00010096 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY nuirnpq t/2
_CITY OF CUPERTINO Bt JUNG-ELECTRICAL PERMIT NO,
OUIL`.HNG DIVISION APPLICATION/PERMIT PLUMBING..MECHANICAL-, s�BUII.DING PROJF,CPrIDENTIFIGTIOK}++ -ly fC 7I
BIDZIOINGADDRESS: SANITARY NO. [CATION SUBMITTAL DATE
III Su4e_r1and Ave . Cu 2rtino CTA 61-30t4
OWNER'SNAME: PHONE: CONTRACTOR'S NAME: LIC NO:
m� » n u� _ NIC CONTROL Or
I pDuwn
�RCHITEC'DEN (NEER: l_ LION : ADDRESS: J ❑
k 1 -1 It 6 ip lvd Lin
CONFAC'C PHONE: R95.000 J(Q;)('It{B111LDING PE'RNHTINFo-}-;^:'
ssir allj 7a Chun C4ll, -p5--1914- C ED Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH
C ft— 8 t - t J I e. 1 t f1 T � PT
LICENSED CONTRACT ORS DECLARATION QTY.,t�" t IFYE(TRIC PERM[F • � 'I. I i111�FEEe i'
I hereby arcrn mall tat ne,xeda 1 n rcnapm.9 reniime g .h a� +. ,' L, QJ 'fOfl'll t.. ".:,. to - rtt JOB DESCRIPTION
DMZ xah.ocainn]000)of Dison 3 ofthe Business;and fessrns Cod, diryluecmct. RESIDENTIAL:
WOO PERMIT ISSUANCE ��
F, in fall force and effect. 617.1 '3 j_l_ ❑SFDWL L4KITCHEN REMODEL
.14—U License Class Lick o_1 /- APPLIANCES-RESIDENTIAL []ADDITION ❑PLUMBING RE-PIPE
to 6 W Doc Contractor
ARCHITECT"S DECLARATION ❑MULTI-UNIT ❑STRUCURAL
F D H PANELS
OZ
ZOyZ UP 1'O 2IXIAMP$lundercpla
nand my ns zhall nc anal as publicm
reMs MODIFICATION
.-O C3 INTERIOR ❑CHIMNEY REPAIR
FW Licensed P.dcssiomd - 2BI-IIIBBnMPS IMPROVEMENT 0SWIMMINGPOOLOLS
OWNER-BUILDER DECLARATION OVER 1000 AMPS BAT REM
ODEI/REPA IR ❑DEMOLITION
C C Q I hereby afforded I am earmpt from the Conuacmr's Lietrse Law for the _
Y d O following mnam.(Serio.91DI 5,Bminms and Prolmodons Code:Any city..corm, SIGNS ELECTRICAL ❑OTHP,R
m0 F' which requires a permit to nmsuuct,alter,improve,demolish,or repair any structure G �j
IC"' w
prior it)its issuance,also requires the applicant for such permit to file a signed statement SPECIAL CIRCUTUMISC. / / '
Aly than be is licensed onsain in the pro visi..m.I t he Conwmofa l icatxe[,aw(Chaplain
Iel C, (commencing with Section 7")of Division 3 of the Business and Profession.,Cade)Or TEM['.ME'T'ER 0R POLF INST.
6 y o C that he is exempt therefrom and the basis for he alleged exemption.Any violation or ❑NEW BLDG/ADDITION ❑DEMOLITION
�I Section 7031.5 by any applicant for a permit subjects Ilse applicant In a civil penally 0 POWER DEVICES ❑TENANT ❑FOOD SERVICE
t more than five hundred dollars($50%
F Css owncrofthe propene or my employees with wages.,their sole Conipensoion, SWIMMING MOI,ELECTRIC IMPROVEMENT
do the work,and the structure is not intended proffered for sale(Sec.7044.Busines. ❑OTHER
-'m and Professions Craft:The Contractor's License Law does not apply to an owner of OUTLETS-SWITCHES-FIXTURES
property who build%..air pmrvee therm.,and who dens such work himself or through
his own empl.yee,,providN that such improvement,are not intended or oflered for NEW RESIDFNTIAI.FIT,I'R SQ FF.
sale.If,however,the building or improvement is sold within one yearofcompletion,the SQ,FT.FLOOR AREA VSQ.FF
.,are huiWer will hive behinden of proving rho he dltl nm build...improve rnrpur-
"0,of sale.).
❑ I,an ove,,of the property,an c.ohnitaly computing with Focused contractors to
omencerms,Project(S 7044 Bmines, ad P Ic- onsC de)I'he Cmumea I'
repOn hurt does nm.pdya,..instrutifianperty imbitilds carricippoor,diemmi,ad QT Ti( Lt�I FEE'li'�1
wan contracts forsirh projects witht c.ntructons)licensed pursuant mthe Conoactm
LimnseLvw. .S NCP.
