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05100191 CITY OF CUPERTINO � `����*" �'�'�""' �'�`"°"� °�� �' ��" '�' BUILDINGDIVISION PERMIT �Ci1l�1TR`ACTOI.2�INF�OORMA.T�70N �s, �, ;,�r��,, .,�-�� , BUIIDINGADORFSS: - . CONSTRUCTION � PERMITNO.OSZOO191 10133 RIEDEL PL ' ER'S NAME: PENhllT LSSUE DATE O'DONNEL ANDY 800 COLLEGE AVE 10 24 2005 ONE: SANITARYNO. CONTROLNO. (650) 323-6605 AftCHIIECf/ENGiNEER: BUIIDING PERMR INFO BIOG ELECI' PLUMB MECH L� � � 0 u00 UCENSEDCONfRACI'OR'SDEClA0.AT10N SobDescrip[ion wF 1�ereby�Ifum Na�i un IimnuE unJcr pmvitioeu of CTap¢r 9(commcncing �i" wllhScnion]000)o(Divisio Jof�M1c9usincaemdPmfcssinnsCnJc.anAmyliccnxis ��„ infull(o¢eanCef@a � Cf�'4 ��J� + MP.STER BATH REMODEL . j�i Licenx Clus Lic.� ��� De�c� Conuacwr 7 M Jr ( ARCHITECfS�ECLATtATISN — �y�� i undcrsun my plans WII M umtl u puhlic rtcortl� �yU ;u.� Liccnu0 Profcssionel a< OWNER-BUILDER DECLARATION � ^9 I hercby olT�m Ihei l em uemp�fmm Ne Camncmrs Lieenm Lew(ar Ne `o O follawing aosoa(Sttuon 11q L5,Busincss anC Profcssiav Codc:Any ci�y ar caunty �$�i which¢4uires a pnmii�a cnnswct.elmr.impmvc.JcmnILN.or mpair enY suucmm Z S S O O . Z> �IOMbi8lSivaMC�kUfCqUITSIhCIppliCi01(OlSuch(¢lIIIIIIO�IICaSijMd51d1[Tc�l � �ha�MisliccnuJpursuama�hcpmvisionsnfNcConvecwr'sLiirnuUw(CAep¢r9 Sq. F[. 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W ilpve�m � _a�roMnr m� iulccu Puliroses rs ' _ i m �r:i i � 1' .i• 'I : . .� �„i y � (Wf) ffa m tarc nJcmni(Y uM.4eV humlrss 4r GU'af Cupt9i o�pnPil� '._ i vi eao�uNc.,J�esm� u oau�nGcepcn ciwhchmey'nenYway,eccmcasalnsluiAGiY} . _ _ . . - ._ i („) m<anseqvc ofiAcg t e fNnperml� . . . . _. . . .. . _. - � AYPUCANT UNDEA$TAN�S AND WILL COh�PLY WI'fH AlC NON-POINT� Issued by: �' ' Date Q i L 4���',� �I SOURCEREGULATIONS �. p _ , � / ,� /� /� i;.le:^� _< v��.x.��r�� .� �YS'- ��.i � �Re=roofs '-� --. ... _._ . . _. .-- ------ —'— -- . ,�.,/.Jd:� s' ' � s��u«or y�i Hnu OI15 M^TFAIALS OISCCOSURE' i�-.�� Type of Roof ,_. � i����i � ''� � 1 -._ WIINe pPlcamu.WmrcbvilUmgacupamuureorhaiWlchaudo sma¢ Y� _ . . . ,."_'__._.. ___ . ... . . ."_' _ _""__"._. .-.. ._.. . .. .. ._ u'dcfiircd bY!�Zupe�i^GrM^�ejjni�CoOe Ch pMr 9'11 !nd�hc Hc�N�;E;Afc�Y� �i��J,:`•;:LI^'IO�i dlc Sccuon 23532(a) ' ' ' i� �:i.�pYun�,,,�,�odp�y,: ,r�,,, � ,,. . . c . �,;�. , All roofs shall be inspected prior to any roofing materialbeing installed. 't`r; ras � ����w �- - If a roof is ins[alled wi[hout firs[ob[aining an inspec[ion,1 agree[o remove ,I(;1�7�YII N .appl ci,n�ar f wq 6v IdmS�occupano_x eyvipmenl�ar Ac icci whmhl enu4lu v0om r co��em mnu�Jcl�icd by Ne B y Ary Ai,Q i iy A1ana6cmrni1 all new materials for inspec[ion. � o���,«z . . , . . . .. �rir �7i : ' ❑Nu � - cn < .__'"' __ i .� 1.,...L:.hTLJI...._.