Loading...
08030075CITY OF CUPERTINO BUILDING DIVISION PERMIT BUILtTIr�q�DORE50RTHCREST SQ WAGNER CONSTRUCTION 08050075 , WNER'S NAME: PERMIT ISSUE DATE KAZ TOYODA 6388 SAN ANSELMO WAY 03/14/2008 ONE: SANITARY NO. CONTROL NO. !CHTrECTIENGINEER: (877) 268 -4980 BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description I Wmby affirm mat 1 am Deemed under provisions or Chapter 9 (commencing wish Sued.. 700M ofDhimm 3ofshe Beat. and Ppra/fessmm Cede.rd my lkame u RMDL BTHRM(51SQ) in full farts and of I .- l.leenw Iss l40 — ' Come Data _ COmmtsos ARCHITECTS DECLARATION 1 uMenunJ my plans eNll W used a public rtcnrtls Lkansed Professional ' OWNER- BUIU6R DECLARATION 1 hemby affirm that I am exempt from the Convectors License Law for the fallowing round. (Section 7031 -7, Business and Pmfessiam Code: Any city at county which requires a permit in construct, altar, improve, demolish. or mpair any atmetum prior to its issuance, also requires thc epplkant for such permit to rile a signed eummmt mm she Common's Liam. Law Sq. Ft. Floor Area Valuation that he is limiued pursuant to prevision of (Chaphcr9 (commencing with Section 7000) of Division 3 of she Business and Profesalom CMe) Or $19000 than he is attempt th.mfmm and she but, for the alleged eamption. Any violation a( Number Occupancy e P YT'P Seeman 7031.5 by any applicant rte. permit subjects she applicant be . civil penalty of not mart dun Bve hundred dollars ($5001 31637005A ❑ 1, u owner of the property, or my employes with wage, u their sole compensation, Required Inspections will do she work. and the sternum ts net intended of offered far W.(Sm:. 7044, Business end Pmresdom Cade: The Commences Lieenss Law doss not apply ta an Omar of q P property who builds m improve Nmeon, end who does such wosk himself car through his Own employees, provided Nat such improvements are not mudded aroRered forsale.If. however, the building or improvement 4 Bold within am year of cmnpledon. the Owner - builrlar. will have she burden of proving that W did nos Wild or improve for purpose of ❑ 1, u Owner of the Property. w exclusively contracting wish licensed centramma m .nano she project (Sec. 7064. Business and Professions Code) The Comactors U- emse ofpropertywW Wdponaimprovu shereon,and cemelaw tloesnouchplymen for such gojecli vINamnvacmt4 )Iicenssd Pvrwmtmshe Contnenees who ce itha SANITARY Law. (JCeme Law. ❑ 1 am exempt undue See. . B $ P C Poe Ws mason ter Data WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury am of the following declwtiam: ❑ I live and will maintain a CerificamofConant in selFluum fm Woker's Compes, sedan. as provided far by Section 37M of the labor Cade. for dm performance of the work for which this permit is issued ' ❑ 1 have end will maintain Workers Carepemssu m Inmrana, as mgaired by Section 3700 of th. Labor Cade, for the performance of the wart for which this permit is issued. My WOrh;ee ,C_ampemad insurmce rr. tad Palley member.- Carrier. 71/f� Policy Nis:0r-Jn .IIa�"o'+A..+ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Dissection mad rum be amps ed Ross permit is farce. hundred dnilan (SIM) or lea) 1 canary Not in the performance of the work for which this permh is issued, l s all oat employ any peen in any manner an as as became subject in she Workme Compensation Law. of Cali @mica Data Applicant NOTICE TO APPLICANT' IL spar making this Certificate or Exemption, you should boom= subject as she Worker's Compensation provisions of tho labor Code, you must ' forthwith comply with such provisions or this permit shall W de.med evoked. CONSTRUCTION LENDING iAGENCY 1 thereby WI Nero h lending agency (a the performance of r whaiBthi s ed (Sec. ' the work for which aid permit h tsaued (Sec. J091, Civ. CI lenders Name - Lenders Address I certify that I have mad this application and sum that the above information Is ' emmct. 