26323 C17'YOPCUPERTINO --- - -- TTUITJ NG.El �.� $1iRMIIND.
RUILDENG DIVISION APPLICATION/PERMIT PLWuIING-AUicnANICAL 2 63
3 2 J
0
NUILDINGPROJECI'IDENI'IF'ICA'I'ION �7 J
IiIRLUIN(
API/1#145.5: I
-// /� SANI'IAR1'NU. AI'I`I Il'A II(1N SUIILII I'I Al.lt\11:.
3(!/ /! UNIIIf 1.01#
05 N17,NAMIi: 1'I]ON[ /] (ON IRACIOIfS NAME: LIC Na: NIC CON NOI.n
III liCULNUINIIYR: 1.112 NO: ADDNfSS: ❑
. IN'IA('I PunNIF RUILDINC PERMIT INFO
QTY. ELECTRIC PERMIT I•F,E
Du ��� ['f`ij/" BL1 f:LIA'I' 1`I IIM1tII M1l—iC1ll
FERMI'1'ISSUANCE
NJ
LICI!NSIiU CDN'IHACI nR'S UIiCLAHA'I ION AI'I'LIANCILS�RISIDIIN'IIAI. p11 PILSCNII•I IONN
�yy I.:7WIti lli oo11ml.Sof shmMundcrpmI f..nfns;C jr0lcn I,fico ewith / �•�
1+00 Satin Jlxx4 nt Uivi,iun lnl Jm lhnincw 1111 l'nllrssinn,C e.1111 mYlimnu iv 111 PANE14 a"/LX'�/IL 7 ej.(/J?.M:—U
yVF L.IILal rlla' 33
%w Linnrw ' :. Lic,X I/111021q AMPS
1<C Dam Caar.,I 2111-I(M AMPS
1-y% AIf('I II II:(-CS Off LA R A'I ION � � II SV PI AHI I 45Q 1:1
OVER 1(XX)AMPS 'I �,
Dz' _ I.nulr.v'unJ.uy Pl.m.lnll lc uwJ u.p.'llic mu..dr. 1.
]%—❑
=r1tw SIGNS ELECTRICAL
Limu.r.l Ind...i.nurl ) /�
2�
zc)wu U\VNIiR-IIUILD1iN.IC,Cnnu'VIN SPECIAL CIRCUIT/MISC.
{OaV I hcumy nll(Se tout IO ,Innpf Im:n the Cnnunvvlty Use y IyI Ins Ile
:13 011 fl fish r:p, is:el IF lti nit IF,lNl.S.Rhnincers l'udcvai"nv Gvlc:Any city nr cmmly 1C;MP.METER ON PDLL INST. DATE
y� ,I
=a0y¢ .hid.rerp:hevh rvnniur.o"nluun.tiler.imrnrve.nennMi.m,nr repair any 9lnmmm
%r�Y� Pr inner ill i,nn:mce,ale.reaoire,lhe:RXdiaans fnr val rerminn fill aaigneJ eammenl POWER DLVICIiS
j 1:0 '1lal he i, iren.cA Punn:nn mole rynvisiun. m
a ol'he Gm' nnis Linw la
¢ w(ChnPmr SWIMMING POOL fhECIitIC \'AI,I'A PION
iXOE oanrunrmhring wilt,Sc,llnol(NXNoio
l Divisnloflhe nu.incevanJ l'rolevvions Cmle)
w—rn m11rn lc iv elu.^pt'hcminman11'he half,Ln lhenllepell cac'nryion.Anyvinlulinnol 'PLIAS-SWIICIILS�FIX'f11R1i5
=7 Seth"..7411.5byxnylq;pllcum len nlFFI,vuljeu.,he nrpl Tram mxcivil Penally nl , YJJ/O
nm sum❑n (Is c FlmdreAdollar,(S5(Mn.
