S 2958 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE SALL POINT PEN ONLY
CITY OF CUI'ERTINO BUILDING-FJ,RCI RICA PERMIT NO,
CAL
BUILDING UI VISION APPLICATIONIPERMIT PINGVROTBING-MKUUNTIFIC
BUILDING I'ROJh:6"I'IIINMIFICA'I'IUN
BUILDING ADDRLSS: SANITARYN(1. APPLICATION SUIt5.A DATE
2-068 6 — Or. " cA 90,l�- q -zo -qq
(wsl NAMIC', I'II(1NI?: CONTRACIOR'S NAME'. I,IC NO:
.A IJ � (137
At - D NIC COM'ROLN
�MClnl LfILICT/PNGINI?tR: LIC ADDRESS: ❑
CONGCT: PI(UNI!: HU ILDING PERMIT INFO
650-906-k53d'«
I-� ���t) [:1Con User l Fees Paid by AppliCanl(Initial) BLDG F, PLUMB MECH
�M ❑ LE T ❑ ❑
LICIiNSED Cf NTRACTf1N:S D1.C1.ARAA ION s
Q'fY ELECTRIC PERMIT' PCI.
I ne,70n))nn IWtlatl lice.�n rurwirirn.,d Churs,cost
cendng JOB DESCRIPTION
O5Z wish Sccliun]fMMI)nl OivisionJotflm Husilten old Pmfen'tw Curls,and mY liccnsc is
FSO in full forst,arld effect. PIJWUT ISSUANCE: v
W_ D\\'L ❑KITCHEN REAfODRI.
aUU 1.icrn.¢Clans Lax APPLIANCPS-RESIDF,NTIAI, [I ADDITION [I PLUMBING RI:PUT<a Dam C.TII-n. -
ARCII(ITCTSUI!CIAkATIUN ❑MULTI-UNIT ❑STRUCfURAI,
Z O,`n Z l umlerunml my palls shall W unN to pstblic nsvrds PANELS MODIFICATION
UPTO?MI AMPS
OZ-� El INTERIOR ❑SWIMMIING PO 1-
1-.wF-ul Licensed l'mfasiunal 7111-IIXMIAMFS IMPNOVIiK1Y.M SWIMMING POOLS'
�w:;� OW NI!R If UILDHR UIFIARATtON OVUR 1(MMtAMPS [I PAT H RLM)LEHUREPAIR ❑DFMOLITION
fail 1 hereby ullirm that I um exempt front the C'ontractor's I,ecrse law lot the
5x11 a U fn lowing rt,awn.(Seen.703LL Blniot,a trust PoshrVa n Gde:Aoy city or munly SIGNS ELECTRICAL. ❑OTHER
W$t y which nquilec a permit to cauaun,alcor,inlpmve,demolish,or I,e r anY huchan,
0.
prior pritum its iswarcc also rcyuinuM applicant for-such permit to file a sighed Velemcm SPECI AL CIRCUITIMISC.
fly., that le i.sIicer,l Vanatnl oa fs Proisi.m of the Contmcer's IJeYLM Loss Chnpmr9
W In00 (mmtncncing withSection 9001)of Ulvkion 30 be H,,tneIs and Pntfessinns Celc)m TCMR MOER OR MI-P INS) COMMERCIAL
a a e C that le Is eeempl Ihehm mW
coIle k basis for tolkgol cxcnyMion.Any vinlation of ❑NEW BLDG,/ADDITION ❑DEMOLITION
�-y Sceii M315 by any ggAic=for apemen whjed.s lie applicwl to a civil vocally of MVVI:R DEVICIS ❑T NANNT ❑FOOL,SERVICE
FC rex orae then five hundred dallam($500)
2=SDI,:wownerofolepntpcny,urmyamplayeeswithuagsr.vtlwir-retscmopmwtitn, SWIMMINC.MOLIUnCIRIC IMPROVI?A1 fiM
H
will to t W wort..unit the stricture in nm Interdcd anReml Our sale(-Sec.9Mly H.ori ❑OTHI!H
6 3 m
acted Itofesm.Cale:The Contradur's U.law doe no apply or an owner of OUTLETS-SWITCHES-FIXTURES
prsVeny.'le Wilds Vimproves III[nCll,amt whn docs.such wml,hnne tr Ilaoogh
hie own emptoym,pnrvWOJ Ihel soeh ini s scirenls an,not imemled-offered for NEW RP_SIDENTI A.ELEC IR SQ FE.
