04120159 C[TY OF CUPERTINO
B ILDING DIVISION PERMIT CONTRt�C�TQR"INFORM
t1 I®N
BUILDING ADDRESS: JAMES HOM & CHRISTINA OKAW PERMITNO041201S9
11233
OWNER'S NAME: PERMIT ISSUE DATE
JAMES HOM & CHRISTINA OKAW
E: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: -
BUILDING PERMIT INFO
BLDG ELECT PLUMB - MECH
0 0 0 0
+Z+Op LICENSED CONTRA=WS DECLARATION
G 1 hereby rdNat 1 sm licensed under provisions of Chapter 9(commencing ... Job Description
U with Section?"Orlf Division 3 ofde Businniend Profession,Code.ml.1 he..is
in full arae and ercem. MS BATHRM REMODEL
j t2i License Ctass Lic.g _
Z,—p Dew Contmaor
ARCHITECTS DECLARATION
a aFIf� LE®
I understand my plans shall h used as public ,Ns
�dU
3oH Licensed PafcssinrW
OW NEup eachDER DECLARATION
f I hereby.seer onn I am,Business
from the Continfermoncah License c Law for the I : 2095
a followwhich requires
permsectit to on
t.sine.improassionsh,or ,.itity,rcounty ITU
m which re9uires•permit re rnnuucL alcor,improve.acm,li h,lir repair any sufortmorem
,rZQ pOmbi6censod poomantun resthe provisions
applis ofthe IXnpermlt tLices Law(Chap rnt -
thnhcislicenudpurstion70 cpavisiorts 3ofthe ntarucanccnselaw(Chapar9 Sq.F[..FloorArea
w�$ (con,iris cogorth Scctiont and)of basis for
casmton.Anyvi Code)of _-
that he u exempt therefrom and the bssu(or the alleged exemption.Any violation of RI III GQ
Section 7031.5 by any applicant err a permit subjects the applicator to a civil penally of _ APN.Number CCupancy TTpe-—- -
not mom Nan five hundred dollar.(5500).
01.as owner of the prope y,or my employees with wages as their auto compensation,
will do the work,and the swctua is not intended or offered for sale(Sec.7060,Business
and professions code:The Contrumr's License law aces not m in owner of Required Inspections - - -
papenywho Wilds orimprows therein.and whodoessuchwork hintulfor 0uo ugh his
own employees,provided Nat such improvements are not initiated oroffefed for sale.If. .
however,Ne building or improvement is mid within one year of completion,the owner.
wilder will have the burden of paving that he did not Wild Or improve for puryose of
sale.).
❑I,as owner of the property,am exclusively convening with licensed ccmusem.in
convect as pmjen(Sec.7004.Business am Productions Code:)The Contrxmr's V-
cen,e law docs not apply in an Owner of property who Wilds or improves thereon,and
who contracts for such projecor with a contractor(s)licensed pursuant in the Convector'
License Law.
WORKER'S COMPENSATION DECLARA40N ,
1 hereby affirm under penalty of perjury on,of the fallowing declarations: '
,f Ihaw and will around.a CeWOcesmof Consent to ulFinsua for Worker's Compeer
sauim,as provided for by Section 3700 of Ne labor Code,for the pof.mource of the
work for which this permit is issued.
❑1 have and will munuin Worker's Compercmtion Insurance,M required by Section --
3700,f WC Labor Cock,for the performance of the work turwhich this permit is issam.
My Worker's Compensation Insurance carrier and Policy number are:
Cartier. Poliry No.: _
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu sermon need nut becomplered if the permit is Ounce hundred dollars(SIM)
less.)
1 certify thst in thepow of the work dor which this permit is issued.I shad not
employ any'pebrun0,iinns far til t s 'ct to theA�cri Compen,ation
(Ca'A r
Applin��y •�
NOTICE ct Us the Wor:If.after making this provisions
of of Exemption,aborCode.you should
.JObecome scompy the Woh Fro Compcor this provisions od the coed vulteyou most
forthwith comply with such provisi,a or this permitshallWdamcd awkcd.
