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03060078S -Z too 4d6 �pz C UJyU n0t; coo e� �I CITY OF CUPERTINO $ BUILDING DIVISION PERMIT CONTRACTOR INFORMATION`,- a BUILDING ADDRESS: 71 () TJANNA MR STRAIGHT LINE CONSTRUCTION ....No03060078 R'S NAME: 1575 INDUSTRIAL AVE,:.UNIT L`SJJ`9 .0/2003 NE: fI (408)441-9660 SANTIARY NO, CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRd under S DECLARATION I le.7 e)of that 1 am under provides of Chapter 9 (commencing Job Deseryeigp�.tiospn�gny Bd with s=rceand0)af DiWion3aftbo BudtmuaM Pra(cssiem code.aMmylicctec is of the in Inti fmtt and erten p� �• � Licenses Class , 8 FENCE Ise "'�"�`ryP'° comm Dam Cunts,cCL ARCHITECTS DECLARATION 1 untcrsunJ my shell M used u records �� 0 2 2003 plans Public Licrn¢d Professional OW NER.BUILDER DECLARATION I hereby , form that I ma cs chapt from the. ConumYs License Law for the BUILDING following resson. (S=oon 7031.5. Business and Pmfessiooa Code: Any city or county which requires a Permit to construct, alcor, improve, demolish, or repair any structum prior to its issuance, afsu rop ices the applicant for well Permit to rile a signed summer, that he is licensed pursuant w the: pmvisims of the Contractor's Lucmc law(Chapter 9 Sq. Ft. Floor Area $-j,�ty�tion (commencing with Section 7")of Division Sof tbo Business and Professions Che) or Nat he u eaompt distinction, and de basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a Poland, subjects the applicant to a civil penalty of 3 ARN �'JII ERBe7 0 0 Occupancy Type am mart Nan ftw hundred talions, (5500). panty I,ss awrcr of Ne property. ser my employes with cagesasthir camcamperisWen, willdot warice&Mtlmsuucwmisnatinmr doroRert fmsale(S=.70aa,Budtmss and Professions Code: The Convector's Li=me law deed mat apply to an owner or — d Inspections 102 - PIERS property who build, orimproves thereon, and who doessuch work himmlfor through hat awnemployead,pmvided thatsuch improvements art notinenhed cantered forsake. If. 103 — UFER however, the building or improvement is sold within one year of completion. the ovii Wilder will have the burden of proving that he did not Wild or improve for purpme of 104 - REBAR 105 . - ANCHOR BOLTS Kj;) 1, son nester of the progeny. am exdusivcly contracting with licensed convaaors m co roll de projcn (Sec. 7tJaa, Bminess sena Protessiam code:) T7e contncmts li 10 6 — SEWER & WATER cense law daces not apply ta an owner of properly who builds or improves Demon. and 202 - UNDERFLOOR PLUMBING Lim on I clifor¢uch projeea with a conlnmor(e) licensed pursuant w de Contractor's u=fee 203 - UNDERFLOOR MECHANICAL ❑lame qunder5=. BkP/CCfe"'i'/c`oaJm"' 204 - UNDERFLOOR FRAME " DION 205 - UNDERFLOOR INSULATION WORKER'S CO HPETS TION E ATION reb ret under penally of pepury ate of the fallowing decimations: 301 — ROUGH PLUMBING a 11 have and will maintain a Ceniricam of Co.., to.Ir-insure for wmket. Compen. 302 — TUB & OR SHOWER .tion, as provided for by section 3700 of the labor Code, im the performances or the 303 — ROUGH MECHANICAL work for which Ni, permit is issued. 304 - ROUGH ELECTRICAL ❑ 1 have end will mdnuin W=astInsuInsurance.as s Compensation Insurance. required by Sestinas 37W of No labor Code, for the performance of the work for which this permit is issued. 3 05 — FRAME My Worker's Compensation lnwrame carrier end Policy number all: 306 — HOLDOWNS caner. PO CERTIFICATE OF EXEMPTION FROM WORKERS' 307 - INSULATION COMPENSATION INSURANCE 308 - SHEETROCK fTni¢a=dnn need not the completed lithe Permit is intent, hundred dollars(SIM) 309 — EXTERIOR LATH ser less) 310 - INTERIOR LATH 1 unify Not is the popeor . of the work for which this Permit is issued, l shall not employ any person in any manncrso. to become subject w the Workcn'Compu.uon 311 — SCRATCH COAT Law, of Cdrcomia. Dam Applicant A, 313 - ROOF NAIL NOTICE TO APPLICANT -.If. after making this CcniBcatc of Exemption, you should 501 - FINAL ELECTRICAL ENERGY became subjem on tits Workers Compensation provisions of the labor Code. you most fothwith comply with such provisions or this permit si be demand ranked, 