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03020038
CITY OF CUPER'1'INO ' " a� ' ��� :�. ��'f:� u�^.� RUII.IIING DIVISION PERMIT CONTRAGTOR INFORMATION '=' �. �`�8423� :- ?�a, � .«::u . om�.uwcnuoxiss: - BATHROOMS BY REMODELING �� Pr:amrrNo. 10103 SENATE WY 03020038 OWNLR'SNAMH: 14ZZ SARATOGA AVE AP�I.ICATIONSU9�AT[i SYDELL LEWIS 02 11 2003 �� 408 378-6700 SANITANYNO. CONTROI,NO. ARCHITIiCf/CNGINf[R: BUILOING PERMII'INFO 81.DG ELECf PLfIM9 MECl1 0 0 0 0 �00 LICENSLI)CON'IRACfOR'SDIiC1ARAT10N ��� i n�mn>.m�m m.�„m r.��.�e��e�,�.���„��,�.�rcnom��v a�,mmo����� Job Descrip[ion �z�� wi�5cninn'/�MMp,ro�.�s�n��orm�o�:���b.omn�r��o�:c�w�,a�amyra�.��. infullfomcanJcff i. `,p REPLACE BATH FIXTURE & TILING =sa� ��«�����, ,��;� �,�.. FINALED ' FyF,p Da�c �HCF� Cunuaci�r mq 3 ARCIIITF.CTS DECI.AI 'f � �y'�1� I un�crsmnJ my pians shuil M uscd as puMic rtcnrJs , 6�>� MAR 1 2 2003 �LLO� LiccnscJYralcuinnal , OWN[R�OUILDER D[CLARATION �u`ai,f 1 hcmhy aflirm�hai 1 um caempi fmm ihc Comrnnor's I.iccnu Law for ihc BUILDING —O O fnllnwing rcusna(Sccuon]Ipl.3.Ousincss an�Pmfcxsinns CnJc:Any ci�y nr cnunry F�� which rcyuires u pcemit m cunsimci,nlicr.improvq Jcmolish.ar rcpuir uny.amvmm prinrmitai�mncc.alrvmyuireslhwpplireminrsuchpermiilnfilcasigncUemmmcm . x< �hathcislittiuc�pursuammihcprnvisinnsnfipcContmm�hLiccnttlaw(ChapiceY Sq. Ft. FloorArea $Z�Qi'��I00 �F� �aommrncingwi�h5mion90fMpnfUivisiun7ofihcilusincssendPmfcssionxCWc)nr y y�$ Nat�e u csemp���crefrom anU Nc�azis(ur�hc dlegcU eumpiinn.Any violaunn o! ' Secuon]OJ I.5 by eny apP���N�fur a peimi�su�jecu�he epplicem m e civil penalty o! no�morc than frc hunJmJ Jollarn(55110). e Occupancy Type ❑1,es nwner of thc pmpetly.nr my employcu wii�wagcs av�hcir sNc compensatinn, will do Ne woh,md Ne avucw¢i�not in¢nEcd ur offcrcJ for sele(Sa.IM4,Bvsinru Na rn,r���o�.c�a�:�c������rs u«���.a��o�epply�o�n owner of 10 2 - PI ERS eqmred Inspec[ions ��orony.no n�ua.o��mr�oK.�n�no�..�a.noa«..�n Wo�t mmuir��m�o�en n„ . rnvnemployecs.pmviJed��a�ac�impmvemenu�rcnotin¢nOcdoroRertaforaale.IL 1�3 — UF'�'.'R hawever,Ne�uilJing or impmvemcm is solJ wi�hin one year of mmpletiun.Ne owner� huilJer will heve�hc hurJen nl proving Nai he JiJ nm M1uiIJ ur improro Inr pumom nl 104 - REBAR '°'°� 105 - ANCHOR BOLTS ❑I,evownerof�hepropcny,emexclu�ivelyconinaingwiihlinnudconvenonio 106 - SEWER & WATER conswn ihe pmjat(Sec.]044,flusiness anA Profeuiou Cdle:)The Conuacmr's Li� mnulawJrcsnmapplymnnowncrofpmpcnywhohuilOsorimpm�xsNcmon,mJ 202 - LTNDERFLOOR PLUMBING whncontacu�orsucnpmjccuwnhecomvcmr(s)�iccnmepursuemmmeComncwre' ZO.3 — UNDERFLOOR MECHANICAL I.iccnu I.uw. ❑IemcacmpiunJcrScc. .B&PCfnrihisrc¢son Z�4 - TJNDERFLOOR FRAME � ��� oa� 205 - UNDERFLOOR INSULATION WORKER'SCOMPENSATIONDECLARATION 301 - ROUGH