00090053 CITY of COPFaTINo " 'CONTRACTOR INFORMATION
BUILDING DIVISION", w. 'M PERMIT- ^ - •,�
BUI�111N�ADMD'RlS - l ai"* - PERMIT NO
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OW ' •r,• — - "�' j ." APPLICATION SUR DATE
nt
IONr , — M: - , . r SANITARY NO. CON TROL'NO.
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❑W Z ARCHITECT(ENCINEER r ' } ,{ .fx ' BUILDING PLRMITINFO '. c
t�• { lA Vim' 11 RLUC' El-LC PLUMB MLCII
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=IICINSFD CONI RACIORS )ECIAItAI ION ° 1 1pb'DESCI'IpClO❑
Ih hereby 11 II I : 1 I I rCh pl if y .y „
CZ w1IhS 1 7000) fIJ Joflhe Bu 1Prt lea: Cd,,nd nyl e - I
,ad affect
�Oi,C Dald ' .n- - :. II NT. ,RENOVATION ''- REMODEL.-KTCHN„ AND BATT
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3LLN Dm ARCHrrECTSDFCILARAI[Ory n '..'AUD" WASHF_R%.DRYER ADD .WAlil. ..A7C•;
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aly 0 -1 ndervnhd by pl „Imll Iv.usW p hl w nL, i.y '.
f r - 1 I $ ♦ -
oo ce IP fic n-I - r� I
'K W r OWNERIBUIIDIIt INCIARAI ION I < I
G.
{w I he..dy'urim IIJII ,n ehpl r- hlha Gmrael vLanense Llw louhe - a,
�Z''r ' holl 6 f5I 703158 . IP'f.." 'Cul Any city Many ,a d
0 wh n y ' p II I 'll p I lhol P y.l
w pri I 1 I y In ppl 11 h Pe I rl y I I'I 1 - � - �
.Abut Wp II d p - fl C I I L La IChapl 9 -
(enmme ,nywmseo,a,7wmorD'11a a3of heBu,lu dPnlevso,r.Cndr) Sg .Ft..FlooeArea .,:Valuation .
Or 1111 p1h f- JI b for Ih '1181 p1 .Ay ' II
afS 1 7IUI FFY Y pPl' If p bulla lbeappl II r,"Ip,'lq
or 1 m r' n d Id dars($5O0) 'AEN Number 'SOCcup
Ik • ❑H It raflhapropenyor iiy e is a,,, Brad wgu rated r�r al,m,,.c744 ”" ' + f.•
wB I m e I m . l d d nitrated r (S 7M4 -
ow I P f ." C I TI C 1 1 L' 1 es I'pplr , o,r R iced Inspections'
w rp 1 Iyer n Id J n a n d tend a iE,903008.
rJ sir py p IJdll al rop I I' I dl Or
RerJr al Ifh 1h II' y p I Idwithinone year f , '♦ LE.®
m pl I 11 bidder ill id,,Bid b ll'prevh,Jdh hdhoth, II r l
p p r 1 101 FOUNDATION
k
a O,r rlhe PrP IY" cls' ly 1' 1 6 111' n'J lanl 1 ']� - PIERS ' NOV 2'♦U ��� .
I Ih p l 1(S .7044 B a Pr I C d )The C Ir I e ♦ 4
or,
I I pplyl we- Ip l ly h b ll P II -�.: 103 —' 1FERe , 1 /
d 1 I f h p I 1e wish I clo(a)'I d p art-f.0 M 1
ca104 REBAR'.
❑1 , ad, I., B&ecrrinsrd „ a ]05„ ; RRICHOR BQLT5T .BUILDING_-
U •r �iIIL�/ ��OL, . ,, ]r06;'- SEWER- &;WATER
W0116F OMPLNSAIION DECI RA ON {
Inc ny fr J p -try fl r fd ni 61 E I - ..202.- .L)NDE'RFI♦,OOR PL-.0 ]BINE -
le inn will , ,lti, a;anlul ,r en l,unl le err „uE for wl,rterr, 200'. —, UNDERFI OOR MECHANICAL
Co p -i ! "d I 1 ,hy S♦I 3700' f the Labor Code• for the
.... ,eelnhewntel 'n'nehln'zp r .,rear r 204' = .;UNDERFLOOR FRAME.•.
° 2'05 — UNDERFLOOR INSULATTON
111 11w d '11 a' C' W 6 C p 1 1 . awaitedbyC 1 .
