99100112 APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
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TITV OIBUILDING
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BUILDING DIV SION APPLICATION/PERIIIT PLUMBING MECHANICAL
BUILDING PROJfCTIDEIIFICATION ab
BUILDINGADDR r l�
^2 � 'SANITARY NO. APPLICATION SUBMITTAL DATE
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FJS3XN AZpMCC.,1.1y1 PViZ4 CONTRACTORS
RACTORS NpAME: LIC NO:
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'ARCIBTECWENGINEER: LICNO: 85CADDRESS: ❑
PA61r-r- PEtslWstA G 71S 7
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COONGACr: /_ PHONE: Q BUILDING PERMIT INFO
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1 M�1� Myk.L•'L{.�) 6i 7.3Z5-71 ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH
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LICENSED CONTRACT'OR'S DECLARA'T'ION QTY. ELECTRIC PERMIT FEE
I hereby affirm that I ran licensed under provo,mas of Chapter 9 from ming JOB DESCRIPTION
C tYz with Sec ti 0n 70)(d IDivi{�i,a�g 3mfthc Business dPmfessionsCWd,wdr
0000 , O� se PERMrr ISSUANCE RESIDENTIAL:
CWF in full fnree:md effect. OSFDWL O KITCHEN REMODEL
ty U License Class Lic.g PPI,(A F,S-RESIDENTIAL ❑ADDITION O PLUMBING RIF PIPE
,GFA Dom Comimctor
ARCHITECTS DEC RATI ❑MULTI-UNIT [:]STRUCTURAL MODIF
FEZ IundcrsmnJ my plans shall be sued as pu is ANF.LS MODIPICA'I'ION
OZ-0 UPT0200 AMPS [I INTERIOR [I CHIMNEY REPAIR
I-Fdl"'Is1 L
blamed Professional 201-1000AMPS IMPROVEMENT C]SWIMMING POOLS
ME" OWNER-BUILDER DECLARATION
y0,U
�Q 1 hereby alRnn that 1 am exempt from the Commdnr's Limns Lmw for the OVER 1000AMPS ❑BATH REMODEI/REPAIR DEMOLITION
to 3 L U following reason.(Section 7031.5,Dusiness rind Professions Cole:Any Ilty or county gIGNS ELECTRICAL 0(HUES
F O which requires a permit to construct,alter,improve,demolish,or most,any etruclure
priormits isauoaale:dso mquims the upplicum for such pemJuo Eleu upardmooemm SPECIAL CIRCUIT/MISC.
yy y that he is lianuipuouam lotheproeinionsefthe Contmemes l.icenselaw(ChVtcr9
41JOO (commencing with Section 7000)ofDivision3 of lha Busincse mN Pml'es..to Cookie, TEMP.MMEROR POLE INS'L E - -
a y e' not he is exempt therefrom and the basis for the alleged exemption.Any violation of 'W BI. /ADDITION 0 DEMOLITION
Section 7031.5 by any applicant fern permit subjects the applianm to a civil lwnull,of POWER DEVICES
..h t mom than five hundred dollars($5110). ' El FOOD SERVICE
FZY IMP EMENT
Q 01,as owner ofthe property,or my employees with wages as their sale compensation; SWIMMINGPOOLF.LECfRIC
will Jo the work,ano
ndthe structure isnot imendedors:d
ndTered foc(See 7044.Business 00'rHER
adand Professions Cale:The Contractors License Ldoes reTI
iw ds n apply to an owner of OU .EI:S—SWITCHES—FIXTURES
properly who builds or improves thereon,and who Jces such work himself or through
his own employes,provided thal such improvements am not intended to offered for NEW RESIDENTIAL BLECTR SQ I7.
aale.if,however,the buildi ng or improvement is suld within one year of completion,the SQ.FT.17LOOR AR BA $/SQ.Fr.
owner-builder will have the burden of proving that he did not build or improve for pur- 'J
,,,,c of ole.).
01.as owner of the property,am exclusively contracting with licensed contractors to TOTAL: 3
construct the)eject ISes.71004,Bmiae,,eud pmfcasiorss Calc:)The G,mmemr's Li-
more Law does not apply to an owner of limpsay who builds or improves themon.and QTY PLUMBING PERMIT FEE
who contracts for such projects with a amtrarmr(e)lic,nud pucsoa.I,,he Cnnlrann's -
Licemc law. PERMIT ISSUANCE
❑ I am exempt under Sec. .B&P C for this meson
ALTER—DRAIN A,VENT—WATER CA) �
Owner Dom J /
WORKER'S CO 17NSATION DECLARATION BACK FLOW PROTECT.DEVICE
IberebyaRni Qlarpenall ofperj.,meofdafi;gcVvm declamtions:
I haveinl will amintaina Certi cat,of II m nr Compen- DRAINS—FLOOR,ROOF,AREA,COND.' STORIES TYPE CONSTRUCTION
� sntion, vid for b)t•Section. . Calc,for the nuance of the
r
,r whir tis permit is d FIXTURES—PER TRAP
_ 0 have an a tri ......ired by Section
37 ofth, u r , t slay MallithT.v isIssued. GAS—EA.SYS'I'L'M-I INC.4 OU'I'LEti OCC.GROUP OAI'N
Will r , s na o f I.
