03110129 F11CTY OF CUPERTINOBUILDING DIVISION PERMIT �. CONTRACTOR INFORMATION.DINGADDRESS: PERMIT N003110129
66 STAFFORD DR
R'S NAME: PERMIT ISSUE DATE
CK HAUENS & VICKI BOHAN 11/21/2003
NE: SANITARY NO. CONTROL NO,
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
300 LICENSED CONTRACTOR'S DECLARATION it
O O
�u❑ 1 hereby affirm Nal I am licensed under envisions of Chapter 9(commencing Job Description
ZW with Sccsion]IX10)of Dwision 3o1'lhe Busincssend Profession Codc,and my hear c is
<<�= LlcenlscnCha, cr ' L¢.p So^ 1�3, BATHROOM UPGRADE -
-�c Dam -o Lmr r CONTRACOR: PAUL WALTERS BUILDER, INC
ARCHITEI:fs DE RATION
6
U 1 understand my plans shall he,used as public records -
ea0� Licensed Professional
OWNER BUILDER DECLARATION
I naso affirm Nal I am exempt from the Contractor's o License Low for the
OO followingreason.a (Sccdut ]cosy, t,alter,improve,
ve,demolish,
Code:Any city nrcounty
<$ whichitsissuance,
requires a pemst le mower,alley,t t for such
demolish,nr repair any.tatement
aZY poor miucensed e.oum requires theapplicantrorsuch Perminorile a cense Lw statement
ss< (commat he encingmdPumtion70to bcpmviinnnfoftheBthe uiness ndProfeaw(Chapter 9ork)or Sq.F[. Floor Area Valua[Q�g500
a-O
(commencing he
xem iNSeaion](f10)of theDivisionafor the al Business andon.An vi Cork)or
y Nat he is exempt Ncmfrom and the buts for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type
net more than five baadned dollar¢(S50). 3 6207003 . 00
- P Y YP
❑I,u owner of the pmperty,army employees with wages u their sole compensalion,
will do the work,and the Swcture is nm intended or offered formic(Sec.7W,Business
and Professions Cade:The Contractor's License Law does not apply to an owner of - Required Inspections
property who builds or improves thereon,and who does Such work himself or through his
own employees,provided then such improvements are not intended or oQemd for all.If.
however,the building or improvement is sold within one year of completion.the owner-
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
1.as t the p Of tllc property,,Business
and Professions
ns WIN:)The
Cony toy's m �'����
cense La the project(See.o an Business and property
who brei builds
or i The Conuemor's Lid v
mnu raw does not apply loan owner of property whe sed p or improves thereon,sod.
whocontractsLacca for such projects with a Contnaar(s)licensed pursuant m Ne Comnemr'e
License Law. MAR 1 6
❑ lam mas
exempt under Sec. ,B&PCfor this mason MAP
Dole
Da
WORKER'S COMPENSATION DECLARATION 13UXD1NG
I hereby effimt under Penalty of perjury one of the fallowing declarations:
I have and will maintain a Certificate of Consent to cif-insum for Worker`sCumPen-
sation,u provided for by Section 3]00 of the labor Code,for the performance of the
work for which this permit is iuuctl.
❑1 have and will maintain Worker's Compensation Insurance,as required by Section
3700 of the Labor Code,for the performance writhe work for which this Permit is issued.
My orker's Compensation Insurance artier and PoI cy/ng�mher
Sam- �
+ er. J'T/t'(ry IjL�policy gglL/
CERTIFICATE F EXEMPTION FROM WORK ERS'
COMPENSATION INSURANCE
(This section need not he completed!fine Permit is foronc hundred dollars(SI W)
or less.)
1 certify that in the performance of the work for which this Permit is issued,I shall not
employ any person in any mannersn As m become subject to the Workers Compensation -
Laws of California.Date
Applicant
NOTICE TO APPLICANT:If,after making this Cen ricam of Exemption,you should
become subject to the Worker's Compensation provisions of the Labor Code,you must
O forthwith comply with such provisions or Nis Permit shall be deemed revnked.
z� CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the Performance of
x.moi the work for which this permit is Issued(Sec.3097,Civ.C.)
Q Under's Name
z Lender's Address _
U O 1 mnify that I have read this application and sum that the above information is
Ira f: Correct.I agree to comply with all city and county ordinances and sate laws retain,to
C U building convection,and hereby amhorim representatives of this city to enter upon the
0. shave-mentionedpmpeny for expnses purpowhich m.
