29297APPLICANTTO FILL IN INFORMATION WITHIN RED LINES -USE BALL POINT PEN ONLY
CITY OF CUPE RTINO BUILDING - ELECTRICAIPERSIG NO.
BUILDING DIVISION APPLICATION/PERMIT PLUMBING - MECHANICAL n
BUILDING PROJECT IDENTIPICA'1'ION L
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CONTACT. PHONE:
❑ Consultant Fees Paid by Applicant (Initial)
LICENSED CONTRACTOR'S DECLARATION QTY ELECTRIC PERMIT
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I hereby affmt that I am licensed under provisions of Chapter 9 (commencing
Section ANp)of Divisim 3ofthe Businessand
with Professions Code,andmy license is
` PERMIT ISSUANCE.
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is full forec and once,
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License Class LIC. iI!13
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Date mra<nu — APPLIANCES — RP.SIDENTIAI.
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OWNER -BUILDER DECLARATION
I hereby offrm that 1 am exempt from the Contractor's License Law For the OVER 100DAMPS
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following reason. (Section 7031.5, Business and Professions Code: Anycity or county SIGNS ELECTRICAL
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which requires a permit m c ri umat, ager, improve, demolish, or repair any strucmm
prior to its issuance, also requires the applicant for such permitto file a srgvedsmemrnl SPECIAL CIRCUITIMISC.
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that he islicenced pursuant to the provisions ofthe Contactors License Law (Chapter 9
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(commencing with Section 7000) of Division 3 ofthe Business vld Profeminna Corti TEMP. METER OR POLE I'
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that he is exempt tambour and the basis for the alleged exemption. Any violation of ,
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Section 7031.5 by any applicant fora permit subject. Ne applicant m a civil penalty of POW ER DEVICFS ,45
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not more than five hundred dollars (5500).
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❑1, as owner of the property, or my employees with wages as their idle compensation, SWIMMING POOL ELECTRIC
will do the work, thestrucmre is intended forsale(See.
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and not or offered 70,W, Business
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and Professions Cale: The Companies License Use does not apply to an owner of ja OUTLETS—SWITCHES—FIXTURES
property who builds or improves thereon, and who does such work himself or through
his own employees, provided that such improvements arc not intended or offered for NEW RESIDENTIAL ELECTR SQ Fr.
sola IL however, the building or improvement is sold within one year of cnmpmtion, the
owner -builder will have the burden of proving that he did not build or improve for par-
)nae of sale.), ,
E] 1. as owner of Thu property, am exclusively contracting with licensed rnimraams to 11,1
comaucl oho pmflat (Sea 7044, Business and Professions Code)'The Cnn,nowrs Li-
cne'Lovdoesnal apply to anowne, of property who builds or improves thereon, and Q'TY. PLUMBING PERMIT
who mntmms fns such pmjals with a cmuramogs) licensed pursuant to the Cmnnmmr's
License Law. PIiRMII'ISSUAN- R
Ism exempt under See. ,N& P C for this reason
Owner Data ALTER — DRAIN & VENT— WATER (EA)
" WORKER'S COMPENSATION DECLARATION BACK FLOW PROTECT. DEVICE
1 herebyaffirm under parr of perjury one fthe following deraddius:
I have and will mainmin a Cenificam ofCommor mself-insure for Rbrkes Compen- DRAINS— FLOOR, ROOF AREA, COND.
saloon, as provided for by Section 37M of the labor Code, for the performance of the
work far which this permit is issued. IlX'TUR[S—PER TRAP
C]I have and will maintain Worker's Compensation Insurance, as required by Sort".
37(X1 of the LubarCooe, her the Ndormanceof the work for whial is permit is issued GAS — EA. SYSTEM -1 INC.4 OUTLETS
pre.:
My Wnrke'�yr�InSensation Insurance easier and Pnlicyn ben&76
Carrier.//f/�O - Policy No.: YT(��jL'9G GAS — EA. SYSTEM -OVER 4(LA)
/ CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE GREASEINDUSTRL WASTE INTERCEPTOR
(This sec if.. needan becmnpleted if the permit is forane hundred dollars ($100)
or ass.) GREASETRAP
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Icenify mut in the perfnrmnncanfthe work for which this permit is ismal, [,hall
SIiWER —SANITARY—SNRM GA. 21X1 FT.
not employ any person in any manner so as m become subject to the Workers' Cnnlpen-
OZpli Lawsnl'Culifnrnin. Dole
WATER HEATER WNENTIELECTR
sz.0 Applicant
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NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should WATER SYSTEM/TREATING
become subject to 0¢ Worker's Compensation provisions of the Labor Code, you must
foft hwitb comply with be drained
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snehprnvisioneor this Permit shall invoked. WATER SERVICE
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CONSTRUC'T'ION LENDING AGENCY NEWRESIDENOALPLMB. SQ. Fr
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I hereby affirm that there is a construction lending agency for the Performance of
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the work for which this pari, is issued (Sec. 3097. Civ, C.)
