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27590 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO ] B ILIA G-ELECTRICAL PERMI'TNO. APPLICATION/PERMIT { DING PRNG-MEDHANIFIC n% C9O BUILDING DIVISION BUIIALUMMING-M ICHANItTCA'1'[ON G r J J BUILDING ADDRESS: r �I� )�/� }J / 1, t SANITARY NO. APPfLII)CATIOONCSSUU�BBMM�I/TI'ALDATH LO JO S �� A-) (JT 9"OY . ��t IITTO# – OTg OWNS AMP.: 4r,� _PyONE:pq CONTRACTOR NAME. - /C CONTROL If ARCHITECpENGINIMR: tyl LTC NO: T TO ADDRESlir S D� I ❑ CONTACT: (It/C//A PHONE: QTY, ELECTRIC PERMIT FEE BUHIMILDING PERMIT INFO e s A,9 Pro N PERMITISSUANCF. 'CECT Q.�fyB EC LICENSED CON TRACTOR'S DECLARATION APPLIANCES-RESIDENTIALISCR`IPI�LI jON„ QWwz I huabyafionflonI llcensNundo Provisinnsoft�eptu9(wmmendmgwiN F 00 Section 7")of Division 3 of the Basilian;and Professions Code,and my license is in PANELS r1�jF full lbrce and effer FZVVjy License Clan; I.ic.I 66 UPT0200AMPS why Date Contractor�/ 201-I"AMPS 1–'yz ARCHITECTS DECLARATION SQ.FT.FLOOR AREA $/SQ.IT. ZO.n– OVER ItXq AMPS 0 Z 1 understand my pilins snail be used As public rtmrds. F_f d SIGNS ELECTRICAL �Wcst Licensed Professional OR!U OWNER-BUILDERDECLARATION SPECIAL C RCEIT/MISC. xdxOy V 1 hertby amem li m I nm exempt from the Contractors a License Law for he W i".0 following reason.(S¢tion 0031.5,Business alio Rvfessiotn Code:Any city or county TEMP. R OR POLE INST. m whichrtquircs aperni.to rommnal%alter,improve,demolish,mrepairany.structure �Y� pnonoir issuance,elsnrtquirtarhe applicant for such permitto fleasigned smsemant PO ICES 4402 Nm he is licensed pursuant m the provisions of the Comracmr'r License Low(Chapter 9(commencing with Sation 7M)of Division 3 of the Business and Professions Code) MIMMING IrELICTRIC MM VALUATION y or Nm he is enempnherefrom end the basieforthe alleged exemption.Any violation of => Section 7031.56 OUTLETS- 'T HES= IXTDRES Fa yanndred dontfo$500).tsubjeco the applicmttn acivil penalty of }^ys net more that five hundred dollars($SW). _p ❑ I,asawnenrrtheprnpeny,ormycmployeeawiNwuggaxtheirsolecompensadon, NEW RISID LIR.P _SQ.F'<. STORIES TYPE CONSTRUC110N yam will Jo the wmrk,nnJ the sttvdurc isnot intsndedor of(ertdfanme(SecJM4,Bmin<ss and Prnfessimts Code:The Contmctnrs License Law Aces eat apply m an owner of prnpeny who buildsorimproven thereon,and w�iodaae Hoch work Nmulfonluough his OCC.GROUP RES.UNITS ownemr,the building r improvement mprthe ow.If, however,NebueJie burden of amain#that hediinoneyearor improve for sale).r will have the burden of proving that he did not build or improve for puryou of ale.). ❑ Las nwnero(tnepropeny,am exdusivdycanwding wiN licensedcontrat�mrm QTY. PLUMBING ,h3P`v ` FEE FLOOD ZONE APN construct the project(Sea 7014,Business and Professions Cole:)The Contractors PERMIT ISSUANCF_r / License Lawtloes not apply toanownerofpropeny whobuilJsorimpmvestherwn,and _ whocnntracbfarsuch projace,with acrmtructot(s)licensed pursuanuotne Contmem''r ALTER ... 'WATER LA License law. I' ) FEE SUMMARY ❑ 1 em exempt under Sec. ,B&I'C for this reasonBACP �..JfCCT.DEVICE - TS DE FEES SANITARY YN Owner —Da.— RAINS-I.100R,ROOFAREA, RECEIPT# WORKMAN COMPENSATION DECLARATION , , . SCHOOLTAX YN ❑ Thereby mfum Nm lbavu acenificmu ofnmecm msel6inaurc.lira ani( RECEIPT'# Worker'Compensation Insurance or a cenifedcopyther n CJ which MARES-PER THAT PARK FEC Y N s coversall employee's undenhis Penni,. GAS- .SYSTEM-I INC.4OUTLETS RECEIPT# Policy# �• BUILDING DIVISION MILS Company GAS- .SYSTF,M.OVER 4 fFA) PLANCHECK FEE 11 Candied copy is hereby famished. ❑ Certified copy is Bled with the city spenian divtnioa GRE1\S DUSTRL WASTE INTERCEPTOR GRADING FEE Cf;RTIPIC OMPE EXEM ION FROM We;RS' GRIiAf '(RAI' STOLES FEF,COMPENSATI INSURANCE(ThismironocWnonbecompletedif apemtitisforoSEWER NITARY-STORM EA.2001T. ENERGY FEE or leas)I ratify that in the performance of the N forwhich tWATERI ATER W/VENT/ELECTR Hol employ any parson in any manner so to become PAID Compensation Lawsof Califomia. Date WATER YSTEM/TRFATING Date Receipt# C) Z Applicant Z NOTICE TO APPLICANT:IL after makings is Cenificau of Exemption,you should NEW ISIDLNTIAI.PCMB. SQ,FT. TOTAL: become subject the Worker's Compensation rovieions of the Labor Code,youmum a > forthwith comply with such provisions or this took shall be deemed tovokad. BUILDING FEE —� W z CONSTRUCTION LCN GAGENCY SEISMIC IEE LIC �. ^a I hereby affirm that is a conswaioa le dingvgency fortheperformen V O the work for which this permit is issued(Sea 309'/, iv.CJ T ELF.CfRIC PEE LcnJcrx Nume PLUMBING FIDE O F Lenders