08030185 CITY OF CUPERTINOrt �aq��vurs^ sl&. �7'g� y'�,g' �Ta -
BUILDWGDIVISION PERMIT WQ of�, �31R1Y-g RTQ -
BuaOtaQlApIt"EINDA VISTA PL A PERFECT CLIMATE PEn08030185
LR'SS NAME; 1s PERMIT ISSUE DAM
U MARTIN 8375 BRENTWOOD BLVD STE B 03/31/2008
NE: SANITARY NO. CONTROL NO.
ARCHTfECT2NGINEER: AC REPLACMNT, 4 TON BLDG BUILDING ELECTPERMITPLUMB MECH
0 0 0 0
Do LICENSED CONTRACTORS DECLARATION - Ib Description
rI I hereby affirm WOeSCTIp
t I am licensed under provisions,of Chapter 9(commencing
i with Section 7")ofDi,sien 3af the Bummat and Pmfeuium Code.andmylismac is
p H in full tome aha sffe
Z Defense CI CO hector r WgPa .
e �CrS DECLARATION U V
y 1 undemmmJ my plans shall W used u public mcoNs
5Gt; Licensed Professional
OWNER-BUILDER DECLARATION
f I bo.,y a?rex that 1 em exempt from the Contmctor's License Law far the
i.pa o following meson.(Section 7031.5.Business and Pmfeatom Cole:Any city or county
m which requires a permit to condoms,alter,improve,demolish,or mpair any smucture
prior or its issuance.also requires the applicant rorsuch permit to file a signed ntstmemi
� that he is licensed pursuant to the provisions of Ne Connector's License Law(Chapter 9 Sq.Ft. FIOOC Area Valuation
$ (commencing with Section 7")ofDivision 3 of the Busineaand Prormonions Code)or
that he t&e¢mpt therefrom and me but&for W alleged exemption.Any vlolauon of
Section 7031.5 by any applicant for a permit abjecu the applicant m a civil penalty of AFN Number Occupancy Type
not mote than five hundred dollar(55001
0 1,u owner of the property,or my employ es with wages at their sok compensation,
will do the work.and the structure is net intended aroffemd for sale(Sec.7044,Business Required Inspections
and Professions Code:The Committees Liatue Law doer not apply to ownee ns an r of Q p
property who bui Ida m im proves Ummun,and who does such work himsel r m through his
awncmploywa,provided that such impmwmcrts mc not inmrded oro@red fern ale.If.
however.the building or improvement LL sold within oro year of completion,the owner,
Wilder will haw me burden of proving dot he did not build or improve for purpose of
sale.).
0 1,as owner arms props",am exclusively conosedng with licensed convectors to
comwet me project(Sec.7W.Business and P ultaslam Code:)The Commome.Lt.
codes law does not apply to an owner or proper,who Wilda or impmvn 0mmon,and
who contracts for such projects with a comractor(s)licensed pursuant to the Commctoh
Lleense Law.
❑lam exempt undv See ,B&PC for this moon
t
Date
WORKER'S COMPENSATION DECLARATION
ereby affirm under penalty of perjury m e of the following declarations:
and will maintain•Cerufreeteof Consent to self-Imam for W.ftesCampus-
provided for by Secuon 3700 of the labor Code,for the performance of the
which this permit is issued.
and will ons.for Workers Compensation Insure hi h his perm by Section
ssu d.
e labor Code,fw me performance of the work for wMch this permit isluued.Co prommon Insurance carter and Policy umber are/Gan[.. Policy lt6.fea eyo?_600 i&
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(Thu modest need not k completed if tiro permit Is feature hurled dollen(5100)
or leas.)
1 certify met in the performance of the work for which this Permit is tauN.l shall not
employ any person in any mammr so as to became subject o the Workers'CompemNon
Laws of California.Date
Applicant
NOTICE TO APPUCAN1%If.after making this Certifies a of Exemption,yen should
become subject to the Worker's Compensation previsions of the tabor Code,you mount
.J Q raMwith comply with such provisions or this permit mall bo deemed rooked.