K�� ❑ 1.......narnllhc pngrny.nrnp empinyee with wages Ill Fair NI:W RPSIDPNIIAI.F.LIiCIR _SQ.PT. SI DRIILf I1'19i CI SNtiI NI!CIION
E;iM wi lA"'hu.n.A.anA she amc'am is not Intended,.O card or sle(Sec.IW4.Business
uIf Po dmeio'Crxlo:'I Ile Cmnmmnr\I.I,Isle Lnw der,nn'apply ao an owner A
In".In,who Nnild,n.infirm el'lercon.:nWuhndrrn,udF wm k hinrmll onhrnaphhi, OCC.ORO OV RFS,UNITS
. n,Fln, ,.pn.,idol'Iha,n,sell innm i"mod
garvemm�ls are ed III Wfled(orale.If.
Im,.e,".Iha h111lFnp'n inynnremrm iaanld n ilhinrme yeand amlPle iondhe nave,
sold,I will Iha,e the I ItIn al In,,ng Ihn1 he did mn build m ins rnwe TUI rnrry,w n1
p.I I.'... r"l'he nrrrPe'ry.am cadmivcly r....,.diog.i11aile—deonInd(n,h, QTY, PLUMBINOPERMIT PEE 11001)yONII — AIN
I,narort or project(Sec.Lk14.Bunnew and IT"fc,.on,Cw1e:)'I Ile Cu slam"',
iumolaw der,urn nl'Pb'maon.nend PmPcny.bnbnild.arc inlrnrve.v lFemr.n,and PCRMI'IISSUANCE
whoa mn:¢rtl"r soh Pn'ion ¢....InwnH lioarwd Pur nu,wthe C'ommdoi,
Aln"Ls" AL I CR-DRAIN Ar VI;N'I'-WA I E;R(LA) FEE SUMMARY
❑ I n.n owvnPt nnJar Sec. ,if F 1'C fnr IFi.v real.... BACK PLOW I'HOI'IiCI'.DEVICEO l•..... HIS
$ANI'IARI' t' N
(Iwnd Uam DRAINS-I TOOR,Rt X)F,ARCA.COND. RECIiIPi'#
W'URKMANCOMI9iNSATIONDI; LARAT1(IN SCII(N)Ll'AX Y N
1 hcufly IFn...0n,I h:ne a ceni6enlr of annem In self-ina...........lireme"fRECHIPT'p
Ika1PCnlnlen,alinn lnvnrns,,nraccniliedro,ylhcrenf lSrc.lNlxl,LnhCl.lhioll 11 X'1'IINP_S-PP.R'IRN' PARK 11:11: 1' N
Isles,all nlgdn5ce',....der Thi,permit. OAS-PA.SYSTEM-1 INC. Oltl'I.Ei S REClill'I'M
Policy'X BUILDING DIVISION 11:1-9
Cmnpany OAS-EA.SYSI RM1LOV RR 4(LAI PI.ANCI IIICK FEE
❑ Cenilied spy'i,lcrth,Wrinki,ld
Ce,ti'irA copy i,filed will the city irmpecliondivmI ORR lils"NDIIS'FRI.WAS 1'P.I NTERCLI'I'OR ORADING FET(
CRH I'1FICA'11:01;4XI:mVrION FROM WORKURS' ORP.ASE'IRAP SOILS ITE
COMPI NSAI ION INSURANCE
1116,1eminu need 11"Ilrenmpleled it the Permit i,for one hnndreA Ant I...611911 .SHWER-SANITARY STORMEA.20I9'. ENENOV II!I!
1"")
I,erity lla'in'he lrrl"rmaseoOhr work fnr which this permit#isvned,Iaha11 WA'I ER IICA I ER W/VENTA'J.EC1R
1114 e'nriny any 11, any m n a,w lellns,1aFkd 'n he Wolters, PAID
Z C..... nanirnr lsw,nl Cnlilrmia. Damp WA'IERS)'SHIM/IRI-ATING I'll, R..0Fill I
Applic.nn
D O No I Cl;'II)APPLIC.AN'I?It.xlarmnklnN'll'('crlificne'If CallInIHnn,you xlnrJrl NHW RILSII FN'I IA I.PLM I), SQ Ft.
p: Iranal...hied In the W,.rke, C..INrnlnllml pmvivinnx of the lalmr(}all.Y.111 111111t
C 7 OIIIhbIN01 '
f"nh.ills nnnplywill mon
su(h Prnvi,inhi.s rcnninhall Nc Jm
canl rrukal.
a. a CONSIRUC"I ION LENDING AGIiNO' SEIS AI '1'.
