29852 .uv uvr untvlrl l wH vVl I HiH HtD LINES-USE BALL POINT PEN ONLY ,,-���
CITY OF CUPERTINO BUILDING-ELECTRICAL PERMIT,O.�
BUILDING DIVISION APPLICATION/PE RMIT PLUMBING-MECHANICAL 29852
- BUILDING PROJECT IDENTIFICATION
BUILDING ADDRESS: SANITARY NO. APPLICATIONSUBMITTALDATI
�j�LKN S S o 6 -Z�a6
OWN"ti NAME: I'IfONIi ls!TRACfOR'SN ME: LI NO: NIC CONTROLg
a.E r G.4ge sov to-SZ �cr iu- ova.
ARCHITECT?NGINEE LIC NU: ADDRESS:
(a /LIO.v
CONTACT. PHONE: BUILDING PERMIT INFO
❑ Consultant Fees Paid by Applicant(Initial) RLpG, ELECT PLUMB MCCH
LICENSED CONTRAC'TOR'S DECLARATION QTY ELECTRIC PERMIT FEE ff�3JC`
I hereby of ion that I am licensed under provisions of Chapter 9(commencing JOB DESCRIPTI N
ZO with Section llMFO of Diviilon3of the Business and Ro(asians , my license is RESIDENTIAL
FFa�F in full forceund cffmL D PERMIT ISSUANCE
aUU License Clus Lic.p15'
�kSF6WL T.HF.N REMODEL
HZQ,u1 Date Conwemr APPLIANCP_S-RESIDENTIAL ❑ADDITION PLUMBING RE-PIPE
Z OR' ARCHITECT'S DECLARATION ❑MULTIUNIT ❑STRUCTURAL
1 undentsnd my plans shall be mad is public records PANELS MODIFICATION
—4-4— UPT0 2M AMPS
F 1" Licensed Professional ❑INTERIOR [D CHIMNEY REPAIR
201-1(100 AMPS IMPROVEMENT
p�Y OWNER-BUILDER DE CLARATION C BATH REMODELREPAIR .]DEMOLITION
IX W Q 1 hereby offinn that 1 am exempt from the Comranors License Law for the OVER 101M)AMPS
3 L U following reason.(Section 1031.A Business and Professions Cale:Any city or county SIGNS ELECTRICAL ❑OTHER
�¢n which requires a permit to conswct alter,improve.demolish,or repair any strumare mi
E-v�va.l prior m its t"mace,al&o requires theapplicam for such pewino file.signedstntemem SPECIAL CIRCUIT/MISC.
vWW��ythat he is licensed pursuant to the proviunas of the Contractor's License law(Chapter 9
Cep (commencing with Section 1000)of Division J of the Busineas and Professions Cade)or TIME.METER OR POLE INST. COMMERCIAL:
yap,m C that he is exempt themfmm and the basis for the alleged exemption.Any violation of [I NEW BLDG/ADDITION [I DEMOLITION
m Section 11131.5 by any applicant lint a permit subject&the applicant to a civil penalty of POWER DEVICES
l I,,,Zy t mote than five hundred dollars 4500).
❑TENANT ❑FOODSERVICE
OCLa&ownerofthepmpeny.........Ioym&with wages as their...ecconfemi.fint. SWIMMING POOL ELECTRIC IMPROVEMENT
will do Ore wmk,and Ne souaure I,..,imcnded or offered forandc(Sec.1041,Husinea& COTTER
3 and Professions Code:The Contractor's License Luw does not spply it an owner of O TLETS-SWITCHES-FIXTURES
pmpeny who huilds Or improves thereon,amt who does such work himself or through
his own employees,provided th a such improvements are not intended m offered for NEW RESIDENTIAL ELECTS SQ fir
sale.If,howeverthe building or improvement is sold within one-year ofeompletom the SQ�FT`LOOR AREA 5/SQ.FT.
of
owner builder will have the burden proving that he did not build or imp o ve for par
post of sulci,
C I.as owner of the property,am exclusively contracting with licensed contractors it, TOTAL: ftas
construct the project(Sec.1000.Business and Professions Cm..,The Contractor's Li Q NA 28 1996
cense Low does not apply m an owner of properly who builds or improves thereon,and TY PLUMBING PERMIT FEE yk�
who contracts for such projects with a conueaoKs)licensed pursuant to the Contmmor's
License Law. PERMIT ISSUANCE CIJY Vf` t+ur
C I am exempt under Sec. ,B&P C for this reason LhlllyU
net Doc ALTIiIf-DRAIN& ENT1 ATER(EA) VALUATION
WOR KER'S COMPENSATION DECLARATION BACK FLOWP T[ .DEV. I G�' I`�1_
w I hereby affirm under penalty ofpentity one afthe following Jeclzmtiuns �C.
