S 1635r
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ADDI IreNTTO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
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CITY OF CUPERTINO BUILDING - ELECTRICAL.
13U�AING DIVISION APPLICATION/PERMIT PLUMBING. MECHANICAL
BUILDING PROJF,LT IUEN'rIFICATION
PEga11T NO.
J 1635
BUILDING ADDRESS:
l To �v
SANITARY NO.
AT, LICATION SUBMITTAL. DAT 1?
is-- 7 2
OWNERS NAME: - PHONE:
CONTRACT'OR'S NAME: LIC NO:
NIC
CONTROLp
❑
ARCHI I'ECf/ENGINLER: I-[ —/W
N% 20
ADDRESS:
NE:
CONTACT. PH/v%
BUILDING PERMIT INFO
(�-.
�iI
❑ Consultant Fees Paid by Applicant (Initial)
BLDG ELECT' PLUMB MECH
❑ ❑ ❑
40Z
+100
FK W F
aVV
Q i
F ❑y
ZGUPT0200AMI'S
4E"W
CIE 6
all V
LICENSED CON1' RAC TOR'S DECLARATION
I hereby affirm that Iran littnud under provisions of Chapmr s) (commencing
whnsmnnnlXXO efnroi.imlq Done xa.nrexs and Pfefessions Gde, amd my heemse is
in full force anJl terse c}
Date nCl ss f.ic.N
Date Cnntramr
A C 1'ITCI-S DECLARATION
1 nnderelnnd in, Flaw .roll tw used its puM1lic reconlc
QTY ELECTRIC PERMIT FEE
JOB DESCRIPTION
RESIDENTIAL:
❑ SFDW L ❑ KITCHEN REMODEL
❑ADDITION [I PLUMBING RE -PIPE
❑MULTI -UNIT ❑STRUCTURAL
MODIFICATION
❑INTERIOR ❑CHIMNEY REPAIR
IMPROVEMENT E)SWIMMING POOLS
❑ BATH REMODEL/REPAIR ❑DEMOLITION
❑ OTHER �r
PERMIT ISSUANCE
APPLIANCES - RESIDENTIAL
PANELS
Licensed Professional
OWNER -BUILDER DECLARATION
1 hereby alfient that 1 um exempt from the Contmaora License Law for the
following reason (Section 7131.5, Business and Professions Cale: Any city or county
201-1000AMPS
OVER I000 AMPS
SIGNS 171 -EM RICAL
^ WOy
which requires v permit to construct. alter, improve, demolish, or repair any structure,h
ehpconita,, Ble eignedslmemmrt
prior 1. it, issuance, alloor,mes the applicant for.cma
.✓k� a�
SPECIALCIRCUIT/MISC.
m
W Q
that he is licensed pursuant,, the provisions of Ne Contractors License Low (Chapter 9
TEMP. ME'T'ER OR POLE I
-
COMMERCIAL:
❑ NEW BLDG/ADDrnON ❑ DEMOLITION
f
gq0q
ly e
(commencing with Section 7000) of Division] ofthe Business and Profasmns Caie)or
that be is cwmpt Nercfmen and the hasis for the alleged exemption. Any violmior of
LL
^,m
Q
REM
'�
Section 7031,5 by any n1plicum fore preano ubjecuthe.ppiieam m. civil peraltyof
n more than five hundred dollars 185110).
�1, as owner of the pmpety. nr my cmpinyms with wages ns tbeirsmle compensation,
POWER DEVICES 0 air
❑TENANT ❑FOODSERVICE
IMPROVEMENT
OTHI?R
SWIMMING POOL ELECTRIC
L 3
will do the work, and the structure is oat intended or offered for sale (See. 70a,L Business
and Professions Cale: The Contmeturs Licence Law does not apply to an owner of
who builds or improves thereon, and who does such work himself or through
OUTLETS-SWITCHI6-FIXTURES
progeny
his own employees, provided Nm such inapowenume arc not intended mr oxbted for
sale. IL however. the building or improvement is sold within one yearofcompiction,the
NIiW RIiSIDBNTIAL ELEC''R 5
SQ. FT. FLOOR AREA
vsQ. Pr.
-owner,builder
will have the harden of proving, that he did not build or improve for put.
pore mf owner Fmtpeny,.E exclusively contracting with licensed conmteots i-
I, as
TOTAL
the project i Cale:) The Cmmmdon, Li-
Corse r the p ij m ]Bodo Business and
whesedporimproves anti
La ny wh builds
cense Lawdoesinot.ppr teas
apply
QTY. PLUMBING PERMIT FEE
thethereon,and
who commets insuch projects with n wmmmortx) licenced pursuant .the Contractor's
withit
PERMIT ISSUANCE
License Law.
