29811 APPLIC}1NTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
• CITY OF CUPERTINO BUILDING-ELECTRICAL PERM[TNO,
BUILDING DIVILSION APPLICATION/PERMIT PLUMBING.MECHANICAL 29811 8 1 '1
BUILDING PROJF,CTIDENT6ICATION J O 11.
BUILDINGADDRESS: SANITARY NO. APPLICATION SUBMITTAL DATE
Lk
OWyFJt'S NAME .O/'Ir. �HONF,: COK Cf�'SJNA.S1 - LIC NO:
O\JCC T` p. a lot
NIC CONTROLN
ARCIIffECTWNGINEF,R: LIC NO'. ADQSS: Irl
756 AIPI 1 1�
CONTACT': PHONE BUILDING PERMIT INFO
❑ Consultant Fees Paid by Applicant(initial) ,BL FI PLUME MECH
❑ ❑ ❑
CONTRLACFOR:soECLARATION QTY ELECTRIC PERMIT FEE
1 krtby.)Drm ma I.m RarcW out pmvhiwts nr Cooter 9lcommmcin¢ JOB DESCRIPTION
X00 with Sauon]000ffist. ision3of Bc FlusiressaM Rofcxiaru code.mem liceveit
ger' y PERMITISSUANCE RESIDENTIAL
'n full fma and e1Tat.
'UE IiceruN 'ad - OSFDWL El KITCHEN REMODEL
-W Cuna.ct APPLIANCES-RESIDENLAL ❑ADDfHON [I PLUMBING RE-PIPE
Z O Z 1 urndaaund my p1.ruRs1W be ad uLlwblic rtrnrdx PANF]S ❑MULTI-UNIT MODIFICATION
071 p UPTO2()0AMPS ❑INTERIOR CCHIMNEY REPAIR
(:W Liccacd Pmfcrsiorel 201-14A)AMfS IMPROVEMENT
sy
OWNER-Ft xemptOE Ce Corlr1UH _ OVER 1000AMPS Q BAIII REMODEUREPAIR ❑DEMOLITION
Gr OCO U I M1crtny alllnn that 1 om exempt fmm the Conlrvcmr'.Lisnec Law for Inc
F following notion.(.Sidon.703 1.5,Baton.oat ProtN..dun.Code:Any city or county SIGNS ELECTRICAL Cl OTHER'
F�W Fyy.. which rtyuirn u permit to mnxtra4 alter,improrN,dcmMish,a action any structure
(5e prior to its i.arce,that,requires Phe applicant ftrnuch permit to flc.sigoeJ VaI., SPECIAL CIRCUITIMISC.
tba M i.Ilctanad litararrain m the Prawmomof tlr Gxumctoh Lwlsw(Cliti9
N ppo0 (...in,with Sauon 1000).f Division 3a(the Ban.,and Pmfessi9as Cade)or TEMP.METER OR POLE TNST. COMMERCIAL
d
Is.e n' Had he is excmlr tlwcefmm and the buil r«the Wle¢ed exemption.Any violation d ❑NEW BLDGIADDITION ❑DEMOLLITON
_4• Scwion 1031. y 5 bmy aupWiN^ru fa a PmnitsuhjaB the grpc
lierg to.civil PeNnity of POWER DEVICES
mN ❑TTNANT ❑FOOD SERVICE
F„�y T na nuc dun Rvc l Prol l dallm y idsop.
0 ❑Ln.nwrcror Jx leopendor.is employes wiNwagautheirsok mnpnuation. SWIMMING POOL ELECTRIC ' IMPROVEMI1Pf
_ oad dothscwak,Cosk, swcuve isnai Lies Law dafa. roaly.1DYf.Bu.of ❑OTHl7t
aril Proreuitrhi Codc:Thc Cmtr.ctor's and w Lew Jncs na apply to lf owner of OUTLETS-SWITCHES-Fl RES
13$ gnpmy wM huilJs err impmvm thaarl end who.Isclot,s
orrd. wrrk himself m through
Ink own Nmplvyen,raildoed tlxl such improv.,Id arc na imcneal rr oRtired pr NEW RESIOFMIA E SQ Ff.
