27326 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OOFCUPERTINO _J
BUILDING-ELU ' CA, PERMITNO.
PLUMBING-MECHANICAL
RUI ^.APPLCATION/PERMITLDINCA)IVISION BUILDING PROJECT IDUN1'IRICATION
27326 3G
H11.MN
AUDRF,y9C- ( SANITARY NO. APPLICATION SUBMITTAL DATE
elcO_� t UFF Z
UNIT# LOTH
OWNS SNAME: PHONE: CONTRACPDR'S NAME: LIC NO: `tel
' rr r
NUC CONTROL.k
R III'1'fiCl'/IiNGINF.ER: LIC NO: ADD .SS: I• /I. . D ❑
ONTACL PHONE:
Q1'Y. ELECTRIC PERMIT PEP. BUILDING PERMIT INFO
t 'Z TTBLDG SLI. I:CI PLUMB MECMUCHPERMITdSSUANCE 1�II/Jt
ICENSEDCONLALTOR'SDECLARATION APPLIANCES-RESIDENTIAL LOB DESCRIPTION
a na z I hereby affirm that l an licensed under prnvisionsofCTapter9(commencing with
�00 Section 701 of Division 3 of the Business and Profiessmass Cade,and my It..is in PANELS
C full feBecL [L
Q LoLy LicenseorcemJ Class Lic.N ✓ f/��� UPT02MAMPS
y¢y Date Contractor 2111-1(X10 AMPS
ZOrNir,7� ARCA ITECTS DECLARATION OVER 11100 AMPS SQ.FT.FLOOR AREA 5/SQ.FT.
O2. I understand my plans shall be used as public records.
SIGNS ELECTRICALSlJ(
�yfd Licensed professional
CWOWNER-BUILDER DECLARATION SPECIALCIRCUIT/MISC.
OyU I hereby action that I am exempt from the Contmemr's License Law for the
413Orrfl following mason.(Section 70315,Business and Proressions Code:Any city or county TEMP.METER OR POLE INST. boat
F" rat which requires a Permit to construct,alter,improve,demolish,or repair any structure
� N� print its issuance,also requires the applicant forsuch permit to file a signed statement POWER DEVICES
W_�py Nat he is licensed punuannothe provision of the Contractors Littnse Law(Chapter
d0.0L4 9(commencing with Secdon7f)(f1Bof Division3ofthe Businessand Professions Code) SWIMMING POOLJ4WTRIC VALUATION
G or
section
heir liompLibby herefmmnt bar a baspermit
subjects
thedesemrd to civiny l penalty of ��
r act.n7tht.5 by anydreddoll ($50rnit suhjcns the epplicontmncivil penalty of GGTL1?'1'S-SWIT S IV_
not more than five hundred dollen(85!10).
IYm ❑ I,esownerofthepropeny,ormyemployceswithwaguntheirsolecompemation. .NEW ID L STORIES TYPE CONSTRUCTION
y3� willdo the work.and the structure isnot imendecioroffered for sAe(Sec.70,14,Bminess 2
and Profusions Code:The Contncmr's License Law data not apply to an owner of
property whohuildsorimproves thereon.undwhodoes such work himselformmugh his
own employees,provided that such improvementeate notimendedoro(fend forsale.If, _ OCC.GROUP NGS.UNITS
however,the building.,improvement ismid withinme,carafcnmpletion.mans Y
builder will have the burden of proving that he did not build or improve for puryau of
sale.).
