00010174 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES•USE BALL POINT PEN ONLY 1000 10 I—I
(;TTY QE CUPERTINO BUILDING-ELECTRIC I, PERMIT NO,
BUILDING DIVISION APPLICATION/PERMITrl.ununrvr.-n1HCunnT ,
IIUILDING PROJECT WENT GM
CZ
BUILDING
BUILDING ADDRESS: SANITARYN(0 APPLICAIIONSUBMITTAI.DAL
b3iS �7 kc, Ax,_� Y, 2odo '
OWNERS NAME: CONTRACFOR'SNAME: LIC NO,
r,sW %` -E,l Ca lNIC CONI'HOLX
RCHITEt.T IiNGINEER:\ LIC NO: ADDRISS: tis Q ❑
STlevC OK,ii IS
CONTACT': PHONE: BUILDING PERMIT INFO
1y Y4Gu b LSU� 'IPO� ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMY "CIE
7 4--16&d ❑ V ❑ ❑
LICENSED CONTRACTOR'S DECLARATION QTY, I ELECTRIC PERMIT ITE JOB DESCRIPTION
1 hereby affirm that 1 mal licensed under provision.of Chapter 9(commencing
"Z with m 3oflhe BusinesF and 11 fenions Code.undleylicenneix RESIDENTIAL:
lalpp u 1 PERMIT ISSUANCE ❑SPDWI O KITCHEN REMODFI,
a�F mfnnfnmea feet / / 129
U license CPx Lic.M—o gppl.lANCES-RESIDENTIAL ❑ADDITION ❑PLUh191NG R61'IPIi
y<a D:nc Comms 91rE� 0MU1,TTUNIT ❑STRUCTURAL
ARCHITECTS DECLARATION PANELS MODIRCA'i'ION•
ZOyZ I mudersmnJ nryplansshull be used a,public recoul, Up T021M)AMPS
❑
oz� IN'I PRIOR OCHIMNEY REPAIR
O
t:LIE Licensed ProPr,ounil 2111-10(XIAMES IMPROVEMENT POOLS
W".J
OWNER-BUILDER DECLARATIONOVER I000 AMPS O HATH REMODFUREPAIR ODEMOLITION
C < 1 hereRn
by an that l on exmnpL Irom the Common,Licence Law for the
p 6 OI HER
U fdlowing reason.(Section 11131.5.Business and Profession.Calc:Any city or county SIGNS ELECTRICAL
❑
3 fL b` which regnirsa u permit to ennsmml,eller,improve,dcmm�l ish,or repair any saumao L
F'1E:cfn sit prior to its issuance.almrequies meapplicant fusses pe ohrnoflea,ighed,themem SPECIAL CIRCUIT/MISC r
tial he is licensed pursuant in the provisions of the Commemr's License Law(Chapter 9 COMMERCIAL
W ,OC, (Commencing with Section 9(X0)of Division 3oflhe Easier,and professions Cde)nr 1 TEMP.M Ef1R OR POLE INS'('.
3.a e C that he is exaidd therefrom and the basis for the alleged exemption.Any violation of ❑NI:W'6LDG/ADDITION El DEMOLITION
�mSectioNF315 by any nppIicmt for n Tenuitwhjeco the."licini civil,cooly of POWER UEVICES ❑TENANT ❑FOODSERVICE
rn more than five hundred dollars(S5(Xp. ih11'ROVEMEN'I'
=Q01,as owner of the propcny,onnyemNnyen with wages as lhcisnlccompensmioa, SWIMMING POOL ELECTRIC
p.. will dnthc work.and ne,brucumis sol intended m effeml inside(See 7044.Busmen 0' iR
rL a OUTLETS-SWITCHES-FIXTURES
3 and property
hie b CuJor rT1wan Csmmnorx License laws does urn apply unused un owner of
,meow who huilJs or waded cs Iherch i and who dxs such work ded ,,nrc.ob!through NEW RESIDENTIAL ITECTR SQ IT
his own employeese provided Ir m such impms sold w thin nnl intended car p enrol fav SQ.FT.FLOOR AREA SISQ.14.
