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27199
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO BUILHING—E.LUMI-C'A1. PERMIT NO. APPLICATION/PERMIT PLUMIIING-MECHANICAL 27199 BUILDING DIVISION BUILDING PROJECT IDENTIFICATION BUILDING ADDRESS: SANITARY NO. APPLICATION SUBMITTAL DATE &Zoo orv_-N� Cmc SLrAC> '�_A si'v 3.'30 UNI_,%_A 1.0'10 1 D OWNERS NAME: ♦� PHONE: CONTRACTOR'S NAME: LIC NO: CC`.1� a 005) t-na G39 rm N/C CONTROI.0 ARCHITI:CT/L'NGINIiEN: LIC NO. ADDCCRE��SS-- -- ❑• J • I �� CONTACT: PRONG QTY r&a b BUILDING PERMIT INFO u�_ a a ELEC?RIC PERMIT�. PHH V4PSL.VeaR �tT ,A (_aoe;�.S"f3- 660 }I :n 4 r oT d 21 s ..P BLDG ELECT PLUMB MECH PERMIT ISSUANCE 3 �,DD �✓ M LIthall DCnsMund MoviD sofCha DECLARATION APPLIANCES-RESIDENTIAL Therein ffirm lhmlamlicensW tndtt p ( gwidu It3B D135CRIP1'ION p a'Z Ya prd ProfesionsC mr9 co mmencin W Section7000) fDivision 3n(the Business and Professions Cade,and my license is in PANELS ! T a V F full force and effect. GZUµI License Gloss Lic.W ea�l"I5 UPT02W AMPS H 6 y Date Contraztnr 201-IOW AMPS a �- Z~Orq"isZ ARCIIITELTS DECLARATION OVER ItIW AMPS SQ.Pr.BOOR AREA SISQ.FT. O Z^'qJ I understand my pWns shall be used N as publi<rccos. GN�. SIGNS ELECTRICAL yy .-1 Licensed Prnfessionsl �KWa OWNER-BUILDER from DECLARATION SPECIALCIRCl1IT/MISC. 3 F 1 hereby affirm thin 1 um exempt from the Contractors License Lew co Ne v� following rcesan.(Section 7031.5.Business and Professions Cade:Any city or county TEMP.METER OR POLE[NST. 0; which requires a p.it to construct,alter,improve,demolish,torsions any structure PH.,to its ismence,aho requires the applicant for such pennitto file a signed statement POWER DEVICES y)r 0 that he is licensed purmenuo the provisions of the Contractor's License Law(Chapter 9(commencing with Section 7")of Division 3 ofthe Business and Professions Code) SWIMMING POOL ELECTRIC �-•.� VALUATION w_m or that he is exemptthcrefmm and the basis for alleged exemption.Any violation of O ('} y �d 4 Semian]OJ LS by any applicant forupermit subjects the applicant to ectvtl penalty of IlTL61S-SWITCHPS-FIXTURES Q D U a a C q not mmoHum fiofihcpve hundred dollttmyem). NEW RESIDENTIAL BLECIR —SQ.ET. STORIES TVPE GONS'fRUGIION am ❑ othe wnemnthestreny,mmyempindeeswiduwegesasthei(Sec.compensation. 3— will do thework,and the atmnuuiatnot rim Licensed e do far not apply of and Professions Code:The Contractor's License Lew Jces not apply to an owner of property wholopilsor Improves thereon,and whodoesmch work hlmselforthrraughhis own emplayeei,provided mro that such imprcecsmenot imendedoroffemd forsole.If, nn OCC.GROUP RES.UNIT'S Hi the building or improvement is sold within one yearofcampletion.theowner- TOTAL: .OV hadder will hove the harden of proving thin he did not build m improve for purpose of sale.). ❑ I,asownerofthepmpay.antexclusivelycctingwithliccnsW "cimto QT{Y r PLUMBINGPERMIT FEE