' yr F man
C mer: PGAS—EA.SYS'I'I?M-OVER4(EA)
ERTIFICAT E ;EXEMPTION[TOM ORKF,RS'
COM! iNSATION INSURANANCIi GRGASFJINDUS'TBL WASTE INTERCEPTOR
BUILDING DIVISION PET'S
(Thissmtion need nes be omplernd iHhc permit is Torose handed dollars(411))
or less.) GREASE TRAP I'LANCHLCK Bili
h Icertity that in the pert wnce of the work of, whi<ht yy sissueJ.Ishal SEWIiR—SANI'T'ARY—STORM P,A.2(IU IT.
not empley any person in any ,anner.a,ns m say n c. 1 't til r rker,'Compcn- ENERGY PER
Z scion taws m Calilbrniu.le to WAT17R HEATER W/VIiNT/F:LECfR
Applicant 1 1 GRADING FEE
y
NOTICE TO APPLICANT:IL after making Ibis mifiestc of Hxemption,you should WATER SYSTEM/TREATING
SOILS FEEbecome subject to the Workers Communication h
sation previsions of the Lar Code,you must
�a forthwith comply with such provisions or this permit shall be doellod mvoked. WA'TE'R SERVICE
0.
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CONSTRUCTION LENUINGAGENCY NEW RE5IUBN'i'IAL 1'LMB. SQ.17. PAID
'ZIhm
caffirmy affirm that them isnconstmdion lending agency fnrthc performance of Uam Receipt
UO the work(m,wMrhthi,permit is i.ssued(Ser.3097,Civ.C.)
w U Lenders Name 'TOTAL:
V Lcndcrs Address _ TOTAL
•�" C 1 eenify that 1 have mad is application and state ohm the above infnmmtion is BUILDING FEE
F h come[.i agree to comply with It city and county ordinances and state laws relating to QTY, - I ' MECHANIC AL PERMIT � FEE
U building construction,and her y authorize representatives of this city m enter upon the I SEISMIC FEE
athowa-mummer ed pmpeny for mication purpow s PERMIT ISSUANCE
(We)agrsave,in emnify mal ke p hemdees the City of Cal'en iso against NLBCT
ee m RIC FEE
udgmvrl mf crisis. le tell my in any wayacerveagainstemil City ALTER OR ADD'IO MECH. PLUMBING PEE
rasa ,of the gran' this
APPLI. U DE A A OMPLY WITH,LL NON-POINT AIR HANDLING UNIT(TO 10,000 CFM)
SDU S. MECHANICALIgiE
jqAIR HANDLING UNIT(OVER 10,0110 CFM) CONSTRUCI'ION'I'AX
aturc ol'Applicit'W" t for >a EXHAUST IIOOU(WNUCI} HOUSING MITIGATION FEE
HAZAR OUS MATERIALS DISCLOSURE
Will the apglicanror ere building-cupanl stare nr handle lazandous material HEAPING UNIT IT 0104000 BTU)
as defined by the Copcnia Municipal Code,Cheptcr 9.12,and the Health and Safety
Cute.Section 25532(.)^ HEAPING UNIT(OVER 100.000 B'I'U)
C]Yes C]No PAID
VEN'I'[LA'I'ION PAN(SINGLE RESID) Dae Raci
Will the applicant or future bu filing occurred use Nederland or devices which
"it thiamine, it c..A fined by the Bay Are Air Quality Manugemn,l BOII.FR—COMP(3HPOR I00,000BTU) T
�(,Iicfl❑Yes 0 N _ BOILER—COMP(OVER 100,1001ITE Ill
ale I htiondomma ria ars under Chapter G.9 eCuli- AIR CONDI'TIONIiN ISSUANCE DATE
—
in a Health y Cole, It 505 5533 IF erstand t of the NEW RESIDENTIAL MECH. SQ.19'.
nldingdoms o I m Its sihifityu.nolif no pans
fthemyof . Certilicat
umhud doge t Date TOTAL: I ISSUED BY: �•��
OFFICE Y-
)AN-1) 00 18:84 FROM-HARLAN TAIT ASSOCIATES +4182888881 T-808 P.02/03 F-677
Harlan
Eno TA Tait
Associates
• ConauhNyEnpMes/sandeaodoyfda
December 23, 1999
Project No. 850.370
Mr. Steven Ackley
Pacific Peninsula Group ,.
718 Oak Grove Avenue
Menlo Park, CA 94025
SUBJECT: CONSTRUCTION OBSERVATION—PROGRESS REPORT
MEIN RESIDENCE— 10978 Sycamore Drive, Cupertino, California
REFERENCES: Harlan Taft Associates, Geotechnlcal Recommendations Report, dated
September 14, 1998, and Plan Review Letter, dated December 15,
1999, Main Residence, Sycamore Drive, (Unit 5, Lot 25, Oak Valley)
Cupertino, California.
Dear Mr.Ackley:
This letter presents the results of our observation of foundation excavations for the residence
being constructed at the subject site. Geotechnical recommendations for the residence were
• provided In the above-referenced letter report,
On December 21, 1999, we observed the footing excavations for residence Including the
basement. Based on our observations, the footings are founded in competent native soils
capable of supporting the recommended allowable bearing capacities and at the
recommended depth. We recommend that the bottoms and sides of the footing excavations be
watered as necessary until concrete placement to maintain the moisture content in the soils.
We should observe placement of the basement wall backdiain. Slab subgrade preparation
and gravel placement should conform to the recommendations In our report.
Please call If you have any questions.
Very truly yours, � o fESSIO,
Harlan it Associates
o
QQQYYY a5o
David . Connell 12/31/01 s}
Geotechnical Engineer 230
Expires 12/31/01 4lfOFCAI�F�Q
Cc: Pacific Peninsula Arch, ATTN: Paul McLellan, BY FAX(1-850-323-0825) and Mail
Robelo and Associates, BY FAX(1.850-385-7923) and Mail
• Pacific Peninsula Group, ATTN: Bill Tindall, BY FAX(1-850-947-0774)
F:wroJectsNI 01150.370.101 (revlmd,new addmu) .
1150PawSrmKSUiw288 • SanflenasmCA94109 • 7@1415288-8880 • Fax41528&9881 . ameAAta&a.c6..can