21368 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY
Building Proles Identification 11El TNO.
Building Address: 21368
20400 A?-1 NJ I /� '
' V n LM _ I'�'I�'�p n,6 CITY OFCUPERTINO-BUILDING DIVISION API'LICA HON 10 - 30 -10
Q 30 RI El
• ContactesNaree: Lie.N. APPLICATION I PERMIT .J
BUILDING-ELFCTRICAI PLUMBINGMECHArICAL CATEGORY CONTROL
Architect/Engineer. Lit.No:
QTY ELECTRICPERMIT FEE BUILDING PERMIT INFO
Address:
LICENSED
ICFCONTACTOR'S DECLARATION
PERMITISSUANCE ❑ ❑
ElIhe flmhat I
ce licensedunder provisions ofCr (mmmAPPLIANCES-RESIDENTIAL ]OB DESCRIPTION
Ingwlth5dion70 )o(mvlson3oftheBusnemandProfn.i.. codGand
my ' t
license is in full fora and effect. PANELSflu (�, s\'1 LL "
License `Clan Lte.N �{^
Date Contactor UP TO 200 AWS
ARCHITECPS DECLARATION 201-IOOOAMPS
rc0 7. I understand my plate shall W used as public records. OVER 1000 AMPS SQ.FT.FLOOR AREA $/SQ.FT.
O
n Licensed Prefessloml SIGNS ELECTRICAL
�Cto OWNER-BUILDER DECLARATION SPECIALCItCU1T/MLSC N
f., i Ihereby afOrm that lamexempt from the Contractor's License Law for the
4�
FOF following reason.(SecUon7031S,Buslnessand Pmfemioos Code:Anycityor TEMP.METER OR POLE]NST.
cwntywhichmqulrnaper ttommtmd,altegimpmve,demolbh,ormpair
q�11any structure prior to its issuance,alsorequires the applicant for such permit to POWER DEVICES
L5 c9 a file a signed statement that he be licensed pursuant to the provislons of the
PQ0 Contractor's Llce
we Law(Cha(Chapter ithSection7000)ofDivt-
wFA (ti Bsv SWIMMING POOL ELECTRIC
30 slon 3 ofthe Business and ProfestumsCodOmthat he at exempt therefromatW VALUATION
'��P�111 Sn S the basis for the alleged exemption. Any violation of Section 7031.5 by any OUTLETSSWITCHESFIXTURES
<� applicant fora permit subjM1xi the applicant to a civil penalty ofna more than
five hundred dollars(5900).
❑1,as owner of the property,or my employees with wages as their sole NEW RESIDENTIAL ELECTR SQ.FT. STORIES TYPE CONSTRIKI'ION
compensation,will do the work and the structure is not Intended or offered for
5 O sale(Sec.7004,Basimssand Professions Code:The Contranafullarue Maw
does not apply to an owner of property who builds or improves thereon,and OCC.GROIIIP RIS.UNITS
who doessuch work himself or through hisownemployees,provided thatsuch
improvements are not Intended oroffered for mle.1(hmveveq thebullding or TOTAL:
Improvement is sold within oneyear ofcompletlon,the owner-bullderwlli have
t)h/(den of proving that he did not build or Improve for purpose of sale.). QTY. PLUMBING PERMIT FEE FLOOD ZONE APN
nd L as owner of the property,am exclusively contracting with licensed PERMIT ISSUANCE
contractors to construct the project(Sec.7040 Business and Professions Code:
The Contractor's License Maw don not apply to an owner of property who ALTER-DRAIN&VENT-WATER(EA)
Wilds or Improve thereon,and who contracts for such pwitchi with a FEE SUMMARY
y}�Sf(actur(s)licensed pursuant to the Contractor's License Law.
cc LSI am exempt under Sec. B h P C for that reason — BACK FLOW PROTECT.DEVICE
]
Owner Date I DRAINS FLOOR ROOF,AREA,COND. DU SANITARY Y N_
. RECEIPT N
WORKMAN COMPENSATION DECLARATION
MRES.PER E
SCHOOL TAX Y N
❑i hereby affirm that Ihaa a certificate of consent m se141nwre,ora FIXRECEIPT N
mdificateofWorkers Comper tim I] rang ora artifled copythemof(Sec. GAS EA.SYSTEM-1 INCA OUTLETS PARK FTE Y N
3800,Mab C.)
