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26973 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO 'DIN(i-HE PERMITNO. BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL 26973��] J BUILDING.PROJECT IDRNTIFICAT'ION BUrING NADDR�� Crso �� _�� SANITARY NO. APPLICATIONS///UBBMITTALDATF. UNIT# LO'I'N OWNERS NAME PHONI?: • CONTRACTORiSN LIC NO: N/C CONTROL Pry rn _6$e Wa ARC)III'ECI'/ENGINFER: LIq NO: ADDRESS: ❑ CONTACT: PHONE: QTY. ELECTRIC PERMIT FT?H AUILDING PERMIT INFO BLDG ELECT PLUMB MLCH PERMIT ISSUANCE ❑ ❑ LICENSED CONTRACTOR'S DECLARATION APPLIANCES RESIDENTIAL -fOg pESCRIPTIO py.Z Ihereby affirm(be[l am licensed underprovisionsof0upter9(commencing with I/ P400 Section 7")of Division 3 ofthe Business and Profusions Code,art#my licence is in PANELS F�UW F full force ma EffcG. FZ, Liceau Class Lic.N UPTO200AMPS In 6,n Dae. Contractor 201.1000AMPS ZOy? ARCHITECT'S DECIARATION OVER HaW AMPS SQ.IT.FLOOR AREA 5/SQ,FT. 0 Z—W I understand my plans shall be used uv public records. ,C o,F W SIGNS ELECTRICAL QFJ'_, Licensed Professional OWNER-BUILDER DECLARATION SPECIALCIRCUIT/MISC. NO,U 1 hereby affirm that I um exempt from the Contractor's License Law for the ew. following reusou.(Sectioa]031.S.Business and Professions Code:Any city or co unty TEMP.METER OR POLE INST. which requires a Permit to construct,alter,improve,demolish,or repair any structure rr', , POWER DEVICES Y� prionniTs issuance,also requires to applicant for such Permit rile statement W�'p 0K that he is Rantedp rsomen m the provisions of to Cterbaaor's License Law(Chapter Yq 4 9(commencing with Section7")of Division3ofte Business WM fessions Code) SWIMMING POOL ELECTRIC O VALUATION W_In or fast he is exempt herefcanwndthe basis for alleged exemption.Any violation of OUTLETS-SWITCHES.FIXTURES �ZY Sec' T031.5 by any epplicanIfor a permit subjects The applicant to a civil Penalty of 3eoa -- mor hon five M1undmd dmllas(SSW), NEWEESIDENTIALELECR _SQ.FT. C m a neroDh<property.mmyemployaswit wegeassfaeirsolemsepummice, STORIES TYPE CONSTRUCTION illdet eworkand theswcrure isnot intended oro(fered foreale(Sa.TBN4,Businens untl Professions CNe:The Connector's License Taw does net apply to an owner of pmpertywhmhaildsorinipmvesnhmon,andwhodmsachwarkhimselfonhmughhis OCC GROUP RES.UNITS own employccs.provided that such improv emsare not idteddedaroffcred became.If, however,to buildingor improvement is sold within one ye nofcumpletlon,theowmer- builder ,will have the burden of proving tat he did not build or improve for purpose of TO le.). ❑ Las ownerofthe property,am exclusively contracting with licensed contractors to QTY. PLUMBING PERMIT FEE FLOODZONE APN onswn the project(Sac.7314,Business and Professions CedeO The Committee's License Lawdoes notapply town ownerofproperty who builds or improves thereon,and PERMIT ISSUANCE whocommcls for such pmjccts with a conractm(s)licensed pursuanno to Conoacto/a ALTER DRAIN&VENT'-WA License Law. ) FEE SUMMARY ❑ I wm exempt under Sec N B&P C for Nis reason BACK FLOW PROTECT.Df:VICP. T I .ES SANITARY Y N_ Owner Dnte RECEIPT k WORKMAN COMPENSATIONDECLARar1UN DRAINS-FLUOR,ROOF,AREA.COND. SCHOOL TAX Y N ❑ Ihembyaffirmthailhevcocenificateofconsennuself-insum,oracmificateofRECEIPT# ' Wnrkerv'Compensntionlmdvnce ora mrtified copy terco((Sec.3gW,Lab CJ h1X3URES-PER TRAP which PARKFEE Y coven all employees under this permit. GAS.FA.SYSTEM-1 INC.40 S RF.CEIIT# Policy# BUILDING DIVISIOES Calumny—• GAS-EA.SYSTIBbOVER 4(14 PLANCHECK FEE [3 Certified copy is hereby fumished. ❑ Certified copy is filed with the city inspection division. GREASE/INDUSTRI.WASTEINT. OR GRADING FEF. r, CERTIFICATE OPEXEMPDON FROM WORKERS' GREASETRAP SOILS FEE An COMPENSATION INSURANCE (This suction dad not be completed ifte permit is foronehundrcA dollars SIW) SEWER-SANITARY-STORMEA,2 U.. ENERGY FBE mass.) I certify that in to perfomuna ofthe wart for which this permit is isnwed.i shall WATER HEATER W/VEN/ELECB not employ any person in any manner so as to become subject to the Workers' *PLUMBING - I Compensetiomlawaof California. Date WATERSYSTLM/TBEATINGot Receipt# Z Applicant � 0 NO'PIC13TO APPLICANT:If,after making this Cerdficate of Exemption,you should NEW RESIDENTIAL PLMR. SQ,FT. TOTAL: W) become subject the Worker's Compensation previsions ofthe Labor Code.you must a - forthwith comply wit such provisions or this permit shall be domed revoked. p, 0. (� CONSTRUCTION LENDING AGENCY 1 hereby affirm that is a construction lending agency for the performance of U O the work for which this permit is issued(Sac.300],Civ.C.) TOTAL: (� _ Lender's Name I,. U Lender's Address QTY, MECHANICALPERMIT .1 certify tar I have mad this application and statethat The above information is occult.Indce m comply with ell city and county ordinances and suite laws relsfing to PERMIT ISSUANCE FBI,building construction,and hereby authorize representatives ofthis city reenter upon the TAX L) Z above-mentioned property for inspection purposes. ALTER OR ADD TO MECH. (We)agree to save,indemnify and keep harmless to City of Capacitor against Iiabililies,judgme ac0ux.dexpenxswhichmayimnywayacerueagainatseid CiTy AIR HANDLING UNIT(TO 10,0010 CFM) in consegw tegmntingof Thisproarm. [� AIR HANDLING UNIT(OVER 13,11103 CFM) un Portae art J Date EXHAUSTHOOD(W)DUC , PAID RDO MATERIALS DISCLOSURE HEATING UNIT('10100,000 BTI!) Data Receipt It Will the applicant orumrebuilding occupant store or handle hwmMons material IIPATING UNIT(OVER IW,OW B'I'U) T L as defined by the Cupertino Municipal Cock,Chapter 9.12,and the Ilealth and Surety Code,Section 25532(a)? 11El No VENTILATION FAN(SINGLR RESID) BOILER-COMP(3HP OR IW,110011m) ISSUANCE ATE Will teapplicamorfutumbuildingacupmtus quipmentw&vimwhichemit 41 0 Interactions air contaminant as defined by the Boy Area Air Quality Management BOILER-COMP(OVER 100,000 BTU) District? ^ #w, ❑Yes ❑No NEW RESIDENTIAL MCCH. SQ.FT. I_- 1 have read the hazardous materials regnimme in under Chapter 6.95 of the �1 s9 California Health&Safety Code,Sections25505,25533 and?5534.I understand that gr if The building does not currently have a Tenant,That it is my responsibi lily To notify the occupant of the requirements which must be met prior to issuance of a Certificate of Occupancy. Owner or wmhorized agent Data TOTAL: ISSUED BY: OFFICE •&- cox or Cuperthio 10300 Torre Avenue Cupertino, CA 95014 Building Division (408) 777-3228 Fax(408) 777-3333 September 26, 1995 Lavent Ersoy 1320 Primrose Way Cupertino, CA 95014 Subject: 1320 Primrose Way, Permit# 26973 Dear Resident„ According to our records the above mentioned permit has never been finaled by a City Building Inspector. A permit is considered to be valid only six months from its • last inspection date. If your permit shows that the final inspection has been completed please send a copy of the permit, along with this letter to 10300 Torre Avenue, Cupertino, CA., 95014, Attention Building Department. If your permit has not been finaled, please contact the Building Department by calling (408) 777-3228, so that we may arrange to extend your permit, and schedule a final inspection. In an effort to control the number of expired permits, the City of Cupertino requires a response in ten working days from your day of receipt of this letter. If we do not hear from you, the City of Cupertino's Building Department will have no alternative but to resolve your permit as expired and discard the records. Thank you for your assistance. Sincerely, City of Cupertino Prin(etl ou Racl!'led P;yo� n . . . � a�� 73 p�cx, -cam �, ��- � -a•r�. _ - - - � l�. • _ _ � _ _�`� �E4t 1320 Primrose Way Cupertino, CA 95014 September 27, 1995 City of Cupertino Building Division 10300 Torre Avenue Cupertino, CA 95014 Attn: Joe Antonucci Re: Permit #26973 Dear Mr. Antonucci, Ihave just received notice from the building department that the above-referenced permit has expired. Due to the heavy rains • last . winter my husband was not able to complete the deck he is building on time. Please be so kind as to grant an extension on this permit. We are ordering the lumber this week and hope to complete the work before it starts raining again. Thank you very much for your cooperation. Ve . truly yours Anita E. Ersoy