❑I ani under Sec. ,B&P C for
Owner Date ACTe R E 1. VALUATION OOJ
WO :ER'S C0'4 TION DECLARATION - FL( IiVICC r{ '�-
Thcreyuffnnunderpenalty.fperjory one of the follnwi ng dwlnrutlnns:
�x]I have and will maintain a Cenifcate.['Consent l..self-insure fm Workels Compcn A -PLOO A� jtln 'STORIES YPE CONSTRUCTION
,an..,as provided for by Section 3]110 of nhe Labor Coda fur the performena of the
work for which this pram9 I,i...ad, I] - 1 P
❑ 1 have and will maintain Workers C..m,rarea t fascinate,as required bySection H
37M ofhe Labor Code,for the performance of the work for which this piis mss [INC.4 OUTLETS i!I OCGG APN
My Worker,_Cg". a a i Ins as carrier and l'ohey ton 'r
l' Y ((1'Yl I [icy No.: -EA SVSTEM0VIiR 41EA)
CERTIFICATE OF EXEMPTION FROM WORKERS' I_;V C
comPENSA'rEON INSIJRANC17 GREASEUNDUS1'Ill,WASTE INTERCEPTOR -
(This section need not becorarded ifthe permit is for..hundred dollars(5ROD) .`.5.nH IIUILDIN�D/VISON I^I3E5
m less.) GNEASE TRAP I'LANCHECK FE[
Icenifytho in the perfcanun,mfine Werk lin which his permit is kamd.I shall SEWER-SANITARY-STORM FA.200 FT.
not employ any person in any manner m m
as to becoe wbject to the Workers pen-ComENERGY FEE
oz stolon Laws of C, 11 ia.Dam WAIT?R HIiA'I'ER WIVFNIIIiLF.C'I'R
Appiteam TRADING FEF;
Z h N0TICE*1'0 APP CA I.after king Ihkkff nificate of Exemption,you should WATER SYSTEMG`REATING
a become Object t the W�mrs irking
i'voteion rlmv cions nl'nhe Labor Code,you mint SOILS IfiF.
forthwith comply with such It...kinds or this permit shall be deemed revoked, WATER S17RVICE
Q Q
CONSTRUCTION LItNDINdAGENCY NIiW RESII3EN1'LIL PLMII. SQ,F1'. PAID
V Q Ihenby nation that isuamswai.n lending agency for performance of Data Re<cipik
V. . the work for which this In....it is issued(Sec.3099,Ci,C.)
C) Lender's NO TOTAL:
y {U Ltmder's Address TOTAL:
[' a 1 cooly thit I h read this applle:fon and aide hat the above informationr.,-1i, f P. p".-),-1. f I, ^, t BUILDING FEE
y Correct Iagree to comply 'lit f chy and county onfinances and st nc lows rdm bt QTR.t', n MFCf ANICAI PERMIT +f f t 1'" 1•NEE "Ij
UZ building constrvaon,and hereby amhorize rcpmsentruscs ufthis city to enter upon the I I' ..al SEISMIC FEE
al e-mantminal pmpery I is inspcmion mrpmes.
(W'e)agreent save,indemnify and keep hamdexs the Cityol'Cupertino agvimt I'IHtMI"f ISSUANCE ELECTRIC FEE
liahilities,judgmems,cosh anJ expenses which may in any way accrunagaimt said City ACFERORADDTOMECH.
in e .sequence of the grinning olnhis pn,noul PLUMBING FEE
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT AIR HANDLING UNITQO W.(glll CFM)
SOURCE REGULATIONS,
MECHANICAL FEE
AIR HANDLING UNIT(OVER 111,0011 CFM) CONSIRUCIION TAX
Si,minam of A,horm/Cnmmctn. Date EXHAUST HOOD(WA)UCD DOUSING MITIGATION FEE
I IAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building Occupant store(ir handle turnouts mam.ial HEATING UNIT(TO 100.000 B'I'II)
as inch net]by the Cupertino Monte fent Code,Chapter 9.12,and the Health end Safety
Cale.Section 25532(,)? �r`� HETAING UNIT(OVER 110,000 BTU)
E]yes VENTILATION FAN(SINGLE RESID) PAID
Data Receipt x
--
Will the applicant or future building occupant use equipment or devices which
all haznrdaus air contaminants as defined by the Bay Arca Air Quality Munagemans BOILER-COMP(HIP 0R 100,000 BTU) TOTAL:
District? BOILER-COMP(OVER IO0.OBTU)
❑Yes Kr`" W
oW
I hove...dthc hazardous material,myuirenunns under Chapter 695o the Coli- AIR CONDI LONER ISSUANCE DATE
forma Health&Safety Cide,Sections 255(15.25533 and 25534.1 understand that Tthe NEW RESIDENTIAL MECH. SQ.Fr.
btulding du:,not eurren0y have a tenant,that it is my responsibility to notify the occupant
of the req.' nm which n %t bet cl nor m issuance or a Cunificvm f Orru ane".
