99090045 TTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY v-1 004e3
CUPVISION PUILDING-ELECTRICAL, P MITN
All
�- rvIS1oN APPLICATION/PERMIT PLuaunuc.mecxnNlcnl.
BUILDING PROJECT IDENTIFICATION
BUIL. 'ADDRESS: SANI'IAIiV NO. AI'PLICA'1'ION SUBMI'1"1'A1,DnCli
NER'S NAME: PHONE: �- CONTRACTORS NAME: LIC NO:
UN M Ie- R o SD R J 0101ZGO/Vp j"e7-i CI J NIC COM' OLet
ARCIII'1'IiCT/ENGINFF,R: LICJ�NO: ADDRESS: ZdO El/J I F L'— Y�I'3 l Sris 71..7. JObtIl9PIvc /Cwc
CONTACT: PHONE:: BUILDING PERMIT INFO
kCV F ��x [I Consultant Fires Paid by Applicant(Initial) LD E PhUMB ME H
J ❑
LICENSED CON'IRAC1'OR:S DECLARATION QTY. ELECTRIC PERMIT FEF.
1 hereby afum that I ant licensed under proskdons of Chapter 9(commencing JOB DESCRIPTION
Q�U full throe anddeffce. 641TEC1'S DECLARATION
Cnde,seal nay llccnxe i5 RESIDENTIAL
U Lllh Salton 90I10)nf Dlvluw 3 til Budnessundl' he.x g�
z W 0 m 5,� � Q l b I'I:RMI"f ISSUANCIi
1 Licx L 1 ❑SFUWI. El KITCHEN REMODEL
F.Z W Daccn,em s/ Convenor -� / APPLIANCES-RESID RESIDENARcT
❑ADDITION ❑PLUMBING RI;-PIPE
seat 7 7 N ❑MUI.TI-UNIT C1 STRUCTURAL
ZQt=i1Z l understand my plans shill bet used as public records PANELS MODIFICATION
OZ-0 U11102W AMPS C3 INTERIOR ❑CHIMNEY REPAIR
F� W Lanced Prol'essiumd 201-1000AMPS IMPROVEMENT C)SWIMMING POOI.S
LL�� OWNER-BUILDER DECLARATION
C -� OVER 10(X)AMYS BAT
kI?MODEI/REPAIR ❑DEMOLITION
Q 1 hcrcby a(fimt that I sen exempt from the Contractors Co,License Law for the
a V following reason.(Scion 11131.5,n.ithe.and wt.Professions demolish,
CMr:Any city ccounty SIGNS ELECTRICAL []OTHER
1+13 lar0 F which reyuires a permit m nmswa,alar,ampmve.demolish.ar repair my stmnure
1-�OQ
poor o its issuance,also requires the applicant for such pcomil to file a signed statement SPECIAL CIRCUITIMISC.
fM That he is licensed pmsuammlhe provisions of the Contractor's License l.aw(Chapter 9
W C, (commencing with Section"O(Xhor Di,tone Sof the Business and Nor..ons Coddor 'T EMP METER OR POLE INS T COMMERCIAL:
G E e� Phut he is uxempl Iherefnnn unit the hat,for the nllcgud exemption.Any vlolnlinn of 'W HhUGIADDITION ❑DEMOLITION
Ira Section 703 15 by any applicant lin a permit objets the applicant to a civil penally,of POWER DEVICES ; TTI rtn I-� FOOD SERVICH
not mmethan Eve hundred dollas,(S5W). .,ITT;+/k'V+u;Ls.'1,}Lyf{ lull
E=C ❑ I.as owner of file property,or my employees with wages as their sole compcnsmion. SWIMMING P001.ELE 0TH:
F will do the work,and me structure is not intended or offered for wle(See.]PW.Business
W 3 m and Pride,inns C d,The Continuum,',License I.aw does not apply to an owner 2 OUTLETS-SWITCHES-FI R
property who bu11Js or impnaves Ihereaq and who shws such work himself ur 0mu
his own anpinyces,PnrvIAvJ Ibm wch Improvements are not Intended or olfered for NI:W RESIDENTIAL.RLECfR (,�
sale.ll:however.the buildingol lnlprnvement is,old withlnonc ycurof cf litiocthe SO FE ItLO ARA $ISQ.FII
nerbuilder will have the burden of proving that he did not builder improve for pur-
pmm n1 sale J. y
❑h as owner of the property,am exclusively contracting with licensed contortions m TOTAL: J
cmosumn the pmjeent(Sec.91114,Business and Professions Codc:)The Contmcmr's Li-
ml.ave does notapply toanownerof property who builds or imposes thereon.and QTY. PLUMBING PERMIT FEE
who amtrnew fur sutM1 project,.wllh a rnnoanor(q licensed pursuant m the Cnnvaemr's
License Law. PERMIT ISSUANCE
I in exempt ander Sec. ,BS PCI thl.sreason
ALTER-DRAIN AVENT-WATER LEA) VpIAA'DON
er, Dae "J7
WORKER'S COMPENSATION DECLARATION BACK FLOW PROTECT.DEVICE X O O U
1 hereby affirm under penally of pcpury,one of the following declarations: LL!!
