99120086 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLYU 0
CITY OF CUPFRTINO RD I LDINC-KLECTRICAI. 'r31 v
IIIIILDIN(;D}VISION APPLICATION11'FRMIT I'I,UNIIIINC.,II!CIIANICAI, I
IIUIUIISG I'Ii(hIFCI'Millet IFICA'I'ION' ISM
BUILII INC,A DDRESS: SANITARY NII. APPLIT
ICATION Subod I'ITAI.BA
I`1g06 ` ,F- KMAN PL. I Gu PE QTINO, Qom- 9501/ /Z
(IWNfH�RS NAM�%E /� %IPH(IN::2,49-M31
�p CON'I'RACf(IR'S NAMII:/ LICNO
. mu1KF SH �(rp� . (.65o 2, g- 31 �V��S("� N/C CDNUT Ion
.tC111'11iCl IENGINIZ17R'. IAC NO: AUDITIiSS� ❑
CONTACT: PHONE.
bBUILDING.PiRMITINhO
�) Q-3631 BLDG ELEM ILU\iB nuiCHMVKES � � p�• 1p5 sF-1
❑
LICENSED
an Ia COM licenseRAC'IUIt'SDIiCLARof Com QTY ELECTRIC PERMIT 1°Eli
I i 7(XXu,,f l mal..am licensed ender rmvi:Toll.of ennmer 9 Rnn'm'ciog JOB DESCRIPTION
�p� Is ill,Scelil,7n01bafllivisiurrJafmc.buxinpv:ud lrrnkoions Cntic,rmJmyEccnee is
FW in full force and e(fttl. I'EItMI'I'ISSUANCE RESII)I°N- TIAI;
aUU Licenxe Class I.ic.p ❑SIU\VI. CKI'1 CIIF.N kIih10D17,
rF�WW ]);,I,—Ccuucl , APPLIANCES-RESI DEN 'I Al, CADD1,110N 7 PLUMBING 1OF PIPE
AREEjTFCPS DECI.ARAI'ION
'Do,, I'ANFIS ChfULI'I-I1NF1' CS'IRUC'I'1I12AL
O Z�z I mul,raunJ my plan.xhall he mN ac public records h1013IIlCA'I'ION
I)I'TO 200 AMPS
F`SFW Lmenscd Pmrcwro.el 201-11XN1AMPS OINIHI2IOR C CHIMNF,Y REPAIR
IMI'kOVIZJO HNT
y a OWWiR-Ii UILDERDECLAommO CSWIM1,11I POOLS
d hereby aRimr on I 'm cxu iii fmm Tho Conlrnnm's Licmuc Lew Ihr We OVER 11X10 AMIE ❑HA'If l Itl?NODI?Ilitlil'AIR ❑IIIihIOLITIUN
XL U follovoMall,ng rens,(S,alioin]11.115,Basins and Pmfcviiolls o In Any city or,ouor, ❑OTHER
W 3 W F wn;,lt reswiss ELECTRICAL
2W O yuircv a pcm+it is consort,(h L 1plic impnrva dnurnat,nr repair nay uucm,m
yy prinnni's iavuunce,ulrn ruluircxlnm+pplicam for such lxnnil to lilcnsigncd s'wemenl SPECIALCIRCU I'I'/MISC —yT�lyiyl—
IWThal be licensed pemeatto'h,pmsivi.. ohne Comcmmr's Neer,¢Lnwartu9
(ChC���[/(L
W�'O0 (canoneurcng with S,chor7flm)I.fMVmonJoftho Rnxiaevs dust Polfexsiaav C,dc)or 'TEMP M FEE OR FDI.Ii I NS1. COMMH-KQAA Irl r
tL{y m eG
thou bo is exempt WercGoln anal me Irish,tour 16c alleged c.culaio r Any vielvliun,f ❑
W^IaN. Seuiun 7031.5 by anyopplicenl forapeman suF'r,"Oe applimmt maY
ci'd Fruld af POWER UlwICIS NEW Ii1.IJClAIIDI'I'ION ❑DFMOLI'1'ION
nu dans than(i Ve hushed Jnllao,E5001. TENANT CFO SERVICE
2CQ ❑ al awnerofthe pmpenyonny ma,loyecs wim songe'ax.hcirsolenunponsn'ian, SWIMMING ECUI,EI.EC'IRIC IROVEMEN'f
F all Jo the work.and lhcgremure is all areaded amRamd ba,ale(Sol.7044.Rwinuc iR
3 m and I'nrfeasio is Cnle:'I'he Cnn'mewrs Licenxe Law duo,nm eCPly m an alder of f1U'l hli LS-SWITCHIiS-FIXTURES
pr,ory who bend,I,,imptnecs Woman,mil who Jac-,lush wad.nimccll or 1hnmgh
his own emNnyes,prnsidod mal such impmvelnams me nu settled or dWr,l For NEW RESIDENTIAL ELECIR SQ IW. 1
.ala ll'.however,the milling unmprnvcnmm l•s'ld within nuc year of nmrplatiaa the ,S(yl"I PLA AREA SJSQ.PT',
builJcr will have ahs hunted of pnrving'hm he did nm heild ar intpmsc fm par-
la
ucr of the pmpety.dol exclu,ivcly calnmaling wild IlcenxM eanmaaem m TO`I AI.:
mea me pm,O(Sea.7044,Baines"and rrafco,aux Cade:)The Cnmramern Li-
mnwlawdaw.nm appy m m ouOrdrofpcoNlotY x ho buildsm improves there...,:Ind QTY, PLUMBING PERMIT FEE
who'.oureefnrroueh pmjecan w'uh auunaracanrts) ienaxad pncwummane Conlanclur9
Lice,e Law.
