S 0143 APAICANTTO FILL IN INFORMATION WITHIN RED LINES-USE.BALL POINT PEN ONLY
,CITY OF COPERTINO • BUILDING-ELRCTRICAI. -PERMIT NO.
BUILDING DIVISION APPIdCATION/PERMIT - - PLUMBING-MECHANICAL
BUILDING'PROJECT IDENTIFICATION'„
UILDING ADDRESS: SANITARY NO. APPLICATION SUBMI TIAL DATE
JL AME PHONE: CTOR'S NAME: ' LIC 0
NIC CONTROL#
CHI ECT/ENGINEER: LIC DRESS: , ❑
O
CONTACT: - PHONE: 7bf BUILDING PERMIT INFO ;
�COn8a�8nt aid y mant�a'1 �/ BLDG ELECPLUMB MECH
LICENSED CONTRACTORS DECLARATION QTY ELECTRIC PERMIT, FEE p;,
I hereby affirm that 1 licensed d provisions f Chopin 9(comme g .t.a . , 'JOB DESCRIPTION
p
w th Sem n90ap of D+ Sot thedus dP..passional Code, d my PCRMI T ISSUANCE Impose is - RESIDENTIAL:
O - an
�.. in full f d led. [ISFDWL' El KITCHEN REMODEL.
L+ceme Class Lic# - APPLIANCES' RESIDENTIAL'' []ADDITION El PLUMBING RE-PIPE
y a Date - _ Contmemr ARCHITECTS DECLARATION El MULTI-UNIT' ❑STRUCTURAL.
z0 InntlersNnd my Plansshall bemed aepmblicrecrrde r PANELS MODIFICATION
O,x-Q UPT0200AMPS El INTERIOR ❑CHIMNEY REPAIR
r4, q Licensed Profe,sirnal - - 2111-IOW AMPS - IMPROVEMENT SWIMMING POOLS
rad .•..I1
OWNER-BUILDER
at I am U mptfr m the Comment
om en OVER I WO AMPS ❑BATH REMODF.I.IRF,PAIR DEMOLITION
� C C¢ I mateearby affirm thin I 1 5,Business
from the Cessions A License Law.for _
w� O following reason.(Section 703 15,Business and Professions CAN:Any city nrcaunTy SIGNS ELECTRICAL El OTHER
W Ci 0.F
What
requires permit requires
e uirrmwd,aha,improve,demolish, file
repair any swmure
F�jO Whatheor to sInts issuance.etedpommit,,ircs the applicant for Cianamowsuch ,License Law(Ch.ned emwt SPECIAL CIRCUITIMISC.
Nmhe is licensed pSectiot int onflDisiuns mr the Conm sines, License Law(Chodmer9
�C O that he is livingwithSedlour, ad t f low,for
3onf.1 at Business end on Any
avian or TEMP.MEgFJi OR POLE INET. COMMERCIAL,.
4 y m a
that io is exempt+herefmm anJ the hNammins the alleged applicant
to Anyil Penalty
of ❑NEW BLDG/ADDITION ❑DEMOLITION
JC k. Two more
ve hundred
dollars
roil subjects the uDPBcam to amvil penehy o[ POWER DEVICES
W-+ EI TENANT ❑1'000 SIikVICC
not more thanff thundperty, rmyempl - IMPROVEMENT
qy6 0lo)to work,the pestruc,mmyemntendes or offered
r theirsoleamtpen.sinesson, SWIMMING POOL ELF.C'1'RIC
ZFQ will de)towork,endo he Contractors
Licentlorofferedforot apply 9044,Business ❑OTHER
13 m and Professions Cede:The Cos there',Lind who
s such
not apply sun owner of OUTLETS-SWITCHES-FIXTURES his
o
property who bulls,or improves Thereon,and who nts a such tint¢des o r or through
hi.c own employees,e building Nam such improvements are not intended ofi or o1ereJ far NEW RESIDENTIAL ELECTR SQ FT.
oven l however,the have the buding rden
d n id protons issoldhe within onebuild r i mmpajon,rhe - SQ FI'. + PIPED SISQ.PT.
n h Id 11 hal the harden fpm mg that he did ro build p f par, r Y
pose f ale - - JAI
E:1 1, o of the p Any menu tng Nllemt.ed tat t N��
constructml p ) t(S ](144 Business s ndProfessions
f ' 'Ct 1 )no Contractors Li-
cerise
-c n' Use does not apply it) n owner dpamparly who builds implores thercod QTY . .,PLUMBINGPERMIT ,EPEE
who I
tracts for suchp rjects with a comm"gs)Imemsed pursuant to the Calmemre - s '
License Law. PERMIT ISSUANCE. CIIy Uh LV"rkl]/�U
I am exempt under Ser B&PCmi-Blis m
Owner Dine
ALTER-DRAIN&VENT'-WATER(HA) VALUATION
- L
.WORKER'S COMPENSATION DECLARATION - BACK FLOW PROTECT'.DEVICE _
`have
and y ulRrm undermaintain.
Cenficate a Convene of Nf-immwing dcclammionne:
Ihaas and will for
inection 3rne of the Later
Codenforthe Workersce of the DRAINS-FLOOR,ROOP,AREA,GOND. DRIES TYPE CONSTRUCT ION
action,as provided Yor by Section 3](ro of the Luhor Cod0.for The Performance of the
work for which this permit is issued. PIXTURGS-PER TRAP '
❑ I have and will maintain Worker's Compensation Insurance,ac re OUT by Smmian
3]00of the Labor Code, or the performance of the work for which Nlall,=,is ismmd. GAS-EA.SYSTEM-1 INC.4 OUTLETS .00C.GROUP APN
MyW Worker C r nn Inr ince cam.. andPlicy numb, c
Car' I yN .: GAS-EA.SYSTEM-OVER 4(EA)
CERTIFICATE OP EX ION FROM WORKERS'
COMPENSATION INSURANCE - GREASE/INDUSTRL WASTE INTERCEPTOR _ ) vyvvvx P r Bl1I4DINt"i DIVISION FCFS
(This section need not be completed ifffic Permit is fahundred dollars($100) GREASETRAP
- orlo".) PLANCHECK FEE
Icerifythm indeperforromm,of Newrrkfrr whichdo,permiti,issued,Isawl SEWER-SANITARY-STORM EA.200 FT
nut employ any person in any manna so as to become mbjem-m the Worlarf Cemplam - ENERGY PEG
,Z sation Lawxef California.Date WATER HEATER WNENT/ELEMR
O Applicant 1 GRADING PEE -
�,4 NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should WATER SYSTEMRRFATING ,
a become subject m the Work,,',Compensation provisions of the Labor Cede,yon must SOILS FEE -
fonhwithcomplywithsuJi movision,or this pamltshall he dcemedrevokeg. : WATERSERVICE
0
CONSTRUCTION LENDING AGENCY f NEW RESIDENTIALPhMR. SQ,FT PAID
z [hereby far
whichinm Numthemnoti lsawneWci30 leu ding agency for Ne parfofhtnoceof Dale Receipt#
the work for which his passim is issued(Sec.309],Ci,C.7
0 Lenders Name TOTAL:
Lenders Address T1,41e—'
a, I certify that I have read this application and state Nat the above information is .. BUILDING FEE
rr W correct I agree to comply with all city d county"ordinancesand state laws relating t QTY- MECHANICAL PERMIT 'FEE
U, building u+mwaon anJ hereby authorize reqresenwtiva of ThisdO u+emer apnn the : 1 t r : SEISMICFEE
above-mentioned property for ins inion urpnsea. PERMIT ISSUANCE
' (We).greet..save,Inde +fy keep harmless the City of Cupertino against ELECTRIC PEE
Iiah"1 ies.judgmems.cosw an x ,which may in any way accrue against wild City' ALTER OR ADD TO MECH.
in consequence of the gran' x"Thir. PLUMBING PEE
AND WILL COMPLY WITH ALol.NON-POINT AIR HANDLING UNIT(TO lO,000CFM)
'OU ,"GO - MECHANICAL FEE
AIR HANDLING UNIT(0 14(NIO CPM) CONSTRUCTION TAX
+gnat t cant/ tremor m EXHAUST HOOD(W/DUCT)
H BOGUS MATERIALS DISCLOSURE HOUSING MITIGATION FEE
Will theapplicamm future building oeeupant....a onr handle hazadoo,mmerlal HEATING UNIT TO 100,000 B'1'U)
ns defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety -
Code,Section 25532(a)P HEATING UNIT(OVER 100,000 BTU)
❑Vee ❑No - VENTILATION FAN(SINGLE REMD) PAID '
' Date Receipt#
Will the applicant or Tuinal building occupant use equipment m device,which BOIIR.R-(AMP CHP OR IOO,WO BTU)
it hazardous air conmminom,as defined by the Bay Area Air QAIOy Management '1'OTA
iarier?
❑Yes ❑No BOILER-COME(OVER 100,000 BTU)
I have rem the baealloux materials requirements under Chapter 6.95 of the Cali- AIR CONDITIONER ISSUANCE DATE
fomis Health&Sidney Code,Sections 25505,25533 and 25534.1 understand tont if me NEW RESIDENTIAL MECH. SQ.IT '
building does riot currently have a tenant,that it is my responsibility to notify The occupant'
of the requirements which most he me,prior to issuance of a Cenificam of Occupancy.
Owner or ambonsed at
agent De TOTAL: ISS OF,[)BY
OFFICE
•u!�
tell t
rt]Y
r !21NTERSTATE DECISIVE
CONTRACTOR
A Division of Interprop Development Corporation
1098 LEIGH AVE.,SUITE 210 SAN JOSE,CALIFORNIA 95126 (408)267-2000 FAX(408)287.2288
June 16, 1997
Building Official
City of Cupertino RR SOP
10300 Torre Avenue �
Cupertino, CA 95014CLQ "AVN 1719g) lU/
G NSP
Re' Delights
gafood Restaurant CiryOF�
10125 Baey Dr. �
E ��GRTNj�NT
Cupertino, CA 95014
. Dear Building Official,
Per your request, we are hereinwith providing you with the specifications of the existing
20 ton gas pack located at the above address. This unit is a BDP 20 ton single package
gas/electric (heating and air conditioning) unit model #5790240450YACD. This unit has
450,000 BTU input and 270,000 BTU output on the heating portion and 208/230 three
phase electric semi hermetic compressors (cast iron) providing 20 tons (240,000 BTU) of
cooling. The dimensions of this unit are 74"Width, 150"Length, with a weight of 2,774
pounds resting on a roof curb. The replacement unit is a York single package gas/electric
Sunline 2000 series 20 ton unit, model #D2CG240N24025• This unit is rated 8.5 EER .
with 240,000 BTU output of heating, and 208/230 three phase electric hermetic 20 tons
(240,000 BTU) of cooling. The footprint dimensions of this unit are 84"Width,
137"Length, with a weight of 2,300 pounds, resting on its own roof curb on the same
location.
As evident by the above specifications, the replacement unit is more efficient, (less BTU )
and more compact (less weight) than the existing unit.
�Q QROFESS%p�Ygl
Sincerely,
CARLKFARSAI Fac
< — W NO. Mpg m
cc. Carl Farsai �• a
P.E. J'J MECHANICAL N.
l OF CAUF���