29208 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY '
CITY OF CUPERTINO BUILDING-ELECTRICAL PERMITNO. ^ /N^O
BUILDING DIVISION APPLICATIONIPERMIT PLUMBING-MECHANICAL. 292 VX
BUILDING PROJECT IDENTIFICATION
'
BUILDING ADDRESS� �, SANITARY NO, APPLICATION SUBMITTAL DAG
OW
NAME:zoz)/� /) �P /N�� ^HTR Fa�iV•� /IAN IC NO
/l'Ii/-s /-at l/.i NIC COM'ROLM
RC PGINEE ; LIC NO: S u, ED4`
CONTACT: / ONE: BUILDING PERMIT INFO
/ � —�/�/ ❑ Consultant Fres Paid by Applicant(initial) . SLOG P CT PLUMB MECH
VN4
LICENSED CONTRACTOR'S DECLARATION QTY. ELECTRIC PERMIT FEE ❑
I hereby arum that I am licensed ander pmAkims of Chapter 9(ra;nmeaeing JOB DESCRIPTION
OW"Z wait Section7")ofDivision 3 ofthe Business and Professions,Cade,and my license is
F-OO_ PERMIT ISSUANCE RESIDENTIAL
in full force and effect.
NU - Licenso Clear Li0.M _ ❑SFDWL ❑KITCHEN REMODEL
F Yl Dam Counselor APPLIANCES-RESIDENTIAL ❑ADDITION ❑PLUMBING R&PIPE
O to❑ ARCHITECTS DECLARATION PANELS [I MULTI-UNIT ❑STRUCTURAL
Z
s ❑ Icoderetandmy plains shall be used os N
public rccos MODIFICATION
OZ G UPT02MAMPS ❑INTERIOR [I CHIMNEY REPAIR
Licensed Prffesaianal - 201-i"AMPS IMPROVEMENT
OWNER-BUILDER DECLARATION OVER 10LOAMPS [DBATH REMODELREPAIR [I DEMOLITION
y I hereby offirm that I am exempt from the Contractor's License Law far the
x 3 tl U following reason.(Section 7031.5,Business and Professions Code:Any city an caumy SIGNS ELECTRICAL ❑OTHER
41 O which requires a permit to construct,alter,improve,demolish,or repair any structure
prior to its issuance,also requires the applicant for such Permit flea signedmatement SPECIAL CIRCUIT/MISC. (
yy, 0mtheisliceamdpunumttmNepmvisionsofthe Conunmoes Ucenselaw(Chapter9
p0 (commencing with Section 7")(if Division 3 ofthe Business and ProfessionsGNe)or TEMP METER OR POLE INST. COMMERCIAL:
6 m eL that he is exempt therermm and the basis lin the alleged exemption.Any violation of ❑NEW BLDG/ADDITION ❑DEMOLITION
4• Section]031.5 by any eppherm far a pe.it suhjccts the applicant too civil penalty of POWER DEVICES
rn �IJANT ❑FOODSERVICE
ZZZZ y not marc than five hundred dollars y employees
IMPROVEMENT
Qi]LoThe as wor ,rbc pro pnrynnnyemntended con wages
ted I uxTheir sole mmpeuatinn, SWIMMING POOL ELECTRIC
will Professions
work,end the swan¢is not intended conflicted do c(Sec.704HIec.o art'Business ❑OTHER
3 and r o who
ho th Cade The Commcmm License Lew does not apply io an owner of OUTLETS-SWITCHES-FIXTURES
.pmpeny whooyees.lds or improves thereon,Ipr who Anes such nwork deed or or through .
his own employeese provided r m such mens is
within me not intended or orfecd for Nii W RP_SIDGNTIAL ELEC)R SQ Pf.
sate.ILhmweva,Ihevethn burden rovemcnt is in heidone year impnplmiornro, ESQ.FT FLOOR AREA LSQ.FT.
porw idowmar,builder will have the burden of proving that he did not build or improve for par-
[1 1 of sale.).
