03050077CITY OF CUPERTINOpIRT
11R
0 NTRa`
BUILDING DIVISION
ah. •tr.
BUILDINGADDRFSS:
CUPERTINO ELECTRIC INC
PERMITNO.03050077
1933
R'SNAME:
1,132 NORTH 7TH ST
PERMITIRSUEDA'j$ 6/2003
WLETT PACKARD
PHONE:
(408) 991-1000
SANITARY NO. CONTROL NO.
A RCHITEC MNGINEER:
BUILDING PERMIT IN
BLDG ELECT' PLUMB MECH
1� 1� t�
LICENSED CONTRACTOR'S DECLARATION
Job Description
IMrtby affirm thatl am licensed uerp visiomoft Coda.9 my license is
with SaI on ]gp fDivhion3of dm Bus Profcuiom Code. and myliccnseh
�'����®
mfcrise cI')g63?
L"..'
FEEDER REPLACEMENT
-
Liceose Cpm
aeis
Data `an'° ar
lour ION
MAY 10 2003
\ '1 ARCHITEC
1 aril @? Lad my planuhll he used As 1uN mmoh`
Limared Professional
OWNER -BUILDER DECLARATION
BUILDING
1 hereby ,(Rent that 1 em exempt from to Conlra.l.Ys License Law for rhe
followi 703 Code:Anychy or munty
Continues, Ittustmd ve. deium
whichingrcuon. permit improves, dcmohh, nr repair end
which nqusu a
e. alsoo thepima
maintain +
rapnt in the to applicant of fon ch onam permit Llmruco rile A Law (Chtemenl
prior o h ansad pursuant
Sq. Ft. Floor Area
$30Ye�b}ion
of Dislomofthehe Butinse,nd Plaf inotCopter9
wife Sectiothen
(commencing nsmd ProfAnyvii atfo)of
or the alleged
3 that he I.t mptthcdion]OW) of basis far
. that he s exempl therefrom and to bole for to dlegetl eumpson. Any violation of
3 A6791A fAl5er O O
Occupancy Type
Seaton 7071.5 by airy applicant for a permit subjects the applicant In a civil penalty Of
not more Nen Eve hundred dollar ($SW).
❑ 1, as avv m, of the property. or my employees with .,as An their "ble eompemadon,
will do the work and lheswctum is not intended oroncod fonale(SecJ044, Rwineff,
— r� ns
antl Professions Code: Conuaclor's Liave Law docs not apply o an owner of
5 01 - FINAL ELECTRICAL ENERGY
property who builds or Impovu themon, end who d oes such work h Im tel f or though his
awn employees, provided that such Improvements art not intended molfered for Asia. It.
505 — FINAL ELECTRICAL
however, the building or improvement is sold within one year of completion, the Owner.
builder will have the burden of proving that ha did not build or Improve for purpose of
sale J,
0 I, as owner of the property, am exclusively conlnding with licensed conlnctos, to
construct the project (See. 7044. Business and Professions Code:) The Continental U.
came Law does not apply to an ownerof property who builds or improves Ihemon, and
.
who contracts for such projects with a conaacmr(a) licensed punuanl to the Cominctor's
Licence Law.
❑ 1 nm exempt under See . B k P C for this lesson
erDate
WORKER'S COMPENSATION DECLARATION
I hereby afRrm under penalty of perjury one of the fallowing declarations:
❑ I have and will maintain aCenlncamcf Consent to self-Imum for WorketsCompen-
salions As provided for by Section 3700 of the labor Cade, for the performance of W
work for which this permit is Issued. ,
❑ 1 haus and will maintain Worker's Compensation Insurance. as acquired by Section
'
7700 of On Inbar Code. for the performance of the wart for which this permit is issued.
dP It
AltPon
ation I
My ns
I -
60P
q
7U
CaM rlker'aComL
Fl AnPI7 RrK�j
'7 i,EIJMPENS I(M NS%NCE - 1
i t h�Rbh/dhhLlrard/.ddnll.i$11)
'
(TM1isseclian need not map c RrraF/ifJk
or In.)
1 artily that in the performance of the walk for which this permll is Issued. I shell nm
employ any pecan in any manner an as to hem rte subject to the Warkcri Compensation
Laws of Celifomla. Dem
Applicant
NOTICE TO APPLICANT: If, after making this Cenincete of Exemption, you should
bcame mbjeal to the Workers Compensation pemialam of the Labor Coda you mus
4 forthwith comply with such provbiom at this permit shell be dented mwImd.