,Zn CONSTRUCTION LENDING AGENCY
I heath trims that men is a construction lending e
E~ Y { genryfar the performance of
!Yi the duh for which this permit LL issued(Sec.3097,Civ.C.)
[q 0 LeName
0 z lernme,ndeh Address
U 0 1 cu ify sen 1 have nand this application and sum mu the above information is
common.I agree in comply with all city and county oNinancea and scam laws mating to
.0 buildingconstruction,and hereby authoum representatives of this city to enter upon he
W thou.-mentioned property for Inspection purposes
(Ws)agree to save,indemnify and keep harmless the City of Cupertino against
l.i IZI Iiabilttlq,Judgments,costs and expenses which may in any way accrue against aid City
in
of the
U^+ APPLwneCUNDERSTANDS ANrounfing of this D WILL COMPLY WITH ALL NON-POINT Issued by: Date ( O�
s I GULA3o
z2 L Py mR 3— Dam Re-roofs
Signature,of Apt antic Oele
OUS MATERIAL ISCLOSURE Type of Roof
Will the applicant or future building oecupand atom or handle hanrt ours material
U defined by the Cupertino Municipal Code.Chapter 9.13,and the Health and Safety
.sectionEl Y.25532(1)? All roofs shall be inspected prior to any roofing material being installed.
El Y. /�Q�Noj
Will the applican or r( m building occupant um equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
i be ardoue air conmtnimmus u defined by the Bay Area Air Quality Management all new materials for inspection.
.strict?
0 Yes
I have mad the braid mrf�als requirements under Chapter 6.95ofmcCalifw-
alth&SafeiyCode Seem ns25505,25533 and 35534.1 undersand metifthe Wilding
nm current w a tenant that it u my maponsihility m nodfy dm occupant of thc
mmcna mnbcmel or eof.CertificateofOemianey. Signature of Applicant Date
� ° "�3 P
Dow All roof coverings to be Class'W'or better
Owner or authorised agent '
CITY OF CUPERTINO
6 ITEMS OF 16 PERMIT RECEIPT OPERATOR: patg
COPY # 1
® Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35608011 . 00
DATE ISSUED. . . . . . . : 03/31/2008
RECEIPT #. . . . . . . . . : BS000004316
REFERENCE ID # . . . : 08030185
SITE ADDRESS . . . . . : 22126 LINDA VISTA PL
SUBDIVISION . . . . . . :
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : KU MARTIN
ADDRESS . . . . . . . . . . : 22126 LINDA VISTA PL
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : EDWARD A GREGORY
CONTRACTOR . . . . . . . : SMITH, BYRON E LIC # 21144
COMPANY . . . . . . . . . . : A PERFECT CLIMATE
ADDRESS . . . . . . . . . . : 8375 BRENTWOOD BLVD STE B
CITY/STATE/ZIP . . . : BRENTWOOD, CA 94513
TELEPHONE . . . . . . . . : (408) 861 9545
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----
1BSEISMICR VALUATION 5, 854 . 00 0. 60 0. 00 0. 60 0. 00
® 1EPERMITFE FLAT RATE 1. 00 40.79 0. 00 40.79 0. 00
1MPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00
1MRRAA UNITS 1. 00 61 .19 0. 00 61.19 0. 00
IPPERMITFE FLAT RATE 1. 00 40 .79 0. 00 - 40.79 0. 00
1TRAVDOC FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00
------- ------- ---------- ----------
TOTAL PERMIT 224'. 95 0. 00 224 .95 0. 00
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505
------ ------ -
505 FINAL ELECTRICAL . 507 FINAL PLUMBING
508 FINAL MECHANICAL
I
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
CITY OF CUPERTINO
PERMIT INVOICE OPERATOR: patg
Sec: Twp: Rng: Sub: Blk: Lot:
. APN . . . . . . . . : 35608011 . 00
INVOICE DATE. . . . . . : 03/31/2008
REFERENCE ID # . . . : 08030185
SITE ADDRESS . ... . . : 22126 LINDA VISTA PL
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT. AREA . . . . . . .
