99080023C
APPLICANTTO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY W) D Q 00 a13
CITY DE CUPIiRTINO DUILDINC- ELF.CTRICAI.
BUILDING DIVISION APPLICATIONMERMIT PLUMBING. MECHANICAL
BUILDING PROJECT IDENTIFICATION
PE NO
BUILDING ADDRESS. -
►E►_ y�F�n�ct� Lo
SANITARY NO.
APPLICAT N Sll ITTAL DATE
3
OW ER'S NATPHONE:
Co RACf0' NAM" LICNO,
NIC
❑
CONTROL#
V
T/ENGINEER:
LIC N
G)
ADDRESS:
Ul
CONTACT: P 1G
BUILDING PERMIT INFO ,
❑ Consultant Fees Paid by Applicant (Initial)
BLD EL PLUMB MECH
❑
LICENSEDCO RACTOR'S H: ARAMN
1 hereby affirm Thal 1 am IittnseJ under p wmmna nrenapmr 9 (rnmmendng
QTY ELECTRIC PERMIT FEE
' ,t
JOB DESCRIPTION
with Section 700fof Division?ufthe Husincssen I'mressions Code, and any license is
in tell force end eRect.
Liccnu Class Lic.p
1 Dom Cont o"m
_
PERMIT ISSUANCE
RESIDENTIAL:
❑SFDWL [IKITCHEN REMODEL
❑ADDI'TION [:1 PLUMBING R17 PIPE
APPLIANCES — RESIDENIIAL
j . IT ACTS DECLARATION
s
u e as public records
❑ MULTI -UNIT ❑ STRUCTURAL
MODIFICATION
PANELS
UP'1'0200AMPS
[I INTERIOR ❑CHIMNEY REPAIR
Pr esa nu
I OWN' -BUILDER DECLARATION
I herchy afftmt that am exempt from the Commences License Law fnr the
following reason. (Section 031.5 Business and Professions Cala: Any city or county
which requires a permit to construct, alcor, improve, demolish, or repair any sanctum
201.U)MAMPS
IMPROVEMENT E]SWIMMING POOLS
C1 BATH RP.MODEVREPAIR [I DEMOLITION
❑ OTHER
OVER 1(XIOAMI'S
SIGNS ELECTRICAL
prim to its issuance.alo, requires the applicantfar such pe.it tn fileasigneJ statement
SPECIALCIRCUIT/MISC.
that he is licensed pursmmt to the provisinre of Ne Commoner's License Law (Chapter 9
TEMP. j61LIiLLIjkjWLrINST.
COMMERCIAL:
WEW BLDG/ADDITION [I DEMOLITION
TENANT ❑ FOOD SERVICE
,lP/
IMPROVEMENT
❑OTHER
j (commencing with Section 7000) of Uivisie 13 of the liminess and Professions Cal0 or
that he is emmpt therefrom and the basis for the alleged exemption. Any violation or
' Section 1031.5 by any applicantfor a pemat subparts the applicant to o civil penalty of
n more than five hundred dot ars ($50).
Liumwnerof thepro,orty.any employees with wages av thainale aanpemodon,
will do the work, and the structure is not amended or offered for sale (Sea 1044. Business
POWE ICP_S A
SWIM '00L ELECTRIC
and Prefessions Cala The Comrecmrs License Low does not apply hi an owner of
Ou'1'[.I —SW' — FIXT It -
property who bones or hnproves thereon, and who does such work himsull'ar through
his own employees, provided that such improvemema are not immnded or offered for
sale. If. howcvcr the building or impmvemem is sold within one yemof rompletiat,the
NEW IDEN'VIAL ELECTR S
SQ, FT. FLOOR AREA
$/SQ. FT.
-
nor -builder will have the burden of proving thm he did nen hail] nr improve fnr purI
OF
poaeofsala.).
❑ 1. m miner of the properly, am exclusively contracting with licensed contractors to
-T
construct the project (See, law, nosiness and Professions Cale:) The Camrechirs Li.
ttmse Low does notnpply,to anowacrafpntpeny who builds or improvetherenn,and
QTY.''. .A JPLUMBINGPHRMIT
who contracts forsuch projecwith a contraction) licensed pursO
uContractor's
uano the Camractoi s
PERMIT ISSUANCE
License Law.
lamexemptonder Sec. ,B&PCBmthisumout
Owner Date
ALF —D 1 WATEk (EA)
VALUATION
B R( .. HVICE
WORKER'S C(IMPENSATION DECLARATION
Ihervbyafrinnunderpennhyol'pvrlutYonoofthefol.., _deolar. tons:
6iS�` /D
DRAINS— .GOR, ROOF, AREA, GOND.
I have and will maintain a Certificate of Comsenuo self -insure far Worker's Compact-
smion, as provided for by Section 3100 of the tabu Code, for the performance of the
work for which this penn0 is issued.
STORIES TYPE CONSTRUCTION
1, C
FIXTURES —PER TRAP
❑ I have and will maintain Worker's Compensation Insurance, as required by Section
37W of the latter Code. for the performance of the work for which this permit is issued.
/" ...J
GAS— EA. SYS' OEM I INC. 4 LETS
OCC. GROUP
APN
My Workers Compumehion Insurance carrier and Policy number are:
Carrier Policy Nod
GAS — EA. SYS'll?M-O 4 (BA)
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not he complued if the pernit is for one bmdred dal lots lS 1 0
or Iris)
GREASFJINDU L WASTE INTERCEPTOR
BUILDING DIVISION ITITS
GRBASII AI'
PLANCHECK FEE
I certify that in the performance of the work for which thin permit is iswed, I shall
esuhjecn the W'orker,tr Con
not employ any person in any manner so as to becomn
SE :k—SANITARY—STORM EA. 200 FT.
ENERGY FEE
smion Laws of Cmifnrnio. Data
Applicant
WATER HEATER WNENT/ELECTR
GRADING FEE
NOTICE TO APPLICANT If, after making this Certificate of Exemption, you should
became suhleut m the Workers Compensation pmvisions of the Labor Code, you must
WATER SYSTEMO`REATING
SOILS FEF.
forthwith comply with such provisions or this permit shall les decned freaked.
WATER SERVICE
CONSTRUCTION LENDING AGENCY
I hereby affirm that Nem is a construction lending agency hit he periormance of
NEW RESIDENTIAL PLMB. SQ. FT
PAID
Dam Receipt#
the work for which this permit is issued (See. 3091, Che. C.)
I<nders Name
TOTAL:
Lenders Address
TOTAL:
BUILDING FEF.
1 caddy that I have read this application act state that the move ioa,rmmiat is
correct. l a gree marmply with.11 city and county oNinances and sate hews relating to
building construction, and hereby authorize representatives of this city to enter upon the
QTY.' - MFCHANICALPF,RMIT FEE
-
SEISMIC FEE
PBkMI'I' ISSUANCE
ELECTRIC FEE
above-ammioned pmpeny for Inspection pn ,pos°Y'
and keep haress the City of Cupertino against
(We) agree to save, indemnifyM
ALTER OR ADD TO MECH.
PLUMBING PIiE
Iiabilidex,juJgmmma, costs and expenses which may in any wayiccmeagaima said City
' nsequenc or the min fIf IE� pmnit.
AIR HANDLING UNIT ITU IO,OW CPM?