Fl I have and will maintain a Cendicam ofCousenno sdGinsum for Workcfx Cooper- DRAINS-FLOOR,ROOF.AREA,COND. STORIES TYPE CONS1 RUCTION
sation,as provided for by Section 3909 of the Labor Code.for the Kmart atm of the p
work for Martian,Nnaitis'Iaaacd FIXTURES-PER'1'RAP 8 Tl
have and will maintain WOlkcd Compensation Insurance,a,required by Section VV
IlXlofthe LnMr Code.forthe perfonwnesid the work fur which lhispeout is issued GAS-EA.SYSTEM-1 INC.a OUTLETS OCC.GROUP ?APN�
My Wakes Compcnsaion,1 .s ance carier and Policy numb$(are' �k zz /-
C
Carrier, khta ��+e-a Policy No.:Yw ��y1+73-1 GAS-EA.SYSTEM OVER i(EA) 13
CERTIFICYTI;OF EXEMPTION FROM WORKERS'
a COMPENSATION INSURANCE GRT:ASE%INDUST RI,WASTE INTERCEPTOR
BUILDING DIVISION FEES
(I'h'rvsMinn used not MaonlPlneA if the pcnnil is fanme hundred Jollan fbl W) GREASE TRAP
nr 1casJ PLANCHI?CK PEE
I candy that in lheperl'nrnwneeuf thework lbrwhlch this permit is issued,l shall SEWER-SANITARY-STORM EA.2(X1 ET.
not employ any Knoll in any manner so as to become subject In the Workers'CmrNr- ENERGY FM
aC) Z minn".,of California,Dale WATER HEATER WNENTTLECTR GRADING FEE
Z 0 Applicant
y NOTICE TO APPLICANT:If,alter making this Certificate of Exemption,you should WATER SYSTEM/EREATING SOILS FEE
F hceonta,vbject to the Workers Compemauon provisions of the labor CW,you most
fordr,th ca.oply with such pur,kinnsurlhis pcnnil shall fur JcamcJ revoked. WATER SERVICE
CONS'1'RUCI']ON LENDING AGENCY NEW RESIDF.M'IAL 1'LMB. SUFI'. PAID
7 Z I hereby arm that them is a contraction lending agency for the performance of Uma Receipts
V O affirm
the work for which this permit is issued(Sec.3099.Co.C.)
U.U Lender's Name TOTAL:
Lender's Address TOTAL:
I ermt,thin 1 have rend IN,application and same tbar the above information is BUILDING PEE
ZI cnmcn.l agree or amtply whh:B chy ntad colar ml'u anccs undsmm law,miming m QTY. MECI IANICAL PERM I FET?
V Z building maserm
n. mon,and hereby adminze represenlativen of this city enter upon the SEISMIC FEE
above-mentioned property for inspection purposes, PERMIT ISSUANCE
(We)agmc m save.indandfy and keep harmless the City of Catarrhal,against ELECTRIC FEE
lin iahilldes,judgments.costs andexpenaswhich may many wayaccme against said City AUPERORADDTOMECH
asequence of the granting of this permit. PLUMBING PEE.
APPLIC�AAAI111I111T INDERSTANDS AND WILL C((((�1111MPI.Y WITH ALI.NON-POINT AIR HANDLING UNIT(TO 10.00)CFM) MECHANICAI,FEB
SUURCJT/I LA77 /✓� 9 / .]�
//// 1 I AIR HANDhING UNI'1'(OVER IQWfI CI'M) CONSTRUCTION TAX
Signalureol A,ditanUComradnr Doc EXHAUST HOOD(W/DUCT) HOUSING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle haeallous mammal HEATING UNIT(TO 100,000 BTU)
as def red by the Cupeninn Municipal Code,Chapter 9.12,and the Health unit Safay
We,Semion 25532(n)'! �ry� HEATING UNIT(OVER 100.000 BOD
Ll Yns 7�' PAID
lyrVENTILATION I-AN(SINGI.BRESID) Date Receipl
Will the applicant nr future building oecupmn use equipment or Acvices which
emit hamdous air contaminants as defined by the Buy Area Air Quality Management HOLLER-CONI'(3H1'OR 1 09.1100 BTU)
T
District? BOILER-CO.NYIOVIiR 100.000 BTU)
Yes 01
I[save caumvha I 't s1. I. under Chapter a95 ill AIR CONDITIONER Call- ISSUANCE
fitmia[Icahn&Gf,"Cork.Serious 23505,25533 1255341 ad...t JOuat 11 the NEW RFSIDIiNI'IALMECH. SG.I'I'.
buildi b f ll 1 t t)h i t Y :P ,flay flyth occupant
y.
