S 2135 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING.ELECTRICAL 1'I.
BUILDI'NGDfWG.
SION APPLICATION/IPERMYP PLUMBING nu!CUANICAL trr No
,' 2135
BUILDING IRO)ECI'inuNTIF'ICATION
•BUILDING DDRESSk SANITARY NO. APPLICATION SUBMITTAL DATF.
OW 'R'ti AlM771��i:
T('l CONTRAG wd� C _CDMU kOrL
k
( c5 'iV7�`� ,rr NIC
]141'I'ECf/ENGINEER: LIC NO: ADD/[S�O/ X4,,e,(
f I, �I !W'A/a f EJ
CONTACT: PHONE: - 'kHUILDING PERMIT INTO
/Or C SO�pz>_V 2 , ❑ Consultant Pecs Paidby Applicant(Initial) BLDG F.LIiCI} PLUIIIy ME❑CIi- -
LICENSED CONT'RACTOR'S DECLARATION QTY ELECTRICPERMIT FEE
I hereby alum that 1 stn licensed under provismns of Chaper 9(commencing JOB DESCRIPTION
OUZ I.i fallf force
cle nessvnd Pmfacrion.Code.und lay llenisuls RESIDENTIAL
X00 - PH RM 1'I ISSUANCE
rawCI
H In full force end et(ec
N Opel s3 0 ❑SIrDWL El KITCHEN RIiMOD1iL
y6F Dote_;C_�'� Q Counwor tla N✓xIP 4./ APPLIANCES-BESIDESFIAL ❑ADDITION ❑PLUMBING RI-PIPE
ARCIUTUC'I"S DECLARATION PANELS ❑MULTI.UNIT ❑STRUCTURAL
hZ Inndemm�d my pions shallhusar ac public record. MODIFICATION
O Z-C UP'I'02(I(IAMPS ❑INTERIOR - ❑CHICHIMNEY RIiI'AIR
r,�F7U Licensed Professional 2111-IIIWAMPS V\\\��_IMPROVEMENT (]SWIMMINGPOOIS
fly,k'�J OWNER-BUILDER DECLARATION OVER 1000AMPS rl(j1fATH RIMODRIIRHA1R EI DEMOLITION
1 hereby affirm that 1 am exempt form the Contractors Lim
d ue Law for the ` _
�qy O L U following reason.(Section 7011.5,Business and Professions Code:Any city or county SIGNS ELECTRICAL ❑OTHfek
u+3
"I" which requires a permit to caamucl,a1mr,impmrr.dentolinll,,T rapair any slmahte _
priorm its issuance,almmil irenlheapplicant fo stob penton,fileasignedslalement SPECIAL CIRCUIT/MISC.
E�} that he is licensed pursmmm tine pmcisionxofthe Contractile,License Law(Chapmr9
(commencing with Secrion7mithorDivision 3 of the Business and Professions Cnde)or 'I'P.MP METE7R OR POLE INST. COMMERCIAL:
6 q m y
but be is crempt Imiefnm and the basis for the alleged exemption.Any slid inn of ❑NEW BLDG/ADid DUN ❑DEMOLITION
W,,,y Section7031.56y any ir'Neant fora permu'alaieasmeapplicad1".civil penalty or POWER DEVICES El TENANT ❑FOOD SERVICE
F+ZG not more than rive hundred dollars($500) IMPROVEMENT
d (] I,osowtmrnflhe pmpeny.anny moroyeua w ill,wages us their vole utmponxudon, SWIMMING VOOLELECTRIC
p5.0 will dolhework,arida TheCurewriar' License
FH4,linsiness ❑OIHEI(
6 3 m and Pntfe f.b Cale:The Contmarro License Law does not apply to an owner of Olfl'L[TS-SWITCIIP_ti-Fl%TUHFS
h Lq:E
his own whooyees,pr improves thereon,and who Anes such tinte himself oTetad Ru
hisowncntpmi,the provided that snchimpnwcoldw are not younfloTolivnxl this NEW RCSIDI3N'1'IAL'ELIiCIR SQ FT
sale.If.however.the building orimproveenem is sold within one yearufcumplctinn,the .FT.I'LGGR AREA $ISQ.IT.
owner builder will have the burden of proving that he did not build or improve for pro,
p,xe ofxde).
