Loading...
99120060APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY J_F�1114 I 0110D 00 CITY OF CUPERTINO BUILDING. ELECOUCAL BUILDING DIVISION APPLICATION/PERMIT PLUMBING - MECHANICAL. - BUILDING PROJECT IDEN'T'IFICATION PERMIT NO. BUILDING ADDRESS: - 10.8T 5ycAKoru 0fu.v�r SANT ARY N(l. APPLICATION SUBMITTAL DA'Z'E _ Q �NERhrL (�O 3 ^ .YHONki cr/ w M 1I C/ VII 6 CONTRAC'1'OR:S NK�1W .1 � LIC NO. NA ,• r. NIC ❑ CONTROLN RCHITECT/ENGINEER: LIC NO: ADDRESS: C,O/NJT^'_/ eeGNE: - ') �'5s :19 0 6o1 -'-F ' 6so a� o `t6gt ❑ Consultant Fees Paid by Applicant (Initial) 6UILELECT PERMU�iNFO HLDQ MECH ID 1:1 ❑ LICENSED CONTRACTORS DECLARATIONQTY I hereby animation 1 am licensed under prevrsams of Chapter 9 (commencing with Section 700)()olTmamn 3of the Bmiuoesmid Professions Code.and any licensee in full force and effect. License Class# ' Dec.—Li,Car# EL'BQTRIC.PERMIT ".t` ,FEE t ' JOB DESCRIPTION RESIDENTIAL' [I SCOWL ❑ KITCHEN REMODEL ❑ADDITION PLUMBING RE PIPE El F1 MULTIUNIT E STRUCTURAL MODIFICATION ❑INTERIOR ❑CHIMNEY REPAIR IMPROVEMENT F]SWIMMING POOLS ElBATH REMODELMEPAIR E:1 DEMOLITION " ❑ OTHER PERM IT ISSUANCE APPLIANCES -RESIDENTIAL ARCHITECT'S DECLARATION I understand my plans shall be used as ptiblie nce it, " PANELS UP TO 200 AMPS Licensed Professional OWNERDUILDER DECLARATION I hereby affirm that I ton exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professloms Code: Any city or county which requires a permit I. construct, alley, Improve, demolish, atrophic any sweture prior tit its issuance, also requires the applicant for such permit to file a signed chairmen, that he is licensed pursuant to the providers of me Contractor's License Law (Chapter9 (commencing with Section 7000) of Di vision 3 or Business and Professions Code)or that he is exempt therefrom and the basin forthe alleged exemption. Any violation of Section 7031.5 by any.ppliwnt fore permitsubjeets the applicant tea civil penally of not -than eve hundred antlers (s50). [[)/1 er of the property, or my employees with wages ac,heir Bole compensation, will do the work and the structure is not intended proffered for sale (Sec. 704q Business and Professions Code: The Convector's License Law doe, not.a,,Iy ,o an owner of property who builds or improves thereon, and who does such work himself or through his own employee,, provided that such lmpreverm nts are not intended or offered for ecle.If, howeventhe lamfiinger improvement is sold wthin one yawi eontplalicn, the owner -builder will have the burdenof proving that he, did not build or improve forpur- P��Ff1 ncrs to ively mmc,irg wim licensed convm ®1, 1 owner of the property, a xdusw onsrucuhe project (Sec 7044 Business and Professions Cu. i The Con[rauo : L cense Law does not apply to an owner I'prnp IY wh 1,11 in impumus(border and who canteens for et project whir mmad (,)lice. d Tamm Ne Contractors License Law. ❑lam emmpt nJ r$ee. ,R&PCfn his assn ner� Ua WORKS 