}.cnder's Name
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lenders Address
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1 cenify that T have teadthis application and state that the above information is
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correct. I agree to comply with all city and county ordinances and state laws relatingm QTY MECHANICAL PERMIT
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building construction. and hereby authorize representatives of this city to enter upon the
above-metnioned propertyfo 'nI than purposes.
urs PERMIT ISSUANCE
(Wel agree ins damnify and kap harmless the of Cupertino against
liabililies,judgmentsc anJexp:nus which morin an way accrue aguinn wiJCity ALTER OR ADD TO MECH.
in consequence oft grunting of,his permit
APPLICANT U )E ' S AND WILT 0 LY WITH ALL NON -POINT AIR HANDLING UNIT(TO 10,000 CFM)
SOUK RF CAPONS
4 AIR HANDLING UNIT (OVER 10.0000FM)
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Signature of AppliaWC
nunoaaior. Dale EXHAUS'I'HOOD (W/DUCT)
I IAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle haeardous mulaial 1117ATING UNIT (TO 100,000 BTU)
as del lead by the Cupertino Municipal Code, Clomm, 9.12, and the Heahh and'Sort,
Gide, Section 255326t)'f ' I HEATING ONI'1'(OVER 100,000 BTU)
❑Yes [I No
VIPSTILATION FAN (SINGLE RESID)
Will the applicant or furore building escvpam use equipment nr devices which
mit h reard;m. self contaminants as definedOILER — COMP OR 100,0(10 NTU by the Be,Bay Arca Air Quality Management ( )
Dinner I
❑Yes ON. BOILER— COMP (OVER lay" BTU)
I have read the herandoua materialsAIR CONDITIONER
ra)viremrna under Chapin 6.95 of the Cali
Tania Health & Safety Code, Sections 25505, 25533 and 255TC I mocrsm al thin if the
NEW RESIDENTIAL MECH. SQ. FT.
building does tan currently have a mount. da it is mytesponsibilay 1. notify the occupant
of Ree requimmnns which must be met Prim to issuance of a Certificate of Occupancy.
Owner or mahonred agent Date TOTAL:
OFFICE
C�]
FEE JOB DESCRIPTION
RESIDENTIAL -
El SFDWL
ESIDENTIAL•❑SFDWL ❑KIICHLNRIPMODEL
❑ADDITION XLUMBING RF -PIPE
❑MULTRUNIT El STRUM URAL
MODIFICATION
1:1 INTERIOR ❑CHIMNEY REPAIR
IMPROVEMENT
TH REMODEUREPAIR ❑DEMOLITION
C OAMER
COMMERCIAL:
❑ NEW BLDGIADDITION E3 DEMOLITION
❑TENANT ❑FOODSERVICE
IMPROVEMENT
❑ OTHER
SQ. FT. 4L A ,GSQ. FT.
FEB .5
ClryGrC 1996
7 urthJNO
STORIES
BUILDING DIVISION FEP.S
PC NCHECKFEE
ENERGY FEE
GRADING FEE
SOILS FEE
PAID
DA ccipl p
TOTAL:
BUILDINIVE 01
FEE SEISMIC FEE
ELECTRIC FEr/
VITIGATIONFEE
NFEERnceipl N
ISSUED BY:
,k
a SNIVELY/MILLER RESIDENCE
10072 AMADOR OAK CT.
CUPERTINO RECE EDS
FEB - 5 1996
EXISTING FLOOR P L ANNNSPECTION DEPARTMENT
UPSTAIRS FRONT BATTYOFCUPERTIND
IH
�- HALLWAY
c L
1. ale
' DATE: 2-3-1996
I SCALE: 1/2" = 1'-0-
DRAWN BY: KRU/PHI
GENERAL NOTES:
1.)EXISTING ONYX VANITY TOP.
2JEXISTING FLAT LINO. W/ 2 1/2- BASE.
3.1SLRFACE FIXTURE W/ HANGING BLLBS.
4.EXISTING WALLPAPER ON WALLS.
Exisumo Fi6,iess
Llb/shor
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OFFICE C#%IDI/ PENINSULA HOME IMPROVEMENTS
12333 SARATOGA•SUNNYVALE RD., STE. J
SARATOGA, CA 95070-3072
(408) 255-3140
GENERAL
437422
KURT R.