❑I,as tweet of the pmpeny,.B exclusively commedns with:)The Contractor's
i-
constant the project(Sec.]014,Business and Professions Code)The Cnmmaar'a Li- 1
cense Law does not apply to an owner of property who builds or improves themon.and QTY. PLUMBING PERMIT FEE
who contracts for such projects with a contractors)licensed pursuant o the Comracmrs
License Law. PERMIT ISSUANCE
El I am exempt under Sec. ,13&PClintbisrcasin
Owner Date ALTER-DRAIN&VENT-WATE EA VALUATION �R
WORKER:SCOMPENSA'1'IONDI7CLARATION BACK FLOW PROTECT.DEVICE ^at
rebyaff underpeaulty of perjury oteofthe fallowing deelarauam: 200
andwill maintain aCedifcam of Consenuoaelf-insurefor Workers Compen- DRAINS-FLOOR,ROOF AR EA,CO STORIES TYPE CONST RUCTION
do ave provided for by Section 37W of the labor Code,far the pedomance of rhe
we forwhichthispermit isismed. FIXTURES-PERTRAP
1 have and will maintain Workers Compensation Insurance,as required by Section
37W ofthe Lahor Code,for the performance of the workfor which this permit is issued. GAS-EA.SYSTEM-1 INCA OUT ffMy Wo -{ OCC GROUP APN
Carrs.. tlmpe a��nsumnce carrier nlPolicy
cy No.�'1 :0 Mq GAS-EA.SYSTEM-OVER4 EAT
CERTIFICATE OPEXEMFTION FROM WORKERS' a AiF'
COMPENSATION INSURANCE GREASUINDUSTRL WASTE INTERCEPTOR, •e
(This section need not be completed if the permit is for one hundred dollen is 100) l' BUILDING DIVISION FEES
or less.) GREASETRAP ' LF' p FCKFEE
loyallyt eoa the any
of rho becoork me which It to The W rkers'Carri r. `a k
VIM
not employ any person in en manner so nsmbcrnme subject to Workers'Carrier. SEWER-SANITARY-STORM EA.2110 FT. VviC'
O sonata laws of California.Date peat /ENERG TEF.
WATER HEATER WNENT/IiLEC1R 441
7 Q Applicant GIl�MG FEE
G y NOTICE TO APPLICANT.IL after making this Cenificme of Emmpti m.you should WATGR SYSTEM?RLATING
become subject to the Workers Compensation provisions of The labor Cade,you must SOILS ME
W Q forthwith comply with such provisions or this permit shall bedeerted revoked. WATER SERVICE
01
UO CONSTRUCTION LENDINGAGENCY NEW RESIDENTIAL PLMB. SQ.FT. PAID
(hereby affirm that there is a construction lending agency for the perfonismici( Date Receiptg
Lk. Hthe work far which this permit is issued Sec.3097,Civ.CJ
o Lenders Name TOTAL:
{U Lender's Address TOTAL:
1 certify that 1 have mail thte applicmion and state that the above information is BUILDING FEE
In cortem.l agrttmcnmply wiN all city anJeounty ortlinencu and sem lows rcletin6m QTY. MECHANICAL PERMIT F
V building construction.and hereby authorize representatives of this city to enter upon the SEISMIC FEE
above-mentioned pmpeny for inspection purposes. PERMIT ISSUANCE
(We)agree TO save,indeTmfy and keep hanalesathe City of Cupertino against ELECTRIC 17EE
Iiabildierijudgmcnts.cousand expenses which may inany way wera,must said City ALTER OR ADD TO MECH.
in consequence ofthe gmming of this permit PLUMBING FEE
APPIIINDF DWILL OMPLY WITH ALL NON-POINT AIR HANDLING UNIT(TO 10.0W CFM) MECHANICAL FEE
SOL CE REGL If.S
/ /Dam AIR HANDLING UNIT(OVER 10,000 CFM) CONSTRUCTIONTAX a mof ApplicanVConcector EXHAUST HOOD(WMUC) HOUSING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
Will to applicant or future building occupant store or handle hazardous anterial BitATING UNIT(TO 103.000 BTU)
Siefined by the Cupertno iMunicipal Cotte,Chapter 9.)2,and Ne Health and Safety 'e,Section 25532(a)'t / HEATING UNIT(OVER 100.000 BTU) -
E]Ye.x PAID
VENTILATION PAN(SINGLE RESID) Dam ReceiptM
Will the applicant of future building bt equipment ai devices which
t huzardaux min cnmaminan¢us toed byy the the Buy Areu Air Quality Management BOILER-COMP(JILT OR 100,000 BTU)
i
�sart^ TOT L'
/ BOILER-COMP(OVER 100,000 BTU)
❑Yes �No
I have mod the harmdous materials requirements under Coupler 6.95 of the Cali- AIR CONDITIONER ISSU CE 15A
fomia H t Code, r 5,25533 125511.1 umimsmnd Nat if the NEW RESIDENTIAL MECH. SQ.FT.
