Loading...
S 1983-APPLICANT TO FILL IN INFORMATION WITHIN RED LINES -USE BALL POINT PEN ONLY CITY.OF CUPERTINO BUILDING - ELECTRICAL BUILDING DIVISION APPLICATION/PERMIT PLUMBING - MECHANICAL PESIT NO, 1983 v\ BUILDING PROJECT IDENTIFICATION BUILDING AUURF,�S: SAN] IARY NO. APPLICCA'1'ION SUBMITTAL DATE t !� �O OWNER'S NAME: PHO E: CONtRACIOR'S NAME: LIC NO: 0 N❑IC CO_ NTROL# O 'O RCII'I'ECT/ENGINEER LIC NO S DRESS: 4,J s, i/7) 6 S Lir,J 'ONI I'AC'1': PHONE: BUILDING PERMIT INFO L 1 -��p ❑ Consultant Fees Paid by Applicant (Initial) BLLDDO ELECTPLUMBM¢ECCHH/ /�J Ila Lel ISG LJ azz WOO QUU yZW �yn Z O h Z LICENSED CONTRACTOR'S DEC'dL�AR,ATION I hl,rcby infirm that,=.'d ,i Chapter 9 (�nnml,naimg with Section 9000)of Di"im Sof the6usi .andP x( Codc,nndmyllcenscis i. Wtfull force and effect License C ass c Dam — struamr ARC 5D LARATION 1 1 rxmnd my pF ewNs QTY. ELECTRIC PERMIT FEE JOB DESCRIPTION RESIDENTIAL- ❑SIUWL ❑KITCHEN REMODEL ❑ADDITION El PLUMBING RE-PIPE ❑MULTI ON]]' ❑STRUCTURAI, MODIFICATION ❑IN'T'ERIOR El CHIMNEY REPAIR IMPROVCMEN'I' ❑DEMOLINGP00L5 ElBATH REMODEUREPAIR ❑ DEMOLITION []OTHER PERMIT ISSUANCP. APPLIANCES- RESIDENTIAL PANELS UPT02UU AMPS �—F,O Q d F tensed .anon OWNER-BUILDER DECLARATION 1 htmby union that 1 am exempt fmninto Complaint's Lianas Law for the following reason. (Section 90315, Business and Pndessions Code: Any city or sound 201-I OOV AMPS VER I WO AMPS 'IGNS ELE ICAL fX F O QD O Y C �.o W �.. ^'S6 C.F. 41p FF9 which requires a permit m con umal, alter, improves demolish, or repair any aruaure pd.". its ni,tomcealso daRims Ueopinamlfmaeb perp 11. Montigned stalearenl hot he he is lieen,ad prsum th uant epms Low (Chaptcr9 mvisioof the Contractors License (commencingsdIr Station 9111Nq of Division 3 of Ilio Business and Professions Code)., that lin is exempt therefrom and the basis for The alleged exemption. Any violation of Section 90315 by any applicant Potty paanit subjects the upplicummucivll penalty of not marc than Eve hundred culla.. ($500). 0 Lae owner of the propert1Or city employees with wages as their sole cnmpwsafmn, will do the work, and theumaram isnot imauled credited! f ... le(SIc 7044. Business and Professions Code The Contor,ow, License Law docs sat apply loan owner a( property who builds or inipmvcs themor, and who does such work lumwlf or NlouSO his own employees, provided that such improvements am tint intended or olforcd far PEC CIRCUITIMISC. .ML POLE INS'1'. COMMERCIAL' ❑NF.W BLDGIAUDITION ❑DBMOi,I'1'[ON ❑TENANT ❑FOODSERVICE IMPROVEMENT ❑OTHER POWER DEVICZoe -SW IMIND NIP07 ELEC OU'1'LE'I'S- W' -F TURES FW RESIDENTIAL P , -C® SQ FT sale. If howeveu the building., improvcommoenld within nney nouniallahm IM1e SQ. Fp. FLOOR AREA $/SQ. UL er-builder will have the burden .f proving Ibar he did not build or improve fon par- Eme of sowne AL. ❑ as .weer of properly, inn exclusively with licensed mnall mp to Prmmafn s s a- onmmct thcp jmt(Sm.](W4, Business and Professions Code:)TM1e Comnmtors Li- 114G�tf/ QTY. PLUMBING PERMIT eEFO nsn Law does not apply m an owner of property who builds or improves thereon,and whoc.ntmcporsuch projectewithacmdonat a( e) licensed purwnot to (lie Cmara ors PERMIT ISSUANCE 1 Lictlne Low, E]I am exempt under Sm. ,B& P C for tanner".n L ALTER - GRAIN &VP,NT-WATER(EA) O wner Data VALUATION , CK FLOW PROTECT DEVICE W'ORKER'S COMPENSATION DECLARATION / I hereby affirm underpenaltyofperjuryoncofthe following decludienn: 0 nit 111 ( C/ AINS- FLOOR, ROOEAREA, I havaand will maintain. Cenificamiuf Curator inre n sell ufor Worker's