby efnn that l am exempt from the Contractor', License Law for the i z D (oll,winY mown. (Saban 7031.5, Buten and R feui,w Cade: Any citym county to 3 = which rtxNdn a permit m croswa, eller, improve, hmolisn, or rtpilr any auucnue priortosliuuwm,ilwrtioi meappEanlf Cm gmtt Lieaalgredmpta9 thu rte is li,xnred quvuwtwtne pmvi,iona of NcCwa tore Littnre lAw (CMgn9 (commencingwitSalon701101 the or. old Po Anyvi Code)ur tut Section is ew5gt therefrom Wthe buil fa the u the exemption.. 6, ^penton of Sinton 7031.5 by say applicant for • permit wbjau the applicant to a civil grWty of nm mart thou ft. nundrcd dollen (3300). 1, u awrw of the property, ar my cmgay«. room ween m theirwie cmnpenantov. oral do fmions w ce: The Contra tori Livens Law clues x apply In tole her a and arty who Cade: The Conudrome License law does owl apply w if owner of lux .. who,de, or impmva thamn, n s wlso doe, such work himself or duouyr anis own ow'Ze ace povii g thus such ant is smeau thin not intended a pRemd for . e.If, howav wthebuildingorimgovrovin is wed within aneyethofrompWior dr- poxa m'o L will have the truNen of prosier Net he did net build a itnpam for qv- ' E] 1, rilene ` ' cr L n,theer of rhe S. 70 • the exclusively connecting with livened contractors U. cowwa the es not p th. tow, Bud.... nth property who one Code:) The Convectors ld- whocame,claw dm, not applyje ts owner of q deny wbo builds,, improves thereon, rod who Ln a for such projects with a mntmetodal licensed punuam u the Contractors 0 License Lew. Dlam cxemptunder5m. ,BAPCfor this on Owner Dart WORKER'S COMPENSATION DECLARATION -1 h<roby affirm under, penalty of p ojtuy one of Ilse following declwliow: Iluveend willrwintilneCMiBcate of Cansenuo reef-inaureforWorker'aCompen- sadipn, to provided for by Section 3700 of the Labor Cock. for the performance of the Jt•f "which thea fermit is issued, Ijj'I have hand tl will mainuWorkers Compensation Iwurence. as required by Section 3700.f the Labor Code, for the ,f the work foo which this permit in iuund. -'. MY W9dif4SCttmpenayipp 1pgw4nEC corrin rod PollcYyuYryappn MA/!Vti My A _&t 6R;K MU SAN yea -TEQ ,94403, r � -2A I _ /:.7,ri I ©004Ad N/C - COW ROL# FAX (Dt0 341 1539' C0M7_6C7 MK C Job Description SUNf7lJpN1rbDI�IO�( Ic X30 • 459 O P NF—q. Ft. Floor Area Valuation Q APN Munber Occupancy Type Required Inspections /O c „' f1TgRJ COMPENSATION INSURANCE e fort is for one hundred dollen 151110) u satin need net be completed if Nmi or loss.) - I certify Rom the performance ofthe work for which thlspermitls Issued, I shill not employ any portion in any manner so as to become aubjen to the Worker! Course.. cation Laws of California. Date - Applicant - -' NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject o the Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall he dimmed rtvokd. CONSTRUCTION LENDING AGENCY' ' Q IheralWaffum tMr there is a construction lending agency for perforunce of - the work for which mix permit ie issued (Sec. 3097, Civ, CJ r y. F.1 Landers Name Lenders Address aa: . 1 certify that 1 have read this application and sum that the above information is, Lri L>•1 Q u. Z comeal. I agree m comply with ili city and county ardirances and state Iowa relating to V building construction, and hereby authorize tepr5ventadves of this city to enter upon the ' above.memi,nnd property for impecuon purpoea,. O f„J +(We) agree to save, indemnify and keep harmless the City of Cupertino against Iiabilitn,judgmcnts,awuende....which may in an, way wane ageiwbaid City • �,t W in consequence of me grantng of this permit . [� �+ APPLICANT UNDERS AND WILL COMPLY WITH ALL NON-POIN3' T C EzDfr NS 4125100 rte rt lic VConuenor Date ' _ - HAZARDOUS MATERIALS DISCLOSURE Re -roofs Will the Iicantorfuturebuildingoccupantstoreorhandlehstantmaterial as defined by the Cupertino Manic' al Code. Chapter 9.12, and the Health and Safety Cde.Sec9on25532(W7 W Type of Roof Dyes No - Will the, applicant or future building occupant use e,aipment or die.ims which emit hoardoua m conwniwnu axAiFlned by me Bay Area Air Quality Manetm egnt All roofs shall be inspected prior to any roofingmaterial being installed. If a roof is installed without first obtaining an inspection all Disusrt L DYn N ' o I a ree to remove all new materials for inspection. Applicant I have dr Intonations un erstands and will comply'with all non point source regulations. lead worries ander Chapter 6,95 of me Cali- facia Health At Safety Cade, Sendero 25505, 21533 ual 25530.1 undasund that if tee ,/ building dote as currently have a tenant that it is my responsibility w ratify the occupant - %LJ, ofdert ''rano n tit four misaumenofaCertd�uq rOcWWpp�y 1 LFI'i?`. C Signature 9LXpplicant Date en Owmo euthonz sur All roof coverings to be Class "B" or better OFFICE 000qol,�-(� / 0 Zo 5- / � 4 � �-//\/ Sex -5 </ N 9 o'o-m PATIO ENCLOSURE WALL 3 1/2- (min.) CONC. SLAB W/ 6"x 6"x N 10 W W MESH O/ I" SAND O/ 6 mil. VIS. O/ GRADE ` TYPICAL SLAB ON GRADE DETAIL scale: 3/4" = V -O" • 0 EXISTING RESIDENCE PROPOSED PATIO ENCLOSURE • ON NEW CONC. SLAB- . _ ..i ��:;Y�}' �Lj-' ¢• i11`; - `•;3 ��...�. INSECT SCREEN • NORTH ELEVATION scale: 1/4" = V-0" EXISTING RESIDENCE PROPOSED PATIO ENCLOSURE ON NEW CONC. SLAB WEST ELEVATION Stale: 1/4" - P-0" • L J PLAN VIEW scalc: 1/4" = 1'-0" ZING 0 s I4 O loo ,,6—.01 7 44'-0" r, _p i �,6—,Ol 0 G-6" . GARAGE 3 w Q RESIDENCE Coat yCo,z.Y > CASTINE AVENUE SITE PLAN scale: 1/16" = 1'-0" PLOT PLANS ,0 o - h�. AUG 7 ZOUO LOT AREA = 8,279 RESIDENCE = 1,842 GARAGE = 456 NEW PATIO ENCLOSURE = 328 TOTAL (31.7%) = 2.626 OWNER: HUYNH RESIDENCE ONTRACTOR: BAY AREA SUNROOMS INC. 10651 CASTINE AVENUE 17 W. 41 st AVENUE CUPERTINO, CA. 95014 SAN MATEO, CA. 94403 408 245-4892 650 341-6201