7
AGENCY
y CONSmisa
construction aic^eY for the perfmmma of
1 hereby afnem thatthemI is • mmwnlnn
7.0,
the work fur which this permit is Issued (Sec. 7091. Civ. C.)
Leis Nam.
Lenader'ees Add.
1 emify W t I haus mad this pplication and sum dust the above information is
Comm l agree to comply with all city and county ordinances Andante, laws mlatinP to
'
building construction. and hereby authorise mpreunulives of Nu city to enter upon the
mew.racationed property for Inspection purposes.
3. (We) agree to ens indemnify and keep harmless the City of Cupetin
liabilities,judgments,cosi and npensm which may in my way se mgalmtuid City
in consequence of the granting of this Permit.
APPLICANT ER DS AND WILL COMPLY WIT{{V //ILL NON -POINT
SOUR E UL TIO
Issued by: Date '
31 ...
222
Re -roofs
Type of Roof
SlgrAkiire App CNVContrutor Dale
HAZARDOUS MATERIALS DISCLOSURE
applicant or future building occupant sore or handle haurdaus roomful
u denned by the Cuperlim Municipal Code, Chapter 9. 12, and the Health and Safety
rod., Section 25533(.)7
All roofs shall be inspected prior to any roofing material being installed.
❑Yee Na
If a roof is installed without first obtaining an inspection, I agree to remove
Will the applicant or care building occupem tau cyulpment or Jcvicea which
emit hazardous air conumina�N.'Cum tfit by the Bay Area All Quality Management
all new materials for inspection.
Dhllia7
Yes
I have mad the hmardnrials mff.1mo res under Chapter 6.95 of the Ceuta,
at. Hail" SafftyCodc, Sectors 25515,25573 And 25574.1 undermod that lithe building
'
dam not Cane Ave a tenant, that It Is my responslhlllly to nndly tic Occupant of the
req mmca h h at poor a5an .y.O,
Signature of Applicant Date
I /
. All roof coverings to be Class "B" or better
caner auth aired aItnt Dam
r
L, NO
,3000 A rL�lDe- &EPLAe, �EJ-T_"
75'N INTERMEDIATE
SURGE ARRESTERS
300 6, 400A 400A 1000A Z.Z5A
7P G /TB13F CE /R843F CE jDO(44457D C.E /R343F
lit 1/0 LIN 1/CiU EPR/CTS/PVC +133X 15KV. 1#2 CU. TIM CRD.
(q 4'0. 1 PULL ROPE. (E) at.
pRVol om, 08 y� �lQN DINANCE9
MUSL
Sand Sp*It a and It is art,
sd the fob at all e(s � alterd'on%
tD make any tte[R
qa 6 Chang pennissiof(
an Widlou t WC ity t CuPa6110.
tib �mP ng ° this Plan and SpeCfi be all
Tm S NOT be held to permit at YiStG➢8
idP� at the violation of any UV6
,_AP 0rdioanCa DE
d aali �
1/ FOUND ON OUSITNG SINGLE
p,67o/'(a2
/ UNE. COULD NOT CONFIRM.
DRii[En 1582' NO LABEL. NO TAG.
A PADYOUW SRJCOUE FILLED LIVE FRONT RADHL FEED
REE C TEMPERATURE RISE 30 DEGREE AMBIENT 71O PFRATURE 0A/FFA j
ALIRONVY W5DNG5 NICH VOLTAGE 12QDI DELTA 3FR 3W Y51(V BIL 2 1/2L FCABN, 5.75RZ 5/B' EYEBOLT (2000 WK) KISHNGS
VOLTAGE 4E0/2T7 W(E 3PN 4W a BUSHNG WITH GROUND SRAY)
Bl W(M OLLOWtG BUSHNGS 0 (E) AIR ANCIMORM (N)p I-,�FOl1DWNG ItEIgVAL OF (E) TRNISFOR7RA ! eABLMG BY PGa:E0A BUS
1 6200
y'.