URRUTIA
SNIVELY/MILLER RESIDENCE
10072 AMADOR OAK CT.
CUPERTINO
PROPOSED FLOOR
UPSTAIRS FRONT
HALLWAY
Lnolm,m
E32rS AMERICAST
X 60' WHT. TUB
-------------
R-13 INSULATION
L J
PLAN
BATH
DATE: 2-3-1996
SCALE: 1/2" = F -0 -
DRAWN BY: KRU/PHI
GENERAL NOTES:
1.1 INSTALL CORIAN TUB WALLS 62' INCL.
CORNER SHELF SOAP/SHAMPOO.
2.1 INSTALL CORIAN VANITY I' RADUIS
EDGE DETAIL W/ INTERGAL BOWL.
3.1 INSTALL 22' X 32' X 5-0' P.G. VANITY
W/ WHT. MELIMINE INTERIORS
4.1 INSTALL LINO. FLAT W/ WOOD BASE.
5.1 RE -PIPE ALL WTR LINES W/ COPPER
6.1 INSTALL TUB ENCLOSURE CLP,
GLASS POLISH BRASS FINISH.
7J INSTALL KOLHER WHT. 1.6 GAL. TOILET.
7J INSTALL AS PRESSURE BAL. TUB
VALVE POLISH BRASS 8 FAUCET.
SMOKE DETECTORS SHALL BE INSTALLED
IN EACH SLEEPING ROOM AND IN CORRI-
DORS GIVING ACCESS TO SUCH ROOMS AS
REQUIRED BY SECTION 121O(A) OF THE UBC
AND IN ACCORDANCE WITH THE MANUFAC-
TURER'S INSTRUCTIONS.
CHECK AND VERIFY ALL FIELD DIMENSIONS
AND CONDITIONS INDICATED ON THESE
DRAWINGS AND MAKE KNOWN ANY DISCRE-
PANCIES PRIOR TO COMMENCING WORK.
a
03NIVELY/MILLER RESIDENCE
10072 AMADOR OAK CT.
CUPERTINO
E
L
EXISTING FLOOR PLAN
MASTER BATH
DATE: 2-3-1996
SCALE: 1/2" = 1' -0 -
DRAWN BY: KRU/PHI
GENERAL NOTES:
1.1 EXISTING FIBERGLASS SHOWER WIT.
2J EXISTING LINOLEUM FLAT W/ RUBBER BASE.
3.1 EXISTING ONYX VANITY TOP.
4J FAN 8 LIGHT OPERATION W/ SINGLE SWITCH.
5.1 EXISTING MIRROR 8 M.C. TO REMAIN.
GENERAL
co�ICTOR
KURT R.
URRUTIA
ZV OF CALW
PENINSULA HOME IMPROVEMENTS
12333 SARATOGA-SUNNYVALE RD., STE. J
SARATOGA, CA 95070.3072
(408) 255.3140
03NIVELY/MILLER RESIDENCE
10072 AMADOR OAK CT.
CUPERTINO
PROPOSED POOR PLAN
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L
m
L
U)
•
MASTER BATH
DATE: 2-3-1996
SCALE: 1/2" = 1'-0"
DRAWN BY: KRU/PHI
GENERAL NOTES:
1.) INSTALL W X 34- HYORY SYSTEMS WHT.
SHOWER PAN IN EXISTING LOCATION.
2.1 ADD CORIAN SHOWER WALL B2- INCL.
RECESS SOAP/SHAMPOO COMBO.
3.1 ADD SHOWER ENCLOSURE W/ 24' DOOR.
4.1 INSTALL CORIAN VANIY TOP 1' RADUIS
EDGE DETAIL W/ INTERGAL BOWL.
5.1 RE -PIPE ALL WATER LINES W/ COPPER.
6.1 INSTALL KOLHER WHT. 1.6 GAL TOILET.
7J INSTALL LIND. FLAT W/ WOOD BASEBOARD
8.1 INSTALL A.S. PRESSURE BAL. SHWR. VALVE
CHROME FINISH 8 CERAMIX FAUCET CHROME.
SMOKE DETECTORS SHALL BE INSTALLED
IN EACH SLEEPING ROOM AND IN CORRI-
DORS GI'V:NC Arr,:':SS TO SUCH ROOMS AS
REQUIRES 1210(A) OF THE UBC
AND IN ACCORDANCE WITH THE MANUFAC-
TURER'S INSTRUCTIONS.
CHECK AND VERIFY ALL FIELD DIMENSIONS
AND CONDITIONS livDICATED ON THESE
DRAWINGS AND MAKE KNOWN ANY DISCRE-
PANCIES PRIOR TO COMMENCING WORK.