Policy N RECEIPT N
Com any GAS EA.SYSTEM-OVER 4(EA) BUILDING DIVISION FEES
cc
copy at hereby famished. GREASE/INDUSIRL WASEINTFRCEPIOR PLANCHGCK PEE
F-1Certified copy is filed with the city inspection division.
CERTIFICATE OF EXEMPTION FROM WORK ERS' GREASE TRAP PAID
COMPENSATION INSURANCESEWER-SAMTARY-STORM FA.200�1'. Date Receipt#
(I'hisseaion need not becompleted if the permit is forum hundred dollars
($1BB)oulem3wAT'eR HEATER w/vEc-rr/ELEGTR ENERGY FEE Y_ N_
I certify that m the performance of the work forwhlch this penult Ica Issued,
I shall not employ any person In any manner so as to become subject to the WATER SYSTEM/TREATING
Workers Compensation Laws of California. Date PAID
OZ Applicant NEW RESD[NTALPCMB. SQFT. Date Remi t#
P�2Z NOTICE TO APPLICANT.It,after making this Certificate of Exemption,you
should become,subject to the Workers'Componwtlon provision of the Labor TOTAL:
N Code,you=at
at forthwith comply with such provisloru orthis permit shall be BUILDING FE'
CC j deemed revoked.
IL F3 CONSTRUCTION LENDING AGENCY SEISMIC FEE
S Z I hereby affirm that there at a construction landing agency for the perform TOTAL: l.tx ELECTRIC FEE
7 anceoftheworkforwhkhthbpemdti true (See.3097,Civ.C.)
(� O Lcoder's Name PLUMBING FEE %(2)
IL H Lender'sAddmas QTY. MECHANICAL PERMIT FEE MECHANICAL FEE
L) I ordlfy0at l have read thatapplicationend statethattheaWveinformation
O III 6ocrrect.I agree to complywith all cityand countymclicanasend state laws PERMIT ISSUANCE FEES PAID:
} 0. relating to building construction,and hereby authorbe representatives fthis
I.- If)
city to enter upon the above-mentioned property for Inspection purposes. ALTERORADDTOMECH.
_
(We)agree to save,Indemnify an d Keep harmless the Receipt#the City of Cupertino O AIR HANDLING UNIT(TO 10,000 CFM)
against judgmenb,costsand expenses which may In anywayacerue SUBTOTAL:
against said City in consequence of the granting of this permit AICONSTRUCTION TAX
R HANDLING (OVER l0,000CFM)
tum of Applicant/Contactor Date EXHAUST HOOD(W/DUCT) CONSTRUCTION TAX PAID:
HAZARDOUS MATERIALS DISCLOSURE
Will the applim nt or future building occupant store or ha rad le havrdous HEATING UNIT(TO 100,000 BTU) Date
OCC] f#
material as deo tied by the Cupertino Municipal Code,Chapter 9.12,and the y
Ilealth and Safety Code Section 25532(a)2 HEATING UNIT(OVER IM"BTU) TOTAL:
❑Yea No
Will the applicant or future building occupant use equipment ordevices VENTILATION FAN(SINGLE RESID) Ice I� IISSUANIffUTE
which emit haardoua air contaminants as defined by the Bay Area Air
Quality Ma mgement Dlstrie2 BOILER-COMP OF 07 OR 100,000 BTU)
❑YeaNo
I have read the haaaus materials requirements under Chapter 6.95 of BOILER-COMP(OVER 10O,000 BTU) lfk iL,
the California Health A Safety Code,Sections 25505,25533 and 25534.I
u ndcoma nd that if the bu ilding does not currently have a tenant,that it k my NEW RESIDENTIAL MECH. 9Q.FT.