�,r.CON. .uu.S'Ol�7i.'A , `" ,�;� '� ���''1'Ihavcrci��hcM1vudJ�imaNeisliicquircmenuuriJcrCha��erGYSofNeGlifor�� niaHc�INhSafciyCoGG�Sauort�25505,2551Iem1255N:1'unJcnunAihuifNc lvilJiny� :�' Jpej 1�'-ricn�lyh]vc ineM�NeYi�'if'my.�eiportt'M1iliq`bnfulyNcaccuyenlBf�M1c� ( rdyiil2 � �u bc m �D u '�u�ncc f�CcniRh¢of IX p ' .^° � . � : � � . .. . „ r , : ,�,� � �S.,-i' . Signature of Applican[ -- - ._.. ._ Da[e ... . ._. _. _._..__. " � � � � •-,All roof coverin s to be Class 'B'�or bet[er � � Own ru i zcE.PBcm - . -.I � tD m-.. � .j :.� �".. . ., g . ;L - t � ___ '_'_" . __' � .. Iny,ilt t . -�-� . ,� „ . ..,m.. ..:-rv-t:�; I � � CITY OF CUPERTINO � 1 of 1 PERMIT RECEIPT OPERATOR: kiersaw COPY # : 2 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31621061.00 DATE ISSUED. . . . . . . : 10/24/2005 . RECEIPT #. . . . . . . . . : 31715 REFERENCE ID # . . . : 05100191 SITE ADDRESS . . . . . : 10133 RIEDEL PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . OWNER . . . . . . . . . . . . : O'DONNEL ANDY ' ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-2337 RECEIVED FROM . . . . : RON ZOLEZZI CONSTR CONTRACTOR . . . . . . . : RON ZOLEZZI LIC # 23439 COMPANY . . . . . . . . . . : RON ZOLEZZI CONSTRUCTION ADDRESS . . . . . . . . . . : 800 COLLEGE AVE CITY/STATE/ZIP . . . : MENLO PARK, CA 94025 TELEPHONE . . . . . . . . : (650)323-6605 •EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL _'_'__'___ '_""'_"'__ __"""'_ """'__' ""__"'_ '__"'___' "'_'____' BPERMFEE VALUATION 25,500.00 332 .64 0.00 332.64 0.00 BPFIXTURE UNITS 5.00 45.00 0.00 45.00 0.00 HREMFIXT NO. FIXTURES 7.00 8.40 0.00 8.40 0.00 BREMRECEPT NO. OUTLETS 8.00 9.60 0.00 9.60 0.00 BENERGY PERMIT FEE 332.64 159.67 0.00 159.67 0.00 BREMVENFAN NO UNITS 1.00 45.39 0.00 45.39 0.00 PRERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 BSEISMICRE VALUATION 25, 500.00 2.60 0.00 2.60 0.00 HUSLIC FLAT RATE 1. 00 102 .00 0.00 102.00 0.00 EPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 MPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 "'____"' ___"___" "__"'___ '____"'_' TOTAL PERMIT : 820.41 0.00 820.41 0.00 METHOD OF PAYMENT AMOUNT NUMBER "____""__""_ '_'__'___"' _"_"__"___'____ CHECK 820.41 10145 TOTAL RECEIPT : 820 41 • � � CITY OF CUPERTINO � 1 of 2 PERMIT RECEIPT OPERATOR: kiersaw COPY # : 2 Sec: Twp: Rng: Sub: Blk: Lot: , APN . . . . . . . . : 31621061.00 DATE ISSUED. . . . . . . : 10/24/2005 RECEIPT #. . . . . . . . . : 31715 REFERENCE ID # . . . : 05100191 SITE ADDRESS . . . . . : 10133 RIEDEL PL SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : O'DONNEL ANDY ' ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-2337 � RECEIVED FROM . . . . : RON ZOLEZZI CONSTR CONTRACTOR . . . . . . . : RON ZOLEZZI LIC # 23439 COMPANY . . . . . . . . . . : RON ZOLEZZI CONSTRUCTION ADDRE55 . . . . . . . . . . : 800 COLLEGE AVE CITY/STATE/ZIP . . . : MENLO PARK, CA 94025 TELEPHONE . . . . . . . . : (650) 323-6605 