-ner-Mrwcvmllhve thebaimlrcmattcnt iaadhwitninorc yawofmmrve forPar- SQ.17.FLUOR AREA vSV.FT.
cr1wllJcr will have the bunlcn of proving tlwl M1c did not mild orimpmve for pun- � '
pmc of Wile.). m �
a owrc
1, r of fc prel, o excluxively contractor,tor,wlicrnral eco rnetax m 10'FAL: Lj p
corwruct tM1N pnrjnt(Sn.7t ,Busircxs end Profcuiau CMc:)Tlc Conuect«s Li-
emu Lew Jrca rut eptly to m owrcr^f PmKnY who huiMLs a irrtpmvn dertaa,enl QTY. MBI M FEE ry
wits conrula far atria with.conveyor l licemd u
Pun.tuto the Comr.cbas
lai ^//y z(� ���
I.tccmc r.
PERMIT ISSUANC V 1/ L�
❑1 un exempt undo Sec. ,B&P C for oda reason Vr r U
Gw11Q Dint, ALTBR-DRAIN&VE, WA 1 "r VALUATION
WORKER'S COMPENSATION DECLARATION RACK FLOW PROTECTI '.DEVI rf Y(�
I ltcrcnyill vndcrprnilPY of perjury meerr the fnomvingdorlaws err
❑ ss std ws,!fo by Sc Ccni3 ro of ConamroCode.fir fnr W'akMs Comp err DRAINS-FLOOR.ROORAREA,CO STORIES TYPECONSTRUCIION
ef r pruviJM fur by Section 3100 of the lady Code,fou the lerfonrtarwe of thefiction,
work fuwhim ill tenthis iuvcd. !lX'111RE5-PER TRAP
novo and will rosin la, rro Cr ,rc ul I Pinn Inaumrcc.which rcquirto ,i Senitm
My oftbu horn Qak.fnrlltauranc mmcur and Polk l ivdoraNispermit ie iawW. GAS-EA.SYSTEM-1 INCA OVfLFIS OCC.GROUP APN
My Wmkcr's CnmPcnsvtion Inswvtxc aricr and Policy numhcr arc:
I Curio, Policy No.: GAS-EA.SYSTEM-OVER d(PA)
CERTIFICATE OF EXLMF'fION MOM WORKERS'
COMPENSATION INSURANCH GRFASMNDUSTRL WASTE INTERCEPTOR
(This secuan 9eW rte be cmrylcwlHthc famit is fa one handrail dellen I$100) e D [VISION FEES
rc kss) GREASE TRAP PLSNCHECK IT
I anify rbll in Nc paiamarne of Ne oro Rrwltich llyaTmwos; wd.I slWl
rot y perm in my nonanso e/ub' f•.-Waw, SEWER-SANRARY-SfOkM EA.200 ff.z O C�mprn- ENERGY FEE
WATER HEAT -V
ER WNENELECIR
PplicanP �� _��5 ER GRADING PIA
'Z
SOL'ICE'fU APPUCANT If.after ni=gg lIT#9 cnittcdc M ExcmpuoM you NouIJ WATER SYSfEM/TREATING
banne.ubje d to thin Worlwes Cnmprnatim prnvi.iimr of the I.Wwr Cade.you must sOlLs EYE
fortnwith enmplywith.wchinwi.ica thix Pmrutshill he lamed rtaakee. WATER SERVICE
pp, O
biz CONhere LENDING fandnGFNCY NIiW RESIDENTIAL YLMH. SQ.IrI'. PAID
Q lc acreby saaon(vSce.onlnding .)yfa Phe perfnrnartaof h¢ RaeipN
O .r the wurk or which the permit it i.ssad(.Ser.JIB],Civ.C.1
1<alera Norte
Esa
C.7 krs AJdrt s TOTAL
TOTAL:
IsS 1 cenify thew I have red this application and xatc that Jin above infmnatien u BUILDING FEE
h c�.le¢reetocomplywiNailcity Mc ntyoNimnen.mn.telawt rtlau'l. QTY, MECHANICAL PERMIT FEE
�.) 2 buidinl eomuuedov,and herby wthoriu rcpcsrnutivn of els aPy to Bruer upw the SEISMIC FEE
Yro s-surn innal Prolcny fa inspauon palusn.