502 — FINAL PLUMBING ENERGY CONSTRUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY I hereby affirm that Nem isacemtinetinn lending agency for the Performantt of 504 - FINAL BUILDING ENERGY the vi Ncwurk for which lhu pcm=.47, tit is issued J0Civ. C.) Name 505 506 - FINAL ELECTRICAL - GAS TEST Lender's Address 1 certify that I haw rod this application and sum that the move information u CORC=L 1 agree as comply with all city and county Ordinances and raw how missing W 507 - FINAL PLUMBING building coram ion, and hereby authorio, represenutiws of this city to enter upon the — FINAL MECHANICAL move -mentioned property for inspection purposes (We) agree to.w, indemnify and Jump Mmmless the City of Cupertino against 0 FI liabil"e,judgmene.eose and expenses which may in any way aceruc against mid City I NG line uencc of the granting of Nis pi APP I NT UNDERSTAN A WI COMPL W ALL NON -POINT Issued by: 5 C WORKS Date SOU C REG A NS. Re -roofs _ /� Si, afA lican onuactm Data DISCLOSURE AZARDOUS Mding Type of Roof illy a applicant m future building nmvpant am ser Modic havardous mamrial t as de Snedec by the Cupertino Munrcigl Code. Chapter 9.13, and the Health and Safety ^dc, Schon 255J2(t)? / ❑res gN All roofs shall be inspected prior to any roofing material being installed. Will the, fcant or future building Occupant use a pp g p equipment which If a roof is installed without first obtaining an inspection, I agree to remove g P it ham rdnus air conteminanu as recd by the Bay Arca Air Quality Management all new materials for Wict? Inspection. C] Yes 1 haw read the bvasdousmsmrials requitcroords underCMpte Q95 ofthe cater. nit Hmd"Safctycodc,Secom, 2350 ,353 3and255Jd.1 undereandtha ddre, Wilding duoirmcurni ban a "an.Na it my rat M y w nouly the occupant of the regw ntawncnm bet t(,ne` -Treem fketga /UVJ Il i5- Signature of Applicant Date All roof coverings to be Class "B" or better own ,amari sent Data r CITY OF CUPERTINO g' y O oprior $ 'Z, t" >'*''' mare ''a^"'�a�+fi"`"'°' a"'�" e BUILDING DIVISION PERMIT ONTRACTOR INFORMATIONS '. BUILDING ADDRESS: STRAIGHT LINE CONSTRUCTION PERMIT "03060078 NER'S NAME: 1575 INDUSTRIAL AVE,:.UNIT RMIT �Ug%�0/2003 ONE: (408)441-9660 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDO ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description p 1 hereby affirm Net I am Incensed under provisions of Chapter 9 (commencing with Sermon 7W) of Dmaion 3 of she post .... nd Professkma Code.and my license is L'n full to. and.ffent. t 8 FENCE /y icense Class La.A Dam Contract, ARCHITECTS DECLARATION �t Iundcrsund my,t..tWl Wused republic me.,& O3'd Licensed Pmfcasional OWNER -BUILDER DECLARATION 1 hereby .(Sero 1 License Law for the exempt from the Conions Cc o following reran. (Scotia ]Ins5, Business and Codc: Any city ala county on 1. d moil or swctuto improve. do which mquirca a permit improve. ermsWc6 Oct.applicant a asig ed roe such permit to Glnssigned statement m Permit mslissuance.also requires theevision Sq. FL Floor Area -jt{gtgt�tion of thmnrrmcc,n itbSnuvntmlh)ofDivisionthe .FtheRuacu andprsvlsw(Chapter Codle)9 n3 or theoged T0ndda Any violation of bases she mvpa...Anyn iltkm Nal io u exempt shcnefmm and the beer for the alleged that M is exempt crefrn 3'ABNMf5er00 Occupancy Type plicanon. Schon 7031.5 by any applieanrfor apermit subjccu the applicauo+Civil penalty of not more than five hundred dollen (S50K)k . I, as owner AMA property, Or my employees wish wage as their sole compensation, — dlDs eCt1005 p will do shcwork, and the swewa is not intended ural@red fmmle(Sm. 7044, Business and Pmfmiom Code: no Contractors Lt.. Law does rot apply to an owner of 102 - PIERS Property who bulldsor improves thereon, and who doesauch work himself car through his own empl.wea. provided than such impsaymunu are not tntendW a offered fmaate. IL 103 — LIFER however, the building or improvement is sold within one year of wmpiction. to own.o Prove the rden of proving that he did not Wild of improve In, purpose of builder will hbu 104 - . REBAR sato.). 