Address QTY. MECHANICAL PERMIT FEEKqtr V 1 reify but 1 have mad this application and state that Be above information is MECHANICAL FEE >" m 0. ncrt.I agree m comply with all city and m county ordinances and stale laws totaling PERMIT ISSUANCE tLn building construction,and hemby aathonze repmuntativesofthlscity to enter upon the CONSTRUCTIONTAX V z shove-mentioned property for inspection prop... ALTCR OR ADD TO VECIL (We)agree to save,indemnify and area,harmless the City of Cupertino against kiL liabilities,judgmenr,cosu anaexpenses which may many way,sante against said City AIR HANDLING UNITfTO 10,000 CFM) in cnnuquence of the granting of this permit. AIR HANDLING UNIT(OVER 10,000 CEM) gnatumofA tcavUContmnor Dv EXHAUST HOOD(W/DUCD PAID HAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO Upf"BTU) Dole Receipt# Will the applicant or future building occupant store or handle hamrdous matenal m defined by the Cupenino Municipal Cade,Chapter 9.12,and the Health and Safety HEATING UNIT(OVER 100,00 BTU) 'T'O'TAL. Calc,Section 25532(u)'1 13 Yer A�rNo VENTILATION FAN(SINGLE REBID) Wil I capplicanrnrfummhuildingoccupam uuegaipmrntordeviceswhichemit BOILER-COMP(3HP OR 100,000 BTU) ISSUANCE DATE umJaus air comaminunts as defined by the Bay Arca Air Quality Management BOILER-COMP(OVER 100,000 BTU) p bp ❑Yes ❑No NEW RESIDENTIAL MECH. gQ.FT. A I have read the haratdous m oriole requirtmems under Chapter 6.95 of The ��•A .a Califomia health&Safety Code,Sections 25305,25533 and 25534.1 understand that ro 1 j9 if the building does not cuantly have a tenant,thin it is my responsibility to notify the fs/� .ocupanriort of the reyviremems which must to met pm issuance of a Ceruficatn of V ccupancy. t ' r Owner m authorized agent Data TOTAL: ISSUED BY: OFFIOE OCRA- 01' Cuper tll1O 10300 Torre Avenue Cupertino, CA 95014 Building Division (408)777-3228 Fax(408)777-3333 November 28, 1995 Resident , 10430 DeAnza Boulevard Cupertino, CA 95014 Subject:10430 DeAnza Boulevard, Permit#27590 - T.I. Dear Resident, . According to our records the above mentioned permit has never been finaled by a City Building Inspector. A permit is considered to be valid only six months from its Oast inspection date. If your permit shows that the final inspection has been completed please send a copy of the permit, along with this letter to 10300 Torre Avenue, Cupertino, CA., 95014, Attention Building Department. If your permit has not been finaled, please contact the Building Department by calling (408) 777-3228, so that we may arrange to extend your permit, and schedule a final inspection. In an effort to control the number of expired permits, the City of Cupertino requires a response in ten working days from your day of receipt of this letter. If we do not hear from you, the City of Cupertino's Building Department will have no alternative but to resolve your permit as expired and discard the records. Thank you for your assistance. Sincerely, City of Cupertino Pnntetl on FecVrleC FP.pel ® Cupertino,CA 95014 10300 Torre Avenue Cil.c of Cupertino Building Division (408)777-3228 (408)777-3333 (fax) April 23, 1996 Owner/Tenant 10430 So. De Anza Boulevard#100 Cupertino, CA 95014 Re: Expiredopermit (copy attached) Dear Owner: According to our records, the referenced permit has not been finaled by a City building inspector. • A permit is considered to be valid only six months from its last inspection date. If your permit shows that the final inspection has been completed, please send a copy of the permit along with this letter to: 10300 Torre avenue, Cupertino, CA 95014, attention: Building Department. If your permit has not been finaled, please contact the building department (408) 777- 3228, so we may arrange to extend your permit and schedule a final inspection. The City of Cupertino requires a response within ten (10) working days from the date of receipt of this letter. If we do not hear from you within this time, the building department will have no other recourse but to resolve your permit as expired and discard the records. Thank you for your cooperation, Building Department Staff, City of Cupertino • Printed on Recycled Paper ' Tg�� SANTA CLARA COUNTY CENTRAL FIRE PROTECTION DISTRICT 9 7F 14700 WINCHESTER BLVD. LOS GATOS,CA 95030-1818 (408)379.4010 SERVICE jON° SINCE 1947 FAX(408)779-9342 To: Christy, City of Cupertino ;h Building Department From: Fire Prevention LBureau �I- - A The building located at /d ! 3© �o < '/ wff"` Has been FINALED. The building pe mit nu ber is: 2760 Date: / 3 � i • J/ Signed: Radio.Number