OWNER . . . . . . . . . . . . : KU MARTIN
ADDRESS . . . . . . . . . . : 22126 LINDA VISTA PL
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014
CONTRACTOR . . . . . . . : SMITH, BYRON E LIC # 21144
COMPANY . . . . . . . . . . : A PERFECT CLIMATE
ADDRESS . . . . . . . . . . : 8375 BRENTWOOD BLVD STE B
CITY/STATE/ZIP . . . : BRENTWOOD, CA 94513
TELEPHONE . . . . . . . . : (408) 861 9545
FEE DESCRIPTION DUE FOR -- AMOUNT DUE ------PAID BALANCE
--------------------------- -------------- ---------- ----------
SEISMIC RESIDENTIAL PRINTING PERMIT 0 . 60 0. 00 0 . 60
ELEC PERMIT ISSUANCE PRINTING PERMIT 40 .79 0. 00 40.79
MECH PERMIT ISSUANCE PRINTING PERMIT 40 .79 0. 00 40.79
RES MECH REPAIR/ALT/ADD PRINTING PERMIT 61 .19 0. 00 61.19
• PLUMBNG PERMIT ISSUE PRINTING PERMIT 40 .79 0. 00 40 .79
TRAVEL & DOCUMENTATION FEE PRINTING PERMIT 40 .79 0. 00 40 .79
--------- ---------- ----------
224 . 95 0. 00 224 . 95 .
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- ------ ---------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
Single Famil GreenPoint Checklist dam: Build It Gre
Y f� Et7
The GreenPoint Checklist is based on
ra the various green features sol green
Into the home and is the �/ )� Smart Soluirorc From the Ground Up
basis for the GreenPoint Rated program.A home can be of ategor green if b fulfills0),Indoor
prerequisites, /�/�// c 4•
Hams at lease 50 poems,and meets the minimum points per category.Energy list
of Indoor Alr CusPoi
Health(5),Resources(6),antl Water(B).Please cromad Build It Green for a list of qualified GraenPoine ——I
Raters If you are interested in pursuing third-party verification.
The green building practices listed below are described in the New Home Construction Green Building •`•- '
Guidelines,available at www.bul dilginunoro.
• PROJECT
e • 4 MUIR
A'fiI1'E.' — - Pdmis Available Per MaBsurd
1.Protel Topsoil and Inform Disruption of Esisdng Plants B Trees
❑ a Protect Topsoil from Erosion and Reuse after Construction 0 1
❑
to LJmfl and Defrosts Construction Foo¢mnt lar Maximum Protection. 0
2 Deconstruct Inmead of Demolishing Existing Buildings Do Site 0 3
3.Recyele Job She Construction Wast(Including Green Waste)
❑ a Minimum 50%Wast Diversion by WagM fRecycArg or Reuse)-Required 0 R
❑ b.Minimum 65%Dfniz on by Weight(Recycling or Reuse) 0 2
❑ c.Minimum BO%Diversion by Weight(Recycling or Reuse) 0
4.Use Recycled Content Aggregate(Minimum 25%)
❑ a.Walkway and Driveway 0 1
❑ b.Roadway Base ------'
D 1 I
Total Point Available In Site=12 0
B.FOUNDA710N _ Prime Available Per Measure
1.Replace Portland Cement in Concrete with Recycled Flyash or Slag
—❑ a.Minimum 20%Fyashw Slag 0 --
❑ b.Minimum 25%Flyash or Slag 0 1
2.Use Frost-Protctd Shallow Foundation in Cold Arm(C.E.C.Climate Zone 16) 0 - 3
a.Use Radon Resistant Construction On At-Risk Locations Only) - 0 f 1
4,Design and Build Structural Pest Controls
❑ a.Install Termbe Shields A Separate All Exterior Wood-te-Concrete Connections by Metal or Plastic FastnaraD'rvider 0 1
b.All New Plant Have Tmnk,Base,or Stem Located Al Least 3fi Inches hom Fountlation 0 1
Total Point Available in Foundadon=B 0
