21298APPLI QANT TO FILL IN INFORMATION WITHIN RED LINES —USE BALL POINT PEN ONLY
'_1i Building Protect Identification
ballding Address:
8&S L3�.-- 1N vt
PFj MITNO.
1 •, A Q
I G J U
re arse:ane:
F15C OAII.CC) 9773 -/U S/Y
CITY OF CUPERTINO BUILDING DIVISION
APPLICATION / PERMIT
BUILDING-ELECTR[CAUPLUMBINGMFCHAMCAL
Cmcdout`nr'aName: Lia. Na:
J ` A ~
CATEGORY
CONTROL p
Architect/Engfreer. . Lt. No:
5 IS I—
QTY ELECTRIC PERMIT FEE
BUILDING PERMIT INFO
Addmss: SpaS'/3 r P/, W 14-�/6'
E] El ❑
PERMITISSUANCE
LICENSED CONTRACTOR'S DECLARATION
I hereby ffirmthat lamsi=3ofhe under Busiprovisions ofChapter9(mmmmc
ProfesslonsCode,end my
Ingweh In full 70W)and affect.
license [aInfull force end effect.
Date - Contracror
Dkx_ lam Cmdr
ARCHITECT'S DECLARATION
I understand my plans shall W used as public records.
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License law for the
following reason. (Section 71315, Business and Professions Code: Any city or
montywhich requires a permit tocommad, alter, improve, demo0sh,compalr
anystmcture prlorta its issuance,alsorequirestheappllcant fersuch permit to
file a signed statement that he Is licensed pursuant to the provlslmu of the
Contractor's License Law (Chapter 9 (commencing with Section 7000)of Dial-
uon3 o(the Businessand Profeesio aCode) orthat he Is exemp"herefromand
the basis for the alleged exemption. Any violation of Section 70315 by any
applicant lora permit subjects the applicant to a civil penalty of seroom ore than
five hundred dollars (SS(10).`
❑ 1, as owner of the property, or my employees with wages as their sole
compensation, willdothe work and thestmeture is not intended or offered for
sale (Sec 7044, Business and Pmo(essbms Code: The Contractee. License Law
does not apply to an owner of proWre
pertywhm builds or Improves theon,and
who doessuch work himself or through his own employees, provided that such
Improvements are not Intended oroffered forsals. If, however, the Wilding or
improvementissold withlnoneyeamfeompletion,the mvner-bullderwill have
the burden of proving that he did not Wild or improve for purpose of sale.).
u 4 as at of the property, am exclusively crontnRing with .....
contractors to mnstruct the project (Sec. 7044. Business and Professions Cade:
The Contrectere License Law does not apply to an owner of property who
Wilds or Improves thereon, and who comment foe such p(ojeab with a
��65(�ctor(s)licensed pursuant to the Contractor's License Law.
LJ I am exempt under Sec. B & P C for this reason
APPLIANCESRES[DENTIAL
JOB DESCRIPTION
/
PANETSLicanse
UP TO 20CAhMS/
201-IODOAMPS
- OVER 1000 AMPS
SQ. FT. FLOOR AREA
$/SQ. FT.
SIGNSELECTRICAL
SPECIALCI2CUIT/M1SC
TEMP METER OR POLE I T. iF
['OWERD CES p
SWIMMING LELECTRIC ) j_%
OUILET65Wf \ ES
VALUATION
NEWRFSTD- L A �Ff.
STORIES
TYPECONSTRUCTION
TO L: N
QTY, PLUMBING ERMIT FEE
OCC. GROUP
RES. UNITS
PERMIT ISSUANCE
ALTER -DRAIN & -WATER (FFA)
FLOOD ZONE
APN
FEE SUMMARY
BAIX FLOW PROTECT. DEVICE
FLOOR ROOF, AREA, COND.
FIX17RES PER TRAP
SANITARY Y - N
RECEIPT J!_
OwnerDRAINS
Date
— WORKMAN COMPENSATION DECLARATION
❑I hereby affirm that I have a mrtifieate of consent to sel(-Inmre, or a
of Workers CompemuatIon]ruurance ora mrtl(kd copythereof (Sec.
380,Laab QS
380Q
Polity p
SCHOOL TAX Y N
RECEIPT If
F.A.T
GAA. SYSTEM -1 INC4 OUTLETS
PARK FEE Y N
RECEIPT N
GAS F.A.SYM I:M-OVER 4 MA)
Com any
BUILDING DIVISION FEES
copy N hereby th the cid.
❑ Certified copy V (fled with the city Inspection, division.
CERTIFICATE OF EXEMPTION FROM WORKERS'
INSURANCE
COMPENSATIONcompleted
u
(This section need not Wcompletedpermit bfor one hundred dollars
($100)or les'.)
