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1303 CITY OF CUPERTINO � APPLICATION FOR RESIDENTIAL BUILDING PERMIT PERMIT NUMBER �7�3 AND • . CERTIFICATE OF OCCUPANCY APPLICANT TO FILL IN BUILDING INSPECTION DIVISION STREET ADDRESS OF PROJECT: c! 11.........AnthonyAnthon ..P.lace................................................. 11 t a LegalDescription: Tract...(5 1.......... Block............ Lot......13........... // Description of work: ...Single...Family...Dwelling................ PlansReceived By...............�T .............................Date ./..G..�.. ...� ....................................... .............................................................................. REQ.: Plena.... Survey.... Calps�' true.... Energy.... Elect..... Mach.... 1st Struct. Improvement on Parcel: Yes.X No... Area of Bldg..3.12311 Plans Checked By..................,L.1.. ... Date .. .............. Separate Structure.....No. or Addition/Alteration to Exist. Bldg$82G Application Approved By........... .. ..................Date . yld:.CJ�rI? No. of Stories...._2._.... Use of Building ....Residential................ Validated By....................................$ ........'... .Date ....�..�.......... Valuation of Project: $.1.32,.000........................................................... Compensation Certificate Verified B /`, Date .../ off'. P v ..../{.. ... � owner: BAS..Home s.,__Inc.................. .............. Pnone:.25.2.-20Z 132 000 Contractor:.BAS..Homes. .--Inc...............City Bus. Lic. •1.1061.. • • ' • • Contractor's Address:2083.'.Steuens...Crk.. P.hone:.252...20.7 Permit Fee (Plus penalty if applicable) .......... .......$ ..335.D1 Contractor - Electrical: .The..Best...Bl.ectrical...Co__.......... Plan Check Fee (less deposit of$.......... Rct, #.... -----) $...................... City Business License a.....181ZZ.. Phone:.28.Z.-20.40 Energy Plan Check Fee (Dep. of $........ Rct. #........) $..................... Plumbing: ....Crowl.ey...Co....................................................... Strong Motion Fee ...................................:......................$............9..24. City Business License »1.1664.1..... Phone:.24.5.-.4.2.4 Plumbing Permit Fee Heating and Cooling .Al...BOyex..CO.........._..................... $.........85...II0. n r 1- City Business License ..................... Phone: .....4.328 Electrical Permit Fee .........._............:.....:.:........�._.......$.........55..5(1 f„ ; .. - Architect/DesignerSlvalloly Bates.838-.9956 Phone714....Z52.-8 24 Mech. Htg./Coolg. Permit $............................. I.........30_.IIl). Residential Construction Tax .................... $....1..1....1.1......_ Engineer: McKa ..&..Somps._._..._..................... Phone:.9.85-.0.9.60 Lender: Wells .Fargo...Bank...................._......_ ❑ Unknown Mise. Fee ...............................................................111.....1 ....................... •'I certify that In the performance of the work for which this permit is Misc. Fee ........................................................................$_............... issued 1 shall not employ any person in any manner so as to become subject • $ 514. 74 to the workman's compensation laws of California." • SIGNATURE OF ^ a s APPLICANVOWNER ........... .......................................................... DATE........................ Environmental Status: Exempt ............ Other..............111....................... 'i cosily that as the applicant I am licensed unde, the provisions of the Design Review Approval: Bldg. ............ Site 1111.._... Sign ............ Contractors License Law and further that my Licens. No. ..................... Use Zone ............ P.D. Conditions ......_................._............................... in Classification ......._..._....._.....,........ is In full force and effect: or Cond. Use Permit +r....._..... Variance e........_. Parking Spaces............ certify that 1 am exempt from the "Licensed Required" provisions of the a Approved B Contractors License Law. (State basis of exemption.) 1 """"'-"-'-"""-"""""" """"""""""""'-- I hmeby acknowledge that I have read this application and state that the above is PP Y.................... ate 0A]4 • . correct and agree to comply with all City Ordinances and State Laws regulating building. I We) agree to save, Indemnify and keep harmless the City of Cu rtino r00Chment Permit........................ Grant Of Easement........................ against liabilltlee, judgment , costs and expenses which may in ny w Gutter, Sidewalk, Driveway: Replace_........ Repair.......... secure against said City n onsequence of ha ranting of Ihl er •. er............ Conn. Fee $................ Water................ Meter $............. SIGNATURE OF S Agreement for Completion of Public Works Improvements .................. APPLICANT/CONTRACT .....................,.......................... ATE ............ .... Plans Checked By........ Date........ Approved By........ Date.................... NOTE when properly validated 1nI: farm constitutes a 9ulldine Perm . This r permit expires and becomes null and void should work not be commenced with or t • e • 120 days from validation date, or should authorized construction be suspended or abandonetl lore period of 120 days alter work Is commenced. PERMIT INSTALLATION NO. EACH FEE iAPPLICATION • , Light Outlets............ Switches........... r PLUMBING PERMIT Fixtures............ Receptacles............ PERMIT INSTALLATION NO. EACH FEE TOTAL NUMBER (less than 1000 watts) ............ $ ,50 ......1111..-. Gas System with up to 5 outlets ............1.............1...$4.00 ......4.__0P Range........ Cooking Unit........ Oven............ .....__ _..... 2.00 ............. Each additional outlet ............................................. 1.00............... Dryer........ Garb. Disp......... Dishwasher ......__. ...... 2.00 .............. Water System (Installation, Alt. or Repalr)l..........1... 4.00........4._.00 -a MOTORS: 1 HP or less ....................111................. .11111 . 2.00 - Water Closet.3 Water Fteater.l. Ld. Tray...I..........5... 4.00 ..2Q_DO 1 t Greater than 1 HP not more than 5 HP _..... ....... . 3.50 .. ............ Lavatory.5 Shower Pan-.2 Bathtub..2 Sinkl.........10... 3.00.......30... N, Temporary Power Pole or Service - 100 amp ._ ..... ..5.00 ,, ..... ..... Wash. Mach..l. Dishwasher. b. Disp...1 ... . -200 amp........ . 7.00... ............ Sewer .....11101 ..�� ......3 ................1..........1... 8.00.......8._00M Time Clock ................ ....._................................1..... ...._111 1.50.............. Lawn Sprinkler Sys. $5.00 Ea. add Sys. $2.00..................... ............. Misc. (see Ord. currentl...................................................... Vacuum Breakers ............................................ ..............3.50--............ New Residential Occu panties Flat ate Interceptor........ Water Softener........ .............................4.00. ......1111 , Plumbing Piping without fixtures ...............1....-.....1......4.00. ............ Q 0-500 sq. ft. $22.00 1501-1750 $34.50.............................. Misc. (See Ord. Current) .................................................... 501-750 24.50 1751-•20000 37.50.............................. Permit Fee .............. .. 761-1000 26.00 2001-225C 39.50.............................. MI ..........(plu..........alty.......pp..........$ 6.00 �R 1001-1250 26.50 2251-2500 42.00............ ................. TOTAL PLUMBING PERMIT FEE (plus penalty if app. ]) t 85.00 1261-1600 32.00 2501-2750 49.50..........312.3............. APPLICATION FOR HEATING/COOLING PermitFee...............................................$6.00 TOTAL ELECTRICAL PERMIT FEE (Plus penalty If app.0) $55.50 PERMIT INSTALLATION NO. EACH FEE Forced Air Unit............. to loom .........................2...$8.00,...1• ...Q INSPECTION p over 100M ........................ . 10.00.. ........... Forms / Foundation ......_..... �.� By:.. _11 11.._ Date:7 �Cf.-bo Comfort Coollrig Unit......to 3 ton/HP ........................... 6.00... _........ Plumbing Ground Work to 15 ton/HP......................... 9.50.............. T n1 1111 ..................... - to 30 t n Rough Electrical .... ........_. ,.2...., 81 o P........................ ..12.00. ............ Ig ................................ . �..... to 50 ton/HP...........................17.00.. ........... came - Plumbing and Heating .......... ......................... ........................... r Space Heater........ Wall Heater ................................... fi.00.............. n 8 Ener9Y,....._..._................ �..... ... .__... ...........11....11........ Flues - other than above 1111...._ ... 3.00.... N ........... Test ............... ..... .... .3 . ISI Or Br...i..._4.. .. 3.00....1 .r.QO .r.._.. .......................... Vent Fan: Kitchea..l... Bath .....1... ..X.. mporary Power Gas / Elect. ............. .. 8.00... �.�/ / Commercial Range Hood _................................1111... ........1111V't Final - Electrical ._...__............ ............. ..,,7/�... .5 ........�... }r f3 .. ..pY^ y Misc. (See Ord. Current................................................1........................... Final - Building/ Mechanical'. 0 5...�/..`.(....z�' Permit Fee .....................__........................................1111.. $ 9.00 .......... ... Final - Design Review / Landscaping .................. 1111................. TOTAL Htg./ Coolg. Permit Fee (plus penalty If app. ❑) $ 30.00 ,'(' Final-Public Works 1111.. . ........... ............. ......... Its- n,c wi,�.,:...h 'B•/v - - __ A. /p/N•/!l,'�(, YRuPfite.� V.F.yiNG . 11-u- ,I _ Da c Loc ationa �� -� Sub;;ect — Notes Approved. i 8/ Date L specio^ r LL I O \` O O \\\ o o m f f V � o 0 v o d 1 yq 3 d W C o a 0 w r�W (tel o oLu z Oz W V O i �+- a w w O OC u -, l owe �LL 3 m o I SA u 'zp a a >Ln gm ° Y R Q o H.- 0 i o C9 v p V m o V N L LU ~ W ME K ;, f1 L C o m v O O O d i w o 0 c Z Z ° 0 O a z F i z z - O Q 3 0 0 �_l. .. ._. .__ —___.—�_..___ _.. ___ -_ � _^-. w:ml •swioj swu�sne wouyy Q; 'adS _ _ _ w:oul 'swmj ssoupng cio0w Qlagp..dS