❑ I ma exompt under See is k P C for III.... 1-17RN11T ISSUANCE
AIA 1711-DRAIN&VENT'-WATER(HA)
rrrUmc—� VALUATION
WORKER'S COAIPENSAl10N iChAkAI'ION HACK FLOW PR(ITECI'.DEVICE
I herchy uffvr I.ander I"Ody a1 p+Juay one of the follawl.,Jcd:uruianx: '
,-] I hweand will maintains C.ific.ell..sem to roll-insert fur Nb"""Comp,n- DRAINS-FI-OOR,ROOF,AREA GOND.
satin...as pmvidcd for by Sell i'nJ]IXl of the Libor Cuda for IM1c pcHmmtm,e of the STORMS TYPE CONST RUM JON
walk Ina w11'1110 chis permit ix in,n:d. Il X'I'URIIS-PER'I'RAI'
I hove snit will nminmi.Warks,Co agoolation Insurnnee,as required by Scelion
J](Xlol'We lnnnr Calle,Ibnis perfnmrmmoftha woo bis whichmispermiIcivxaed. (TAS-17A.SYSTEM-1 INC.4OU-LIFTS
MyWorkces C(""N"v:nionlnmaa'a'ce,uaiera'd Policyndmbernml OCC.CIOUP // AtT
Carrico Policy No.: GAS-];A.SYS'1'Iih1-OVE:R4(IiA /CC s
CSRI'I17[CATE0171Z ENIFTIONFROMWORKERS'
COMPHNSA LION INSURANCE (IRFASIJINDIIN I'RL WAS'I'F IN'I EItCEI"1012 It" fol
(This section need am he Iman,ened ride permit is loran hundred dollmc(SI00) I UILDING DIVISION 14iE5
or]e,,,) ❑kF.A51?'TRAP
PLANCHECK FEIF
eenilypatinI a day ir'.mnaoof[be wormforwhich IM1ixpeWaisixmeq shall
nnleanLos any Canon in any uwnneran acmhecume subject In the Wnrken'Comicm Sli\VER-$ANI'I'ARY-SyURN1IiA.21X1 FT.
Oz A,pli Lawsnl California.Dmc ENERGY FEE
z O ACPlicant 1 WATER IIIiAI'lilt WIVIeM'IEI,IICIIi GRADING.FEE
H NOTICE TO APPLICANT:IL cher nmking anis Cenihcme of IixcmPlion,you.should WATER SYSTEMOREAGNG
- hunnm"'bill'II the Warkor',Cnmpenx'tion pmvisionx of theLunar Clxlc,yon mass SOILS Flit?