FL O onuaDZONE ppN conscript the project(Sec.7034,Business and Pmfcssiatn Cods.)The Crantmcon. R D License Law doesnotapplytounnwnerofpropenywhobuildsorimprovesthercon,and PERMIT ISSUANCE Z4 who contracts forsuch projects with aenmractor(s)Banned pursuant tome Conuactnra se Law. License ALTER-DRAIN&VF1JT-WATIiN(EA) FEE SUMMARY ❑ l am exempt under Sec. ,B&P C for this notion BACK FLOW PRO DEV ICI: OUISIDE FEES SANITARY Y N_ Owner Date DRAINS pOR,ROOF, EA,GOND. RF.CEIPI'N WORKMAN COMPENSATION DECLARATION SCHOOL TAX YN I hereby tJBrm that I have o certificate of cansem m selGinsurc,or a cmificate of RECEIPTp URFS-PER TRAP Worker'Cnmpensmiunlnsuranaaracenified copy thttcof(Scc.JtlW,Lce CJwhiclr PARK FEE Y N_ ars all employee's under this permit QAS- YSTF.M-1 INC.4 $ - RECEIPTq PuhcyN BUILDING DIVISION FEES . Company 0 A:VAS YSTEM-OV EA) PLANCHECK FEE ❑ Cenirial copy is hereby famished. grim ❑ Certified copy is filed with the city inspection division. WNSIVINDUAL.WAS RCEPfON GRADING FEE CERTIFICATEOF EXEMPTION FROM WORKERS' GRF.ASETR P SOILS FEE COMPENSATION INSURANCE (Thissecticnneednot becompleW H dotpermit isfononshundreddn S' AN -STORM EA.201Pf, ENERGY FEEC�r or less.) I certify that in the performance of the work for which this permitis issued, all WA AHE NVR not employ any person in any manner an so m become subject to the W PAID z Compenedion Lavesof California. Date WA YSTEMMEATING Date Receipt# Applicant NOTICE'1'O APPLICANT:If.alter making this Ccnifcate of Exemption,you should EW RESIDENTIAL PLMB. SQ.FIC TOTAL: a 01 become subject an the Worker's Compensation provisions of the Labor Code,you must (/ Cti > forthwith comply with such Provisions m this permit shall be deemed revakcd. BUILDING ERI! 00 a �] CONSTRUCTION[,ENDING AGIICY SEISMIC FEE I herebyaffirm dust there is a mmstrucuon lrndin U z s.C.) yfor the performance of TO'T'AL: '31ILI: RICIIiE U p the work int whim this permit is issued(Sec.7097,civ.CJ Lenders Name h; v Lender's Address Q'fT'; ` ' x i MECHANICAL PBRMIT ; y FEE PLUMBING I 3 U 1 certify that 1 have read this application and state that the above information is `5 MECHANICAL FEF. q. coma,l agree to comply with all city and county randomness and state laws minting to l PERMIT ISSUANCE '] ZIDo FN building construction,and hereby audience reptuentatives ofthis city to enter upon the ••I U Z above-mentioned properly for inspection purpous. ALTER OR ADD TO M HCH. CONSTRUCTIONTAX (Wc)agree tp save,indemnify and keep harmless due City of Cupertino against Iiabiliti/°c�scs,jtcJ ts,cossaodexperamswhichmay inany way accrue against said City AIR HANDLING ON['[-(TO 10,0(p CFM[ rose fili in son/r 1.Lf/4 grant] of duos permit. ) - AIR HANDLING UNIT IOVL'R I(I,OW CIrM7 Si eIurafAPp c /Co tractor 1 EXIMUST HOOD(W/DUM 1AI1I0 A--(( F2S (3 HAZARDOUS MATERIALS DISCLOSURE 11 EATING UNIT(TO 100,000 BTU) Dain Receipt# Will the applicant or future