26952 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
' CIT4�OF CUPF,RTINO I"Dr4C-nTI7 PERMITNO.
APPLICATION/PERMIT TING P OJECrIDE"IFIC. 26952 6 9 5^
BUILDING DIVISION BUILDING PROJECT 1UENTIPIC,\TION [ L
UIIDINGGADDRFSS: /l AI41"
- SANITARY NO. ICATION///SUUUUBMIITALDATF"
Irl//I a1 iY "441—��) UNITN LOT#
WNERS NA PHONE C NA U�CNO:
RJ2(Y9J NIC CbNllt L♦
RCHITECT NGINF R: LIC Na, ADDRESO
ElU
ONTA PHONE,
QTY. ELECTRIC PERMIT FEE BUILDING PERMIT INFO
C}' - s BLDG ELECT PLUMB J.1EQI
1 �J— ' iW PERMIT ISSUANCE El 1:1 ElHITT/L'
LICENSED CONTRACTOR'S DECLARATION APPLIANCES-RESIDE" UAL TOB DESCRIPTION
MWz I herehy alErm that)am lice.N unJerpruvLvioru of Oia[ic,0cmasncing with
VJOL) Section lll(K))of Division 3 of use,Busineet"Professions Code,wd my licewe Is in PANELS \
fullface.rdc _e .OD/B`/� UPTOMAMPS
la.'Lw licenrc Con Lic.N J .J Y
toQd Ilatc Cmtr'cta 201-1"AMPS
�0,z ARCHITECTS DEC TION OVER ItUO AMPS SQ.FT,FLOOR AREA SISQ.FL
O7—❑oi— IUMetsWrd my plans shill be the rucaNs.
F e C w SIGNS FLF:CIRICAL
Z��� Lo"'me"Pmfcmm
OWNER-BUILDERDECLARATION SPECIAL CIRCULOMISC.
X°'OatUt-. I by eff the 1 em exempt I.the C..'s License U, the
u13Ot¢n fd irrg rrum.(Secuon 10313.Buwm artd Rofusiau Code:Any city mw ty TEMP.METER OR POLE INST.
tcM1 regwms v permit to c,unset,alter,improve,,kmalixn,,rz paper ony minuet
Sx�Y� 'nr to itsalsotryultes awllum for wen Permit to file a signel POWER DEVICES
KQO tholiislicemNparviat.dc vivaudtbe Cannounara Lircve lsw(Clupter
9(cxnmrKncinewith Sct ) Division Jof the Busirtu.ed Pmfosi ode) SWIMMING POOL ELECTRIC �A.-
-,� m that he is exempts for the gcd excmpti mionnf '
,ZQ Sc iim 00314 by enyo i fw.pempu t theeppllcw t < it al OUT1F7S-SWITCENS-FIX'111RF5
5Z0 not t1unR IWalSSm). NEWRESIDENHALM-ECTR _SQ.FT.
��� ❑ I n u ilelr. panndm, STORIESTYPE; NSTRU ON
L"1— will ,.nA chi, cu n to o pf furml .I06d.Busirem
ad Profs on,Code:Ih um'.license law doe apply to a owner of
propenyw Wilda m es sadwhodoc w Nmselford...hbls
mm�plol pto,idedthesachimpovenrn rtainteMNaoRcml(m�le lL C.GROfIP RFS.UNITS
however,the buildingmimprarement ie ithin meymr ofummplgim.the ownrr- TOI.AL:
build.will Mvc the bonJcnof Prov' t he did na build or improve for suppose of
mile).
❑ Lnow.erof mcxcluivdycmv¢tingwiffilia caxrrtmto QTM' PLUMBING PERMIT FEE W-655—ZONF AIN
Null!mics t(Sec.1034,Budnen.nil Rofesian Code:)The Contrncta'.
Lincn.ae wdpn aN apply to.n nwnerulpropervrwtxp Wildamimpvves tbermLerd PERMIT ISSUANCE
wMconlr.cufor such pmjcts with a cmv.ctm(s)liccnscdpasuent to the Cantregda ALTER -WATPR'(EA)
Limnse law. FEE SUMMARY
❑ 1 am uempt wdm Sea� ,B&P C fa tM1k reawn CK FLUN PRO CT.DEVICE? 'S
Q SANITARY T N
Owrtm Des DRAI f4 00_ ROOF,AREA.PIZD. SCHOOL TAX MCEJPI'# N
WORKMANCOMPENSATIONDECLARATION ^ k
❑ Ihcrtby alEmttMJ Mvc ecai0cee afronam wsdGinsum,aeccnificatcof - AP RULE] I'N
t Wakerti'Comlpensntion lruumtrea stoniONuppythercof(Sea.3g00,Lob CJwbich• a AIPI%tLREC" ` ,/S� PARK II;E Y N
m ill ttn 1 GAS-EA!ST TI INLLA LTS MCI
Polk;# BUILDING DIVISION FEES
C�y I i
CcaiHM appy is hcrcbY fumisMJ. GAS'lEb.�YST M-0 4(EA) PLANCIIECK FEE.
