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00020171 CITY OF CUPERTINO a PERMITND, BUILDING DIVISION PERMIT C©NTRA TOR II OO R+MAiTIOO NC 0bb50 II BUILDINGADDRESSc SANITARY NO. APPLICATION SUBMITTAL �O OWNER'S NAME: �SZ16 BwS�o.W - �W^�{C•IO ❑IC CONTROL# HONL, N ' ARCHITEC'PENGINEER 15� CA I II Bul- IGt!9 M1RM1' INFO U t) azw j v LICENSED CONTRACTOR'S DECLARATION - O z= 1 humble affirm But 1 am Licensed under provision or Chapter 9(commencing Job Description F oil­. with Section 1001).1'Mirism.3of the Business sued Rofwion Code.atd my homes is 11 Y 1' Licarefachis. eRcct. I 1t�I�1' u prej Liun 1'i Class I•S Lic.N - sew 1 `•l �v � 3 LL N DateConuacwr_ F•u.C g ARCHITECTS DECLARA I undentaM my plans shall be used u public meads re so 6 6 p i Licensed Plare611anI OWNER-BUILDER DECLARATION - 1 hereby affirm that 1 am exempt from Be Contractors License Law for,the _ v M following...(Soden 9031.5,Business and ProfeWcas Code:Any city sur coumy a 2 which mpuires a permit m°..M"•al.,improve,dcnsalish•or repair any sMCNR SqFt. Floor Area Valuation pnorm its i'mance,also requims theapplicwt faeuchpmm eut fl...igrmdtatc .amenr. - ys Bre he is licensed pursuant to the provisions or the Canvacmra License Law(Chapter 9 N 0OQ (C..rum WIBSmile.7D0)ofDiAlkin3noneBull.YandPrarC6lonCode)IN Bane APN Number Occupancy T at he is exempt therefrom athe basis for mm allegW en exemption.Any A.1am of P Y yPe Semon 103 L5 by any applicant for a permit subjects me applicant m s civil penalty of nor mom than foe hundred dollars fS500). ❑1.ascomer ofme,pmpenpormyemployees with as their sokomnpevionom, Re4uired Inspections will do Ne work,and the muscae is trot intended a offered for We Sal.7W.Budoeu and ProfeWom Code:The Comiaaara Lt...law does nor apply la an owmr a pro o 'mMiles thereon,W who doe,mch work himself err Buough his I. i vemenu see not intended or offered for ir f, d 'a yrende or ff,.d me 0 o r- t2irll/io Poseofcele.). V ❑I.C. f e property,am axe a d tem . concu ( ' wand Profs t - came m w Wil orimpwle. ,and hoc I yVKbre License law. ' e Mer Su. this reason Dne , � Ihert , rj ❑IheveeM willrninWva ret f m in abrone inion,es provided fur by Sutton 3900 ar Be LeWf C w rk far Which this pannit is issued. 1 hese aM will maintain Workers Compensation Incurious.as required by Seabn l efdm laboreode.for the performanceafihe work forwhicb Bir permit is issued. My Worker ossa stns canter end Policyp ,r yC-r(�p , Carrier.W Policy OM WO KERS' 1 182. I - .. CERTIICAi M OF COMPENSATION FROM WORKERS' , COMPENSATIONa INSURANCE (This mrtion need nor he comPlered ifmc permit in rorone huMred dollars(SI00). m lets.) Ittairy,hatinme any......,ewak(.which this the Workers Co.,.- union .,.