00010115 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY 0001011 -5
CITY OF CUPERTINO BUILDING-ELECTRICAL PF.RMITNO.
BUILDING DIVISION APPLICATIONMERMIT PLUMBING-MECHANICAL
BUILDING PROJECT IDENTIFICATION
BUILDING ADDRESS: SANITARY NO, APPLICATION SUBMITTAL DAE
5�� RA(vo6ow Ar 1r - � _ Zeno
OWNER:SNAME PHONE: CONTRACT OR'S NAME: LIC NO:
{fir Q w\d►KJ $oD3S(o 3 CCS 741rn(Is N/c corrrRol.a
Rc I I Iflue FENGI NEER LIC NO: ADDRES ❑
90cle"r Cr'13 9F/ �r�
CON'I'nCI: PHONE: BU1,)INCPERMIT INFO
4871 Y 4 2 C s�G El Consultant Fees Paid by Applicant(Initial) BLDG _ ELECT PLUMB I'l
LICENSED CONI RACFORS DECLARATION / QTY ELECTRIC PERMIT FEE
I hereby affirm drat 1 am licensed under provisions of Chapter 9(commencing JOB DESCRIPTION
G=Z with Scction](MIII)of DivisionJnf the Businea and Pndessions Code.and my license is TI
FoB PERMIT ISSUANCE
in full force and effect. 1 WL ❑KITCHEN REMODEL.
a'LiCFJ License Class Uc.0 '741
ti4i Dale+(-� Comm 1 uYY].t- SB(UG> APPL-IANCEti-RIi.SIUliNT1AL C1 ADDITION ❑PLUMBING RE-PIPE.
ARCHIL 17cl S DECLARATION ❑MULTI-UNIT DSTRUCTURAL
PANELS MODIFICATION
CZy Z1 unde,lanJ mY plans.hull be Iaof nx pnbliu records
-- UP TO 200 AMPS ❑INTERIOR �EHIMNEY REPAIR
Fu,F-❑LL1 Liccn.aJ Pndcssiunal 201-I0p AMPS IMPROVEMENT I]SWIMMING POOLS
I hereby affirm hat 1 amexen 1)n from the C mmaER �or's License Law traffic OVER I"AMPS ❑BATH REMODEIJREPAIR El DEMOLITION
Q P
X 3 i F following n awe.(Section](BLS.Business and Iknfessions Code:Any lily m enemy SIGNS ELECTRICAL ❑OT/-HER
W LL y< which rcyuiss a pcnnit m cnmtrvcr.elmr.improve,demolish,or mpair any xwaum rCYM Id 8004- wuVG tra
E-�0.] prior to in issuance.also requires the applicant for such permit to file a signed statement SPECIAL CIRCUIT/MISC. Is—Ney
F y that he is licensed pursuant to me provisions of the Conmemo s License Law(Chapter 9
C y.Q0 (commencing with Section 7")of Division B ofthe Business and Professions Code)or
TEM1IP.MEI'ER OR POLE INST COMMERCIAL,i S o C that he is exempt therefrom and the basis for the alleged exemption.Any violation of D NEW BLDG/ADDITION D DEMOLITION
X-w Section 7031.5 by any applicant for apbodit subjects the applicant o a civil Penalty of POWER DEVICES [I TENANT DFOODSERVICE
ill more than live hundred dollars($500) IMPROVEMENT
I,it%tastier of the propeny,or illy employees with wages as their sole cmnpe.sallon, SWI.MMINGI'OOI.ELECTRI
$y�F� wJl du lbc.link.and lheslrvclurc is nal intandcA lir nlfered for sale(Sic,70s,14'.1.1-1- DOTHER
W 3 m and Professions Carlo:The 0madooler's 1 iceme Law does nut apply In an owner of OUTLETS-SWITCHES-FIXTURES
propeny who builds lir improves Iherenn,and who does such work himself lir through
his own employees,provided that such improvements am not intended or o(femd lot NEW RESIDENTIAL,ELELTR SQ FT.
sale If.hint the building or improvement is sold within one year ofcompletion,the
SQ.FT.FLOOR AREA gSQ.Fr.
owner builder will have the burden of proving that he did not Wild or improve for Pur.
Arse of sale.).
D 1,as owner of the property.am exclusively contacting with licensed commends to TOTAL:
consumer the project Uses,76t4,B®loess and Professions Code:)The Conuocmrs Li-
veLaw does not apply toanowner of property who builds or improves thereon.and QTY. PLUMBING PERMIT FEE
who contracts for Such pmjems with a cter adnrls)licensed pursuant to the Contmbor's
License Law, PERMIT ISSUANCE
(] Inst es tap under See .B&P C far this mast
ALTER-DRAIN&VENT-WATER(EA) VALI]ATION
sum., Date
I' DEVICE
( I
WORKER'S CUMIiNSAfION DECLARATION BACK PLOW I'R(YITT.:C' DIiV ICE D
1 hereby affirm under penalty of perjury one of the following declamtion.s:
(have and will maimainaCenifkale of Consenno selGinsure for Workers Comped- DRAINS-FLOOR,ROOT'.AREA.COND. STO LS TYPE CONSTRUCT IOD
sound,as provided for by Section PW of the Lebo Code,for Ne performance of the
work far which this Permit is issued. FIXTURES-PER TRAP
❑1 have and will maintain Workers Compensation Insurance,as required by Section
7/00of the Labor Code.forfie Performance fine work for which this permit is issued GAS-EA SYSTEM. INC.40UTLEfS OCG GROUT' +j / APN
My Worker's Compensation Insurance carrier and Policy number are: rJ (.f
Carrier; Policy No.: GAS-EA.SYSTEM OVER 41EA)
CERrIFICATEUI7I7XEM[7ION17ROMWORK17.RSGREASFANDUSTRI.WASTE INTERCEPTOR -
COMPENSAMON INSURANCE BUILDING DIVISION FEES
(I'hl,,valion need nod be cantp,ledlf the Penni.is initial hmolmoldollars 0 IIA) CREASE'FRAI'
lir less.) PLANCHBCK hili
I verity that in the pedurnince oftne work for which this permit is Issued,l shall SEWER-SANITARY-S'I ORM EA.200 FT
not employ any Parson in any mon sv us p_bLaOt�hject to the Workers'Compen- ENERGY FEE
Z vain.laws of California.Date ill WATER HEATER W/VENTTLECR
ZApplicant a- L(� GRADING PER
=
NO[CE TO APPLICANT:If,after making thin Cenificate of Exemption,you should WATER SYSTEM/IRRNTING
C , became subject to the Worker's Compensation provisions of the Labor Code,you must SOILS FEF.
form.ith comply with such provision—, his permit shall be deemed revoked. WATER SERVICE
Q
� CONSTRUCTION LENDING AGENCY NEW RESIDENT IAL I'hRedeiytN
MB. SQ.FT. AID ---- '----
Iherebyaffirmiha,rhern is.,uh,' hind lending agency for performance of 1?am�\
z p
W pthe work 1'a whish this permit is issucJ loll 8119],Co.C) I �-/-1'1 f-I TOTAL )
VLender's Nana
Lender's Address TOTAL: -
d c.,,.Tho I ,dvc readthislnly pmol ymdad oece'the ahave ie;retain,Is
qw D1
F N cumin. ugf,l ct comply with all city and county ntative of and slum laws r upon t e QTY. MECHANICAL PERMIT FEL: ISMIC ftiE
V Z building nmammion.and hcrcby uuthnrvc representatives of this city no enteruPenlhc
sone-nmconamed propeny for insPemion purposes. PERMIT ISSUANCE ELECTRIC FEE
1 We)agree to sant,maternity and keep harmless the City of Cupcninn trained n
habilinies.pogments.costs and expenses which may in any way accrue against said City gI,TER UR ADU TO h1ECH. x,to
III nwquence of the granting of this Permit. P1Ub131LCGIECL
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT AIR HANDLING UNIT(TO M.000 CFM) MECHANICAL FEE
SOURCE REGULATIONS.
AIR HANDLING ONT r(OVER 10.000 CFM) CONSTRUCTION TAX
Slgnuuue of Appllcan1/Cnrrtanot hate EXHAUST HOOD(W/DUC) HOUSING MIT]GAT[ON FEE
HAZAR DUGS MA'I'I?RIALS DISCLOSURE
Will lhcupplicam or fulls huilding occupum swro or handle bemrdous material HEATING UNIT(10 I I0,IXM)B'TU)
as defined by the Cupenino Municipal Calc,Chapter 9.12.and the Health and safety
Cde.Section 25532(x)? HEATING UNIT(OVER 100.000 BTU)
Yes 0N VENTILATION FAN(SINGLE RESID) PAID
Dam Receipt or
Will the applicant Lir future building occupant um equipment Lir device'which BOILER-COMP I3HP OR 100.000 BTU)
naearef
emil rdous air mmamiments as defined by the Bay Area Air Quality Management TOTA l..
District? / BOILER-COMP(OVER 100.000 BTU)
D Yes C]No
I have readthe harardnusmateriuk requirements under Chapter 6.95 of the Cali- AIR CONDITIONER ISSUANCE DATE
I'nmiu Ilwlnh&Safdy Crde,Smions 25505,25537 and 25534.1 understand Ivan d the NEW RFSI1DIi911AL MliCH. SQ.FT
bn'dding(1kr%not currently have u lennm.11act,in my s.podsibilhym ornity lhunceopon �- I q— �O
of the requitement.which mus,be nal florwissn:utvc of a Certiflaate of Oeenpanuy. /
Owner or authorized vic Dam TOTAL: ISSUED BY:
OFFICE
CITY OF CUPERTINO
BUILDING DEPARTMENT
PLAN CHECK DIVISION
DATE : January 24, 2000
ADDRESS : Parkway10112 Camino Vista
CONTROL:9700
PERMIT :99110082
BRUCE D.
1. Please expand the smoke detectors locations and notes to outline the existing and planned locations and
requirements per the referenced section.
2. Note upgrading of 5/8"type "X " wall board at the garage separation wall to the roof an the common
wall.
• 3. Show heat outlets at the house and note the location and size of the furnace.
4. Note details and materials of construction at cricket and confirm 2% minimum slope at same.
5. Provide and reference details at California framing at new and old roof.
6. Confirm if skylights are operable and have the required clearances from plumbing vents and flues.
7. Please stamp the plans and sign them. The plans should be printed a little darker.
8. Please design the support of the roof and coffered ceiling and provide details as is appropriate.
9. Note plate washers at anchor bolts per chapter 18 UBC.
10. At the rear the lateral load system requires a design as walls are too narrow for the prescriptive approach
per Chapter 23 UBC.
11. Confirm at section "A-A" the support of bearing walls and details of the new foundation and wall
attachments.
12. Show spark arrestors at the existing chimney.
13. Note at the top plate splice at the garage a strap connection.
14. At roof section "1", &"8" confirm application and existing framing.
15. Please use the latest energy code format and analysis and note a CF-6R and IC l are requires at project
completion.
16. Note cleanouts are required per the UPC.
i
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE
CITY OF CUPERTINO
BUILDING PERMIT INVOICE OPERATOR: christya
Sec: Twp: Rng: Sub: Elk: Lot:36611043.00
INVOICE DATE......: 01/24/2000
REFERENCE ID R ...: 00010115
SITE ADDRESS ..... : 7542 RAINBOW DR
SUBDIVISION ... . . . .
CITY ......... . . . . : CUPERTINO
IMPACT AREA .. . . .. .
OWNER ............ : LIEBER14AN
ADDRESS .......... :
CITY/STATE/ZIP ... . .
CONTRACTOR ....... : XARIEL, ANTHONY J LIC N 20806
COMPANY .......... : ROYAL SERVICES
ADDRESS .......... : 4398 NICKER Cr
CITY/STATE/ZIP ... : SOQUEL, CA 95073
TELEPHONE ........ : (831)462-0539
FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE
--------------- --- --------- ------------ __
BPERMFEE P 77.00 0.00 77.00
BSEISMICRE P 0.50 0.00 0.50
BUSLIC P 90.00 0.00 90.00
167 50 0.00 167.50
VOli'E ID DESCRIPTION VOICE ID DESCRIPTION
........ ........ ............................
101 FOUNDATION 102 PIERS
103 UFER 104 REBAR
105 ANCHOR BOLTS 106 SEWER 4 WATER
202 UNDERFLOOR PLUMBING• 203 UNDERFLOOR MECHANICAL
204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION
301 ROUGH PLUMBING 302 TUB 6 OR SHOWER
303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL
305 FRAME 306 HOLDOWNS
307 INSULATION 308 SHEETROCK
309 EXTERIOR LATH 310 INTERIOR LATH
311 SCRATCH COAT 313 ROOF NAIL
501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY
503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY
505 FINAL ELECTRICAL 506 GAS TEST
507 FINAL PLUMBING 508 FINAL MECHANICAL
509 FINAL GRADE 510 FINAL PLANNING
514 FINAL PUBLIC WORKS
•