30059APPLICANT TO FILL IN INFORMATION WITHIN RED LINES- USE BALL POS PEN QNLL
CITY OF.CUPERTINO �HUILDING 'LFCTRI
.. PERMIl NO '
BUILDING DIVISION ' APPLICATION/PF,RMI'I 1t PLUMRIN -MECHANICAL
30059
III111.DINf. 1'NOIECT IDEN'I'IF'ICAI'ION
'' '
BUILDINGADDRESS:I ,., . ..,
,/ SANITARY NO.
APPLICATIONSUHMITIALDATE
®_9Ir
WNE AME: I'I
CON" CTOR'. NAME: LIC NO: '
❑
CONTRDLp
��'
J
1 CHITECT/EN I ERt .ICN(l:
AIIDIi -
CONTACE,-PHONI?:•
r^��/� WC4S�Z�
BUILDING PERMIT INFO
BLDG •'ELECT PLUMB MCH
Consultant Pees Pei by Applicant (initial)
u
❑ ' ❑ ❑ ❑
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencingf
QTY. ELECTRIC PERMIT FF:E
JOB DESCRIPTION
with Sectior70)(1pof Division 3of the Husinuss and Professions Cade, and any licemeis
ia full farce and effect
-ioanseC Licp ,'S 6
Dam Contactor G"
RESIDENTIAL: -
'C SFDWL ❑ KITCHEN REMODI?I.
❑ADDITION -❑ PLUMBING RF_PIPE'
El MULTI -UNIT [:]STRUCTURAL
,.MODIFICATION
., q.'
PERMIT ISSUANCE
-
'APPLIANCES-ItBS1UCN1'IAL
PANELS � �
ARCEIfTECTSDECIARATION
I understand ."arm man Named as public fccards
'
,-•
IIP TO 2W AMPS
❑INTERIOR El CHIMNEY REPAIR
IMPROVEMENT:
❑BATHREM F. 'PAIR CDM ITION
r0
Ell
J k Sr }i /rOo.W
Licensed Pmfcssional, -
OWNER- BUILDER DECLARATION
1 hereby affirm Nm I em excmpi from the Commaors License Law far the
following obar m (Seq?an 7031.5, Rusicrossroad Profusions Code: Any city or county
which factures a permit hs mmmust, tiler,improve, demolish, fir repair any immune
201-1000AMPS r
OVER I000AMPS
SIGNS ELECTRICAL
_
SPECI AL CI RCUIT/MISC
-
prioto its issuance, also requires theuppllcunt ba such perla 0k axigned statement
thin he is licensed pursuant to the provisions of the Contractors License Law (Cartier 9
I HM 1'. ME'I EkOR POLE INST.
COMMERCIAL -
(amimencing with Sectlon]01X0of DoNian 3 althe Basinensand Professions Code) or
that he is exempt therefrom anJ the basis for the s11egN exemption. Any violation of
❑NEWBLDG/ADDITION' El DEMOLITION
- POWER DEVICES •
Section 7031.5 byany applicant fora pcnnitsNjeas the applicant ran civil Inn:dtyof
not more than five hundred dollars ($500).
as owner of the property, nr my empinycex wills wage., ns their sole canpensmion,
will do the work, and the nrvcmre is not intanded m offend for sok (Sec. 7044, Business
❑TENANT, - ❑ FOOD SERVICE
IMPROVEMENTI,
❑ 0 FHER
SWIM MING POOL ELECTRIC
.it professions Code: 'I'ba Contractor's Liceme Law does not apply to na owner of
(HOL S-SWITCHE -FIXTURE.
Property who builds or improves thereon, and who does such work himulf ur through
his own employer, pim lded Thal such im,mvememe arc not intended or opened for
NEW RESIDENTIAL HLECTR SQ FT
sok. If, huwevegthehuildingofImprovement i.ssold withinoneycarmle r litimthe
SQ. FT, FLOOR AREA
$/SQ. FT.
owner-huildef will have the burden of proving that he did not build or hnprove for par-
❑ L in owner of the property, am exclusively contracting with licensnl m
TOTA
'
malors
ccompactthe prssject (Sec ]044, Businessroll Pmfensim aCode:) The Counvenors Li-
u re law docs not apply m m rsom,raf property who builds or impriwm Nerean, cad
whocommms for such propirs with a conameturs) licensed pursuant to the Contractor's
Q]Y. PLUMBING PERMrl' FF.E
-
JUN 1 8,1996
••
' PERMIT ISSUANCE
Lianselaw. "
❑ lam exempt under Sac. ,11&P C for this romon
'
ALTER - DRAIN & VENT -WATER (HG
Owner Date
Wf�1.Vf VVI-L^VALHATIGN
WORKER'S COMPENSATION DECLARATION -
BACK FLOW PROTECT DEVICE/
1 hereby affirm under pcont, of,a jury one of the following dedm parr,
10
b O
-
DRAINS- TL60R, ROOF, AREA, COND.
I have and will ma ansina Cenificataof C.marbloself-insure Ln Workers Compen.
sutinn, ns provided far by Section J]f0 uI the LaM1or Carm
lc, for the Perfoance of the.
SIYI 1E5 ,.
TYPI? CONSTIIUCTION
FIXTURES -PIR TRAP
work for which this parol is issued. ''
❑ 1 have and will mainmin Winker, Compemmion Inammrcca, as squired by Section
370Oofthe labor Code, furthe performance of the work far which this permit is issued.
My at a, mail lb,, } arnc it PoNy atm
Carrico l ?�A' T/. �flicy Nu: 'n
CAS-EA.SYSTEM-I INC.40UT1,1 TS
OCCGRIIl1P
AIN
GAS -EA. SYSTEM -OVER 4H'A)
C TI.I�CAT�OF HXFMPTION FROM O ER.
1 !; COMPENSATION INSURANCE
' ('This'mction nceA not he coniplcteJ if Oc permit is 0tonehundroddollnalSl W1:
or Icss.) • .
GREASEINDU5'TRL WASTE INTERCEPTOR
BUILDING DIVISION FEES
CREASEI$AP
PLANCHECK FEE. -
SEWER -SANITARY -STORM EA. 20 P1'.
Ieanil'ynat inthe performance of the work fnf which Nis permit is issned,I shall
not employ any person in any manner so as to become subject to the Worken: Camper-
- -
ENERGY FET?
WATER 11f�T1i12 WIVEM'/ELIiCfR
,alio. Looser Cal Homiu. Date
Applicant - -
GRADING FEE
NOTICE TO APPLICANT: If, after making this Certificate of Bxemptim, you should
become subject to the Worker's Compensation provisions of the Labor Code, you must
WATER SYSTHMRRI?ATING '
SONS FEE '
forthwith comply wdhsuch provisions or Nis permit shall be dcemeslrevoked
WATER SERVICE.
CONSTRUCTION LENDING AGENCY I
,I M1amhy a111rm that then is acomtN.tinn lending ugan<y far Neperfmmorecof
PAID
- .Dom -Y Receipt It
NEWRESIDF,NI'IALPLMB. SQ. FI'. -
the work for which Ods permii is issued (Sac. R19J, Civ. C.)
Lenders Name
TOTAL:
Lenders Address
- -TOTAL:
I certify that 1 have read this application and state that the ab:we nullification is
-
, Iy
BUILDING FHT? W
h�sect. I agree to comply with an city and county' ordinances and sate laws renting of
ilding conxtrvctinn, nnA hereby authoriec representxtivax of Thi., city T. enmr upon the
'QTY MECHANICALPrIMIT 'FEE
SEISMIC FEE C
above-mentioned property for impenion imposas.
(We) ugreo w save, indemnify and keep harmless the City of Cupartim against
PERMIT ISSUANCE d
- "
ELECTRIC THE • .
ALTER OR ADO TO MECH.
Iiabilitiesjudgmems, cnnsand expenses which may in any way accme against said City
In exaw,ti nee of the Granting M Nis permit.
PLUMBING THE
AIR HANDLING UNIT GO 1(,(1(1(1 CFM)
MECHANICAL THE
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
SOURCE REGULATIONS r s
AIR HANDLING UNIT (OVER 10d" CEM)
CONSTRUCTIONTAX
-
Signutureof ApplicanUCoutmcmr - ) Data -
HAZAkIlOUS MATERIALS DISCLOSURE
EXHAUS'
HOUSIEHOOD(W/DUCT) 'NG FIRIGATION FET;
HEATING UNI'1'(TO I W,(Xp HTU7
Willy tuw
hHcallous material
r 9.12,fand the
ode. Chapter
m difinedSec by Cupertino Municipal Cmule, Chapter 9.12, and the f{uahh and Safety
the Clicertino Municipal
25
Code, Section 255J2(a)'! s
HEATING ON] ]'(OVER 1IX1,00 BTU)
-
. ❑Yes No
Will the applicant a, future building occupant use equipment rr devices hch
emit halaboultar, if emampiriant, 9 defined by the Bay Area A Quality Management`
Disci L- -
'0•Yca il,- ,:❑Nu ,.
PAID
(late Receipt p
VENTILATIONMN(SINGLE BESIDE
I I
BOILER -COMP (RHP OR I it BTU) ..
70TA1.:'
BOILER-COMPIOVER 100.1X10 BTU)
,
AIN CONDITIONER
I have read the haram
nlou, merialxreqrc6
uimem,tinder Chaper 95 muni Cali-
ISSUANCE DATV
NEW RESIDENTIAL MIiCH. SQ. PI'.
ford. Ii1.I1 ffi SafeD Cede, Sections 25505. M533 and 25534. I understand that if the
built m" notcurmollyhav• ......I my rearymslbility to nmify the <x
Isco' must no onnceofe Ceni vmofcaw
•��
ISSUF.0 BY: �Gj
art authnfi Grind
TOTAL:
Ill,. .IF 11a OFFICE s ��
0
ROOF FRAMING DETAILS
FOR SLOPE LESS THAN 3:12 SUPPORTING
MEMBERS SHALL BE DESIGNED AS BEAMS
L1
A
MIRE FOR OPEN BEAM OR SLOPED CIILrXM
THE RIDGE BEAM MUST BEA DESIGNED
MBABEA N ORDER THAT HORRONM
FORCES ARE REDUCED.
ader joists exceeding B feet
•
b. fm
H
ROOF FRAMINa WrrH CEILINd JOIST$ PARALLEL,
TORAFTERIS
'N�AAFTFAiIEtAr4pOffd ON
ac�Nu A4PK crrxroneTnr
+purrs
ROOFFRAMINGWIIT}�JOLTM Is n
U M ^ VEDD PARALLEL 70 RAFT
BLDG, INSF
CITY
Tall Joists exceeding 12 feet
RAFTER BEARING
•
L*.ae.«Wq wW or
Swow"
DOW"
Tail i
Mao then 4'
WW04w-VAN «
Header s//pan exceeds 4 feet
�o�A►
.-
oou
:AwowC *N M�sr�f OOrWb Aoodsl\
der, Joists exceeding 6 feet
Opp- a I km syaMsr
Tail Joists ex
Top foist �� Z
IL
S"V em
8 19.
e
49�d'inpc 12 fe
Cln OFc,NOFPA,
AROUNDFRAMING 11
SOC. 2517W)4