- _ not employ any pemon in any manner w sur m become nubjwr to 0te Workers Compen- molicant of Cdifom' I'll, ,m _ A Applicant 1„h6�Ila^'^ . NOTICE TO APPLICANT:If,after making this Certificate,of Exemption,you should t' become ubjut to Be Workers Compensation prevision of ma Letter Core.you man forthwith comply with inch provision or this pumit shell he deemed revoked. - CONSTRUCTION LENDING AGENCY O 0 Ihereby affirm met mem i..connmNon lending agency fmdue penifi s.1' ti = the work for which this permit is issued(Sec.3099,Civ.C.) F., lander.Name C LMer's Addreu W 1 unify met 1 have rad this application and nue met the above Inrmmauon is .7. z correct.)agree to comply wit all city and county ordinances uW state laws telling to U O building cnamnsnion.and hrtbyaummim repesenmivas ofthis city to enter upon the above-mentioned property for inspection purposes. 0 E y (We)egru m ave,indemnify and kelp harmless me City of Cupertino against O V Iiabihnaii.judgrrcms,cntaand expenses which may in any,way.ccme,again,uid City �. (TI in cemsequcuc of the gmnung of this permit [� 46 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT ' U z SOURCE REGUIry�ID�NS - I,IJLea�9�73iI Signture afApplicanJComnnor Dale— HAZARDOUS MATERIALS DISCLOSURE Will the upplicwt or future Wilding aecupemnmm or haMle hammous material Re-roofs as defined by the Cuperuoo Municipal Code.Chapter 9.12.and!the Health and Safety Code,Section 25532(.), ��`���>>> Type of Roof ❑Yes MNo - Wilidmapplicant or Wilding are waipmem sur de,•ima which All roofs shall be inspected prior to any roofing material being. 't hnardous air contaminants as defined by Be Bay Area Air Quality Mvnegiminstalled. If a roof is Installed without., first obtaining an inspection ie1' I . I agree to remove all new materials for inspection. Applicant ❑Yet -wa d P PP I cc read the hanrdouamucd,s requimmenb under Chapter of mo Cali-. Un erstands and will comply with all non point source regulations. lu tomo Healm Ar Safety Cade.Sections 25505,25533 and 25534.1 understand thin if the - Wilding does nor currently how a mnanL Out it is my mrponibility to notify the occupwt of the rtquircnerru yy h m t or to uauaue of a Cenifiau f Occupumy. IIDtw4nt` �/ ao Signature of Applicant Date Owrmrore—umo�agent All roof coverings to be Class `B”or better OFFICE tJ� 0 ,t .� � IA eY <O>U1FpG LEVO - F,pGµMF55� 15216 Bu:benk BHd..5:e.102 g ----y) �, Van Nys,CA 91411-2708 'T - B187B7-0477 iFRES p cNa�77-66y7-04�15 ■ j .-m �pu im_e ca_w 1661� 9NCf. 3.2 y 51ANDARD PAN CHANNEL LETTERS �. OFFICE COPY ems.o r•s z Bala Fresh✓Gueertino CA - 20735 5t.vnns .r.ek 61Vd West EI3VaVon - \ ramw i U.L. APPROVED TYP LETTE CaCTION M1ppraN�.� I,'`F� P11 - .Fuc dns rg ear.mgmel pito Bert wuksM is PLOIVA omcd bd YSlWc GrepM1kw.hose dcogrrd fa yar �� CIIECKFD)HK p u ViD esparts.ahi6 Xab i dcsyn<4c pubywin mn pM1 .Thisef.+rtnkibrotubE duplkatcd inert"M rw:M.rt sF_punnission e uexu eepwu, DATE �7{A�Jp FIZE5q ANN Ii; DEP DATE 1 47" I ioQ�lu 4F i�.fµeaorin k'tTtt - YOUN 15216 Der nk BWd,5:e.102 Ik - VanNv,{s,Ch9141f-2704 � � 3e� 6 tl 816 787-0477 ac d1&7d7-046 T o� w,i:r- eucR 3Z•3 rr STANDARD PAN CHANNEL LETTERS ;,j, Baia Fresh/Cupertino CA -- w.