of the men h tut dinar m ssuume of u Cenifcam/(k p�qOwner or authorized agent Hi— y/! Il/
}lr¢ 'IOI.: ISSUED BY:
OFFICE
P CLARA co FIRE DEPARTMENT
CONTROL NUMBER
FIRE SANTA CLARA COUNTY
14700 Winchester Blvd., Los Gatos, CA 95030-18 18 PERMIT NUMBER
o M (408) 378-4010 (phone) • (4 08) 378-9342 (fax)
PLAN CHECK No. _
PLAN REVIEW COMMENTS
(�
CODE/SEC. SHEET NO. CHOD�� OF S47 VG {\C-6 !J`lS
The following CHECKED items apply to this project: D!'I�
Existing fire sprinkler system shall be modified as necessary. licensed -1~protection
contractor shall submit to the fire department, three sets of shop drawings, a completed permit
application and applicable fees for review and approval, prior to performing work. UFC 1001
2 Existing fire alarm system shall be modified as necessary to accommodate new construction. A
licensed fire alarm contractor shall submit to the fire department, 3 sets of shop drawings, a
completed permit application, and applicable fees, prior to performing their work. UFC 1001
3 Tenant shall have access to a minimum of 1 2A10BC minimum rated fire extinguisher(s),
located within 75 feet travel distance. UFC 1002 +'
Tenant shall have access to one 40BC minimum rated fire extinguisher, proximal to the kitchen
cooking area. UFC 1002
Exit doors shall be openable from the inside without the use of any special knowledge or effort.
Thumb-tum dead bolts that require more than 1/4 tum to operate are not acceptable.UFC 1207
Exit Illumination: Provide illuminated exit signs. UFC 1212
Contractor shall field verify the integrity of existing rated construction/assemblies and restore or
repair as necessary as part of this work. Penetrations in rated walls/ceilings shall be protected
by listed fire rated assemblies (dampers, doors, caulking, fire stopping material etc.). UFC 1111
At time of final inspection, the tenant shall provide to the fire department a labeled emergency
access key for placement in the building fire department key box. UFC 902.4
This plan check does not permit the use, storage or dispensing of hazardous materials, operations
or waste. The tenant shall provide a completed I I IIS to the fire department's hazardous
materials specialist for review and comment.
APPROVED FOR BUILDING PERMIT ISSUANCE subject to compliance
with the above checked comments prior to final inspection.
IS PLANS SPECS NEW REMODEL AS 1.CONST.OESCRIP. BY DATE Q PAGE
�PLOOR OCC OCC.LOAD AREA ARCHIENGICONTRACTOR/OWNER
COO o 0
NAME OF FACILITY LOCATION /
syN HiCiZo 120Y�50 6LL7 u 8� io ZZ
A California Fire Protection District serving Santa Clara County and the communities of
Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, Morgan Hill, and Saratoga
INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE. INVOICE
CITY OF CUPERTINO
BUILDING PERMIT INVOICE OPERATOR: karenb
Sec: Twp: ROB: Sub: Blk: Lo[:36901029.00
INVOICE DATE...... : 09/07/1999
REFERENCE ID # ...: 99090045
SITE ADDRESS . . .. .: 20450 STEVENS CREEK BLVD
SUBDIVISION . . . . . . .
CITY ....... . . . . . .: CUPERTINO
IMPACT AREA .... . . .
OWNER ........... . : SUN MICROSYSEM
ADDRESS ........ .. :
CITY/STATE/ZIP .. . : CUPERTINO, CA 95014
CONTRACTOR . . . .... : NOSLER, PETER C LIC # 13302
COMPANY . . ........ : DPR CONSTRUCTION INC
ADDRESS . ......... : 555 TWIN DOLPHIN DR
CITY/STATE/ZIP ...: REDWOOD CITY, CA 94065
TELEPHONE . . ......: (650)592-4800
FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE
--------------- ___ _________ ___________
BENERGY A 204.0 0.00 204.00
SPERMFEE P 680.00 0.00 680.00
BPLANCHK A 578.00% 0.00 578.00
CEPS P 25.55 0.00 25.55
P NSYS P 49.98 0.00 99.98
1ICOM P 16.80 0.00 16.80
L TFEE P 35.52 0.00 35.52
MPERMITFEE P 35.52.� 0.00 35.52
PPERMITFEE P 35.52 0.00 35.52
_________ ____________ ___________
1660.89 0.00 1660.89
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
101 FOUNDATION 102 PIERS
103 UFER 104 REBAR
105 ANCHOR BOLTS 106 SEWER & WATER
202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL
204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION
301 ROUGH PLUMBING 302 TUB & OR SHOWER
303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL
305 FRAME 306 HOLDOWNS
307 INSULATION 308 SHEETROCK
309 EXTERIOR LATH 310 INTERIOR LATH
311 SCRATCH COAT 313 ROOF NAIL
501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY
503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY