02120045CITY OF CUPERTINO`
'' �` > '" '' ��` ,,
TNFOIiMA"T(°1N.,.
WIPLIGAI
BUILDING DIVISION PERMIT,CUNTRAC�UR
e�w5&�fz' a 's%;dv x'. �'
BUILDING ADDRESS:
"702120045
1 051 SANTA TFRFqA nR
•vNEWS NAME:
FfNALED
PE' lE,T l/2002
IRA JACK Y AND GRACE
°NE:
APR 012004
SANITARY NO. CONTROL NO.
ARCHIIRCfYENGINEE0.:
BUILDING
O°PeaPoG
BO BeIMECH
O
LICENSED CONTRACTOR'S DECLARATION
Job Description
1 hc.by affirm that I am licensed under pmvisiom of Clup.r 9 (commencing
with Section 7") ofDivisian Sof the Be Profeasiom Cade, end my license is
in full to=a7lAg�em.
..
ADD
L Lar/_ Lie.g q&660
291 SQ.FT./INTERIOR ALTERATIONS
D, con
CONTRACTOR: BLASING CONSTRUCTION (05/13/03)
ARCHITECTS LARATI N
I understood my plans shall he used as public mcords
5/12/03 PERMIT EXTENDED TILL 8/11/03 PER GREG.
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contnemh License Law for the
following reaaan. (Section 7031.5, Business and Pmressium Code: Any city or county
which rect irea s permit to...,t, alter, Improve. demolish, Or repair any structure
prior to its issuance. also requires the applicant for such permit to File a signed statement
that he is licensed pursuant to the provisions of the ContrMbfs license Law (ChaPICr9
Sq. Ft. Floor Area
Valuation
(commencing with Section 7000) of Division 3 of the Businen and Professions Code) or
that he is exempt lampoon and the basis for less alleged exemption. My violation of
APN Number
$1®c@tI{f2Q�y Type
Section 7031.5 by any applicant for a permit subjects the applicant in a civil penalty of
not more then fiw hundred dollars (5500).
❑ L as owner or the property on my employees with wag, as their able ampemadrn,
Required Inspections
will do the work. and the structure is not intended moRered formic (Sac. 7011, Business
and Profusions Cock: The Contractor's License Law does not apply to an owner art
pmpeny who builds or imprmes thereon.and who doessueh .,it himself., through his
own employer, provided that such improvements ere not intended .,offered rot eale. If.
101 — FOUNDATION
however, the building or improvement is sold within One yeas of completion, the owner.
builder will have the Wrdcn of proving that he did not build Or Improve for purpose of
102 - PIERS
esta').
103 - UFER
❑ 1, as Owner of the property, am exclusively contracting with licensed am ecters to
10 4 - REBAR
construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Lt
amLawdoes not apply mancower of Property who Wildaorimprovthere.,and
105 — ANCHOR BOLTS
who contractsfor such projects with a eontractot(s) licensed pursuing in the Contreemes
Lt.,. Law.
106 - SEWER & WATER
❑ I am exempt under Sec. .B&PC for this reason
202 - UNDERFLOOR PLUMBING
Data
203 - UNDERFLOOR MECHANICAL
204 — UNDERFLOOR FRAME
WORKER'S COMPENSATION DECLARATION
I hereby affon under penalty of perjury one of tun following dkelamlov:
205 — UNDERFLOOR INSULATION
❑ I have and will maintain r CerificoteofConsent oselBinsum for wodwrsCOmpem
sation, as provided for by Section 3700 of the Labor Code. for the performance of the
301 - ROUGH PLUMBING
wort for which this permit i4 issued.
302 — TUB & OR SHOWER
O 1 have and will maintain Workers C.mpenytia0 IRtnMa, a1 required by Section
3 03 - ROUGH MECHANICAL
700 of the Labor Code, for the performance of the far which this permit is issued.
arherb Cor�PensNan lrmutana ariannd Policy ram:
artier Id Ga't Polley N 3'SrS��--
304 — ROUGH ELECTRICAL
.: 2
305 - FRAME
CERTIFlCATE OF C MPEN TI/0N NSURANCE RS
306 - HOEDOWNS
(Ihssection need not be completed lex the permit H foroac hundred dollan(SIM)
307 - INSULATION
mle'a)
308 - SHEETROCK
I certify that in the performance of the work for which this permit Is issue, I shall not
employ any paraan in my marrier as r in become subject to BC Workers Compensation
309 - EXTERIOR LATH
Laws ofcelifnmiaData
310 - INTERIOR LATH
311 — SCRATCH COAT
Applicant
NOTICE TO APPLICANT: IL after making this Ccnificatc of Exemption, you should
become subject to the Worta's Compensation provisions of the IaW, Cod, you must
313 — ROOF NAIL
foMwith comply with such provimms or this Permit mall be domed .voted.