''Z ") CONSrRUCf1ON LENDING AGENCY
'e+ I hereby,aOlrm arca there is a coomuction lending agency for the performance of
ai the work for which this permit is issued(Sec.3097,civ.C.)
!gl Under's Name
0. z Under,Add.
J C) I entry that 1 have mad this application am sum that the above information is '
Is.F correct I agree to comply with all city and county on inantts and suite laws relating to
0U building construction,and hereby atuM1onae apmsenutives ofthis city to enter upon the -
}W above-mentioned pmpenr for inspection purposes.
gy (We)agree to save,indemnify and keep harmless as City of Cupertino against
h Imbitiues.judgments,coma add.. ...which may in any way ac.agunstsuit City
U Z in consequence of the granting of this permit. ////
REG '2—
^ APPLICANT UNDERSTANDS AND WILL OMPLY WITH ALL NON-POINT Issued by: Dater
SOU ATIO t
Re-roofs
um of ApplicanUConwcmr D m
HAZARDOUS MATERIALS DISCLOSUR Type of Roof
Will Nc applicant Or future Wilding nzupant mom orhandle hanNous maaria
a defined by the Cupertino Municipal Code.Chapter 9.11,and the Health and Safety
Code,Section 155310)? 1 All roofs shall be inspected nor to an roofing material bei.
❑Yes yNu P P Y g g installed.
Will the,applicant 0r future builder ,ccs ant use a If a roof is installed without first obtaining an inspection,I agree to remove
pn s p equipment Qu or which g
x hvaraous air contaminants as Jellied by the Bay Arta Air Quality Management all new materials for inspection.
Gi:vkt?
0 Yci Qj'Nu
I have read the harafdous materials mqum mens under Chapter 695 or the Caifor-
niaHcalth&SactYCoac,SccdonSM5O5,25533ad25534.1un&nwdthatifthe Wilding
does Out currently haw a a add,dart it u my rcaphow bihI to ruddy Btc.,Up.(of the
mrtuimL m 0 hicntheme�t^or asrceor.ccateam oro, r' Signature of Applicant Date'
,a��a ll rrw
G r,nuth,nrsaagentscnt Date All roof coverings to be Class "B"or better
CITY OF CUPERTINO ' " '
BUILDING DIVISION PERINCONTRACTOR INFORM1ON .
BUILDING ADDRESS: JAMES HOM & CHRISTINA OKAW "" "°04120159
233 P
ER'S NAME: PERMrf LSUEDATE
JAMES HOM & CHRISTINA 0KAW1 j1
PHONE: SANITARY N0. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
_o
.Diaz LICENSED CONTRACTOR'S DECIARATLON [qa fkll��
CI hereby affirm that I am licenxd under provisions of Chapter 9(commencing "�rf Y Dessa7 O
i with S.mimn 70sar.f Division Softhc Run.and Professions GOdC,and mylicemc is 1111181 'LV�9LTNtllf ��"kk
in OtB more and effect. MS BATHRM REMODE
j vn= Liceuc Class Lk,If
Z;:,tQ-� Dao: Conuanor 1/sal 0�y_ �IQQC
2� ARCHITECTS DECLARATION V l/I L L U
��CC I undersand my plans shall be used as public records
j y U BUILDING—`
�p I�Ik 55yyy gg..�W,, apps(((���aaa p /�
;p� LiccnuI Professional �1' {g�sT `q �� R/
OWNER-BUILDER DECLARATION QNtV{PII I'Ll�—�1JJa1 �f �`C-,yj�sr]
1 hcrchy affirm Set 1 am ucmpt from Nc Contractor's License Law for llo:
H,e o following mason.(Section 7131.5.Business and Profnssioas Code:Any city or county
y m which requires a permit to construes,alcor,improve,demolish,or repair any structure
odor to its issuance,alsu inquires the applicant forsuch permit m file a signed saomeni
�s< that he islicenecd purmanuntM provisionsoftc Consmcwr's Charts,Law(chapor 9 Sq. FL.Floor Area Valuation ..