1 agree in comply with all city and county on inmas and sou laws relating to building conaNmtion, and hemby m amn mpmamodve. of Nis city to mkr upon she 1 above - mentioned property for Inspection purposes. (We) agree to e.w, indemnify and keep h.rmless the City of Cupertino against i liabilities, judgments. costs and capemes which may in my my memo against aid City In consequence of the printing of this Permit. ' APPLICWT UNDERSTAN D WILL COMPLY WITH ALL NON-POINT _ Issued by: Date SOUR EGULATT S. 3-/1-06 Re -roofs Signature AppliuR - Data of HAZARDOUS MATERIALS DISCLOSURE HAZA Type of Roof _ hauNO m m auriai or Will Applicant building a Occupant u m ss dc0ned i by tie Cupeft issi Mmatipal odc. Chspter 9.12..nd W H.aiN anJ Safety ode. Se thus 25533417 All roofs shall be inspected nor to any roofing material being installed. ❑Yes Na If a roof is installed without first obtaining an inspection, agree to remove Will the applicant or future Wilding Occupant use equipment or deviaa which emit ha mlous air contaminants u defined by she Bay Area Air Quality Management .I all new materials for inspection. D sWctT ❑Yin Nu 1 have mud me ha cedou. materials mqulroments underChaptar 6.95 of the Caller. Code. Sections 25505.25533 and 25536.1 understand that lfte building does rot c sly haw . nan4 Nu it is my mspomibility in notify she Occupant of the rcgm aCemacamafacupancy ©� Signature of Applicant Date 73 ^�y —DU All roof coverings to be Class'W' or better Dam Owner or Authorized agent • 3 ITEMS OF 3 • • CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: -Blk: Lot: APN ........: 31637005.00 DATE ISSUED.......: 03/14/2008 RECEIPT #.........: BS000004160 REFERENCE ID # ...: 08030075 SITE ADDRESS .....: 20203 NORTHCREST SQ SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............:KAZ TOYODA ADDRESS ..........: 20203 NORTHCREST SQ CITY /STATE /ZIP ...: CUPERTINO, CA 95014 OPERATOR: patg COPY # : 1 RECEIVED FROM ....: RYAN M WAGNER CONTRACTOR .......: RYAN WAGNER LIC # 28889 COMPANY ..........: WAGNER CONSTRUCTION ADDRESS ..........: 6388 SAN ANSELMO WAY CITY /STATE /ZIP ...: SAN JOSE, CA 95119 . TELEPHONE ........: (877) 268 -4980 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL ---- ------ ------------- 1BSEISMICR VALUATION --- ------- 19,000.00 ---------- 1.90 ---------- 0.00 ---------- 1.90 ----- ----- 0.00 1REMRESBAT SQ FEET 51.00 429.00 0.00 429.00 0.00 1STPLNCK HOURS 1.00 122.00 0.00 122.00 0.00 TOTAL PERMIT ---- - - - - -- 552.90 ---- - - - - -- 0.00 ---- - - - - -- 552.90 ---- - - - - -- 0.00 METHOD OF PAYMENT ---------- AMOUNT REFERENCE NUMBER ------- --------------- CHECK 552.90 --------------- #720 ----- TOTAL RECEIPT 552.90 . L CUPEkTINO CITY OF CUPERTINO ADDITION /REMODEL PERMIT APPLICATION FORM o9D � 0075 APN # Date: Building Address: oao3 0 SQ Mailin Address (if different from building address): Own is Name,_ Phone #: z o oo o 103 - '}3 $399 Contractor: I Phone #: L W pv(oNjm (fo vL-: Qo T1 ors) Fax #: Contractor License Cupertino Business License #: Contact: Phone #: Fax #: Building Permit Info: '(Z�cic� Bldg. ❑ Elect. Plumb. Mech. Hillside ❑ ob Description: Addition (adding sq footage): What is being remodeled? Z) Prop S SCR t=T' Remodel hicludes Re -Roof: Yes ❑ No If yes list number of squares Remodel Includes Structural: Yes ❑ No [� Square Footage: Addition: Porch: Deck: Garage: Detached Attached s Remodel: Kitchen Bathe Other Type of Construction (Usage Class): Occupancy Type: f2— —�3 1 FR, 11FR ❑ 11, 111, VAHR ❑ 11, 111, IN V -N ' Valuation: Please check this box if the project is a D av second-story addition ❑ Green Building 'Check list must be completed and ttached to the plans. Green Building Points Achieved: _&>_1 ** *For Office Use Only * ** Over - the - Counter ❑ CUPEI,TINO CITY OF CUPERTINO ADDITION /REMODEL FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type ADDITIONS 1R3SFDADD PLLONGRNGR Long Range Plannin esidential PL 1R3INSP Dwellings Inspections B 1R3PLNCK Dwellings plan check B 1R3REPINSP Dwellings Repeat Inspection B 1R3REPPLNC Dwellings Repeat Plan Check B 1R3HINSP Dwellings Hillside inspection B 1R3HPLNCK Dwellings Hillside plan check B 1R3HREINSP Dwellings Hillside Repeat Inspection B IR3HREPLNC Dwellings Hillside Repeat Plan Check B 1R3ALTINSP Dwellings Alternate Materials Ins ection B 1R3ALTPLNC Dwellings Alternate Materials Plan Check B 1PCESS Cesspool P 1PPRSEWG Ea. Private Sewage Dis osal S stem P 1PRSEWER Sewers P 1BPSPRINK Lawn SprinklerBackflow P 1BPWSVCS Main Water Service P 1BSEISMICRE SeismicResidential B DECKS 1R3SFDADD OR 1R3SFDREM 1DECKWOOD Each Deck (Wood) -Each B 1DECKRAIL Each Deck Railing -Each B E E CITY OF CUPERTINO ADDITON /REMODEL FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type GARAGES 1R3SFDADD OR 1R3SFDREM IGARDTW < =1K Wood Frame up to 1,000 SF B 1GARDTM < =1K Masonry up to 1,000 SF B BCONSTAXR Construction Tax Res (new detached garage) PATIO'S OPEN 1R3SFDADD OR 1R3SFDREM 1PATIOWOOD Wood Frame up to 300 SF B 1PATIOMETAL Metal Frame up to 300 SF B 1 PATIOOTHER Other Frame up to 300 SF B PATIO'S CLOSED 1R3SFDADD OR 1R3SFDREM 1PATIOENCLW Enclosed Wood up to 300 SF B 1PATIOENCLM Enclosed Metal up to 300 SF B 1PATIOENCLO Other Enclosed Patio up to 300 SF B 1COVPORCH Each Porch Covered -Each B 1REROOFRES Residential Re -roof Each 100 SF B REMODELS 1R3SFDREM 1REMRESKIT Kitchen Remodel up to 300 SF B (Deduct "$"for ea plan check S' IREMRESBAT Bath Remodel up to 300 SF B 1REMREOTH Other Remodel up to 300 SF . B � REMODEL PLNCK J ISTPLNCK (1 -3 for remodel Standard Plan Check B NOT FOR OVER THE COUNTER PLAN CKS. 3 of 3 CITY OF CUPERTINO ADDITON/REMODEL FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type WINDOW /SLIDING 1R3SFDREM GLASS DOOR 1 WINREP Replacement windows ea 8 windows B I WINNEWNSTR New Window (non- structural B 1 WINMEWSTR New Window (Structural Shear Wall/Masonry) B 1 WINBAYSTR Bay Window (Structural) B SKYLIGHTS 1R3SFDREM 1SKYL <10 SF Skylight less than 10 sf B 1SKYL>10SF Skylight greater than 10 sf or structural B 1STAIRS Stairs -first flight/ea addt'l B IEPERMITFEE Electrical Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit Fee P IELCPLNCK Stand Alone Electric Pln Ck (hourly) E 1MECPLNCK Stand Alone Mechanical Pln Ck (hourly M 1PLMPLNCK Stand Alone Plumbing Pln Ck (hourly) P 1BSEISMICRE Seismic Residential B 1TRAVDOC Travel & Documentation B 1BUSLIC Business License B 4of3 9 0 Green Points Rating System for Remodeling Projects Due to the diversi ty of remodeling project types, assigning a "total points" value to a project to be considered environmentally friendly is not feasible. However, 25 measures have been highlighted to signify that every effort should be made to incorporate them into your projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with ease of implementation and relative low cost. These measures can be used as a starting point for 'greening' your project . o c.v rrcJ A ll9c:r(1�crer f— f� `3 -l�f<� 11. Recycle Job Site Construction & Demolition Waste �I y =yes 3 Energy pts 65 % =1,point; 75 %= 2 points; 80 %= 4 points up to 4 Resource pts Salvage Reusable:Building Materials_ _ 4 Resource pts y=yes 3. Remodel for Mixed Use, Adaptive Reuse, and Historic Preservation 4 Resource pis y=yes 4. Protect Native Soil 2 Resource pts y=yes 5. Minimize Disruption of Existing Plants & Trees 1 Resource pt y =yes S. Implement Construction Site Stormwater Practices 2 Resource pts y=yes 7. Protect Water Quality with Landscape Design 2 Resource pis y=yes LDesign- Resource- Effoient Landscapes andGardens 4 Resource pts y =yes 9. Reuse Materials /Use Recycled Content Materials for Landscape Areas 2 Resource pts y=yes 10. Install High - Efficiency Irrigation Systems 2 Resource pts y=yes 11. Provide for On -Site Water Catchment / Retention 2 Resource ots v =ves B. Foundation 1, Incorporate Recycled Flyash in Concrete • 25% Recycled Flyash = 2 points; Add 1 point for every 10% increase of flyash, up to 5 points up to 5 Resource pts 2. Use Recycled Content Aggregate 2 Resource pts y=yes 3. Insulate Foundation/Slab before backfill 3 Energy pts y =yes C. Structural Frame ' 1. Substitute Solid Sawn Lumber with Engineered Lumber 2. Use FSC Certified Wood for framing (For every 10% of FSC lumber used = 2 points, up to 10) 3. Use Wood I- Joists for Floors and Ceilings 4. Use Web Floor Trusses 5. Design Energy Heels on Trusses 6' or more 6. Use Finger - Jointed Studs for Vertical Applications 7. Use Engineered Studs for Vertical Applications 8. Use Recycled Content Steel Studs for Interior Framing 9. Use Structural Insulated Panels (SIPS) a. Floors b. Wall c. Roof 10. Apply Advanced Framing Techniques 11. Use Reclaimed Lumber for Non Structural Applications f12. Use 068 `- i a. Subfloors . b. Sheathing` — 3 Resource pts y =ye; up to 10 Resource pis 2 Resource pts y =ye: 2 Resource pts y =ye; 2 Energy pis y =ye: 2 Resource pts y =yar 2 Resource pis y =yes 2 Resource pis y=yes 3 Energy pts y=yM=. 3 Energy pts y =yes 3 Energy pts y=yes 4 Resource pts y=yes 3 Resource pts y =yes j1 Resource pt y=yes 1 1 Resource pt y =yes 0 r r r r r r r 0 0 r r r 0 0 s 1. Use Sustainable Decking Materials a. Recycled content 3 Resource pis y=yE It. FSC Certified Wood 3 Resource pis yryE 2. Use Treated Wood That Does Not Contain Chromium Arsenic 1 IAQ/Health pt y=yE 3. Install House Wrap under Siding 1 IAQ/Hsalth pt y=yE 4. Use Fiber- Cement Siding Materials 1 Resource pt Y_—Yes E. Plumbing 1. Install Water Heater Jacket 1 Energy pt Y--yes 2. Insulate Hot and Cold Water Pipes 2 Energy pis Y_—Yes 3. Retrofit all Faucets and Showarheads with Flow Reducers Up to 5 Energy pts. a. Faucets (1 point each, up to 2 points) Up to 2 Resource pts. It. Showerheads (1 point each, up to 2 points) Up to 2 Resource pts. 4. Replace Toilest with Ultra -Low Flush Toilets Up to 4 Energy pts. (1 point each, up to 3 points) Up to 3 Resource pts. 5. Install Chlorine Filter on Showerhead 