rola1suld" iLiebuildingorimpmvemmnt is sold withinone yearofcomplain,,the
or-huidur will hove shin M1UNmt of proving Nm he did ren build a improv for poo-
Pow of'Ile.). � 'TOTAL:
O h as owner of the progeny,am exclusively contracting with licensed connectors to
canxmmt lite project(Sec.7094,Business and Profenhm.,Cnde:)Tim Cmnrucmr'F J-
Lawdoesnapplynoonownerofmapery whoboilds or improves thereon,and QTY PLUMBING PERMIT FEE
wm
ho commove for such project.with a comminou li licensedpursuanuo the Contractor's -
License Law. P17 MIT,ISSUANCE
O lamexcerptunder Sea. ,Bk PCfnrthisrwmn
AL'lER-DRAIN A V I:N3-WATER EPA) VALUATION
Owner Data
WORKER'SCOMPp?N SATIONDECLARATION HACK FLOW PROTECT.DEVICE
I herchy union under penuly of perjuryane of Ne following deelmadions:
I have and will maintain a Certificate of Comcm um Self insure for WorLocrs Compen- DRAINS-FLOOR,ROOK AREA,COND. SrUARIESL
NS'IIII)C'1'III
union,m provided for by Section 3100 of the Labor Code,for the Permanence of Nework for which thinIremmitis issued. EREASE
-PER TRAP1 have and will nminmin Wmkcrs Compenmtion Insumncc,as required by Sminn SYSI'I:M-I INCA UU'I'LE15tolldUof the"Nor Cale.fa lbeperformm�ce el the work finwhtch nhi�nnit is isJucd: OCC.GROUP
__7 JOIN
My WnhkA rep cmrierand Policy SYST1ih40VER1(F.A)
Cartier. /�{ p gRsc Policy Nod cr
ICEEKII'119CA1E OP EXGNPI'ION FROM W(5q' DUSTRL WASTE INTIiRCEPTUR
COMPRI SATTON INSURANCIi N1111.UING UIV ISI(1N ITiE.S'
(This carbon need not be completedaLie permit is Brute hundred dollars RAP
' YLANCHECK PEE
or
less.)
Loy any
anyperformare.ofithe
as
for Subject as pemniLrker%' ounT l SI7WER-SANITARY-S'IORM I:A.2W PI'' ENERGY PIT
not employ any person in any manner uo as ns become subjem Ir the Workers Compcn-
z nntlon Lows of C:LIfurmat Dune gERFER W/VENTMLECFR GRADING FEE
zApplicant lNGFICE 10 APPLICANT.If.after making this Ccnificam of Exeinpnion,you should '113AMEATINGfern..:whjed m the Worker's Cal.. o,num pro s mmofthe Lubar Cade,you must SOILS IFIiforthwith comply with wch provisimenr this permilshallM deaned revoked. VICECONSTRUCTION LENDING AGENCY IiNTIAL 1'LMB: SQ.PI'. PAID
p" Ham Remipl b
U0 I hereby affirm that them is a comtm inn lending agency for the performance of
Q. the work hsrwhich Ibis permit is inwcd(See.3(XII.Civ.C.) TOTAL:
Q I"' Lenders Name - 'TOTAL:
} G Lender's Address _ BUILDING PEI:
1 I ccnify ism I have read Ibis appllcnlion and slate thin the dove inlonnnnion is
F' h corer,l agree lncomply with all city and county oNinancesand Sere laws miming us QTY. MECHANICAL PER FEE SEISMIC FIT
U Z building casstmction.and hereby authorize repicsemmlves of this city memo upon the 1
tMrvcmeminox!,,ape.,for inspeclion pu.....ee PERMIT ISSUANCE ELECTRIC FHP,rt l i�\ n�"
(We)ii Losses,indemnify and Lott,females.the Cd,of Cupenlno against _ u _
Iiubilitio,juJgtncnLs,costs and oxpenscs wbicbmey in any way acamca,mhotnnid Cin, AUGER OR ADDTO MECIL PI.UMIHILL E
. mncgtence of the geeing of this Pcrmh.
APPLICANT UNDERSTANDS AND WELL COMPLY WITH ALL NON.POIN'T AIR HANDLING ONI'f(TO 1010BCFM1D MECHANICA A: N
SOURCE REOULAr10NS.
0 AIR HANDLING UNIT(OVER 11J00CFM) CONS'I'RUL IsISN'T X
SiE mim.of App vnUCanlmclar Dam EXHAUST LOGO(II DUCE) HOUSING ITxR i�'1']ON FEE
IIALARIX)US MATTiRI IS DISCLOSURIi
WIII the applicant or future buildingmncupunutore orlmndle ba'sndnusmutenin IWA'IING UNIT Fro I do bon]I'I'BE
an defined by the Cupertino Mablipnl Calc,@nptcr 9,12,and the Health and Safiry 11FATING UNIT(OVER[010.000 BTU)
Gde,Secninn 25532(.)1 `
OVc ❑NoVENFILATION FAN(SINGLE RESID) VAIU --
Ham Rccciplp
Will the applicant or future building obeupant me equipment or devices which BOILER-COMP Obil'OR 100.0Y)11 LU)mit hosaalous air conmaimans as dellned by the[lay Area Air Quality Menagencon 'IDEAL:
D...ivO BOILER-COMP oOVI:R IDI,(XXI II'I'UI
❑Yes ON.
AIR CONDO ION ER ISSUANCE DATE,
I have rcud the h ode,Se materials requirements under Chalnd 9.95 of the Cali- ' ^
Lmmio I does&Safely Gde.Sections 255U5,2553)and 3534.1 understand del it the NEW RESID(iNTIAI.MF,CH. SQ.IT. / / 3 ` 2 a u
building J wenn Currently M1.aveamn LmmhiliLismy reuJ`. .I.wrei fythefoury.m (/
of mrrcms whicb 4 prior to sesames ofa Ccnilica of Oc paT
tboriacA ugcni Da� TOTAL. ISSUED BY.
ner or OFFICE
Dry. i/ Applicable Fee ID Fee Description Fee Group
iSPERNIFEE IBLOG PERMIT FEES BUILDING
JSCONSTAX 1CONSTRUCTiON TAX JBUILOING
• �SENERGY JENERGY IBUILDING
BENERGYAODENERGY ADO MULTI ISUILDING
1BOVERTIME JINSPECTION OVERTIME IBUILDING
STENIPPERM TEMPORARY SLOG PERMIT IBUILDING
BMITIGAT HOUSING MITIGATION FEE ISUILDING
�BPLANCHK PLAN CHECK FEE BUILDING
BPLANCKADD PLAN CHECK ADD MULTI BUILDING
BPLANCKREP PLAN CHECK REPEAT FEE BUILDING
BREINSPECT REINSPECTION FEE BUILDING
BSCBLVD SCB SPECIFIC PLAN BUILDING
BSEISMICOM SEISMIC COMMERCIAL BUILDING
BSEISMICRE SEISMIC FEE RES BUILDING
BSPECIAL SPECIAL INSPECTION BUILDING
BSWIM SWIMMING POOL BUILDING
ZADOCHG ADDRESS CHANGE BUILDING
EPERMITFEE ELEC PERMIT ISSUANCE ELECTRICAL
BELEC1000 ELEC 600V<=1000A ELECTRICAL
BELEC1001 ELEC 600V>1000A ELECTRICAL
BELEC200 ELECT SVCS 600V <=200A ELECTRICAL
BNEWMULTI MULTIFAMILY RES ELECTRICAL
BREMBUSWAY REMODEL BUSWAYS ELECTRICAL
BREMFIXT LIGHTING FIXTURES ELECTRICAL
• BREMMISC MISC APPARATUS ELECTRICAL
rq
BREMNRAPP REM NON-RES APPLIANCE ELECTRICAL
BREMPOLE POLEIPLATFORM FIXTURE ELECTRICAL
BREMPOWER POWER DEVICEIAPPARATUS ELECTRICAL
SREMRECEPT RCPTL, SWITCH &OUTLETS ELECTRICAL
BREMRESAPP REMODEL RES APPLIANCE ELECTRICAL
BREMSIGNAD RMOL SIGNS ADD BRANCH ELECTRICAL
BREMSIGNS REMODEL SIGNS. MARQUEE ELECTRICAL
BREMTHEATR THEATRICAL LGHTNG FIX ELECTRICAL
BSF&2FAM SINGLE_&2 FAMILY ELECTRICAL
BTEMP TEMPORARY POWER ELECTRICAL
BTEMPSVCS TEMP DIST SVCS JELECTRICAL.
