22152APPLICANT TO FILL IN'INFORMATION WITHIN RED LINES —USE BALL POINT PEN ONLY
Building Wm'ect IdenQiation -
Building Address: --
PELVITNO.
n n r n
-
Malmo W a �G / O
G G l5 G
CITY OF CUPERTINO-BUILDING DIVISION�,��
APPLICATION / PERMIT
.
L'3� • 1 J
ontactor'c Name: Lk. No:
BUILDING -MECHANICAL
CAUTEGORY a . . CONTROL M "
11t Engineer. Lk. No:
QTY I tELECTRIC PERMIT I 'l FEE
' BUIL`-DING PERMIT [NPO'. .
•.� •�
..•
MhCH
Addrnc
PERhIITISSUANCE
�
LICENSED CONTRACTOR'S DECLARATION
I hereby aftirmthat l am licensed under provisions of Chapter 9(commenc
in ease I Section force and effeon3ofthe Budneuand ProfesslonsCade,and my
license Is In (uV force and dreg.
APPLIANCES -RESIDENTIAL
JOB DESCRIPTION
PANELS
Ltcense Class- LICK
Data Contactor
201-1000 AMPS
ARCHITECT`S DECLARATION
I understand my planshall W used as publlcomords
_
OVER 1000 AMPS
SQ. pFr. FLOOR AREA $/SQ.Fr.
Licensed Pm
SIGNS ELECTRICAL
11lenineal ED -
OWNER -BUILDER DECLARATION
I hereby alfirmlhat I am exempt firth¢ Contractors License Law for the
SPECIAL CIRCUIT/MISC
��
TEMP METERORPOLE INST.
folbwingmzson.(Sectlon 70]1.5, Business and Profeaslons Code: Any city or
countywhkh requires a permit to wn tmd, alter, improve, demolish, orrepalr
I
anystmcture prlorto its lswance, aLwmqulm theappllant forsuch permit to
file a signed statement that he in licensed pursuant to the provblora of the
Contractor's License Law (Chapter 9(commencing with Section 7000) of Divt-
'sten 3 of the Business and Profession m
Code) orthat he Is exepttherefromand
POWER DEIgCEs
pA
E
SWIMMING POOL ELECTRIC
VALUATION
the basis for the alleged exemption. Any violation or Section 7031.5 by any
applicant fora permit subjects theapplicanttors civil penalty of not more than
OUTLETSSWITCHESFIXTURFS
�-yY.�'
�0OeW -
NEWRESIDENTIALFT TR
fidrell delta.
as owner of the pmperty, or my employee with wage as their sole
STORMS
TYPECONSTRUCTION
cction, will dothe work and the structure b not Intended or offered for
sale(Sec.70th, Buslnee and Pro(emlons Cade: The Contractota Licerae Law
does not apply to an owner ofproperty who builds orimproves thereon, and
-who does such work himaelrorthrough his own employees, provided that such
OCG CROUP
RES. UNITS
improvements are net Intended proffered for sale. If, however,thebuilding or
Improvement Lssold within oneyearofcompletion, theavnerbuBderwiil have
tl)rkarden of riving that he•did not build or improve for purpose ofsale.).
LJ I, as owner of the property, am exclusively contracting with licensed
contractors to contact the project (Sec. 7DK Business and Professions Code:
TOTAL:
,.
QTY, 1, '•,PLUMBING.PERMIT` r't'''•e FEE,1',
,.',
PERMIT ISSUANCE
p1AODwNE
APN
The Contractor's Llmose law don net apply to an owner of property who
Wilds or Improves thereon, and who contracts for such pt,ojem with a
my{pctor(q licensed pursuant to the Contractor's License Law.
LII am exempt under Sec B k P C for this reason
-
ALTERDRAIN kVENT - WATER (ETON
-
BACK FLAW PROTECT. DEVICE
... •„
'' p. FEE•SUMMARY
DRAINS FLOOR, EA, ROOF, ARCOND.
FIX'T'URES. PER TRAP
SANITARY Y N
RECEIPT N
Owner Data
WORKMAN COMPENSATION DECLARATION
�I hereby affirm that I have a of rt cone of consent m py insure, ora
rti(laate o(Worken'Comperwtlonlrourantt oracertlfled ropy theme((Sec.
3800, Cab CJ
SCHOOL TAX Y N_
RECEIPT' N
GAS EA. SYSTEM -1 INC.60UILETS
PARKFEE Y • N
Policy p
RECN
GAS EA. SYSTENLOVER 6 (EA)
Com any
DING DI
BUILDING DIVISION FEES
�Certlfn! copy b herebyfamished.
