03110148 17
CITY OF CUPERTINO +� s,W w "'
BUILDING DIVISION PERMIT CONTRACTOR INTOBMA'�IIY ,.: ...
BUILDING ADDRESS:
PERMIT`003110148
OWNER'S NAME: PERMIT ISSUE DATE
NINSULA BEAUTY 11/25/2003
NE: SANITARY NO. CONTROL NO.
ARCHITEC(ENGINEER: BUILDING PERMIT INFO
BLDG BLECr PLUMB MECH
i 0 LICENSED CONTRACTOR'S DECLARATION 7O6 De5CflptlO❑
nc
I hereby affirm that I am licensed under provisions of Chapter 9(commencing
with Stiop 7Q�J7of Division 3 of the Busin rad Pmfcssiov Code,end my license is
in full mmdcrcem.�yS 7bslulo SIGN ( �
n z- Dead..Cl a Lic.k
Dale COeM�PUn CONTRACTOR: CALIFORNIA NEON
Ig- RITECTS'DECLARATION
C a �.Mn n 1 aft W used as public records
5yU
SoG Licensed Pro own
g 6 - U rept from
DECLARATION
C Mf 1 hereby.(Siem that 1 1 exempt tram the Contractor's Co License Law for the
O following rens a (Section]031.5.Business and Professions Code:Any city or county
S$ which requires issuance,permit re quires t e alter,improve,demolish,lir repair any structure
iy pat he ii a amedpursuant to the lhovisio of for thewchpermit torile icense Law
(Chapstateter
cm
hathelicensed pursuant the of Diviovof the Contractor'snd Proclaw(Chopter9 Sq.Ft.Floor Area Valuat�r9000
�th (cat he Is
(commencing Section7")and
pivision3 oft e B alleged
exempton,An vi Code)tion of
R that he la exempt therefrom and Ne basis for Ne allcgctl exemption.Any violation of
Scott..7031.5 by a by appliemt far a permit athicda the appicant to a civil penalty of APN Number Occupancy Type
net mere than five hundred dmlars(s500). 35908018 . 00
❑Loss owner of the property,or my employees with wages u their sole compensation,
will do the work,and the swctum is not intended or offered for sale(Sec.]O14,Business Required Inspections
and Professions Code:The Cameroon'License Law docs not apply to an owner of e q P
property who builds or impasses,Occur,and who does such work himself ar through his -
• own employees,provided that such improvements arc tended or offered"orale.If,not in �2
however,Ne building or improvement is sold within one year of completion.the owner- „
builder will have the burden of proving that he did not Wild or improve for purpose of
OIC.).
❑1.as owner of Ne pmpcny,am exclusively contracting with licensed convectors to V/D 1
conauun the preject(Sec.7044,Business and Professions Code:)The Contractors Li. �w
cove Law does not pply to an owner of property who builds of improves thereon,and.
who contracts for such projects with a contractor(a)licensed pursuant m the Control I♦a��/ C-/
eve Law. T
arm....N.under Sec. ,B&P C for this recon
Owner Data ` �Iv
WORKER'S COMPENSATION DECLARATION ate/ p
Ihereby affirm under penalty of Perjury one of the following declarations:
I have and will maintain a Cerificom of Consent m self-insure for Wmear's Construct-
Wind,u provided for by Section 37W of the Labor Code,for the performance of the
work for which Nis Permit is issued. /� T
❑I have and will maintain Workers Compensation Insurance,O required by Section __*;o.O /
3700 of the Labor Code,for the performance of the work for which this perm it is Issued. Vw-•
My Worker's Compensation Insurance carrier and Policy number are: 1.y�
Cartier. Policy No.:.. 4
CERTIFICATE OF EXEMPTION FROM WORKERS' a�
COMPENSATION INSURANCE C�
(This section need nm W completed if the permll is foram hundred dollars($10(y
or less.)