I rertlfy that In the performance of the wwk for which this permit is issued,
I shall not employ any person In any manner an as to become subject to the
Workems'Co Hon Lawso""'or" Data
Applical�
NOTIC LICANT:If, after making this Certificate of Exemption,you
should become subject to the WorkersCompensation provisions of the Labor
Code, you =at forthwith comply with such provisions or this permit shall be
deemed revoked. -
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction leadingagemy forthe perform
ance of the work far which this permit is Issued (Sec.3097, Civ. C.)
Lender's Name
Lender'. Address
lootifythatl have read thisapplicatlonand statethattheabove inlormatlon
iscornect. Iagree to complywilh all cityand countyordinances and state laws
relating to building construction, and hereby authorize represenwtives of this
city to enter upon the above-mentioned pmpertyfor Impaction purpo.see.
(We) agree to save, Indemnify an d keep harmless the City of Cupertino
against liabilities, judgments, mks and expenses which may in any way accrue
Ity in consryuence of lite granting of this permit
GREASE/INDUSTRL WASTE INTERCEPTOR
PLANCHECK FEE
PAID
Date Recei t#
GREASE TRAP
SEWER -SANITARY -STORM EA. 20UFT.
WATER HEATER W/VENT/IR.ECTR
ENERGY FEE Y N
PAID
Date Recei t#
WATER SYSTEM/TREATING
NEW RESIDENTIAL PLMB. SQ.FI'.
TOTAL:
DUi D INGTEE
SEISMIC FEE
" TOTAL:
ELECTRICFEE
QTY. MECHANICAL PERMIT FEE
PLUMBING FEE
MECHANICAL FEE
PERMIT ISSUANCE nV
FEES PAID:
ALTER ORADDTO MECH.
Date Receipt#
AIR HANDLING UNIT (TO 10,000 CFM)
SUBTOTAL,'
AIR HANDLING UNIT (OVER 10,000 CFhU
CONSTRUCTION TAX
Sig of Applicant/Contra ser Data
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant orfuture building occupant store or handle hazardous
material as defined by the Cupertino Municipal Cade, Chapter 9.12, and the
Health and Safety Code�+. —Section 25532(a)T
❑ Yes u No
Will the applicant orfuture building occepant use equipment or devices
which annul bavrdous air contaminants as defined by the Bay Area Air
IityManagementDbtrici7
Yes ❑ No
ah ave read the hazardous materials requirements under Chapter 6.95 of
the California Health & SafetyCode, Sectiomu 25505, 25533 and 7.5534. I
understand that if the building does not currently have a tenant, that it is my
responsibility to not lfy the occupant of the requlremrents which must be met
o Issuance of aCertifiwt fOccvpanry.
or authorised agent Data
EXHAUST HOOD(W/DUCT)
CONSTRUCTION TAX PAID:
HEATING UNIT CTO 103IM0 BTU) vQ
Date Recei t#
HEATING UT (OVER 100,BTU)
TOTAL:
VENTILATION FAN (SINGLE RESID)
ISSERMATE
-
' 17
'�JO
nlisa ss{�
�3� ssl
,,v ;xtv�04&4
ISSUED
BOILER-COMP(3HPOR 100,000 BTU)
BOILER -COMP (OVER ]00,0(O BTTJ)
NEW RESIDENTIAL MECH. SQ.FT.
TOTAL: ,^ �
OFFICE COPY v �r
The Erin Coal Stove
Sturdy cast iron construction combined
with the timeless grace of a traditional
parlor stove.
IN ACCORDANCE WITH
CUPERTINO CODES ANI
sP
� @til%I MIA
IIA Ttu'' gib
QJfUK F�'ii rryy 1
I� 4flfifUT4�tt ttNsl i its
s�ItllyAl' PWtrl�tlllei4tl
'ahV
0
n
tittles and it is If*
T84tom Ireland's famed Waterford
illy for coal burning. Its sturdy air-
yMwbustion control for maximum
iiraflasses up through the rugged
d ondary air enters over the
ustion of coal tars,
optimum efficiency and output.
E.unonlic Tl Sv:neiblc f-Irdling
Coal gives a long, steady burn that many other fuels cannot
duplicate. It is easier to handle than wood (one bucket of coal
equals several armsful of wood), easier to store (coal requires
about one third the space of wood), and needs no splitting or
aging. Also, glossy washed anthracite coal burns clean, leaving
no creosote deposits in your flue. When you choose the Erin
coal stove you are choosing a lifetime of economical,
dependable, cozy warmth.
Oulswndin,• Fcalt res
Airtight cast iron construction assures years of troublefree
operation.
The elegant beauty of a traditional parlor stove designed to
complement any room setting. Choose from one of three
lustrous porcelain -enamel colors or the equally elegant but
less expensive traditional flat black.
