S 0951 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO RUHAYINC.-ELECTRICAL FERMI I NO
BUILDING DIVISION APPLICATIONIPERMIT PLUMBINC-MECHANICAL C+
BUILDING PROJECT IDENTIFICATION O
0951
BUILDING ADDRESS: SANITARY NO. A SURMI'FFAL DAFI3
/.r 2 '/ 1z r- 9 7
OWN' SNAME: PIIONIr.:_ - CONTRACTORS NAME,: LIC NO
i NIC CONTNOLM
.' ARCHII'IiC
Of
ll' LIC NO ADDRESS: ✓ ❑
l
CONTACT. PHONE. BUILDING PERMIT INFO
❑ Coinisa tans Fees Paid by Applicant(Initial)PLUME MECH
LICT.Nsiin CONTRACTORS DECLARATION QTy ELECTRIC PERMIT' FEE
1 ler,ny dTan tw 1 em Licvenl ander Pmvisims a LTup1a 9lmmrrcrcmg JOB DESCRIPTION
��Z avian section nglolanliviarm�nnlm Ruarcx.amt l'<naxdla..Gak.andmyhn�ar,i. RESIDENTIAL:
Irl O O PERMIT ISSUANCE
F-�_ in full fun and ?A � ` 0SIUK'1, El KITCHEN RIiMODIiI,
�U�j l.ieenw Clns J ` Lk'M _ APPLIANCES-RESIDEAL ❑ADDITION 0PLUMBING RE-PIPE
Zw Ihac Cm.
NTI
F ARGIThECTS DECLARAI ON ❑MULTI-UNIT [I STRUCTURAL
F ti 2 I tarakmaml my PImLA shill the tamed vs'N ic'ecoNs PANELS MODIFICATION
OZ�z UP TO 201 AMIN ❑NTERIOR ❑CHIMNEY REPAIR
F'
FF-. LieeasN Podcsaoaul 2,11-I0IHAMPS IMPROVEMENT 0SWIMMING POOLS
M
( l OWNER-BUILDER DECLARATION OVER IBfH1AM1ll5 [IF,LR
BATH RFMODF.PAM ❑DINOLITiON
I K C Q I hercbRnle
y arIo I um exen,from the Comtrealo,,Licence Law for the
O a U folkwing omrm.(Section 703".Business urd Pty fimions,Code:Any city or county SIGNS ELECTRICAL [I MER
3 n.{"�- wnieh ad,tairca a Pe.it 10 eOaOltram alley.inlProVn.d[npliFn,tr rcPmr troyxVtpan, —R-��Jelin-
1I-_O1_0
ryor J Pto its isxuarc<.dwrecuirts the its,icanl fu..v"peonit to Rk s s'rmccl rnrerll SPECIALCIRCUrTMISC.
Qythmheie licenoed Pomaanl ml be pntvisior,oflM:Cont tur'e License law fCha Ner9
sp0 Icornrtercing with Seclie](p(B of Division J M the Faciamesew PrefuAionx Cale)w TILMR MLTE.R OR POLE INST COMMERCIAL.:
a Ih t he is umnpl IMmtmm urW the lu.is for be alleged exemption.Any vialmion of ❑NEW E OG/ADDITION ❑DEMOLrrON
N Sceim'hlll5 by any eppicvuforapermitsubjects the rppli.m.civil Pc Ah,of POWER DEVICM ❑TFINANT ❑FOODSERVICE
net more amen live hOnd ed collars ISCHII. IMPROVI ME2T
El SWIMMING popery,nrmycmPlnymwithwnga a.IhcirrMecOmPerswinn, SWIMMING POOL ELECTRIC
�O will Jo ate wuh,ard the urvcane u not imcnlcd oroRcml fm sak(Sec.7(w.B". ❑OTHER
3 e4. and Professi.Coate The Conlicluh -co IO,Ww docs n t c,,Iy no an tavrcr of OUTLIES-SWITCHES-FIXTURES
popmy wW builds u impnvex th ncm,tad wtas Jnr such work,hani or frost
hie rwn mnployecs.ponvidN that sneM1 impmvcncros are mx InmMN re nticrN for NEW RESIDENITAI,BI,IiCIR SQ FT.
I
Mk.If,hawCA .I WiUnguimllrovammlix WJwiOinmeycwdcmminim,Ins, SQ.FT.FLOOR AREA $/SQ.FT
1 awne,1mildr,will have the buds.of,Ot,IMI Ie did rag build Or impmvc Gtr pu-
ll pmt of uk.) P A 1 p
1,se owner of Inc popery,am Oolu.isely con.in8 wN con
with Iicensxu acmm AL:
apt ,the project(Sec.70,k4,Rusircss and Pofeuimlx Cak:)The,Con—ad's Li-
seL,t. aces ploy mm owner ofpmpeny who Mrilcis or lmpovu%thereon.end QTY. PLUMBING PERMIT
wooRmnYoxfor.tach Projects wiln vcmtrectmis)IinneJ Pursuant lntM CmlrBeh✓s t6b /.y,eM
License Uw. PERMIT ISSUANCE
❑ lam cxcmis umkr See ,B&P C for this rcmon
ALTER-DRAIN&VENC-WATER IFA) VA LUATION
Owner Dam
WORKER'S COMPENSATION DECLARATION BACK FLOW PROTECT.DEVICE 'I '
I hmehy affirm u Wes Penally of perjury one of the follv,iny Jcclan(iomx: .J
C3 I havcudwill maimein.Ccnifesmof Co.1. elf-inion,furwmkcrt Carol DRAINS-ILOOR.ROOF.ARFA, FIND STORIES 'rYPECONSfRUCI'ION
wtas TroAded fix by Section 370X)of IHe Inrt th
MCalc,frc e Jeri notale of date -
y�i'h for which Of,Permit is bosomed. IIK'rURES-PER TRAP
pal l have vW will nuanwin Worker'.Compcwsrim In.wruna,u required by Section
§'AN)M the lsNOr Code,frc he perfom eof the work for which this Pcraut ox ixsuN. GAS-FA.SYSTEM-I INCA OUTEl (ICC GROUP API.'