CertlRed copy b filed with the city Inspection division.
GREASE/INDUSTRL WASTE INTERCEPTOR
PLANCHECK FEE
GREASE TRAP
CERTIFICATE OF EXEMPTION FROM WORKERS'
PAID
SHINER -SANITARY -STORM EA. XIOFT.
Cot Pcom ATIONINSURANCE
IThlrsMien need not M completed If the permit b foror�e hundred dollars
Date Recei t#
WATER HEATER W/VENT/ELECTR
ENERGYFEE Y_ N
($]00)orfy the
lint thatoy In work this permit Wiled,
WATER SYSTEM/TREATING
anyhe errmancenftmannerhe so as to become,
I shall not employ any person In any manner so as to become subject to the
Worked Compensation Lawe of Glifomla. Date
PAID
NOTICE[
NOTICETO making this Certificate Exemption, you
Date Reeei tN
NEW RESIDENTIAL PLMB. SQ.FT.
TOTAL:
should esubpttotheafter
Workers' Compensation pmvbions of Labor
aith
oil,yo at
Code, you mus[ forthwith imply with each proal tom or this permit shall be
ex s permit s
deemed revoked.
BUILDING
W
SEISMIC FEE
CONSTRUCTION LENDING AGENCY
. I hereby affirm that them is a construction fending agency for the perform-
ante of the work for which this permit is Issued (Sec. 3097, Civ. C.)
TOTAL:
ELECTRIC FEE
-
QTY. 'MECHANICALPERMIT -FEE
PLUMBING FEE
L.ender'a Name
Lceder:Addd.
I cedtfythatl have mad thbapplicuttonand matethat theabove Infomutlon
bcormet. I agree to comply with all city and county ordinances and state laws
MECHANICAL FEE
PERMIT ISSUANCE
FEES PAID:
relating to building construction, and hereby authom a representatives of this
'
city to enter upon the above-mentioned property for inspection purposes.
(We) agree to save, Indemnify an d keep harmless the City of Cupertino
agalralliabilitie,judgments, cost�d expenses which may In any way amue
against said,111 in exeptamce- he grant ing of I'M m.it
ALTER OR ADDTOMECH.
Date Reeel [N
P
AIR HA NDENG UNIT 8010,000 CFM)
SUBTOTAL:
AIR HANDLING UNIT (OVER 10,000CFM)
CONSTRUCTIONTAX
S i t/C a 0 to
EXHAUST MOOD (W/DUCT)
CONSTRUCTION TAX PAID:
AZARDOUSMA BIALSDISCLOSU
HEATING UNIT ITO 100,000 BTU)
Wllltheappfittnt or future building occupant store or handle hazardous
material as defined by the Cupertino Municipal Code, Chapter 9.11, and the
Health and Safety Cede Section 25532(a)7
F-1 Yes M No
Date Recel t«
HEATING UNIT (OVER 100,000 RTU)
TOTAL: -
VENTILATION FAN (SINGLE RESID)
ISSUANCE DATE
-
Willlheappilant or future building occupant use equipment ordevices
which emit havrdoue ilr cuumdmnts as defined by the Bay Area Air
ality Maiage.et District?
BOILER -COMP PHPOR IWC(* BTU)
Vn ❑❑No
BOLER-COMP(OVE2100,000 BN)
i6 brave read the Ina3us materials requirements underChapter6.95 of
the California Health A Safety Code, Sections 25505, 2$533 and 25536. I
VIII J n �9n�,
MAY
t (r V a7 ,
NEW RESIDENTIAL MECH. SQ.Fr
understand that tithe building does not currently have a tenant, that It is my
responsibility to notify thS.ocmpant of therryuircme s which must be met
PH., d'Lssuanc din of Ompancy.
ay{
l� '
(\�{�s
r rout ede )7 t.
y���ssr
ISSUED
TOTAL:
BY:
OFFICE COPY
ir-By.... ..... ..,.h. /,.......... OATE.0/wIpI SUBJECT
, -AEE._ _K ..... xJ( .I_l..R.Fl.. ......................... SMEET NO._1.......O P.. ._...._.
CHKO. BY .. .............. DATE............._... .Fn1:G.... s.1.lr2L4FS.Y.I.EJiC.I.......... .1�3w.K.!!.1!.C.tl..6.'e........... JOB NO. Y16..1:6Y..._..._...._.._
....................................... I ........ ............
._
' KENNETH NELSON
Registered Civil Engineer
References: (1)19e19Ed. UBC
Design Load
Assumptions: (psf)
Dense
LL DL
i
Roof
d2 .
