S 0381APPLICANT TO FILL IN
CITY OF CUPERTINO
BUILDING DIVISION
BUILDIN-�G E
ADDRSS:
10 y 77 0
RED LINES - USE BALL POINT PEN ONLY
APPLICATION/PERMIT
C-vJIIV
c 4--a
ARCHITECT/ENGINP.ER: LIC NO: A RESS:
El
CONTACT. PHONE:
BUILDING PERMIT INFO
BLDG, I➢/ ` PLr�U-yMP ME❑CH
❑ JRI
I�
-77 ❑Consultant Fees Paid by Applicant (initial)
I Tr'
WQ O' OZ
tJpO
U
f-ZW
LICENSED CONTRACTOR'S DECLARATION QTY ELECTRIC PERMIT FEIi
1 hereby alErm that 1 am licenxwl under pmvisi.m of Chapmr 9 (commencing
with Section]IXXErdfDivixkm 3ofthe Businessland Pmfession.x Codaand mylicenmix
e anJa mi. �O6 PERMITISSUANCE
s LichF-V APPLIANCES-RF_SIDENTIAI.
JOB DESCRIPTION
RF_SIDENTIAI:
❑SFDWI. ❑ KITCHEN REMODEL
❑ADDITION PLUMBING RE -PIPE
❑MULTI -UNIT ❑STRUCTURAL
MODIFICATION
❑INTERIOR ❑CHIMNEY REPAIR
IMPROVEMENT 0SWIMMING POOLS
[I BATH REMO 'PAI DEMOLITION
❑OTHER
p r
'/' Zndcmtan0
Z4GsUPT02MAMPS
ARCf..TF.CTS DGCIAI-, PANELS
my plans shall he used us public meZO
NLicemmd
M p�
�X�' O y CJ
W 30 y
���1
Y Qi
GCI
11EEy......,,
tJZO
CC2
W
romesional 201-10EX1AMPS
OWNER -BUILDER DECLARATION OVER IOoOAMPS
1 herby alarm that I sat enosin from the Contractor's e: An m law fnf the
remna. (Section 7031.5. Business and improve, die nos Cale: man an or county SIGNS ELECTRICAL
which
h penlixh or repair ed swcmrc
which reqs ilex d permit m tOm, he "Iter, i t for such Lrile lse Law statement SP[CIAL CIRCUIT/MISC.
prion its cense purse requires theupplisofthe Contractors
that heimen, it pursuant pmvisinnxn otlCnmrunOrsl.icenxelaw (Chapter,Code)9
(cutmnencing with Section 7(NXII oI Division3nl the ❑usinesx anJ Pmfessi.nsCode)nr TEMP. METER OR POLE INST.
that he is exempt therefrom and the haxis far the alleged exemption. Any violation of
Section 7031.5 by applicant for t subsets the applicant r a civil It f POWER DEVICES
y any app .semi IP pe"" Yo
not more than f ve hundred dollars GINS)).
❑has owner of the pmpeny, or my anpinytts with wage.. us Omit sole campenrminn, SWIMMING POOL ELECTRIC
will do the work, and the structure is not intended oroffcred for xWe(See 7044, lunine,s —
and 11.d'ession, Cude: The Cantr"etnr's License Law docs not apply in an owner of OUTLETS -SWITCHES -FIXTURES
property who Wild, or imprnve, themon, and who does such work himmlf or through
his Own employees, provided that such impmvemenis are not intended or uEcrd for NEW RESIDENTIAL ELECfR SQ FI'.
sale. If, however. the building or improvement issod withlnoneyadnl completion,the
oar i
COMMERCIAL•
❑ N17W BLDG/ADDITION El DEMOLITION
TRNANT ❑ FOOD SERVICE
IMPROVFiMEN9'
13-9111091
FI'. FhO to 0
SISQ. FI'.
under -budder will have the hucen of proving that he did not bnilA nr impmvefnr
Jos.
pose of wlay TOTAL:
1, as owner of the pmpeny, um exclusively contracting with licensed contractors In
consumer the project (Sea. ]1414, nosiness and Professions Code:) The GOmlavus
verse law does notapply to an owner of property who builds or improves thereon. and QTY. PLUMBING PERMIT FEF,
who contracts for such projects with a contractor(x) licensed pursmnun the Commerce.
License law. PERMIT ISSUANCE
n.