ComperrCOINED. tion, a Provided for by Section 3900 of the Labor Code, for the performance of the 6w, STORIES 'TYPE CONSTRUCTION IXTURES - PERT RAP .rk for which this permit is issued ❑ I hoe and will maintain Worker's Compensation Insumnce, as required by Section 3900 Ufthe Labor Code, for The perminnonce ofthe work l' or which di permit is issued. My Worker's Compensation Insurance carrier and Policy np,I-n Ca„iec, sHlliL�pi-]tlt, Policy Nn.: S-1A. SYSTEM-] INC. 4 OUTLEI,.S OCC. GROUP APN AS- EA. SYSTEM OVER 4(EA) CUR 'I'IICATE OF EXEMPTION FROM WORKERS' REASEONDUST 'AS'O INT, 'EPIOR COMPENSATION INSURANCE. (This section need not be complaN if Ne. word, is fauns hundred calors ($IfNI) or less) BUILDING UIV191oN PEEP_ ___ EASF:'I'RAP PLANCHECK FEE SO .2W 111 ATER THEM ERI:NTL TFWfai-SANITIATING 1 homilyth rind pvf ill k( which lhis p 'f'ssued,lshall not ply .on y f,I bJec�¢d N krs'Compen- Z ami L I'fom PI j4S zO Appl' t - h NOTICE, I APPLICANT'. If. after making this Certificate of Exemption, you should (•" ; become subject to the Worker's Contpansam.n provisions of the Labor Code, you must forthwith comply with such provisions or this perm) shall be deemed revoked. �Q CONSTRUCTION LENDING AGENCY U O l hereby affirm that is a constriction lending agony for the performance of The work for which this pumft is issued (Sol .309], Cr,. C) ENI:RGYIEE 3 .J F 4n GRADING FEE ATER SYSTEM n SOILS FEE TP.RSERVIC y 'EW RESIDENTIAL PLMB. SQ. par PAID One Receipt# T AL'. O ULender's Name W Lenlm,Address H1 certify thus 1 have rwd this application and state that ilia .have iufmmati.n is Vim] urmay.I ogrezmcomply with all city and county oNinauces mid stem laws relating to U Z buildingronamdion, and hereby auth.Hiu ocpmserand,ts.fthiveity to anterarym the DIAL. BUILDING FEE 3 490 Q'PY. MECHANICAL PERMIT FEE SEISMIC FEE �� above-mentioned propany for inspection purposes. (We.) agree m save, ind,pundy and keep harmless the City of Cupenin. against PERMIT ISSUANCE • LECTR IC `3 habilives,)udgments, costs and expenses which may in anyway social, against said City ' ce.I the g.,,fine Of this permit. - ALTER OR ADD TO MF,CH. .S APELIe N'1' UNDBRSTAN 'AND WILL COMPLY WITH ALL NON-POINT SOUR 1 REGULATIONS. _ AIR HANDLING UNITUO IO,OW CFM) MBCA I , LFE6 —5 AIR HANDLING UNIT (OVER EOOOCFM) '[ON TAX TW_ a sed"mfApplleom/Cbbdpmd Date MATERIALS DISCLOSURE EXHAUST HOOD(W/DUCT) ❑ IAO MITIGATION FEE HEATING UNIT 00 100000 BI' U) Will the applicant or future buildingol,vupmn score nr handle huranous material us defined by the Cupertlmr Municipal Code. Chapter 9.12, and the Health and Safety Cale, Section 25532(x)? El Yal I.K.— Will the applicant or future d - d by the Bt use equipment or devices which bmuNnus nirwntuminanls as tlSGned by the Emy Arca Air Quality Management ntdcT? _Mry/ Yes HEATING UNIT (OVER 100,000 BTU) PAID Dine Rcwipt# -VENTILATION PAN (SINGLE RESID) BOILBR-COMP(3HV OK IUO,lN1U DTII) T AlCJ BOILER-COMP (OVEk IINI,1Nq BTU) AIR CONDITIONERI Init I have hand the hazmdons materials rcquirementsundor Chatter fi.95 of Ilia Cull- Healthglow, &Softy Cade, a atina 255!15.25533 and 25534.1 understand thatf the nmtswhich currently bust atenam, lhatil is pappinnot aCeirliytale,or ISSUANCe DATE - NHW RESIUEN'fIAL MGCfI. SQ. FP. famngdce ua ceof cc ncy.fte reyuir mtntswbait mint be met pnonoissuaneeo[a CatiOwtenfQrrpancy.whmmmvho.imd ISSUED BY �— agent Date ( i OFFICE C� E G c 0 is d M 0 x x 'aLL x .L ICL4 N Nlu i .