25727 /arc LIVNnI 1 V nu nT mrvmmaw,l IVa Vial acv u1111M.7-VOC 0ALL rvm I rMN VPILT
CITY UI'CI IPEN'I'I Np 11 m�DW.-VTFr TRT(A , PFRM1v I ND'
NICAL
BUILDING Bill APPLICATION/PERMIT PING R OJECT a;DA11FICA 25727
BUILDING PNI)JNCT 11)NNl'IPICAT111N
ii,ILDFN�G Al) HISS: SANOARk'NG. AI54.IC.\'IION SIIIIM1111"IAL U,\Ili
I-6
D\ fi:,O '1)N^ CONI 'IOR;S NAME LIC NII:
,TLLII NIC IONI11111.4
I FC1 ll!NC.INVEW I.IC NO: ADDRESS: ❑
'ONIACn2 77' QTY: TRIC ERMIT FEE+'--* BUILDING PERMIT INFO
„ ELECP
'`IVJLr/TT`/•Ar\` PERMITISSUANCE
LICIiNSED CONWRACIOli DECI,ARAI ION APPLIANCES-RESIDENI'IAI.
OCZ Ilrcrvbv nllimuballam liarnael under pravi,innnnl CM1apmrwlarmmencing wid, 11111 IIIitifRll'I'I,IN
P3021- Seetirm]rxxp`•f Uivi,im,dol tM1e Ba,irea nnA Prn&ninon CMc,anA mY linnu i,in PANEIS
yWU
full lnrararul rl&oL IIP TO 2M AMPS �\ 11 )
Fjw Liromr CLrt. IJr.N 11«✓✓
rq:Cd U:rre Con,... 2RI-IINNI AMP$
1-�L ARCII'I ECES DLCLARA'I ION SV.I•I'. I(Kr J A
J.1- OVER ION)AMPS
DZHO Irnale.1hn•1o,,IIc,.lnrll M'tnnln,publicrevnrda. /1/ /�►/��
SIGNS FLECI'RICAL f/j,J
Lkenwd Promv,ianxl
Y.tx< OWNER-RUILDITR DECI,ARA'IION SPECIAL CIRCUII'/MISC.
Oy V I hrrrny xIlimr mat Inn stoop,faro the Conot i I.iacrna I1w fm,be
LLO`~' Inlheninitsamn,ISavtirm 10315.Bminr„and l'mfc,alorn Cale:A.,61y m court, TEMP.MI—R OR POLE:INST.
01 xM1ich o,oirra a loonrl,n ro-hur'I,alter,improve,Eirloolinh,nr epair My structure
prime,it,1..naercaho o.m
, rapr'nr,lI......he-,brch prrecil u+rlrn:iancd m
atmeem POWER DEVICES
K<0 that he is licensed pona:nn in the Movinine,of the Crnnraoor,Livm,e llw lCTaper
a0 'Ileonrmcncin,.W,Sratinn]1NNIIrdlli,man l afthe Ru,inev vnil Aoleairma Cmlel SWIMMING POOL ELECTRIC ^ I VAIMA'I1ON
�^ nnhnllry i.eacngn lbrrrbik ins. ln.,c ,inhnbP lllrgerl,,hc: nn,Any vi•dminn of OUl LE1:5-$WI'I CITES-1'IXTUHIiS
F7¢ Seai It'I'r To"' hgtp..roI II w,tenni,albjeallOnd plicmo macivilpenanyof `tet,ll
nm nu
WI, Kon F.-bnnmrd dollma 1151X1).
W O NEW RESIDENTIAL ELECTS _Sp.1'I. SIO v.5 Il'PE(IINSIHIIC IIUN
Izm ❑ Ln,rrwnrr el me proleny,tor,ryrnrpinyre..wiIII..mgea to mdrtoRen
rarnla.dan,
y3_ n'illdothr wnrk,end de onamrt i,no,immndedor effercd for.1i,(See774.Ravine.,,
and Prrdr. ns Cab:The Cummer.!i Lireme law area not apply In an owner of
pi"'Y-ulro builds impar e.,brmon,avA whadnmanchw'ntk lunself-OnougM1 his
mplav ..pnv idalchar inch ingm enra are not inrendMorolford for vale.If. OCC.DROIT RHSAINIIS
M1Nxevn,Ihehuildingor impmvoneen i,soldwilbi000e Yearnf contpldion.lire owner- 'l y
build,,..If ha-the harden of prnvinµIna,he did not huild a improve for purpose of
'a".) PLUMBING errame prnprny.at,c,(M1ravay rmnmO;ngwhrh Horn.rdrennm'mnn, QTY. PLUMBING PERMIT. - FEE Sjd lOr.ONIt nrN
Lonooncl the project(Sec.]BW.Bn,ma,and Profe,,ion,Coil DIe Contractor,
iren.r•I:rwdoe,non,ply loon nwne,nfprr,pr:ty who hudd,nr imprrwnlnerrnn.a:rd PERMIT ISSUANCE
..1 fuaovfo,ouhprejecl,with xnmmartogM licensed runninon lo,le Conlooro,n
Lirenu Lax'. AI;I FR-DRAIN h V ENT-WA'I ER(EA I FEE SUMMARY
❑ In rannrpt under See. .B A P C for thin ma,m, HACK FLOW IRO'117(-1.I TEV IC'E U((SIDE ENS
_ SANITARY Y N
bloc Dmr RECUIP I'X
WOR K MAN COMPENSATION DECLARATION DRAINS-ILf R)R.ROOF.AR ITA.GOND. S(.W Ir O1,TA.X 5'__N
M1ertly alllun lir:nllurvrvvnilivnm•dcan.cnuo.elLinarre,orarrnilicrne nl FIXIIINILS�1`IiR'I NAI' - RE.CFIVI'b
,(Conr,n,nion ln,ornnecoracrniliedcapy lhnanl(See.18a).116C.Iwhwh [`AHK hili Y N
,all rmployre',rmdo min Permit. GASIEA.SVS'[P.M I INCA f)lll- RI Ci p
PITS
Policy N BUIL ) ( D1V SIONFEI'S
_
Comm, GAS-IEA.SYSTEM-OVER 41EA) PLAN(I HICK I EE
❑ C'rr,ifiN cap)'is hereby fomisM1ed.