Ej s m owner rel the See 70y,,B exclusively annmmins wide:)The
contractors
i OTAL'
constrict the project(Scc.it,
Business and rty Professions Gdc:)Tho Contractors Li-
c se oaawd«snot r'aarb apply ith. manamnywhobu. n."mon,,thememnmand QTY. PLUMBING PERMIT FEE
who annlrvctx for maltpmjcalx with uconmactor(s)Iknmial pursuam to Nc Cnnflvetnh - ^
LiemoeI., TERM]T ISSUANCC r sY
0 I an exempt under Sec. B&P C for this mason _
Owner Date ALTER-DRAIN&VENT 7 WATER(EA) VALUATION
WORKERS rude,
COMPENSATION DECLARATION BACK FLOW PROTECT.DEVICE (^ OU d x
1 hand d larm under penaltyof perjuryone ofahafollowing Workea's Cl J
�Ibave end ode main by ection Doe of the Labs Code.lot tCn rimmSce of the
DRAINS-I'LOOR,ROOF.AREA,GOND. 5IORIG; 'fVPE CONSI'KIJCTION
lotion,as provided for by Section Did,of the Ichor Calc,for the perl'nrmance of the -
tar which this permit is issued. 19\TURFS PER TRAP
huvc and will mamma Worker's Compensation In...a ce.:n required by Section
1700 of the Lnhrn Crede,for the perfnnnana of the work for which Onix permit is insucd. GAS-f,A.SYS'I'EM-I INC.4011'I'LI?TS OCC.GROUT' APN
My WorA( Co npensntion Inaya s rant Policy ,ll�ber
Canicr:3�-erle Fy yance ariePolicy No.: ]�/�r]_��/ISL GAS-F.A.SYSTEM OVER 4(EA)
CI7RTIFIC'A'T✓7
7OF Ei%EM1iPUON FROM WORKERS'
COMPENSATION INSURANCE! GRIiASHANDUSTRI,WAS-1❑IN'I'HRCEPI'OR
BUILDING DIVISION IiliF.S
(This section near not be completed ifac permit is mrone hundreddollars S100) GREASETRAP
or less.) PLANCHECK FEE
ver that is the perhmnane„1'thework lhrwhichdopennil irihsacd,(shall SEWER-SANITARY-S'rORM PA.2Wlrl'.
not employ any Person in any manner so as m heconm subject no the Workers'CmIan- IiNIiRGY Hili
Z aum.Laws,f California.[)am WATER HEATER WNEN'T/F.IT(TR
APPli,i GRADING REE
yNOTICE TO APPLICAN9111;atter making this Cerdficatp of Exentptimt,you should WAFER SYSTENInKENI ING
become sub em tit the Workers Compensation ns or the Labor Code,you must SOILS FEE -
j pcnsn provisions
LA) forthwith comply with snch provisions or thisµanon shall he J<emeA mvaked. WAITER SERVICE
;DzOr
CONS TRUCTIOISLENDING AGI!NCY NEW kESIHIiNIIAh1'LMB. SQ.FC PAID
U O Um Receipt p
I hereby amtthatkiis a aw
msag a
ion lendingcncY for theµrf<trmance of
the work ror which this permoul it is issucsl(Sea 3(97,Ci¢C.1
Lenders Name 'IOTA L: ,
U lender's Address TO r
1 certify that 1 have read this application and state that the mbme information is ,- y
rZ) concd,.l agrecmc,.nply wiflt all city and courtly nnlinanaxand sync lawn ralming to QTY. MECHANICAL PERMIT FEE.
C.) Z buildingconnmeiun,and herebyamhorize mprescmetivcnnfihis city Rtenmrupon the 'SMIC O
ahovenonati.ned pmpeny for inspection lova . PERMIT ISSUANCE
- (We)agree to save,indemnify and keep harmless she City of Cups nina against ELECTRIC
iahilllics,jmRmenu,c,.as anJ exµnses which nwy in any wary accrue vgainm salt City ACIERORADUTOMECIT -^
in mnscquentt nr the granting of OtisµmtiL PLD 1 MI 9 S / 3 V
APPLICANT UNDERSTANDS AND W'CL COMP TH ALL NON-POINT AIR HANDLING UNIT(TO 10,000 CFhU
SOURCIiR .ATIO' MECHANICALH\
+�, r-rte AIRIIANDLINGUNI'I'IOVERIII,01DOCFM) COry$TkD
S,,mmmofAppliunW1Camrarmr aCa Data EXHAUST HOOD(W/DUCP) HOUSING MITIGATION PEL=
HAZARDOUS MAI'Ij UAI S DISCLOSURE
Will the applicant or future building occupant store or handle hraddoas material HEATING UNIT(TO Bit prof BITP
as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
Cock,Scaion 25532(u)9 HEATING UNIT(OVIR 101L(XR BTU)
❑Yes V EN]LA IION FAN IS I NOTE RPSID) ('AID
Data ReceiplM
Will the applicant or feuere building occupant use equipment or devices which -
fu harridoux air roni
ntmnunts ax defined by flue Bay Ates Air Quality Manugammn BOILER-COMP(3HP OR 100,000 BTU)
Istria'!
Cl y,,, -[F
MOILER-COMP(OVER I WAS)B'IU)
'IINit
I have rend the he nous mI% rifrlmloan r CIO.mr695 of me Call. AIR CONDI'I'IONP.R ISSUANCE DATE
poria ilealth&Safe,,,
afery CWe ons 255U5.2553 d o 334.1 umdersmnd that if the NI?W RESIDENTIAL MECH. SQ,FT. Q .a
buildingdtesno mr, • ammno tsihiilh µ
y to notify the
fire a canon rest ha rest Prii .three of a cr c ypptytcy.
cr ora rind gem d DTmje TOTAL: ISSUEDBY:
OFFICE
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CONTRACT CABINET 1501 Laurel Street
'' San Carlos, CA 94070
jl3i ay r; Phone: 592.8020
awop
Lic. No. 302530
Kitchen& Bathroom Remodelln
r '
1 _ _e
ED TO
ppn
•
PROPOSAL SUBMITTED PHONE DATE
'd' ' STREET• April 98 1998
-
`k" .,� JOB NAME'
CITY dSTATE AND ZIP CODE JOB LOCATION'"" '
9V00
nn
ARC ' ECTI JQ0.2 :,nJ !O Snfnl`i , '., ,f,, DATE;OF PLANS ., t
• ,I:bl „i „ r JOB PHONE n
:?:•:fes •.,.: , . x. '�S - ., .':w i .If
,.. .. ,..
We ha'i'tiy tufo nit apecificatlonafor thefollowlnp.work)ai$at forth herein and on,attaehad addendum:
HALL BATHROOM
.PRE➢I nl��Tp(t•J,lil ,y lro ':I '1 o,de. „n0 I','( J: 'i ,,, . : ,, vtl'lafn to ylfv -.iyil r ! ' o
PARA1ION., :1,o1'.. ,c. 4.14!Plans,tan4•.permits. Iu , J ,i;, ,: , 1, , .,c , ,. , . '., ,,,•. ,,, _
- } 'hu m01io2 iiA3,tJk.l tlar!'n(lan•,.! , ,I +I,Uvr Erlll Q' ,'. �,,4�1 Vr1 I. ^.'. .!n• I :i;
•" DAIDLITION: Remove existing tub, sink and toilet'.
+ - ' ,i. '•
o V ,� 1' ri1., 7 ,, st il•, "'C L I '
(. PLUMBING: I r Install tub, waste and overflow,i pedestal s'ink's tubd1valves;"`
! lavatory-valves and toilet.
;i e;:l,,..,r w; io '.:amni6, K' rs!'.r,5 ��^,=+I
+'- ,It.r_rq•'er!J Ori,J of ,,, r
ELECTRICAI ..•:foChange ? ,, •.d .,..: p n•, .li: : La:•9 , rw,n R t.
:" '"' Chan a out li ht and
8 g change plug ,to,G.F.�I:.n,:ogc Y.•r n;,r: ,,i.n,o ln.,,
CARPENTRY:
Dry rot allowance, $900:00 _ • f, r
,
L ' 'SHEETROCK :
As needed'in bathroom. Tape and'sand"for paint,r .or.wallpaper.
W)u
fEQhJIPMENT:'r r'9°r''"- ' Tub, 60x30 cast iron, color white.; si •,$ rf w(i to
Tub walls" 60" h '
{ igh, cultured marble'
St,r '1!' t;,;,:r irv!,I'l1'1 ,o ,4 it
• .• ..t..,,.. i, rn u........
ill Pedestal sink, Kohler white, Chablis
G .—Waste and o rflow, chrome
`[`•" Toilet (N Gavo344-N , color UdA.Ve $175.00 allowance
,Medicine chest, 14x24
}{yl• Light' bar, three bulb in chrome f;
' S G.F.I.
{f" - `Tub enclosure, chrome glass/o�bscur
k -—Lavatory valves, # S/� r `•U•1 $175.00 allowance
--.--.Tub valves, # 4 I!,
$175.00 allowance
!jf _Vowel bars, chrome, T.P. holder chrome
�:. Floor, vinyl
f' j j •Pa/v( '',0 a•F't� pIi¢ Co 'l crc--
LABOR: Install all of the above and trim out.
CLEANUP: By contractor, broom clean.
NATE: Any changes or additions to this contract will be charged on
a time and material basis with!',labor charged at $68.00 per
hour per man, including any dry rot work necessary over the
allowance. ,
I
y`'• iIi �,
''` ABINE
n CO TRACT c r 1501 Laurel Street
iD ; y San Carlos,CA 94070 .
k
Y. ' •:.; '� r_. �; Phone: 20 ,
WEIRLD , I Lic. No.. 3025 302530
I� `Kitchen& Bathroom Remodeling!