builJi dcesnot cu ml m atitismy onsiblllrymnotify me Deco ant
of th goiret�t wh' t�nitnnmis ro ma Ccnificne of wmwh' t6 nit+nrls ro nfa Ccnificne of cum
Ow orauth razed age ace \ ISSUED BY:
OFFICE
CERTIFICATE OF COMPLIANCE- LIGHTING PART 1 OF 2 LTG-1
PROJECT NAME DATE
APPLE DEANZA 7 BLDG PERMIT#
PROJECT ADDRESS
431 DE ANZA BLVD. CUPERTINO, A.
FINCIPAL DESIGNER TELEPHONE
OLEY ASSOCIATES
DOCUMENTATION AUTHOR TELEPHONE Checked by/date
LIBRA ELECTRIC 629-4881 Enforcement Agency Use
GENERAL INFORMATION
DATE OF PLANS BUILDING CONDITIONED FLOOR AREA
1/4/96 17700
BUILDING TYPE NONE RESIDENTIAL O HIGH RISE RESIDENTIAL O HOTEUMOTEL GUEST ROOM
PHASE OF CONSTRUCTION O NEW CONSTRUCTION O ADDITION ALTERATION
METHOD OF LIGHTING (COMPLETE BUILDING O AREA CATEGORY O TAILORED O PERFORMANCE
COMPLIANCE
STATEMENT OF COMPLIANCE
This certificate of compliance lists the building features and performance specifications to
comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate
applies only to building lighting requirements.
The principal Lighting Designer hereby certifies that the proposed building design represented
in this set of construction documents is consistent with the other compliance forms and
worksheets, with the specifications, and with ant other calculations submitted with this
permit application. The proposed building has been designed to meet the lighting requirements
contained in sections 110, 119, 130, through 146 or 149.
se check one :
I hereby affirm that I am eligible under the provisions of Division 3 of the Business and
Professions Code to sign this document as the person responsible for its preparation ; and
that I am a civil engineer, electrical engineer, or architect. 1D��( ^
�I affirm that I am eligible under the exemption of Division 3 of the Business and CE§V ED
Professions Code by Section 5537.2 of the Business and Professions Code to sign this F
document as the person responsible for its preparation ; and that I am a licensed FB 22 1996
contractor preparing documents for work that I have contracted to perform. BLDG. INSPECTION
O 1 affirm that I am eligible under the exemption of Division 3 of the Business and CITyOFCUpERTINDEPA?7MENT
Professions Code by Section of the Code to sign this
document as the person responsible for its preparation ; for the following
reason
PRINCIPAL LIGHTING DESIGNER NAME C. NO. DAT
HENRY ROSALES 425502
LIGHTING MANDATORY MEASURES
INDICATE LOCATION ON PLANS OF NOTE BLOCK MANDATORY MEASURES
INSTRUCTIONS TO APPLICANT
For detailed instructions on the use of this and all energy efficiency standards compliance
f s, please refer to the nonresidential manual published by the California EnerEms
COPY
1: Required on plans for all submittals. Part 2 may be incorporated in scheL 2: Required for all submittals
LTG-3: Optional. Use only if lighting control credits are taken.
LTG-4: Optional. Use only if tailored method is used. Parts 2 and 3 used only if applicable.
NON RESIDENTIAL COMPLIANCE FORM DECEMBER 1
CERTIFICATE OF COMPLIANCE- LIGHTING PART 2 OF 2 LTG-1
PROJECT NAME DATE
PLE DEANZA 7
IN
INSTALLED LIGHTING SCHEDULE
LAMPS BALLASTS
LUMINAIRE NAME TYPE NO. OF TYPE NO. / NOTE TO
(eg. type-1 type-2 ect.) I / F / HILAMWATTS/LAMP S/E/O LUMINAIRE FIELD
A O O 20 O O 1
B O O 13 6 0 0 2
C 00 50 00 1
D O O 32 O O 1
000 0 0 0
60-0 000
O_00 000
O O O O 00
O O O O 00
MANDATORY AUTOMATIC CONTROLS
CONTROL LOCATION CONTROL CONTROLTYPE SPACE NOTE TO
(ROOM# ) IDENTIFICATION (AUTO TIME SWITCH, ECT.) CONTROLLED FIELD
COMMON AEREA SS TITLE 24 SWITCH LOBBY 1 AND 2
ELECTRICAL CLOSET EMS ENERGY MANAGEMNT SYS rE WHOLE BLDG.