responsibility to notify the occupant of the requirements which most be met
poor to issuance of a Certificate ofOccupanry. f��s�._�/��I�+,...
tier or authoriadTOTAL:
agent Date ISSUEU OY: " `� `/ P
OFFICE COPY
CUPERTINO SANITARY DISTRICT
SANTA CLARA COUNTY
DISTRICT MANAGER,E NGI NEER 20065 STEVENS CREEK BOULEVARD, BLDG, C BOARD OF DIRECTORS
MARK THOMAS A CO. INC. CUPERTINO.CA 86014 CURTIS S.HARRISON.wms
14081 269 7071 DR.JOSEPH F.BROWN ssrn.
DISTRICT COUNSEL RICHARD A.FELLOWS
PHILIP D. ASSAF OF ROY M.RUSHTON
STURGIS. NESS. BRUNSELL 6 WENDELL H.KERR,JR.
SPERRY
, V3Mov1 1,9.9p
November 13 , 1990 City OF
CUPERrINO
BuildinguSD Department File: MOPBU�LUINC Dkpr
(Cupertino)
Mr. Jerry Brager
Building Department
City of Cupertino
P.O. Box 580
Cupertino, CA 95015
Re: Syva Company, Sewer
Piping Extension,
20400 Mariani Avenue,
Cupertino
Dear Mr. Brager:
The proposed improvements as outlined in the attached
letter from Syva Company, dated November 6, 1990, have
been reviewed by this office and the Industrial Waste
Division of the San Jose/Santa Clara Water Pollution
Control Plant.
No additional fees or permits are required by the
Cupertino Sanitary District.
Yours very truly,
MARK THOMAS & CO. INC.
District Manager-Engineer
by William E. McBee
WEMc: lw
Enclosure
cc: Syva Company
Attention: Martha A. McRae
SUPPLYING SANITARY SEWERAGE SERVICES FOR:
CITY OF CUPERTINO. PORTIONS OF THE CITIES OF SARATOGA. SUNNYVALE AND L05 ALTOS
AND SURROUNDING UNINCORPORATED AREAS
!!DV — e iLe�
eyva
�
a Syntex company
r;
November 6, 1990
n.A.tt ^~
Cup. File-_�
Cupertino Sanitary District —�-
20065 Stevens Creek Boulevard, Building C
Cupertino, CA 95014
RE: Extension of existing sanitary sewage piping to accommodate effluent from
two additional lyophilizers.
Gentlemen:
Syva Company, 20400 Mariani Avenue, Cupertino, is installing two additional
lyophilizers (freeze dryers) which require de-icing and cleaning every 4 to 5
days. The effluent from this process has the potential to contain trace amounts
of human and sheep serum and human urine drawn off the products being freeze
dried within the units. Because of the potential nature of the effluent we wish
to plumb these units directly to the sanitary sewer as we have done with our
other lyophilizers.
Currently we have six smaller lyophilizers on line. The effluent from these is
similar and is permitted under our industrial waste water permit, CU-0038. The
additional freeze dryers would result in a net discharge increase of <250
gallons/week and would not alter the conditions of our industrial waste water
permit or significantly change the composition of industrial waste water or the
average daily outflow from our Cupertino facility.
Your expeditious response to this request will be greatly appreciated.
Sincerely,
Martha A. McRae
Safety & Environmental Coordinator
20400 Mariani Avenue - M/S 9-202
Cupertino, CA 95014
(408) 366 3817
Richard S Ba y
Director of Manufacturing Services &
Acting Facilities Manager
Syva Company/900 Arastradero Road, Palo Alto, California 94304/Telephone (415) 493-2200
Mailing Address: P.O. Box 10058/Pala Alto, CA 94303-0847 14187A