MPERMITFEE IMECH PERMIT ISSUANCE MECHANICAL
BAPPLOTHER JOTHER APPLIANCES MECHANICAL
BBOILERI BOILER<= 100,000 BTU MECHANICAL
BBOILER2 BOILER>100KTOSao BTU MECHANICAL
BBOILER3 BOILER>500K TO 1M BTU MECHANICAL
BBOILER4 BOILER>1M TO 1.75M BTU MECHANICAL
BROILERS BOILER> 1.75M BTU MECHANICAL
BREMAPPLI APPLIANCE INSTALL MECHANICAL
BREMHEAT HEATER INSTALLATION MECHANICAL
BREMVENFAN VENT FAN SINGLE DUCT MECHANICAL
BMNEWMUL11 NEW MULTI-FAMILY RES MECHANICAL
BMNEWSF&2F NEW SF&2F RES SLOGS MECHANICAL
k oft
P�iwd vias
— J
9REiMACOVER QAC UNI Ti >IGCOGCFA.I ANICAL
JBREMAIRHAN JA/C UNITS — 10.OGCCFAl IMECr!ANIC?'L
IBRENIFURN IRELOCATION OF FURNACE MECHANICAL
BREIMFURNOV IP•ELO FURNACE > ICK STU IMECH„NICAL I •
SREMINHOOD INSTALLATION OF HOOD IMECHANICAL
BREMRELOCA IRELOCATION OF HOOD JIVIECHANICAL
BREMREPALT REPAIR/ALTER HEATING MECHANICAL
SREMVENSYS IVENTILATION SYSTEMS IMECHANICAL
PPERMITFEE JPLUMBNG PERMIT ISSUE PLUMBING 1
BNUMULTI NEW MULIFAMILY RESPLUMBING
BNUSFD NEW SINGLEFAMILY RES PLUMBING
BPBACKFLOW ATMOSPHERIC VACUUM PLUMBING
BPCESSPOOL CESSPOOL PLUMBING
BPFIXTURE PBLG FIXTURE PLUMBING
BPGAS GAS PIPING SYSTEM FEE PLUMBING
BPINTERCEP IND WASTE INTERCEPTOR PLUMBING
BPREPIPE REPIPE OF FIXTURES PLUMBING
BPSEWAGE SEWAGE DISPOSAL PLUMBING
BPSEWER SEWERS PLUMBING
BPSPRINK LAWN SPRINKLERIBACKFLO PLUMBING
SPSTORM STORM/RAIN WATER PLUMBING
BPTRAP KITCHEN TRAP PLUMBING
BPVENT ALT OF DRAIN &VENT PLUMBING
BPWATER INSTALL/ALTER WATERPIP PLUMBING
BPWHEATER WATER HEATER/VENT PLUMBING
BPWSVCS MAIN WATER SERVICE PLUMBING
ZOEVAGREE DEVELOPMENT AGREEMENT PLANNING •
ZDIRTM DIR TENT MAP PLANNING
ZFULLHR FULL APPL BASE t HR PLANNING
ZFULLTM FULL APPL TENT MAP PLANNING
ZFULLUP FULL APPL USE PERMIT PLANNING
ZFULLZONE FULL APPL ZONING PLANNING
ZGPAMENO GENERAL PLAN AMEND PLANNING
ZUMAMEND LIMITED AMEND PLANNING
ZLIMTM LIMITED TENT MAP PLANNING
ZUMUP LIMITED APPL USE PERMI PLANNING
ZMATEMPUP MIN AMEND TEMP USEPERM PLANNING
ZMINHILLEX MINOR APPL HILL EXC PLANNING
ZMINSIGNEX MISC SIGN EXCEPTION PLANNING
ZMINTM MINOR APP TENT MAP PLANNING
ZMINUP MINOR APPL USE PERMIT PLANNING
ZMISCASA MISC ARCH SITE PLANNING
MTI SC-EXT MISC TM AND UP EXT PLANNING
ZMISCFENCE MISC FENCE EXCEPTION PLANNING
ZMISCGEN MISCELL APPL GENERAL PLANNING
ZMISCPCINT MISC PC INTERPRETATION PLANNING'
ZSIGN SIGN PERMI PLANNING
ZTEMPSIGN ITEMPORARY SIGN PLANNING
ZVARIANCE DIRECTOR VARIANCE PLANNING
2 oft •
lt"iud 7!10199
INVOICE INVC4CE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
CITY OF CUPERTINO
• BUILDING PERMIT INVOICE OPERATOR: yvonnek -
Sec: Twp: Rng: Sub: Blk: Lot:35715060.00 "
INVOICE DATE. .. . . . : 01/31/2000
REFERENCE ID # . . . : D0010174
SITE ADDRESS ...... 10325 ORANGE AV
SUBDIVISION ...... .
CITY CUPERTINO
IMPACT AREA . . .. . . .
OWNER YANG DAVID I EWA AND YU T
ADDRESS . .... . . .. . :
CITY/STATE/ZIP . . . : SUNNYVALE CA, CA 94086-8343
CONTRACTOR .......: LIC N
COMPANY ... . . .... . :
ADDRESS . .. . ... . . . :
CITY/STATE/ZIP . . .. ,
TELEPHONE . .. ..... :
NOTE: THE FEES LISTED ARE ONLY THOSE DUE BEFORE PERMIT PRINTING
FEE DESCRIPTION CNK TOTAL FEE PAID-TO-DATE BALANCE DUE
--------------- --- --------- ------------ -----------
BTEMP P 57.50 0.00 57.50
BUSLIC P 90,00 0.00 90.00
EPERMITFEE P 35.52 0.00 35.52 '
• 183 02 0.00 183.02
VOICE ID - DESCRIPTION VOICE ID DESCRIPTION
........ ........ ............................
103 LIFER 304 ROUGH ELECTRICAL
f
•