> 20735 f2l= s C wek 61Vd South Elevation a " U.L. APPROVED TY F. LETTER SEC T ION Ipff m o.m mis dm"is an origivl pw a an work Xr 4 wviedgYreibb Grapnlce.Kwan deeiorcd foryeur �`e`/' _c `.a_ `I r � _ prswut ux as pvs d a pnjwb bcirg dcsgr d for \ N p,gYm7w:GnpFsa its arrorken'ta% .1�¢Buled b�a'y weyHcbwf.sFe?c'misebr �t1�Oe�Tj �a �wT�r� �f Y�e01c GrepM1ed >rT ! F 51TE PLAN 15216 Burbank 5h,,1.,5te.102 _ Van Nuys.CA 91411-2708 i 618757-0477 F2> bib 767-0415 G,{ eign iyp- `'+ ww N lien O�r..m ' 0,%y .%y .................................................... Su'e hrj-x: Baia Freah/ Cupertino, CA - 20735 Stevens Creek 61vd. A �Jgg7 neyn vo. Q npFn:.cd Ca's This drawing is an origiral piece d art work and is MOONUUMEN'I_{/-/1t��'Personal �/— �, g Personal use a5 Par.of a prcjac being dcsigrW for 1 a1 LJ v.by Vielbls Gaphics. This artwork is not to be /V dvpllcated In any way mvhout the perrnisslon of Visible Graphics. 5TEVEN5 CREEK i APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERIINO BUILDING-Ii1.liC'I'RICAL PEtl F NU. VISIPLIIAIRING-JII:L'ILWIGAL BUILDING DION APPLICATION/1"iSJ 3271 BUILDING PROJECT IDENTIFICATION BU DING ADURIffS: SANITARY NU. AP PLICATION SUBMITTAL DA] ,,,,&RS NAME: Wwl �Ilp^���I��� C(8`, (1 NAM LIC/ A LIC N;:�� '•7/ ` NIC CON'TRUE.p RCH I I'PC'I'OiNr I NEUR: LIC NO: ADDRESS ❑ lss'o �tVosr S t CON'IACI': PHorvF:: BUILDING PF,RMIT INPU ❑ Consultant Fees Pails by Applicant(Initial) NLDG ELECT PLUMB MECH 0� ❑ ❑ ❑ LICENSED CONTRd mid,,S DECLARATION QTY ELECTRIC PIiRA91'I' FEE lby 7010)mf that Iam licensedunderprovision.ofs Code.r9(commencing JOB DESCRIPTION HOZ withitISectionit elfuf Divixion3ofthe Business and lho4sxiunv Cada and myiimnse is RESIDENTIAL; AWP in fullf rcen Jeliem PERMITISSUANCE dUU Liceq, 11 LIC.M SI ❑'FOWL. ❑RE FCHI!N REMODEL yZWstsis Date - Conmaanr - APPLIANCES-RESIDENT'[Al. []ADDITION El PLUMBING RE-PIPE ARCHITF.CPS DECLARA'I'1)N PANELS ❑MUITH-UNIT ❑S'I'RUCIURAL O'L.z I u iderxomd my plans shall he used uu public mnnda pp ill'TO 2W AMPS MODIFICATION F�gH.W.1 Lccusctl l"ale sxiowl 0IIPRIOR ❑Cl HONEY REPAIR OWNER BUILDER DECLNtAI,ION 201.1000AMPS IMPROVEMENT ElSWIMMING POOLS C d 1 hereby offirn,that 1 an,exempt from the Contractor's License Law]or the OVER paid AMPS ❑BATH R17MODEUREPAIR ❑DEMOLITION ?150dU follawingreusnn.(Station]031.5.Bmini and['n,fcanions Code:Anycity or county SIGNS ELECTRICAL ❑UTHER F LL 0 y which requims a permit to common,alter,improve,demolish,or repair any smartim S� CAi prion its issuance,also requires Neapplicam formch permit to fileasigneJ statement SPECIAL CIRCUIT/MISC. � y tell that he is licensed pursmnnothepmvi.vinncoftheComruuter'sLicense law(ChapmrY X300 (commencing with Section TXp)of Division J at the Business and Professions Caic)ur TI!MI'.METER OR POLE(NST, COMMERCIAL• 66 <i that he is exempt Ihereli.m and the Transmfor the alleged exemption.Any violation of ❑NIiW BLDG/ADDITION ❑UEMOLI'TION ��� Section 7031.5 by any application a pemtitsuhjens the applicunto a civil penalty of ('OWER DEVICES F+ y oat more that Bvc hundred dnllurs($5U). []'TENANT' ❑['001)SERVICE 1 c Ithe p pony y Il