rf
tB W/GEF'FBSB I FL In FLM. cwrtry BOARD'RSR,•
PSs
IDGA 725k 6, 500A
400A
500A�
3p P
CE
�
7 GE /T843F
%my
Q' G.E.FB43F
� E /Ta43F
3P (E
6Y 175A400
SPARE
c��=
CITY OF
UPERTINO
CWY OF CUPERTINO
PERMIT APPLICATION FORM 0 3
APN #
Fee Description
Fee Group
BAPPLOTHER
Building Address: /1 C
19333 u F t° 4w L/ T
Owner's Name:
Phone #:
Bldg Permits . foot
BUILDING
Contractor:
License #:
Contact: Al da/Lor c.r/�
Business License#:
Building Permit Info:
Bldg ❑ (Elec Plumb ❑ Mech ❑
Job Description:
Residential ❑ jeommercial ❑
Sq.Ft. Floor Area:
$/Sq.Ft.:
Cost of Project:�� ---
T
Occupancy Group:
7
Type of Constructi n:
Boiler > 1.75M Btu
Quantity Fee ID
Fee Description
Fee Group
BAPPLOTHER
Other Appliances
MECHANICAL
BBLDGFEE
Bldg Permits . foot
BUILDING
BBOILERI
Boiler <= 100,000 Btu
MECHANICAL
BBOILER2
Boiler > 100K to 500K Btu
MECHANICAL
BBOILER3
Boiler> 500K to 1M Btu
MECHANICAL
BBOILER4
Boiler> I to 1.75 M Btu
MECHANICAL
BBOILER5
Boiler > 1.75M Btu
MECHANICAL
BCONSTAX
Construction Tax
BUILDING
BCONSTAX
Ind/Off/Comm/Quasi
BUILDING
BCONSTAXBQ
Con. Tax for BQ Zone
BUILDING
BCONSTAXH
Hotel and Motel
BUILDING
BCONSTAXR
Constax— Resi/Mobile
BUILDING
BELEC1000
Elec 600V <= 1000A
ELECTRICAL
BELEC1001
Elec 600V > 1000A
ELECTRICAL
BELEC200
Elec Svcs 600V <= 200A
ELECTRICAL
BENERGY
Energy
BUILDING
BENERGYADD
Energy Add Multi
BUILDING
BINVESTIGA
Investigation fee
BUILDING
BMITIGATC
Comm. Housing Mit. Fee
BUILDING
-2,
1 of 3
4
6
U�
CITY OF CUPERTINO�.t
"+'
JNVLPIR, M!��1
BUILDING DIVISION PERMIT
� T 6,Tp
BUILDING ADDRESS:
CUPERTINO ELECTRIC INC
PERMIT NO. 03050077
193
R'S NAME:
1132 NORTH 7TH ST
""697`16/2003
WLETT PACKARD
PRONE:
(408) 991-1000
SANITARY NO. CONTROL NO.
ARCHITECDENGINEER:
BUILDING PERMIT INFO
BGS ELECT PLUMB MECH
O
LICENSED CONTRACTOR'S DECLARATION
Job Description
1 hereby affirm that I am licensed un er P, visions of Chapter 9 (cemmendny
wllh Sectlan 7010) fDivl.lon Sof roc Buai Rofeuianscp wand my license Is ¢mum can a em l �i 67
FEEDER REPLACEMENT
License Clara Lle. g
c `,
F 111 v /� ® E
r , v /moi baa
Dao - Cas DBG
\ /I ARCHITECTS DBO ION
I urt:04d my plans thall W used u PuM' records
MAY 2 0 2003
Licensed Professional
OWNER -BUILDER DECLARATION
I hereby M. (hat I am eiempl from the CanlrtcUO'a License Law for the
following moon. (Sudan 70314, Busincas and Profusions Code: Any city or county
BUILDING
which mq.1. a pumit m man. ar, improv, dem(Ilim. or repair any ttrucam,
Sq. Ft. Floor Area
$3(yd�6ion
polar to Its issuance. Ran me i iris the applicant for such permit to file ulgned statement
that he is licensed pursuant to the provision or the Contacuv's License Law (Chapter 9
(commencing with Section 7000) of Division 3 aide Buineu and ProfeulonsCmle) or
that he Is exempt therefrom and the basis for the al10ged esempthen. Any violation of
3 AEN Mtl•Ilber 0 0
Occupancy Type
Section 7031.5 by any Brplicsnl for a permit subjects the applkarl in a civil penalty of
not mart than live hundred dollata ($500).