My Wudrrr Co p ANinn >erc eN Polly nu}�t cr tea'- -1 ,,p GAS-E.A.SYSTJN-OVER 4(IA)
Cenxr:�Q G—EM Policy Nn.:=W.I Z�yp-/-
CLRTIFlC EXTIONISURANEO0.KL'R ' GREASFIINDUSTRL WASTE INTERCEPTOR COMPENSATION INSURANCE BUILDING DIVISION PEES
(This¢ctionrmlyd bcrnmgmNi[Je permit ix fmnmhumlrcJ Vellera($Ifq) GREASETRAP
or to..) I'IANCHiiCK 113E
Ic'enify Jtv inohcpMmnuna of ohs wort:forwhichthimrmul is isrmd,I shall SEWER-SANITARY-STORM EA.29) T ,
ENERGY FCC
net employ any prmm in any aawnnerso as to been,.subject w INe Workers Cod oto
0Z it..Far—of Cdifornia.Date WATER HRATIR WNENT/CI.13CfR GRADWG FEE
NOTICE TO APPLICANT:IL after making this Cmibeenc of Exemision,you JseT WATER SYSTCM TREATING
becomVl
e bjnl to Ile worker's Conyocrocto on pre'O'am of the Lhrn tha
Code.ym. t SOILS!L:
Wfonhwith r.,I,with such r'rosi onsor this Pcrtil shell be deemcJ revoked. WATER SERVICE
1 CON3n,is.c DNL lent AGENCY NEW RISII)IiNI'IAI,I'Ln11i. SQ.FL PAID Recdp
U Lfore hich this Pe Jcrcisnmd(.SeermkrdinpagercYfort l6e Pertonvrce of
t•+ Inc work for wM1ich this Permit I.iv.IIM Ike.1119),CEv.C.) TOTAL
F-' IrMcr's Nome11-1
1<Wcr'sAWrua - - TU 1'k,L: HUILDIN[
I,wfy tow I Mvc reed Thu apPliealiun mad meat,that the above infommtim is
Fra/) nxrt'cLlogm muomPly with ullcity andeoir ymJvurccsrrdumclaw,teltengm QTY. MECHANICAL PERMIT FEE
V SEISMIC FTE
Z MJIJingcrosvunion.and hertby euthorire rtpercnlalivcs of lM1u citymmlcr uPm tM
" above-nsenlNna'd Pmpeny far inNectim Puryoxs. PLRMITISSUANCE
(We)agree to ave,im4mhanify aral keep Okes ohs City of CuPmirau againstELECTRIC FEC
IieNlidea,jodgmenu.euro eml..leaves which nary in wy way earn aieinR sod City ALTER OR ADD TO MECH.
PLUMBING Fl31
cnuytactec of Ih,grant,of this Amit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT AIR HANDLING UNIT LTO Ix."CFM) MECHANICAL IE
SOURCEREGULATIONS.
AIR HANDLING UNIT(OVER IB,"CFMI CONS'IRULTIO'TAX
Ir Sigvdweof AMbesiv/Cmheclor Date EXHAUST HOOD(W/DUC) HOUSING MITIKVTION JIM
llA ARUOUS MATIiRIALS DISCLOSURE
Will i e vppli.m foam,building occu,a nt wort Or hardke hvudous muecial IIEMING UNIT(TO I01,0N)BTU)
is,skllueJ by Inc CuPcnirm Munie Pat Coale.cleanser 9.12,and Ire Hcs11n end Safety
Code,Swum Z5552(r)1 HEATING UNIT(OVER I(Iq(I(If1BTU)
L]Yes, ❑No PAID
VENN.ATIONPAN(MNGLERESID) Dan ReselpY
Will the aPPlicvnt Or fumrt boat",uc'uPanl tau cquilment or&,vm ex which
,mil lh,t.drme air conlnmiwms ee dcfacd by the tiny Arca Air Quality Maougenent BOILER-COMPFIHPOR 1(0,OhFI3TU)
TOTAL:
D l ROILF:R-COMP(OVER FX)T())BTU)
El Vie, C1 No
1 base nod Ih,hvardou,rwerialsmryin mak
as ,Coupler b95 of the CWF- AIR CONDITIONER ISSUANCE DATE.
fomia Health&Sfny533
huikling(Ma.mx cvrr,nCdyudM1ca,vScma e'u11n:Ns2I.Imxl Zsif.1athat
MLfNEW RISIDITIAL MFCiI.
hanit is raynapxtatMlity In nei theucaeydan
ofoh mryircmmu whkn mau he mel Fnrto kstoaccofdcri aeof kcuPvey,
�:M. r r-� 9
, 7
Owncrarvdonn'ed gcnl Uw! 'rOTA L: ISSUED BY:
OFFICE