yre, '0 g: heir.wic c...apervation. S WIMMING POOL F,LEC'I RIC IMPROVEMENT C wit Id tire k and Ih ,-Tru t tintended Rcred for sale(9 7U44 Bus'ass ❑011 UR .m11ressl s Cute The C,nwcmrsI lemoc Law d,wtn apply m an ownert OU'I I"BTs-SWI"'IE IXTIIBIS pmperty who haW4 or improves merum,and who it ouch work himself or 0tm ,dr his own anployccs,ph iJed that such impow,un d arc not intended er Nfered fin ' T. rule,IL however,the building orimprovemcm i.a a,ld wi0uin one year of complminn,the NHW RESIDENTTR SQ ISQ.IT.FLOOR AREA S/SQ.EU - er-builder will have the burden ofpcoing that he did nm build or improve for pur- pose of ❑1,n niche,of the property,tan exclusively,rdbw ing with licensed emarmscmrs a, TOTAL: omuun the project ISev.7044,Business and Propellant Comi'Me Canlm nc,Li- cemelawJ«s nm apply to an owner of property who builds or improves meson,and Qry.. PLUMBING 41T FEE who eootruety for such pmjeme with neo mrp)IicenveJp rm,mmlheCwtmerots License Law. A ❑ I rmexcmpt under S ,B N P C for'his rcas.. PERMIT ISSUANCE Owner ACHiR-GRAIN as VENT-WAI'I7R EPA) Uma VALUATION WOR K BIZ'S COMPENSATION DELLA R ATION BACK FLAW PROTECT'.DEVICE I hereby tddnn under penally of Initial Interl m.following daanalams: 1an,emul w111n ainmina Certitlune of Culawal k"alf-'macre for Worker's Cantpem DRAINS-FLOOR,RUE,,AREA,COND, V 1'YPI!CONSTRUCfION motion,m provided for by Scniun 37W of ..the lathCar m Costs.foe perfm orance of Lha S'1ORI['S work for which this permit is issued. ITIX'IT RES-PER TRAP / E] 11 -C-- ^ ' 1 have and will maintain Workers Compensation Insomnce,as required by Section 'V J]W of the Labor Code.forthe performance afthe work lior which this permit is issued. GAS-EA.SYSTEM-I INC. OEM LF1;S OCC.GROUP AEN My Wmkee,Compcnsmion Insurance carrier end Policy arouse,am: Carrier. Policy No.: GAS-EA.SYSTEM-OVER 4IEA) )A2�]D CERTIFICATE OF EXEMPTION FROM WORKERS' Q10354 COMPENSATION INSURANCE; GREASE/INDUSTRI,WASTE INTIiRCEPH)R , ('Iiia'reiT need net be completed ifthepemdt Is forint hundred dollars(51sit BUILDING DIVISION FEES or ca.) GREASE TRAP PLANCHECK FEE I nrtify that in the perf.nm se of the work bar which this pennitwissued,Ishall $IiWER-SANITARY-STORM I!A.21X)ITT nut mnpluy ony perxen in any man a as ,be use,u,the Workers'Camper. ENI?ROY PEI: zi moon Luws i C I'f L APPiicu it VINE ER H17APER WNENI'/iI.Ect'It GRADING IIiIi G VJ NOTI.campuInthic Wha':If,afmrnmkfnghis Geniemeuf Exemption you onnuld WAI'EiR SYSTF,M/1'kEAiING became'comp m tic Worker's Compensation provipshal of the taker Coda you must SOILS IIiU W forthwith comply with such provisions or this xhullMdccnucJ revoked. WA'I UR SERVICE aQ .7Z CONSTRUCTION LENDING AGENCI' NEW]RESIDENTIAL TWIT SQ,b. PAID V 0 Dr lrnnlhauiere isacomSclending gcn<y fur the perfomanee oT Uma Receiptp H the work For whichthisprmit is imeJ(Sec.3(Y Co.C.) Q Lender's Name IDEAL r ed I<nder'I Address t TOTAL: G I eerily that I have rad llti iapplication and qac thin me above information iv NI111.UING PIiFA D 7 V (P'/) u,rrect.l