Sturdy, two piece cast iron shaker grates with removable
external handle giving positive rocker action.
• Top or rear venting allows this stove to fit snugly into
many fireplaces r it maWr
yybbe iinnstalled free-standingi
52 It fuel cbThe larggI ff the
fire's warm glo
Large, easily removed ash pan makes ash removal an
effortless chorel
Backed by Waterford's limited 3 year warranty)
511"idl Nw,:
This stove should be connected to a chimney which is
stabilized using a barometric damper installed in the flue
pipe. The chimney should be metered and stabilized for most
efficient operation of the unit. The draft reading should be
between .03 and .06. Also, the chimney should be capped
to prevent down -drafts.
0 1990 Waterford Irish Stoves, Inc.
�4I
S" ecifications�r�w;t•: �- ; �_.•.�.�� :��,
Average Heat Outputs 40,000 BTU/hr. for a bum of 9 hours
Area Heated- Approx. 1,100 sq,ft.
Total Burn Time- Up to 12 hours
Suitable Fuels Anthracite or bituminous coal
Size Nut or stove coal
Fuel Capacity 52 Its. (incl. establ. coal bed of 9 lbs.)
-Actual hear output. space honed. and burn time are determined by dinute, type of home
onsuu sum. fuel used. and the manner in whiA the novo is oprrated. The figures shown are,
appro.imam to aid in correctly sizing stove for individual heating needs.
Weight 385 lbs. Flue Size 6" diameter
Height 31"
Venting Top or rear
Width 221/2"
Height to
Cente If
Rear Ou let 19U4
Depth 20"
Rear Heat Shield Standard
Finishes Available
High temperature flat black painted or one of three lustrous
porcelain -enamel colors.
M_ M
Majolica Brown Blushstone Blue
j n n K y
Sgf t�,_Standards
The Erin Coal Stove has been successfully tested by Underwriters
Laboratories to UL1482 and ULC627 (UL approval NMH 11048).
The stove heat shields (supplied), chimney connector
shields (additional) and a barometric damper
(additional) must be used on all installations
Installation Clearances to Combustibles
Stove Clearance
Side Rear Corner
Top Outlet
26" 12" l5"
Rear Outlet y
26" 16" N/A
Chimney Connector Clearance
Single Wall Connector (w/ shield)
All installations
12"
ont Clearance to Combustibles
48"
es: This stove has been approved for above imulbtion. Fos complete clearance data. pleaseult yourawhoriaed Waledord dealer or the stave installation and f .ting instruction.
Lstrin
Lij
OCT 16 1950
BLDG. INSPE EPARTRUI
i
ATERFORD
Made in Ireland
Imported by Waterford Irish Stoves, Inc.
Rivermill Complex • 85 Mechanic Street
Lebanon NH 03766 • (603) 448-2385
Authorized Dealer
WOOD PURNERS
OF CALIFORNIA
1070 DELL AVENUE
CAMPR4LL. CA. 95008
lY
I^� '- „' 4 ".Vt J-: •..". ':.',.,yam'.. .-... `nom-. rY�
f. i
-. t �
• ' -.
=The Enn. combining the timeless ce of ,f
a traditional parlor stove - zth'lomorrow's
high performance woodburnang,techno.logy
be'acwost design to come from Ireland's famed Waterford ."
itiadry, The ErinParloi Stove would make its mark among '.
'.-
onli'Amenean homeowners on the basis of its distinctive
sod looks alone. Proof that Waterford's designers and skilled .
,undtyrrieti bave truly mauiered the art of producing finely
nailed esstings fromsolid iron is seen in the Erin's gracefully :•>
silptedfiredoorand surroundingcontours. andinthe sub ae -
:lief,of Wsterford's bistoric Reginald Tower on each side.
ppllthitbeautyhoiuei a truetechnological marvel. As shown*.
elow; an intricate baffling'system directs airflow in patterns,
iatpioduamaximumheatfromthermgeneratesextremely
igh'eombustion temperstures for a clean bum and keeps the ;-
'
love's tempered windowglass clear by sweeping away sooty
articulates from its surface::;' ,
`-Metered room-tempemtum primary air enters. above the'"-,`
oor(A) and drops rapidly across the glass, thus forcing oxygen .: ;,
below the rear flue"collar (13), isji .`
:Se000dary air, catering just
kiwi upward through a narrow chamber where it is' quickly � w:,
iwed by the fire;mils hot air then mixes with unburned
dues in the Eia's secondary combustion chembu, generating'= •,
mircmely high temperances that ignite these goes end thus
fice addidoml beat output:*
;.
,.;;SPECIF'ICATIONS �?