105 - ANCHOR BOLTS KLas owner of the property, am uclustv.ly contracting with licensed Conbanma In 106 - SEWER & WATER a tract the project (sec. 70", Business and Professions; Code:) The Conuacurs Li - Come Law does not Apply to an owner of property whn Wilds of improws themen. ad 202 - UNDERFLOOR PLUMBING who nom .0 fhp.pmw.Naconwc,or(s)iia=dpmamnlwft Cony CI&S 203 _ UNDERFLOOR MECHANICAL Ltcu x ❑lame pt..&,See .B&PCfOT1hi3neason 204 - UNDERFLOOR FRAME 205 - UNDERFLOOR INSULATION WORKERS CO +PEP StT1ON E ATION 301 - ROUGH PLUMBING rob fmunder Penalty ofpeguryamofthe following declarations: 302 — TUB & OR SHOWER ❑ I haw and will maintain a CeniGnte of Comenuo self-imom fa u 00 Workers Compnn- sation, provided for by section 3]of de Labor Code, for Ne performance of she 303 — ROUGH MECHANICAL work roe which this Permit is issued. 304 - ROUGH ELECTRICAL 1 have and will maintain Workers Comp.mation insurance. as retrained by Section 305 — FRAME 37W of Ne Labor Code, for the perfmmaccof the work for which this permit is issued, My Workers Com1n1.60. lnncomm conic, and Policy number am: 306 — HOLDOWNS Corier. Policy No, 307 - INSULATION CERTIFICATE OF EXEMPTION FROM WORKERS' SHEETROCK COMPENSATION INSURANCE 308 - (Thr section recd wt he comptemd Rine Permit is fmonc Warned dollan($101B 309 — EXTERIOR LATH "rleaa) 310 - INTERIOR LATH I ceni(y Net in the perfmmanc. or the work for which Nis p .it is issued, I shall net 311 - SCRATCH COAT employ any,emon in any manner an As to become subjecuo the Workcra Compensation L-awa of California. Dam 313 - ROOF NAIL Applicant NOTICE TO APPLICANT: IL Arm making this certiricam of Exemption, you should 501 - FINAL ELECTRICAL ENERGY Wwme subject to Ne Wo knees Compensation provisions of the Labor Code, you most SOZ — FINAL PLUMBING ENERGY mfthwithcomply with such provisions orthis permiishaRWdeemed mrnkcd. o. 503 - FINAL MECHANICAL ENERGY CONSTRUCTION LENDING AGENCY I hereby jBim that Nem Or comwction lending Agency fm the perromenm of 504 - FINAL BUILDING ENERGY > the work fur which this permit is issued (So,, 309], Civ. C.) 505 - FINAL ELECTRICAL QLendersName lender's Address 506 5 0 7 _ GAS TEST - FINAL PLUMBING I .entry that I have read this application and sum that the shout information is .pCCL I agree to comply with all city and county ordinances and share laws totaling to — FINAL MECHANICAL V building construction. and hereby aoshvm m ortm mpremmador this city enter upon the W above-mentioned property for impaction purposes O F I 6, (we) agree to save, indemnify and keep harmless the City or Cupertimt against p) livbil"ctJud"men;'emradeapensmwhichmayinAnywayamumagainstmidCity I NG Z Inn ueneeofdim anti., Of thisperml APP I Nr UNDERSTAN A WI COMPL W ALL.NON-POINT SOU C REG AT NS. \ \ Issued by: 5 C WORKS Date Re -roofs Type of Roof ' 6 `v v L Sig ata CIA li<an Contrawtor ate AZARDOARDOUS MATERI S DISCLOSURE ill the Applicant w forum building aeupanumm or lundle havallous material As do nCd by the Cupenino Municii I C.&, Chapter 9.12. and Ne Health and Safety Soda Section 25532(+)'! / - All roofs shall be inspected prior to any roofing material being installed. ❑Yea ,; ON. .If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant of more building occupant aw cyulpmar or devices which Cron hazardous air common.;u m nncd by the Bay Area Air Quality Management all new materials for inspection. District] ❑ Ycs P have mad the W.rdnua ma¢riala nequirtments under Chapter 6.95 of dm Califao- ata Hcalrh A, Safely Code, Scctiuns 2550 .25533 and 25534. P undersand that if the building das cum.mly nave a ¢cant she it my mt i nlity m notify the aeuPar of the Date m,d ata anion m i lej ffro; cert ricate anupanFy. _ Signature of Applicant / V / All roof coverings to be Class "B" or better own r aamne sent Date SRIfflaa- CITY OF CUPEIITINO C^ OF CUPERTINO 0 0 PERMIT APPLICATION FORM APN # !