agree mcenuplywith elleityand mmnty oMinnnucv and smlelaws rc0ningm QT'y, MECHANICALPERMI'F FEE ei (�) 7 huo,inga,namd pircl,hy T i petha,ize reprcvenlulivcxol tet'citymenterupmnhe SEfNNf10 PBI! ubnvo-(We)are an save farcoundtian keephis (Wc)agree e,save,indemnify and A-tap hunnksx fico City of Cupertino nguinvl PIiNMI'P 199UANCE HI.EC'INIC Pli' liabil itia,j uJgnands.costs and expenses which may in any way aceme against said City ALIBR OR A DDI O MECH. Y .. in I...r,cncc of me gaming of this permit. MBMG PEIi APPLICANT'UNDERSTANDS AND WILL COMPLY WITH LL NON-POINT AIR HANDLING TNIT UO 10.000CFM) li BAv Z.�`�. GllakV SQUIB. tEGU1.ATIONS. - G O4) AIR HANDLING UNI'1'(OVER 1D.UXICFM) �' CONS]PIECE ION TAX nawrt of Applic Go aIle HAZARDOUS MATERIALS DISCLOSURE D EXHAUST HOOD(W/DUCT DOUSING MI"1'IGATION FEE Will the applicant or future building naupantstore or handle hazardous material HEATING UNIT(TO much as defined by the Cupertino Municipal Code,Chapter 9.12,and the Heath and Safety Cale,Section 255}2(.)1 HEATING UNIT(OVER 100.0100 ITT UE [:1 Yes ❑NoINIG VEN'I'lLAT10N PAN 0SINOLI?kiiSlDf Date Recuipte Will the Or cimm or future de Wing by[lie p urn a An Quality or devices which emit Dardrict]urluttir anmenJnunls Inc defined by the lluy Area Air Quality Munagemenl RUILI!k-COMP(311YOk IIXI,INXIIiTU) �7-S AHAL. a ❑Yes (]No BOILER-COMP(OVER 100,000 BTIB I have Wait the harerdow materialsrements under Chapter 695 of me Cali- AIR CONDE I TONER uequi p . ISSUANCE DNI 17 Wmiu Halm.@ safety Udo S«bans Z5505.25533 and 25534 1 understand hat if me NEW RESIDENTIAL MECH. SQ.IT. Witch does not currently 'mnant.that it is my tezpmsibilitym tifym occupam ofine remain x is av if;,CertiLcal i In Gawneror:mnm n,c ascot ` to 'IUrAL: lsswlu uv: �w7t 24PLAcc OFFICE f7-4° �a n zS5 p n 91-00 REC,FAf7ff r� JAN - 8 1999 2O7J5 t. y BLDG.INSPECTION DEPART n civ RED 7RIM CET FROM PA/M/NC CITY OF CUPERTINO B.OTTEGAS CUPERTINO CON/RACTOR -r 6003- c ADD 7WO NEW TMAN S GTE U WIRELESS _ :.�m ]PLANS %0 a3 NEW TENANT D Z- _ TONG KEE NOODLE HDUSE = I D iT_L Ur���L'v ii�FD i.r• nri.:� SUPERC(lTS � wY$rE SecurT ►es aAAL1r1 :i9 i'�.� NEW SASE??f/4"X f1' SCOPE • ORK ff WIM ?0735SIH�BVSLR&CBtVD --- ago TO RECONSTRUCT MONUMET SIGN amm, • a� n • • TO ADD TWO NEW CASIMTS SPACES ONE FOR CTE AND ONE FOR A NEW DESS:WMMM DATE: IAW SP[V'Td ISM REM-COAT SIGN ADD BASE 810CICS REPAW SIGN WIT#7RIM - '=T''" TO MATO#BUILDING COLOR. APPROVED fft, 1350 PREPOST STREET PAGE 1 SAN JOSE,CA 95125 (409)296.1697 FAM 296-2190 r NOW SCOPE OF • IW35AF19S=w rouxnxentavtumrWMAN NMI(A DE AMA BLVD. DEOM a arrPem are +Am • • • APFRMBf. PAGE 2 1350 PREVOST STREET SAN JOSE,CA 95125 (e0e)2WIW?FAtr 2W21W A VISTINBALUM/NUMC981NFT R t (� msnrsstsxranrnav NEW ALUMINUM CABINU E N 4 WZfrXf2'STMPLATEWELM 1' TO EXISTINBCOLUMS WITH 5/B'I46 BOLTS NEW AUIM/NUM MINET h'X f2'W STER PWTEWELVM — TO EXISTING COLUMS WITM 5/B'IA6 BOLTS EXISTING ALUMINUM C9B1N T { EXIS ltx AUL INUM CABINET WSW POLES UISTINCCOLUAW .— NEW BASE71 f/4'X f2' 1 . to ,