❑ I,n.wner nfthepropcny,am eadusively contracting wiN liunsed contrutonm QTY. - rl'ERMIT 173E FLOOD ZONI. APN
construct the project(Sec 7044,Business and professions CNeq The Communes
License Luwdoes not applym an ownerofmcpscry whobuilds or improves thermailnd PERMITI SU
who contracts forsuch projects with acormarams)licensed pumdant to the Contractors ALTER-DRAIN V '1'- ATF.R(NA)
Licene Law. FEE SUMMARY
❑ I am exempt under Sec. ,B&P C for this reason BACK Filly PROTECT.DEVOUTSIDE FEES
SANITARY YN
Owner RECEIPTN
DRAINS-FL WIj AREA,CO NO.WORKMAN COMPENSATION DECLARATION SCHOOLTAX Y N
❑ Ihcrehy affirm that haven cenifiate ofconsem reset!-insure,ora ctmifiate of FIXTURES T RECP.I fp
Wortera'Cmmpensation lnsumnce or acetified copy thereof(Sec.3S00,Lab CJ whichI PARK PEEN
covers all employee's under this Permit. GAS.FA.SYSTEM.I,INC ITS E M
policy . V_ BUIL. I SION FEES
Company GAS-EA.SYSTEM:, f) PLANC14ECK FF
❑ Cenified copy is hereby famished. t,•
❑ Certified copy is filed with the city inspection division. GREASH/0- N;:,a:' Vr:EPTOR GRADING
CERTIFICATE.OF EXEMPTION FROM WORKERS' GRfiASF.TRA.s/ -'
COMPENSATION INSURANCE SOILS PEE /�
or less�is seelimarromma acompleted ifine permit is forms,hundred dollars(E100) SEWP.R-SAM.nRt.�TUI. ".2o0PT. ,� ENERGY FEE ` 7f
Icenifythat in the performance ofthe work for which this permit is issued,l shall WATI?R HEATER Was" ,'TR V
not employ my person in any manner so as 10 become subject to the Worker.' PAID
Z Compenamios Lowsof Celifomia. Date WATER SYSTEM(fRFA's_-�, Done
Applicant
Z C NOTICETO APPLICANT.If.aftermaking Nis Cenifiateof Exemption,you should NEW RPSIDENTIAI.PLMB.� _`,. -�' TOTAL:
F fq "become subject m the Worker's Compensation provisions of the Labor Code,you must se
f.nhwhh comply wire su.h pmvvlona or this lwrmit shall be deemed revoked.
,C ;7
BUILDIN _.
W �F'y. ..
rs CONSTRUCTION LENDING AGENCY SF.ISMI
5 I hereby affirm than Nem is s construction leading agency for the pertomnnce of
(� ONe work for which this permit is issued(Sm.3097,Civ.C.)
LT. Ir Lender's Nasse
lU-t Leader's Address QTY. MECHANICAL PERMIT' PEE PI' FEE
1 certify the,l have read this application and state that the above information Is
correct l agree to comply with all city and county ordinances and state laws relating t0PERMIT ISSUANCE MF.CI IA AL FE
E-' Cl) building construction,and hereby authrric representatives ofthiscity to cnmr upontbe CONSTRUCTION X
above-mentioned property for inspection purposes. ALTER OR ADD TO MECH.
(We)agree to save,indemnify and keep handless the City of Cupertino against
Iiabilities,judgnlcnts,costs and expenses which may in anyway accrue against said City AIR HANDLING UNIT(TO 10,000CFM)
in consequence of the granting of this permit.
