Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2041
`P CITY OF CUPERTINO7/7 APPLICATION FOR RESIDENTIAL BUILDING PERMIT PERMIT NUMBER ap AND FOR APPLICANT TO FILL IN CERTIFICATE OF OCCUPANCY BUILDING INSPECTION DIVISION STREET ADDRES$ OF PROJECT: ............... ...Scen1C..B 1�$yard....................................... s . Legal Description: Tracg UUS............... @lock...,.-;... Lott.�... Description of Work: ..Construct- etalning.....a. �.........._ PlenaReceived By....................................................Data ......................... ...................................................:................................................................... REO.: Plans.... Survey.... Caeca: rue..... Energy.... Elect..... Me h.... 1st Struct. Improvement on Parcel:Ye%X No....Area of Bldg...l�jA... Plans Checked By................ ... .. ...................rg Date ...� ... Separate Structure...X..... or Addition/Alterati n to Exist. Bldg........... Application Approved By....... .. Date ... .. No. of Stories....NJA... Us of uildipg .....N�A.... ............................... ....................... ' Validated By........................ ....................................Date ....................... Valuation of Project: $J .. 101 .o...QU.................................... Compensation Certificate Grilled By ................. Date ......................... owner: M.Ca..y...a...11mi ed...partnershirPhone:..739-5d4 Ir Ann An Contractor: ..May.co..CO(L$niction....City Bus. Lic. r ..2.q.q.z • • •- • Contractor's Address: . .. .omestead...... Phone:7.33-9.693 Permit Fee (plus penalty if apple a* �+'Ya.. .. $..110... 0..... Contractor - Electrical: ......---.................................................................. Plan Check Fee (less deposit,of$.........'R'c>[Rjo,.-)s.....7.1.. 3.... City Business License r..........._-.._... Phone:.................... Plumbing: ...................................................................................... Energy Plan Check Fee (Dep Rct. ..)E....................... TI' City Business Cool License r.................... Phone:.................... Strong Motion Fee ............................�..... p�.� 5..----..1..Q8..... Plumbing Permit Fee 1 Heating and Coolingjens............................................................ ..............................KS ..........$....................... City Bu i0e i Anse r.................... Phone: Electrical Permit Fee ................. ..$....................... ' A' ' ' Archil ''ppell: ].0 .. 1J$le aT)._........... Phone:�.Gg. '.f1. ryyX Rech. Htg.Residential Cool-nstruction Permit x...."1I©C............. $....................... Engineer: al.Itl. le _....._g1il erlRg z.Q .O0 Residential Construction Tax ........................................$................... _.... Phone: 1-. ".. Lender. .certify .B..Of in In pe . .... .. . ❑ Unknown I ................................. Misc. Fee ........................................................................ ....................... ••I cerltlY that in the performance of the work for which this permit �is Misc. Fee ........................................................................ ....................... issued I shall not employ any person In any manner so ea to become aubleet $ 183.38 to me workman's compensation laws of California." SIGNATURE OF 15T*rffVr*W-.TXWMT0, APPLICANT/OWNER ......................................................._................ DATE........................ Environmental Status: Exempt............ Other...............------:.................. .... I certify that as the applicant I am licensed unde- the prryy�yykWppgg ppf the Design Review Approval: Bldg. ............ Site ............ Sign ...:........ Contractors Licengypp I,qw and Ver that my Licena. No. J./...2[.U.V......... Use Zone ............ P.D. Conditions .............................................. ............ in Classification .ri.7 enrol........is in full force and effect: or Cold. Use Permit r............ Variance r............ Parking Spaces............ I certify that I am exempt from the"Licensed Required" provisions of the Approved By. Date Contractors License Law. IState basis of exemption.) --------- ---' "-"""""' """""""""""""' I hereby acknowledge that I have read this application and slats that the above Is correct and agree to comply with all City Ordinances and State Laws regulating s • buitdmg. �'-°' I (We) agree to save, indemnify and keep harmless the City of Cupertino oachment Permit........................ Grant of Easement.................... against liabilities, judgments,cos and expanses which may In any way IWO, Gutter, Sidewalk, Driveway: Replace.......... Repair.......... accure against said City in c �s%Q9/'t`//ueenccJ(y/of the granting of this permit." ell............ Conn. Fee $................ Water................ Meter $................ SIGNATURE OF r/�,Y �"' ^.1, ,_ gf00mBR1 for Completion Of Public Works Improvements .................. APPLICANT/CONTRACTOR .d/.. ....... DATE ..47.2---81. Plana Checked By........ Date........ Approved By........ Date.................... NOTE- When properly validated this for/constitutes a Building Permit. This permit expires and becomes null and void should work noLbe commenced wRhln • •• 120 days from validation date, or should authorized construction be.suapandi d or abandoned for a period of 120 days after work Is commenced. PERMIT INSTALLATION NO. EACH FEE APPLICATION • - PLUMBING PERMIT Light Outlets............ Switches............ Fixtures............ Receptacles............ PERMIT INSTALLATION NO. EACH FEE TOTAL NUMBER (less than 1000 watts) ............ $ ,50 ............ Gas System with up to 5 Outlets .................................$4.00 ............. Range........ Cooking Unit........ Oven............ ................ 2.00 -............ Each additional outlet ..........--......................:........ 1.00............... Dryer........ Garb. Disp......... Dishwasher ............. ....... 2.00 .............. Water System (Installation, Alt. or Repair) ................. 4.00. ............. MOTORS: 1 HP or less ........................................ 2.00 Water Closet.... Water Heater.... Ld. Tray..................... 4.00 ............. Greater than 1 HP not more than 5 HP ....-......... 3.50 .............. Lavatory.... Shower Pan.... Bathtub.... Sink.................. 3.00. ............. Temporary Power Pole or Service — 100 amp ..........5.00 .............. Wash.Mach..... Dishwasher.... Garb. Disp..... ............... 3.00. ............. —200 amp. 7.00............... Sewer ............................................................................... 8.00............... Time Clock ........................................... ........................ 1.50............... Lawn Sprinkler Sys. $5.00 Ea. add Sys. $2.00................................... Mlec. (see Or% current)...................................................... Vacuum Breakers ............................................ ...3.50.. New Resitlential Occupancies Flat Rete Interceptor........ Water Softener........ .............................4.00. ............ Plumbing Piping without fixtures ...................................4.00. ............. 0-500 sq. ft. $22.00 1501-1750 $34.50.............................. Misc. (See Ord. Current) .......................... 501-750 24.50 1751-•20000 37.50.............................. 751-1000 28.00 2001-225C 39.50.............................. Permit Fee .............................(plu..........alty......................$6.00 1001-1250 28.50 2251-2500 42.00.............................. TOTAL PLUMBING PERMIT FEE (plus penalty if app. ❑) E 1261-1500 32.00 2501-2750 49.50.............................. APPLICATION Permit Fee...............................................$6.00 TOTAL ELECTRICAL PERMIT FEE (Plus penalty If app.0) $ PERMIT INSTALLATION W. EACH FEE Forced Air Unit..................to 100M ..............................$6.00... ........... — . e • over 100M....................... . 10.00.. ........... Comfort Cooling Unit....AD 3 ton/HP ........................... 6.00... ........... Forms / Foundatlon ...................... .._._I By:_. .... . Date:. Z'1. O/ to 15 ton/HP......................... 9.50.............. Plumbing Ground Work -........... �.... .............. .........._.............. to 30 ton/HP........................ 12.00.............. Rough Electrical .................................. _..... ........ _........................ to 50 ton/HP..........................17.00.. ........... e - Plumbing and Heating ..........I Space Heater........ Wall Heater ................................... 6•� lotion & Ener 1 9Y............................... .................................................... Flues - other than above ............................................J.. 3.00.. ........... Test .......................................... .......................... ......................... Vent Fan: Kitchen........ Bath ............................... .......... 3.00............... porary Power Oas / Elect. . ........ ........................I........................... 8.00 If Commercial Range Hood .......................................... .. ............... Final - Electrical .................................... .........................I........................... Misc. (See Ord. Current......................................................... .................. Final - Building/Mechanical .............. ..........-.............I........................ Permit Fee .........--........................................................... $ 6.00 Final - Design Review / Landscaping . .... ........................................... TOTAL Htg./ Coolg. Permit Fee (plus penalty it app. ❑) E F nal TP to Worksk rhe .'..a...16 ......................- i :, tawu (q y-�_g�C� �C°J" �'' ( � s1•elrw