'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury, one of the following declarations. ❑ I have and will maintain aLeniftcnte of Consentto sell' -Insure for Wor*es's Camper- sa,ion, as provided for by Section 37W of the Labor Cade, for the performance of the work for which this permit is issued. ❑ I have and will maintain Worker's Compensation Insurance, ar required by Section 37M of the Labor Code, Tor the performance of the work for whichdos permit is issued My Workers Compensation Insurance carlcrand Policy number we: Carrier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section rood no, hecomple[ed ifthe permit is Roche hundred dollars($ 100) or less) I certify than in the performance of the work for which this permit is issued, Leball not employ any person in any manner so as to become subject to the Workers' Cumber -ENERGY ,.lion Laws of California Data Applicant 1 201-1000AMPS OVER IlN111AMPS SIGNS ELECTRICAL SPECIAL CIRCUIT/MISC. TEMP. M FI'ER OR POLE INS' I'. COMMERCIAL: ❑ ?W BLDG/ADDITION ❑ DEMOLITION ❑FOODSERVICE -11:LROYPRENT ❑ OTH — POWER DEVICESENANT SWIMMING POOL ELECTRIC OUTLETS -SWITCHES -FIXTURES NEW RESIDENTIAL ELECT R SQ Ff. Q. Ff. FLOOR AREA . $/SQ, FT. TOTAL: - . ". - 11 QTY PLUMBING: PERMIT 'FEE' f PERMIT ISSUANCE " ALTER -DRAIN & VENT -WATER (EA) VALUAHON lJ BACK FLOW PROTECT. DEVICE DRAINS- FLOOR, ROOF, AREA, GOND, STORIES , TYPE CONSTRUCTION - FIXTURES - PER TRAP GAS - EA. SYS Him- I INC. 4 OUTLETS [xC. GROUP _ O A GAS -EA. SYSTEM -OVER 4(EA) GRGASDINDUSTRLWASTE INTERCEPTOR BUILDING DIVISION FEES GREASE TRAP PLANCHECK FEE SEWER -SANITARY -STORM EA. 200 FT. FEE WATER HEATER W/VENT/ELECTR , GRADING FEE NOTICE TO APPLICANT If, after making this Cenificute of Exemp,inn, you should become subject to the Workers Compe.... inn provisions of the Labor Code, you min,( forthwith comply with such provisions or this permit shall he deemed revoked. CONSTRUCTION LENDING AGENCY I hereby aftinmhvttherale acansnudirn landing agency for the performance of the work for which this permit is msued(Sec. 3097, Civ. C) Landers Name WATER SYSTEM/TREATING - SOILS FEE ,WATER SERVICE " PAID Date Receipt - - NEW RESIDENTIAL PLMB. SQ. FT. - - TOTAL: OTAL — Lindero Addmsn ,_ ILdINC PEE _ I cunity that I have read this application aind... te dinette a have information is rest. lagreemcomply wash Jl city rmd county oN'nanua and, cote loco_, relating to building construction, and hereby authorize representatives of this'tymenmr upon the above mentioned property for inspection purposes. 