Z) Z I ""Its,allimt fiat(here I,a lF stallion lendin,,leey for life Pcrlonnnme n( 'IUI'Ah: I'. IRICP Ii
(J O the wnrk fnr.hill 11.11"Fllif i,1,11.1111 Sle.11W],Civ.C.I
Lends,"Non¢ PLII IINO Phi
F Lerrde;.Adore., QTY. MECIIANICALPERMIT PEE
V I rn'Hy Ihal I Live read Ihh aPPlicminn and Imre III,she abrrve inlonnetinn is
F_ pL a reel. Ix.ac'n van.I MECIIANIC .1171:
4 IYwithnlloily and cn,rF Ii IMF
,In ml:ninNm I'IINMI'1'ISSIIANI'li
FU' Z Luildingomamr'innp l iss,puWor.pu,xw,emn'im:r nl 11Jv airy n.mhos urymlhe IONS INC IION'D\\
Z nlxnc�n¢nlinncA lnnpcny lnrimpldion rurr..wa. ACIGR ON AUD1111,11:01,
I Wo xprea In save,indemnify'uul k harmle,v the Oily nl C.'scninn ts,sh"t
li.hhili'ics.' IPmvnh.oual Acaise nny wnYann'rnpnin'wial lily Alit HANDLINO IINII'TIO 1'11MXO PM)
01-8 a Lo ng 111 N' len
AIH I IANDLING UNIT I'(OVER IILINNI CI'M 1
3ipn:nnre.d AlTlicanl(Sir .mmr Dme IiXIlAl15'1'll(N)D IW'p)IICII
PAID
I "'I, 115 M1IA'I IiNIALS DISCIpSURIi
I IVA'I'ING UNIT('IF)IIX11MM111' UI Iy:m R...Fill X
will IIhl;,P ; In,Ware hulIdin......ant glom nr handle t,aeardn I,mmerinl IIP.A'I'IN<i I1NII'(OVIiR 1(XOXxs 111 l-0 l L.
.delinc.l by the O.pnlinn Mnnicind Gall,Chryner 4,12,and the Ilcullh an,]SAely
Gxle.9rainn 25512,.1' —
❑1'c. ❑Nn VEN'I'RATION 17AN(SINGLE RFSID)
ISSIIAN , )A .
Nill'hcn rrlic.nnn forum huildin I men ni nosh's Jcvicnwhidlenlll BOILlfR COM111IIIPOR RMkf"Blul
II yrcrh'pan 1 I
:111111.air um'.hminun'a us Alfred by the IIID Area Air(Fl Muwpnnenl IIOILER-COMP(OVER IIX1,(MXIB'IT11
vio'1
❑1'e. 0 N NEW RfSIDENII AL MCCII. SQ.FI'. `
1 lana mml the h:Vmdun,male.ihn,l"a ranlnna nn'ter Ct,np'cl 1,95 of she
C:11 ��� �� !J
1(mnia I icallb se Sa1dr Gmc.Sovli"IIs 255115,255,11 nnA 25516. I Ihmlcrstand'hal
it tlm huilAinp A.r,nor rundr0y how n'enanl.Thal it iv my resrvnsililily In rmlify Ile
u I'lol.d'hc nnp.i faun."Lich"nnl hr n.e pri t m i....incl of a Ccnlfro.ne of (.
' It, IIIVf I
Ow nn m xhnlunirtd upon' Ince 'Ill l AI: 15511 IdD H1': _
OFFIC
C17'YOPCUPERTINO --- - -- TTUITJ NG.El �.� $1iRMIIND.