CONTROLS FOR CREDIT
CONTROL LOCATION CONTROL CONTROL TYPE (OCCUPANT, LUMIN. CONTROLLED NOTE
(ROOM#OR DWG#) IDENTIFICATION DAYLIGHT, DIMMING, ETC. TYPE #OF LUMIN. TO FIELD
NOTES TO FIELD- For building department use only
NON RESIDENTIAL COMPLIANCE FORM Dec-92
� _ LIGHTING COMPLIANCE SUMMARY
PROJECT NAME
%PLEZA 7
TING POWER
NUMBER OF WATTS+ BALLAST CEC DEFAULT TOTAL
DESCRIPTION LUMINAIRES PER LUMINAIRE Y N WATTS
2X2 PARABOLIC FIXTURE 192 46 O 8832
B FLUORESCENT DOWN LIGHT 42 28 O 1176
C LOW VOLTAGE SPOT 64 50 O 3200
D INDIRECT LIGHT FIXTURE 68 122
816
O O 0
O O 0
O O 0
O O 0
O O 0
O O 0
SUBTOTAL FROM THIS PAGE 14024
PLUS SUBTOTAL FROM CONTINUATION PAGE
LESS CONTROL CREDIT WATTS
(from Itg-3)
(If not using the CEC default value, please
provide supporting documentation.) ADJUSTED ACTUAL WATTS , fes
ALLOWED LIGHTING POWER (Choose one method)
MPLETE BUILDING METHOD
BUILDING CATEGORY(From table 2-53m) WATTS COMPLETE ALLOWED
PER SF BLDG. AREA WATTS
OFFICE -63 1 17700 IZ93Z.V
REA CATEGORY METHOD
AREA CATEGORY (From table 2-53n) WATTS AREA ALLOWED
PER SF (SF) WATTS
1586
TOTALS I AREA I WATTS
AILORED OR PERFORMANCE METHOD
O TAILORED O PERFORMANCE TOTAL ALLOWED WATTS
(From LTG-4 or from computer run)
NON RESIDENTIAL COMPLIANCE FORM Dec-92
(d) Shut-Off Controls
1. For every floor, all interior lighting systems shall be equipped with a seperate automatic control
to shut off the lighting. This automatic control shall meet the requirements of Section 119 and
may be an occupancy sensor, automatic time switch, or other device capable of automatically
shutting off the lighting.
EXCEPTION No. 1 to Section 131(d)1.: Buildings or separately metered spaces of less than
5,000 square feet of conditioned space.
EXCEPTION No. 2 to Section 131(d)1.: Where the system is serving an area that must be
continuously lit, or lit in a manner requiring manual operation of the lighting.
EXCEPTION No. 3 to Section 131(d)1.: Lighting in corridors, guest rooms, and lodging quarters
of high-rise residential buidings and hotel/motels.
EXCEPTION No. 4 to Section 131(d)1.: Up to one-half watt per square foot of lighting in any area
within a building that must be continuously illuminated for reasons of building security or
emergency egress, if:
I. The area is designated a security or emergency egress area on the plans and specifications
submitted to the enforcement agency under Section 1403(a)2.A. of Title 20; and
ll. The area is controlled by switches accessible only to authorized personnel.
2. If an automatic time switch control device is installed to comply with Section 131(d)1. it shall
• incorporate an override switching device that:
A. Is readily accessible; and
B. Is located so that a person using the device can see the lights or the area controlled by
that switch, or so that the area being lit is annunciated; and
C. Is manually operated; and
D. Allows the lighting to remain on for no more than two hours when an override is initiated; and
E. Controls an area not exceeding 5,000 square feet
(e) Display Lighting. Display lighting shall be separately switched on circuits that are 20 amps or less.
(f) Exterior Lighting. Exterior lighting controlled from a lighting panel within the building shall be controlled
by a directional photocell or astronomical time switch that automatically turns off the exterior lighting
when daylight is available.
EXCEPTION to Section 131(f): Lighting in parking garages, tunnels, and large covered areas
that require illumination during daylight hours.
•