PLUMBING I�erc�yalTrmunMrpenel�yafperjuryorco(�hefallowingJeclwuona: 3O2 — TUB �c �R .5'H�[a$R I hevic end will muinuin e Cmifcok of Cnnxm m stlM1insurt for Workcr'sCnmpcm saiion,as prnviJCU for by Seainn 3]IMl nf ihe lahor CMc,for�he perfnemancc of�hc 3 0 3 - ROUGH ME CHAN I CAL w�,rm,wn��nm�:���i�:�ss��a. 304 - ROUGH ELECTRICAL 1 havic enJ will mainuin Wurkcfs Compcnsa�inn Imm�n¢,n myuirtd by Sec�inn 3 0 5 - FRAME 3]W af Nc LeM1nr Cotic,far Nc pcRnrmancc of i�c wnrk for wM1icM1��is permi�is iuucJ. MyWnrkcr'sCompcns ionl ranccca 'cronJPoliqnumbera : 3O6 — HOLDOWNS cam«:�/����� PMicyNa:O �.OqSOf� 307 - INSULATION CGNTIFICOMPLNSATION'INSUN�ANCCORKrRS' 3OH - SHEETROCK (fTix:cni�mneednmMcomplemdiftMM����sforone�unJrNJullars(Slqp 309 - EXTERIOR �'j'$ "r�"`� 310 - INTERIOR LATH 1 renify ihoi in ihc pcdortnuncc nl ihc wnrk fnr which ihis permii is isvucJ,l shnll nm 311 - SCRATCH COAT cmploy any perann in an�n��y�bccnme suAjcu m ihc Wnrkcr.i Cnmrcnsa�inn LawsufCali(ornia. / 313 - ROOF NAIL Applicam NOTICETOAP LI :Il,efmrmakin6ihisCcnifcamofHFcmpiion,ynushnul� 501 - FINAL ELECTRICAL ENERGY Mcomesuhjwimi�eWorkeriCumpensationpmvivinnsalihcla�orCnJe,youmua 502 - FINAL PLUMBING ENERGY OO fon�wiihcnmplY�+'���suc�provixinrenr@ixpermiis�allbeticcmctlrcvokc0. CONSTRUCf10NLEN0INGAGF.NCY 503 - FINAL MECHANICAL ENERGY � .N. IhcmlryaOirmNaiNercis�ennsirvninnlcnJinSagcncylnnhcperlurmaneenf 504 - FINAL BUILDING ENERGY C > ihewuekfoewhichNispermitisissued(Sec31W1.Civ.C.) 505 - FINAL ELECTRICAL I1] 0 LcndcrsNamc � z �^Je«^^�rc�• 506 - GAS TEST U O ��enify Wat 1 havc rcuJ ihis applicaiinn nn�sum Nat ihc o�nvc inlimmatinn ie 5 0 7 - FINAL PLUMB ING � F cnrtcn.I agrcc w iromply wilh ell ciiy enJ rounty nrJinanccs anJ siatc laws rclaiing m 0 V builUingcunswninn.andhcreFyamhnnmrcprcumaiivcsofNixcirymamcrupnnipc 5 FINAL MECHANICAL } � atwvc.meniinneJpropcny(orinspcaionpueryrscs. O9 FIN a (Wc1 abmc ro savc.inUemni(Y anU trcp�umlcn i�e Ciry nf Cupctlinu a6ainv F' q Iia�ili�ics.juJgmrnu,custvandupcnscswpichmayinnnywayattmcegainsisaiaCiiy rj F.' U' / V z incnnuyucnccnfipcgramin6nflhispermi�. �i � APPI.ICANT U�'[ANDS AND WIU.COMPI.Y WITH ALI.NON-POINT Issued by�1 WORKS DaIO « SOURCCR[GUL P5. �/�� Re-roofs Signa�ApplinnJConUulnr Daa HAZAROOUS MATERIAl.S DISCLOSURE Type o(Roof Wip Nc appliwm nr fuwrc�uilJins incupani.anre or M1andlc hvaNnus memrinl u dcfincJ hy ihc Cupertinn Municipul G�dc,Chnp�cr 9.13,anJ ilm Ilcelih and Salcly n�a�,s��������zssaxai+ pll roofs shall be ins ected nor to an roofin material bein mslalled. ❑r�, ��, P P � Y B B Will�hc applicani m fuwrc buil0ing�cupam um cyuipmem nrJcviccs which �f a roof is ins[alled without first obtaining an inspection,I agree to remove IM1ai�rJnusaircomaminantsa�JcfmcJbyihcUayAmaAirQualiiyManagcmcm �Ilnewmaterialsforinspection. �svicil ❑Vcs Nu 1 havc rtaJ Nc haraNnus mamnals rtquimmcnu unJcrChapmr fi 95 nf�hc Califnr� nia HcaIN�SafciyCuk,Sccuniu 355115.155])an�]SSJA.1 unMrsun�Naiif Nc WilJing Jics no�curtcntly�urx a mnant�Ae�i�is my rcsry�mi�iliry io nnuy iM rccupan�o(Nc rcyuimmcn�vw ' us�hemnpnnnoissuanmofeCmifcamof0.�cypanfji Signa[urcofApplicant Date / / OwnernrumhnriicJagcni K/�p„� All roof coverings to be Class "B" or bet[er CITY OF CUPERTINO �4�� � ��a �� t�y a�; BUILDINC DIVISION PER CO�€TR�1�C�TQ�.I1�1�RM�A= NS .'�� , � ✓i ' 3�.. �..�A� ����. .F_�',AA 'i�/ BUILDINGADDRESS: BATHROOMS BY REMODELING � PeamirNo. 10103 SENATE WY 03020038 OWNER'SNAME: 1422 SARATOGA AVE APPLICATIONSIIBDATE SYDELL LEWIS 02 11 2003 PHONE: 4�8 3 7 8-6 7 0 0 SANITARY NO. CONTROL NO. ARCHITECf/ENGINEER: BUILDING PERMIT INFO BLDG ELECf PUIMB MECH �00 LICENSEDCONTRACI'00.5DECI.ARATION O O O O ��P 1 hercby attirm Ua�1 am licenma undcr provisions of Chapicr Y(commencing JOb D05CI'IP[IOII z�' wiNSecGan91M10)uf�ivision3afNCBusincsvnndPmfessionsCodc,mamylicenmu ��d ��rmimm�.�a�r�/ /` `' 'L L » � REPLACE BATH FIXTURE, & �.I�I��I�C�� ��� Zo!'�� DeknxClass Convanor �r�1V�y OZF � qa ARCHITECT'SDECLA T� O W U �unacrsun�my plans shall M usetl m puAlic rccnNs � �3W ��«�u�P�«ss�o�a� MAR 1 2 200 � �4O� pWNER-BUILDEROECLARATION `��y . 1 hcrcby effirm Na�1 am cxcmpt fmm Ne Comrecmr's Licenm Lew for�hc �UILDING � aapo falloPingrcason.(Sccuon]03LS,BusinessenOProfcssionsCOJc:Anycityurcoumy which rtquires a pertnit m cnnsuuci,ehcr,imprnm.Jemolish,or mpair any�wcwm Fi< prionoiuiuuance.alsorcquiresthcapplicaml'nrsuchpermiimfileaei6neanaumrn� . � �€� �hmheislicenuJpursuamm�hcpmvisionsof�MConvecmrsLiccnsclaw(Chap¢r9 Sq.Ft. FloorArea 2�}�Q�[IO❑ $ (cammencingwiNStttian](MNl)ofDivisian3of�heBusinessen4PmfesaionsCoJc)nr , �� Na�ihe ie eumpt NertGam ena Ne besis for Ne ellegeJ mempiion.Any violaGon of ' Sceuon I�]LS by eny applicant for e pemii�su�jecu Ne epplicmt m n civil penalty of e P y�P noi more�han five hundrtG dollars(5500). �CCU 8I1C 0 ❑I.ae owner of Ne pmpeny,or my employees wiN weges w Neir sale compertution, � wiil Eo Ne woh,ana Ne sWnurt is nm imm�JeO oroffemd forsJc(Sec.'lD16,Buiinrss end Pro(essions Coae:The Conuecmrb License Law Oaes not epp1Y m pn owrcr of 10 2 - PI ERS eqmred Inspections pmpeny who builds or improves Ncrean,and who daes such wort himulf or Nmugh his . awnemployeu,pmvi4eJthatsuchimprovemcnuerenmin¢nJeaoroRered(orsale.if, 103 — Ur•'�.i'R ' howewr,Ne builtling or improvement is wl�wiNin one year of cnmpleuon,Ne owntt� buiitler will have ihc burCen of pmving Na�he Jitl not builJ or improve far puryax of 10 4 - REBAR '°"�' 105 - ANCHOR BOLTS ❑I.�i owner of Ne pmpeny,em exclmively conuvaing wiN IicrnseG convecmm�a 10 6 - SEWER & WATER ronswn Ne projec�(Sec.]D44,Business and Prohssions Code:)The Convumrs Li- '� «�xuwa«:�oiaPPiY�o,�ow���oro�oP�nywnow�ia�o��moro��Ro,,..�a, 202 - UNDERFLOOR PLiJMBING � whoconvacufarsuchprojecuwiUaconvazmr(s)Iicenmdporsoam�oNeConvaz�ori 2�3 UNDERFLOOR M�'(..'H�1(]j-�L Licenu Lew. _ ❑IamexemptunderSec. ,B&PCforNisrtn¢an 204 - UNDERFLOOR FRAME ow��� o.0 205 - UNDERFLOOR INSULATION WORKER'SCOMPENSATIONDECLARATION 301 - ROUGH PLUMBING 1 here�y eRiim unJer pentliy of pe�ury one of Ne following declanuons: ❑Iheveenawillmein�eineCettifcemofConummxlGinaureforWohehCompem 3OZ — TUB 6c OR SHOWER u�ion,at pmHJeG(or by Section 310U of Ne labor Code,for Ne perfoemantt of Ne 3 0 3 - ROUGH ME CHAN I CAL � wo,tro.wn��nm�sa�ws�ss�oe. 304 - ROUGH ELECTRICAL 1 have ana wiil mainuin Worker's Compensauon Irtsumnce,az rtquirtd by Secuon 3 0 5 - FR�1ME 3](IU nf Ne Isbor CoOe,for Ne pertormence o(Ne xrork for which Nis pcmii�is iuucJ. MyWorker'sCompens ionl nnceca 'cranaPo��cynumber � .30E — HOLDOWNS c=m�,:.���s.,.a� policyNo.:� �-�aSoY 307 - INSULATION CERTIFICATE OF E%EMPTION FROM WORKERS' COMP[NSATIONINSURANCE 308 - SHEETROCK (fTisseciionneeJnotMcompleletlif@epertniiisforonchunJreDOollars(SI(Mp 309 - EXTERIOR �TH ' "���gg� 310 - INTERIOR LATH 1 cenify�hat in Ne perfmmencc uf ihe wod for which Nis permit is issued,l ahel�noi employanypersoninanymanner n �hecomemhjectwtheWohers'Compensation 311 - SCRATCH COAT �aws�,rcaurom�a.��f"/ 313 - ROOF NAIL nooroam NOTICETOAPPLI :If,eftermakingNisCcnifica¢ofExcmption,youshould 501 - FINAL ELECTRICAL ENERGY hecome subject io Ne Wurker's Compenseiion provisions of the LaAnrCoae,ynu mun 0o r�,�nw�m��m��Yw�m,��n��o�„���s�,m;,��m;,,n.��n�a��m�o.�.�k�a. 502 - FINAL PLUMBING ENERGY � y • CONSI'RUCf10NLEN�INGAGBNCY 503 - FINAL MECHANICAL ENERGY F+ � IhembyaRrmNaiNereisaconswnionlenJinge6rnvyfnrNcperfurmarccof 504 - FINAL BUILDING ENERGY RS � NcwarkfurwhichihispertnitisissucJ(Scc.309],Civ.CJ � SOS — FINAL ELECTRICAL W� q u�a�rs rv�� a z �`�eer:nne�,s 506 - GAS TEST U O ��eni(y Nat 1 havc rca0 this epplicmion enG sa¢ihai Nc abovc in(o�me�iun ie 5 0 7 - FINAL PLUMBING ly F corteci.legrcemcomplywiihallciiyenticoun�yoNinancesenJsia�elawsrela�ingw � WbuilJingconswnion,enenerehyamhomempmsenm�ivesofNiscitymemerupnnme 5 FINAL MECHANICAL ahme-meminnedpmpenyfminspecGonpueposes. O9 FIN �y (Wc)agrce lo savc,indemnify ana kecp haemless thc Ciiy of Cupcnino asainst i.y y Iiabiliiies,ju�gmenu,costsanticxpenseswhichmayinenyweyaccmce6ein5tsaiaCi�y C, G � V �,' i^con.eyucnceofihe6�amingofthispcemit. ^� APPUCANT UNDER ANDS AND WILL COMPLY WITH ALL NON�POINT Issued by�1 WORKS Date SOURCEREGUL S. "���� Re-roofs SignaWreo AppLcenVContrenor Dmc HA2ARDOUS MATERIALS DISCLOSURE Type of Roof � WiIlNcepplican�orfuwrebuildin6a�upams�orcorhandleharudousmacenal ss dcfineJ Ly Ihe Cupenino Municipal Codc.Chapmr v.12,enJ thc Hcalih end Safcly 'o�e,Seclion 25532(e7? . _ ❑r�: �o All roofs shall be inspec[ed prior to any roofing material being installed. Will�hc epplicani or fuwrc building occupant uu cquipmenl or Jeviccs which If a roof is installed without first obtaining an inspection,I agree to remove cmi�hazarJous eir comaminan¢as JeMCJ by Ne Bay Arca Air Quality Managcmem all new materials for inspection. Disvia7 ❑Ycs No I havc rcaJ Ne havaNnus ma¢rials requimmcnts unJcrChapmr R,95 of�hc Califor niuHwlN&Sa(c�yCalc,Sccunns 25505,25533 en�255JOJ unJcrsund Natif Nc builaing dces nrn curtenily havic e mnan4�M1a�ii is my respmsibility io nouly�M occu eni of Ne requircmenisw ' usi�emeipnonoissuentto(eCenifa¢ofQcppan SignamreofApplieant ,�� �� Date OwncrorauthonzcJ agcn� p„� All roof coverings to be Class "B" or better CITY OF CUPERTINO � CUPEr�,Two PE�IT APPLICATION FORM 6 3 aZ �3� APN# 3 ''-, ��.� G $1 Date: �////D 3 Buildin��g Address:' , . a /d/ 03 �S ENRi'E k/�y . Owner's Name� Y D E ` L Phone#: L 6w�'s <f�o�� 7 y 6 _ „Z 9s o Contractor: f,�ipTy�pOHS �.�'J • License#: NoDeLi.vG s�E�i,sLiSTs G 7�0�3 Contact:�E�,r � � �O Z O Phone#: �S�o�) 37�- 67ao A plicanUContractor: RB�yo y�G�Ng .�Ti�fRoo.ys .BY sl✓6��rLi�sT Bui ' g Pemut Info: Bld Elect Plumb Mech Description: ��,1�, � — Residential: � aGo i�G.,; Commercial: S Ft. Floor Area:� . � , � � $/Sq.Ft.: Arc ✓�:X� . �� k /o hitect/Engineer: Valuationi � 0�• � Type of Construction: r p � Occupancy ou � �� ,'�,�,-�,o oCv(. ., 17 .uanti Fee ID Fee Descri tion �� Fee Grou � BAPPLOTHER Other A liances MECHANICAL BBLDGFEE Bld Permit s , foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHATIICAL � BBOILER2 Boiler> 100K to SOOK Btu MECHANICAL 1) BBOILER3 Boiler>SOOK to 1M Btu MECHANICAL / BBOILER4 Boiler> 1M to 1.75 M Btu MECHATIICAL �. BBOILERS Boiler> 1.75M Btu MECHANICAL ` BCQNSTAX.. �;,:. . , Construction Tax BIJII,DING ` " BCONSTAX . Ind/Off/Comm/ uasi BUII..DING BCONSTAXB Con. Tax for B Zone BIJILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXIt Constax–Resi/Mobile BUILDING BELEC1000 Elec 600V<= 1000A ELECTRICAL � BELEC1001 Elec 600V> 1000A ELECTRICAL , BELEC200 Elec Svcs 600V<=200A ELECTRICAL � BENERGY Ener BUILDING BENERGYADD Ener Add Multi BUII,DING �� BINVESTIGA Investi ation fee BUILDING BMITIGATC Comm. Housin Mit. Fee BUILDiNG 1 of3 � 2/ � C � �-�� , �� - � � i CITY OF CUPERTINO � CUPEf�TINO pE�IT APPLICATION F012M uanti Fee ID Fee Descri tion Fee Grou i , BMITIGATR Res. Housin Mit Fee BUII.,DING � Bn'INEWMULTI New Multi-Famil Res � BMNEWSF&2F New Sf&2F Res Bld s �C�ICAL BNEWMULTI MECHANICAL Mulrifamil Res ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCONINIP New Comm Mechanical MECHANICAL I . New Comm Plumb PLiJMBING , BNUMULTI - New Multifamil Res PLiJMBING BNiJSFD New Sin le Famil Res PLUMBING BOVERTIlvIE Ins ecrion Overtime Bi7ILDING BPBACKFLQW Atmos heric Vacuum PLIJMBING PCESSPOOL Cess ool PLUMBING PERMFEE Bld Permit Fees BUILDING � Bp 'FIXTURE Pbl Fixture PLUMBING ' BPGAS Gas Pi in S Cem Fee PLiJMBING BPINTERCEP Ind Waste Interce tor PL�B�G BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUII,DING � BPLANCKREP Plan Check R eat Fee BUILDING BP�P�E R i e Of Fixtures PLTJMBING BPSEWAGE Sewa e Dis osal PLUMBiNG . BPSEWER Sewers PLiJMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Storm/Rain Water PLiJMBING BPT� Kitchen Tra PLiJMBING BPVENT Alt ofDrain &Vent PLLJMBING BPWATER � InstalUAlter Water Pi e PLIJMBING ' BPWHEATER Water HeaterNent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reins ection Fee BUILDING BREMACOVER A/C Unit> 10,000 c&n MECHANICAL B�M�N A/C Units r- 10,000 cfm MECHANICAL BREMAPPLI A liance Install � MECHANICAL BREMBUSWAY Remodel Buswa ELECTRICAL BREMFIXT Li htin Fistures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURN�V Relo Furnace> lOK btu MECHAIVICAI:, B�M��AT Heater Installation - MECHAIVICAL BREMINHOOD Installation of Hood MECAAI�TICAL B�EMMISC Misc A azatus ELECTRICAL B�M��P Rem Non-Res A liance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL 2 of 3 � � - -- � CITY OF CUPERTINO � ', • mo CUPEt�TINO PE�IT APPLICATION FORM uanti Fee ID Fee Descri rion Fee Grou BREMPOWER Power Device/A azatus ELECTRICAL BREMRECEPT Rc tl Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Re air/Alter Heatin MECHAIVICAL � BREMRESAI'P Remodel Res A liance ELECTRICAL BREMSIGNAD Rmdl Si s Add Branch ELECTRICAL BREMSIGNS Remodel Si , Maz uee ELECTRICAL BREMTHEATR • � Theatrical Li tin Fix ELECTRICAL BREMVEI`1FAN Vent Fan Sin e Duct MECH.ANICAL BREMVENSYS Ventilarion S tems MECHANICAL BSCBLVD Scb S ecific Plan BUII.,DING BSEISMICOM Se[smic Commercial BLTIL;DING BSEISMICRE Seismic Fee Res BUILDINGv� BSF&2FAM Sin le &2 Famil BUII.,DING BSFNA Sin le Famil New Add BUII.,DING BSPECIAL S ecialIns ection BUILDING • BSWIM Swimmin Pool BUILDING BTEMP Tem o Power BTEMPPERM ELECTRICAL' . Tem or Bld Permit BUII,DING BTEMPSVCS Tem Dist Svcs ELECTRICAL BUSLIC Business License BUII.,DING ELECTRIC Elechical s foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanical s . foot MECHANICAL MPERMITFEE Mech Permft Issuance MECHAIVICAL PPERMITFEE Plumbin Permit Issue pLUIyIgI1�JG PPLBG Plumbin Fee s foot PLUMBING . Z.ADDCAG Address Chan e BLJILDING . �. 3 of 3 ���"����l�l►� I �'' �%��"�IZ /��`'`� �aUdi�� ;;, �`f° bx� �emadelrng Specia�l, sts ` 1=623 SARA'fOGA AVE. • SAN JOSE, CA 95129 I.II� � � /� / 'j _,. 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