PROPOSAL SUBMITTED TO PHONE DATE
d� STREET
qtr
April 211 199a--2-
fx ,
At CITY,STATE AND ZIP CODE JOB LOCATION' ' '' '""'- ' ' •` y" ,w.... •.,,• ,� t u ..,,
it
YlVOB.2 n41JSln?2974'J1 ,2b2iru01q Oil 'J:G e,li,dJ i. tu.. h, y < 1 !
i ,;:, t' n9 Urh 29J u111tnOJ ISG df1UD Pif! S['f" ,
ARCHITECT,_sgo52 snl to er,011i I 'Jln 'In anC IDATEIORPLANS +, ,I •p -:r
a._t•,, 1` �. L�I,'MxU ,b0iiynll 70 ttstt JOB PHONE i! 10 tine❑
r, I ...
.... _.. ,
µ uWa herYby rubmlt rpeclflwtloni for the followlna:wprk,er at forth herein and on,etteehed addendum }r(jj,'f/I�iJ Cj�'sr11 2t'+fi Ta:Wtt015! IrO;)� '
" {iI MASTER BATHROOM !
fa
�r I I eidrn/di7178:,11?l0.�% +l;:ni••. end .tq ul � �JtagO,,l,
PR>tPARATT
ON a Plans and, permits.
Ili nx r. e„ 'IJ9J' I 'l ,lu I - .•', If. 1 1 rt711 H17 n illUb ylnq it,j. .:...J !
r
t r q'7n afl J1u sV rl,J7lhn "Arfc tonmrb , rl g ' o '•,t In t ly O y1lJc pl/ I +
1 DEt�OL1TION ,�� „ r,r ,i1 ;Remove existing shower,''floor;• tlorilet
-61 21 11n i111U HDU '10 1Z r, /
�
ie PLUMBTNG, ''Yns to nnilalnly buluInstall`shower'6valve;t lavatory�ivalve land toilet': J r x. ] t] n�u' �:
zfd mJnSeao tq 1o,11um,;rl 8 ve a.nlaho rhulvJ i 7,$iow arU
b ' , na : it ,
d* t{ ,, }o ,tiarinnlblo to d „t {nf ELEC {IGAL ,Change
_out ligfit. ono, plug to„G.F,I
Id,�ItV P,f'v'1 wj hio,
Ann fl16 :G !I1JJ6W01(j lliw Dnbl
s t rC - 'r •.v„ ,I.
t� r 1 at•,t<f, „� o Ibflur9'plea;lilt{qt. yna nLb, pIrrliutttua r':
CARPENTRY Dry rot allowance, $'9'0”0.00
r ? IISVy,lsl 90 �fIW bne 7f?tb lJllJ 1n31t y6 i tO..prsll h IL 1rtU.4?In rIl :r ,. „Y'Ip ,t ir,sfnPs'I?fi nslll I:v n0 '{ill0 d-Oh' rq:•
1«ti ' SHEETROCK As needed' in batfiro(5m ? Tape and''sand Eforr1paintnbrII d11'paper:”
•* o'dua'to Ieiiwo e[il t 0 to e!_a yd 4'�t ,) b yof,loi.b:,busx6 ud IIIIL; IoJoaurlo'j
' 'SQL '+ 2nitio8 oifduG ;Ji;Ilinl ol!tlug io u:n; ;old„no t,rof,i to zin J.
*a
361 naplcn<C}} {.:J, ,M�. ., , t - , " wf
Y
11361 non yd neBPJlbL rU 291:NiyonlirR�`.P`"Ys��71J' tDf';Vl7gtnonq•xhori,/,r, �I�t�piq (t i ,e d91uq lD still la })✓t6W rf xi:
f EQtjIPMENT: Shower pan, cultured marble !! �c1 �� k r (NJ �„
1 r Shower w��ls cultured marble.
f a ai dr Ornl p otr. Hilt r,�In r'":+t •rt ,AI rv„ b v'
t TO CONTRACT OF Aiir , , LD ; ';,
i LavatoryC valves, # 5 ^ �� Lt��-�/ $175.00 allowance
^ Shower valves, # )Fi O 175:00 allowance
a ! _Pedestal' sink, Kohler, white, Chab
n
Toilet; 6.16ecolor $175.0Cl allowance
„ "z� ! ,.• Medicine,chest,chest 14x24
p
Light bar, three bulb chrome
Shower enclosure, metal, chrome, glass; obscure
__.--Towel bars and T.P. holder, chrome
+ 1!` Floor, vinyl, #
LABOR: Install all of the above and trim out.
ts,
CLEANUP: By contractor, broom clean.
NQTE: Any chanes or additions to this contract will be charged on }+'
�
a time and material basis with Tabor charged at $68.00 per
e�
hour perhman, including any dry rot work necessary over the
�!I allowance.
W
Atr`
IqE��dU Il�n '1
: