27799 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO IUBI�IRi'-"' APERMITNO.
BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAI. 27799 n
]BALDING RROJEC'T TXT FICA'1'lI1N r J
BUILDINGADDR' S' �1J SANITARY NO. APPLICATION SUBMITTAL DATE
Fazio-
I ` UNIT# LOTH �_l1
OW F.: ��rr PIONE: COM'RACTOR'S NAME: LICNO: N)C CONTROL
t� 4.4 G O
ARCIIIHBE l' ;NGINEER: IFIC140: ADDRESS: ❑ -
CONTACT: PHONE:
L_ QTY. ELECTRIC PERMIT FEF. BUILDING PERMIT INFO
N (G 7��yyi PERMIT ISSUANCE10 BLDGL PLUMB MECH
11 El
LICENSED CONTRAC R'S DECLARATION APPLIANCES-RESIDENTIAL JOB DESCRIPDON
D=Z Ihembyaffirmthatlamlicensedundcrpmvisionsof Chaptm9(cammencingwiN
,c100 Section of Division 3 of the Businessland PreferencesPreferencesCode,and my lie..is is PANELS
zfullforeamid vrrdeffect.
FZWu] Licmwo Clnss Lic.p UP 9020 AMPS
H<vai Date Contractor 201-10110 AMPS
FHS ARCHITECTS DECLARATION .SQ.FT.FLOOR AREA SISQ,FT.
oz—cn 1 ualerstand my plans shall be rued es pure
blic eards. OVER 1000 AMPS
SIGNS ELECTRICAL
U Licensed professional
OWNER-BUILDER DECLARATION s SPECIALCIRCUIT/MISC.
C)l 1 hereby iffirn that I am exempt from the Comautmr's License Law for the
yl3 0 yG following reason.(Section 7031.5,Business and Professions Code:My city or county TEMP.METER OR POLE INST.
which requires a Mmint to construct,alter,improve,demolish,or repair any in ucture
priorto its issuance,also requires the applicant for such Permit to file a signed statement POWER DEVICES
ud
G OK that he is licensed pursuam to the provisions of the Contracuu.License Law(Clapmr
Ianx c0. 9(commencing with Section 700)ofpivision 3 ofthe Business and Professions Cale) SWIMMING POOL ELECTRIC VALUATION
M, moral he is exempt therefrom and the bums for the alleged exemption.Any vialationof OUTLETS-SWITCHES-FlXTURPS
�ZYa
Section 7031.5 by any applicant for a Permit subjects the applicant m a civil Penalty of
�F❑
t mom than five hundred dollen(550). NEWRESIDENTIALELECTR _SQ.FT.
yCm n❑ oche wok aphepmpeny,ormyvnpleyeeswithweg formal rsolecompemuireas STORIES TYPE CONSTRUCTION
3� will do the Cdroode
The cmreisnot imtenenseLawdoes at kdec
to a,Business
and Pmfessinm Cwie:The Contrector's License Law does nm apply m un owner of
property who buildsorimproves themon,and who does such workhimselforthroughhis OCC.GROUP HIS UNITS
con emp l oyees,prov ided that such improvements arc not i mended methanol for sale.If,
however,the buildingor improvement is sold withinone yearofec mpletion,theowner-
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
❑ Lusmwnerofthe prnpeny,um exclusivelycomracting with licensed contractors to QTY. PI.IIMBING PERMIT FEE FLOOD ZANE APN
construct the project(Sec.7I44,Business and Professions Cade:)The Contractor's
License Lawdoesnor apply town ownerofpeopeny who builds or improves Hereon,and PERMIT ISSUANCE
who contracts forsuch projects with stimuations)licensed pursuant mthe Convaao's
License Law. ALTER HEA) FEE SUMMARY
❑ 1 am exempt under Sec B&P C far this remon BACK FLOW PROTECT.DEVICE ID PS
SANITARY Y N
Owner Dam RECEIPT#
DRAINS FLOOR,ROOF,AREA,CON#.
WORKMAN COMPENSATION DECLARATION SCHOOL TAX Y N
❑ era'Co effirmthat Insurace orificam ofcansunt py trensel6imure,or UbC.)whicteofh
r,IX-fDRFS-PER TRAP RECEIPT'#
Workeri Cnmpensationlnsurence oreceniried copy thereof(Sec.JBO,LebCJ which PARK FEE YN
covers ul l employees under this permit. GAS-EA.SYSTEM-1 INC.4 OUTLETS RECBIPT#
Policy It BUILDING DIVISION FEES
Company GAS-EA.SYSTEM OVER 4(EA) PLANCHECK FEE
❑ Certified copy is hereby famished.
W- ifie4 copy is Filed with the city inspection division. GREASP41NDUSIRL WASTE INTERCEPTOR GRADING FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' GREASETRAP SOILS FEE
COMPENSATION INSURANCE
(This section need not becompleted ifthe permit is for am hundred dollars EHJdo SEWER-SANITARY-STORM EA.200FT. ENERGY FEE
or less.)