,mac (commencing wit5ection7000)of Division3 ank Busimssand Professions Code)ur 5000
y5? that he is asempt thdafrom and the basis for the alleged ucmption.Any violation of
Section 7031.5 by arty applicant for a permit subjects the applicant to a civil penalty of AFN Number Occupancy Type -
em more ban roc hundred dome(SSW).
1,as owner of de property,or my employees with wages as their sole compensation,
will do the work and de structure is mat intendcdmoffered Rusale(See.7044,B.M. 3 10 ns Required Inspections
and Pefessiorts Code:The Contractor's Liaowner
tue law does not apply to in of q p
property who builds sur impsovu thereon,and who dors such work himself or through his
own employees,provided that such improvements are not intended or offered forsak.If.
however,the building or improvement is sold with.mrc ye.of completion.Ne owner- '
builder will have the burden of proving than he did not build or improve for .To.of
sal.j.
❑1,as owner of the propeny,am ucluanely contracting with licensed contractors to
construct to project(Sec.7044,Business and Professions Code:)The Comecmr's Li-
ccnse law docs not apply to an owner of property who Wilds or improves thereon,and
who contracts for such projects with a commctm(s)licensed pursuant o the Contractor's
cnu Law.
I am escmqCt uundi,ssec.. ) B A,P C for this
reason
nu'�,GL —� Da§
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following deductions:
❑1 bave and will maintain a Certificate of Consent iosclf-insum for Wot esCompere
satin,as provided for by Scction 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
1 have and will maintain Worker's Compensation Inmomm,m required by Section
3700 of me Labor Code,for the performance of the work for which this permit is issued.
My Worker's Compensation Insurance Cartier and Policy number art:
Carrier. Policy No.:
CERTIFICATE OF EXEM MON FROM WORKERS'
COMPENSATION INSURANCE
olds section need not becom ictedifte permit is forms,hundred dollars(SIM)
itss.)
art3fy tut in to to
of the work for which tis permit is issued.I shall raw
cmplrsma mann:ort ec hicclmthe Wykers'Compensation
La fCali m 4
Appliu t VQakO aa• - -
tC7 Ct 10 he Work r,f.atom making this Certificatesof of Later ion.you should
become subject to the Worker's Coons or this
Permit
steal of @c meed r Cndc,you must
.JO forthwith comply with such provisions Car tis permiuM1allWdccmcd mmkcd. '
z ` CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of
athe work For which this permit is issued(Sao 3097.Civ.C.)
�~n- Lender's Namc
ILZ Lender's Address
V 0 I anify that 1 hese read this applicant.and room that,the above information is
COMM I agree m comply with all city and county ordinances and state laws relating to
Vbuilding construction,and hereby amhorim rcpresenadva of this city to enter upon the
r W aWve-donioned property for inspection purpaaea
(We)agree to ave,indemnify and keep harmless dm City of Cupertino against
V]
liabilities judgment.coed andcapmuca which may in any way a,crvc ag.Mc,sdid City / �
V Z to consequence of the granting of this permit. V
'—' APPLICANT UNDERSTANDS AND WILL MPLY WITH ALL NON-POINT Issued by: (/ JtYN Date%/
sou REG APO
Re-roofs /
bwre of Applic.VContncmr Unlike
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant Of future building occupant smut or handle harardous material
defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety
'ade,Sado.255320)? All roofs shall be inspected prior to any roofing material being installed.
0 Yes 16Nm
Will me applicant or future building occupant dad MIipmem ar devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit haysrdous air contaminants as defined by the Bay Area Air Quarry Management - all new materials for inspection.
District?
E3Yes (eNu
I h..read to luouso nm ma:n.ls requimmemt under Chapter 6.95 or the Califor-
nia Health&Safety Cordo,Sections 25505,25533 and 25534.1 understood thatIrma building
dao trot currcmly hast a renant.that th u my mspomibI it m notify the occupant of the
regwmmm ,hichan time nor anaofaCemteam oraup ey. Signature of Applicant Date
U
o r or authmnaad agent �3 Dam
mAll roof coverings to be Class 'B"or better
x Community Development
.t J" O
0 Torre Avenue
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
tPEkTINO
Building Department
JOB ADDRESS:/ 1�� 5 Gt PERMIT #
0\ 33 P, 3 V 0 PC 155?
OWNER'S NAME: J001e,, ffotm � C vls hti W PHONE # �h08-44Crl SloO
GENERAL CONTRACTOR: FAX #
I am not using any subcontracto �3
Signature ate
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
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
�Z�Owner/Contractor Signature Date
f
• CITY OF CUPERTINO
Item 1 of 1 PERMIT RECEIPT OPERATOR: conniew
COPY # 3
Sec : Twp: Rng: Sub : Blk: Lot :
APN . . . . . . . . : 35621027 . 00
DATE ISSUED. . . . . . . : 12/22/2004
RECEIPT # . . . . . . . . . : 28133
REFERENCE ID # • • . : 04120159
SITE ADDRESS . : 11233 PALOS VERDES CT
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : JAMES HOM & CHRISTINA OKAWA
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4721
RECEIVED FROM . . . . : JAMES T HOM
CONTRACTOR . . . . . . . : LIC # *OWNER*
COMPANY . . . . . . . . . . : JAMES HOM & CHRISTINA OKAWA
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4721
• TELEPHONE . . . . . . . . :
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
----- ----- ------------- ---------- ---------- ---------- ---------- -- -- - -----
BPERMFEE VALUATION 5, 000 . 00 115 . 56 0 . 00 115 . 56 0 . 00
BPFIXTURE UNITS 3 . 00 27 . 00 0 . 00 27 . 00 0 . 00
BPLANCHK PERMIT FEE 115 . 56 154 . 21 0 . 00 154 . 21 0 . 00
BPREPIPE NO OF FIXTURE 3 . 00 27 . 00 0 . 00 27 . 00 0 . 00
BPSEWER SEWER SYSTEM 1 . 00 21 . 58 0 . 00 21 . 58 0 . 00
BPVENT UNITS 1 . 00 10 . 79 0 . 00 10 . 79 0 . 00
BPWATER UNIT 1 . 00 9 . 00 0 . 00 9 . 00 0 . 00
BENERGY PERMIT FEE 115 . 56 55 . 47 0 . 00 55 . 47 0 . 00
BREMFIXT NO. FIXTURES 2 . 00 2 . 40 0 . 00 2 . 40 0 . 00
PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 .37 0 . 00
BREMPOWER POWER UNITS 1 . 00 47 . 96 0 . 00 47 . 96 0 . 00
BREMRECEPT NO. OUTLETS 2 . 00 2 . 40 0 . 00 2 . 40 0 . 00
13REMVENFAN NO UNITS 1 . 00 45 . 39 0 . 00 45 . 39 0 . 00
BREMVENSYS NO UNITS 1 . 00 10 . 26 0 . 00 10 . 26 0 . 00
BSEISMICRE VALUATION 5 , 000 . 00 0 . 50 0 . 00 0 . 50 0 . 00
EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
MPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
---------- ---------- ---------- - - -- ----- -
TOTAL PERMIT 644 . 63 0 . 00 644 . 63 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
-------- --- -- ---- -- - - -------- ---- - -------------
CK ------644 . 63 619
TOTAL RECEIPT 644 . 63
0ER-BUILDER VERIFICATIWN
1. (Check one) I or my immediate family (parent,spouse or child) will perform
• A. _� All the work authorized by this permit
B. _ A portion of the work
C. _ None of the work
If B or C is checked,complete 2 or 3 below.
2. A state licensed contractor will be hired to do:
A. _ All of the work
B. A portion of the work (complete section below)
Contractor Address/City. Phone # State License # Type of work to
vc cc:c::c:ccu
�3. t I will utilize unlicensed person(s) other than my immediate family to perform all or
portions of the authorized work. I understand that I may be an employer(see reverse side). A
Certificate of Insurance covering workers' compensation must be on file at the City of
Cupertino Building Department office.