❑I,Los moor of the property,or myemployeas with wages as their sole compensation,
— rr..{k�❑❑TT[/rr''vv�'�r77a��,��yy'�
will do thtwork. and thestmcturt Isnot intended araaeted fuule(Sec. 7044. But..
and Pmfeuions Code: The ConuantoYs Lt.. law docs nm apply a an owner of
re67Tie iOnS
S 01 - F I NAL ELECTR I ENERGY
property, who builds orlmprovu thereon, andwhodaenuh work hlmselforthaough his
lW.A-L
own employees. provided that such Improvements tae not intended oraaered for sale. R'
S05 — FINAL ELECTRICAL
however. the building or Improvement is sold within aro year of completion. the owner
builder will Lave the burden of pmving that be did not build or Improve rar purpose of
uleJ.
❑ h a aw ar of the properly. am exclusively contracting with licensed unuanmta to
consumer 0a project (Sec. 7044, Business and Profusions Code:) The ConuacmM1 W -
cease law data net apply to an owner or property who Wilds or improves Nem¢, and,
who connets for such projects with a commwtods) Ilecomm pursuant to the COMINCRM1
License law,
❑ I am exempt under Set . B do P C for this mason
Date
WORKER'S COMPENSATION DECLARATION
_ I hemby &(Ilam under penally of perjury one of the following declaration:
'
❑ Ihaw and will maintain aCenificaaofConscnttoself-lnumfor WorkersCompen-
satlon, as provided for by Sectlan 3700 of. the IaWr Code, far the pedmma.t of the
work for which this permit is Issued.
❑ I have and will maintain Workers Compensation Insurance, as required by Section
370D or the labor Code, for the pedarmanee of the wod, for which this mirth Is luted.
My WorkcM1Commnsatlonlnummmnnivand Poli nu/n.m,,Mram: �J
Pott co C' J yj�
` p�
/Q �V /
Coni r.
Fl A F ^ rEMPiI FROM WORKERS'
r t /1' �.,,& NSA7'ION,INMICE - 1
(Th6 secllanneed not ceps i/Nle h ddubus($100)
a
or lute)
1 unify Nat In IW perform... of the work for which Nis moral, a loved, l shall not
employ any pecan In any manner so as to became subject to tis Workers' Compensation
Laws of Callfomis. Dale
Applicant
NOTICE TO APPLICANT: If, afar making this Gearless of Exemption, you should
become subject to the Worker's Compensation prevision of the labor Code, you must
' forthwith comply with such provision or this permit shall W deemed revoked.
i
ON LENDING AGENCY
CONSTRUCTION
I. a constitution lending agency for the performance of
1 herchy affirm Ne Nem h •
d(Se0
' the work for which this permit Is issued (Sec. 7097. Civ. Cd
IcndeO Nun.
Lendefs Add.
j 1 unify Not 1 have mad this application and sale that the above information is
'
' torten. I agree to comply with all city and county oadmawes and cele dew reining to
building WasrveLlm. and hereby &urban= rtpmesenudves of this city to enter upon th.
1 aMve-menitonc l pmpeny for iaspcedon Pugasea
(WO) ogre. m cove, Indemnify and keep harmlw the City o(Cupenino against
j liabilities, (WO) gree to cocaLaw. and espenum and Iva may lnany my eCty of Cu enuo igaint
��
In consequence of roc Starting of this permit.
' APPLICANT ERS DS AND WILL COMPLY WI L NON -POINT
SOURC'r�E UL TN M, / tQ ,v
Issued by:9�60 Date
I , ^ �
LiCy(..C/ i '�,
f l,/ .3 J
Re -roofs
Sign Dote
arc App canUConuactor
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof -
a applicant or future building occupant entre or handle harardous meadal
s de0ned by the Cupenl1. Municipal Code. Chapter 9.13, and the Health and Safety
., Section 35532(e)T
All roofs shall be inspected prior to any roofing material being installed,
Oyu No
If a roof is installed without first obtaining an inspection, I agree to remove
A Will the applicant or um tbuilding Occupant use equipment u devices which
Omit hnarduus air untaminan u doloud by dm Bay Arte Air Quality Management
all new materials for inspection.
Distinct?
No
No
I have mW the too a. dais requirements under CWpwr i95 of the Celirm.
.is Hot" Safety Cade, Smacn 25505.35537 end 35531.1 uMersund ted Ifthe Wilding
dreg not cmrt naw a tenant, that it is my responsibility a malty the auuput of roc
rut:Zen 'hm.l"iartaina..ear.cerdra, .G,e/ta ry��a��qq
_
Signature of Applicant Date
/ V
All roof coverings to be Class "B" or better
w..r anl Thad. Ont Date
a