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HomeMy WebLinkAbout28248 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO BE ILBING-ELECTRICAL PERMIT NO CAL BUILDING DIVISION APPLICATION/PERMIT PING PROJECT ICHANIFICA nO2 �I8 BUILDING PROJECT IUPN'1'IPIhATION G o !•f BUILDING ADDRE.S�'S SANITARYNO. APPLICATION SUBMITTAL DATE I 5aN UNIT# LOT# l�k-- IRAC D HTFE ESI PIC NF.: A 'RESS,T�'S NAMIi: _ NIC � .)% OL# R HI�TCV'CT/EN✓ GINEIi� LIC NO: ADDRES$;�f r /JxJ ❑ UXIAU CONTACT: PHONE: 3 �Al J QTY. ELELMIC PERMIT FEE BUILDING PIiRMIT'INFO 357-^� PERMIT ISSUANCP. ��/jl[�BLDG Ef PLU MF.0 ) - LICENSEDCONTRACTOR'S DECLARAI'[ON APPLIANCES-RESIDENTIAL Q9z I hereby affirm that l amlicameduaderprovisionsol'Chapter9(commencing with JOB UFSC IITION 4100 on'no WO)of Divisian3of lbs Business end Professions Geode,artery lieenx is in PANELS ��' full force and effect. eII a7�L( UPT02WAMPS FZya1 License y co Uate�Canuacmr �//<+' 201-IIXXI AMPS ZOyG ARCIIITECTS DECLARATION / OVER 1000 AMPS SQ.FT.FLOOR AREA $/SQ.FT. OZ-0 I understand my plans shall he used az public records. c + a� r,^ W SIGNS ELECTRICAL (u.T^iL IT�`,1114`J,1 q ']' Licensed Professional "•aa'Q OWNER-BUILDER DECLARATION SPECIAL CIRCUIT/MING. O y V 1 hereby affirm that I um exempt from the Contem or's License Law for the u13ay following reason(Section]U31.5,Business and Professions Cole:Any city or coumy I EMP.MEITiR OR POLE INST. F'Ii' which requires a permit to eonstrel,almr.improve,demolkh,or repair any stianune F.Ir'}� prior r its issuance,also the applicant for such ltto file a signed statement POWER DEVICES ��x1 p rt".,h PP pe^n 8 C00m Nm he isncing with Sction7he ofDiioor.sof the Cemmcmr's and Pon lsw(LC ode) a eW 9(commencing with Section](Xlo)of Division7ofrhe Business and Rofessiona Code) SWIMMING POOL ELECTRIC VALUATION ,may or that he is exempt therefrom and the basis for alleged exemption.Any violation of < Section]031.5 by any applicantfor a Permit subjects the applicant to civil pcnahy of OUTLETS-SWITCHES-FIXTURES not more than five hundred dallurs($500). ❑ Lasownero0uepropery,ormyemployeeswi(h wages nathelrsolecompensation, NEW RESIDENTIALEI.PCIR _SQ.In. STORIES I 1'YPECONSTRUCHON a will dathewons andthe The License Law does not apply to an,Busiue and Professions Cnde:TLc Cnmrmmr a License Lnw Rave not apply m an ow of onemployees,prsmimphat such improvements artmsuchardedureffie ughhix employebuildivi or improvement impmvemwithinnm ear moor offs heme.lr, OCC.GROUP RES.UNITS however,rM1c building orimpmv<mem is sold within aneyear of comp) on,Iheownery builder uill have the burden affirming