PersorVFiaar Address/City Phone Number Type of work to be
- ' -- _performed
.....................................................................................................................................................................................
I declare under penalty of perjury that the above is true and correct I have read and understand the
Owner-Builder Information (reverse side).
Property Owner's Signature:. GDate: a 0
Job Address: I �� 3 3 P� (°s `�� G�. Permit Q*-LQJ5-
Any changes to the information provided on this form shall be submitted to the City of Cupertino Build
—.—Department- — -- -- — --- -- -
City of Cupertino Building Departmeo
I
CITY OF 10300 Torre Avenue
C U PEkT I NO Phone: (408)777-3228
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of
the property improvements specified.
For your protection you should be aware that as owner-builder you are the responsible party of record
on such a permit Building permits are not required to be signed by property owners unless'they are
personally performing their own work If your work is being performed by someone other than yourself,you
may protect yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have,a
business Incense from the city or county. They are also required by law to put their license number on all
permits for which they apply:— -
If you plan to do your own work,with the exception of various trades that you plan to subcontract,you
should be aware of the following information for your benefit and protection
If you employ or otherwise engage any persons other than your immediate family, and the work
(including materials and other costs) is$200 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
If you are an employer,you must register with the state and federal government as an employer and •
you.are subject to several obligations including state and federal income tax withholding,federal social
security taxes,workers' compensation insurance,disability insurance costs,and unemployment compensation
contributions. -
There may be financial risks for you if you do not carry out these obligations, and these risks are
especially serious with respect to workers' compensation insurance.
For more specific information about your obligations under federal law,contact the Internal Revenue
Service (and,if you wish,the U.S.Small Business Administration). For more specific information about your
- obligations under state law,contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale,property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees,without a licensed contractor or
subcontractor,only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an owner-builder
building permit,erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing
their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License
Board in your community or at 1020 N Street,Sacramento,California 95814.
Please complete and return the enclosed owner-builder verification form so that we can confirm that
you are aware of these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
- -Building Department;--
City of Cupertino
Protect on Recycled Paper
- OCITY OF CUPERTINA
o Z o S
44•CUPERTINO
PERMIT APPLICATION FORM
APN # •���./ 7i �. 2 Date:
Buildin Address: Mailing Address (if different from building address):
33 e,los UeV6, &S Ct
Owner's Name'':// Phone#:
AJC bn25 I(041 h�,-, 408- y-( L-/ -G C)
Contractor: License#:
x,10 er
Cc3t: Phone: y{��-t( 6-IS"bo Cupertino Business License#:
vi" IIIA DkaiLJk Fax:
o
'Building Permit Info:
.Bldg ❑ Elect ❑ Plulnb ❑ Mech ❑
Job Description: A r,
Residential ® MG>fC✓ b k�4 hvhL avvlo e-� i
Sq.Ft. Floor Area: $/Sq.Ft.:
Cost of Project: S, oOC�.vo Occupancy Group: p
�
ype of Construction: j Please check this bo if the project is a
second-stor addition: ❑
Pro'ect Size: Standard ❑ Laze ❑ Major ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> IOOK to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILERS Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/ uasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax -Resi/Mobile BUILDING
BELEC1000 Elec 600V<= IOOOA ELECTRICAL
BELEC1001 Elec 600V> 1000A ELECTRICAL
\ BELEC200 Elec Svcs 600V<=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
1 of 3
'ICITY OF CUPERTIN(O
CUPEI�TINO PERMIT APPLICATION FORM
QuantityFee ID Fee Description Fee Group
BMISCELL Miscellaneous Fee BLUDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pb1g Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
' BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinklerBackflo PLUMBING
BPSTORM StornvRain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water Heater/Vent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit > 10,000 cfrn MECHANICAL
BREMAiRHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace > l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
2of3
Dio�Ts *'ITY OF CUPERTINO
CITY OF PERMIT APPLICATION FORM
CUPERTINO
Quantity Fee ID Fee Description Fee Group
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
' BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Insection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE _ Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue ._ PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
ZADDCHG. __ Address Chane BUILDING
3of3
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