03060113 CITY OF CUPERTINO
BUILDING DIVISION PERMITON ",7TC?WC?
BUILDING ADDRESS: JEAN SUN PERMITNO03060113
OWNER'S NAME: - PERMIT ISSDBDyT9 ,7/2 0 O 3
AN SUN
Ub 1
1
SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: - BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
t�
300 LICENSED CONTRACTOR'S DECLARATION
f V 1 hereby afNm Net 1 em limned under provisions,or Chapter 9(commencing Job D05CrIpn00
with Sued.7W)of Divkdo"3 of Ute Businessand Profamions Code.and my license is
Liicenae Class efmak Lmg JACUZZI/SHOWER/TUB/W/CLOSET UPGRADE
;t- Dam Contractor
ARCHITECTS DECLARATION
�$ 1 understand my plana&hall M used u public records
5ttt; Licensed Professional F!NALF-®
3 OWNER-BUILDER DECLARATION
eE I ressue a(Eect that 1 am exempt from We Contractor's C :Any c Law for the 9 2p03
p O which re mason.(Section 8131.5,Business and improve.
de aas Code:Any city or county - C L7 P
which requires
a permit re uir construct.a alma improve,demolish,ore a sig ed nowtum J C
prior in issuance,also requires the apPlicmeforsuch permiuo rile&signed statement y�
pp C that he is licensed pursuant to the provision of Ute Contractor's License Law(Chapter 9 Sq.Ft.Floor Area UiLDjWN VI®tion
Y (commencing with Section 7")of Division 3 of the Buainesamd Pwefcuimns Code)ur ,Q�f'
y 3$ Net he Is exempt therefrom and the basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit ubjects Ne applicant to a civil penalty of 3 9.`P]Q 61bu 0 0 Occupancy 1}�
nae mart Nan fee hundred dollars($500} P y ']Pe
❑I,asownrof Uie propeay,or my omploycas with wages at their sole eampenastian.
wilfdothework,andtheaWctu.iamatinmndedwanamdfarssie(See.70e4,Busiwss —
and Poefeselon,Cod.The Contractor's License Law does not apply to an owner of 10 2 - PIERS d Inspections
property who builds or improves Neuron.and who dna such work himself or through his
awn employens,Provided thatsuch improvements art notinmeled oroffxed forsale.If. 103 — UFER
however,the building or improvement is sold within one year of completion.Ne owna-
builder will new the burden of proving that he did not build or improve far purpose of 104 — REBAR
asm')' 105 - ANCHOR BOLTS
0 I,as owner of the properly,am excluively contracting with licensed contractors to 10 6 - SEWER & WATER
construct the project(Sec.7014.Business and Professions Code:)The Contractor's Li-
nettaelawdoesnolapplymanownsf promrty,who Wilds orImprovas thereon,and 202 - UNDERFLOOR PLUMBING
weer enLaWu for such projects with acntracmr(q licensed pursuant to We Canvactor'a' 203 — UNDERFLOOR;MECHANICAL
1(Iam uempt undo See. ,B&PC for NO mason 204 - UNDERFLOOR FRAME
owner �� Dae -� 205 - UNDERFLOOR INSULATION
VORKE 'S COMPENSATION DECLA'RI�,Ty1J�eN
1 hereby tlrerm under penalty of perjury an of the fallhWWit M cIMIR os: 3 01 — ROUGH PLUMBING
new and will maintain a Cerificam of Consent to self-insum for Worker's Comport. 302 — TUB & OR SHOWER
sauan,as provided for by Section 3700 of Ne labor Code.for the performance of the 303 - ROUGH MECHANICAL
vrork for which this permit is issued. 304 - ROUGH ELECTRICAL
❑I have and will maintain Worker's Compensmian Insurance,as required by Section 305 — FRAME
37M of the labor Code,for Ute performance of the work for which this permit is Issued.
My Workers Compensation Insurance carrier and Policy number are. 306 — HOLDOWNS
Carrier: Policy No.; 307 - INSULATION
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE 308 - SHEETROCK
pMasectin need not be completed if thepermit Is for we hundred dollars;($100) 309 - EXTERIOR LATH
or `') 310 - INTERIOR LATH
1 certify that in the performance of Ne work for which this permit is issued,I Mall not 311 - SCRATCH COAT
employ any person in any manneru m eco
an become subja the Workers'Compensation
Laws of California.Dare 313 - ROOF NAIL
Applicant
NOTICE TO APPLICANT.If,after making this Certificate of Exemption.you should 501 - FINAL ELECTRICAL ENERGY
zbecome subject to the Worker's Compensation provisions of Ne Labor Code.you must 502 - FINAL PLUMBING ENERGY
forthwith comply with such previsions or this permit M doemed revoked.
zo CONSTRUrnONLENDING AGENCY 503 - FINAL MECHANICAL ENERGY
I hereby&Tim out Nen,is a convection lending agency for the Performance of 504 - FINAL BUILDING ENERGY
Y Mewmkfor which this permit istested(Sec.3W7.CN.C.)
Lender's Name 505 - FINAL ELECTRICAL
37 A
Z) z "der°^ddfC85 506 - GAS TEST
J O I really Nat 1 have toad this application and auto that the above information is 507 - FINAL PLUMBING
correct.l agree to comply with all city and county ordinances and soon laws totaling m
building convection,and hereby auohoriw representatives of this city to enter upon theFINAL MECHANICAL
N a alms&-mentioned property for inspection purpnca. OF I N
(We)agree to sive,indemnify and keep harmless the City of Cupertino against
r N ts
liabilities,judgmen ,costs and expenses which may in any way¢cow against said City I NG
z in consequence of Ne flooding of Nis permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALLp{ON-POINT Issued by:5 WORKS Date
SOUR ER ULATIONS, // V y
e . . r— 6-17-2,M5 Re-roofs
yazure�Applican�tracmr Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building occupant store or handle to vallous material
as de0ned by Ne Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code.Section 25532(q? All roofs shall be inspected prior to an roofing material beim Installed.
❑Yen No P P Y g g
Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
hexardom air conomina"ts as defined by the Bay Area Air Quality Management all new materials for inspection.
at,
❑Yes KN.
I have mad dm harardws materials rtquitomeno under Chapmr6.95 of the Califon
nialfalth&Safely Cad,kcdwu25505,25533and25534.1untl m=dthaeifU¢building
dors not utmil'have s unam.Nat it u my responsibility m W ly Ne occupant of the
requiretswhichmuse meoprior toissuance ofacmifcamo cupany. Signature of Applicant Date
wme r aamarixad agent Date 7 All roof coverings to be Class "B"or better
SENT BY: 2-' 9- 4 :10:58AM IDT COMM SYSTEMS- 4087773333:# 3/ 3
CITY OF CUPERTINO "I "� + t�'" a i .
BUILDING DIN1510N PERMIT '* ' ' ,"' ,' Via.
1 P..M1 ,WI t'i.1 1N
BUBRBr"JesftOSE BLOSSOM DR JEAN SUN PUMIT N8.30pp60113
DwNERAYPrAN SUN PERMIT 6 /gel/2 0 0 3
E:4083661268 CUPERTINO CA, 95014.-47.13 SANITARY NU coNTROLNo.
ARC}IRECl/ENGINEER: PNONE+. JACUZZI/SI•IOWER/TUB/W/CLOSE UPLg;2AJTPERMI MBD Mecx
�, T' ` y TO ARRANGE INSPECTION POB DESCRIPTION
h x t CALL 777.3220 MONDAY•FRIDAY 24 HOURS RPS111RNTIM
�9"A &?` ani;. �„ i� i Pp :�'. 4{
BEFORE REQUIRED INSPECTION, OB ADDRESS ❑ SFDWL ❑ RrrM. N REMODEL
9� FOUNDATION/PIERS/H.D.S. AND PERMrrg ARENEEDED WHEN PHONING. El ADDITION 0 PLUMBING M.PIPE
UFER GROUND C MULTI-UNrr O STRUCTURAL
MODIFICATION
E PAD/SET BACK-CERT RESIDEN71AL_COMMERCIAL—OCHER— ❑ INTERIOR OGirMNEYRBPAIR
yye GARAGE SLABS/PREGUNITE IMPROVEMENT ❑SWIMMING POOLS
H MARDOUSRTVRARR3 ❑ RATH REMODELM"AIR O DEmoimnN
UNDERGROUND/SLAB ❑O'D2R
�3y AYES R7er-Inndenum uungw Amo(ssremhlr it mquind.
=o UNDERGROLNDPLUMBING C] No InnNI ic.B.o.P
2v m UNDERGROUND ELECTRICAL
44 b wsqro MCR tet
CnN SLI I "UNE�M'A" DY C lATw11 BI EMmN .ROOF COVEIUNG ❑ NEW BLDG/ADDITION ❑ DEMOLITION
UNDERFLOOR PLUMBING O TENANT U FOOD SERVICE
UNDERFLOOR MECHANICAL Numner or miring c~ngs IMPROVEMENT
UNDERFLOOR ELECTRICAL Tob.m.,en Tobem.urnnd COTHER
UNDERFLOOR FRAMING VENTS
UNDERFLOOR INSULATION
x, t 9... TYPE OF ROOF COVERING
�� " "Env 'tt, z
ROOF SHEATDIAPHRAGNI EXISTING,
II/ RROPOe�sjT
PLUMBING C Built-Up Roof G1� �i Builo-Up Rad
TUB$$SHOWER PAN - Cl Aspholt Shingles I xsphult Shingles
MECHANICAL .� ❑woRd snoRs� /C) Wow Shu4es
ECfRICALIPOOL BOND '1 Wood Shingles C Wood Shingles
AMING/S7AlRSlE.EGRESS C Orher(Swiy) C Omer(SPeeity)
S ULATIONlV EN7I CATION
u� ••��. Prwiee I.C.B.O.Report No,
F .EB PIU �f'i Provide Mfgr.Insullsdon Spvcc.
EXTERIOR SHEARMOLD DOWN
INTERIOR SHEAR/HOLD DOWN
5HEETKOCVJ$HEE7ROCK SHEAR NSPECTION SPECIAL INSPECTION REQUIRED DATE INSP
EXTERIOR LATHAV-SCR CD
SHOWER LASH XL7-n �'"ctSm�,N.T. J3d/3nG�
SCRATCH COAT
SEWER/WATER
TEMPORARY APPROVALS
OCCUPANCY
Z $ ® UA_- 9FI f17 � G
y PLANNING 777.3308 f�r„CL
s >— CAS TEST IMPORTANT
yQ ORADE'P.W.T7-3354I
M z FIRE-CALL(+08)378-4010 When a permit has expired, a charge totaling one-half —
:.7 O HANDICAP
E= the fees to obtain a new permit must be paid to
w ELECTRICAL reactivate the permit.
i„ y PLUMBING
j Z MECHANICAL
ENERGY If a permit has been expired for more than one year,a
VISUAL FINAL ONLY charge totaling the Rill fees to obtain a new permit
BUILDING D must be paid to reactivate the permit.
11, [ Nip'P P
2+M , r Iruhals
N B ILn; C��'sfl.�t,�S St.; I r,' , ❑
CERTIFICATEOF OCCUPANCY
PRE-INSPECTION: PLYWOOD: IN-PROGRESS:
INSP. --- DATE INSP. _ DATE INSP. DATE
TEAR OFF INSFECTION. BATTENS: FINAL:
INSP. DATF. INSP. DATE iNsp — DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
CITY OF CUPERTINO
yyyyrrr��a� TT
BUILDING DIVISION PERMIT
BUILDING ADDRESS: JEAN SUN PERMIT NO{ 9( Tg1OyE3 060113
OWNC) T?nqT7, P1022QM ]DR
ER'S NAME: PERMIT 7/2003
AN qTTN SANITARY NO. CONTROL NO.
BUILDING PERMIT INFO
ARCHITECT/ENGINEER:
BLDG ELECT PLUMB MECH
0 0 0 0
goo LICENSED CONTRACTOR'S DECLARATION lob Description
fI hereby affirm Net I am licensed under provisions of Chapter 9(commencing
with Section 70110)of Division 3.f the Business and Professions Code,and my license is
in m0 fineea.d.ffea. JACUZ7Pd fijq '1L/a*/CLOSET UPGRADE
j�= License Class Lie.# f .■�^_'
C-0 Dam Contractor
o 1-
ARCHITECTS DECLARATION g] Q
1 understand W a7nd my plana shall used as public records C rC p O 9 2003
le W
eCi Licensed Professional
OWNER-BUILDER exempt
DECLARATION
Contractor's
ny 1 oos. alum that 11. exempt Pram Ne itonsC License Law for the BUILDING
L p 0 which
re rias,..(Section 71B I3,Business and Profession Code:Any city nr county
<e w which requires n permit Re cur swot,pine improve.h Permit
or repair any strucmto
°'r^ prior un its issuance,AlsoRequiresto the thovisiosofCarl forsucthe CohpermrOOrile icense ned Law
Etc jest he is licensed pursue
In the provisions of Nc Contractor's License law(Chapter Sq.Ft.Floor Area $2O�bI®tlOn
;1-$ (commencing with Section 7")of Division 3 of the Business and Pro(esi...Codc)ur
y ..
that he Is exempt therefrom and Ne basis for the alleged exemption.Any violation of mx�
Section 7031,5 by any applicant for a permit subjects the applicant to a civil Penalty of 3 AP1SQQfh5er 0 0 Occupancy Type
not mom Nan five hundred dollars($500).
1,as owner of the property,or my employees with wages as their solo compensation,
willdo Outwork.and do,armture is not intended or offered forom(Sec.7W4,Business d inspections
and Profession,Cade:The Contractors License Low does not apply to an owner of 102 - PIERS p
property who builds orimprovea thereon,andwho doeasuch work himself or through his
own employees,provided that such improvements are numeanded oroRered for sale. t• 103 - UFER
however,the building or improvement is sold within one year of completion.he owner-
builder will have the burden of proving Nat he did not build ar improve for purpose of 104 - REBAR
105 - ANCHOR BOLTS
❑I.as owner of the property,am exclusively contracting with licensed cont Chmi to 106 - SEWER & WATER
construct the project(Sec.7044,Business and professions Cade:)The Co mactor's Li.
ecru,law does not apply to an owner or property who Wilde or improves themon,and 202 - UNDERFLOOR PLUMBING
nho contracts for such projects with a commou(s)licensed pursuant to the Contractor's
l�w, 203 - UNDERFLOOR MECHANICAL
amK" aeexempt under Sec. B&P C for this rano.
204 - UNDERFLOOR FRAME
Owne �fl�✓` � Data "( 205 - UNDERFLOOR INSULATION
VORKE L'S COMPENSATION DECLAR
4'" N 301 - ROUGH PLUMBING
!hereby affnm under penalty of perjury ane of the fol ing declan0ons: 302 - TUB & OR SHOWER
❑l have and will maintain a Couricate of Consent sel6insum for Workers aCompcn- 303 - ROUGH MECHANICAL
anion,n provided for by Section 3700 of the Labor Code,to,Ne performance of Ne
work for which this permit 304 - ROUGH ELECTRICAL
❑1 have and will maintain Workers Compensation Insurance,an required by Section 3 05 - FRAME
3700 of the Tabor Codc,for the Nomm me.of Ne work for which thio permit is bound.
My Workers Compensation Insurance carrier and Policy number em: 306 - HOLDOWNS
carrier: Policy No.: 307 - INSULATION
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE 308 - SHEETROCK
This section need nathecompleted Him permit is parent,hundroddollats(5101) 309 - EXTERIOR LATH
or1C53.) 310 - INTERIOR LATH
1 certify that in the performance of the work for which this Pcmph is issued.l shall not 311 - SCRATCH COAT
employ any person in any marmerxn as to become subject o the Workers'Componeafian
Laws of California.Date 313 - ROOF NAIL
Applicant aushnuld 501 - FINAL ELECTRICAL ENERGY
NOTICE TO APPLICANT:If.after making this Certificem of Exemption.y
become subject to the Worker's Compensation previsions of the Labor Code.you must 502 - FINAL PLUMBING ENERGY
�O -
forthwith comply with such Provision or this ,.it be deemed revoked.
z CONSTRURIONLENDING AGENCY 503 FINAL MECHANICAL ENERGY
I beroby M.Nat there lasconwed..lending agency for the performance of 504 - FINAL BUILDING ENERGY
x the work fur which this permit isissued(S.C.3097,Cil C.) 505 - FINAL ELECTRICAL
'4 Q Lender's Name
Under.Addresa 506 - GAS TEST
D O 1 certify that 1 have rad this application and ante that the shove information is 507 - FINAL PLUMBING
S. Fcorrect.1 agree to comply with all city and county ordinances and sum laws relating to
buildingconswction,Andherebyauthoriasrepoormoivesorthiscitytoenteruponthe FINAL MECHANICAL
above-mentioned property for inspection purposes. 09 FIN
4 G (We)agree to save,indemnify and keep harmless the City of Cupertino against
fg Iiabilities,judgmenU.casts and expenses which may in any way accrue against said City I NG
Q ,Z in consequence of the granting of this permit. // V
ti APPLICANT UNDERSTANDS AND WILL COMPLY WITH AU b�ON-POINT Issued by:5 WORKS Date t
SOURCE ULATIONS. ,/�j
b-1 -2 Re-roofs
store q'Applicam/Contras Data
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will dee applicant or future building acupamsmre or handle ha=dous material
az defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Sectie.25531(.)? All roofs shall be inspected prior to any roofing material being installed.
❑Yea Nu
Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hazardous air conu.aunts as defined by the Bay Area Air Quality Managcmc.t all new materials for inspection.
District?
❑YesNo
I have read the hmmousmamrials requirements under Chapter 6.95 of Nc Califor.
.in Health&Safety Code,Sccdon15505.25533 aMIM34.I undersand that lithe,building
does not currently haw a moan that it is my responsibility 0 nodly the,eeupant of the
require nes which must met dor to issuance of.CCMF,,amo ,vponty.
l�p Signature of Applicant Date
� am
wncr vnlhorizcize d scent All roof coverings to be Class "B" or better
aD
OW&BUILDER VERIFICATIONO
1. (Check one) I or my immediate family (parent, spouse or child) will perform:
• A. X All the work authorized by this permit
B. _ A portion of the work
C. _ None of the work n
If B or C is checked, complete 2 or 3 below. D I D
2. A state licensed contractor will be hired to do: JUN 17 2003
B
A. _ All of the work
B. _ A portion of the work (complete section below
Contractor Address/City Phone # State License # Type of work to
be performed
• 3. _ I will utilize unlicensed person(s) other than my immediate family to perform all or
portions of the authorized work. I understand that I may be an employer (see reverse side). A
Certificate of Insurance covering workers' compensation must be on file at the City of
Cupertino Building Department office.
Person/Firm Address/City Phone Number Type of work to be
performed
.....................................................................................................................................................................................
I declare under penalty of perjury that the above is true and correct. I have read and understand the
Owner-Builder Information (reverse side). 2
Property Owner's Siignatu� LLA" — D�
Job Address:
o / IefJ IQ SSDM Permit
ly
Any changes to the information Rrovided on this form shall be submitted to the City of Cupertino Build
• Department.
C%Y OF CUPERTINO 3 a
CITY OF PERMIT APPLICATION FORM
CUPERTINO
MKPN # Date:
� '7' b -12 - zoo3
Building Address:
901 lose 'lo -Som Driv.2
Owner's Name: �/ ,� Phone #:
a
Te 0, Swr� � O 40V 3d6 - iZ6k
Contractor: License #:
Contact: Cupertino Business License#:
S2 a,� Sww
uildin Permit Info:
Bld Elect 1 Mec
Job ription:
sidential M o c' 1
Sq.Ft. Floor Area: $/Sq.Ft.: z
/,(,-o ,o .fe " � 133 1 ft
Cost of Project: # Lo �< Occupancy Group:
Type of Construction:
�3ctl, ioow. tQew eche .
Quanti Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to IM Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile BUILDING
BELEC1000 Elec 600V<= 1000A ELECTRICAL
BELEC1001 Elec 600V> 1000A ELECTRICAL
BELEC200 Elec Svcs 600V <=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILD G
2217
tof3 �� � • � �
'alu- ArY OF CUPERTINO
CUPEt�TINO PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Group
BMITIGATR Res. Housing Mit Fee BUILDING
BMNEWMULTI New Multi-Family Res MECHANICAL
BMNEWSF&2F New Sf&2F Res Bldgs MECHANICAL
BNEWMULTI Multifamily Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BNUMULTI New Multifamily Res PLUMBING
BNUSFD New Single Family Res BUILDING
BOVERTINM Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
MIXTURE Pb1g Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinklerBackflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water HeaterNent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
BREMAIRHAN A/C Units<= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Fumace MECHANICAL
BREN FURNOV Relo Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BRENfNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
IMF
2of3
r
am
CITY OF CUPERTIA
ITY OF PERMIT APPLICATION FORM
CUPEkTINO
Quantity Fee ID Fee Description Fee Group
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl, Switch& Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Sighs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Insection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC , Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issuance PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
ZADDCHG Address Chane BUILDING
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+h, nh at '.r t as and it is um
_ -- oh gime iiti,jut writ p miss on frotd
the hhilr�� $ I opt., city of (u arti ro.
hd of this plan it d spdf�ficetfon&
10 hold to Wi onto 6e an
frivol f ti u violotin any provisions
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