Ceiling
": APPROVED
Grade
IN CORDANCE'WITH THECITY OH
Sloped C1'g.
_, COPE INO CODES AND ORDINANCES
1st Floor
DATE .. .. ..
Sel.
SIGN ,
2nd Floor
This df plans and specifications m
Al
be t on the job at all times and its un -
Ext. Walls
_tiiwful-t make any changes or alterations
Int. Walls
on samtwithout, written permission from
–tke.builijing..Dept., City of Cupertino_ —
The stamping of this Plan and specifications
party Walls
. –SHALL NOT be held to permit or to be as
4PProvaU of the violation of gay provisionsWind
•
-.:d any City-Ardinance or State tma
Seismic vs
(408)247-2898
FAX (408) 984-35 14
/�pFESSION
to 2 Z
(D No. 22023
cr Lic. Exp. 9-30-93
'rimber Construction Design Criteria
With Cbrrd,. Lumbar Grading Rules
Use Grade f E x 106
Strutt. Light
Framing (4 x 4)
Struct. Joists,
Planks 6 Rafters
Light Framing 6
Studs (4 x 4)
Beams 6 Stringers
Bcams 6 Stringers
Beams 6 Stringers
#2 1450 1.7
1500 1.8
1450 1.7
1250 1.7
600 1.5
1900 1.7
1600 1.6
1550 1,7
1350 1.6
Post 6 Timbers Dense U1 f 1400
1..:: fh ::.1200
OF
940 Saratoga Ava,
Suite 240
San Jose. CWifomia 95175
f (repetitive use)
1750
1700
1450
1
®LD,,MTY OE cues Ai®
U1
Dense
112
d2 .
Std.
Grade
Dense
Sel.
Struct.
Sel.
Struct.
Dense
01
Al
1500 1.8
1450 1.7
1250 1.7
600 1.5
1900 1.7
1600 1.6
1550 1,7
1350 1.6
Post 6 Timbers Dense U1 f 1400
1..:: fh ::.1200
OF
940 Saratoga Ava,
Suite 240
San Jose. CWifomia 95175
f (repetitive use)
1750
1700
1450
1
®LD,,MTY OE cues Ai®
•
KENNETH NELSON
Registered Civil Engineer
940 Saratoga Ave.
(408) 247-2898 Suite 240
FAX (408) 984-3514 San JOSE. Califomia 95129
<(G• �) (24)3), = ,4�g °` :
,
:
I 1L
: r
C�.
A J IL p.
JOB Z(255=61 12a*LM0Qd
SHEET NO. 2
OF
CALCULATED BY
DATE
CHECKED BY
BATF -__...
I
I1�
+X28:8 Co
Mnn,w,� %vr4t, IF b•. K cm
Farce
s _
o.I:.
Al
JO/ -4x/U
ow.
-2
I
�
471 J
..f'/ �./2X 3,
a (/1J e-5 /4' ).
a %/�i._¢%J
'U2, -
2 ( 90 /.,.
p/ S X la
/�
(s' )x/49) /�.., o
44 �O) ZG/ 9
-
Z L T
� � 2
/ 9G o
.' ...,.-..
K
.f.9G.
Mnn,w,� %vr4t, IF b•. K cm
•
'KENNETH NELSON
Registered Civil Engineer
940 Saratoga Ave.
(408) 247.2890 Suite 240
FAX (408) 984.3514 San Jose, California 95129
JOB
BHEET NO. -� OF
CALCULATED BY Af�•�- - DATE
CHECKED
.... .12{..,T
I � I
i I
4
.. / Oj I �2d�1t1a4�
i
L..
�hCc o, ,.
99
i
• /'�' [tS/o ~..L„B �'(p .../Hui��� i 2c9 f.....��Y I I i -L...,..
DATE
oma..
' I i
'
4�F 5S 3 2.A 2 I.,...
�Fr l f _ �a�� z1
ba'�fz� m c e rdP.
P� Goiia
o /_17 e._La rj4.C� r
_; f o , , 5 i ..... �frusses �A✓j?.. /,�, �f ...��C' I /2.'.'q..�.
AV., M. NCp} ,A I m”L�
Z7�
L
4�F 5S 3 2.A 2 I.,...
�Fr l f _ �a�� z1
ba'�fz� m c e rdP.
P� Goiia
o /_17 e._La rj4.C� r
_; f o , , 5 i ..... �frusses �A✓j?.. /,�, �f ...��C' I /2.'.'q..�.
AV., M. NCp} ,A I m”L