1 certify that in the ,f once
of the ark Iqr which this permit is issued,I shall not
employ any pcngn Eyre ancr��, phcc sEjecua the Worleaf ompcnsa0m
Ll1wa yyf Ca' rhi g LS -
A yRem _
N CE APPLICANTe no king IMc Cei111I5lc of Excmpotn,ynu should
become lobjcct m the Worl. Olian provisions of Ne Lvhnr Cnde,you must
,`l.. forthwith comply with such provisions or this permit shall be deemed revoked.
Z O CONSTRUCTION LENDING AGENCY
j—t�••� I herehy affirm that there is a construction lending agency for the performance of
Y,> the.,k for which this permit is issued(See.3097,Civ.C.)
W Q Under's Name
z Lenders Address
U Q 1 certify Nat 1 have mad this application and sate Nu the above information is
D4 F caned 1 agree to comply with all city and county ordinances and Rule laws relating to
p U showmngconswcltomantl hereby amhorimrepesemetivca of this city to enter upon On
W shove- cnlianed property for inspection pugtescs.
p, (We)egme to save,indemnify and keep harmless the City of Cupertino geiw
y liabilities,judgments,costs and expenses which may In any way accrue against sud City
U in consequence of the granting of this Permit.
^' A'PPL)C� ,eRSTANp pND WILL COMPLY WITH Ai ON-POINT Issued by: Date
S�cn]JX1�CB�/ul( E U/' 6F1
t FZS'oS Re-roofs
Stgvlurcof ApplicanVCe a o — Dam
HAI US M�IAL DISCLOSUR Type of Roof
Will the applicant e,f.d vilding Occupant store or handle humrdous material
as relined by the C.xmi no Municipal Code,Chapter 9.12. ad the Health and Safety
Code,Section 25532(.)?
❑rna -AN. All roofs shall be inspected prior to any roofing material being Installed.
Will the applicant or future building occupant on equipment or device:which If a roof is installed without first obtaining an inspection,I agree to remove
,It humorous ter contaminants as defined by the Bay Area Air Quality Management all new materials for inspection.
Disgin?
❑Yes 41.
I have read the hara dens materials requirements under Chapter 6.95 of Ne Califon
nice HoalO&S.fcty Cotic,Scctiov 25505,25533 and 25539.1 understand Our fthc huilding
doesnot cu h Nal it is my amramaihry m ilinod l'y the occupant of the
require pR�. nich n priormiagaaneeef.cemacateofaeapaney. Signature of Applicant Date
1�'(7
2 roraut5miadlg Date All roof coverings to be Class"B"or better
CITY OF CUPERTINO
SIGN a 5
• CUPERTINO PERMIT APPLICATION FORM
APN# � v Date:
Building Address:
�?-Q(04 b +4.
Owner's Name: 74e#:
1,02 SIJV�2tsTrl/J l nt.KnS.�1A. f3e�-�1.,�
Contractor: License#:
-7 ss-( to
Contact: C o a q S�A 74-L Phone#: 1 o-z 4 9>0 2 4&4-
Applicant/Contractor: 4-Applicant/Contractor:
Building Permit Info:
Bldg Elect Plumb Mech
Job Description:
Residential: Commercial: 5 I `�n I N S'7 M1 R-rIo
Sq.Ft. Floor Area: $/Sq.Ft.:
Architect/Engineer: Valuation:
Type of Construction: 5 Occupancy oup:(�
Qt .f 1 /j
A i ble Fee ID Fee Description Fee Group
BENERGY Energy BUILIDNG
BPERMFEE Bldg Permit Fees BUILIDNG
BPLANCHK Plan Check Fee BUILIDNG
BSEISMICOM Seismic Commercial BUILIDNG
EPERMITFEE Elect Permit Issuance ELECTRICAL
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Rmdl Signs, Marquee ELECTRICAL
BUSLIC Business License BUILIDNG
1p
z 3 2-b
� zq
02/09/2004 12: 23 6508754003 THEROSCOPE PAGE 01/03
THERMOSCOPE, INC.
• 170 South Spruce Avenue, Suite 1 10
So. San Francisco, CA 94080
(650) 952-3290
�.2� _ Fax (650) 875-4003
�S
FAX COVER SHEET
DATE: 2/9/04
PAGES INCLUDING THIS COVER SHEET: 3
FAX NUMBER: 925-798-9250
ATTENTION:
OOMPANY: Simonsen Air Conditioning&Heating Co.