-Id.11,Ltwever.tlt.NIldingmitNrovcnetr is sold within an,ycor nfunnpldimt,the SQ.FII FL(K)R A RHA $/SQ.IIT.
mr-W dtcf will have I W Wolin of Oo,ing Thal he dat not W ikI tr improve riapw-
�c.l.
J4
," J' of ole pmpetty,out excluuvcly ettnraning will)IrtrnsN cmmnclon to TO A
nrust the prnj,l(Sm.],1d,Basin,aril Pru(asions Code:)]Be Conlractor'x U-
m Low dot not aWly to an.wour of propcny who hulas or ltnpmvvw metsnn,and QI'Y, PLUMBING PERMIT FCE
isho mmrucm for such projects with a osra.a(s)h ere ed punu.m to the Cnnlracmr's
lacema Law. PERMIT ISSUANCE
❑Isen e..,A MerSo. ,x&P C for Itch nra.sn
ALTER-DRAIN&VENT-WA117HFA) I VALUATION
WORKER'S CON61hNSNITION DECIIN IO '10�r BACK FLOW PROIFCT,DEVICI! IF
jo
I bcrcb,aDmn under penalty of perjury ore of the, decLrativo:
I have ora will lluimainaCmificaleofCnmvnt).self-inwm fm WMcrs Curren- DRAINS-FLOOR,ROOF,,ARRA.GOND. STORIES 'rypH CONSTRUCTION
Winn,o.pmedm ler by Sarre 37IXl oftW lata Code,fm Irle IeHtrmanet,of Its,
wod for which Iris Prom)is-Lord. FD7URES-PER THAI'
❑ I have and ,If maintain Honker's C.mpmvathm Inwmnce,as(vol by Section
3700of Its,Labor Mt,
labor Case,for the per-fi th .ork for.'hich flus prmis Ead
ulw . GAS-PA.SYSTIJN-I INC,40UFTS OCC.GROUP APN
Myw'orksr.Compmsaniun)nutans carridaml Policy banner are GAS-IJ..SYSTIJN OVER 41FA)
Carrier: Policy No.:
CHk'I'1171CAI'1:IIP LXhMP1I'ION IIBOM WORKERS'
COMIIPNSATION INSURANCE GRUAS'IOINDU.S'l It.WASTE INTERCEPDJH
tlUILDING DIVISION FMS
(Ibi.smi.n rxNmEc compWlelif the permit i.fmsvle huldml SdWnI511M11 GRh ASI!TRAP
or IcxsJ PLANCHF.CK 193! 1
I emifythal intbe peffrinrrecofthe.rrktrsshieh thlspennit i siauddl.I liall SEWI!R-SANITARY-g'(ORA1IiAv )OFT,
rot aoploy anY)cornu i..us u, sets.-to bcumtc ulhjcct to 11.Words,,Comlte'n- ENERGY 19713
ZZ sation Lw.s of ' hrnia.Doo, WAI'FR HPATER WNFNTIELECIR
O A'O.�(-u r- CO� GRADING M. If
Eat, NODCII TO APYIJCANT:If,afte g oris Cro ifisolc of Faemplism,yw JuuW WATER SYSIEACURIi TING
btton,whjttr to the MnAcr's Cungcnv(uw prnrvulsms of the Luster Gde,you must SOLIS ITE
1 F., 0rt1h volt otnply withh wch provmin,or,hi,pencil still he tkmtwrl revuAeL WATER SHRVICI3
CONSTRUCTION LENDING AGENCY NEW kIiSIDEYT1A1,1'WB. SQ.Fr. PAID
U 0 I M1ncby affim that)len is a construct lemling agency for me ped�tmulec of Dare HadpN
the wor,for whim mit permit o itwed(See.NYD.Co.C)
Lender's Numc TOTAL:
I<Wcr's AM. TOTAL
(•" lL 1 certify than I have(cad this shOicuinn amt slam not be Wove infwmaio l is BUILDING hE'
(o) dorsa.I asrecmcomply with dl ily and county oldinuresaml eve howl,relatingm Q'I'Y. MECHANICAL IPRMIT FEE
U Z Wildingcon.straelion.nld hereby autleriac rcprOcntalivc.ofthle city to enter upon the SEISMIC FEF,
obt.......ndonal p,,,,riy rot......cfon
(We)ogree bt save,iMk ify and keep hurnlheuse e City of CupWar.cnimWar. PERMIT ISSUANCE Ii1J[CI'kIC EEIi
Iiahili0.s.jadgmclMs,mus and esptnsn sshwh may in any.dry acclleagoinst raid City AMER OR ADD TO MECH. PLUMBING PEE
in consequence of Ie granting of this permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WI'I'lI ALL NON-MINT AIH HANDLING UNITITO 10,M)CP70U
SOURCH RFGUTA'GONS. MSCI IANICAL ITT
arLl— f . C�7i ��49 AIR HANDLING ONE'f(OVER 10AIX0 CFI) CONVIRUMON TAX
Signature,of Appkdntretract Dale 1 EXHAUST HOOD(W/DUCE)
HOUSING MI'llGA110N I}l!
