00080119 CITY of CUPERTINo .
BUILDING DIVISIONCONTRACTOR INFORMATION
•°JL r. - „ ,ta`I.'.P_ERMIT -
13UII IINGAPPR 1;55: t !li d I'EItMIT NO. =rr
OWNFIt'SN miuRimiez, " APPLICAGON SUIT DATE, '
GONE:^ LlHrlw - ZD73 - SANI'I'ARYN d CONTROI.NO.
O.0 G ARCHITECT/ENGINEER: t - nI11LDING PERNIF INFO v
'FOO " .`r BLDG ELECT PLUMB MECH ,
Ove t LICENSED CON IRACI OIC S DICTA IA I'ION R ' IOI7 DCSCPIptIOn v
1 h by fl dal,I "low" 1 p I Ch p1 9( g :d � -
wi1hS , JfN1U) fD 3of Nelin el f:.' Cxl dndny l'
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rdf d Ifi t �D
3wya I e c1,'. « INT REMODEL
Ged, "
Hao
ARCHITECT's DFCI ARnI IOM1
I e :r d )Ideas:haH HITS T's DELL 11 r CION
X OWNER-BUILDERDECON ��'����� r _
W 11 by'fl' ptl tM1a C Co.ati' t L L '1 ',h -
4"''Z Q fall 6 (S , 7091 5 B .- d P f .- Cod A y ll ry - ,F '
f O wh1,1,ne'llhe,a'P ,t lma,,xlle p d 1'.t P "Ill ore. -
�A B�
P1 1.1110 I. I 'il,a a,plial I fiaroidap a to late Ill ne,t
'Illao lie is klawd p :arria, tire p s fhe Contractor.,Liala,a 1 (Ch- ea 9 " Sq. Ft Floor Ared- - ' Valuation
(co y lS 1 00001 fD' 9 '[h B d f '' :CJ) •. "
r,kth I lh a d11 h helllgl p, Ari t "y1 v
"IS , 70315ly )apphuaat applireanaroa amlpvally
,Call, -Io- r 1 tau (ssdn) APN'Number Occu A$ e
will do h k d eh , Iado i,nor haeaded a,olearod f .,1 (S 7044
Bm I f Code 11 C t t L as appl, `�' `� LIUVCd lnSpeCCI,OnS 'i 4
fp 4 Will,_h Id." tp J h d h tea II
' ar,l .through l' pl } p '1 J,h'he ,t: �h' P 1, ,' , d I .,t. , R ��.•� .
offered]or sale.11,hoxvver'he h, Id'n g o ,e.t s sold within one ye r of - -
nP'alae, 1 —� FOUNDR�ION .
on pl, Bill bill ll also[liebillion of p'ov',g th tl Id no,b,ld lar 10 h d
T Tne a1:lc) '. 102 — FeS,
ERS
'
(If n "ay, 'If"'T,'eraileer4 withI d rialoal Ill 1.03 — UFER
the p J ,'(S 71M4 Bre II f:: C d )"Ih C t t "
'la ,eLdwed,: ,ntduyt , r,nr,penYwnom la,e, n,prn.e,meree,, 1.04 -- RE,BAR
and 1 old. r rh p ln�wdl , mm(s7 d p s mm m,hc
cn�„el n ,e 1. . - - ' , 1@5 -- ANCHOR., BOLTS..`
❑lan, ,a e - E,vrcle,IN, 106 SEWER :`8 WATER y' '
ower woRK 9TFMIs TON OL LAR' _202 'UNDERFLOOR PLUMBING`
Ina,by afr,m d p dhyol Earn 110„f me rdl r ley,-tan ' . 203 - .UNDERFLOOR MECHANICAL
a.