MECHANICAL FEE
APPLIC 1 N TA ND WILL COMPLY WI 1 AL NON -POINT
5 URf it •f t A J
AIR HANDLING UNIT (OVER 10.00 CFM)
CONSTRUCTION TAX
EXHAUS'1'HOOD(W/DUCT)
HOUSING MITIGATION FEE
Si oat n App acro m
H1Z! 5 MATERIALS DISCEUSUN:
HEATING LOAD (1010,()(H) BTU)
Will theapplicnnt or mrchuildingowcupant shire or handle haantles material
as de0nal by the Cupenlne Municipal Cale, Chapter 9.12, and the Health and Safety
Cale,Section25532DU
,0 BTU)
11P -TING UNIT (OVER 100
E] yes No
Will the applicant or future building occupant use equipment or devices which
,im
n1
❑Yes
PAID
Dam Receipt#
VENTILATION FA N(SING LF, RES ID)
BOILER—COMPCHPOR 1,000TU)
" TAL:
NOILP.R —GDMP (DYER IIHI,IIW BTU)
AIR CONDITIONER
Ihavereaddtehsm oriels to under Ch ter 95 of the Cnli-
a �e reyuiremcn
ISSUANCE DATE
NEW RESIDENTIAL MECH. SQ. FT.
a
125505.25533 nod 255]4. unJ .rand That it the
builJinhat it is my respnsib' rym if the occupant
fomia HmnmM�f
�7I
I'
of ncc pancy.m
ISSUED BY:
L Date
TOTAL:
/ OFFICE
INVOICE 'INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
CITY OF CUPERTINO
`moi BUILDING PERMIT INVOICE OPERATOR: yvonnek
Sec: Twp: Rng: Sub: Elk: Lot:31602107.00
INVOICE DATE......: 08/03/1999
REFERENCE ID # ...: 99080023
SITE ADDRESS .....: 3 INFINITE LP
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: CUPERTINO GATEWAY PARTNERS
j ADDRESS ..........:
CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014
CONTRACTOR .......: LIC N
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ...
TELEPHONE ........:
NOTE: THE FEES LISTED ARE ONLY THOSE DUE BEFORE PERMIT PRINTING
FEE DESCRIPTION CHIC TOTAL FEE PAID -TO -DATE BALANCE DUE
BENERGY
A
23.10
0.00
23.10
BPERMFEE
P
117.00
0.00
117.00
BPLANCHR
A
62.25
0.00
62.25
Ell
P
2.22
0.00
2.22
CEPT
P
6.66
0.00
'6.66
B PALT
P
24.42
0.00
24.42
BSEISMICRE
P
0.60
0.00
0.60
MPERMITFEE
P
35.52
0.00
35.52
2]1.7] 0.00 271.77
•
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
I
CITY OF CUPERTINO
BUILDING PERMIT INVOICE OPERATOR: yvonnek
Sec: Twp: Rng: Sub: Blk: Lot:31602107.00
INVOICE DATE......: 08/03/1999
REFERENCE ID # ...: 99080023
SITE ADDRESS .....: 3 INFINITE LP
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA ......:
OWNER ............: CUPERTINO GATEWAY PARTNERS
ADDRESS ..........:
CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014
CONTRACTOR .......:
COMPANY ..........:
ADDRESS ..........:
CITY/STATE/ZIP ....
TELEPHONE ........:
VOICE ID DESCRIPTION
........ ............................
101 FOUNDATION
103 UFER
.6 ANCHOR BOLTS
UNDERFLOOR PLUMBING
UNDERFLOOR FRAME
301 ROUGH PLUMBING
303 ROUGH MECHANICAL
305 FRAME
307 INSULATION
309 EXTERIOR LATH
311 SCRATCH COAT
501 FINAL ELECTRICAL ENERGY
503 FINAL MECHANICAL ENERGY
505 FINAL ELECTRICAL
507 FINAL PLUMBING
509 FINAL GRADE
514 FINAL PUBLIC WORKS
LIC #
VOICE ID DESCRIPTION
102
PIERS
104
REBAR
106
SEWER S WATER
203
UNDERFLOOR MECHANICAL
205
UNDERFLOOR INSULATION
302
TUB 4 OR SHOWER
304
ROUGH ELECTRICAL
306
HOLDOWNS
308
SHEETROCK '
310
INTERIOR LATH
313
ROOF NAIL
502
FINAL PLUMBING ENERGY
504
FINAL BUILDING ENERGY
506
GAS TEST
.508
FINAL MECHANICAL
510
FINAL PLANNING