NfpGXg q®
v/
l�l UI -
��rtI nN U
1 am exempt under Sec. . B & P C for this reason
VALUATION
ALTER -DRAIN & VENT -WATER (EA)
owner nate
WONnderPCOM COMPENSATION DECLARATION BACK FLOW PROTECT. DEVICE
1 hereby off ai under penalty of of
❑lhave andwillmainbyeio37Certificate Of Consene ofthe following derWorkrex Co DRAINS - FLOOR, RODEAREA. COND'
for Workersce
STORIES
TYPE CONSTRUCTION
the LahrCode, for of the
smirk, as provided for mi Ss i...c 3]00 of the labor Gita for the performance of the
work for which this permit is issued FIXTURES -PER TRAP
❑ 1 have ud will maintain Worker. Compensation Insurance, as required by Section
3700 of the Labor Cade, for the performance Of the work for suchnOm permit is issued. AGAS - EA. SYSTEM- I INC.4 OUTLETS
BC. GROUP
APSE
Workers Compenmtion Insurance came, unit Policy number am:
artier. Policy Nn: GAS -EA. SYSTEM -OVER 4 (EA)
CERTIFICATE OP EXEMPTION FROM WORKERS'GREASF/INDUSfRL WAS'ILINTERC,MR
COMPENSATION INSURANCE
BUILDING DIVISION FEES
Z
O
ti
a'
�
LUkx H
(This section mad! Out be comiRld Rate pe end, is for one handled do[]—(S GO) GREASF.TRAP
or less.)
I certify that i"r he perfornmax.fthe workf which this pemtit is issued.) shall SEWER -SANITARY -STORM HA. 200 FT.
nut employ any' yam anyys�W y us m he a hjem to the Workers' Comped-
nation Laws u(C lRivhi a trf a n/ +'J / / A 7 WATER HEATER WNENE'VELECTR
Applicant i/— �L
NOTICE T LI altar making this Certificate of Exemption, you should WATER SYSTEI CREATING
Iecome se, e t m e W. cr's Cum s.tion rovisions of the later Gde, you mm,
pen p
forthwith caapi with ch provisions Or permit shellh Jeemcd revoked. WATER SF.RVICF.
CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL. PLMIL SQ. PL
I hereby affirm that there is u Ommosenon lending agency fur the performance of
the work for which this pemtit ix issued(Site 3097, Civ. C.)
Lender
Lenders Name
PLANCI1ECK HE
ENERGY FRE
GRADING FEE
SOILS IT
PALO
Date RecciplX
TOTAL:
O U
U
TUfA
Lender's Address I.:
BUILDING FEE
FN
V Z
1 certify that I have read this application and state that the above inhdntanon is
corcel. I agree to comply with M city and county ordinances and state laws relating to QTY. MECHANICAL PERMIT F17E
haddingamsmmtion,und Ombyauthorirc representatives oflhis city it) enter ups the
SEISMIC FIRM.
I?L[C'I'BIC PEE
PLUMHINGFEE
«a
above-ntentinned properly for inspection lopnncx. PERMIT ISSUANCE
(We) agree to .iron. indennify and keep Imnnlexs the City of C.Perdo. umin't
liabiliries,judgments, costs and expenses which may in any way seems, against said City ALTERORADDTOMECH.
On consequence of the granting of this permit.
APPLE N IND A US AND WILL COMPLY WITH ALL NON -POINT AIR HANDLING UNIT(TO 10.0) CPM)
MECHANICAL PER
SDU 'E 1 i TIONS.
AIR HANDLING UNIT (OVER Iy0h0CFM)
CONST RUCTION TAX
Sof lieu. moncmr Dar EXHAUST HOOD(W/DUCT)
AZARDOUS MATERIALS DISCLOSURE
W the ap mum nr Trate M1uilJing acupam stem nr hanJle hwardous mmerisl HEATINGUNITIT0100.000PTU)
as def by ih upenian Municipal Code. Chapter 9.12, and the Health and Safety HEATING UNIT (OVER I W,Ilfl(1 RTU)
Coda Sodium .532(a)P
HOUSING MITIGATION FEE
1'
❑Yes ❑Nn VENTILATION VAN (SINGLE RESI))
PAID Dme Receipt# 4
Will the applicant Or future building occupant use equipment or devices which BOILER - COMP (FHP OR 100,000 BTU)
emit haroadi air conmminamx as defiod by the Bay Arca Air Quality Management
TOTAL:
District? BOILER -COMP (OVER 100.000 BTU)
E] Y. [3 No
I have mad the hordous materials requirement, under Chapter 6.95 of the Cali- AIR CONDITIONER
ra
ISSUANCE DATE
fornix Health & Safely Cele. Sections 25505, 25533 ami 25534. I udemand that if the NEW RES IDENTTAL MECIL SQ. Em
building does Out currently have a tenant, that it is my respmxlbility to notify the occupant
of the req. room B which mux, he and prior to owmnce of n Certificate of Occaponxy.
ISSUED BY:
Owner or vidutiled agent Date - TOTAL^
OFFICE
0
•
•
•
m
JUL 31 1997
t3u)b. INSPECTION DEPARTM�J
z
wCVt Y OF CUPERTINO
p
O
�zC��=�
OW
pw[
Q
'z
F
W
3
N
M
:2
p
zi—
Q
LU
Q
:2
J
LLI<
z
O
r
n
W
W
J
J
Q
LU
W QLu4LU
�mGF
�
�LUU�ZW
p
o
w
W
LU
F
l\
\
Z=LUR
z¢m
ID to
U
Wn
W
NLU
J
tom
J
Z
LU
3
LU
U
i
LU
Q
U
Q
F
Z
N
W
N
Z
%
Z
z
LU
z
p
z
CL
W
2
Z
-
Q
U
N
Z
O
LU
OL
J
LU LU
LU
r—
LU
H
LWU
U
E2
2:W
W
J
W
QJ
�
N
J
W
W
J
Z
W
U
V=—
W
W
<
J
J
9
Q
O
QF{�`
�IFI
W
LLIH
w
w
W
Z
Q
U
1, 1F
LU
Q
tri
p
U
ZLu
Zt{
W
z
Q
LL
F
LO
Q
Wto
"All above sign designs & art works are belong to SIGNS EXPRESS MFG. CO., Any duplication is prohibited ALI, RIGHT RESERVED."
N
mem 2Xmr» mF:cj. CO.
�y pp 2446 MERCED AVE., SOUTH EL MONTE, CA 91733
DISI 11� STATEUCB#5520973•• U.L. APPROVED #19586
10879 N WOLFE BLVD. CUPERTINO
Scale : Noted Drawn by:
Date: 6-23-97 . Drawing #:
APPROVED BY:
0
oe
'n
LQ
'z
W
W=
O
_
U 0
LLI<
Z
�
C1
W QLu4LU
3 n
o
LU >
U Z
z¢m
ID to
¢
o
tom
"All above sign designs & art works are belong to SIGNS EXPRESS MFG. CO., Any duplication is prohibited ALI, RIGHT RESERVED."
N
mem 2Xmr» mF:cj. CO.
�y pp 2446 MERCED AVE., SOUTH EL MONTE, CA 91733
DISI 11� STATEUCB#5520973•• U.L. APPROVED #19586
10879 N WOLFE BLVD. CUPERTINO
Scale : Noted Drawn by:
Date: 6-23-97 . Drawing #:
APPROVED BY:
n {i SUL 0 R'uc 37Pri PIIKI ! CRPITPL C! RR.415 3413653
C U CUPERTINO VILLAGE ASSOCIATES
10767 N. Wolfe Road, Cupertino, -A 95014
Tel. 408.873.1992 Fax, 408.873.2087.
CUPEXCINO VILLAGE SHOPPING CENTER
SIGNAGE APPROVAL
TENANTTRADENAMF:
UNIT NO.: A T
• ADDRESS NO.: _
•
SIGN CONTRACTOR:
NAME:
P. 13
ADDRESS:�(2i�-�(/% < 7/8; -?� 4bE— e,4— 7/'% 6
TELEPHONE: U �O/—y- u3 — ..Rs33
APPROVED / DENIED
COMMENTS;
APPROVED BY
DATE:
JOL 30 '97 06:30PH HIKKO CAPITAL CORP.415 3440652
X71
NI
�I
c�
LJ
W
kA
P.10
•
, ".aU aW,re •lul denpu,q;el rvaFn we UaI�r,K lu S1(iN5 BXPREY9 M70. C:O. My JupLruidu io nduUUa;6
.....,........ ♦' •51L RI�iIIT RE St'iR'� F.D."
10879 N WOLFS BLVD, CUPERTINO
mC11s EX?3m mm
i. co. Sc....._r.._vrown by . ......,.....__..__......,._
...ale : Noted I .----....._...... --
�y 1��ppp1ry� 4446 MCKED AVE., SOM IL MGNSLI CA 91732 Aho : 0-2 97 B � "• Drawing # :
I1111171710�f iTATe C ASb9697•,f,1,L. APPRoveo x� xws46 V--- Y _.... ..�_
Gd 14dhS;FG [.66T 0£ '1nf MM' £48 SOP ; 'OH 3HOHd 39u -ii /i Omiaidn:1 Wntld
19
I ,-
IL
1
7