'04 --.UNDERFLOOR. FRAME
J I h'va and will n lean a Cen wt A C'n,an1 11 II , ea for Woikc,v M- t3,
Comp 'r p d d fide try Staff 3700 of n UN C Ie. f0' ala
pert mareofthewnkf" whch,h'spc t k.,nev._ - 205 - _UNDERFLOOR' INSULATION
30 '
O11 t h.will and t Worker,Coop t mm
Insdl}Sct } 1 — ROUGH `RLUMBSMG- >'r, i
9700 1 tan C„I r to P r fn - kf - h h 1 , dis 302 TLJB R _P' 'OR SHOLJE '” _
ileod.MyW.ler eCo"',", Insutacarrier aidFo y herore:` '• . '
co, e,. N, 303 --'„ROUGH. MECHANICAL
CERTIFICATION OF F.XEh1Pl'ION FROM WORKERS' ,. 304 ,ROLJGH',ELECTR'I CAL °
COMPENSATION INSURANCE '+'n3m5 FRAME
ne 1 ,Iheconpleted fd p nl'sV 1 duldMl s -Y
IS 100)ore„� - :,,OE, —,—H01—DOWNS
1 allfify that'to tirepH a t ho w ,kr hoh this pe u.3,0Z INSULATION,',”
shall ,o,eared,day 1 d y u, - a to bawne h/ee,to the Wa kcN', q
Cnmpe,sxro,I,,w.,o1 C`liNnna.Data ,.: - `308 SHEE:TRDCIr'- �^
NOTlct donrrLICAM1h n k' y1h cel t le p, y t 11 " 309 —�EXTER;IDR.'LATH
hcc,ra,object ,,dia Worse,,Coi p a P f he LI Code,y e
- 310.tape matd k INTERIOR LATH
CONSTRUCT ION.LENDINCACENCY for h _ '311 — SJ'CRATCH COAT
� > ' Tfd 11 kfay ° 1 in�d ali,moL(se 9109lnC,,.0 ' n,perm,a, , 3] 3 ' 'ROOF NAIL
�
y,q Lend ,Ad .11501 =. F,INAL�,ELECTRICAL ENERGY
= z Lendc :AJJre.:
U O la rrrn ,11' tat. ppr t d ,n "pr 502 'FI.MAI.. '•:Pl_ IJhIB,ING':EPIERGY'
"al L1,'y t lay i,1 11 t de mr d ti I t. r , 503 `"FINAL MECHANICAL ENERGY
O'V Iob II y D t dh M1 R p II'': fm lye t pan,
W the abrave,aaallearedP y to,to.P P P ^ - — 4a •,p.
'o lav) 6 1 t 9_04 FTldfal_ E4U,.T.I=DING ENERGY
.. En lanl1i , ly , l 1 yaea, y dgdase ad c;' r'505 — .FINAL ELECTRICAL' .
J' V z City sen,elea ofti6'arl,y at this permit, Y ^ y - q
"'• APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-PORNT- 51]1 — GAS •,TE (�^`2-��,
SOURCE REGULATIONS , _ Issued by: Date% p
4
- Slg 1 fAp11 n/c t � Data, Re roofs n - -
HAZARDOUSMIATERIAISDISCLOSURE +• -908 —I CINAI F,MECHANICAI - 'i "
W II d ppr t 1 t b ld”g I' t.t h4,Ilc i d s nT,nal Type of Roof.: > d
-d1 Ib theCapet M 'pa1G1 Cnpt 9.12... Ith Hann wsrety 509 — FINAL-.GRADE -
C,d S t 25592(x) t S, v
t °'Y' El No - d" All roots shall'btq�lgpkteFt'iVni1��l}Ito"'arriry1�MtfbrrlP� Ah�fft�6rrqi,,kt/I�b}eing Installed. -d
w16 th 1ppli' t far h Ilf goeeapanl lace e9i t! t 1 "e h .if'"roof IS Inst'alldd4WithoUl'ddlC'ATrbbirAT iwaA 4fls'MINIR agree IO rennovew-
emi,h i'dnen c „ ants as din ed fate lay Arean ,Qdl'ty Mange a,. .f. -.
,w.? all new'aaterials for inspection. Appli6ra,understands and will comply with '
❑Yes'. ON,, _ r ._ _ "
_ - all non-point source regulations.
1k erend,he I nmcn250T'rc Bed,wdc5 CI,pbrel65 laal he a
i , Ith ffi S ty Code Sections 25505 5599 125594. r 111 t /,
11 %I t dyetn td et': y p hltyl ffY,l pil
I,I q t 1 h all h p' o I C ttir"o C - } • J^
��n,u/_ > ��'47� M1 Signatureo[Appbcant Date
[[��//ILU`v L/U All roof coverm s to be Class B:or better
t „d ,rxed,ee„ Dd,e g'.. ,..
CITY OF CUPERTINO lxw'..rs Lmv ' '^ " -
BUILDING DIVISIONpE �CONTRACTOR INEORM�,TION "
;BUIMANG ADDRESS'. - rr 'k
'a, I'IiRMII N,.
WNER S SAjvf6iL0'-0 RI 10P'IG!JUIZ {,1 I 'if'1 tdill-.01",1FI I;;ppit:�-i N16;P11'q' •MhuokiAJR ik dv,i:4alplk !:7ll 1 '.?
ONE: i L"d T.ti, w:iL, I'FifiR : fd6"f'IR'ff-lf'.'RIT3 7;' HII(81•::111 I'Cil ilL, s,)Nll.RN Np51.;}� p .('(r4Ao0).