AIR HANDLING UNIT(OVER 10,000 CIrM)
—2y—
Sigallare of Aporma/Conpactor Date EXHAUST HOOD(W/DUCn
PAID
HAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO 100,00(1 BTU) Date Receipta
Will me applicant of future building tampon stare or handle hazardous material
as debated by the Cupertion Municipal Code,Chapter 9.12,and the Health and Safety HEATING UNIT(OVER 100,1100 BTU) TOTAL.:
Code,Section 25532(,)? VENTILATION FAN(SINGLE RESID)
❑Yes ❑No
Will mese licam orfmurchuildin BOILER-COMP(3HPOR 100,000 pTU)
ISSUANCE D TE
pp goccupunt useequipmmtordevisxs which emit
aamdo x air contaminants m defined by the Bay Area Air Quality Management BOILER-COMP(OVER 100,000 BTU)
- Lstrim? ❑Yu ❑NaNEW P1Jp pp
RPSIDENTIAI. N.MECSQ.FT. M
I hove recall he notoriousmatmials requirements under Outfit,6.95 of the DEC
Cranford.He:Nh&Safety Code,Sections 25505,25533 and 25534. 1 understand Nat
if the building does nm currently have a tenant]air it is my respr odality m notify the
cupam.1 the requirements which must be met prior to issuance of a Cenifiatte of
Occupancy. s /s1
Owner a/ Noosed agent - Date La, ISSUED BY: r Ilvu
OFFICE
Inspection Query for a Specfic Permit 1/13/98
• Ins ecto. Units1 Pass(Fa11NH
JB 2 P
B 2P
B B 1
JB 3P
B 2P
V 3P
CC 2F
CC 2F
CC 2F
J 2P
J 2P
J 2P
J 2P
2P
J 1P
UF
CCCCCC
•
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Inspection Query for a Specfic Permit 1/13/98
• P,.ERMC IJ=USISJ,SIT,USFS,TREET Lo �, INSQESCRIPtT Ins,„ DATEDES,IRE�&DateD ine
7326 10518 PHIL PLACE FOUNDATION 12/7/94 12/8/94
7326 10518 PHIL PLACE F 12/8/9 12/8/94
7326 10518 HIL PLA NDFLR 12/13/94 12/13/ 4
7326 10518 PHIL PLACE UNDF FRME 12/13/94 12/13/94
732 10 8 HIL PLA NDF.FRAME 12/15/94 12/15/94
732 10518 PH PLACE NDF PLBG 12/1 /94 12/15/96
7326 10518 PHIL PLACE ROOF NAIL 12/28/94 12/28/94
7 2 10518 PHIL PLACE EL T- 2/14/9 2/14/95
7326 10518 PHIL PLACE IMECH-R 2/14/9 2/14/95
7326 10518 PHIL PLACE PLBG-R 2/14/95 2/14/95
7326 10518 HIL PLACE IFRAME 2/16/952/16/95
7326 10518 PHIL PLACEPLBG-R 2/16/95 2/16/ 5
7326 10518 PHIL PLACE SHEETRK NAIL 2/28/95 2/28/95
7326 10518 PHIL PLACE ELE T-R 6/29/9 6/29/9
326 10518 PHIL PLACE F M /29/95 6/29/95
7326 10518 PHIL PLACE MECH-R 6/29/95 6/29/95
27326 10518 PHIL PLACE PLB - 6129/95 6/29/95
27326 1 518 PHIL PLACE BLDG-F 9/27/95M/27/957326 10518 PHILPLACE ELECT-F 9/27/957 10 8 HIL E FNA N Y/ RAD 9/27/9512 32 05 HIL PLA E M 9/27/957326 10518 PHIL PLACE PLBG-F 9/27/95
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ev
10300 Torre Avenue
of
Cupertino, CA 95014
Czlpertino Building Division
(408)777-3228
(408) 777-3333 (fns)
March 20, 1998
Homeowner
10518 Phil Lane, Lot 2
Cupertino, CA 95014
SUBJECT: Permit# 27326 Addtn/Rmdl
Dear Hcmeowner:
We have been going through our files in the Building Department, and contacting those
people with permits remaining "open".
. According to our inspection records, this permit has not been finaled by the Building
Department. The last inspections of record were in September, of 1995. Many times an
inspector will sign the permit in the field, but overlook reporting all of the information to
the clerical staff for input into the computer. If this is the situation and your permit card
shows the final sign-off, would you please contact us so we may complete our computer
records? If the permit is not signed off, please call to schedule an inspection for final
closure of the permit.
Because of the large volume of paperwork within the building department, we cannot
separately monitor the progress of each permit. We ask that you give this notification
your immediate attention. If we do not hear from you within ten (10) working days, we
will dispose of the file and remove the records from our computer.
Thank you for your assistance.
Sincerely,
CITY OF CUPERTINO
Christy Akatiff, Administrative Clerk
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Prioted on Recycled Pnecr