C.LANDSCAPING.. -" - '• Points Available Per Measure
t.Construct Resopecies sial y Ca
Hcepes --_
❑ e.No Invasive Species IJnetl by Cel-IPC Are Planted 0
❑ b.No Plant Spacies Will Require Hedging p
El c.75%of Plants Are DmugM-tolerant Celifomla Natives,Mediterranean,or Omer Appropriate Species D 3
2 Use Fire-Safe Landscaping Techni uele 0 1
3.Minimize Turf Areas in Landscape Installed by Builder
❑ a All Turf Will Have a Water Requirement Less than or Equal to Teo Fescue(50.6 plant factor) 0 i 2
• ❑ b.Tud Shall Not Be Installed an Slopes Exceeding 10%or in Areas Less then B Feet Wide 0 2
❑ c.Turf is 533%of Landscaped Area(total2 points) 0 2
❑ J.Turf Is 510%of Landscaped Area(told 4 point) 0 i ( I i 2
El 4,Plant Shade Trace 0 3
S.Group Plant by Water Needs(H dratemin 0 2
6.Install High-Efficiancy Irrigation Systeme
❑ a,System Uses Only Low-Flow Drip,Bubblers,or Low4low Sprinklers 0 2
❑ b.System Has Smah Controllers 0
7.Incorporate Two Inches of Compost in the Top B to 121nehas of Soil D 3
6.Muleh All Planting
Is to the Greater of 2 Inches of Local Water Ordinance Requirement 0 2
B.Use 50%Salvagetl or Recycled-Content Materials for 50%of Non-Plant Landscape Elements 0 1
LJ 10,Reduce Light Pollution by Shielding Flnures and/or Directing Light Downward 0 1
Total Points Avalable in Landarapor,g=31 0
D.STRUCTURAL FRAME R BUILDING ENVELOPE Points Available Per Measure,
1.Apply Optima Value Engineering - — _
❑ a Place Ratters and Studs at 24-Inch On Center Framing 0
❑ b.Size Door and Window Headers for two 0 1
❑ c,Use Only Jack and Cripple Studs Required for Load 0 "-�-
2.Use Engineered Lumber
❑ a.Beams and Header 0 _ I
_.L
❑ c.Insulated Engineered ers 0
El c.Wood bJoist W
or Webb TrusHeases for Floor 0
❑ d.Wood l-Joist for Roof Rafter 0 ---T —�—
�_—_
❑
a.Engineered or Finger-Jointed Studs for Vertical Applications 0
❑
I.Oriented Stand Board for Subtloor 0 T— 1
❑ g.Oriented Strand Board for Wall and Root Sheathing 0 -'� 1
].Use F Dimensional
Lu Wood —
I ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40%
❑ b.Dimensions Lumbaq Studs and Timber.Minimum 70% 0 I 2
❑ c.Pena Products:Minimum 4D% 0
1 _
❑ d.Panel Products:Minimum 70% 0 1
•
02D07 Build It Green .Single Family GmenPolnt Checklist 2007 Version Page 1 of 4
AMAMI& 4 @ 1
a
4.Use Solid Well Systeme!Includes SIP&,ICFs,&Any Nor-Sfick Frame Assembly)
❑ a.'101311 0 2
❑ h.Walls 0 2 2
❑ c.Roofs 0 2— 2
S.Reduce Pollution Entering the Home from the Garage
❑ e.Tightly Seel the Air Bamer between Garage and Living Area 0 1
❑ b.Install Garage Exhaust Fan OR Build a Detached Garage 0 1
a.Desi n Enn Hrols on Trueses 7e%of Attic Insulation Height at Outside Edge of Exterior Wal 0 1 I I
7.Dwl n Roof Trunw to ACCOmmodal&Ductwork 0 1 i
Lj 0.Use Recycled-Courant Steel Studs for goof InWOr Well Framing 0 1 I
LJ a.Thermal Maw Walde:564neh Drywall on All Interior Wells or Walls Weighing more then 401Weu.fL 0 1 I
10.Install Overhangs and Outows
❑ s.MWmum 16-Inch Overhangs and Gulden D
❑ b.Minimum 244nch Overhangs and Dollen 0
Total Points Available M Structural Buncling Freme and Envelops.3B 0
E.EXTERIOR FINISH Prints Available Per Maidstone