Bathe did not build or im ve for for se of sole.). ❑ I,uowner ofthe property,wnexclusively camractin Ih licensedeoa inu b. QI Y. PLUMBING PERMIT FEE FLOOD ZONE qPN oronsnud the project(Sec.7044,Business and Prnfe rte Cnde:I The Commcmr'a �Licenne luwdnes nmapply to un owner of proper nbuildsork novealhereon,onA P IT ISSUANCE who contravathersuch pamccuwilhtirma, el hennaed Purxunm to thecirammtor'e G Lianxe Law. AL .R-DRAIN&VENT-WATPR(IiA) FHE SUMMARY ❑ 1 em exempt under Sec._ ,B&P C for this reason BA K FLO W PROTF.CI'.DEVICE SANITARY V N Owner Dem RIiCEIPTp D NS-FLOOR.ROOF,AREA.COSBY WORKMANC 1PENSATION DECLARATION SCHOOLTAX Y ❑ Thereby a(flrm lhatl heves enifcam ofcanxm myelf-insum. ace tif¢myy` I RECEII'1'M Warkers'Cmalainitianlnsuruace an cent Ii dopy ihcnof(Su.Je GWTrfi' FI RES-PER'fRAP PARK FEE Y N covers all employee's under this p it. lflg—�. //Il GAS P.A.SYS'HBA.I INC.4 OUTLETS RECEIPT# Policytl BUILDLV DIVISIO FEES Company GAS PA.SYSTEM-OVER 4(EA) PLANCHECK FEE t ❑ Ccnifiedcapyishershyfum Led. ❑ Cenifined copy is filed witI It h If•city inepcctis visit,. SE/INOUSTRI.WASTE INTERCEPTOR GRADING ME CF.RI'IFICATE 0I EXEMPTION FROM WORKERS' GREASETRAP SOILS FEE COMP SATION INSURANCE (Thisswfionneadnarueco pletMiftheP mitisforonehundmddellurs( ) SEWER-SANITARY.STORM EA.I00FT. IiNERGY FE or I<x.) I certify that in the perform ¢cofthewmkforwhichdallrmiris'.ued,lelall WATER I IEATERW/VENT/F.I.ECTR nut employ any person in any manners mr subjcc the Workm' PAID Z Compcnsmion su iib - .� WATER SYSTGM/I'RP.ATINO Rcc<ipt# APPlianl 0 NOTICE TO APPLICANT:If,iffic,moki this Cuim of Exemption,you should NEW BEMDENTIA L PLMB. SQ.FT. TO Lo E'^ On become subject to the Worker's ompensa6on provisions of the Labor Code.you must � > ftnhwithwmplywithsuchpm.xionscathispsermsholibedcemedrevoked. BUILDING FEE W z CONSTRUCHON LENDING AGENCY SEISMIC FEE I hereby affirm that there is a construction lending ngency far the performance of V O the work for which this permit is issued(Sec.3N],Ci,CJ ELECTRIC TEE �- IJr P Lender's Name Lenders Address QTY. MECI IANICAI.PERMIT FEE PLUMBING FEE V I certify that 1 have read this eplekto an and sate that the ounce information is acaoxct. le to coat with all cit and count d d stoic laws retailing I PERMIT I SSUANC13 ' MECHANICAL FF.P. s gree comply city county ordinances and g n U) building constructor,and hereby au mime representatives of this city to enter upon the CONSTRUCHON X V Z nhave-mentioned property for inspection purposes. ALTERORADDTOMECH. (We)agree to save,indemnify and keep hatmless the City of Cupertino against • I'ubilinst,judgmmns,cons uadexpensswhich may in any waync:emeagainst said City AIR HANDLING UNIT(TO 10,000 CFM) inconsequence of tb .,(2.f this Tormt. AIR HANDLING Doi'T(OVER 10,000 CFM) re of Applic nt/Convu or Dam EXIfAUS'I'lIOOD(WNl1CT) PAID l3AZA DUS MATERIALS DISCLOSURE HEATING ON]TITO 100,000 RTU) Dote R<ccipl# - WodbytheCaomo mrebuildi Code,Cantsmrtor and the auNoand Safely ❑RATING UNIT(OVER 100,000 BTU) TOTAL: m defined by the Cupertino Municipal Code,Chapter 9.12,end the Health end Safety �s y-� Code,Section 25532(0l] 13 Yc 4N VENTILATION PAN(SINGLE RESID) % Ll BOILER-COME(31 IP OR 100,000 BTU) ISSUANCE TE Will lair co ica dman,mr refined by the Ann equAir Quality Maes hichemil JUL - � 1��� iminlnua air conaminunte us defined by the Bay Amu Air Quality Managemcni BOILER.COME(OVER 100,000 BTU) District] 11CUrtI{I I Ya /<Na NPW RESIDENTIALIT MECH. SQ. . Cay Uh I have read the hmnrdnus materials requirements under Chapter 6.95 of the Casuarina ec ' Cas ia Health&Safely Code,Stions 25505,25533 and 23534.I undmand that if the building does not currently have a amount,that it is my responsibility to notify the cupxnl of Ne requir era which mu t be mer prior to issu f a Cenif to of Oc or amhorizeJ gen Data TO' L: ISSUEDBY: OFFICE n t OP, 0. l T1 . 7 . �y b zipt / F �.. __L r1t fip JA \e' 3 t S, low T • 3 a �� L 18805 Cox A @Iwe �y H 7 .. Saratoga Califomia Z 95070 408 379 6200Ak ..m� ©� II vwAsum 1. WATER RESISTANT GYPSUM BOARD AROUND -• JC 3 1.1196•' CHERRY 29) x �(A•I� TUBS AND SHOWERS, NON-ABSORBENT ENCLOSURE f Yvav W/ONYX I f4LAY = MATERIALS TO BE MINIMUM 7W ABOVE DRAIN INLET. WINDOWS WITHIN 60' ABOVE A STANDINGSURFACE G`�,1 IWOF N) � W/ . >� - AND DRAIN 04-ET SHALL BE FULLY TEMPERED. 04 MC ^ `�[1 IIo`iu,�,rr/ - LAMINATED SAFETY(MASS OR APPROVED PLASTIC. - ' CF 2. CEILING EXHAUST FANS WHERE INDICATED SHALL BE CAPABLE OF S AIR-CHANGES PER HOUR. i t y o tl WOOD BACKING. 2 X S MIN SHALL BE PROVIDED PN ` I G fy DX ( s . l`� AL1 BATHROOM WALLS Q WATER CLOSET• SHOWER _ C AND BATHTUB,LOCATED 4 34' FROM THE FLOOR TO FRO14"PC AT r- Tn-e t�T CENTER OF THE .sAauNG► SUITABLE FOR THE }} � PE6 = ADDITION OF GRAB BARS. 1 - �• - �.yt .�� - - _ (' 7 P 3 y �� t ^i� �� i y-i` r/ l 4. ALL WALLS ARE 2 X 4 STUDS 0 W ON CDMA �o fpr( _ + f OS Vit Wt(,�1NSOtJ � _ - - � .f5 _ l�t�'ll`�'I`! � , � � - L2aa,Eu OTHERWISE NOTED(Lt.O.M� 3 1 rjbFITIaN � R Au► = _ 1 a. TrnA 24 TROIRNIONS APPLY AT SHOWERS AND ;; O ! L _ = - ! BATHROOMS FOR PUARW4-FDRURES AND LIGHT T105 FIXTURES. vlUG ff F0n`UREs Ni TUB OR SHOV"A tP� X3� EIICLOGURES SHALL BE 6ABO= WTAdLE FOR o►�Y)c 3M1�'ut 7pC{,� CAW L.00ATIOMs.• NEC41o�. IF a OR MORE FIXTURES 1N SATMWXXW, THE GENERAL LIGHTM SFWl BE FLUORESCENT = MIFF�R (E� SAFETY GIADO s LR�CRM EUILDM CODE 1•IAZARDOUw. . - ( � F• Jtb(o IVOR .nip �t�• lE� �i 1 l 1 _- j. PROVIDE LC- RATE INCAI If llfDf M -z • I ►r W�uis GJI T X BIP POMMS THAT ARE RECESS WTO MSULATElY I CEM.P4406C O/ Ext = New to t�T Or t Ultt,kciN;alV _ Uy'�px .= �2 ' ( � 10% I ZY�4 5;rA e 1Ii 0G if PROVIDE ATTIC CROSS-VENM ATTON TO COMPLY' =_i =wml LIeC SEC. azosC INCLUDING VENTING aF__ .-; �Gf� ► I�N if�_ I ENCLOSED RAFTER SPACES AT VAULTED CEILINGS. ' NET FREE VENTILATING AREA SHALL T BE LESS _ -e -_ NO THAN 11160. OF THE AREA OF THE = SPACE iv = - ' = 5 2. PROVIDE b'X /4'SCREENED FOUNDATION VENTS ZAV+ , rNEAR BUILDING CORNERS AND EOUALLY'` r yl`= Fn DISTRIBUTED ALddG THE FOIRDATION WALLS. HE !AREA OF VENTS TO BE NOT LESS THAN ONE SQUAREFOOT FOR EACH Sao SQUARE FEET OF UNDERFLOOR AREArocAV _ tsr i A 4't r '�r`' —J ' "fit x iT "Tr �1 u ull PRINTED I D!� xY 2- $ - Pwt 'Copy OF A - _ E)[ �' ZX`t'� tai- k W� EM�F�- - - JUL 6 . 199 YfIM wJt:X15`t't►dFr _ Zt aTE- i1ON-'1` , - ALLEN NIKITIN ARCHITEC 6YP PLhS. CSO�/P �u} F% 1&m aS�o ARCGylT� [DO s 6199 a — T S ALLEN NNCITM f _ O IVB T 1I i T•{� - - - - - - _ - - = rt - — - - - No.G14zo9 FCp�j�EPgR , CRICUD a-% n IQ� �� RENEWµ�T.� DA1g Tiiv'li ■ - _ ■q��II i . R OF C�t�� _ I `V�'T..I� , ImTs BLIX. DEPT. �II GENERAL ARrrttr> rnmAr NO TFS DOSE- FAT�ltITC4 PIrC� - ALL EoNsTRUCT1oN SHALL CONFORM To THE � L ` UNIFORM BUILDING CODE. 19 9 t EDITION.AND ANY _ #�� • I LotJ6 �{ �. ) 1�� Z'L5(� OTHER LOCAL GOVERNING ' CODES = AND 'f _ aj `IM - HIA I Eiz ► ox _ �n�l �� 4 C 4 f (� `.' v f N }r �'.l Yc sr •./��/ ORDINANCES VIvV* C! a%t�tGk4 d - / I)(' P•T Lco6eR _- UP FTdF Ft,! - F. _- 1 �I�Dtr� _ GJp � ANY ERRORS OMISSIONS. OR CONP<JCTS FOUND = Ion INit�t�o Gf11�RTtfVC3 �' Ct - _ IN THE VARIOUS PARTS OF THE CONSTRUCTION 1 Ix at y �� - - - DOCUMENTS SHALL BE BROUGHTTO THE ATTENTION `iuvble { S ,1 ACCT . " e ' C� 12 OF THE ARCHITECT AHD THE_OWNER SWORE > - PROCEEDING WITH THE wOlac CE COPY _ - - WRITTENTAKE N DQ -- ? NOT SCALE DRAWINGS . ' J - P� t I& xx _ _ o - THE CONTRACTOR AND SUBCONTRACTOR SHALL - - - VERIFY ALL DIMENSIONS AND ,JOB CONDITIONS AT t " • • _ T6' N - THE JOB SITE PRIOR TO COMMENCING WORK r t 2 • - F • 2' / VERIFY THE BUILDING LOCATION AND FLOOR ELEVATIONS BEFORE PROCEEDING WITH THE WORK I ; ALL MATERMIa AND EQWMENT VVA.L icJ 4 I115TAL M PER MANUFACTURER'S INgTRUCTTOIE. "--Z�-��--,__ _�—<��+• - _ __ �� - _ _ - - _ - _ -� - _ - _ - - _ _ - - - �=amu. �= s�--= �-= � - -3r .� � �.a-' - � �"��--1-L�s _�.� ����� -- � -�_#s ri��