[I Ce"HetJ crgy its fled with the city inspection divisions GASPIIND rRCEPfOR t GRADING ME
CIRTIRCATF"OF EXENFI30N FROM WORKERSGREASE TRAP _ SOILS FEE
COMPINSURANCE
ort moi.sectirm rcN mtEecm�letd it Ne pemut is fm ane hunted do`Ien I�UO)" SF"WER SAN T-STORM EA, FT� ENERGY FEE
I cctdfy the in the perfotmexe of the wmk fa which this permit is i.wed. PAID
any melYWl'' WATER MATE wNGT/F1.ECIlt .
not employ wry person to an ss w become subject to the wmkeo,
ComPcasntotruwsof Celfum., Datew WATER STSTEMi'REATING Dee ReceiptN
Applwv
Z O NOTICE TO APPLICANT:If..ler nutting Bilis Cmifice,of Exemption,you should NEW RESIDENTIAL PIAIB. SO.FT. TOTAL:
t--• bc)menubjcttu the W-1,,,',Compcn.setia provisions of the Labor Codc.you mum
!-� fonttwith comply with loch provisians or this pemdt sh.11 be clammai revokW. BUILDING FEE
0. CONSTRUCTION LENDING AGENCY SE]SMICFIE
Z Iheorlb, ffmt that there is.cm.vuction lendingsgecy for tba pmfarremea
U O thewmk for which this pevit is issued(Set 3(A1,Civ.C.) TOTAL: ELECI'RICFEF
Iendcr'c Nemo
O Adie» QTY MECHANICAL PERMIT FEE PLUMBING FEE
F Iuuleh
5 1 anify tbet 1 M1eve read this application vd mete the tie aMvc infmmetion is
4 connect. Iugnx to cci with all city and county oNi.aril ante laws palming. PERMITISSUANCE MSCI IANICAL FEF
(� building comastra m,.nd hcpabyacthoosrcptesentadvp of thu city.comm upon the CONSTRUCTION TAX
U .bove"mcotiom'11Noerty fa i.pea
ction pposa ALTER OR ADD TO MECII.
(We)agpae to save,indemnify and keep hmmllu the City of Cupeino nsu,oa
habilitds,judgments.rnsu vd espusp which may in say way cense eg.i.t said City AIR HANDLING UNIT(TO K."CFM)
th mnse9ucaca d de granting of thi.pmmiL
AIR HANDLING UNIT(OVER 10,000 CRd)
PAID
Signe um of Appi canpConOmtm Dom BXIIAUST HOOD(WMUC7G
HAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO IIXI,"BTU) De, Receipt N
Will Oe.pptit nta futwc bui ing ccupatumm M1uile hermdrss metcrial IIFATINC UNIT(OVER 101),IIW BTU? TOTAL:
as def irJ by the Cupcnim1 Mum I Coda,Duper 9.12.W the Health ed Seely
Code,Section 25532607 VFNIILATION EAN SINGLE RPSID)
11Yes, o
W.11lbapplicantarutupa but ingoucupud u.w BOILER-COMP(3)IF OR I W,000 BTU) ISSUANCE DA
hemrGw au cmwrdwrnW by the Bey Am A'u tQtulityas whM.aaBvtcnt PAID
P
r Disuictt
BOILER-COMPIOVER100.000BTI1) A1 p
❑Ya NEW MXDENf`HAL MECH. SQ.Fr.
S I have real the hara ckso,matcrl.ls r,.itsmen urtler Chapter 6.95 of the JAN 11 1995
CiEfami.Health&Seely Code,Scniurn,SMS.25533.nd 255J4. 1 unchm and the
if tic building tines mit cmrcaly have a tear th.t it is my rapmmibilky to notify theI 1
occupum of IN,oc,ircmcnu.which must he met prim to inu.a of a CmtiOuue of ��Ur krv,
Occupary.
pwmrm.uthmird agent Ua¢ TOTAL: ISSUF,D BY:�.
OFFICE
Cupertino
10300 Torte Avenue
Cupertino,CA 95014
Building Division
(408)777-3228
Fax(408)777-3333
November 28, 1995
Resident
10448 Dempster
Cupertino, CA 95014
Subject: 10448 Dempster, Permit# 26952 - Waterheater
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
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 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
Prrr,L:n an For,�pled Pnper