RUILDENG DIVISION APPLICATION/PERMIT PLWuIING-AUicnANICAL 2 63
3 2 J
0
NUILDINGPROJECI'IDENI'IF'ICA'I'ION �7 J
IiIRLUIN(
API/1#145.5: I
-// /� SANI'IAR1'NU. AI'I`I Il'A II(1N SUIILII I'I Al.lt\11:.
3(!/ /! UNIIIf 1.01#
05 N17,NAMIi: 1'I]ON[ /] (ON IRACIOIfS NAME: LIC Na: NIC CON NOI.n
III liCULNUINIIYR: 1.112 NO: ADDNfSS: ❑
. IN'IA('I PunNIF RUILDINC PERMIT INFO
QTY. ELECTRIC PERMIT I•F,E
Du ��� ['f`ij/" BL1 f:LIA'I' 1`I IIM1tII M1l—iC1ll
FERMI'1'ISSUANCE
NJ
LICI!NSIiU CDN'IHACI nR'S UIiCLAHA'I ION AI'I'LIANCILS�RISIDIIN'IIAI. p11 PILSCNII•I IONN
�yy I.:7WIti lli oo11ml.Sof shmMundcrpmI f..nfns;C jr0lcn I,fico ewith / �•�
1+00 Satin Jlxx4 nt Uivi,iun lnl Jm lhnincw 1111 l'nllrssinn,C e.1111 mYlimnu iv 111 PANE14 a"/LX'�/IL 7 ej.(/J?.M:—U
yVF L.IILal rlla' 33
%w Linnrw ' :. Lic,X I/111021q AMPS
1<C Dam Caar.,I 2111-I(M AMPS
1-y% AIf('I II II:(-CS Off LA R A'I ION � � II SV PI AHI I 45Q 1:1
OVER 1(XX)AMPS 'I �,
Dz' _ I.nulr.v'unJ.uy Pl.m.lnll lc uwJ u.p.'llic mu..dr. 1.
]%—❑
=r1tw SIGNS ELECTRICAL
Limu.r.l Ind...i.nurl ) /�
2�
zc)wu U\VNIiR-IIUILD1iN.IC,Cnnu'VIN SPECIAL CIRCUIT/MISC.
{OaV I hcumy nll(Se tout IO ,Innpf Im:n the Cnnunvvlty Use y IyI Ins Ile
:13 011 fl fish r:p, is:el IF lti nit IF,lNl.S.Rhnincers l'udcvai"nv Gvlc:Any city nr cmmly 1C;MP.METER ON PDLL INST. DATE
y� ,I
=a0y¢ .hid.rerp:hevh rvnniur.o"nluun.tiler.imrnrve.nennMi.m,nr repair any 9lnmmm
%r�Y� Pr inner ill i,nn:mce,ale.reaoire,lhe:RXdiaans fnr val rerminn fill aaigneJ eammenl POWER DLVICIiS
j 1:0 '1lal he i, iren.cA Punn:nn mole rynvisiun. m
a ol'he Gm' nnis Linw la
¢ w(ChnPmr SWIMMING POOL fhECIitIC \'AI,I'A PION
iXOE oanrunrmhring wilt,Sc,llnol(NXNoio
l Divisnloflhe nu.incevanJ l'rolevvions Cmle)
w—rn m11rn lc iv elu.^pt'hcminman11'he half,Ln lhenllepell cac'nryion.Anyvinlulinnol 'PLIAS-SWIICIILS�FIX'f11R1i5
=7 Seth"..7411.5byxnylq;pllcum len nlFFI,vuljeu.,he nrpl Tram mxcivil Penally nl , YJJ/O
nm sum❑n (Is c FlmdreAdollar,(S5(Mn.
K�� ❑ 1.......narnllhc pngrny.nrnp empinyee with wages Ill Fair NI:W RPSIDPNIIAI.F.LIiCIR _SQ.PT. SI DRIILf I1'19i CI SNtiI NI!CIION
E;iM wi lA"'hu.n.A.anA she amc'am is not Intended,.O card or sle(Sec.IW4.Business
uIf Po dmeio'Crxlo:'I Ile Cmnmmnr\I.I,Isle Lnw der,nn'apply ao an owner A
In".In,who Nnild,n.infirm el'lercon.:nWuhndrrn,udF wm k hinrmll onhrnaphhi, OCC.ORO OV RFS,UNITS
. n,Fln, ,.pn.,idol'Iha,n,sell innm i"mod
garvemm�ls are ed III Wfled(orale.If.
Im,.e,".Iha h111lFnp'n inynnremrm iaanld n ilhinrme yeand amlPle iondhe nave,
sold,I will Iha,e the I ItIn al In,,ng Ihn1 he did mn build m ins rnwe TUI rnrry,w n1
p.I I.'... r"l'he nrrrPe'ry.am cadmivcly r....,.diog.i11aile—deonInd(n,h, QTY, PLUMBINOPERMIT PEE 11001)yONII — AIN
I,narort or project(Sec.Lk14.Bunnew and IT"fc,.on,Cw1e:)'I Ile Cu slam"',
iumolaw der,urn nl'Pb'maon.nend PmPcny.bnbnild.arc inlrnrve.v lFemr.n,and PCRMI'IISSUANCE
whoa mn:¢rtl"r soh Pn'ion ¢....InwnH lioarwd Pur nu,wthe C'ommdoi,
Aln"Ls" AL I CR-DRAIN Ar VI;N'I'-WA I E;R(LA) FEE SUMMARY
❑ I n.n owvnPt nnJar Sec. ,if F 1'C fnr IFi.v real.... BACK PLOW I'HOI'IiCI'.DEVICEO l•..... HIS
$ANI'IARI' t' N
(Iwnd Uam DRAINS-I TOOR,Rt X)F,ARCA.COND. RECIiIPi'#
W'URKMANCOMI9iNSATIONDI; LARAT1(IN SCII(N)Ll'AX Y N
1 hcufly IFn...0n,I h:ne a ceni6enlr of annem In self-ina...........lireme"fRECHIPT'p
Ika1PCnlnlen,alinn lnvnrns,,nraccniliedro,ylhcrenf lSrc.lNlxl,LnhCl.lhioll 11 X'1'IINP_S-PP.R'IRN' PARK 11:11: 1' N
Isles,all nlgdn5ce',....der Thi,permit. OAS-PA.SYSTEM-1 INC. Oltl'I.Ei S REClill'I'M
Policy'X BUILDING DIVISION 11:1-9
Cmnpany OAS-EA.SYSI RM1LOV RR 4(LAI PI.ANCI IIICK FEE
❑ Cenilied spy'i,lcrth,Wrinki,ld
Ce,ti'irA copy i,filed will the city irmpecliondivmI ORR lils"NDIIS'FRI.WAS 1'P.I NTERCLI'I'OR ORADING FET(
CRH I'1FICA'11:01;4XI:mVrION FROM WORKURS' ORP.ASE'IRAP SOILS ITE
COMPI NSAI ION INSURANCE
1116,1eminu need 11"Ilrenmpleled it the Permit i,for one hnndreA Ant I...611911 .SHWER-SANITARY STORMEA.20I9'. ENENOV II!I!
1"")
I,erity lla'in'he lrrl"rmaseoOhr work fnr which this permit#isvned,Iaha11 WA'I ER IICA I ER W/VENTA'J.EC1R
1114 e'nriny any 11, any m n a,w lellns,1aFkd 'n he Wolters, PAID
Z C..... nanirnr lsw,nl Cnlilrmia. Damp WA'IERS)'SHIM/IRI-ATING I'll, R..0Fill I
Applic.nn
D O No I Cl;'II)APPLIC.AN'I?It.xlarmnklnN'll'('crlificne'If CallInIHnn,you xlnrJrl NHW RILSII FN'I IA I.PLM I), SQ Ft.
p: Iranal...hied In the W,.rke, C..INrnlnllml pmvivinnx of the lalmr(}all.Y.111 111111t
C 7 OIIIhbIN01 '
f"nh.ills nnnplywill mon
su(h Prnvi,inhi.s rcnninhall Nc Jm
canl rrukal.
a. a CONSIRUC"I ION LENDING AGIiNO' SEIS AI '1'.