' non la Lobo,'aI r a. I r fin tl I Ih. pr I ' "� ,'301 . ROUGH -PLUMBING. h
",add.MyW fair,G p -I I,eur and En y bra ('. r
Catrio, of >N .” X02 TUB 'I' OR SHOWER-
CERTIFICATION01 EXEMPT ION PROM WORKERS k t r 303 -17. ROU F.IH�-,MECHANI,CAL. 1
COMPIINSAIION INSURANCE I -
3�4 = R('IUGN 'ELECTRICAL
IIh . m herd i n III1110 p I s l h d IIIA r($100) n :.) - '°* _ 305 — FRAME -
I tartly last n- v-r Im pr - i nm I I d - 34?IEI -- HOLDOWLIS ` ". •., .
shah 1 n Y y P - Y i �,.to Int oh hl d.m 1he'NI'k =° ^' y
cap r Los IC Hr Dana' 907 I NSULAT ION -
ti08 - _SHEETROCf = , "
. APPA I `.
NOTICL TOAPII(CANT II CI A' blh C ion'
Inca . hj a helW 1. C p 'I p I be I'h Code y u I s"
.�10 forthwith plywm ovikiod, p.�I,nwln,.l I ,teed �. '309EX'TERIOR•I:ATH
4'm corvsn:ucIIONLENDING nceNCv 1 - `s'' 31'0 - -INTERIOP,,LATHi' '
In by ff Ihnh :mmo,Ianen6 ase ,I" Jepvr art m I
a
m'ln Ar I-n1n p 1 ,,a,wcsa.3pa7.c'. c.) , Y. 3i ]' — '-SCRATCH'. COAT'
O iIor None
313 '— ROOF Nn.Ii
UAddre
O minn r. 501 - FINAG .ELFCTRICAL, ENERGY •
w U,Pe I In I "I I 1ordinances' e state I l ' _. I r
50� FTNAC: PLUMBING ENERGY
Vrlob IIgb 1 1 pydhereby n 'r to Of lyl n pn - I .. p'
p Wl men p rlyl 50 .'- ;FINAL MECHANICAL -Elsti
.H. y cwt s 1 l 'lc de nd I n cry Icp i s 1 504' — FICIAL BUILDING ENER(33
m
Ca,
III ' dg re I hd , v n v Inv v as,,.c. nvl d
'V z Cly1 e of it I,of lni P I - -
7 APPA CE yr N)Ir DWIILCOMPLYWITr . L .POI � 505 FINAL ELECTRICp1 :.
soI me N . " — '� Issued by. _ y,-'fJate
.tib ' 1pPI_canVC nvacl I Dal 'Re-roofs,- .., ' ., rry r
- HAZARDOUS MAHERIA1S DISCLOSURE + ! 507 T FINAL PI UMB„ING -
W'llll_ IPI u 1 'f l h 'lli y p LI o_ I'd h Ons»Iteral a of ROOF-t,1,11 dnymaClp:.r M ci,lad el pl -9lEfand@eHenllhandSafely TYp `508. — FINAL MECHANICAL--
,
ECHANICAI - -
Crul S I 255320 4 l ,• ,p ” I
°Y o °N 1 All-roaffi shall be t�i�. !ded rRl N ;in PqQ tprial'being installed. c
' s
Will m I pl 1 I 1 ' n A r s p 1 4u P I devices n'�n If a roof is insl illee'U1 thoul fifMtai �t fldt1'- k I� ' -
1hll : 1 runt r' sdef,ed by did B1yAreaA Codify Manopenm _ UGOn Lagree CO reinOVL
W ,oYa oN , - Fall new materials`i ,5 specfFFOTN(dbpIPAW6nbGKtkH3pk�S,wiB comply,with
all non point source r`egulatlons.
, . '
If d d 1' aN 'I' 1 I J Charier 695 fah h r
' Gulf 11 h&SftyCJ S1 25511525A3 12,514.1 d .l' Jdl y n5 p -
If the hu ldi not cnly a n,mal'I i,nYrepon,Ml,r ,oilylhar - 'f$, „�„ t -
nOca egl'c 1 1 h o,1h 1p.. to..Aw me lf.a Co"ficI L .., -
na Signature of Applicant I j, ^Date I.
Or anor ae,p•„1 �nle ;)„ ti Al] roof coverings to be'Class, `B” or better
CITY OF CUPERTINO
BUILDING DIVISION PERP.�T ,CONTRACTOR INFORMATION �.:
BUILDING ADDRESS'. " PI RMI I'NO
OWN'ER'S NAM
- -- �ih I _�' t:I. III_��{i'lie;i' ).-"%r Y+i..l_l.t Ip, I. 1 IPI'rel 1?I n,i f I la 1,rR,iC..AbAlwtslMiv/hh'k,Yi r�irlct•:;.:5
HONE' .. 'r": .• .. I •� -:1, I-IF Rill-' p'I I...l illl SANITARY NDS\'.1: I CUyT%04N0.