C l hnveend will msinwina Certificate ofCm1cm m self-insum for Worker's Compem DRAINS-FLO OOF.ASG, ND. STORIES' TYPIiCONSTRUCTION
cation,as provided for by Section 3100 of the Labor Code,for the performance of the
rwhich this permit is issunl. FIXTURES- NR TR
wort have and will maintain Workers Compensation Insurance,as required by Section
J100ofthCe LL�a_ho�r CCid.},nNott�ho hisyypearr�ftnccrmanecnfthc work forwthic�h chiss feermit is issssuee�d. GAS-EA.SYS .I INC. LETSM,Wo OCC.GROUP APN
Cemcrj5%W!-L(Ng�ccannerolar NoYp Dodd 3—/V GAS-EA.SYSTEM VER J(EA
CERTIFICATE Op EXEMPTION FROM WORKERS' GRGSE/INDUSTRL WA •1NTERC' R
COMPENSATION INSURANCE
(This smrionnced not be<omple nifNepemrit is finone hundmddollam(SHOP) BUILDING DIVISION FL•E$
ORI:ASP'IRAP
or less.)
PIANCfiECK FEE
Loy my that in the fixt-firoanyromanceof the becomork e
which this pimthe Wor issued, poo-,brall SEWER-SANITARY-STORM EA.20X1 FT.
not employ any person in any manner so as m bmnme wbje<t m the Workers'Coupon- ENERGY PFE
Q �.. ration laws of C lifornia.Data WATER HEATER WNENT/ELECTR
Z Applicant - GRADING FEE
y NOTICE TO APPLICANT,If.after making this Conificme of Exemption,you should WATER SYSTEM/BEATING
a5 hmomen subject to the Workers Compensation provisions of the tabor Code,you most SOILS FEE.
D.1 forthwith comply with such provinces.,this pewit&hall he deemed revoked
WATER SERVICE
CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL PLMB. SQ.FE PAID
U O l hereby affirm that hem is a construction lending agency for the performance of Dam R pip
W F the work far whichthi&permit is issued(Sm.3099,Civ.C.)
Lenders Name TOTAL:
U Lendei&Addm&s TOTAL:
y I cenify that 1 have read this application and state that the above information is BUILDING
V) emea.l agree In comply with allciryanAmmrty Ordinances.ndstate laws reliningm QTY. MECHANICAL PERMIT FEE
U z building construction,and hereby authorize representatives ofthis city to enter upon the SEISMICM
above-mentioned progeny for inspection purposes. PERM11'ISSUANCE
(We)agree m save,indemnify and keep harmless the City of Criterion against ELECTRIC FEE
liabilities,judgments.costs and expenses which may in any way acerae against said City ALTER OR ADD TO MECH, h
in consequence of the granting of this permit, PLUMBING FEE V
LICANT UNDERSTANDS AND W11j,COMPLY WITH ALL 'IN-POINT AIR HANDLING UNIT(TO 10,1X10 CFM)
SOL ICE REGULATIONS. MECHANICA
Z AIR HANDLING UNIT(OVER 10,00 CPM) CONSTRUCTION TAX
Ignature of ApplicanUConrean D 'T EXHAUST HOOD(WIDUCT)
HAZARDOUS MATERIALS DISCLOSURE HOUSING MTDGATION 8
Will theapplammor future mildingac<apantsmreor handle huzardomfinflimo HEAPING UNI'r(To 100,000 BTU)
m defined by the Culat ino Municipal Code.Chapter 9.12,and Ne Health and Safety
Code,Section 255320)? HEATING UNIT(OVER 100,000 RTU)
❑Yes F-1 No VENTILATION FAN(SINGLE REMID PALO
Wthe applicant it
future building occupant ase equipment or devices which Data Receipt p
emir hazardous
ous air mmaminams ae defined by the Bay Area Air Quality Management BOILER-COMP(314P OR 100,IXI0 BTU)
District? TOTAL:
❑Yes BOILER-COMP(OVER 100,000 BTU)No
I have rend the hazardous materials AIR CONDITIONER
r5,M533 an sealer Chapter 695 of the Cali ISSUANCE DATE
hsmie Health no Safety Cade.Sections 2550;25537 and 25534.1 understand that if Ne NEW RESIDENTIAL MECH, SQ.FT.
building does not
ts a hichedy have atenant,thato ismyce of a Certifimteofythe rnstrwy nt
of the rtquirtmcros xN<h must be over prim to issuance of o Certificate of Occupancy.
Owner or uuNmized idiot Date TOTAL: ISSUED BY:
OFFICE
Fax 408-289-8505 May 24 '96 10:49 P03- • �. 3
05/23/1996 15:51 4083837953 SASSON RAJABI PAS 01
Date: May 23, 1988
„yYGt(1IIV°
MAM Industries, Inc. 6(09IW'"G DWI-
1875 Monterey Hwy.
Sen Jose, Co. 95112
Att: Mike Best
Reference: 7885 Belknap Dr., Cupertino, Ce 95014
Subject: Bennet Residence
Dear Mike;
Upon your request we inspected the residence indicated above to determine if the interior
wall that is going to be removed is a bearing or shear wall. Based on our visual
observation we believe that the Interior well In between the Kitchen and family room is not
E� a bearing or _shear wall and can be removed or altered without any structural
modifications. The roof framing Consists of prefebricsted wood trusses that span to the
exterior wells and none of the interior walls appear to load bearing walls.
Should you have any questions please do not hesitate to contact the us.
Sincerely,
pN
h
REN:�1M
By. ,yam . . . . . .
Season Rajmbl, S.E. `��OiC �e
Principal Structural Engineer
�nnll�d Rnninaarinn . D A air 1191111 a�n JeU. C� OEte1.7011 � F�Yl40B13A3.7AIf1� Twl l4M11 47A.07tltl