❑ Cnrilial nrpy is filed with,hc airy inaleoian divi.,ina ORI IAgEJND11S'I RL WAS IT IN TITRCr.MT)R GRADING FIT;
LIiRIT[•]CAII!OI:EXITMPDON"ONIWORKI:RS' CREASE WRAP SOILS HE O
COMPENSATION INSURANCE
,Ihi,uc,inn naAnal Fea+mpltleA if,he pemtil is for nnchnnA¢d Anllnn($I(XII SEWI7H-SANITARY-S'IORM TEA.2NIPI'. E:NIiHG'
or less,
Ice ufymnt in(he perhmoancerd,he work for which,hi,penei,i,iavual,l shit WA I'ER HEA TER w'NENTAiLECIR
rn veploy any ler,on In any ranee at it,on lerume nn,,I to de Worker, 1'AIU
Cornlencminn llwwfCXliLtmia. Dam WAVER SYS'H!M/BEAWING Cum
zZ Applicant
NOIIfii'IUAPI'LICAN'I`.IL nOcr nmking,hin Qnifearenl lasanprinn. on ahaeIII NEWkFSIDEN'I'IAI,PI.MB. SV-Irl'. 'IOWA[.:
rInv ovrtir...h c,mare Wacker',Crni,corirm powkioirsof,he llMn Corte,Yen or.,,
� , lonhw'idt comply Isim,nm pnavi,ions or thin rennn shall la,JcemM revoked. BUILDING RTE
W Olip.
I0.
CONS TRHCIIDNLENDING AGENCY St'ismiC F
u Z Lha.,, hirI ,in llo-nril I,i-Ird(uee VIP,Ci agerny Ln lM1e Mrhnnurue rd IIS IiLIiCI RIC PIiIi
U O Ihcwnrk loo whirM1,hi,p[nnil i,innal(See VIP,]TNI,Civ.C.) '
I.enArr'a Name PLUMBING FEit
O V Lrak;. . QTR. MECHANICAL PERMIT ',rFEE'.
1 certify nr:n I nave rrnn his nitphrannn.nn nam Inas he onrne mlr,nttadert i.
reeeO.la nt ram Il,all cit dconnt .innncra nnA.a:nc in wnrclatirrµIn PIiRM11I'I'ISSI ISSUANCE MIiC11ANICAI.ldili �-
gore pYwi yon Yma
F' DO iiho ngwmane,ir ro,o,hacbynntbmim ,wr,nm,ivcwflhiaritytoana urym,he C(1N5'IRIICI'ION TAX
eMw IW......proprnv Ino inners inn purprtua At 11 OR AUDlO M1IIiCII.
[Welxprec m,ave. ndannify and krcp Larmlm,the Cil y nl Cnm'rlim ngnirnl
IinFdh'ea,jud man,,ere,vnAcapenma whichmayinnnyway amruea¢nin,l L'I(" AIR❑ANHLINli 11NI'I'IIO III,rxMCI:M111
cons t cerdde glomi,,,of thin permit /Vlrp �J
Lo
AIR HANDLING IINI I'(OVER
gnmmenl Apphri dCrmunmm Date EXHAUST I OODIWAY(P-1'1 PVD
IIA].ARDU(ISMA'IIiRIAI,SDISCLOSHRI? IIEA'TINGUN1'1'CIG 110.11,Y)HIM Date R...i,,0
Will to m1flicentnr Bnav building m,.,.rtxR..e or M1aallc harardun,maed.11
:n Arfnedby dm Cupertino Municipal Cole.Cbxp¢r 4,12,amt,Le llcaldt nal Sah,v IIIiA'I'ING UNIT[OVER IfpdXNl111111 _
( ],,See a 255120V VRN I ILA 111 PAN I SI GIY it]LSID)
❑Yen ❑No
ItiSUANCIi UA'I'li
WWII ilea•.tli,nnunlrnrnNtrldgrtrcepan din Treace ni for Arvirrn wltiaLrnrl, POILER-CCIMPIdll alRl klMNl pllll
1 Prnrrr _
'Ion,air ml:nninarv,a,defined by,he It., Area Air Onesiny Mmagann'•tl BOII.C"-(TIMI'( VIER Pxrd x,111111
ell
❑No NI7W NESIDP. 'PIAL M1."I. S0.1'1,
hvacdnu,nuooixln to anile,Cha (i of he P A 1 D
eery call,hroe.to 255115,25511 and 25514. 1 unda„nnd mol
mnlybnvcn ,Ixnal in prior
m.porni'If it ymnmily,hc AFR
ern,whivL neon,Fr tort r:rrn ht n,anntt n(v Crnifevm n!
(a 1
Cam e �11,: ISSWiI IYY
OFFI