28068 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
L
CITY OF CUPERTINO BUILDwG-ELECT RICAL PERMIT NO. ^ O
BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL.
BUILDING PROJECT IDENTIFICATION
68
BUILDING ADDRESS .001 �yI C SANITARY NO. APPLICATION SUBMITTAL UA'1'E
22- 3.#0 ' ,✓. i—W UNIT# 124 Its IQ I', Tif
OWN ERS Ng&'0.Sf((;�jS PI10NEi C NTRACfr'SNAVE: /� t LIC NO:
W W 1( 'I[GW( y♦ +a. SIC CONTRO a
ARCHITECI'/ENGINEER: LIC NO: ADDRESS:gI�SJ '$
(,',trrlk
CON'T'ACT: PHONE:
(S� QTY. ELECTRIC PERMIT FEE �; BUILDING PERMIT INFO
A//��� B� ELECT' PLUMB MECII
R(SI V PERMIT ISSUANCE
LICENSED CONTRACTOR'S DECLARATION APPLIANCES-RESIDENTIAL t C
a=7 1 hereby affirm that I an licensed underpruvisionsof Chapter9(commencingwith
FWOO Section 70M)of Division 3 or the Business and Professions Code,and my licenxc is in PANELS
CUE fu8 force and effect. 9
cQty.ZLicerue Class Lic.# UPT02MAMPS 1
LrQy Dute Contractor 201-Ifidd AMPS
)ONZ ARCHITECTS DECLARATION OVER IOW AMPS SQ.FI'.FLUOR AREA $/SQ.FT.
O Z_ 1 understood my plana shall he used as public records.
W SIGNS ELECTRICAL
s Liesnaed Professional
OWNER-BUILDHR DECLARATION SPECIAL CIRCUTOMI$C.
ax OytJ I hereby affirm that I am exempt from the Contractors Lissom law for the
W
1,h following Mason.(Section 1031.5,Business and Professions Code:Any city or county TEMP.MEI£R OR POLE INST.
F'Iz'O which rquimv a permit m canstrua,almq improve,Jemaliah,or repair any s menne
$WYE prior to its issuance,alae requires the applicant for such permit to fi le a signed statement POWERDLVICLS
Wi�O that he is licensed pursuant to the provisions of the Contractor's License Law Ecre"er
9(camrnmemg with Section 9000)of Division 3 orNe Business and Professions Code) SWIMMING POOL ELECTRIC VALUATION
pj^y or that he is exempt therefrom and the basis for the alleged exemption.Any violation of
I-•Z¢ Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of OUTLETS-SWITCHES-FIXTURES
E 10 not more than five hundred dollars($500). ` ' ew
❑ I.asownerofthepon M.ormyemployeoswiNwagesastheirsolecomlcnsation, NEWRFSIDEM'IALELECIR _SQ.FT. STOR TYPF.CONSTRUCTION
y3°= will Aothe wnrk,anJ@c.aruaurc isnot imenJeJ oroffertA for sale(Sec 1000,Business
and lindessions Ceek, Lie Contractor's License Law does not apply to am owner of
property who builds or improves thereurand wh i does such work himself or through his
own employces,providedden such improvcmcntsnrtnot immadedoraffered hostile.If, OCCGROUP RES.UNITS
however,the building or improvement is sold within one year s(completisn,the owner- TOTAL:
builder will hove the burden of proving that he did not build or improve for purpose of
vie.).
