29186 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES.USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL. PERMITNO. 29186.�S p ^ a�
BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL L �911 l8 t6
RUILUING PROJECT IDENTIFICATION
BUILDINGADDRESS: SANITARY NO. APPLICATION SUBMITTAL DATE
1 E P2 �c c:
NAM
OWNER'S NAME: I'I1ONIi: CONTRACTOR'S NAME: LIC NU;
✓ D LIC NU: • I mAO O SIC CONTROL#
5RCHITECf/ INFER: ADDRESS ❑
O9 r-401P
CONTACT: PHONe: BUILDING PERMIT INFO
❑ Consultant Fees Paid by Applicant(Initial) RI ELECT PLUMB MECH
❑ ❑ ❑
LICENSED that ID CONTRd odder S DECLARATION QTY. ELECTRIC PERMIT FEE
I hereby affirm that I am lice he Bu under and
Professions
ofChapterCode, 9(commencing JOB DESCRIPTION
aZ inall fallSection]t100)of Division 3idthe Business and Pndexsions Cnde,and my license is
00 y PERMIT ISSUANCE RESIDENTIAL
m full Inrce and eRecl�. w
�U License Cl• _L. Lic.p�39� 35`T ❑SFDWL El KITCHEN REMODEL
APPLIANCES-RFSIDLNTIAL
Dom � � —Conuac�� J�MA't b�k{( ❑ADDITION [I PLUMBING R&PIPE
I„ ARCHITE IPS DECLARATION / PANELS ❑MULTI-UNIT []STRUCTURAL
Z O E2Z 1 understand my plans shall be used as public records MODIFICATION
OZ-1 UPT0200AMP5 [:1 INTERIOR CHIMNEY REPAIR
.E., Licensed Professional 201-Io011AMPS IMPROVEMENT
LLL"` CP Oat I am exempt
from
DECLARATION Contractor's
ON OVER I"AMPS
1 hereby affirm that 1 ren exempt from the Comrumor's License Law for the ❑BATH REMODEUREPAIR (]DEMOLITION
?p5s
W 3 06V following reason.(Section]031.5,Business and Professions Curb:Any city tar county SIGNS[LECTRICAI. ❑OTHER 2EBdiLn F/LT9.N
W f" which requires a permit m eonsl ori,ahr,improve,dunnhxh,r mnair any aware
4pprior �?iT�� sro�Qs uP.
t heisecenedpurs ant to the thevisiosofthe Contractor in fined statement SPECIAL CIRCUIT/MISC.
y that he ie licensed pursuant provisions of Me Commcmr's license Law(Chapter9
0 (commencing with Seetion]IMXO of Division Sof the Business and Professions Code)or TEMP.METER OR POLE INST. COMMERCIAL
d g.M�' the,he is exempt Brerefmm and the basis far the alleged esemption.Any violation of ❑NEW RLDGIADDITJON ❑DEMOLITION
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of POWER DEVICES
I_z at more than five handled dallurs(5500). ❑TENANT ❑FOODSERVICE
2�ya ❑1,aswm
oner of the ppenym,or my employees with wages their sole compensation, SWIMMING POOL ELECTRIC IMPROVEMENT
W I=•,$ willdo the work.and theswcmrcis nmimended or otTercJ fnnale(SecJIkW,Business ❑OTHER
f�i 6C and Professions Code:The Commcmr's License Law does not apply to an owner of OUTLETS-SWI'fCllpS-PIXTURES
property who builds or improves thereon,and who does such work himself or through
his own employees,provided that such improvements are nm intended or offered for NEW RESIDENTIAL ELECT R FSQET
.sale.IL however,the building or improvement is sold within ane year of completion the SQ.PT.FLOOR AREA $/SQ.Fr.
owner-builder will have the burden of proving that he did not build or improve for Aur- f7 r n
pose of sale.). . L'
El I,as owner of the property,am exclusively connecting with licerwd coovn matoTOTAL:
construct the project(Sec.7044,Business and Professions Coded The Contracture Li. fI
cense law does not apply m an owner of purpling (IO
thng who builds or improves ereon,and QTY. PLUMBING PERMIT TVA O 1996
who contracts for such projects with a contemns)licensed pursuant to the Contractors
license Law. PERMIT ISSUANCE
I ren exempt under Sec. ,p&P C for this reason J Lzl- t'�f Ls
Owner Unto
ALTER-DRAIN&VENT'-WATER EA) VALUATIO
WORKERS COMPENSATION DECLARATION BACK FLOW PROTECT.DEVICE �,X17$/'
I hereby affirm under penalty of pry erjuone of the following declarations:
I have and will maintain a Certificate ofCunsentto self-insum for Workds Comped. DRAINS-FLOOR,ROOP,AREA.COND.
cation,as provided for by Section 37M of the Vlnr Code,for the performance of the STORIES TYPE CONSTRUCTION
Ik0 it far which Nis permit is ismad. FIX PORES-PER TRAP
have and will
.Willi
volumed
3]fgl ofthe LaborCMen lnnhe perfrmance ofthe work for wch'asthtspcmutiisissud. GAS-EA.SYSTEM-(INC.4 OUTLET
C�mpep y n{n _Igr.�P OCC.GROUP APN
Carriers U✓G TLItOTLs A/A'II W}{ tPolia n GAS-EA.SYS'rEM-0VER4(EA)
CERINFICATEOF EXEMPTION FROM WOR .RS' GNIiAS[IINDUSTRL WASTE INTERCEPTOR
COMPENSATION INSURANC1i pUILDING DIVISION F13ES
(This section neulnr be romplemtlifthe petit is fi.one hundred dollen(511X)) GREASETRAP
or less.) PLANCHECK FEE
I certify that in the pertommneeafthe work for which this permit is issued.)shall SEWER-SANITARY-STORM EA.200 FT.
not employ any flown in any manner to as to became suhjmt to the Wmkers'Compen. ENERGY MH '
O Z salla.laws of Califomia.Data WATER HEATER WNEN IELECTR
C) Applicant GRADING FER
y NOTICE TO APPLICANT:IL after making this Cenific:ne of Exemption,you should WATER SYSTEMITREATING
become subject in the Worker's Compensation provisions of the Labor Code,you mum SOILS PEE
FWt:, fonhwim comply with such provisions or this Permit shall be deemed revoked. WATER SERVICE
CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL PI.MB. SQ. PAID
ITR
U (hereby affirm that there iseconstmdion lending agency for the performance of Data Rmeipl0
U. r. mi
the work for which this pert is issued(See.3097,Civ.C.)
ULenders Name TOTAL:
hearers Address TOTAL:
1 certify that I have read this application and nam that the above information is BUILDING FEE
(Al correct.l agree to comply with nil city and county ordinances and scam laws reining to QTY. MECHANICAL PERMIT FEE
V building emcnactim,add hcrebyauthorize reprsonittivesofthis city toranerup.d the SEISMIC PEE
ida ve-mentimad property for initiation pmPn,a, PERMIT ISSUANCE
(We)agree m save,indemnify and keep harmless the City of Caperton against I ELECTRIC FEE
liebilitica,judgmems,costs and expenses which may in any way accrue against said City ALTER OR ADD'I0 MICH.
in consequence of the granting of this Permit. PLUM RING FE
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT AIR HANDLING UNIT(TO 10,000 CFM)
SOURCE REGULATIONS. MECHANICAL FEE
AIR HANDLING UNIT(OVER 10,00)CFM) CONSTRUCIONTAX
Signature of ApplicanlComontor Data EXHAUST HOOD(W/DUCq HOUSING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
Willthe applicant ur future M1uilding rcupam nnre nee handl hazardous material [MATING UNIT LTO 100,000 BITT
,is defined by the Cupeloon Municipal Code,Chapter 9.12,and the Health and Safety
Coda Section 25532(a)] HEATING UNIT(OVER 100,000 ROD
❑Yea F1 No VENTILATION PAN(SINGLE RESID) PAID
Will the applicant or future building occupant use equipment or devices which Data Receipt 0
mit Incontinent air eartaminams as aefind by the Day Arca Air Quality Management BOILER-COMP13HPOR(0001,(00)I171D
L0¢tnnTOli
] BOILER I00,00D BN)
❑Yes [-I No ;
I have read the Enormous tnamrials requirements under Chapter 6.95 of the Cali AIRCONDITIONER ISSUANCE DATE
fnmtn Health&Safety Code,Sections 25505,25533 and 25534.1 understand that ifthe NEW RESIDENTIAL.MECI 1. SQ.hm
building does not currently have a tenant,that it Is my respnnsibibly In notify the ocwpam
oft
oreuthdi;arafth awhichmm,t In met prior to issuance of a Certificate of Occupancy.