HAZARDOUS MATERIALS DISCLOSURE:
Will beupplscanl or fuutm Wdding Ncculunl sato,or harvlle hvaNmwnwcrial HhAt NO UNIT(TO 1(X),00 If I U)
as tie inwl by the Copettinn Munieiped Code,Clwptcr 9.12,atat the Ilcalm seat Safety
CMc.Section255]2(1)" HHATING UNIT(OVEk t()0-IXMI BTU)
E]V, jKµ VENTILATION PAN(SINGLH REESID) PAID [)aid Heed lO
Will O n,kar,or Ialone Wdd......r,ra use cyuihlnenl or&-vino whleh H(111,1!H-CDKfP OfIP OR IIXLIXXI BTU]
emit hvadwa air cnnXmirtanlr as dcfilxU hY the tlaY Arca sir paalily Nunagemmn OTA(
Dis nal BOILER-COMP(OVHR 100.000 BTU)
E]Yes XNo
I have trust IW hvmduun nwtmals Iryuilsntcnu under Chapter 6.95 of tin AIR CONDITIONI3H Coli- / ISSUANCE UA'I111E /5
Hmu IIcWm&Softy Cade.Sections 25505.2553]vast 255:X.1 wdcntvW that if fle NEW RISIDENTIAL MECH. SQ.FF.
W iMing Gas ltd minndy have a Isr011t,tla it is my mlmdMlity to mlilY Ik Irivlurx 'T\
of Ile��y�j�/r is/.ttlCh Illw le and Iri:r to Itssrwscc Of a CmI/TK�� f n parry.
.
U,aeroraulhovNagrnl 01 Dou, TTUAL: ISSUFF,BY: I tL
OFFICE
Ba Buildina Designers
467 Archcove Court, San Jose, Ca 95111-1736 (408) 365-8718, Fax. (408) 226-9427
1.
PROJECT NAME: A NEW RESIDENCE FIELD REPORT No. I OF 99002
FOR MR.&MRS.HANK CHANG
20696 FARGO DRIVE
CUPERTINO,CALIFORNIA 95014
DATE: JULY 23, 1999 TIME: 9:30 AM WEATHER: SUNNY TEMP. RANGE: 80's
PRESENT AT SITE: MR. HANK CHANG
WORK IN PROGRESS: THE ROUGH FRAMING INSPECTION (INCLUDING ROOF FRAMING,
SECOND FLOOR FRAMING
OBSERVATIONS AND ITEMS TO VERIFY:
WH
THE ROOF FRAMING, SECOND FLOOR FRAMING WERE
INSPECTED. IT IS FRAMED IN SUBSTANTIAL CONFORMANCE WITH THE CONTRACT
DRAWINGS APPROVED BY THE CITY OF CUPERTINO BUILDING DEPARTMENT
ATTACHMENTS: NONE
REPORTED BY: WENDY HSIEH,S.E.
QPOF ESSlON
u 3 3807 _
STRUCTURAL
* EXP. Gr
6 loo �s
STAT, OF (