Z) Z I ""Its,allimt fiat(here I,a lF stallion lendin,,leey for life Pcrlonnnme n( 'IUI'Ah: I'. IRICP Ii
(J O the wnrk fnr.hill 11.11"Fllif i,1,11.1111 Sle.11W],Civ.C.I
Lends,"Non¢ PLII IINO Phi
F Lerrde;.Adore., QTY. MECIIANICALPERMIT PEE
V I rn'Hy Ihal I Live read Ihh aPPlicminn and Imre III,she abrrve inlonnetinn is
F_ pL a reel. Ix.ac'n van.I MECIIANIC .1171:
4 IYwithnlloily and cn,rF Ii IMF
,In ml:ninNm I'IINMI'1'ISSIIANI'li
FU' Z Luildingomamr'innp l iss,puWor.pu,xw,emn'im:r nl 11Jv airy n.mhos urymlhe IONS INC IION'D\\
Z nlxnc�n¢nlinncA lnnpcny lnrimpldion rurr..wa. ACIGR ON AUD1111,11:01,
I Wo xprea In save,indemnify'uul k harmle,v the Oily nl C.'scninn ts,sh"t
li.hhili'ics.' IPmvnh.oual Acaise nny wnYann'rnpnin'wial lily Alit HANDLINO IINII'TIO 1'11MXO PM)
01-8 a Lo ng 111 N' len
AIH I IANDLING UNIT I'(OVER IILINNI CI'M 1
3ipn:nnre.d AlTlicanl(Sir .mmr Dme IiXIlAl15'1'll(N)D IW'p)IICII
PAID
I "'I, 115 M1IA'I IiNIALS DISCIpSURIi
I IVA'I'ING UNIT('IF)IIX11MM111' UI Iy:m R...Fill X
will IIhl;,P ; In,Ware hulIdin......ant glom nr handle t,aeardn I,mmerinl IIP.A'I'IN<i I1NII'(OVIiR 1(XOXxs 111 l-0 l L.
.delinc.l by the O.pnlinn Mnnicind Gall,Chryner 4,12,and the Ilcullh an,]SAely
Gxle.9rainn 25512,.1' —
❑1'c. ❑Nn VEN'I'RATION 17AN(SINGLE RFSID)
ISSIIAN , )A .
Nill'hcn rrlic.nnn forum huildin I men ni nosh's Jcvicnwhidlenlll BOILlfR COM111IIIPOR RMkf"Blul
II yrcrh'pan 1 I
:111111.air um'.hminun'a us Alfred by the IIID Area Air(Fl Muwpnnenl IIOILER-COMP(OVER IIX1,(MXIB'IT11
vio'1
❑1'e. 0 N NEW RfSIDENII AL MCCII. SQ.FI'. `
1 lana mml the h:Vmdun,male.ihn,l"a ranlnna nn'ter Ct,np'cl 1,95 of she
C:11 ��� �� !J
1(mnia I icallb se Sa1dr Gmc.Sovli"IIs 255115,255,11 nnA 25516. I Ihmlcrstand'hal
it tlm huilAinp A.r,nor rundr0y how n'enanl.Thal it iv my resrvnsililily In rmlify Ile
u I'lol.d'hc nnp.i faun."Lich"nnl hr n.e pri t m i....incl of a Ccnlfro.ne of (.
' It, IIIVf I
Ow nn m xhnlunirtd upon' Ince 'Ill l AI: 15511 IdD H1': _
OFFIC