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL _"""'_' _""___'____ "'__"'__ _'_"'_"' __""___' "___""' __""'___ VOICE ID DESCRIPTION VOICE ID DESCRIPTION ______'_ __'_______"_'_____'_____-__ ________ _______________"_'_________ 101 FOUNDATION 102 PIERS 103 UFER � 104 REBAR 105 ANCHOR BOLTS 106 SEWER & WATER �202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL ' 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION 301 ROUGH PLUMHING 302 TUB & OR SHOWER 303 ROUGH MECHANICAL � 304 ROUGH ELECTRICAL 305 FRAME 306 HOLDOWNS 307 INSULATION 308 SHEETROCK � 309 EXTERIOR LATH 310 INTERIOR LATH 311 SCRATCH COAT 313 ROOF NAIL 501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY 503 FINAL MECHFiN2CAL ENERGY 504 FINAL HUILDING ENERGY 505 FINAL ELECTRICAL 506 GAS TEST 507 FINAL PLUMBING 508 FINAL MECHANICAL 509 FINAL GRADE 510 FINAL PLANNING 514 FINAL PUBLIC WORKS • � C��% �CITY OF CUPERTIN� �S� `���`� \ "TM°F pERMIT APPLICATION FORM � CUPEI�TINO APN# 3��D " a � — �� � Datei v '7�f b � Building Address: Mailing Addre s (if different from building address): io /33 /� a�� �. Owner's Name: Phone#: A�Jp o' Do.� rJ� d`> �- 7S'� Y Contractor: • License#�g�7 7 > O�J �0�2�� Contact: Phone. ' Cupertino Business License#: F�:r6s-d ,�-v�bi Building Permit Info: Bld � Elect C1� Plumb C]� Mech f� Job Description: M�.�.� �� �,���G Residential �� Commercial ❑ Sq.Ft. Floor Areai3 1 q.Ft.: Cost of Project: oo Occupancy Group: � 2S S-O a — (�_3 Type of Construction: Please check this box if the project is a �'lO.D� �- r�X/ S7'1/`� (!' �I9-Tf�-+'�-eo A.� second-sto addition: ❑ roject Size: Standard � Laz e ❑ Ma'or ❑ Quanti Fee ID Fee Descri tion Fee Grou BAPPLOTHER Other A liances MECHANICAL BBOILERl Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to SOOK Btu MECHANICAL BBO]LER3_ Boiler> SOOK to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILERS Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BLTILDING BCONSTAX Ind/Off/Conun/ uasi BUILDING BCONSTAXBQ Con. Taac for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUII.DING BCONSTAXR Consta�c-Resi/Mobile BiJILDING BELEC1000 Elec 600V<= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <=200A ELECTRICAL BENERGY Energy BLTILDING BENERGYADD Ener Add Multi BUILDING BINVESTIGA Investigation fee BiTILDING • 1 of 3 � ���� �CITY OF CUPERTIN(� �'TM°F pERMIT APPLICATION FORM � CUPEI�TINO Quanti Fee ID Fee Descri tion Fee Grou BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housin Mit. Fee BUILDING BNLTCOMI�� New Comm Elech-ic ELECTRICAL BNLTCOr�A4 New Comm Mechanical MECHANICAL BNUCOMIvIP New Comm Plumb PLUMBING BOVERTIME Ins ection Overtime Bi.TILDING BPBACKFLOW Atmos heric Vacuum PLUMBING BPCESSPOOL Cess ooi PLITMBING BPERMF'EE Bld Permit Fees BUILDING BPFIXTURE Pbl Fixture PLiJ11'1BING BPGAS Gas Pi ing S stem Fee PLUMBING BPINTERCEP Ind Waste