building occupant store or handle nerardous material MATING UNI'1'(OVIiR IW,OW BTU) TOTAL as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532HH? VENTILATION FAN SINGLE RIPSID) ❑Yes MIN. BOILER-COMP(3HP OR 100,0011 ETU) ISSkjCFyDATE Will the applicant romance building occupttm use equipmemordevices whichemit ¢7 tt IJ htraNraus air Imladdnants us defined by the Bay Area Air Quality Management BOILER-COMP(OVER 100,000BTU) 'satdn? � I; ❑Yes a NEW RESIDENTIAL MECH.—SQ.IT. OCT 2 5`1994 I have read the boomers materials requirements under Chapter 6.95 of the (�) Culifomia I Icalth&Safety Code.Sections 25505,25573 and 255]4. 1 undersand Nat Y` V=flat f�s ifthebuildingdcesion urrcntlyhuv tenant,that it is.,responsibility to notify the CII It ser �urenl INQ occupant of the the re, courts whiast he met prior to Issuance of a Certificate of st he met prior to issuance of a Certificate of Occupancy. Owner nth ire u t O data TOTAL: s� ISSUEDBY: V OFFICE , �, plr� l9h GePcCIM— VahrrticES — ATE 3'� OICT 2 51994 BLDG. INSPECTION DEPARTMEH DM"0uT\oN R7�%tN CITY Of CUPBTINQ • 'LX�:.7f. Fr'.-L'� Q+�T. �F7 ��j r�t. i'�j/J' CROrtL�- t r >C APPROV IN ACCORDANCE WITH T E CITY Qt CUPERTINO CODES AND DINANCES • OATE — SIGNED This set of p'.ans an s ecificaeionsU be opt it is — law 11 to make any change or alteration: on ame without written i rmission from the building Dept., City of pertina. Thi stamping of this pian E specifications SH I.I. NOT be he:d to Pell it or to be an lot oval of the violation o any provisio J nv City Ordinance or to Law. OFFI E C PY e- 4 0 � i � 3 �Z QY H Z $ LL T Al (� low Q 1 � � I I I X I I I I I I I ! f I ! 1 I 1 I ' � ` J � I I j i j � li l ► ! ) i ` i ' i ! I � � I 1 ,7RkYT- 11F1CATE OF COMPLIANCELig • Part 1 of 2 ' 1 PROJECT NAME DATE G cZ vv—at- r MVAI-5 to t9 I q4 T ADDRESS , - ZG :U 330 Bt+ t+G Pamll i PRINCIPAL DESIGNER•LIGHTING TELEPHONE V-W�-VIEVLM . '`A '417�J`13'r x<l.G DOCUMENTATION AUTHOR TELEPHONE :Ctwek•dbpDel• � k1�•1 C�k>~9�sC�-�b ! Eiiioiosilw•ApYlar Il•• GENERAL INFORMATION GATE OF PUNS BUILDING CONDITIONED FLOOR AREA to 1 w 9 ED, t-3 BUILDING TYPE © NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTEUMOTEL GUEST ROOM PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITION K❑ ALTERATION METHODOF LIGHTING 17 COMPLETE BUILDING X❑ AREA CATEGORY ❑ TAILORED ❑ PERFORMANCE COMPLIANCSTATEMENT OF • ',This Certificate of Compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the Caldomia Code of Regulations.This certificate applies only to building lighting requirements. The Principal Lighting Designer hereby certifies that the proposed building design repreresented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other calculations submitted with this permit application. The proposed building ha Iighting requirements contained in sections 110, 119, 130 through 132, and 146 or 149. � �, •check one: OCT 2 5 1994 D INSPECTION EP RTMFFNNT I hereby affirm that I am eligible under the provisions of Division 3 o t e $ �Rb% Code to sign this document as the person responsible for its preparation; and that I am a civil engineer, a ectrlcal engineer or architect. I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation;and that I am a licensed contractor preparing documents for work that I have contracted to perform. I all r Al DUE�I e u ef�he xemption to Division 3 of the Business and Professions Code by Section of the SAI,N.II tt'IL N �Q7W Code to sign this document as the person responsible for its preps f I i re on: PRINCIPAL LIGHTING DESIGNER-NAME SIGNATURE UC.NO. JDATE V�h�.�T�cR SLI I e-3"t 178 vi 9� uGHTING • • Indicate location on plans of Note Block for Mandatory Measures - INSTRUCTIONS TO APPILICANT Ftailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential ' I published by the California Energy Commission. G•1: Required on plans for all submittals. Pan 2 may be incorporated in schedules on plans. LTG-2: Required for all submittals. LTG-3: Optional. Use only it lighting control credits are taken. LTG-s: Optional. Use only 1 Tailored Method is used. Parts 2 and 3 used only if applicable. Nonresid•ntlbl Complienee Fpm D•c•mbu f9g1 PROJECT NAMEr DA LAMPS BALLASTS LUMINAIRE NAME rH NO.OF TYPE NOTE TO (•g.TyWl.TyW2,ate.) LAMPS WATTSA.AMP S E• O• NO./LUMINAIRE FIELD ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ a ❑ ❑ ❑ ❑ ❑ •Provide Supporing Deeumenratnn MANDATORY •MATIC CONTROLS CONTROL LOCATION CONTROL CONTROL TYPE NCTE T (Room •) IDENTIFICATION (Auto Time Switch. Exterior,etc.) SPACE CONTROLLED FIELD i I CONTROLS FOR CREDIT CONTROL LOCATION CONTROL CONTROL TYPE LUMINAIRES CONTROLLED : ; HOTF TO (Room •or Dwg. a) IDENTIFICATION (O=penL Daylight.Dimming.etc.) TYPE a OF LUPIN. FIELD i I • • . • , a Nonresidence)Compliance Form 06caernear 1991 LI.GHtING COMPLIANCE SUMMARY LTG-2� f PROJECT NAME DATE , G�nccr�? Vati'RnteaS ion 19 9q LUMINAIRE NUMBER OF WATTS PER LUMINAIRE CEC DEFAULT TOTAL NAME DESCRIPTION LUMINAIRES (Includng Ballast) Y N• WATTS NO 1�v.J L1C7Yt P x'Rn ❑ ❑ ❑ ❑ 0 ❑ ❑ SUBTOTAL FROM THIS PAGE O PLUS SUBTOTAL FROM CONTINUATION PAGE D LESS CONTROL CREDIT WATTS D (FROM LTG-7) not using the CEC Default value,please provide suppertng oocumantation. ADJUSTED ACTUAL WATTS tLLOWED UGHTING POWER COMPLETE BUILDING.METHOD.. BUILDING CATEGORY(From Table 2.571.1) WATTS COMPLETE ALLOWED PER SF BLD0.AREA WATTS 4REAICATEGORY METHOD> AREA CATEGORY(From Table 2.57N) WATTS AREA ALLOWED PER SF (SF) WATTS • TOTALS AREA WATTS AILORED.OR PERFORMANCE METHOD TAILORED ❑ PERFORMANCE TOTAL ALLOWED WATTS (From LTG-4 or from oomputar run.) Jonresidenaal Compllanca Form -- December 1991 LIGHTING CONTROLS CREDIT WORKSHEET LTC3=3 WORKSHEET FAJ a v o © © o © v ADDITIONAL PERMIT FEES a ma k .zS:—;K Y BUI LDI NG PROJECT I DENTI FICATION VALUATION ewEomc noon Ess / / p� a .Exs x mE I FEE SUMMARY • EDNiFACTOPI A7i��BUILDING l NN uc.No. ��J`1� PLAN CHECK r.Dx.xnc.oxs FEE �� ADONEss SEISMIC FEE y 1 OTY. ELECTRIC PERMIT FEE OUTLETS-SWITCHES-RECEP v ELECTRIC 6' LIGHTING FIXTURES PLUMBING PPLIANCES-RESIDENTIAL PANELS MECHANICPAL--�-- SIGNS , . _ _ / SI GINS TRANS. TOTAL S& SPECIAL CIRCUIT EMP.METER OR POLE INS. vEemiT VALIDATION MOTORS SEE FEE SCH. O SERVICE CHANGE Z Z 0 TOTAL •0U ISSUANCE DATE LU > DTV. PLUMBING PERMIT FEE eLOc. E�Ecr. ELc. mecH, O_ O I�1 :) Z ALTER-DRAIN&VENT-WATER (EA.) LO BACKFLOW PROTECT.DEVICE LL L V DRAINS-FLOOR,ROOF,AREA,COND. Oy FIXTURES-PER TRAP PAID )— ? GAS-EA.SYSTEM-11NC.4 OUTLETS (J GAS-EA.SYSTEM-OVER 4IEA.) OCT 25.'094 INDUSTRIAL WASTE INTER. v LAWN SPRINKLERS-1INC 5 V.B. C1�7 Vf VVYp'I�OY�J . LAWN SPRINKLERS-OVER 5(EA.) SEWER-SANITARY-STORM EA.200f[/ WATER HEATER W/VENT WATER SYSTEM WATER TREATING EQUIP. TOTAL CITY. MECHANICAL PERMIT FEE ALTER OR ADD TO MECH. APPLIANCE AIR HANDLING UNIT(TO 10=C.F.M.) AIR HANDLING UNIT(OVER 10)"C.F.M.) EXHAUST HOOD(WITH DUCT) HEATING UNIT(TO 100,000 B.T.U.) HEATING UNIT IOVER 100,000 B.T.U.I VENTILATION FAN(SINGLEI BOILER DOW 13 H.P,01100,000 B.T.U.) BOILER"COMP lo. 100,000 BTItl SEE FEE SCH. TOTAL ��tf•11 NEW! i�o� a■ii■I■ 11 - 14100 D ® ...�IMES... . . I �IIM■■ _ 11.... li�_o ®� ---iImmmm �0.�1�■�■11®■.. ►��■� _ ■■rill-_-' ■-- Ill■.. MINNOW ORION .■_ ■11m■® - -- ■ ••■ am ■. mi ■ _ ISM il®■■ ppl ' 1 1 1 imll ME _�■ - ' 'gym■ 1• 1 1• 1 '�-'' Lt■■ • 11 1 1 . 1 .riT� �_■. • °TR�t Control r Rpmica�; # SANTA CLARA COUNTY Permit # "- I- CENTRAL FIRE PROTECTION DISTRICT I • a 14700 WINCHESTER BOULEVARD LOS GATOS, CA 95030 SERVICE SINCE 1947 (408) 3784015 PLAN REVIEW COMMENTS CODE/SECTION SHEET NO. 1 The automatic fire sprinkler system shall be modified to accommodate this design. Contractor shall be a licensed fire protection contractor , (c-16) and shall submit plans, permit application and fees prior to commencing work. PLANS APPROVED, SUBJECT TO COMPLIANCE WITH THE ABOVE. 1 • JURIS. ±,NSSPECS NEW REMODEL CONST. DESCRIP• AS BY DATE PpGE ipertino X TI X JGraf/RDixon 10 �2Frj4 1 OFCTION/FLOOR OCC.LO. AREA ARCHING/CONTRACTOR/OWNER TP 2nd Flr Walter Hsu NAME OF FACILITY LOCATION De -1tnza Plazd, 10101 N. DE ANZA BL CFD G7561 Patersons(]/%) T 1. tt R O� SANTA CLARA COUNTY CENTRAL FIRE PROTECTION DISTRICT • ` 14700 WINCHESTER BOULEVARD I 'TFrn.r•� LOS GATOS, CA 95030 �,� SERVICE SINCE 1947 (408) 378-4015 PLAN REVIEW COMMENTS CODE/SECTION SHEET /N o. U /G L ,1� � s� d , „e/ for 7b S�v�/n Pr( e)r /'ot-1 cr M / �y aT,/ G✓or�, /r/nom SyS��h,1 121�ir � / 16 //ct &I a4b la Zoo 5 15- dA o 4,9-,e Arn 4, 6�. J Pew ' f-p 74' �O1�rr,�>°�S• JURIS. PLR NS SPECS NEW REMODEL CONST.. DESCRIP. AS BYY� DATE RAGE I %P� ` OF� CTI ON/FLOOR FZ OCC OCC.LD. AREA ARCH/ENG/CONTRACTOR/OWNER ! TP &� 7 , 785)9' NAME OF FACILITY / 77 LOCATION IIt i P rNuy// Ps SU! /,o CFD 37561 PMv,..e(7/90)