Owner than, agent w [)Pro TOTAL L: ISSUEDIM
OFFICE
71 -28 1/2--1
1[�
T T �VJF342 ._---BF3,5 I IW,542 I II I —1 l II I a
BEP3 APPROVED
33 U PBBC36L IN ACCORDANCE WITH THE CITY OF
31/27W2742----27 42----E R33SSLSE336 BFOL3 CUPERTINO CODES AND ORDINANCES
I'
�aN DATE
27 B272FWTSIONEU_
I
W1542 B248UTT
Li15 I This set nt plans anu s;,ecT;catin�s�T I ,i
1 1 be kept on the job ai. all times and it is un 131
lawful to mzke airy C;ian,'es or alterations
• on same without written permission from
the building Dept., City of Cupertino.
36 The stamping of this plan and specifications
SHALL NOT ba held to permit or to be an
B152FVV RTC392496approval of the violation of any provisions
0302496 BDI.BLB9of any City Ordinance ra�Bp,{818'8151
�1/2 T TF396 MST -" `8F3
24 moors T
W2442BUTT� -W3024 W1542 W1542W1842�W1542NF342 12
L 1 .1-j
I
IF 2 152
15-1
I— 140-1— �-1 { 36r
COPY
JAN 2 0 2000 D
By
APPROVED P.
�DA t rs
• __-.. DATE
snit InternationalClient: Chun, Janice Catalog: Graphics View: Plan
2, Corporate Square IPhone: 980-1784 W Style: A Plain Door M,
Scale to-fit
jell, LA 70458 Design: hung Final Plan Dec. 13. 1999 Pull: A Plain Handle Date: 12/13/99 1
)4 649 0484 Designer: Nancy
I
i
_ � I
Li L-i
I
1p i / �. .�
s
APPROVED BY.
DA7--14 s Rq
• DATE —
nH International lient: hun Janice talo Graphics View: Perspective
?1 rporate Square Phone: 980-1784 W S le: A Plain Doorcale: Scale-to-fit
Jell, LA 70458 sign' hung Final Plan Dec 13 1999 Pulp A lain Handle Date 12/13/99
'41 649 0484I Designer Nancy
I
I � � I , P
111
pI 0 NNp�
11Mir
I
APPROVED P.
• OATE
inrtlnternatwnal Bent: Chung Jarnce taloa:Graph!cs View: ElevaLon
?1 Corporate Square Phone:980-1784 WStyle: A Plain Door (Scale: Scale-to-fit
cell, LA 70458 Design: hung Final Plan Dec. 13 1999 Pull: A Iain Handle Date: 12113/99
649 0484 Resigner: Nancy
•
I, I . I III
II I
W JI a.
II
APPROM R.
_ Dam
•
DATE.
nit International tient: hung, Janice taloa: Graphics Mew: Elevation
:1 rporate Square IPhone: 980-1784 W IS le: A Plain Door tale:Scale-to-td
L, LA 70458 Desi n: hun Final Plan Dec. 13, 1999 Pull: A Plain Handle Date: 12/13/99
4) 649 0484 esigner: Nancy
a
tl
z �" --- -
OD
APPROVED BY.6 17
DATE
snit International lien-:Chunq, Janice talo ra hics View: Perspective
21 Corporate S uare Phone: 980-1784 W S le: A Plain Door :Scale:Scale-to-fit
Jell, LA 70458 Desi n:Chun Final Plan Dec. 13, 1999 Pull: A Plain HandleI
e: 12/13/99
)4 649 0484 esi ner: Nanc
� I
I li I � ,u
I
II I I II I'Ii I li ` �,! lid' illi � I ' j l!I I
�I 9� II N tl � i � ii III � I � l ' III II I III I
Ov!!
�
1! l "I !
'• N� I ;�_
I I I IIS I
!I I
Jill
III I ill
I I V J I it l i i i i i t it
APPROVED P. �:, �.,
�DAM—/� �s
DATE
snit Internationaltient Chung Janice _ taloa Graphics View: Perspective
21 Corporate Square (Phone: 980-1784 W Sryle: A Plain Door Scale: Scale-to-nt
dell LA 70458 Design Chunq Final Plan Dec 13 1999 (Pull A Plain Handle Date: 12/13/99
)4)649 0484 __- - -- pesigner Nancy I
Jan- 13-00 03 : 11P K&B CTR SJ 408 371 0615 P . 02
' 1
P
1 F6 -71-----w ,,9-
�
T X4
3'S f eba
t
t
,gac3eL ,
3 1 4 • •••
2I 8272FWT
• 1 1 e4 B2ae
as
U80:i498 01EBL89. B,e2FWr RTC392496
> >n T F � T �
1 1 -M744 � ,5,, I ! W16 l
may- � • �—'div ��e y
1 �
ME2•d f ILUT OB6 80t T 3d06= Wd8i:E0 alt. BT NHL