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05060220 (2) 1 •CITY OF CUPERTINO* CITY OF PERMIT APPLICATION FORM GSA' �ba a • CUPEkTINO APN# ;Sj Date: J U NE 3)v Building Address: Mailing Address if different from building address): 2L-1t2 2 CAeN0ts0T­l-E� Owner's Name: Phone#: Contractor: License#: '15 Contact: Phone/-7_�210fe( Cupertino Business License#: 6cnm Fax: /10 -7 Z-JO Building Permit Info: M.5'J e gAT4 � C 1L� I 5A-rl4 z AD VI (19C� BldgED/ Elect Er Plumb NK Mech © >SkY�7(y 3j 31 Job Description- Residential tw6ricfP,_ RcmoDGL,_.Commercial ❑ Sq.Ft. Floor Area: &0 $/Sq.Ft.: Cost of Project: Occupancy Group: Type of Construction: V Please check this box if the project is a second-story addition: ❑ Project-Size:-Standard ❑ Laze ❑ Major El — - -- . Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> IM to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ 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 Energy BUILDING BENERGYADD Energy Add Multi BUILDING US BINVESTIGA Investigation fee BUILDING J� .3401�_n 1 of *CITY OF CUPERTIN(O CUPERT1NO PERMIT APPLICATION FORM QuantityIF Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER InstaWAlter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BRENLA KHAN A/C Units<= 10,000 cfrn MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREM 3USWAY Remodel Busways ELECTRICAL BREMFDCT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP 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 2of3 OCITY WITY OF CUPERTINO* CUP f�TINO PERMIT APPLICATION FORM QuantityAnk Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Ternp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING o-7 ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL / PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot_ PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Chane BUILDING • 3 of 3 A.S.E. :u 255 N. Market St. , Suite #220 7 San Jose, Ca. 95110 (408) 999-7441 Permit # 05060220 PLAN CHECK NUMBER: 05269 .CUP July 14, 2005 PROJECT: Bath room remodelling 22422 Carnoustie Architect: Sophia Ostoya 408-732-8481 ------------------------------------------------------------- DOCUMENTS ATTACHED: VIA: 1 SET OF DRAWINGS HAND DELIVERY 1 SSP OF STRUCTURAL CALCULATIONS ------------------------------------------------------------- Dear Sue: The attached document were reviewed and cleared by our • office. City of Cupertino Plan Check Transmittal Permit# 05060220 . Plancheck# 1 Project RES.BATH REMODEL 2 FileDate 06/30/05 Address 22422 CARNOUSTIE Owner BRUZUS Description RES. BATH REMODEL (2) Plan Check Status (attach comments and return to Building with plan set) Plan Dept check# Date Due Date Staff Comment Date Approval? ASE 1 06/30/05 07/14/05 1 1 El Planning 1 06/30/05 07/14/05 Ir4 1 '7 oy I Sanitary 1 06/20/05 07/04/05 • Assessor 1 Additional Plan Check Fee ❑ Hours Planning Fees Housing Mitigation Fee Amount Heart of the City Specific Plan Fee Amount • SANITg ;Je • DISTRICT MANAGER-ENGINEER BOARD OF DIRECTORS . MARK THOMAS&COMPANY,INC. WILLIAM A.BOSWORTH DAVID E.ROSS DR.JOSEPH F.BROWN JOHN M.GATTO DISTRICT COUNSEL F�r'4B(/S H EO �0y CURTIS B.HARRISON ATKINSON FARASYN,LLP WENDELL H.KERR,JR. HAROLD S.TOPPEL 20833 STEVENS CREEK BOULEVARD,SUITE 104 CUPERTINO,CALIFORNIA 95014.2154 (408)253.7071 PHONE 0 (408)2535173 FAX July 6, 2005 File: CSD—MOP Building Dept. —Cupertino City of Cupertino Approved For Issuing Attn: Building Department 10300 Torre Ave. Building/ Plumbing Permits Cupertino, CA 95014-3202 Subject: Residential Remodel/Additions-Submittal No.1 Approved Name: Mr. and Mrs. Bruzus Address: 22422 Carnoustie Ct. APN: 356-03-030 • Permit No.: 05060220 The Cupertino Sanitary District has reviewed the plans for the subject project: P ■ Sanitary sewer is available and the existing building is connected to sanitary sewer, see conditions/requirements listed below. The following Conditions/Requirements are made: ■ An approved backflow device is required; verify existence and serviceability (IAPMO or UPC approved). The backflow device will be inspected by a District Inspector at the time of video inspection. District to provide Building Department with written notification upon completion of inspection. ■ Install new Property Line cleanout or locate and raise to grade an exiting property line cleanout(Property Line Cleanout must be within 5 feet of the property line). Cleanout shall be the same diameter as the street portion of the service lateral (gravity lateral is 4" diameter minimum). ■ Videotape Inspection of the existing/new Property Line Cleanout, Point of Connection and Street Lateral is required prior to passing The City of Cupertino Final Inspection. Owner to call District 48 hours prior to video inspection to schedule a District Inspector. District to provide Building Department with written notification upon completion of inspection. SUPPLYING SANITARY SEWERAGE SERYI(ES FOR: CITY OF CUPERTINO, PORTIONS OF THE CITIES OF SARATOGA, SUNNYVALE, LOS ALTOS AND SURROUNDING UNIN(ORPORATED AREAS www.