�7 J , d Date: b Building Add es 100 o 8eAn0e,-, Drl Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot Owner's Na mo t&l SE^ vS5 Phone MECHANICAL BBOILER2 Boiler > 100K to 500K Btu Contractor: S� 3 +. L) tv" e Ct- c Ty License #: 3 31 Contact: mJ) 1i t/6 $. U �_ c�� U Cupertino Business License#: MECHANICAL BBOILER5 Boiler > 1.75M Btu B r ding errmit Info: BCONSTAX Construction Tax (Bldg lect ❑ Plumb Mech ❑ P hG ob De ription: C�� BCONSTAXBQ / -Rest ential BCONSTAXH omm rcial ❑ Sq.Ft. Floor Area: BCONSTAXR $/Sq.Ft.: BUILDING BELEC1000 Elec 600V <=1000A Cost of Project: Occup Group Type of Construction: ) BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING L IF L FIA Quantity Fee ID Fee Description /Pee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boiler > 500K to 1M Btu MECHANICAL BBOILER4 Boiler > 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/ uasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax — Resi/Mobile BUILDING BELEC1000 Elec 600V <=1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V <= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING 1of3 12,CITY O ('1 IPFRTINrl CRY OF CUPERTINO PERMIT APPLICATION FORM 2 of 3 Quantity Fee ID Fee Description Fee Group BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi -Family Res MECHANICAL BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL BNEWMULTI Multifamily Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BNUMULTI New Multifamily Res PLUMBING BNUSFD New Single Family Res BUILDING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING 13PCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste hiterceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING Ask BPREPIPE Re i e Of Fixtures PLUMBING OF BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <=10,000 cfrn MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREM 3USWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace > l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non -Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL 2 of 3 t'Dwm CITY OF CUPERTINO CITY OF CUPERTNO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL BREMSIGNAD Rmdl Sips Add Branch ELECTRICAL BREMSIGNS Remodel Sips, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issuance PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG Address Chane BUILDING • 3 of 3 FENCE APPROVAL CITY OF CUPEkTINO Community Development Department 10300 Torre Avenue Cupertino, CA 95014 • s 03 a3 (DATE) I am an adjoining property owner of ��t!'r w2 . Z (NAME) whose property is located at �5> Hanlna r. / CtV (ADDRESS) I approve (as per Ordinance No. 686, Section pp 16.28.040 of the Cupertino Municipal Code) the allowance of a 0 foot high fence facing (8 FT. MAXIMUM) my property. SIGNED: NAME: ADDRESS :�u L� W, C i -'a F, l H)—b Q M/4/; hrr ✓e (408) 777-330 .,ti ser; FENCE APPROVAL. CITY Of CUPERTINO Community Development Department 10300 'Corte Avenue Cupertino, CA 95014 (408) 7 3-°3 (DATE) I am an adjoining property owner of 11�Ih� [A) I ,) �f�U ►5 whose property is located at IS,,I %A nn `AME) (ADDRESS) I approve (as per Ordinance No. 686, Section 16.28.040 of the Cupertino • Municipal Code) the allowance of a foot high fence facing (8 FT. MAXIMUM) my property. SIGNED: NAME: ADDRESS: 13-160 11 VtA D c (:IJ g�c - I VLO Gk n U Saturday, May 31, 2003 6:47 PM • is To: Mr. Ching -Seng From: Julie, 257.6698 • Page: 4 of 4 �� FENCE APPROVAL CITY OF CUPEkTINO Commuoiry Development Depertrnent 10300 Torre gvcnuc Cupertlno, CA 95014 (4011) 717.71,011 663 ATE I am an adjoining property owner at (i#1lY q --ZA / � (X,6;,� whose property is located at f O / AA l (ADDRESS) I approve (as per Ordinance No. 686, Section 161 3.040 of the Cupertino Municipal Code) the allowance of a e�—, foot high fence facing (8 FT. MAXIMUM) my property. SIGNED: NAME: ADDRESS: SC7 N .l 5' 7' 18711 Wsom Avenue • 60' 25' 5 21 IN ACCORDANCE WITH THE CAY 0 CUPERTINO CODES AND ORDIXANM 5' 18710NdfiinaDdy:c�� ' O 3 - This set of p.ans and spec:iiraticns .MIJ N oe kept on the jots --t a3 times and et.is! n lawful to make any cha.;ges or al'eratil rr an same without writtr3 pe•c,,ssf:m Irrr Ox building Dept, City O1 titlX t,90 - The stamping of ihis p M ,rad >Fvalica[ie is he d to Do rnit 0. ;o m 1pproval of th violalion of ary rga=' n• .f .arS� t=anv Cy a11M I 20' h t n cti /o Hanna Drive Proposed Fencing 100' /Q60P