1 IAQ/Heaith pt y=yes 6. Convert Gas to Tanklass Water Heater 4 Energy pts Y--yes 7. Install Water. Filtration Units at Faucets 1 Energy pt y =yes (2 points each, up to 4 points) Up to 4 IAQ/Hsalth pts. B. Install On- Demand Hot Water Circulation Pump 4 Resource pis yryes r. nacrncei 1. Install Compact Fluorescent Light Bulbs (CFLs) ,(6 bulbs =2 points, 10 bulbs =3 points, 12 bulbs = 4 points) Up to 4 Energy pts. 2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to 1. Upgrade Insulation to Exceed Title 24 Requirements 5 points) Up to 5 Energy pts. 3. Install Lighting Controls It point per fixture, up to 4 points) Up to 4 Energy pts. 4. Install High Efficiency Ceiling Fans with CFLs b. Ceilings It point each, up to 4 points) Up to 4 Energy pts. G. Appliances 4 Energy pis 1. Install Energy Star Dishwasher 1 Energy pt Y--yes 2. Install Washing Machine with Water and Energy Conservation Features 1 Energy pt y =yes 3.Install Energy Star Refrigerator 1 Energy pt y =yes 4. Install Built -In Recycling Center 3 Resource pis y =yes H. Insulation 0 ' 0 1. Upgrade Insulation to Exceed Title 24 Requirements a. Walls 2 Energy pis y =yes b. Ceilings 2 Energy pis Y--yes 2. Install Floor Insulation over Crawl Space 4 Energy pis y =yes 3. Install Recycled- Content, Fiberglass Insulation with No Added Formaldehyde 3 IAQ/Health pis y =yes 4. Use Advanced Infiltration Reduction Practices 2 Energy pis y =yes 5. Use Cellulose Insulation a. Walls 4 Resource pis y =yes It. Ceilings 4 Resource pis y =yes 6. Alternative Insulation Products (Cotton, spray -foam) a. Walls 4 Resource pis y =yes o. cenings 4 Resource pis y--yes r I A 0 ' 0 0. r I A 1. Install Energy- Efficient Windows a. Double -Paned b. Low - Emissivity (Low -E) c. Low. Conductivity Frames 2, Install Low Heai Transmission Glazing �- - J. Heating Ventilation and Air Conditioning '1, Lise Duct tMastic on All Duct Joints , i Install Ductwork within Conditioned Space 3. Vent Range Hood to the Outside 4. Clean all Ducts Before Occupancy 5. Install Solar Attic Fan 6. Install Attic Ventilation Systems 7. Install Whole House Fan B. Install Sealed Combustion Units a. Furnaces b. Water Heaters 9. Replace Wall - Mounted Electric and Gas Heaters with Through- the -Wall Heat Pumps 10. Install 13 SEER/11 EER or higher AC with a TXV 11. Install AC with Non -HCFC Refrigerants 12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace 13. Retrofit Wood Burning Fireplaces a. Install EPA certified wood stovesfnserts b. Install /Replace Dampers c. Install Airtight Doors 14. Install Zoned, Hydronic Radiant Heating 15. Install High Efficiency Filter 16. Install Heat Recovery Ventilation Unit (HRV) 17. Install Separate Garage Exhaust Fan K. Renewable Energy and Roofing 1. Pre -Plumb for Solar Water Heating 2. Install Solar Water Heating System 3. Pre -Wire for Future Photovoltaic (PV) Installation 4. Install Photovoltaic (PV) System (12 kw = 6 points, 2.4 kw = 12 points, 3.6 kw = 1 B points) '. elect Safe aria Durable Roofing Materials 7. Install Radiant Barrier - - L. Natural Heating and Cooling 1. Incorporate Passive Solar Heating 2. Install Overhangs cr Awnings over South Facing Windows 3. Plant Deciduous Trees on the West and South Sides E 1 Energy pt 2 Energy pts 2 Energy pts 1 Enerov of 2 Energy pts 3 Energy pts 1 IAO/Health pt 21A0/Health pts 2 Energy pts 1 Energy pt 4 Energy pts 3 IAQ/Health- pts 31AQ/Health pts 3 Energy pts 3 Energy pts 2 Resource pts 2 