Interce tor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUII.,DING BPLANCKREP Plan Clieck Re eat Fee BiTILDING BPREPIPE Re i e Of�stures PLUMBING BPSEWAGE Sewa e Dis osal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBacicflo PLUMBING BPSTORM Stom�/Rain Water PLUIvIBING BPTR.AP Kitchen Tra PLLTMBING BPVENT Alt ofDrain &Vent PLUMBING BPR'ATER InstalUAlter Water Pi e PLUMBING BPWHEATER Water Heater/Vent PLUDZBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reins ection Fee BUII.,DING BREMACOVER A/C Unit> 10,000 c5n MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfrn MECHANICAL BREMAPPLI A liance Install MECHANICAL BREMBUSWAY Remodel Buswa s ELECTRICAL BREMFIXT Li tin Fixtures ELECTRICAL BREMFCIRN Relocation ofFumace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREDgIEAT Heater Installation MECHATTICAL BREMIIVHOOD Installation of Hood MECHANICAL BREMMISC Misc A aratus ELECTRICAL BREMNRAPP Rem Non-Res A liance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTftICAL BREMPOWER Power Device/A aratus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA RelocationofHood MECHANICAL BREMREPALT R air/Alter Heating MECHANICAL BREMItESAPP Remode] Res A liance ELECTRICAL 2 of 3 ; t" �TY OF CUPERTINO � � CUPERT�No PERMIT APPLICATION FORM - uanti Fee ID Fee Descri tion Fee Grou , BREMSIGNAD Rmdl Si Add Branch ELECTRICAL • BREMSIGNS Remodel Signs, Maz uee ELECTRICAL BREMTHEATR Theatrical Li tin Fix ELECTRICAL BREMVENFAN Vent Fan Sin le Duct MECHANICAL BREMVENSYS Ventilation S stems MECHANICAL BSCBLVD Scb S ecific Plan BUII.DING BSEISMICOM Seismic Commercial BiTII.DING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL S ecialIns ection BiJII.,DING BSWIM Swimming Poo] BUILDING - BTEMP Tem ora Power ELECTRICAL BTEMPPERM Tem ora Bld Permit BUILDING � BTEMPSVCS Tem Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical s foot ELECTRICAL / EPERNIITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanical s . foot MECHANICAL / MPERMITFEE Mech Permit Issuance MECAANICAL PPERMITFEE Plumbin Permit Issue PLUMBING PPLBG Plumbing Fee s foot PLUMBING PLLONGRNGC Plannin LR Comme!Multi-Fam PLANNING PLLONGRNGR Plannin Lon Ran e Residential PLANNING ZADDCHG Address Change BiJILDING I • 3of3 i 4� � a 7 � � I� `�-� Z �j � � � z � �I F p � `� � � � � c� '� '� f�1 ; j o �r° W o � � Z (1 S 3 � � � � `� a �� � � � � � � � U� N � � �� � x `� � � � � � � � � � f Wo � � � � 3 � 3 � � ' w 2 � � w � J I � �� � �� � ? �A� � z � � h � � � ( � �� y� `� '� '' J � � ? �_j__1 � �' ( � � � � � `� � � �"` I 1 � Ipl . � � (V � � � l,a � k , �� � � � � -1 C� `� I � (V1 � � � � � � o � � �' J � � ' i � � � � �' � � � �� Z ? � 2 � � � � � 3 Q O � � � `� � ' � J � I � ❑ � � �' � , � • - _ •--� � Y � � �° � � � I ` � � , , 4 � � � � I� . � � � � � � I � 0. 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