OV:d to rte to save.iMemni(y and kap Instar ss the City of Ctrpenino.g.iew PERMIT ISSUANCE EIFLTRIC MEJ
Iiabilitin,judgrrmts,emu wdexperee which mey in my way..,nmol w.id City ALTER OR ADD TO MECH.
In avue4 Mthe grmung of this pemdt. PLUMBING I•
AI'PLIC .T UNDERSTANDS AND WILL COMPLY 'ETH ALLNON-POINT AIR HANDLING UNIT ITO 10."CFM) MECHANICAL .E
SOUP '
• AIR HANDLING UNIT(OVER 10,IXNI CPMI CON.SfI(UCTIO
Signatumof ApplirvnUContrad�r Jath EilXAUSTHOOD(W/JIUCT) I{OUSING MITIGATION FEE
HAZARDOUS MATERIALS DI.CLOSURE
Will tM opplirmt m furore nuilJing rrcupmt um or hmJlc hvardou.mnicninl 11EiATING UNTT fID 1(I(I,fyMl BTU)
es def nal by tM Cupertim Murdcil d Calc LTapta 9.12,snl de Healtn ad Sets,
Cedt.Second 15532(a)P HEATING UNIT(OVER IDUOD)BTU)
C3 Y. E]No
VENTILATION FAN(SINGER RESID) PAID
Will out,applicmu ortutee building--has,me dprrcnP or dcriccs which Dore RseciptN
it hneudsts Bir cawmiruw its d irlM by etc Bry Arta Air Qtmlity Muugerrcw BOILER-COS1P(3HP OR 300.000 BTU)
OTAL:
iurtml BOILER-COMP(OVER 100.000 BTU)
❑Yin T-1 No
1 ave rtad the luvmduu discards GDNDfIIONFR
nISSUANCE DATE
myuirtmMa uNa Chepta 6.95 offt CWI-
ftvnia learth&Safely CWc S<cdo ra 25505.25513 and 25534.1 utdastard eat If thm NEW RESIDENTIAL MECH. SQ.FT,
handing aw_v uX NvrmnJy heve a tenwa,That it is my rnpotu'ibilhy w notify Ne ocavpam
or Phe naPt rarcnu which must he met Prim m...of a CenIDate of GaOrte ney.
Owrcr or aurhairN.gent Dwc TOTAL: I ISSUED B
OFFICE
10300 Torre Avenue
Cupertino, CA 95014
( ilv nl
Gaperth-1.o Building Division
(408)777-3228 .
(408) 777-3333 (fax)
January 15,1996
Homeowner
7842 Festival Drive
Cupertino, California 95014
SUBJECT Permit: 429811
Dear Homeowner:
We have been cleaning out our files in the Building Department, and contacting those
people with permits which have remained "open".
According to our inspection records, the subject permit has never been finaled. Many
times an inspector will sign the permit in the field, but neglect to report all of the
information to the clerical staff for input into the computer. If your records show the
subject permit as finaled, would you please contact us so we may complete our records?
If the permit is not signed off your permit can be reactivated and an inspection could be
scheduled for final closure of the permit
If we do not hear from you within ten (10) working days, we will dispose of the file and
remove the records from our computer.
• Thank you for your assistance.
Sincerely,
CITY OF CUPERTINO
Christy Akatiff, Administrative Clerk
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