6Ve) agree m save, Indemnify and keep harmless the City of Cupertino against dahilides,judgmems, colt, and expense which may in any wayawru ri'mislsaid City f egmnting of dills peri tit. IT,DS \ND P,1 OMPLY WITH ALL NO '-POINT APgC1 SOG r 1 QTY' wIBGHANICAL PERMIT' FPE a ' SMICQEC 9�: 9 ' PERMIT ISSUANCE Cfk IC NEE - ALTER ORADD TO SUCH. RING I°BE AIR HANDLING UNIT (TO lo,dgl CFM) BCHANICALFBtl^�"� AIR HANDLING UMT(OVHR 10,000 CFM) CONSTRUCTION TAX •, Sig atumofA plicaudCUmracmr ate HAZARDOUS MATERIALS DISCLOSURE Willtheapplicantorfuturebuildingoccupant store or handle hazardous mmerid as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Sidety Code. Section 25532(a), E] Yes , E] No - 7 Will the applicant or furore building occupant use equipment m devices which until hazardous air am,a ntioun as defined by the Bay Area Air Quality Management District? ❑Ycc 7 N I d, hazNu nal ial. ed her recision Chapter 695 of the Cali- build 9uf yC 9 Y n 25505 ii d25534.1understand that if the buildia ,c n,l t 1, that y pe sibaltyl 7 aecupant offs me� th prix f C�T t encs (� EXHAUST HOOD(W/DUCT} HOUSINGMITIGATION FEB - HEATING UNIT(TO 11X0,000 BTU) , HEATING UNIT (OVER 10,000 BTU) PAID' Date IieaeiptW VENTILATION PAN (SINGLERP.SID) _ BOILER - COMP (3HP OR 100,000 BTU) - TOT L: BOILER- COMP (OVER 100,010 BTU) AIR CONDITIONER ISSUANCE DATE ISSUED BY: NEW RESIDENTIAL MECIi. SQ. or autM1omed agent I Dam TOTAL: OFFICE nr, it annlieable Fee ID . Fee Description Fee Group �BPERNIFEE JBLOG PERMIT FEES JSUIL,DING BCONSTAX CONSTRUCTION TAX (BUILDING BENERGY ENERGY BUILDING BENERGYADD ENERGY ADD MULTI BUILDING BOVERTIME IINSPECTION OVERTIME BUILDING STEMPPERM ITEMPORARY BLDG PERMIT IBUILOING BNIITIGAT IHOUSING MITIGATION FEE 1BUILDING BPLANCHK WI IPLAN CHECK FEE BUILDING SPLANCKADD PLAN CHECK ADO MULTI BUILDING BPLANCKREP PLAN CHECK REPEAT FEE BUILDING BREINSPECT REINSPECTION FEE BUILDING BSCBLVO SCB SPECIFIC PLAN BUILDING BSEISMICOM SEISMIC COMMERCIAL BUILDING BSEISMICRE' SEISMIC FEE RES BUILDING BSPECIAL SPECIAL INSPECTION BUILDING, BSWIM SWIMMING POOL BUILDING ZADOCHG JAIDDRESS CHANGE BUILDING EPERMITFEE JELEC PERMIT ISSUANCE ELECTRICAL BELEC1000 ELEC 600V <=1000A ELECTRICAL BELEC1001 ELEC 600V >1000A ELECTRICAL BELEC200 ELECT SVCS 600V <=200A ELECTRICAL BNEWMULTI MULTIFAMILY RES ELECTRICAL BREMBUSWAY REMODELBUSWAYS ELECTRICAL BREMFIXT LIGHTING FIXTURES ELECTRICAL BREMMISC MISC APPARATUS ELECTRICAL BREMNRAPP REM NON -RES APPLIANCE ELECTRICAL BREMPOLE POLE/PLATFORM FIXTURE ELECTRICAL BREMPOWER POWER DEVICE/APPARATUS ELECTRICAL BREMRECEPT RCPTL, SWITCH &OUTLETS ELECTRICAL BREMRESAPP REMODEL RES APPLIANCE ELECTRICAL BREMSIGNAD RMOL SIGNS ADD BRANCH ELECTRICAL BREMSIGNS REMODEL SIGNS, MARQUEE ELECTRICAL BREMTHEATR THEATRICAL LGHTNG FIX ELECTRICAL BSF&2FAM SINGLE & 2 FAMILY ELECTRICAL BTEMP TEMPORARY POWER ELECTRICAL BTEMPSVCS TEMP DIST SVCS ELECTRICAL MPERMITFEE IMECH PERMIT ISSUANCE MECHANICAL BAPPLOTHER OTHER APPLIANCES MECHANICAL BBOILERI BOILER <= 100,000 BTU MECHANICAL BB0ILER2 BOILER >100KT0500KBTU MECHANICAL BBOILER3 BOILER >500K TO 1M BTU MECHANICAL BBOILER4 BOILER>1M TO 1.75M BTU MECHANICAL BBOILERS BOILER> 1.75M BTU MECHANICAL BREMAPPLI APPLIANCE INSTALL MECHANICAL BREMHEAT HEAT R INSTALLATION MECHANICAL BREMVENFAN IVENT FAN SINGLE DUCT MECHANICAL BMNEWMULTI INEW MULTI -FAMILY RES MECHANICAL BMNEWSF&2F I NEW SF&2F RES BLOGS MECHANICAL 1 oF2 Rav4cd 