:::''TheL•rinseombtuiionsystemissoellicientF--At
;,thatvirmatlynounburnedparticulatesremain
33
y .in the fire's smoke to coat chimney mtenors
;Widuir r Y .2245
.`;
flammable creosote or pollute the err out;,_,
_i :.=lg-•fJ0'a'nb hest shrJd)„
its airtight firebox willholdafircthrough .
'. Height.to top of rar flue Duda .22tf' �.
-�-:side. . ,.
-- : 'the nighL:. f' ,>:. - - +
"
Combustion Effinency .66.9% (DEI) -
it6• '. is
' e The Erin is as simple to operate as n is safe .Lag Lengui
No struggle to load wood the -.gydght ,�i "- t3431bs. .. i,.
'.;S•and Cu FL
efficient.
17.', wide firedoor'provides easy access for
-air'
-Area Heated*, 4 -;,.' ' Up to 9.300
- -Up m 43• ��• � >'
tcodin to u to. 16"A front -mounted
B loss P ..
.` Maximum Heat Output
:'�..-. -� . fr. -•._ .a- -(Up W at300 SMAW.EPA) N:
sy .:. r •
--: '.control knob lets you m0nitorprinaarycomb`:',
_.,
r�_, ,,,. � ter; .,;.' `��M���r®,m;�,•,�
�.. bustion air. Ash'eleanout is quick and mess-.
tr,:., - •„ Mwee rCrtF�w°"reuearp,����
r
2 '..free; by activating`a device mounted on the
iminwrer ,
:•: - r?,,, a,ei.w.isaues-'... �s- - •;a
stoves right side; you. effectively, push ashes
con
rSAFETY' EMISSION AND
down from the grate into a large ash pan -
r3 " behind its Own door The pari slides oul:
EFFICIENCY STANDARDS
cealed
rs, amoothly for dumping
Is
Eiia`Pidor Stove his been aixastully tested by tlad
t thodglttful saretyYfeaturc. the wooden -handle on the Enn s.firedoor
'
iyliie Waterford
lsbontones to UL 1482 NL approval no. MHI1048) and Ca
rmoyablejso It ateys cool =:and the Gredoor can't open accidentally. ...
writer
". diaa ULC suidard 3627, hes bem awfted M the EPA: and mem a
l y'1Te'Ecin'Parlor Stove wifl�enhancc any -room setting. You can choose your
n., �'
- duds for NON•CATALY• IC'wDodStOves built befae July 1 19
am<namel colors:. majolica- (aeon
lstove Mone of five lustrous -parcel '.
.
Cert fitate No.;133.9 1s 86 s
'above) pearl grey blush stone or the mor contemporary blue'and red This
-'
t , t.t
c
"..°?
'smve is also'avadable m traditional matte black ,u,
• a . CLEAR.ajNCES ��`7-. .:- ..,,,.
•
�1"i r} .r - .ri y se'
a
•'•.i v UNRIOfaCr® WAt23 AND,
for Io�Vrntad
:.�r'T1 ,' „' to s �, .t elerttrcer
N. Of11.�urrai" MAT81W13 i
K R It
Ne Hat SNd
j Il Y•'
f11�0-�PX
+ �
Rnr•a,ouolad. f l9
,. u:i ar".i,�
Jim ShkW
h -`'j i. t WA1 • ��
`
' Raraw?otN Hnt Saleld ted - �. t9 '9Ny��:
a:.fld- Val✓
D. Aactivw a elkidd Oe•' + -
P g' ':- .:
r , MADE IN IRELAND y
�d+-ceyr-+PRDTDCr19NA M- R':
.'-ilmp0rted by '' - 1- i1�45mES IJ i'rutARr a00RM
"�yt{'r r'SVaterFord Irish Stoves, Inc ^` a, 9N,rT� #Zt2� 6
"TIH
tit',"MIDCoroplex, 85 Mechanle Street, Lebanon 03766.
,,,,,. r ✓ ,No fiat Sidew
,4s(� r
m..
7.
- 4 � �t'ARMSRB
Rat shield '.. ,. .. .. .:
1f
4 S Y...e.�ireaaes
.• �f^;tiiLYeORNIA
'..1IJIegM„umyM-.aaeu4ommre,see.on.sir �,IteaMePar
iCt'..:,�`c:� - .
1�, .fA'7iT
..N n�mre•w��am-Waw � �°�'N.e.,.a+ ...r..>t
•.-..,-._ s'a'M+t
D€LL:AYENUP
A{dr.heWld. .'-
.09
i�f.Art�p?SLG. 4'Ar 05008 ..
,•' A•• lmptmi). Carav, •e!
a Ma
Mantel
,yi� f 0
A • 26' to spa
,y
8 • 22- to Trim
..
-0 19at weuirad frith Stma. Ire.