(WA)agree to save,indemnify and keep harmless the City of Cupertino against
rF'—t h
liabilities,judgment,costs and expenses which may in anyway acerve against said City
f, Z in consequence of the granting of this permit.
APP NDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SoCE REG IONS.
11' Re-roofs
.amu or A,p,1E.nVC.nOacmr Date
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building nemipant erase or handle hazardous material
as defined by the Cupertino Municipal Code.Chapter 9.12,and the Hcallh and Safety
Section 25532(a)? All roofs shall be inspected prior to an roofing material beim installed.
❑Yea
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
it hazardous air man.minanu u dcfmN by the Bay Area Air Quality Management all new materials for inspection.
IslrlCl?
oyes AL
[have mail the havaNnus materials mquin:mcnls under Chapter 6.95 of the Cali for
ria Heal"Safety Code,Sections 25505,25533 and 25534,1 understand Na it the building
ditillImmmiall have a tenant,Nat it is my responsihility m nndl'y the mcupanl of the
my 'remcntswhk must be met Prior m issuance or a cemfleate of OccuPam:y. Signature of Applicant Date
caner or aamarn risen, D,m All roof coverings to be Class "B"or better
F11CTY OF CUPERTINOBUILDING DIVISION PERMIT �. CONTRACTOR INFORMATION.DINGADDRESS: PERMIT N003110129
66 STAFFORD DR
R'S NAME: PERMIT ISSUE DATE
CK HAUENS & VICKI BOHAN 11/21/2003
NE: SANITARY NO. CONTROL NO,
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
300 LICENSED CONTRACTOR'S DECLARATION it
O O
�u❑ 1 hereby affirm Nal I am licensed under envisions of Chapter 9(commencing Job Description
ZW with Sccsion]IX10)of Dwision 3o1'lhe Busincssend Profession Codc,and my hear c is
<<�= LlcenlscnCha, cr ' L¢.p So^ 1�3, BATHROOM UPGRADE -
-�c Dam -o Lmr r CONTRACOR: PAUL WALTERS BUILDER, INC
ARCHITEI:fs DE RATION
6
U 1 understand my plans shall he,used as public records -
ea0� Licensed Professional
OWNER BUILDER DECLARATION
I naso affirm Nal I am exempt from the Contractor's o License Low for the
OO followingreason.a (Sccdut ]cosy, t,alter,improve,
ve,demolish,
Code:Any city nrcounty
<$ whichitsissuance,
requires a pemst le mower,alley,t t for such
demolish,nr repair any.tatement
aZY poor miucensed e.oum requires theapplicantrorsuch Perminorile a cense Lw statement
ss< (commat he encingmdPumtion70to bcpmviinnnfoftheBthe uiness ndProfeaw(Chapter 9ork)or Sq.F[. Floor Area Valua[Q�g500
a-O
(commencing he
xem iNSeaion](f10)of theDivisionafor the al Business andon.An vi Cork)or
y Nat he is exempt Ncmfrom and the buts for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type
net more than five baadned dollar¢(S50). 3 6207003 . 00
- P Y YP
❑I,u owner of the pmperty,army employees with wages u their sole compensalion,
will do the work,and the Swcture is nm intended or offered formic(Sec.7W,Business
and Professions Cade:The Contractor's License Law does not apply to an owner of - Required Inspections
property who builds or improves thereon,and who does Such work himself or through his
own employees,provided then such improvements are not intended or oQemd for all.If.
however,the building or improvement is sold within one year of completion.the owner-
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
1.as t the p Of tllc property,,Business
and Professions
ns WIN:)The
Cony toy's m �'����
cense La the project(See.o an Business and property
who brei builds
or i The Conuemor's Lid v
mnu raw does not apply loan owner of property whe sed p or improves thereon,sod.
whocontractsLacca for such projects with a Contnaar(s)licensed pursuant m Ne Comnemr'e
License Law. MAR 1 6
❑ lam mas
exempt under Sec. ,B&PCfor this mason MAP
Dole
Da
WORKER'S COMPENSATION DECLARATION 13UXD1NG
I hereby effimt under Penalty of perjury one of the fallowing declarations:
I have and will maintain a Certificate of Consent to cif-insum for Worker`sCumPen-
sation,u provided for by Section 3]00 of the labor Code,for the performance of the
work for which this permit is iuuctl.
❑1 have and will maintain Worker's Compensation Insurance,as required by Section
3700 of the Labor Code,for the performance writhe work for which this Permit is issued.
My orker's Compensation Insurance artier and PoI cy/ng�mher
Sam- �
+ er. J'T/t'(ry IjL�policy gglL/
CERTIFICATE F EXEMPTION FROM WORK ERS'
COMPENSATION INSURANCE
(This section need not he completed!fine Permit is foronc hundred dollars(SI W)
or less.)
1 certify that in the performance of the work for which this Permit is issued,I shall not
employ any person in any mannersn As m become subject to the Workers Compensation -
Laws of California.Date
Applicant
NOTICE TO APPLICANT:If,after making this Cen ricam of Exemption,you should
become subject to the Worker's Compensation provisions of the Labor Code,you must
O forthwith comply with such provisions or Nis Permit shall be deemed revnked.
z� CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the Performance of
x.moi the work for which this permit is Issued(Sec.3097,Civ.C.)
Q Under's Name
z Lender's Address _
U O 1 mnify that I have read this application and sum that the above information is
Ira f: Correct.I agree to comply with all city and county ordinances and sate laws retain,to
C U building convection,and hereby amhorim representatives of this city to enter upon the
0. shave-mentionedpmpeny for expnses purpowhich m.
(WA)agree to save,indemnify and keep harmless the City of Cupertino against
rF'—t h
liabilities,judgment,costs and expenses which may in anyway acerve against said City
f, Z in consequence of the granting of this permit.
APP NDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SoCE REG IONS.
11' Re-roofs
.amu or A,p,1E.nVC.nOacmr Date
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building nemipant erase or handle hazardous material
as defined by the Cupertino Municipal Code.Chapter 9.12,and the Hcallh and Safety
Section 25532(a)? All roofs shall be inspected prior to an roofing material beim installed.
❑Yea
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
it hazardous air man.minanu u dcfmN by the Bay Area Air Quality Management all new materials for inspection.
IslrlCl?
oyes AL
[have mail the havaNnus materials mquin:mcnls under Chapter 6.95 of the Cali for
ria Heal"Safety Code,Sections 25505,25533 and 25534,1 understand Na it the building
ditillImmmiall have a tenant,Nat it is my responsihility m nndl'y the mcupanl of the
my 'remcntswhk must be met Prior m issuance or a cemfleate of OccuPam:y. Signature of Applicant Date
caner or aamarn risen, D,m All roof coverings to be Class "B"or better
CITY OP CUPERTINO .eON' I2AGTC1,I2aINFO$7YIA 'N <;
BUILDING DIVISION PE Mi -T ., :.n ',�..
BUILDING ADDRESS: PERMIT NO0 3 11 012 9
66 STA F Rn DE
ERB NAME: - PERMIT ISEUE DATB
RICK HAUENS & VICKI BOHAN 121 20SANITARY N0.. CONTROL
PHONE: NO.
BUILDING PERMIT INFO
ARCHITECT/ENGINEER: BLDG ELECT PLUMB MECH
+Oo LICENSED CONTRACTOR'S DECLARATIONJob DCSCIIptIOn
C 1 hereby affirm Her 1 am licensed underprovisiuns of Chapter 9(commencing
w with Section 7r)or Division 3 of NC neshmseand Profrssimu Code,and my license is
mmurear<`anaer SO-7 �8 BATHROOM UPGRADE
3�0 Cie..,ag�F _ Lim.M CONTRACOR; PAUL WALTERS BUILDER INC
-�; Contra r
"et:9 ARCHITECTS DE RATION
C�a 1 undcrsanJ my plans shall he uscJ m public mcnrJs
is.
Oto License)Prnfcssimul
S OWNER-BUILDER DECLARATION
1 hereby arftrm that 1 am exempt from he Contractors License Low for the
p o following reason.(Section 7131.5,Business and Professions Code:Any city nr county
<� which requires a permit m cnnstrvcL alter,improve,demolish,nr repair any."care
ezr prions its iasuance,also requiresthe applicant for such Permit it"0.signeJsutement Sq.Ft.Floor Area Valuat�®500'
Z¢ that he is licensedpursuanuntheprevisionsoftheComractarsLicenulaw(Chapmr9
2t-$ (commencing with Section 7")of Division 3 of the Business and Prvfeuine Cswle)ur
'y R R that he is exempt therefrom and the basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to ac MI Penalty of . APN Number Occupancy Type
net mere than rive hundred dollars ViSM). 36207003 . 00
1,as owner of the property,or my employee$with wages Is their sole compensation,
will do the work.and do,Immune aa
m is act Intended or offered for sale(Sec. Buamex Required Inspections
and Profession,Code:The Contractor's License Law does not apply to an ownero
property who builds or improves thereon,and who does such work himself or through his
own employees,provided that such improvements are not Intended or offeredfor sale,if, ��� .a 1 �all �QO11
Y
however.the building or improvement is sold within one year of completion.the owner
builder will have lie burden of proving that he did not build or Improve for puRoa of -
sale.).
C]1,as owner of Ne property,am exclusively convecting with licensed contractors to BU�Lp�NG
contact the pmjecl(Sec.7004.Business and Professions Code:)The Contractor's Li-
cense law does not apply to an owner of property who builds or improve Ihemon,and
who contracts for such projects with a contractor(s)licensed pursuant o the Contactors
C,
Law.
1 em exempt under Sec. .B&P C for this reason
weer Data
WORKER'S COMPENSATION DECLARATION
1 hereby of irm under penally of perjury one of Ne following declarations:
rl 1 have and will maintain a C,niftcme of Consent m self-insure for Worker's Cump.n-
sation,as provided for by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑1 have and will maintain Workers Compensation Insurance,as required by Section
3780 of Be Labor Codc,for the performance of the work for which this permit is Issued.
lvl Corker's ComPMUCion Instance cagier and Policy mbenm: _
erg S'frtfF >NR 1N ._____Policy -C��
CERTIFICATE
COMPENSATION
INNFAN WORKERS'
' COMPENSATION INSURANCE '
(This sectionraced not he completed ifthepermit Is forme,hundred dollen(S 00)
m less.) _
1 certify,that In the performance of the work for which this permit is issued.I shell not
employ any person in any manner so as to become subject to the Workers'Compensation
Laws of C.1ifirmix Data
Applicant
NOTICE TO APPLICAT:Ir,aMr making this Ccdificaa of Exemption,you should
became subject to the Worker's Compensation provisions of the Labor Code,you must
�Z, forthwith comply with such provisions or this permit shall be deemed revoked.
zO CONSTRUCTION LENDING AGENCY _
I bemhy aRrm that Rare is a convection lending agency Tor the Performance of
> Ne work for which this permit is issued(Sec.3097.Civ.C.)
IL)Q Lcndct. Name
z Lender's Address
U 0 I certify Nat I haverad this application and sum that the above information is
0 U bonding I agree to comply with all city and county ordinances and state laws relating e
reby
�(') buildingconstruction,tosve hedemnify and repr harmlevesorCity of menter
no agaihc
W
above-mentioned property for inspection purposes.
(We)agree tar save,indemnify and keep harmless the City of Cupertino against
liabilities,Judgmdnu,cards and expenses which may in any way sccmc against said City .
V in conaquence mf the granting of this permit. Date
APP UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:
SO CE REG IONS.
Re-roofs
and'
ApplicanVContractor Dat.
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant ser future building occupant sage or handl.haarJous material
defined by the Cupenino Municipal Code.Chapter 9.12.and lee HCallh and Safety
'ode,Section 25532(a)? /- All roofs shall be inspected prior to any roofing material being installed.
❑Yes '
Will mea applicant rVVVVwo�"rc builJin occupant aa. n mrdcam.a wnibn If a roof is installed without first obtaining an inspection,I agree to remove
Pp g p equipment -
emit hanothi s air contaminants m dcfned by the Bay Arca Air Quality Management all new materials for inspection.
Diatrib,
❑Yen 4 L
I have read the havadnus materials requirements under Chapmrb.95 of Ne Califo>
.is Health&Solety Cod..Sections 25505,25533 and 25534.1 understand thmiftne hi ilding
dcur have a inank Nat it is my responsibility m noJl'y the occupant of Nc
req beams Old, ant be met pdmr missaamnea.racertincamof OOMourcy. Signature of Applicant Date
All roof coverings to be Class"B" or better
t ...___._.....:.. ........ nam
r
• CITY OF CUPERTINO
Item 1 of 1 PERMIT RECEIPT OPERATOR: conniew
COPY # 3
Sec : Twp : Rng : Sub: Blk: Lot :
APN . . . . . . . . : 36207003 . 00
DATE ISSUED. . . . . . . : 11/21/2003
RECEIPT # . . . . . . . . . : 23867
REFERENCE ID # . . . : 03110129
SITE ADDRESS . . . . . : 1166 STAFFORD DR
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER RICK HAUENS & VICKI BOHAN
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4969
RECEIVED FROM . . . . : LIZ WALTERS
CONTRACTOR . . . . . . . : LIC #
COMPANY . . . . . . . . . . :
ADDRESS . . . . . . . . . . :
• CITY/STATE/ZIP . . . ,
TELEPHONE .
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
- - - -- - - - -- --- -- - - ------ - - ------ -- -- ----- --- -------- -- ----- ----- - ----- -- - -
BPERMFEE VALUATION 9, 500 . 00 157 . 00 0 . 00 157 . 00 0 . 00
BPFIXTURE UNITS 3 . 00 24 . 99 0 . 00 24 . 99 0 . 00
BPLANCHK PERMIT FEE 157 . 00 133 . 45 0 . 00 133 . 45 0 . 00
BPSEWAGE UNITS 1 . 00 62 . 16 0 . 00 62 . 16 0 . 00
BPSEWER SEWER SYSTEM 1 . 00 19 . 98 0 . 00 19 . 98 0 . 00
BPVENT UNITS 1 . 00 8 . 33 0 . 00 8 . 33 0 . 00
BENERGY PERMIT FEE 157 . 00 47 . 10 0 . 00 47 . 10 0 . 00
BPWATER UNIT 1 . 00 8 . 33 0 . 00 8 . 33 0 . 00
PPERMITFEE FLAT RATE 1 . 00 35 . 52 0 . 00 35 . 52 0 . 00
BREMFIXT NO. FIXTURES 1 . 00 1 . 11 0 . 00 1 . 11 0 . 00
BREMRECEPT NO. OUTLETS 4 . 00 4 . 44 0 . 00 4 . 44 0 . 00
BSEISMICRE VALUATION 9 , 500 . 00 1 . 00 0 . 00 1 . 00 0 . 00
BUSLIC FLAT RATE 1 . 00 100 . 00 0 . 00 100 . 00 0 . 00
EPERMITFEE FLAT RATE 1 . 00 35 . 52 0 . 00 35 . 52 0 . 00
MPERMITFEE FLAT RATE 1 . 00 35 . 52 0 . 00 35 . 52 0 . 00
- - ---- - ---- - - ---- -- - - - ----- -- - - - -----
TOTAL PERMIT 674 . 45 0 . 00 674 . 45 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
-- - - - - -- - - - ------ ------------ -------------- ----
OTHER 674 . 45 VISA
T6L RECEIPT 674 . 45
OCITY OF CUPERTINOP
CITY Of PERMIT APPLICATION FORM
•CUPERTINO
APN # o Q O Date:
�t--21-a3
Building Address: t((o(Q TAFNORD DR
Owner's Name: RICKRAUENS Phone#:
Soo
VICKI
Contractor: PAO L \.k4�iS- QL)IW , NC License#:
Contact: P>-,UL- VU�i--TCS Cupertino Business License#:
Building Permit Info:
Bldg ❑ Elect Plumb Mech
Job Description: r
Residential merci
Sq.Ft. Floor Area: Xi NCS $/Sq.Ft.:
Cost of Project: 9 9 5 M Occupancy Group:
ype of Construc ' Ret�oc�e�
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
BBOILER1 Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M 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
IMF BMITIGATC Comm. Housing Mit. Fee BUILDING
1 of3 �� v�
�aw
4WITY OF CUPERTINO*
CITY OF PERMIT APPLICATION FORM
CUPEkTINO
WQuantity 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
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTUREbl
P 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 WaterHeater/Vent 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 Furnace MECHANICAL
BREMFURNOV Relo Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platfonn Fixture ELECTRICAL
2of3
,:.
*ITY OF CUPERTINO *.�irqzi '
OF PERMIT APPLICATION FORM
CUPEkTINO
Quantib, 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 Signs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISNUCOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection 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
MPERNHTFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issuance PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
ZADDCHG Address Chane BUILDING
3 of 3
CUQL�TI No
l{�UC-N)1 � UIckt 6C)HAN
WAL-�S--bulwe ,L NC.
-- g.ECF-•ISD
wav
~� FRN ('
• f M•F.
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