501 - FINAL ELECTRICAL ENERGY
CONSTRUCr10NLENDiNGAGENCY
hemere
I hereby affirm that iso anamsctimn heeding agency lo, the pert... of
502 - FINAL PLUMBING ENERGY
theLe wish for which this pemrit0issved is.,. 3097, Civ. Cd
Lender's Name
503 - FINAL MECHANICAL ENERGY
504 - FINAL BUILDING ENERGY
Leaders Aaa.aa
I certify that l haw mad this application and sore mat lere eWve information u
505 - FINAL ELECTRICAL
coram. I agree to comply with all city and county nwimonfirldrocsor and sty hews miming to
building construction, and hereby eumorim rcPresenutivrs of heir city reenter upon Bre
GAS EST
atwvomentioned property for inspection purposes
V
07 FIN
end keep h hay in an the City Of against id Citynst
(Wa) egret m caw• ind expenses
oxpanaesmit. may In any way seems against mid City
p s
5 CAL
inconsequence f thecoauamd
In consequence of the grrting of this permit.
APPLIC UNDERSTANDS AND Wry.L COMPLY WITH All. NON -POINT
SOUR ER U TIO 5. /
Issued bye O Date
!/, w{`y
(o
Re -roofs 514 - INAL PUBLIC WORKS
nu of Applicant/ ntrabtnr Des
HAZARDOUS MATERIA ISCLOSURE
Type of Roof
Will the applicant or future building occup at store or handle hvsrdaus material
as defined by the Cupertino Municipal Code, Chap.r 9. 12. and the Health and Safety
. Section 255324)?All
roofs shall be inspected prior to any roofing material being installed.
❑secs Nu
If a roof is installed without first obtaining an inspection, I agree to remove
Will the applicant or future building occupant use equipmaul or devices which
emit hooudoa air contuninanu as defined by the Bay Am Air Quality Management
all new materials for inspection.
District?
❑Yes Nu
I have mad the ha AMcmamemrials requim=nu under Chapter&95 of the Calirar-
niaHezlth&Safety Code.Scetr.MM5,25533end25534.1undemtsndthmifthe Wilding
dors not tIY ha a envoi met It u my raspontihility te notit red acupent of the
mal. entswh It met cc III r cep c
Signature of Applicant Date
f3
n — =! All roof coverings to be Class "B" or better
Owner
or uthorizcdagcnt to
CITY OF CUPERTINO
BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION,
RII IIA AUDRFSS.
PERMIT NO
11051 SANTA TERESA DR
02120045
NER'S NAME
APPLICATION SUB DATE
SERA JACK Y AND GRACE N
12 11 2002
PIIONF.:
SANITARY NO. CONTROL NO
ARCHITF.CTIENGINEF.R:
BUILDING PERMIT INFO
BLDG ELECT PLUMB
MECH
C7 O O
O
j LICENSED CONTRACTOR'S DECLARATION
1 hereby mI licensed Chapter 9
G
Job Description
P
affirm at am under provisions of (commencing
with Section 70(9) of Division 3 of inn Business and Professions Code, and my license is
Ofllfemrandeffecl,
ADD 291 SQ.FT./INTERIOR
ALTERATIONS
License Cln,s Lic.M _
p Dart _ _ CmrowIer
i ARCHITECT'S DECLARATION
I understand my plans shall he used as public record%
Licensed PnRcssional
ON
OWNER BUILDER DECLARATION
Ciam License Low for the
hreaso .them but 1 camps from the Conlon
Co
reason. (Section 7031 Buafteas and Professions GWr: Any coy or county
1
which a In alter, improve sure
which ser repair any awrairm
its issuance. also tins the h Perms4
t pdnrtn rts modpalsonationsthe vision of torsucthe contractor Lw(ned Cha mcnt
to e s Life a cense LawlCnapterY
theeB
Sq. Ft.
Floor Area
$100N0Oauon
3 usinessnd Prof Code)or
with Section land of Division 3 Business and
(commenccenwJpursuion700
(commencing
3
on. Any vi
Nal he is exempt IMmfrom and me basis for me alleged exemption. Any violation of
exempt dr basis f the al
Occupancy Type
Section 7031.5 by any applicant for a perandiubjects the applicant to a civil penalty ofbe
not more than five hundreddollars (5500).
1. as owner of the property, or my employees with wages as their sole compensation.
—
equlred Inspections
will do the work, and me slmemm is not intended or offered for We(See7044, Business
Law does
and Professions Cade: The Contractors License not apply m an owner of
102
- PIERS
property who builds or improves daemon, and whoducs such work himself or through his
own employees, provided that such improvements are not intended of offered for wile, If,
103
— UFER
however. the building or improvement is sold within one rear of completion, the owner.
104
— RE BAR
budder will have the burden of proving that he did not mild or improve for purpose of
sale.).
105
- ANCHOR BOLTS
Laownerof thepropcny,a.exclusively... maacong with licensed contractors to
106
- SEWER & WATER
nawn the project (Sea 7(W4, Business and professions Code:) The Contractor's Li
uLaw does not apply luanowncr of prnpeny who Wilds or improves thereon, and
202
- UNDERFLOOR PLUMBING
who comractshmsuchprojecla with a contraction(s) licensed pursuant o the Contractor's
203
- UNDERFLOOR MECHANICAL
LicenseLaw.
❑lam fire under sec. _.B& P C for this reason
204
- UNDERFLOOR FRAME
oa %z-(�-O
205
301
- UNDERFLOOR INSULATION
- ROUGH PLUMBING
R COM PENSATIONDECLARATI
ram
I re aderpcaaltynfperjnryonennWadmwingit larmmns:
302
- TUB & OR SHOWER
❑ Ihaveand will maintain aCe ieeateofConsenttoself-msureforWorkersCompcn-
303
ROUGH MECHANICAL
saline, a provided for by section 3719 of the Labor Cndc, for the perfmmanee of the
—
work for which ma mitis issued.
304
- ROUGH ELECTRICAL
I have and will maintain Worker's Compensation Insurance, a required by Section
305
- FRAME
I", of the labor Code, for the performance of the work for which this promo is issued.
My Worker s Compensation l romance carver and Policy number are.
306
— HOLDOWNS
%a dor Policy No
307
- INSULATION
CERTIFICATE OF EXEMPTION FROM WORKERS'
308
COMPENSATION INSURANCE
- SHEETROCK
(This section need nm hecnmpletemanepernrrslornnehundred dollars ($100)
309
- EXTERIOR LATH
tiles`)
310
— INTERIOR LATH
1 ceniry mat m the edomarnce onhe work lilt which his permtt is i„ued,1 shall nm
311
- SCRATCH COAT
.ploy any anyrommor,wss. hccome suhjccuothc Wofkcfs'Compcnsauon
iawsn^cal n a
313
- ROOF NAIL
dmcE
501
- FINAL ELECTRICAL ENERGY
N FO PP ICA : ',a ermaking this cemficale nr Eaemptinn. yon snnnld
snbj a So WO,or,Cn.penxationpmsisinnsnfthelaWrenue.Ynamtiat
forthwith cnm with eucM1 prnvisino, nr Ms per mit shall be da me, me de
502
— FINAL PLUMBING ENERGY
.,
>
503
- FINAL MECHANICAL ENE Y
iCONSTRUCTION LENDING AGENCY
I hereby affirm mm there is. eon..drucnon lending agency panic xrfcrmanca of
504
— FINAL BUILDING ENERG
me weak In, which this mmon om,red(Seew9zooi.C,)
505
— FINAL ELECTRICAL
Lenecr's Name —_
Lenders Address __.__—
506
- GAS TEST
j 1 ceniry that I have read In, application and slate that the above information is
507
— FINAL PLUMBING
' correct l agree to cnm ply with all city and county ordinances and smote laws miming ,
Wilding conswclion, and hereby win rcpresentatives of rola city menter urym stir
599
FINAL MECHANICAL
tied orpon,sar noserealstom
Above -mentinnrd prupeny for insMcbon purposes.
-
FINpi(We)
agree to save, indemnify and keep hamness the City of Cupcmm� againstliabilities.jt
�jLJ
which may in anywayacc.c againstsaid City
consequence of the granting of this permit
I
GI/
APPLXANT UNDERST NDS AND WILL COMPLY WITH ALL NON�POINT
5
Issued by.
WORKS Date
Uth
SOURCRREGUL TIO
Re -roofs
Type of Roof
/ -
' nqi o ppl' HAZARDOUS MATERIALS DISCLOSU E Dale
dl the applicant or future building occupant store of handle havareous material
defined by the Cuproino Municipal Code, Chapter 9.12, and the Health and Safety
e, sepdnn 25532(a)'
All roofs shall be
inspected to any roofing material being Installed.
Ely,' �Ne
prior
If a roof is installed
without first obtaining an inspection, I agree to remove
Will thea applicant or future building t use equipment or devices which
pp yuip
B
mol baamna> air contaminants as defined ny me Bay Area Air Quality Management
d by the
all new materials
for inspection.
Disv¢In
❑Vcs 5(N'u
1 have read the hu,mb us malcri.h ro,macmcnts under Ch.,w,695 of the Calgon
net Health,k Safely Col, Sections 25N)5,25533 and 25534.1 announced Nat dba, budding
mks net currently haw a tenant, for it i, my real»n,lbili to notify IW ce ePant of be
require. swtoohmut metpdn,o2yXjafaCro cateorOccupancy.
Signature of Applicant
Date
r• `
All roof coverings to be Class "B" or better
nt m Ienl Date
V
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CITY OF CUPERTINO
BUILDING DIVISION ]PERMIT
CONTRACTOR INFORMATI�"
;,-
BUILDING ADDRESS:
PERMIT NO,
11051 SANTA TERESA DR
021.20 45
OWNER'S NAME:
APPLICATION SUB DATE
SERA JACK Y AND GRACE N
12/11/2002
PHONE:
SANITARY NO. CONTROL NO.
ARCHn=fENGINEER:
BUILDING PERMIT INFO
BLDG ELECT PLUMB MF.CH
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing
Job Description
With Section 7000) or Division 3 of the Businesa and Professions Code. and my license is
in full force and erect
ADD 291 SQ . FT . / INTERIOR ALTERATIONS
License Class Lie. N
Date Contractor
ARC H ETEC[ -S DECLARATION
I understand my plans shall be used as public records
.
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the
Following reason. (Section 7031.5. Business and Professions Code: Any city or county
which requires a permit to eoasmhct, alter, improve. demolish, or repair any structure
prior to its issuance, also requires the applicant for such permit to rile a signed statement
that he is licensed pursuant to the provisions or the ContramfsLicense Law (Chapter 9
Sq. Ft. Floor
Area
,�ty r;v,
$1007ty1 OCation
(commencing with Section7000) of Division 3 of the Business and Professions Code) or
that fie is exempt therefrom and the basis for the alleged exemption. Any violation of
be_ Occupancy T} pe
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($5D0),
❑ I. ns owner or the property, or my employes with wages as their sale compensation,
will do the work, and the structure is not intended or offered for sale (Sec. 7044. Business
Code: Contractors Law dors to
equlred Inspections
and Professions The License not apply on owner of
102 —
PIERS
property who builds cr improves thereon, and who doessuch work himself or through his
own employees, provided thatsuch improvements are tot intended or offered for sale. It.
103 —
UFER
however. the building or improvement is sold within one year ofcompletion,the Owner.
104 —
REBAR
builder will have the burden of proving trot he did not build or improve for purpose or
sale')'
105 —
ANCHOR BOLTS
39 ], as owner of the property, am exclusively contracting with licensed contractors to
106 —
SEWER & WATER
construct the project (Sec. 7044. Business and lrofessioas Code:) The Contractor's Li-
cense Law does not apply to an owner of property who builds or improves thereon. and.
202 —
UNDERFLOOR PLUMBING
who contracts for such projects with amnrractor(s) licensed pursuant tothe contractor's
203 —
UNDERFLOOR MECHANICAL
License Law.
❑ 1 am exempt under Sec. . B & P c for this reason
D
204 —
UNDERFLOOR FRAME
1) —
R COMPENSATION DECLARATI
205 —
UNDERFLOOR INSULATION
47—
301 —
ROUGH PLUMBING
1 under penalty of perjury one or the following declarations:
302. —
TUB & OR SHOWER
❑ I have and will maintain n Certific3leofCorMni to self -insure for WorkeesCompen-
sation. as provided for by Section 3700 of the Labor Code, far the performancce of the
3 03 —
ROUGH MECHANICAL
work for which [his permit is issued.
304 —
ROUGH ELECTRICAL
❑ I have and will maintain Workers Compensation Insurance, as required by Section
305 —
FRAME
3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers Compensation Insurance carrier and Policy number arc:
306 —
HOLDOWNS
Carder. Policy Na:
307 —
INSULATION
CEImFICOMP�A>TIO O�� EOIixERS'
308 —
SHEETROCK
(This SaLion need 000C completed ifthe permit liforane hundred dollars ($IM)
309 —
EXTERIOR LATH
of less.)
310 —
INTERIOR LATH
I certify that in the (((Fttt,,,crformance of the work for which this permit is issued, I shall nal
311 —
SCRATCH COAT
employanypdrsggrfr�anymanner aastobecornububjecttotheWorkers'Compensation
Laws of Caliro iia`. at€ —
313 —
ROOF NAIL
H2]��QQpl}'�ant
TO PP ICA a €rmaking this Cert(irateofExsmption you should
501 —
FINAL ELECTRICAL ENERGY
I tome subj t t Workers Compensation provisions of the labor Code, you must
502 —
FINAL PLUMBING ENERGY
forthwitte cum with such provisions or this permit shall be deemed revoked.
503 —
FINAL MECHANICAL ENE Y
CONSTRUCTION LENDING AGENCY
Ihereby allirmthat them isaconstruction lending agency (or the performance of
504 —
FINAL BUILDING ENERG
the work for which this permit is issued (Sec. 3097, Civ. C.)
505 —
FINAL ELECTRICAL
Lender's Name
506 —
GAS TEST
Lender's Address
I certify that 1 have read this application and state that the above information is
507 —
FINAL PLUMBING
correct. I agree to comply with all city and county ordinances and state laws mia[ing to
building construction, and hereby autarize representatives Ofthis eitytoenter upnnthe
5
FINAL MECHANICAL
7;
above-mentioned property for inspection purposes.
0 9 —
F I N
(We) agree to save, indemnify and keep harmless the City of Cupertino against
/
liabilities,judgments, costs and expenses which may in any way accrue against saidClty
in consequence of the granting of this permit.
5
N G
i 1
ADPL ANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by -51
f
WORKS Date C!
SOURZREGUL TIO
r '�
Re -roofs
Type of Roof
Q=0, pp h ontraaor ! Data
HAZARDOUS MATERIALS DISCLOSURE
e applicant or future ]wilding occupant store or handle hazardous material
as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety
Code, Section5532(°}7
All roofs shall be inspected
prior to any roofing material being installed.
Yes
❑ s j�Na
If a roof is installed without first obtaining an inspection, I agree to remove
Will the applicant or future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Arra Air Quality Management
all new materials for inspection.
DisuicO
❑ Yes 54Nu
I have read the ba7ardnus materials requirements under Chapter 6.95 of the Califor-
nia Health & Safety Cade, Sections Z5505.25533 and 25534. f understand that ifthc buildf rg
does. not currently have a tenant, that it is my responsibili to notify the occupant of tlto
requrcm tswhichmust metpriorinissuanceofaCc €ateorl3ccupancy.
Signature of Applicant Date
roof coverings to be Class "B" or better
one nr nthon gent Date
w_
CITY OF
CUPEkTINO
i TY OF CUPERTIl40
PERMIT APPLICATION FORM
0-�- �za-D S�
APN #'
01 CV
Date:
T
Building Address: I -✓,j�A ppi)
Owner's Name: � � r
I� �—
Phone #:
Contractor:
License #:
Contact: k[,;;1AP i `
Phone#:
Applicant/Contractor:
Fax #: , 60��O
Ptiii'ding Permit Info: `
(Bldg/ ElectPlumb Mec
NieKDescription:
Residential: ,tubi t,�T, Commercial:
Sq.Ft. Floor Area: , ' �Q ,hL
-TRIVf
$/Sq.Ft.:
Architect/Engineer: II,�,�y ,�p
Valuation:
Type of Construction:V 9 MTb JfW�2
Occupancy Gr up: r r`
Quantiv Fee ID
Fee Description
Fee Group
BAPPLOTHER
Other Ap2liances
MECHANICAL
BCONSTAX
Construction Tax
BUILDING
BCONSTAX
Ind/Off/Comm/Quasi
BUILDING
BCONSTAXBQ
Con. Tax for B Q 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
Enerev
BUILDING
BENERGYADD
Energy Add Multi
BUMDING
BRWESTIGA
Investigation fee
BUILDING
BMITIGATC
Comm. Housing Mit. Fee
BUILDING
BMITIGATR
Res. Housing Mit Fee
BUILDING
BMNEWMULTI
New Multi Family Res
MECHANICAL
BNEWMULTI
New Multi -family Res
ELECTRICAL
BNUCOMME
New Comm Electric
ELECTRICAL
BNUCONE\fM
New Comm Mechanical
MECHANICAL
BNUCOMMP
New Comm Plumb
PLUMBING
1 of 3
TY OF CUPLRTE50
cuP TY O »�o PERMIT APPLICATION FORM
Quantity' Fee ID
Fee Description
Fee Grog
BNUMULTI
New Multi -family Res
PLUMBING
BOVERTME
Inspection Overtime
BUILDING
BP13ACKFLOW
Atrno heric Vacuum
PLUM ING
BPCESSPOOL
Cesspool
PLUMBING
BPERMFEE
Bldg Permit Fees
BUILDING
BPFYXTURE
Pblg Fixture.
PLUMBING
BPGAS
Gas Piping System Fee
PLUMBING
BPINTERCEP
Ind Waste Interceptor
PLUMBING
BPLANCHK
Plan Check Fee
BUILDING
13PLANCKADD
Plan Check Add Multi
BUILDING
BPLANCKREP
Plan Check Repeat Fee
BUILDING
BPREPIPE
Re i e Of Fixtures
PLUMBING
BPSEWAGE
Sewa a Disposal
PLUMBING
BPSEWER
Sewers
PLUMBING
BPSPRINK
Lawn S rinkler/Backflo
PLUMBING
BPSTORM
Stonn/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
Rein ection Fee
BUILDING
BREMACOVER
AIC Unit > 10,000 cfm
MECHANICAL
BREMATRHAN
AIC Units <= 10,000 cfm
MECHANICAL
BREMAPPLI
Appliance Install
MECHANICAL
BRENMUSWAY
Remodel Busways
ELECTRICAL
BREMFIXT
Lighting Fixtures
ELECTRICAL
BREMFURN
Relocation of Furnace
MECHANICAL
BREMFURNOV
Relo Furnace > IOK btu
MECHANICAL
BREMHEAT
Heater Installation
MECHANICAL
BREMINHOOD
Installation of Hood
MECHANICAL
BREMMISC
Misc Apparatus
ELECTRICAL
BREN gZAPP
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
BREMREPALT
Repair/Alter Heating
MECHANICAL
BREMRESAPP
Remodel Res Appliance
ELECTRICAL
BREMSIGNAD
Rmdl Sips Add Branch
ELECTRICAL
BREMSIGNS
Remodel Signs, Mar uee
ELECTRICAL
BREMTHEATR
Theatrical Lighting Fix
ELECTRICAL
2 of3
CITY OF
Cu PEKrINO
-'TY OF CJPERTINO
PERMIT APPLICATION FORM
Qx-av—tityFee ID
Fee Description
Fee Grou
BREMVENFAN
Vent Fan Single Duct
MECHANICAL
BREMVENSYS
Ventilation Systems
MECHANICAL
BSCBLVD
Scb Specific Plan
BUILDING
BSEISNUCOM
Seismic Commercial
BUILDING
BSEISMICRE
Seismic Fee Res
BUILDING
JB�ff&HAM
Sin le & 2 Family
BUILDING
SFNA
Single Family New Add
BUILDING
BSPECIAL
Special Inspection
BUILDING
Bsv;w
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
MPERAUTFEE
Mech Permit Issuance
MECHANICAL
PPERMITFEE
Plumbing Permit Issue
PLUMBING
PPLBG
Plumbing Fee sq foot
PLUMBING
ZADDCHG
Address Chane
BUILDING
BBOILERI
Boiler <=100,000 Btu
MECHANICAL
BBOILER2
Boiler > 100K to 500K Btu
MECHANICAL
BBOILER3
Boiler > 500K to 1M Btu
MECHANICAL
BBOILER4
Boiler > 1M to 1.75 M Btu
MECHANICAL
BBOILER5
Boiler > 1.75 M Btu
MECHANICAL
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