I cerifyon,in the performance of the work far which this permit is issued,Iaha11 WATER HEATER WNENTIELECTR_
not employ any person in any mariner so as to become subject to Ne Worker' p
O z CAoon nsationlswsof California. Data WATER SYSTHM/fREATING Date Receipt#
pplicant
z 0 NOTICE T'O APPLICANT:If,after making this Canonade of Exemption,you should NEW RESIDENTIAL PLMB. SQ,FT TOTAL:
F` V) become subject to the Workers Compensation provisions of the Labor Code,you must
- forthwith comply with such provisions.,,his pemtit shall be domed revoked. BUILDING HE
w CONSTRUCTION LENDING AGENCY SEISMIC FEE
5 z
1 hcrchy affum that them is a construction lending agency for the performance of
V Of�-� the work for which this Permit is issued(Sm.3099,Civ.C) TOTAL: ELECTRIC FEE
Lk. PLenders Name
PLUMBING FEE
Lenders Address QTY. MECHANICAL PERMIT FEE
L) 1 certify that 1 have rend this application and state that the above information is
Ow. correct. I agree to comply with all city and county ordinances unit state laws reluting to PERMIT ISSUANCE MECHANICALFF.E
to building construction,and hereby authadue opoesenatives ofthiscity towurupou the
L) z above mentioned prepcny for inspection purposes. ALTER OR ADD TO MECH. CONSTRUCf10N TAX
(We)egr ,indemnify and kap harmlm the City of Cupertino against
liabi ties,ju eim.em'snd ex sedwhich ¢trues vrrts'dCity AIR HANDLING UNIT(TO to."CFM)
in n' cc of the gmyjp ess
3 / AIR HANDLING UNIT(OVER 10,"CFM)
Sgnamreof ApplicanVCo actor Dare EXHAUST HOOD(W/DUCO
PAID
HA RDOUS MATERIALS 15ISCLOSURE HEATING UNIT(TO 101000 BTU) Date kec6pt#
Willits applicant or future building..,an,store or handle harardous mamdu)
as derived by the Cupertino Municipal Cade,Chapter 9.12,and the Health and Safely HEATING UNIT(OVER 10,00)BTU) TO .:
Code,Section 25532(a)1 VENTILATION PAN(SINGLE RMID)
❑Yes ❑No
BOILER-COMPOHPOR 100,000BTI/) ISSUANCE I}ATG V
Will the applicant routine s building by the Bay Are.Aen Quality
Manas agement VP
6A
1`Didricous air comaminvnts as defined by the Bay Aree Air Quality Managemem BOILER-COMP(OVER 10,00 BTU)
DiatdatP
13 Yea 11 No NEW RESIDENTIAL MECH.—SQ.fru'. ' MAR 14 IMS
1 have read the ha eadous mamdals rc9airemcntx under Chapter 6.95 of the Cil Y
California Health&Safely Code,Sections 25505,25533 and 25534.1 understand that ur ,y „II^'(`
ifthe Buildingdocs not wimeraly have a mmua,tbvt it is my responsibility ton only the �YPJ!`y81� 1'V
occupant of the rcquiremems which most be met Prior to Issuance of u CenlRcam of �nx
Occupancy.
Owner art amhodzed egcm pre TOTAL: ISSUED BY:
. S ..Lssociates, Inc.
ENGINEERS & PLANNERS
AUG. 14, 1995
FOLIO 5931
CITY OF CUPERTINO
PLAN CHECK DIVISION
10300 TORRE AVE. .,,
CUPERTINO, CA. 95014
RE A -
NEW_RF,.SIDENCE FOE KELL GORDON DEVELOPMENT COMP.
LOT NO -.
SFDW.L•v,.. , _,
19832 PRICE AVE.
CONTROL #.7.702
PERMIT # 28265
• SUBJECT: RESPONSE TO .YOUR LETTER DATED 8/7/95
(STRUCTURAL COMMENTS)
DEAR BRUCE,
HERE IS OUR ITEMIZED RESPONSE TO YOUR STRUCTURAL COMMENTS.
PLEASE NOTE THAT OUR RESPONSES NUMERICALLY DO CORRESPOND TO
YOUR COMMENTS.
COMMENT NO RESPONSE
19. ..,RSB #2, #3 & #4 SIZES ARE NOW IDENTIFIED ON
THE PLANS.
20. PLEASE NOTE THAT THE MIN. RIDGE SIZES ARE
SHOWN ON THE ROOF FRAMING SCHEDULE. NON-
TYPICAL,RIDGE SIZES ARE SHOWN ON THE ROOF
FRAMING PLAN.
RIDGE BEAM AND OTHER FRAMING MEMBER SUPPORTS ._.
ARE 'SHOWN ON BOTH FND. PLAN AND MAIN FLOOR
FRAMING ,PLAN. WHERE SUCH SUPPORTS- FALL ON
FLOOR 'FRAMING, A SPECIAL FLOOR BEAM OR JOIST
IS PROVIDED TO CARRY SUPPORT LOADS.
21. PLEASE REFER TO "CONNECTION NOTES" ON DWG. S-1
FOR ALL MINIMUM TYP. CONNECTIONS.
•
1
145 DILLON AVENUE, BLD. D
CAMPBELL,CA 95008
(408)376.0363
22 . PLEASE SEE NOTE ON DWG. S-2 FOR TYP. POST
SIZE.
23 . PLEASE REFER TO REVISED DWG. S-2 FOR SUMP
DETAILS.
24 . PLEASE REFER TO CAL. SHEET NO 47 (AMENDED
8/14/95) FOR DESIGN OF FOUNDATION UNDER
SHEAR WALL WITH HD6A AND REVISED DWG. S-2 .
25. F6./.6 IS REVISED.
32 . PLEASE SEE REVISED F3/6 ..
34 . PLEASE SEE LEGEND SHOWN ON STRUCTURAL DWGS.
YOUR QUESTIONS ARE INVITED.
VERY TRULY YOURS,
ARMEN SHAMAMIAN, PE. PP.
XC: KELLY GORDON DEVELOPMENT CO.
PARAGON URBAN DESIGN & 'PLANNING. .
FILE
2 '.