6110/99 e 9REMACOVER QAC UNIT>IGQGGCFi%I IM EC;:AN I CAL FGREMAIP•HAN JA/C UNITS <= 10.000CFM IMCCH.INIC�L BRENIFURN RELOCATION OF FURNACE INIECHANICAL BRENIFURNOV RELO FURNACE > ICK BTU INIECHANICAL BREMINH000 INSTALLATION OF HOOD JMECHANiCAL BRENIRELOCA IRELOCATION OF HOOD IMECHANICAL BREMREPALT REPAIR/ALTER HEATING MECHANICAL BREMVENSYS IVENTILATION SYSTEMS IMECHANICAL PPERMITFEE PLUMBNG PERMIT ISSUE PLUMBING BNUMULTI INEW MULIFAMILY RES 1PLUMBING BNUSFD INEW SINGLEFANIILY RES IPLUMBING SPBACKFLOW IATMOSPHERIC VACUUM IPLUM13INU BPCESSPOOL ICESSPOOL PLUMBING BPFIXTURE IPBLG FIXTURE PLUMBING BPGAS IGAS PIPING SYSTEM FEE IPLUMBING SPINTERCEP JIND WASTE INTERCEPTOR IPLUMBING BPREPIPE IREPIPE OF FIXTURES IPLUMBING SPSEWAGE ISEWAGE DISPOSAL IPLUMBING BPSEWER ISEWERS IPLUMBING BPSPRINK ILAWN SPRINKLER/BACKFLO IPLUMBING BPSTORM ISTORWRAIN WATER IPLUMBING BPTRAP I KITCHEN TRAP IPLUMBING BPVENT JALT OF DRAIN & VENT PLUMBING BPWATER JINSTALUALTER WATERPIP PLUMBING BPWHEATER WATER HEATER/VENT PLUMBING BPWSVCS IMAIN WATER SERVICE PLUMBING ZDEVAGREE I DEVELOPMENT AGREEMENT PLANNING ZDIRTM JOIR TENT MAP PLANNING ZFULLHR JFULLAPPLBASE+HR PLANNING ZFULLTM FULL APPL TENT MAP 1PLANNING ZFULLUP JFULLAPPL USE PERMIT IPLANNING ZFULLZONE IFULLAPPLZONING IPLANNING ZGPAMEND _ IGENERALPLAN AMEND IPLANNING ZLIMAMEND ILIMITED AMEND IPLANNING ZLIMTM ILIMITED TENT MAP IPLANNING ZLIMUP ILIMITEDAPPLUSEPERMI IPLANNING ZMATEMPUP, IMIN AMEND TEMP USEPERM PLANNING ZMINHILLEX IMINOR APPL HILL EXC PLANNING ZMINSIGNEX MISC SIGN EXCEPTION PLANNING ZMINTM MINOR APP TENT MAP PLANNING ZMINUP MINOR APPL USE PERMIT PLANNING ZMISCASA MISC ARCH SITE PLANNING ZMISCEXT MISC TM AND UP PLANNING ZMISCFENCE MISC FENCE EXCEPTION PLANNING ZMISCGEN MISCELLAPPLGENERAL PLANNING ZMISCPCINT MISC PC INTERPRETATION PLANNING ZSIGN SIGN PERM[ PLANNING ZTEMPSIGN TEMPORARY SIGN PLANNING ZVARIANCE DIRECTOR VARIANCE PLANNING 2 oft -Re iscd 8/ 10/99 INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO — BUILDING PERMIT INVOICE OPERATOR: karenb Sec: Twp: Rug: Sub: Blk: Lot:34257029.00 INVOICE DATE......: 12/09/1999 REFERENCE ID # ...: 99120060 SITE ADDRESS .....: 1OB39 SYCAMORE DRIVE SUBDIVISION ....... ___--_-.____ P CITY .............: CUPERTINO IMPACT AREA ....... P OWNER ............: WARD ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO, CA 95014 CONTRACTOR .......: LIC k 'OWNER - COMPANY ..........: WARD ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO, CA 95014 TELEPHONE ........: FEE DESCRIPTION CHK TOTAL FEE _______________ BREMMISC ___--_-.____ P 25.53 EPERMITFEE P 35.52 61.05 V ID DESCRIPTION . ............................ UFER ] POOL/BONDING 304 ROUGH ELECTRICAL 503 FINAL MECHANICAL ENERGY 510 FINAL PLANNING 516 FINAL BUILDING PAID -TO -DATE BALANCE DUE ____________ ----------- 0.00 25.53 0.00 35.52 0.00 61.05 VOICE ID DESCRIPTION ........ ...... 6 .............. 104 REHM 301 ROUGH PLUMBING 502 FINAL PLU14BING ENERGY 506 GAS TEST 511 FINAL POOL