t.Use Re tied-Content(No Virgin Pleads)or FSC-Certified Wood Decidn 0 - 2
—2.Install a Rein Screen Well System 0 1 1 2
3.Use Dumble and Noncombustible Siding Materiels 0 1 1
4.Select Durable and Noncombustible Roofing Materiels 0 1 2 1
Total Points Available in Exterior Rush•7 0
F.INSULATION Points Available Per Measure
1.Install Insulation with 75%Recycled Content
❑ a.Walls endlor Floom 0 ! 1
2 Install Insulation that u Low-Emitt ng(Credited Section 01350)
❑ n Web and/or Floor 0
❑ b.Catin 0 1
J.Inspect Duality of Insulation Installation before Applying Drywall 0 1 I
Total Palms Available in Initiation•5 0
O.PLUMBING Points Available Per Measure
1.Distribute Domestic Hot Watw Efficiently(Maximum 7 Points).
❑ e.Insulate Hat Water Pipes from Water Heater to Klfchen 0
❑ b.Insulate All Hot Water Pipes 0
❑ c.Use Engineered Parallel Piping 0
❑ it.Use Engineered Parallel Piping with Demand Controlled Circulation Loop 0 I __
❑ e.Use Structured Plumbing with Demand Controlled Circulation Loop 0
❑ f.Use Central Core Plumbing 0 1 r 1 I 2
❑ 2lnstall Only High Efficiency Tollem(Dual-Flush or 51.28 U D I ! ! 4
Total Palmer Available In Plumbing=Tocol 12 0
H.HEATING VENTHATION&AIN CONDITIONING Paul Available Par Hassam
1.Design and Install HVAC System to ACCA Manuel J,D,and S Recommendations 0 4 ! I
2 Install Sealed Combustion Units
❑ A.Furnaces 0 1 2
❑ b.Water Neaten 0 2 1
77 3.Install Zoned,Hydronic Radian Heating with Slab Edge Insulation 0 1 1
4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 '1 1
5.Design and Install Effective Ductwork
❑ a.Install HVAC Unit and Ductwork within Conditioned Space 0 3 _
❑ b.Use Duct Mastic on All Duct Jolms and Seams 0 1
❑ c.Install Ductwork under Attic Iwulatio i(Buried Duch) 0 1
❑ d.Prenure Balance the Ductwork System 0
❑ e.Protect Duct during Construction and Clean All Duca before Occupancy 0 1 1 _
e.Install High Effidancy HVAC Filter(MERV W) 0 1
❑ 7.Dont Install Fireplace or Install Sealed Gas Firsplam with ENolansy Rating Not Less Than OT% 0 1
using CSA Standards r
0.Install Effective Exhaust Systems In Bathroom and Kitchens
❑ a.Install ENERGY STAR Bathroom Faro Vented to the Outside 0 _! 1
❑ b.All Bathroom Fans Are on Timer or Humldistal 0 1
❑ c.Install Kitchen Range Hood Vented to the Outside 0 1
a.Install Mechanical Ventilation System for Cooling(Maximum 4 Points)
❑ a.Install ENERGY STAR Calling Fens S Light Kits In Living Ames&Badmoms 0 _L 1
❑ b.,Install Whole House Fan vAlh Variable Speeds 0 _ ( 1_
C.Automatically Controlled Integrated System 0 2 —�
❑ d.Automatically Controlled integrated System with Variable Speed Control 0
10.Install Mechanical Fresh Air Ventilation System(Maximum J Points)
❑ e.Any Whole Howe Ventilation System That Meets ASHRAE 522 0 __ _I I 2
❑ b.install Air-to-Ab Heal Exchanges that meats ASHRAE 522 0 I 1 2
11.Install Carbon Monoxide Alarms) 0 ! 1
Total Points Available In Heeling,VenNetion and Air Condficnin •30 0
02007 Build It Green Sinqla FamRv GreenPolnl ChecMist 2DO7 Version Pan 2 of 4
fill CITY OF CUPERTINO
FURNACE/AC
SCUPEOF
kTINO PERMIT APPLICATION FORM
APN# _� Date: :3- 3