Energy pts 1 IAQ/Health pt 1 Energy pt 1 Energy pt 3 Energy pts 41AO/Health pts 5 IAQ/Health pts 31AQlHealth Dfs 4 Energy pts 10 Energy pts 4 Energy pfs Up to 18 Energy 1 Resource pt y= 3 Energy pts y 5 Energy pts y =yes 3 Energy pts y =yes 3 Enerov Dis v =ves • r 1. Use Low/ND-VOC Paint 1 IAO/Health pts y =yes 2. Use Low VOC. Water-Based Wood Finishes 2 IAO/Health pis y--yes 3. Use Low/No VOC Adhesives 3 AO/Health pts y--yes 4. Use Salvaged Materials for Interior Finishes 3 Resource pis y =yes 5. Use Engineered Sheet Goods with no added Urea Formaldehyde 61AOMealth pts y--yes 6. Use Exterior Grade Plywood for Interior Uses 1 IAO/Hsalth pts yeses 7. Seal all Exposed Particleboard or MDF 4 IAOMealih pis y--yes B. Use FSC Certified Materials for Interior Finish 4 Resource pts yryes 9. Use Finger - Jointed or Recycled- Content Trim 1 Resource pts Y--yes 10. Install Whole House Vacuum System 31A0/Health pts y--yes B Resource pts 0 0 0 4 Resource pts 0 0 0 0 0 0 • 4. Install Natural Linoleum in Place of Vinyl 5 AO/Health pts 5. Use Exposed Concrete as Finished Floor 4 Resource pis 6. Install Recycled Content Carpet with Low VOCs 4 Resource pis I 1 0 N. Flooring 1. Select FSC Certified Wood Flooring B Resource pts 2. Use Rapidly Renewable Flooring Materials 4 Resource pts 3. Use Recycled Content Ceramic Tiles 4 Resource pts 4. Install Natural Linoleum in Place of Vinyl 5 AO/Health pts 5. Use Exposed Concrete as Finished Floor 4 Resource pis 6. Install Recycled Content Carpet with Low VOCs 4 Resource pis Total Points M a e: 1 1401 130 57 e Total Points Pro ect Received: 1 01 O= ,Z!9— G:datalpmg.Ngmen WOdngguiderinesh emodeiemlgmanpointsfina1212D4profected .ds rl� CITY 0, UPEI,TINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telepbone (408) 777 -3228 Fax(408)777 -3333 Building Department JOB ADDRESS: X03 PERMIT # 0 933 00 -�� OWNER'S NAME: SUBCONTRACTOR PHONE # p — y I GENERAL CONTRACTOR: — FAX # I am not using any subcontractors: z 3—d-_08 Signa a Date Please check applicable subcontractors and complete the following information: 1L_'`I l Owner/ Contractor Signature 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 Roofing Septic Tank Sheet Metal / Sheet Rock Tile 1L_'`I l Owner/ Contractor Signature FROM :CUPERTINOSANITARYDISTRICT FAX NO. :4082535173 Jul. 10 2008 12:56PM P1 7/ ql E '1 bAN "Apra BOARD OF DIRECTORS DISTRICT MANAGER -EN INFER WO !� 'Go„ MARKTHOMAS &COMP NY. INC. 1 WILLIAM A.B09WORTH RICHARD K. TANAKA JOHN M. GATTO 'YEARS 01 CURTIS 13. HARRISON DISTRICT COUNSEL SERVICE e� WENDELL H. KERR, JR. ATKINSON FARASVN, LP. �jAB(la Q ti4 CHRISTOPHER C. LEE HAROLD9.TOPPEL 20833 STEVENS CREEK BOULEVARD, SUITE 104 CUPERTINO, CALIFORNIA 95014-2154 (408) 2537071 PHONE • (408) 259.8173 FAX www .ciipertinosanitarydistrlct.com File: CuSD —MOP Building Dept. — Cupertino City of Cupertino Attn.: Building Depa tment 10300 Torre Ave. Cupertino, CA 9,501 -3202 Subject: Res*ntial Remodel (Bathroom Fixtures) - Approved • Name: Address: 20203 Northerest Square APN: 31 Permit No. Videotape and Property Line Cleanuut requirement Waived. No additi�nal conditions /requirements by the District SAWORDS\CIJSD ETfFRS \BUlLDlNCT DEPT LFTTERSTINAL LETTER \Final Letter 2008 \08030075_20 03 North Crest Dr_TV Inspection— Cleanout Waived.•_07- 10- 2008.doe SUPPLYING SANFTARYSEWEI AGE SERVICES FOR: CRY OF CUPERTINO, PORTIONS OF THE CITIES OF SARATOGA, SUNNYVALE, LOS ALTOS AND SURROUNDING UNINCORPORATED AREAS