❑ Inm cxemgt ander Sec. . B & P C far thi, o Dan
Owner Date
WORKERS COMPENSATION DECLARATION
1 hereby nl n under Penalty of perjury one of Ne following declarations:
ALTER -DRAIN &VENT- WATER (EA)VALUATION
D O dD
NOCK FLOW PROTECT. DEVICE
i i
❑Ihavc and will l nary etion 37nc of thread, soar, fee for Worker.Cemf,hc
amino: as provided for by Section 3](NI of the LuMrt Cala for the performance of the
DRAINS - FTO(yR, ROOP,ARF.A. COND.
STORIES
TYPECONSTRUCTION
work for which this permit ix issued
FIXTURES - PIiR TRAP
and will mountain Workers Compensation Insurance, as required by Section
37000 the Labor Cale for the peformxone of the week far whicbthis farmit is ixsued.
GAS- EA. SYSTEM. INC. 4 OUTLETS
OCC. GROUP
APN
CtIY I 4 nW Cnerlff
My Wnrkc' Gmt and Policy nu er
Cartier
GAS-f?A.SYSfEM-OVERJ(EA)
GRI?ASWINDUSTRL. WASTE INTERCEPTOR
CF.RTIITC OMPE SATIONIINN FROM WORKERS'
COMPENSATION INSURANCE
BUILDING DIVISION PEPS
This section need not Be completed i flhc fiction is forone hundred dollars($]an)
or Ices.)
GREASETRAI'
PLANCHIiCK FEE
I<enify Nmin Ne Performance„Tube xvrk foewhieh Nispermit nissucd,ishill
urn ampiny any person in any aram er so as in become subject to the Worker: Centpen-
SEWER -SANITARY -STORM EA. 200 FT
ENI?RGY 12E
WATF,R BEATER WNIiNt/ELECTR
GRADING FEE
Z
O
.~N.I
1^,
LS�•11
lL 0
V
�' 1'+
WLenders
%1
U,ZZ.
..tion Laws of California. Date
Applicant
NOTICE TO APPLICANT IL after making this Cunneen, of Exemption, you should
become subject m the Workers Compensation pmvisiom of the Labor Cole, you must
I In ith comply with inch pram,inns or this Fenn, shall be deemed revoked.
CONSTRUCTION LENDING AGIiNCY
I fix, vs uh con Nm Nere is sued (Seconstruction0 lending agency for the performance of
the work for which Ibis pemtit is issue] (Sec, 309], On. CJ
U:nJer'e Nume
Address
WATER SYSTEM/TREATING
WATER SERVICI?
SOILS ITE
PAID
NEW RESIDENUAI. 1'LMIi. SQ. FI'.
re Receipt #
TOTAL:
TOTAL:
BUILDING F.
1 canify Inm I reverend I i, application and state unit the above ioformmion is
cmrmt.I agree In comply with all city and county ordinances andsmre lows relating m
building construction. and hereby authorize representatives mfthix city tuenter upon the
above-mentioned propeny for inspection purposes.
(We) agree to save, indemnify and keep harmless the City of Cupertino against
QTY. MECHANICAL PERMIT FEE
SEISMIC FEE
PERMIT ISSUANCE
ELECTRIC FEE
FEE
Fain lities,judgments, costs and expenses which may in any way acme against said City
in consequence of the granting M this ptPLUMBING
ALTERORADDTOMECL
AIR HANDLING UNIT(To Ho,00 I CFM)
MECHANICAL FEE
APPLICANT UNDE NDS AND WILL COMPLY WITH ALI. NON -POINT
SOURCE GULL ONS
SOURCE
a
AIR HANDLING UNIT (OVER III,(NIOCFM)
CONS '1'RUCTION TAX
fignaturenf Applicam/Conuocam Date
EXHAUST HOOD(WIDUC)
HOUSING MITIGATION FEE
HA9ARDOUS MA'TERIAIS DISCLOSURE
HEATING UNIT (TO I0k000 BTU)
WillNenpplicant or Col.. building mcupmamorem handle harecomus..¢tial
as Jefirod by the Capetian Municipal Code, Chagter 9.12, and the Health and Safety
"Cods. Section 25532(a)'f
Yes
DEALING UNIT (OVER 100,010 BTU)
PAID
VIiMI'IIAI'ION IRAN (SINGLE RESIUI
Date Receipt#
Will the applicant or future building occupant use ryuipmem or devices which
emit hazardous air comaminams as defined by the Bay Arca Air Quality Management
BOILER -COM 1' (3111' OR 101,000 RTU)
TOTAL
Diaoict^
❑ Yes ig[h:
BOILER -COMP (OVER 100.000 BTU)
AIR CONDITIONER
I have seat Ne hazardous materials requirement under Chapter 6.45 of the Cali-
Tanis Health & Safety Code, Scotioms 25505, 25533 and 25534. 1 understand thin if Nn
buildingdoes nm cntremly haven tenant, Neu it is my respomibitiry m ratify the mcupanu
//''---- ISSUANCE DATE
NEW RESIDENTIAL MECH. SQ. PC
earn rain' mems: ¢ cost he me prise set issuance of. Ceniaeme of Oce toy.