.- Owner orirW aged. Date TOTAL: ISSUEDRY:
OFFICE
s'w••�!•rva- rw -....•. T.,,,,n•'.x -�..•.......r...r�.. rr ..-.-.•�_,.w+ ^VT+• ••.••r.x•A•'4ifn.^R'�aIFVAin+PRr�-r•a r.u.w.--•,r.ere- .. _Yr`e „�a-r•
SpatkArresler SEE ATTACHMENT BCP
Sam Wben Requred
37-3-(h) .
•
Clearances z• Mortar Cap.
wood frame ..
• ' • ' Bond
Combustible material 6'min.to fireplace opening. •a'�'; ' ''�` Boom
from opening when-material projecting d
mom than A for each 1' .
Above roof 2'at l0'(See U.B.C.7kble No.37-B.) b _ HUfliontel Vi des u 18'end two ties u each bead in
Reinforcing' vertical iteel. .. . . .
ClseranoeLL,iJ --� Vertical Four No.4fu6•leagthbanferchimnryup
10'B" Min. � I Reinforcing towwide.Addtwo No.4barsfor
. t each additional 40'or fraction of width
or each additional flue.
i
Flashing
Anchor
d _ Strap
T
Anchorage 1K"Min.grout Eetwoen .
I • ' �w'x 1' i' I • 4as
Numb twt
"concrete mry and
Bmbedat into chimney 12'hooked around outer bar w/6'at. , f
melay But lining
Fasten to 4 Joists '
Bolts TWO li'diameter r Flue Lining
puraece
1
Round ' I B"Min.
Flkctive flue area(based on area lining—Az or 30 sq,in.min, i
of fireplace opening) Rectangular lining—Mo or64 sq.in min.
Unlined or lined with firebrick-4f or 100
• sq.N.min. t
1 Horiionpl
Reinforcing Ties
't '� Y�' ties @ le, O.C. and two ties @ ea. band in
L%" I N ' verticle steel. Required steel lap, 0 bgrds
rMin. I ,' I with 8"min. extention.
47 Thick '
—r AIncnry Urtit'
•? r 6•; .I
:Vertical Reinforcing FeurNo.4hdl-lengtbbmtrehimoeyup
Lintel 20 'LaP if spliced to eto6dditiooa140'r6actibars
width
dowels ac
.Noncombustible material. I reach additional flue.
rid r n Provide revised detail
—#'• . '. for chinneys
over 40"wide.
t ..
Hearth extension � �
((root d°peoing) Nemeth -Firibox Wall 10'common brick or
1. 8'where a firebrick
16'fireplace opening<6 sq,N; Hearth i i Thickness lining is used.hints in firebrick V.'
20'fireplace opm og>6 sq.ft. ,.. • Min. MAX. .
Extension f
1 �n; Footingl idth
NN in.round
V• .•:;{ • 47 :::. • r' • .; ft"standing fireplace
ANttt. .
k .a •.. ., :•I,. .. •� _ Natural
1 footing ,, • ,• .• .;I '� ' sa6rede
Thickness it min. •: :1• ,. •• I'• �•,•.,. • ;
Width 6'each aide of fireplace a•i� 1 • . •• ars in
" -ice " Concrete Footing
LW Square Alternate for Fm
<r. Standing Fireplace
BRICK FIREBOX AND CHIMINEY—
SECTIONAL SIDE VIEW ON CONCRETE SLAB
t
7!' bats tw .
ANCHORAGE PERPENDICULAR TO JOIST
•
2" PROV DE OUTSIDE
COMBUSTION AIR
2"MIN 2" MIN. CLEARANCE
8"MIN. FIREBRICK FROM COMBUSTIBLE
FIREPLACE IN FRAME PARTITION
20"MIN.WITH FIREPLACE TIGHT FITTING GLASS
'OPENING 6S0. FT.OR DOOR PER TITLE 24 8"MIN.WITH FIREPLACE OPENING'
MORE. LESS THAN 6 SO, FT,
16"MIN.WITH FIREPLACE HEARTH EXTENSION—" 12"MIN.WITH FIREPLACE OPENING
OPENING LESS'THAN 6 SO. FT.OR MORE.
6 SO. FT.
PLAN VIEW
•