Building Address:
P z 2 6 L ; de
Owner's Name: // Phone #:
Contractor: �erIlCe Phone#: yay- Vi6!- 9rsr�
I Fax#: Ya` ?- 6V- 9S `16,
Contractor License#: Cupertino Business License#:
--
Contact: A 4e - S 9 , .11q Phone #:
yds-� 9
Fax #: Voe l 9 SYJ
Building Permit Info:
Elect &- Plumb [T' Mechl .
Residential Commercial ❑.
Job Descriptions
Td�l
For Residential Installations:
Attic ❑ Ist floor 2nd floor ❑
Adhere to minimum setback re uirement
For Commercial Installations:
Replacement same weight ❑ Additional weight(structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: 5 P S Y Type of Construction (Usage Class):
Strapped ❑ On Platform ❑ Bonded 0 New Location ❑ Replacement
Valuation:
Green Building: Must attach Green Building Check list to this application
2
CITY OF CUPERTINO
OF FURNACE/AC
CUPEf�TINO FEE SCHEDULE
e
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation_of_controls_regulatcd b_y_this
code.
1MCREPALT Commercial for the repair of alt/add to M
ea heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code.
1MCSUSHTR Commercial InstalI/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed & riot incl in an appliance
pen-nit.
1BSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1 MRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install ¬ incl in an appl permit.
CITY OF CUPERTINO
FURNACE/AC
:cUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FLRN/AC
1PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
1MFR=<100 Furnace Syst<=100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl,ducts/vents
attached to such appliance up to and
include 100,000 Btu/11
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
furnace/burner, incl ducts/vents
attached to such appliance over
100,000 Btu/h
1EPERMITFEE Electric Permit Fee , E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
i
CITY OF CUPERTINO
0FURNACE/AC
CUPEf �TINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
IBCAIRHAN Commercial A/C Units <= l0k CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ca gas piping System P
1-4 outlets
1PG7ASRES -Resid-entiaFfor ea gas pipin�—ern —P— ---
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1BREMAIRHAN Residential A/C units <= 10k CFM B
1NUU AA Residential Mech Repair/alt/add M
/ 1BSEISMICR Seismic Residential B
1EPERMITFEE Electric Permit E
/I 1MPERMITFEE Mechanical Permit M
/ 1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1 1BUSLIC Business License B
O
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
0 CITY OF Fax(408)777-3333
UPE�TINO
Build'n De artment
• JOB ADDRESS: // /! / / �/J/ PERMIT # 0 U 0 3 p/ O 5
`ZZ/ Z �j �C G+9 VcS�9 r ( — e— S'6
OWNER'S NAME: 1V1,7 r /I k (/ PHONE #
GENERAL CONTRACTOR: e ; ,q Q to I FAX # p e- 0/- q!-,-yb
I am not using any subcontractors: rii , b Li�Lpa, �j-yl-D
Signature Date
Please check applicable subcontractors and complete the following information:
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum/ Wood
Glass/ Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing e� � C m e -Z
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
3-31-op
Owner/Contractor Signaffire Date