SUBJECT: Peninsula Beauty &0
Air Balance Report
MESSAGE:
Sincerely,
OM: Tris Garcia
02/09/2004 12:23 6508754003 THEROSCOPE PAGE 02/03
•
TEST - ADJUST - BALANCE REPORT
DATE: 1/31/2004
PROJECT: Peninsula Beauty
ADDRESS: Cupertino, California
ARCHITECT: Kahn Design Associates
• ADDRESS: Berkeley, California
ENGINEER:
ADDRESS:
MECHANICAL
CONTRACTOR: Simonsen Air Conditionin 6 ac
ADDRESS: Pacheco, California
SUBMITTED BY THERMOSCOPE ENERGY ENGINEERING CO., INC.
170 SOUTH SPRUCE AVENUE, SUITE 110
SOUTH SAN FRANCISCO, CA 94080-4519
PHONE: (650) 952.3290
FAX: (650) 875-4003
02/09/2004 12:23 6508754003 THEROSCOPE PAGE 03/03
' THERMOSCOPE ENERGY ENGINEERING CO., INC. AIR OUTLET
TEST REPORT
PROJECT: Peninsula Beauty
SYSTEM: Existing Supply
• OUTLET MFR:
TEST APPARATUS: Alnor Flow Hood
AREA BOX OR OUTLET DESIGN FINAL
SERVED RH COIL NO TYPE SIZE AK VEL CFM VEL _CFM REMARKS
Main Store 7 1/2 ton 1 CSD 24 x 24 * DNL * 550
Main Store 7 1/2 ton 2 CSD 24 x 24 ' " DNL * 540
Main Store 7 1/2 ton 3 C$D 24 x 24 * DNL 1510
Main Store 7 1/2 ton 4 CSD 24 x 24 " * DNL " 470
Main Store 7 1/2 ton 5 CSD 24 x 24 DNL " 465 _
Total 2535
Haircut 3 ton1 CSD 24 x 24 200 " 190
Haircut 3 ton 2 CSD 24 x 24 " * _ _ 200 200
Nails 3 ton 3 CSD 24 x 24 * " 100 100
Office 3 ton 4 CSD 24 x 24 150 * 160
Store Rm_ 3.ton 5 CSD 24 x 24 150 150
alrwas 3 ton 6 CSD 24 x 24 * 200 210
--
_ ._.
Sink----. !_to
7 CSD 24 x 24 * 100 110
Tota 1 1100 1120
REMARKS: *= FLOWHOOD READS IN DIRECT CFM
TEST DATE: 1/33/04 READINGS eY: Steve Garcia
Form:AOTR.1
•
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FACES : PINK —"own TME rxrar
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a sRecifcations MUST
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permission from FACE LIT S HALO LIT
ow. Cory of Cuoeriin0.
�My this plan and specification
Aid to Permit or to be 61,
ldabtion of any Droy ono
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`e law.
P�UllBm&tiara J B# NEW SIGNS
otts • • DATE Qadmaw�
ADDRESS — � '
REVISION
CROSSROADS CENTER LondbrdApprovol F! ARYSMITN 707-544-0140
D°fe�
CUPERTINO FAX 644-2516 LICENSE# 450869
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2, VACANT7. McWHORTER&YOUNG 12. DRESS BARN 18. MOULIN ROUGE COFFEE 24. PIZZA HUT
3. FAMILY HEALTH CENTER 7. POST OFFICE EXPRESS 13.PENINSULA BEAUTY 19. LORAL WIGS 25. WHOLE FOODS MART
4. STARBUCICSCOFFEE CO. 8 GOLDEN PRO GOLF 14.VACANT 20. THE HAIRCUT 26. FONTANNAS ITALIAN
4. NOAH'S BAGELS
5. VACANT 9,
HONG FU CHINESE CUISINE 15.THE UPS STORE 21. FOOTWEAR ECT.
10.AARON BROTHERS ART MART 16. LU'S WEDDING PHOTO 22. MERVYN'S
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