ARCHITECT/ENGINEER'. PIIONEN 1`>j l:�ti)v moi, '-VIII{Y;� E111J)IN'G PERbIIIINFO
IILDG
FUR I' PLUMB AIEC'H
I I I
1 i -
tpuINSPECTIONS'J� aT / 'S' d,DATE S INBPEC'= TO ARRANGE INSPECTION JOB DESCRIPTION CALL TA•3228 MONDAY-FRIDAY 24 HOURS
RF,SSQ.EN�'IAL:
Fj N i FOUNDATION/PIERSAI.D.S. BEFORE REQUIRED INSPECTION.JOB ADDRESS E-1SFUNYL ❑ KITCHEN REMODEL
w=p
AND PERMIT#ARE NEEDED WHEN PHONING. ❑ ADD[l'ION ❑PLUMBING RE-PIPE
t- UFER GROUND
' ❑ .MUL9l-Il NI'I' ❑STRUCTURAL
o ` PAD/SETBACK-CERT RESIDENTIAL_COMMERCIAL_OTHER_ MODIFICATION
3 u v GARAGE SLABS/PRFCUNITE ❑ IN"I'ERIOR CI CHIMNEY REPAIR
.. -•„R IIAZA )OUSELREAREA
�pa POUR NO CONCRETEUNTICADOVE'HAS"BEEN SIGNED'h"p+"=c• IMPROVI:NIEYI' ❑ SWIMMING POOLS
`o.o UNDERGROUND/SLAB 1:1 YES It I 1d... id Inel us..)muf o.>r nhly . .y ad_ F.1 PATH RI MODEL/REPAIR❑ DEMOLITION
O'I'H LIt
R� PLUMBING ❑ NO Initial
.C,B.O.#
o ELECTRICAL.
�
`
w -G EXISTING ROOF COVERING COMMERCIAL'
4� DO NOT.POUR'-FLOOR'UNTI7 r7ADOV F,HAS SICNHD'i�-k`e
PLUMBING ❑ NE%F RI IJG/ADDITION C DEMOLITION
MECHANICAL Numberof exinung coverings _7 TENANT ❑ FOODSERVICE
IMPROVEMF.N I
ELECTRICAL To he remou cd To h,,main,d ❑ OILIER —Ne Zfx --
FRAMING VENTS _
INSULATION 1�
:PLACH NQSUBFLOOR'UNTILABOVE-HAS BEEN SIGNED'r Y;;„f.?; TYPE(IF ROOF COVERING
ROOF SHEATH/DIAPHRAM EXISTING- PROPOSED,
PLUMBING ❑ Boilt-Up R,0 ❑ Built-UpRoof
TUBS&SHOWER PAN ❑ Asphnll Shingle, ❑ A,phull Shmgl,,
MECHANICAL, ❑ Wood Shnku, ❑ Wnod SI,AI,
ELECTRICAWPOOL BOND - -�D .1' ❑ Wood Shingles CI Wnud Shingle,
FNAMING/STAIRS/E.EGRESS _Z ❑ Olher(Specify)_- - ❑ Olho tSpccily l___
- 'SULATION/VENTILATION -,y P.... e I.C.B.O.Idcpnu No.
„COVHR'NO WORK UNTIL'ABOVEHAS BEEN-SIGNED 'gl'd;:: < I'uvlde Mlyc Imrdk Npcc._
EXTERIAL SHEAR/HOLD DOWN
INTERIOR SHEAR/HOLD DOWN
SHEETROCK/SHEETROCK SHEAR INSPECTION SPECIAL INSPECTION REQUIRED D DATE INSP
EXTERIOR LAI'H/W-SCREED
SHOWER LATH -
;;.NQTAPE ORPLASTERiUNTRIABOVE HAS'BEEN,SIGNED,,'M,;
SCRATCH COAT
SEWER/WATER
TEMPORARY APPROVALS
OCCUPANCY
FINALS 'P.nr Ak:; {sa +^a.,e:s;fiRrk
z
PLANNING 777-3108
ZQ GAS TEST
v 4 GRADE(P.W.777-3351)
7 FIRE
Z HANDICAP ,
U Q ELECTRICAL
O F PLUMBING
MECHANICAL.
ENERGY
U VISUAL FINAL ONLY
BUILDING
T.00CUPANCY,OEBUILDMC_1S'NOT PERMITTED
W:IJNTH.BUILDING FINAL IS SIGNED DY 6U16DING d V.U.�x';I .3t<'•
1 FY.ufY='.i Y'dd yk=„,,,n xf
IN,PccroR. ..,�. _„?s' � � .i; CERTIFICATE OF OCCUPANCY❑
PRE-INSPECTION: PLYWOOD: IN-PROGRESS
INSP. _ •DATE_ INSP. __ DATE INSP DATE _
TEAR OFF INSPECTION: BATTENS FINAL:
INSP. DATE INSP._ 0DATE INSP._ _ DATE _
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
APPLICANTS POSTING COPY