_. �_ `iCyL
r_
ISSUED BY: 09 D
TOTAL”
net orauthorized agent Op
OFFICE
N FIRST FLOOR DEMOLITION PLAN
SCALE: I
y
WALL LEGEND (FOR SPECIFIED AREA OF WORK)
C-� EXISTING WALLS TO REMAIN
F_= _ _ _ EXISTING NON-BEARING WALLS TO BE REMOVED
EXISTING WALLS WITH GLASS
i. II14
t
f
LOCATION MAP
ZOJ ECT DATA
CONSTRUCTION TYPE: V NR, FULLY SPRINKLERED
OCCUPANCY: B2 OFFICE
CONTRACTOR: MIDGLEN STUDIO ASSOCIATES
831 MIDGLEN WAY
WOODSIDE, CA 94062
SCOPE OF WORK
-- REMOVE EXISTING NON-BEARING WALLS
-- RE -SWITCH EXISTING CEILING LIGHTS TO ACCOMMODATE
NEW LAYOUT
NO CHANGE TO EXISTING SUSPENDED CEILING
REMOVE ELECTRICAL OUTLETS FROM REMOVED WALLS
NOTE: NO CHANGE TO EXISTING FIRE SPRINKLER LOCATIONS,
EXISTING FIRE SPRINKLERS ARE IN COMPLIANCE WITH
NEW LAYOUT
Al
Mkim;oft CUPERTINO OFFICE BUILDING
10000 TORRE AVENUE, CUPERTINO, CALIFORNIA
Y2 .
OFFICE COPY
u, i kw& uur i
MA'f 7 - 1998
BLDG. INSPECTION
CITY OF CUPERTINO
MAY 5 1998
THE MIDGLEN STUDIO ffil
WILLIAM ARTHUR PATRICK, AIA
AKIRA STEVAN PATRICK, AIA
ARCHITECTS
LICENSE C4940/ C17920
831 MIDGLEN WAY
WOODSIDE, CA 94062
415 / 369-0416 FAX 369-0417
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ZOJ ECT DATA
CONSTRUCTION TYPE: V NR, FULLY SPRINKLERED
OCCUPANCY: B2 OFFICE
CONTRACTOR: MIDGLEN STUDIO ASSOCIATES
831 MIDGLEN WAY
WOODSIDE, CA 94062
SCOPE OF WORK
-- REMOVE EXISTING NON-BEARING WALLS
-- RE -SWITCH EXISTING CEILING LIGHTS TO ACCOMMODATE
NEW LAYOUT
NO CHANGE TO EXISTING SUSPENDED CEILING
REMOVE ELECTRICAL OUTLETS FROM REMOVED WALLS
NOTE: NO CHANGE TO EXISTING FIRE SPRINKLER LOCATIONS,
EXISTING FIRE SPRINKLERS ARE IN COMPLIANCE WITH
NEW LAYOUT
Al
Mkim;oft CUPERTINO OFFICE BUILDING
10000 TORRE AVENUE, CUPERTINO, CALIFORNIA
Y2 .
OFFICE COPY
u, i kw& uur i
MA'f 7 - 1998
BLDG. INSPECTION
CITY OF CUPERTINO
MAY 5 1998
THE MIDGLEN STUDIO ffil
WILLIAM ARTHUR PATRICK, AIA
AKIRA STEVAN PATRICK, AIA
ARCHITECTS
LICENSE C4940/ C17920
831 MIDGLEN WAY
WOODSIDE, CA 94062
415 / 369-0416 FAX 369-0417