lill 11II ThIf,11.,L. Nil=F1}�II'�f.-III:;
ARCHITECT/ENGINF.F.R. PHONE# :I t¢t!!j .}; a 'fll (1',, RUILDING PERSIIIINTO
BLDG ELECT' PLUMB %TECH
k p 51 i _1 til x d f 4 INSPECT TO ARRANGE INSPECTION
z ,N9PFCC10 w #a ti E�. ./' DATB CALL 777-3228 MONDAY-FRIDAY'24 HOURS JON DESCRIPTION
RESIUFN'1'IAI:
N= FOl1NDATION/PIERS/Fl.D.S. BEFORE REQUIRED INSPECTION.JOB ADDRESS EJSFUWL ElKITCHEN REMODEI
z__ AND PERMIT 8 ARE NEEDED WHEN PHONING. 0 ADM noN ❑PLUMBING RE-PIPE
w
E,r, UPER GROUND ❑ MULTI-UNIT ❑STRUCTURAL
c a u PAD/SET BACK-CERT RESIDF,NTIAI. COMMERCIAL OTHER MODIFICATION
3 u —
u GARAGE SLABS/PREGUNITE ❑ INTERIOR Cl CHIMNEY REPAIR
_, ' . .,. ...„ HAZARDOUS FIRE AREA IMPROVEMENT
nll'POUR`NO ONCRETE'UNTTL""ABOVE IIAS`BEEN.SIGNED_Vi. ": ❑ SWIMMING POOLS
w a I ❑ RATH REMODEL/REPAIR❑ DEMOLITION
I�pp UNDF:RCROUND/SLAB ❑ YES If yne-1 unAeraand thm uClw.A nmfmmnmly ie reywmn.
x ❑ OTHER
w n PLUMBING
t-z r
ELECTRICAL El NO Initial LC.B.O.h
a3_ RDONOTPOUR'FLOOWUNTI12`AROVE HASIREENSIGNED�`.4Yr'.: E%LFING ROOF COVERING LGNLAIERCIAL.
PLUMBING I C7 NEW BLDG/ADDITION G DE910LITION
MECHANICAL Mother of existing coverings ❑ TENANT . ❑ FOODSERVICE
IMPROVEMENT
ELECTRICAL To be rernoved To ho retained ❑ OTHER _
FRAMING VENTS
INSULATION
TYPE OF ROOF COVERING
°!PLACE NO SUBFLOOR UNTIC'ABOVEHAS'HFENSICNED sIr'xfT:^
ROOF SHEATH/DIAPHRAM EXISTING, PROPOSED,
PLUMBING ❑ Buili-Up Rnof ❑ Built-Up Root
TUBS&SHOWER PAN ❑ Asphalt Shingles ❑ Asphalt Shingles
MECHANICAL %-Lpy) ❑ Wood Shake, ❑ Wood Shakes
ELECTRICAL/POOL BOND /Y.J,) A ❑ Wood Shingles Cl Wnod Shingle,
FRAMING/STAIRS/F.EGRESS .4/-W ❑ Other(Specifv)_ ❑ Other(Speeify)
NSULATION/VENTILATION Provide LCB.0 Report No. '
y OVER'NO;WORK-UNTIL''AROVE-HAS.BEEN-SIGNEDMe'. rer`,`�sk"".i,�' Provide Mfgc Installation Specs.
EXTERIAL SHEAR/HOLD DOWN
INTERIOR SHEAR/HOLD(DOWN
SHEETROCK/SHEETROCK SHEAR INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE NSP
EXTERIOR LATH/W-SCREED
SHOWER LATH
S'NO TAPE OR PLASTER'DNTIC'ABOV E FfAS BEEN SIGNED :; .tgT�;
SCRATCH COAT
SEWER/WATER
TEMPORARY APPROVALS
OCCUPANCY
^'4 PLANNING 777-3309
Z O GAS TEST
Icy ► GRADE(P.W.777-3354)
W FIRE
ZHANDICAP
U O ELECTRICAL
PL
O F UMBING
MECHANICAL
.Fry ENERGY
C.7 zVISUAL FINAL ONLY
BUILDING
'OCCUPANCY OF B111I DING IS NOT P ITTED &RF' a
UNTIL BUILDINCrFINAL IS SfGNFD BY
TIN PeCTOR�r'„S:y, ` �,,;y=' w.(-`tF'qty t ,Q ,u.:;k?',ti CERTIFICATE OF OCCUPANCY❑
RE INSPECTION PLYWOOD: IN-PROGRFSS
DATE INSP. DATE INSP DATE
'TEAR OFF INSPECTION' BATTENS: FINAL:
INSP. DATE. INSP. DATE. INSP, DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
APPLICANT'S POSTING COPY_