Elro
I,a ownerofthe ppemy,am exclusively contracting with licensed contractors to QTY. PLUMBING PERMIT re
FLOOD ZONE APN
Lrmtrvta the p jmBusiness oil(Sec.1044,Businesoil Professions Code:)The Contractors
icense Lawdoes not apply to anowneroffiri erty who builds or improves therms,and PERMIT ISSUANCE
whscontrons forsuch projects with acsnVacmt(s)licensed parsuanuuvhe Commissions ALTER-DRAIN&VENT-WATER
License Lew. (EA) 47FETE SUMMARY
❑ 1 am exanpl unAcr Rcc. ,e&I'C for this mason BACK FLOW PROTECT.DEVICE OUT.TDF.F£E
Owner Dam SANITARY Y
WORKMAN COMPENSATION DECLARATION DRAINS-FLOOR,ROOF.AREA,COND. RECEIPT#
❑ Ihereby affirm that l have a cemplate ofconsenttoxelf-insure,oracerificamof SCHOOLI'AX
. , . Y
N
WFIXTURES-PER TRAP RECEIPT
PARK FEE Y N
covers all employ.x under this permit. GAS-E.A. STEM-1 INC.4 OUTLETS RECEIPT'a
Policy a EASYSTEM- BUILDING UI VI ION FEES
Company GAS-FA.SYSTEM-OVER 4(EA)❑ Certified copy is hcrcby fumiehed. ( PLANCHECK FEE
❑ Certified copy is filed with Ne city inspection division. GRF.ASE/INDUSTRL WASTE INTERCEPTOR
GRADING FF.E
CERTIFICATE OF EXEMPTION FROM WORKERS' GREASE TRAP SOILS FEE
COMPENSATION INSURANCE
(This section need not be completed ifthe permit is furore hundred dollars(SIM) SEWER-SANITARY-STORM EA.200FT. ENERGY FEE
or los.)
I certify that in the performance ofthe work for which this permit is issued,l shall WATER HEATER W/VF,NT/ELECTR
of employ any person in any manner so as to become subject to the Workers PAID
Campcovtionlawsof Califomia. Date WATER SYSTHMUREATING
O z Applicant Date ReeeipIa
z C) NOTICE TO APPLICANT.If.after making this Certificate of Exemption,you should NEW RESIDENTIAL PLMB. SQ.FT. TOTAL:
Fy become subject to the Workers Compensation provisions of the labor Code.you must
forthwith comply with such provisions.rlhis permit shad l he deemed revoked. BUILDING FEE
p, A CONSTRUCTION LENDING AGENCY SEISMIC FEF.
Z I hereby affirm that there is a construction lending agency for the performance of
U O the work for which this Kind,is issued(Sec.3091,Civ.C.) - TOTAL: ELECTRIC FEE
W (r lenders Name
O U Leaders Address QTY. MECHANICAL PERMIT FEE PLUMBING FEE
U I certify that I have read this application and state that the above information is
F4 Innen. lagmeto comply with all city and county ordinances and sane Iowa relating to PF.RMI'1'ISSUANCE MECHANICAL PEP.
_ building construction.and hereby authorize representatives ofthis city to enter uponthe
U Z abnvemealinmed property far inspection purposes. ALTF,RORADDTOMECH. CONSTRUCTION TAX
(We)agree 10 save,indemnify and keep M1ums th
lm e City of Cupenian against
has.lOes,judmrmI.costs and expenses which may inan ways cugain: aiJCo AIR I IANDLING UNIT(TO 10,000 CFM)
i#cun q nl the ring of Chia Permit.
AIR HANDLING UNIT 10,000 CFM) — 'it'—
Si mar ommcmr Dom ill EXI IA UST I GOD(W/DUCO
PAID
HAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO IW,000 BTU) Date Receipt#
Will the applicant or future building occupant store or handle hazardous material
as delined by the Capetian Municipal Code.Chapter 9.12,sad the Health sad Safety HEATING UNIT'(OVER I W,OW BI U) TOTAL:
Cale,Section 25532(x)?
❑Yes 0 N VENTILATION FAN(SINGLE REBID)
Will that applicant sr future buildinnecudnt uses preen BOILER-COMP(3HP OR 101,00(1 B'I'U) ISSUAtdC�D�TF�
pP g Pe yui maudily Mormilhemit a' o b
zarcuus air comnmiwms as defined by the Bay Ama Air Quality Management BOILER-COMP(OVER IW.WO BTU)
District?
EI .I/' �j
Yes C1 No NEW RESIDENT IAL MECH. SQ.PT, JUN N 0 r Jnaa
I have read the hazardous materials requilmomm;under Chapter 6.95 of the !aI/��r 995
California Health&Safety Code.Sections 25505,25533 end 25534. 1 understand that V
iflhe building does not currently have a tenam.tind it is my respansibilay to nmiryme Ur �Uf'EH)'A/n
sultan(of the requirements which must be met prior to issuance of a CeriGcate of
Occupancy.
Owner nr amhnrm<A agent Date
TOTAL: ISSUED HY:
OFFICE
r
WOODSPRING REV-26/1/95
TOPPING SLAB-TO-BULIDING
JUNCTURE WATERPROOFING D I
W.R EXTERIOR GYP. E) D
BUILDING PAPER (E) JUN - 71995
BLDG: INSPECTION DEPARTMERT!
INSULATION (E) CEDAR SIDING (E) CITY OF CUPERTINO
REPLACE WHERE
DAMAGED OR
MISSING ADJACENT SHEAR WALL NOTES
TO LIVING SPACE
8" CDX
4"
'] 4 O.C.C.
E.N.
12" O.C. FIELD NAILING
23 x BLOCKING (N)
ARc
I-Ijl=u . EXT. GYPBOARD
ho CODES AND ORDWE THING TYPE "Xl' (N)
STA Q — WOD SHEAR (N)
yTF
..EN 'AAL
Z' — MATCH EXISTING 3/8"
� SFO s t of p!a s and tpcc:r, ar�•
OF UAB a ton t; ;,,n st :.;;., s lt: 'DETAIL
DETAIL A/1
f to ahe aaq ;r;;._;; or alterations
s wilb sritteauparrnis:i@0 NTER FLASHING
g t., :,ity n. i7mLer n
6 4 2� � GSM PRIMED & PAINTED (N)
to ping or t„,\g!an alio sp";j i tons
SILL PLATE (E) I 0r `` nei” to? +t-orNO;N 81-IRINK.ING GROUT (N)
p . ra of the latyn o1 any Provisions
/ •ity 0r111an _ or S;..; t..WATER PROOFING MEMBRANE
PER MANUF. REC. (N) - OVERLAP
PT NAILER (N) XISTING MEMBRANE 3" MIN.
o
p a p a p
. o . . . o 0 0 o 0 0
NOTE: WATERPROOF MEMBRAN TO EXTEND BONDING AGENT
�� (N) AND (E) TOPPINGNG SLAB AB
VERTIC YL INI t.M'OF 8" ABOVE (E) SLAB
•" FOR ADDITIONAL STRUCTURAL NOTES:
SEE APPROVED PLANS BY DEA N.T.S.
-WOODSPRING
TOPPING SLAB-TO-BULIDING
JUNCTURE WATERPROOFING DETAIL
DETAIL A/1
in
;I
— 1" MIN.
CAULKJUNCTURE
BTWN SLAB AND
COUNTER FLASHING
17 ? 0
D � a
5/31/95TZ
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,,Na ren a �• '
32
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NOTE
DO NOT REMOVE MSMIC
HOEDOWNS AND PLYWOOD
BALCONY
SHEAR NpTERIN. COHERE /_
INSlALLEO PER ORIGINAL •. \//
PLANS. / V
MATERHOLDOIAL AND SHEAR
MATERIAL SPECIFIED ON MIS
REPAIR PLAN REPRESENTS
MU BE 1r ONLY ND - �T �—
WHERE ORIGINALLY SPECIFIED
MATERIAL WAS OMITTED OR /
ISCONFIRMED DEFICIENT OR
IR NOW SHOWN TO BE 4
INSTALLED.
ocDR00M#1 BEDROOM#2 DINING ROOM
• - CHECK FOR SHEARMATER
SEE
WALL 3CHEOMIESHEARI
ON
SHEEI'De - -.- LMNG ROOM ,
♦ - CHECK FOR♦_PoL#o4RL — - -l- — ---E--
(WHERE PIDE INSTALL
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PER
DETAIL '
K CHEN
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CONNECTIONS PER HALL
DETAL 14/OS ---
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FIRE RATED NAW SEE_7'efj-meq N:
LLAT �ERrR� DtT ATM#2
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1 T/2EVISED PER PLAN CHECK ^ B
IR-,:5 [R .H#1 /
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UNIT TYPE A #125
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