- N N N �- N �- V CL 'y m m m m m m M M M W -Eo v N, i0 m — N W m I mjmCo Ti— L Co O> m m � Co D> Co m � O O V v v v 0 N N N C%4 00 m w miN Wrnrnrn rnrn rnrnrnrno v v v v 0 0 0 0 0 r-_ y N N N N W mmmmoommo m, 0 W H Q a I _I ~ a_ I i c U Zola Qo¢ Gc EN!U� ZZZ N N ? LU I LU W Q Q W m < 0 LL iw LLW ~ W W Oi J W W K ~ y W W W W W W W W W W F - F- F-LLLLLL LL LL LLLLLLLLLL 'Z Z Z Z;Z ZZZ Z Z N N H. 2 M M M MIM M M M M M �. W W D) a0 D) c0 m a0 01 c0 Q) a0 01 c0 W N Q) aD 01 W W rn a • • 91owl ;6170J11:WTt 11 SANTA CLARA COUNTY CONTROL NUMBER 14700 Winchester Blvd., Los Gatos, CA 95030-1818 PERMIT NUMBER V I7Q s (408) 378-4010 (phone) • (408) 378-9342 (fax) PLAN CHECK No. PLAN REVIEW COMMENTS CODE/SEC. SHEET NO. RCViLrW OF Pt4110S 70 REMDl7l:L @JCr57'iAl(, myiC/GE SAi¢GC. VFC MoDIPy &xisrrNc, FA2C 4tN-i2n ANO 5/:�2,AIkLER 5YSTeH5 i15 IDo9 1003 A)ECtggRR1f To 4-4601VD47C .Veen eousr�t�cr/oAl, L1elaroSt1> F/,2e PJlo7ecYroaJ ebuT??4CTa4 SNAL( SA"49h/er To F- Ze DEPART'a 1Ne7�e 15 T3 ©r' S//o° D7A�eNGS laro�lc'Te j�Ei2�rr 9P/°illllTemu AND A/gPtllnBtL= fEEs Toa 2cUrrW, r�i2rr '70 �ERiCir?�veN4 7Nf/17 tJoQl(. ��NA,U'- Si/A4G h�A(�C ACGG 45 To A' HrrtJ tHcIM of YN2EEr AFL foo& SL aRTeb FI/lC CJy q/n/GurSNERS Loc A�eT� w,Tt/rAl 7 g r c rar-. i�ICA�+ TD 154a& ,5u1tD/,VG y42H/T SNBJEG% /Q�P%tbVE�o -y p cortPtli9 Nec eJrT�l 4,i01/c e-oHHEAlTS ry rlIVAL WA), JURIS PLANS SPECS NEW REMODEL AS 1 U ❑ ❑ ❑ CONST. DESCRIP, BY''// oSLL'ZI DATE PAGE �!%I� (/-AJ�Sj�OL -IHS OF f SECJFLOOR OCC OCC. LOAD AREA ARCH/ENG/CONTRACTOR/OWNER 00-b 9 41"o Sr HC 1h'ZAJE 6 A)5T.Pu CTeOet) AME OF FACILITY 4 Impit C.mevPaP1lz LOCATION Y/A)PIA)ITC COIDP A California Fire Protection District serving Santa Clara County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, Morgan Hill, and Saratoga it County of Santa Clara p��L UOptn artIllCtli of Environmental Health L6L� J citral Of Ce - 2220 Moorpark Avenue, EaSt wing. Room 100 11 II MAR 2 5 1999 P.O. BOX 26070 San .bye, California 05150.0070 (408)200-0(X30 FAX 298-C261 Apple Computers Attention: Art Osaki #4 Infinite Loop Cupertino CA 95014 PROJECT NUMBER: SR114111 PROJECT NAME: APPLE COMPUTER PROJECT ADDRESS: #4 INFINITE LOOP, CUPERTINO The remodel plans for the above project have been reviewed and approved by this department. This approval shall expire by limitation and will become null and void if the construction, reconstruction, alteration, or other work authorized by this approval is not commenced within 180 days from the date of approval. Please notify this office when construction begins. Please present two (2) copies of the plans to your local building official for the required permit application and approval. Please retain the third copy on the job site. A FOOD FACILITY CONSTRUCTION CARD will be attached to the job copy and must be posted with the other building permits. Please be advised that you are responsible to contact this office to arrange a construction inspection before rough plumbing signoff, installation of equipment, and again upon completion of the project. You will also be asked to submit a mechanical exhaust system performance test, if one is present, before we can final the project. If you have any further questions or would like to call for an inspection appointment please contact the undersigned at (408) 299-6060 between 8:00 a.m. and 9:30 a.m. Monday through Friday. GENE O NELSON, REHS SENIOR ENVIRONMENTAL HEALTH SPECIALIST PLAN REVIEW AND CONSTRUCTION UNIT DEPARTMENT OF ENVIRONMENTAL HEALTH cc: City of Cupertino Building Department Board of Supervisors: Donald P. Gage, Blanca Alvarado, Pero MCI kigh, lames T. Beall Jr., S. Joseph Similian County Executive: Richard wittenherg s