Loading...
20332APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY Building Project Identification Build log Address: PERMIT NO. 0 332 10100 Torre Ave. Unit 132 M1 ne • ante: one: A Town Center Properties CITY OF CUPERTINO-BUILDING DIVISION APPLICATION / PERMIT 5/10/90 Contractor's Name: Lk. Nm 738-4444 BUR.DINGELECTRICAI PLUMBINGMECHANICAL CATEGORY CONTROL If Architect/Engineer. Llc No: QIY ELECTRIC PERMIT FEE BUILDING PERMIT INFO Address: � © � I PERMITISSUANCE 1 LICENSED CONTRACTOR'S DECLARATION Ia by p pt ( I hem dfimnthatl imsimsoftheB provisions Cha erg sand Ingweh oflhe BuslnessandProfesslonaCode,and APPLIANCESRE5IDENTfAL J00 DESCRIPTION license I.In full force and dfM. inforce and dfixa. PANELS V V D VV Lkxmae Class Lica Data Contract. UP TO 2DO AMPS, RCB 701-1000 AMTS ARCHITECT'S DECLARATION I understand my place shall be used. publle mcmdw IOVFRIODOAMPS SQ. FT. FLOOR AREA S/SQ.FT. SIGNS ELECTRICAL Licensed P.fessinml OWNER -BUILDER DECLARATION I hembyaffirm that I am exempt fromthe Contractor's License law for the SPECIALCR(CUIT/MISC 995 74.92 TAMC METER OR POLE INSr. following reason. (Sectf.n70315, Business and Profenlons Code: Any city or countywhkhrequtmaper ttommtmd,alter.lmpmve,demelbh,ormpalr ' anystruclum prlorto its ansance,also requlrestbe applicant forsuch permit to ilk • signed statement that he as licensed pursuant m the prow,une of the Contractors License Law (Chat pter 9 (commencing with Section 7000) of Divi- sion3 of thellusineu and ProfessiomCode) orthat he Is exempttheretromand the basin for the alleged exemption. Any, violation of Section 7011S ley any appliant fora permit subjects the applicant to a civil penalty of mre not othan POWER DEVICES SWIMMING POOL ELECTRIC OUTLET'SSWITOITFSF77TIURES , VALUATION $74,545.00 NEW RESIDF LTIAL ELECTA SQ� '' it6undred dollars (5500). I, as owner of the property, or my employees with wages as their sole STORIES TYPE CONSTRUCTION rompematim,wfildotMe rkandthemuctureb=Wended or offered for .le (Sec 7046, Business and Prefesslem Code: The Contractors License Law V -N does not apply to an owner of property who builds or improves thereon, and who doessuch work himself orthrough his own employees, provided that such OCC.GROUP RES. UNITS impmvemerds2mmtlntendWorofferedfmule. If,howevegthebulldingoc ImprovementbsoldwithinoneyearofcompldloM1the owner-bullderwill have TOTAL: .., R-3 t4LkurdenofpmvingthAhedld net build or Improve for purpose ofeals.). LI 1, se owner of the property, am. 7044, exclusively contracting with IIce.M to construct the project (Sec. Business and Professions Code: Q7y; " '!`:PLUMBINGYERMIT' FEE FLOOD ZONE APN PERMIT ISSUANCE 12 The Conon The Contractor's esLicCher Law aces not apply tom owner of property who apply Wilds or Improves thereon, and who mnlnCs for seeL ptojects with a to the Contractor's License Law. cgB(]I am a erupt under LII em exempt antler Sec. B & P C for this maven ALTER -DRAW & VENT- WATER (EA) FEE SUMMARY BACK FLOW PROTECT. DEVICE OUTSIDE FEES DRAINS FLOOR ROOF, AREA, CONI. SANITARY RECEfPr P Owner Data WORKMAN COMPENSATION DECLARATION' [:)I here MIO by affirm that I have a certificate of consent to self -Insure, ora certlfiate of Workem CompemaHonlnsunnce me certified copy thermf(Sec. 3800, Lab C.) FIXTURES PER TRAP SCHOOL TAX Y_ N_ RECEIPT If GAS F.A. SYSTEM -i INC.41 OUTLETS PARK FEE Y ' N RECEPT I Policy M COF.A.STEM-OVER 6 (EA) BUILDING DIVISION FEES I I C<atitled mpybhereby furnished. Certified copy is filed with the city Inspection division. GREASE/INDUSIRL WASTE INTERCEPTOR PLANC14ECKFEE GREASE TRAP CERTIFICATE OF EXEM PTION FROM WORK ERS' PAID COMPENSATION INSURANCE RNs acetlon need not be completed B the permit ta for one hundred dollars SEWER -SANITARY -STORM EA 2057 Date Recti t# WATER HEATER W/VENT/ELECIR ENERGY FEE Y— N_ (9100)or leu.) I certify that N the performance of thewmk for which this permit Is tamed, WATER SYSTEM/TREATING label] not employ any person In any manner so as to became subject to the Workers Compensation Laws of California. Date PAID Applicant NOTTCETO APPLICANT: If, after making this Certificate of Exemption, you should become sub)ect to the Wmien'CompemaRan Frontal.. of the Labor NEW RESIDENTIAL PCMB. SOFT. Dale Revel t# TOTAL: BUILDING FEE Code, you must forthwith comply with such provblons orthis permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY SEISMIC FEE 5.25 Ihembyatfirm that them ta a construction lending agency for the perform- ce of the work for which this permit b Issued (Sec. 3097, Civ. C.) Larder. his Lender.Address I certitylhatl have read thisapplicatlonard datethattheabove Information tamrrect. l agree to comply with all cityand county ordinances and state laws TOTAL. ELECTRIC FEE 36.88 PLUMBING FEE 36.88 - Q'IY. r, MECHANICAC.PERMIT - FEE MECHANICAL FEE PERMIT ISSUANCE 12 FEES PAID: relating to building comtmction, and hereby authorize repmaentitive, of this city to enter upon the above-mentloned property for inspection purposes. (We) agree to save, Indemenly an d keep harmless the City of Cu pertin. against liabilities, judgments, mates ed cap... which may in any way scarce ALTERORADDTOMECH. Date Receipt# AIR HANDLING UNIT (TO 10,ODO CFM) SUBTOTAL: agalmt r In ro ce i onh grafi g a(tble permitut. Signature of Applicant/ Contractor `/� D-7 %/� AIR HANDLING UNIT (OVER I0,000CFM) CONSTRUCTION TAX EKHAUSTHOOD(W/DUCT) CONSTRUCTION TAX PAID: HAZAR DOUS MATE SDI SCLOSURE HEATING UNIT (TO 100,ODO BTU) Date Recel t# Will the applicant or foram building occupant store or hand le hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12 and the Health and Safety Code Section 25S32(a)7 n Yo u No HEATING UNIT (OVER 100,000 BTU) TOTAL:Za VENTILATION FAN (SINGLE RESID) 1$$U�j[c10ErP TE PAIP 1 YAID Nre building acmpandcarby the BayequipmentArea device illthe hazardous which emitbaement air contaminants.. defined by the Bay Area Air Quality Management District? 1� Yea9 No ave read the bazar ossa materials requlrcments under Chapter 6.95 of BOR.ER-COMP DIi)aDR 100,000 BTU) BO100,000-COMP(OVER 100,BTU) I the Cali(omla Health&Safety Codn,Sediom25505,25533and2S534.I undmtand that if the building don nm currently haveatenanLthulttamy I,� ;.) NEW RESIDENTIAL MEIN. SQFr. responsibility to notify the occupant of the requirements which mart be met prior to Issuance of a Cerlitiate of Occupa racy. airy of ran .Derl{ - 18D ISSUEDBY: d Ownerorautborterd agent Data - TOTAL: OFFICE COPY '