31313 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL PERMITNO. l
BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL. 1
BUILDING PROJECTIDENTIFICATION
BUILOINGADDRESS: SANI"I'ARYNO APPLICATION SUBMITTAL DAB'i'.
Ma u n'itWoortV
OWN '*NAM' PIIII CONTRACTORS NAMI7: LICNO:
a � - N/C CONTROLis
.A RCHrI'li /ENGINEER: LIC NO:. ADDRESS: ❑ �'7 J
CONTACT. 44 fi YL t Or PHONEai� / BUILDING PERMIT INFO
-7 ❑ Consultant Fees Paid by Applicant(Initial) RIDG ELECT PLUMB MHCH
❑ ❑ ❑
LICENSED CONnsed unOrprov,ions of Chapter
QTY. ELECTRIC PERMIT FEB
1 Hereby arlrm that 1 am licensed antler prr,vitinnt nr chapter 9(commencing JOB DESCRIPTION
�aZ with Section of Division 3 ofthe Business and Professions Codarad my license is RESIDENTIAL:
O O PERMIT ISSUANCE
1.Hill force and offer,,
aVU License Class Lic.p CSFDWL C KITCHEN REMODEL
�dW Datc Contractor APPLIANCES—RESIDENTIAL ❑ADDITION [I PLUMBING RE-PIPE
FSuy
ARCHI"fECTPANELS
S DECLARATION ❑MULTI-UNIT CSTRUCI'URAL
ZO4Z lunderstand my plans shell be alai as public records �r� - MODIFICATION
pZ�O - UPTO 200AMPS puvTER1GR ❑CHIMNEY REPAIR
, Licensed Professional201.1000AMPS - IMPROVEMENT
OWNER-BUILDER DECLARATION OVER 1000AMPS - CRATH gaMODE REPAIR C EM LITION
hereby vffirm that 1 vm exempt from the Commctor's License Law image, I�(T�gp
ser 3O y U following reason.(Section 7031.5,Business and Processions Coda:Any city or county SIGNS OLECTRICAL C OTIf 3
(Z F which requires a permit to construct,alar,improve,demolish,or repair any summer
,I",,,�� prior I its issuance alw requirtsthe applicant for sucM1 penniuo filo aligned smmmem SPECIAL CIRCUIT/MISC.
4� pmt he is licenuJ pursuant tome pnrvisionsofine CnmmOur''s License Ww(Chelcer 9•,
CO (commmacing with Section 9000)of Division 3 of the Business and Preassloos Code)or TEM P.METER 014 POLE I NST. COMMERCIAL' {q
a e¢
that he is exempt ancefmm and the basis for Ne alleged exemption.Any violation of C NEW BLDG/ADDITION ❑DEMOLITION �J
Yy•
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of POWER DEVICES
ZY pot more than five hundred dollars($500) []TENANT FOOD SERVICE
< Las ownerof mem norm In ceswith we as theiraolecom -tion. SWIMMING POOL ELECTRIC IMPROVEMFNT
y ❑ t pe ct Yot ip Y gds pens [.
will Jothework,andthe[he Ciue isnotintended
ns Lawdoforsale(Sec.]IH4,Business OTHER
L and Professions ids or imp ove, away License Luo doer not apply o un owner of OUTLETS—SWITCHES—FIXTURES n
r his o
property who builds or sided ds thereon,and who doss such work himself or through
his own employes,provided that such improvements are nm intended or uRered for NEW RESIUENTIAI.ELECTR SQ FT.
sale.If.howescothe
vethngmitnposemcngttat he
non build
or improve for
SQ.
NOV FLOG ILA�A� $/SQ.FT.
ownemhuil.).will have the burden of proving that he Jid not build or improve for Aur- o
you as owner
01,usownernfthe properly,am exclusively contracting with licensed mntmaorsm TOTAL: r.1
onstruct the pmjen(Sce.]0aK Business and Professions Cans,The Contrncurtx Li- Cf11 UI l,urrhIINU
cense Law does not apply to an owner or progeny who builds or improves thereon,and Q'I'Y, PLUMBING PERMIT FEE V
'whoamrdets forsuchpmjens with veman m(s)licensed purauam,,the Counucters
License PERMIT ISSUANCE '
' [Iart,Law. nticr see tj B&PCfnrhls rr nn
OwnerDote ALTER—DRAIN&VENT—WATER(EA)A64" ,VALUATION
WORKER'S COA1P-.tiATI DECLARATION B ACK FLOW PROTECT.DEVICE oO�
I hereby off nunder Penalty of perjury one of the following decelerations: Q
❑ I have and will maintain a Certificate of Consent o sell-inxam for Worker's Cnntpen. DRAINS—FLOOR,ROOF,AREA,COND. STORIES TYPECIJNS'1'RGCTION
satiun.as provided for by Section 3700 of the Labor Code,for the perfomuncd of me
work for which this permi,is issued. FIXTURES—PER TRAP
C 1 have and will maintain le,,Compensation hatiounce,as required by Section
3700ofthe Jaber Coda,forme performanceof the work forwhichthls Permit is issued. GAS—CA.SYSTEM-1 INC.4 OUTLETS - OCC.GROUP APN
My Workers Compensation Insurance Gamer and Policy number are:
Carrier Policy Na: GAS-EA.SYSTEM-OVER 4(EA)
CERTIFICATE:OP EXEMPTION PROM WORKERS'
COMPENSATION INSURANCE GREASEIINDus TRI,WASTE INTERCEPTOR
(This second Deal not beuomplaW if thegannot is fornne hundred dollars($100) - BUILDING DIVISION Pt3PS
GB
orless.) F.ASE'I'RAP PLANCHECK PCG
I certifymatmthe performance ofthe workfor ohichthis pemtit is lssuad,l shall SEWER—SANITARY—STORM HA.300 FT.
not frod y any person in sea,manner s,as to become sobject o the Workers'Cumpcn- ENERGY FEE
z ,Z satiun Laws of California.Date WATER HEATER WHEN DIRECT R
Applicant GRADING FER
[A NOTICE TO APPLICANT:If,after making this Cenificate of Exemption,you should WATER SYSTEM/IREATING
became eobject to the Workers Compensation proskions of the Labor Code.you mull SOILS FEE
forthwith comply with such positions omthis pamit shall bedcemed revoked. WATER SERVICE
Q
CONSTRUCT 10N LI3NDINC AGENCY NEW RESIDENTIAL PLMII. Sp,PT. PAID
L) O IherebyalIthis and,i issue (Sao
len Jing agency for me performance of Due Receipt)
theLe stock is Na which this lcrmit is issued(Sec.3097,Civ.CJ
G U Lenders Name TOTAL:
Lenders Address BOTAL:
' I certify,hat I have with
all iapplication and dime,hat the abeve information is BUILDING FF.F.
try corea.lagmemasmand withal)city and rnuntyntativncesand mamlawarelatins a. QTY. MECHANICAL PERMIT PP.E
�,� building eenswefion,end hereby nuthnriu representatives of this city mercer upon me SEISMIC FEE Iso0
above-mentioned property for inspection purposes. PERMIT ISSUANCE
(We)agree to save,indemnify and keep harmless the City of Calendar,against F.LECfRIC FEE
liehilities,judgmcnts,costs and ealenses which may in any wuyaccmeugaima avid Ci,y ALTERORADD]'OMECIL
in asequence of the granting of this permit. PLUM131NG FEF.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT AIR HANDLING UNIT TO 10,0(X)CFM)
SOURCE REGULATIONS. MECHANICAL FEE
AIR HANDLING UNIT(OVER 10,000 CFM) CONSTRUCTION TAX
Signature of Applicant/Cootmeor Dam EXHAUST HOOD(WIDUCf) (LOUSING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building oecupord store or handle hazardous notarial HHATINO UNIT TO 100,000 BTU)
as defined by the Cupertino Municipal Code,Chapter 9,12,IBJ on Health and Safety
Code,Section 25532(-1] t HEATING UNIT(OVER Ilk."BTI])
❑Yes C No
VENTILATION FAN(SINGLE RESID) PAID
Date Receipt p
Will me applicant or future building by the B use equipment or Mara which BOILER—COMPLIHPOR 100.0X)111)
LI hazardous us Mir conmminams as defined by the❑uy Area Air Quality Management TOTAL: /y
District?
❑Yes CNn BOILER—COMP(OVER1000MB'PU)
I have read the hazurdoux neurons ruryiretucats under Chapter 6.95 of the Cali- AIR CONDITIONER ISSU NCE DATE
fomiu Health Safety Code,Sectio s 25505,25533 and 25534.1 undemand that if the NEW RESIDENTIAL MECH. SQ,PI.
builJingJ s oI 'af curcndy has �an4 mm it is my respmnsibiliui reify occupant
of there tants whidyn met Tannteatime'if.C ryfe -
O to rauthoriud agent o Door TOTAL: ISSUED BY:
OFFICE'
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'Yb&plans hnvo.been Teviewed y tlus•,ofAce and other,appropriate deppitn etits
a o e don 6 lass andin`{he enolosed 'r
and'h " licable c cnfih p
and a 'en6es Pp.
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O ; °tdbciftents Pleoe.geu�ew�ndses tntt�._'c dies df plads together witli
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v_ tes n to eornnidnts . rN;
NQS APPT20�BSS;. �BUIi�ING. 4
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r " PLMUC WORKS:.
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5ANITARY DISTRICT
r } tF'v \ b (i+. ,, x M.rl •i `� ih• - 1 ' 1 'T Y, '� l�
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RESPOND Td'XT- rACHkD'C'ONXDIENTS
Y ,' x 1
t NATE. Initial plan check1tee includes 6rsf pion check and rkheck.,Any additiuda'iato�zmotidn
requtkedlfoYl'Plitn`pheck;`additfooal fees:Will be chm rged: r a r
'ar �•n ,. ,Vpd�
� } -�r.i y 'h:� v �k VI��r' li , M1�• � Y: 4 ." 4 i 1,4r ,: � ��,1;-
Plan Check Division
10300 Torre Avenue
Cupertino CA 95014
• Telephone(408)777-3228
Fax(408)777-3333
City of
Cupertino
Building Department
Close in garage
19470 Richwood Ct.
Control # 8255
Permit # 31313
• Checked by Bruce
10/29/96
1. Upgrade the Site Plan and attach subdivision map creating lot and showing
easements. Show garage location on that base sheet with dimensions.
2. Show a section @ wall indicating adjacent grade, bolting of sill, weep screed,
• top plates, facia/wall attachment @ roof, headers, building paper and stucco
thickness,backing.
3. At new posts show connectors @ top/bottom and attachment details @ top to
roof.
4. Show framing @ openings and attachment @ roof and roof construction.
5. Indicate minimum height 7-0".
6. Indicate type of locks @ all exit doors. Chapter 10 of the UBC.
7. Indicate UBC 312.7 will be complied with @ garage door springs.
8. Clarify wall construction @ laundry. One hour wall is required and confirm
ventilation to room and supply air to dryer units per Chapter 12 and UMC.
9. Confirm @ unit 1 door from garage to laundry is rated and complies with
UBC 302.4.
10. Show smoke detectors per UBC 310.9.1 @ units.
11. At section of building (3/3) confirm blocking above 4x8 beam and indicate
the construction of the roof panel system for lateral loads.
12. Show a GFCI outlet @ garages per NEC 210-52.
13. Show exterior lights @ exit doors per NEC 210-52.
•