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00020022pp ICAUTTO FI I IN INFnRNATION WITHIN RED LINES - USE BALL POINT PEN ONLY J4—__0 /1 a00 a a CITY OF CUPERTINO BUILDING - ELEiCfRICAL IEUILDING DIVISION APPLICATIONMERMIT PLUMBING - MECHANICAL BUILDING PROJECT IDENTIFICATION BUILDING ADDRESS: 06 SAN] rARY NO. APPLICAI'10 ATF O IiH;S NAMIi: I'1IONE: C . NTRACI OR'S NAME: LIC NO: O N96 NIC ❑ CtJN'1'HOi.q NEER: ITER; LIC NO: ADDRESS: eh9' CONTACS 3 PHONE: ae-7 -x391- ❑ Consultant Fees Paid by Applicant (Initial) BUILDING PERMIT INFO BI -DO ELECT' PLUMB MECH LICF;NSGD CDNTRACIQ 'S DeCLA1tA'1'10 I hereby eBimt that 1 am licensed under provisions of Chapter 9 (commencing QTY ELECTRIC PERMIT FEE JOB DESCRIPTION PERMIT ISSUANCE with Smtiun7")ofDivision 3afthe Business and Professions Code, and my license is in full Rnceaad enact. RESIDENTIAL: DSFDWI. ❑KI'I'CIIENRF.MODEL APPI.I CES—RESIDENT EAI. Lhcn>e Clu Uutu� �� ❑AUDITION El PLUMBING RI3-I'IPH ❑MODIF fURA AfODIFlCATION ❑INTERIOR WHIMNGY REPAIR IMPROVEMENT EjSWIMMING POOLS TS DEmr� ARCHITECT'S DI3CLARATION❑MULTbUN1T I understand my Plans shall to madas Fuhlic records ad UPTO2WA IPS Licensed Pmfesslonul 2ol-PIU)AMP. OWNER BUILDER DECLARATION 1 hereby alum that 1 am exempt from the Cmilmlo, s License Law for the following rcamn. (Section'1031.5. Business and Professions Code: Any city os roam, ❑BATE I RI?MODEWRIiPA1R /ISI UIdMOIATIO.N DOTHER L; D R�� DVI?R IWIIAMI' SIGNS ELECTHICA which requires a permit re construct, alter, improve, demolish, repair any structure gPl?CIAI. CIRCIII'flMl fi dpritur uabr s issuunc oi,mue 1. lie dicapplicant for such Penni" tokens, Low(ihmmenl tuts nuotm the Cmnmmors License Low C{-z`Q�i/(JDr__�� er (commencing with Sects of Division 3 Ccmter9 I (commencing with Sedi.n][M)n)nf Divisi.n3nDhe Business and Professions Ctde)nt TEMP. METER DR FOL' COMMERCIAL' that he is exempt therefrom and the basis for the alleged exemption. Any violation of ❑ NEW BLDG/ADDITION ❑ DEMOLITION Schon7031.5 hyany appli.mfor a pemtirsubjems Nenpplicanno a civil pemltyof mmutore than live hondr.ddolaus($500), C] 1, as owner of the property. or my employees with wages un Their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. TW Business and Professions Code: The Contractors License Law does not apply to an owner of property who mildsor improves thereon, and who does such work himself nr through POWER DEVICES ❑TENANT ❑FOOD SERVICE IMPROVI3MF;N'T (''OTHER n /A �1 SWIMMING P( hELECTRIC O(ITLEIS WITCHES—FIXTURES I /f—V U In his own employers, provided that such impmvanienis ora not intended nr offered fnr sale. If. however, Ilia building orimpuvemenl is told within,,,,, year ofcontplerom,the owner_1buildeT will have the burden of proving that he did not build or improve for put. NEW I . IDENTIAL ELEC' SQ Pf. Q. Ie1'. FLOOR ARBA FEB 42000 Q. PI'. ps'e of sale.). ❑ 1, as owner of the property, a exclusively commur ing with licensed comments; to T( AL. mamet the p umO (Sec. 7144, ilusiness and Professions Coale:) The Co,,mmtors Li. - - came Law does not apply to an owner of property who builds or improves mencon. and who contracts far such projers with a c urammoHs) licensed Fursuanuo the Contractors QTY. PLUMBING PERMIT ZEE 'II Dy PERMIT ISSUANCE _ License law. ❑ I um exentputnder Sec. , B & P C fnr this reason Owner Dem AL'1'1;12— DRAIN M VEM'—WR'I'ER (EA) VALUATION OO WORKER'S COMPENSATION DECLARATION BACK I OW PRULECr. DEVICE I hereby affirm under penalty of perjury one of he following declnrmions: ❑ I have and will maintains Ccnificate of Conscnno sell -insure for Workers Comped. satins, es pmvidcd for by Smdon 9]00.1'the Unfair Code, Iiir the park .... mom of Lha DRAINS—F OR,ROOP,AREA.COND. S'I)RIF,S IT CONSTRUCT ION work for whichthis permit is issued. PI%TURFS-1'P.k AP 1 have and will maintain Workers Compensation Imuream, as required by Section J](XlnDhe Labor Code, far the perfomance n(he work fnr w�phcci//c'h Ibis pcmnit is issued. GAS—EA. SYSTEM -I 'C.40 .; 5 OCC. GROUP CurW�rk any+ens.ails-nf[ts�artie, amal l'nl cy NnY O46a—OA_AAni y� GAS — EA. SYS "I 13M"OVER .A7 CERTIFICATE OP It EMIT1pN FROM WORKERS'O COMPENSATION INSURANCE qCep , /Ell (This smtinn need not M+mmFlwed if tha permit is fnr nnnhundaAA„llmrs(EI00) or I.".) GREASEIINDUS'1'RL WA " 31NT. CEPION BUILDING DIVISION Iti BS GREASE TRAP PLANCHECK FEE I certify that in the performanceofthe work for which this permit is issued, i shall any perms in 1 pen” not employany manners. as become sub'mnothe Worker' Com SliWlik—SAN1TAk—S'1'OItM 13A. 2001x1'. 13NIiRGY FEE WATER HEALER VNIENTELECIER cation Laws of California. Dae Applicant ) GRADING FEE N(TI'ICE TO APPLICANT: IL vf[er making this Certifiane of Exemption, you should Income summi m the Worker's Compensation provisions of the Labor Code, you must WA'T'ER SYSTI3 11'NEATING SOILS FEE Forthwith comply with such provisions orchis permit shall M deemed revoked. WATIiR SERVICE CONSI'kUCTION LENDING AGENCY Iherehynl'Iinn that here is u consomaion lending agenry for the peefmmorm of N13W RESIDENTIAL PLM. SQ, PT. PAID utc Re,,pt# the work for which his pendia, issued (Sea 309]. Ci, C.) TCI'AI_ BUILDING FEE Landers Name Lender's Address TOTAL: I canny milt I have at this uEmic lam and state that the above information in caitr<t. I agree to comply with Ill city and nan[y ordinances and sant Inws relating in bailding consmsninn, and hemb, millu nze representatives of mis city to enmr upon the QTy. MECBANICAL PERMIT FEE SEISMIC FEE PERMIT ISSUANCE I[LECfRiC I;FC ab.vc-memianed protan, for inxpemion puce,.. (We) agree to nave, indemnify and keep harmless the City of Cupertino against Add FR OR ADIPO MECH, PLUMBING FEE habililics,judgntnns, wnlsind expenses whiehmay in any way ummc againstsaid City in conscquenm of Ilia prvnting of his poonit. AIR HANDLINGITOO 10.00d CFM) MECHANICAL FEF. APPLICANT UNDERSTANDS AND WILL COMPLY WEI'11 ALL NON -POINT SOURCE REGULATIONS. AIR HANDLING D T(OVER 111,00) CFM) CONSTRUCI ION TAX Signature of A,,1i,:mVC(m1.,ur Data HAZARDOUS MAI'ERIAI S DISCLOSURE 13XIIAUSTI{Opp( I1CT9 HOUSING MI LIGATION PER HEALING ON] '1'('101 NOW) BTU) Will the applicant or future Wilding occupant store or handle hazardous material as defined by the Cupertino Municipal Code Chaplet 9.12, and the Heullh and Safety Cada, Section 25592(a)] [I Y. Q Dam Hecapl # PAIWill HEATING, UNIT (OVHR )( IIiTU) VENTILATION IA>^rN .B BESIDE BOILER—C P 0HP OR 1(10010 RTU) he applicant or future building occupant use equipment or devices which mit hmardom air,omamimonts as defined by he Bay Area Air Quality Management Diavic4a C3 Yes Nn � TO 1'AL: ROILE COMP (OVER 1(110X)0 BTU) AIR CONDITIONER I have mudtha turmoil .antnamrich, captitemems under Chapter 6.95 of he Cali- IS. CE DATI> N17W RESIDEN'1'I AL MECH. SQ. PT. !natio Health at Safety Code, Sections 25505, 25539 and 25594. 1 undcwtand hot if he buildinregqduoc�s not rmwmly have a natant, that It is try responxihil Icy to notify the occupant ofthemm,. / /.eswhiph ma,[M:etpmatoximnreof a CmifcatcoJQcupancy. s ISSUED BY: TOTAL Ow auhcnz agent Dote OFFICE 0 is • Otv. i1 400ftable Fee ID . Fee Description Fee Group / SPERNIFEE 16LOG PERMIT FEES ISUILDIN77, 18CONSTAX lCONSTRUCTION TAX IBUILDwG JBENERGY JENERGY IBUILOING BENERGYADD JENERGY ADD MULTI ISUILOING �BOVERTIME INSPECTION OVERTIME BUILDING STENIPPERM TEMPORARY BLDG PERMITBUILDING BNIITIGAT HOUSING MITIGATION FEE IBUILDING BPLANCHK PLAN CHECK FEE BUILDING BPLANCKAOO PLAN CHECK ADO MULTI BUILDING BPLANCKREP PLAN CHECK REPEAT FEE BUILDING BREINSPECT REINSPECTION FEE BUILDING BSCBLVO SCB SPECIFIC PLAN BUILDING BSEISMICOM SEISMIC COMMERCIAL BUILDING BSEISMICRE SEISMIC FEE RES BUILDING SPECIAL INSPECTION BUILDING QESPECIAL M SWIMMING POOL BUILDING ZAODCHG ADDRESS CHANGE IBUILDING EPERMITFEE JELEC PERMIT ISSUANCE ELECTRICAL BELEC1000 ELEC 600V -m-1000A ELECTRICAL BELEC1001 ELEC 600V >1000A ELECTRICAL BELEC200 ELECT SVCS 600V <=200A ELECTRICAL BNEWMULTI MULTIFAMILY RES ELECTRICAL BREMBUSWAY REMOOELBUSWAYS ELECTRICAL BREMFIXT LIGHTING FIXTURES ELECTRICAL BREMMISC MISC APPARATUS ELECTRICAL BREMNRAPP REM NON -RES APPLIANCE ELECTRICAL BREMPOLE POLE/PLATFORM FIXTURE ELECTRICAL BREMPOWER POWER DEVICE/APPARATUS ELECTRICAL BREMRECEPT RCPTL, SWITCH &OUTLETS ELECTRICAL BREMRESAPP REMODEL RES APPLIANCE ELECTRICAL BREMSIGNAD RMOL SIGNS ADD BRANCH ELECTRICAL BREMSIGNS REMODEL SIGNS. MARQUEE ELECTRICAL BREMTHEATR THEATRICAL LGHTNG FIX ELECTRICAL BSF&2FAM SINGLE & 2 FAMILY ELECTRICAL BTEMP TEMPORARY POWER ELECTRICAL BTEMPSVCS TEMP DIST SVCS ELECTRICAL MPERMITFEE IMECH PERMIT ISSUANCE IMECHANICAL11 BAPPLOTHER OTHER APPLIANCES MECHANICAL BBOILERI BOILER <=100.000 BTU MECHANICAL BBOILER2 BOILER >100KTO500K BTU MECHANICAL BBOILER3 BOILER >500K TO 1M BTU MECHANICAL BBOILER4 BOILER>IM TO 1.75M BTU MECHANICAL BBOILERS BOILER> 1.75M BTU MECHANICAL BREMAPPLI APPLIANCE INSTALL MECHANICAL BREMHEAT H TER INSTALLATION M CHANICAL BREMVENFAN VENT FAN SINGLE DUCT MECHANICAL BMNEWMULTI NEW MULTI -FAMILY RES IMECKANICAL BMNEWSF&2F NEW SF&2F RES SLOGS IMECHANICAL i oft P. imd vias JSREMACOVE� JACUNIT >IGCOGCr`d Ii�I�L�nNI�,RL� JBREMAIRHAN JA/C UNITS <= 10.OGCCribl IMECHANICAL I- IBRENIFURN RELOCATION OF FURNACE IMECHANICAL BREMFURNOV IRELO FURNACE > ICK BTU INIEC4ANICAL BREMINHOOD JINSTALLATION OF HOODMECHANICAL BRENIRELOCA RELOCATION OF HOOD NIECHANICAL BREMREPALT REPAIR/ALTER HEATING MECHANICAL BREMVENSYS VENTILATION SYSTEMS IMECHANICAL IPPERMITFEE JPLUMBNG PERMIT ISSUE PLUM8ING BNUMULTI NEW MULIFAMILY RES 1PLUMBING BNUSFD NEW SINGLEFAMILY RES PLUMBING BPBACKFLOW ATMOSPHERIC VACUUM PLUMBING BPCESSPOOL CESSPOOL PLUMBING BPFIXTURE PBLG FIXTURE PLUMBING BPGAS GAS PIPING SYSTEM FEE PLUMBING BPINTERCEP IND WASTE INTERCEPTOR PLUMBING REPIPE OF FIXTURES PLUMBING BPSEWAGE SEWAGE DISPOSAL PLUMBING 9SPREPIPE BPSEWER SEWERS PLUMBING BPSPRINK LAWN SPRINKLERIBACKFLO PLUMBING BPSTORM STORM/RAIN WATER PLUMBING BPTRAP KITCHEN TRAP PLUMBING BPVENT ALT OF DRAIN & VENT PLUMBING BPWATER INSTALLIALTER WATERPIP PLUMBING BPWHEATER WATER HEATER/VENT PLUMBING BPWSVCS MAIN WATER SERVICE PLUMBING ZOEVAGREE DEVELOPMENT AGREEMENT PLANNING ZDIRTM DIR TENT MAP PLANNING ZFULLHR FULLAPPLBASE+HR PLANNING ZFULLTM IFULL APPL TENT MAP PLANNING ULLUP IFULLAPPLUSEPERMIT PLANNING ZFUL.LZONE FULL APPL ZONING PLANNING ZGPAMEND GENERAL PLAN AMEND PLANNING ZLIMAMEND LIMITED AMEND PLANNING ZLIMTM LIMITED TENT MAP PLANNING IMUP LIMITED APPL US PERMI ZMATEMPUP MIN AMEND TEMP USEPERM G ZMINHILLEX MINOR APPL HILL EXC GZMINSIGNEX MI C SIGN EXCEPTION GZMINTM MINOR APP TENT MAP FLANNG NGZMINUP MINOR APPL USE PERMIT NGZMISCASA MISC ARCH SI NGSC MISC TM AND UP NGISCFENCE MISC FENCE EXCEPTION NGMISCELLAPPLGENERAL NG ZMISCPCINT MISC PC INTERPRETATION PLANNING ZSIGN SIGN PERMI PLANNING MPSIGN TEMPORARY SIGN PLANNING ZVARIANC DIRECTOR VARIANCE PLANNING 2 aft Revised 8110199 • E INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO • BUILDING PERMIT INVOICE OPERATOR: karenb Sec: TWP: Rng: Sub: Elk: Lot:32541021.00 INVOICE DATE......: 02/04/2000 REFERENCE ID p ...: 00020022 SITE ADDRESS .....: 21286 RUMFORD DRIVE SUBDIVISION ....... CITYCUPERTINO .............. IMPACT AREA ....... OWNER ............: CONSIGLIA DELEONS ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO, CA 95014 CONTRACTOR .......: KELLEY, JAMES M LIC $ 11823 COMPANY ..........: J K MASONRY ADDRESS ..........: 400 HODGES AVE CITY/STATE/ZIP ...: SAN JOSE, CA 95128 TELEPHONE ........: (408)287-2398 FEE DESCRIPTION CHR TOTAL FEE PAID -TO -DATE --------------- --- BALANCE DUE BPERMFEE --------- p --------- ------------ 77.00 0.00 ----------- 77.00 ------------ 77.00 0.00 ----------- 77.00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION .. 01•FOUNDATION ............................ ........ ...................... 312 CHIMNEY REBAR 6 STRAPS 4 FINAL PUBLIC WORKS