101 V fnnhwim emaply wilh.mch li—kionxna IM1c,permit xhvll he scentedo,okW. \vKl'[R SERVICE
7 z CONS'I'RUM ION LENDING AGENCY NEW It f;SIDEN'I'IAI.I'I,MIi. $Q.PI1
U _O I herchy aliml that there isacmis'mcl..a lendingbec.cy fmthe pelf dense of
wI he work for which his permit is icr,d(S,,.urS,,civ.CJ 12X' 1
OU er
Lend 's Jsh d I J
U I'f0'rl.L�,
FW LenJcr'I Addrex 'to JAI.: Ir
L1. 1¢oily Wet 1 neve rend Wis upClicaion and a:mc Wm all anove inroanwion is 71G FF.r0 corrcn.l agmen murrply wishall city'nit roar'y anlinunocwrrd-rmm brwx mlu'ingm Qpy. MN.CIIANICAI,PERM I'I' FPZg . .doercyaulnrr,rcprenenlnlivc<nf otic"city'..cowl urn..IM1chili
chose.mantloned pmpnY for iiccpeuien rl(W)'g- I f Ikr I :x rhe Cil fL n I'IIRMI I'ISSUANCEy p Y +:WI xt I iiBhabff. I Ig t I 1 Ce : hih lot baTwist Clym q ,e ofNe granting of ttis perm) AIAF OROR ADDTOMECIIGI('LE-- -
APPI.ICANI UNDi?IISTANIIS AND WILL COMPLY WI 111 ALL NON-PD1NT AIR HANDLING IINI'I'Fis'10,fNNI CFAU
SOU -ERiiGULA'I'IONS. MECHANICAL hili
V AIR HANDLING UNIT(OVER l illOCPM) CONS'I'RUCIION'I'AX
igml aro of AprlmanVConirveu� 1a—�-! li%HAl1S'I'H000(W/UUCF) HofISING MI'i'IGAOON19iE
HAZARDOUS h1AI'HRIALS DISCLOSURIi
Will We uprlicnnl I"lebuo handing rccup:m'son',orhondle hamnlans nm'niul I IIiA'I'INO UNIT 110 1 Il",(X)011'1'IIl
as dcf'cd by'he CoNum.Naut,,ipal Gyle,Chxpmr 9,12,aad'he Health and Sufcty
Cade,Section 2553200? I HATING,UNIT(OVER 1(X1,1100 III U)
C Yc, ON.
VISO ILAFION FAIR DINGLE REBID) PAID
Will mea fico.'or fmurc buildid Dam Receip'9
Cp g by the Bay Aor. ipan utility v'meawhlch 1101I.ER-COMPF11P OR 100,000 it IU)
lit hmanlnus our rnnmminuns ns dclincJ by the Bay Arca Air Quality Mvnagcmcm
aisnia^ IOTAL.
Yes 0 N 10 01 IIXI,(XHI I1'I'U)
I have retool the Idlardoel materials rcqulremeat.ender Chair,c,95 oohs Cali- AIR CONDITIONER
ISSUANCE DATE
bruld Icallh n Secy Core,Senorsl.let i 25p3codo bifil34.Iunduxeul that it We NEW IiliSlDliN'1'!Aid MHCH. .SQ.FI'.
hnilding dtesnmc"hichfl,have be,
l'halitany's,trare,"faCllilyu'nmfy mepeny. L_� Y—4F,,9
an eergmrcnunu wmnn molt he met Char la ixxaana am c,.iremeart eewn,y.
ramhonreJ a6c I + )ate '1'OTAh: ISSUEDHY:
OFFICE
el��
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
CITY OF CUPERTINO
BUILDING PERMIT INVOICE OPERATOR: christYa
Sec: Twp: Rug: Sub: Blk: Lot:31630119.00
INVOICE DATE...... : 12/14/1999
REFERENCE ID # ... : 99120086
SITE ADDRESS . . . . . : 19906 BEEKMAN PL
SUBDIVISION . . . . . . .
CITY .......... . .. : CUPERTINO
IMPACT AREA ...... .
OWNER ............ : MUKESH GARB
ADDRESS ..........:
CITY/STATE/ZIP ... : CUPERTINO CA, CA 95014-2453
CONTRACTOR . . . . . . . : LIC 4
COMPANY ..... . . .. . :
ADDRESS . . .. . . . . . . :
CITY/STATE/ZIP . . . . ,
TELEPHONE ........ :
FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE
--------------- --- --------- ------------ -----------
BPGAS P 4.44 0.00 4.44
PPERMITFEE P 35.52 0.00 35.52
--------- ------------ -----------
39.96 0.00 39.96
1 IO DESCRIPTION VOICE ID DESCRIPTION
... ....... .....---- ........ ---------------.............
106 SEWER 4 WATER 202 UNDERFLOOR PLUMBING
301 ROUGH PLUMBING 302 TUB k OR SHOWER
502 FINAL PLUMBING ENERGY 506 GAS TEST
5o7 FINAL PLUMBING