(upartInosonitorydishi[LGom • Page 2 Subject: Residential Remodel/Additions-Submittal No.1 Approved Name: Mr, and Mrs. Bruzus Address: 22422 Carnoustie APN: 356-03-030 Permit No.: 05060220 • Other: This plan has not been evaluated for sunken tub improvements. All conditions, requirements and recommendations are to be completed at the (Owner/Developer)'s expense. Storm water from surface or roof drains, other general surface runoff water or condensate from any residential HVAC equipment shall not be discharged to the sanitary sewer. Yours very truly, • MARK THOMAS & COMPANY, INC. District Manager-Engineer By David E. Ross CHB:HJP If you have any questions or need additional information, please call Hayde Pacheco or Chien Vu at 408-253-7071. cc: Jason Chou, Assistant Civil Engineer, City of Cupertino-Public Works • JUL-06-2005 15:19 M& THOMAS CUP 4082535173 P.01i02 sANLTgq�.% • / DISTRICT MANAGER-ENGINEER !� BOARD OF DIRECTORS v • MARK THOMAS 11 COMPANY,INC. WILLIAM A.BOSWORTH DAVID E.ROSS DR,JOSEPH F.BROWN DISTRICT COUNSEL JOHN M.GATTO ATKINSON•FARASYN,LLP lq&I MAO) %' CURTIS B.HARRISON HAROLD S.TOPPEL 20993 STEVENS CREEK BOULEVARD,SUITE 104 WENDELL H.KERB,JR. CUPERTINO,CALIFORNIA 950142154 (40B)253.7071 PHONE 4 14061 2 53517 3 FAX July 6,2005 File: CSD—MOP Building Dept.—Cupertino Attn: Building Approved For Issuing Atm: Building Department 10300 Torre Ave. Building/ Plumbing Permits Cupertino, CA 95014-3202 Subject: Residential RemodeUAdditions-Submittal NORA Approved Name: Mr. and Mrs. Bruzus Address: 22422 Camoustie Ct. APN: 356-03-030 • Permit No.: 05060220 The Cupertino Sanitary District has reviewed the plans for the subject project: d' ■ Sanitary sewer is available and the existing building is connected to sanitary sewer, see conditions/requirements listed below. The following Conditions/Requirements are made: No An approved backflow device is reauired; verify existence and serviceability (lAPMO or UPC approved). The backflow device will be inspected by a District Inspector at the time of video inspection. District to provide Building Department with written notification upon completion of inspection. • Install new Property Line cleanout or locate and raise to grade an exiting property line cleanout(Property Line Cleanout must be within 5 feet of the property line), Cleanout shall be the same diameter as the street portion of the service lateral (gravity lateral is 4" diameter minimum). • Videotape Inspection of the existing/new Property Line Cleanout,Point of Connection and Street Lateral is required prior to passing The City of Cupertino Final Inspection. Owner to call District 48 hours prior to video • inspection to schedule a District Inspector. District to provide Building Department with written notification upon completion of inspection. SUPPLYING SANITARY SEMRAGF SERVICES FOR: CITY OF CUPERTINO, PORTIONS OF THE CITIES OF SARATOGA, SONNYYALE, LDS AUOS AND SURROUNDING UNINRORPORA710 AREAS www.cuperrinosanirnrrdlslrrc E.eom JUL-06-2005 15:20 M THOMAS CUP 4082535173 P.02i02 • • Subject: Residential Remodel/Additions-Submittal No.1 Approved Page 2 Name: Mr, and Mrs. Bruzus Address: 22422 Camoustie APN: 356-03-030 Permit No.: 05060220 • Other: This plan has not been evaluated for sunken tub improvements. All conditions, requirements and recommendations are to be completed at the (Owner/Developer)'s expense, Storm water from surface or roof drains,other general surface runoff water or condensate from any residential HVAC equipment shall not be discharged to the sanitary sewer. Yours very truly, • MARK THOMAS &COMPANY, INC. District Manager-Engineer By David E. Ross CHB:HJP If you have any questions or need additional information, please call Hayde Pacheco or Chien Vu at 408-253-7071. cc: Jason Chou, Assistant Civil Engineer, City of Cupertino-Public Works • TOTAL P.02