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:40ppartmPtit of 19ifitbing NOPPMOU
This certificate issued pursuant to the requirements- of Section 307 of they
Uniform Building Code certi
fying that at the time of issuance this structure Mls- - Z
in compliance with the various ordinances of the city regulating building
construction or use. For the following:
UseClassification Retail/Optornetri r center- Bldg. Permit No. S0034
Group M Type Construction VN Use Zone planned DPyL-jnpmPnt
Ownerof Building Cupertino Vi11AQP ASSOC Address
Building Address 10969 N.Wolfe Rd. Bldg B Locality Cupertino, t:alifornia
Space B-20
By: Joe Antondcci. "Building Official
Date:
7/23/98
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,00;' Building Official
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%Lprrtif tratriof orrupaury
Titg of Tupprtina
BritartmPtit of Nitilbing
This certificate issued pursuant to the requirements of Section 307 of the
Uniform Building Code certifying that at the time of issuance this structure-nus
5 in compliance with the various ordinances of the city regulating building .
construction or use. For the following:
Use Classification Retail/Opt-nmetri r Confer
- Bldg. Permit No. ' s0034
Group. M Type Construction VN Use Zone -121anned revel.Qj2mPnt-
Owner of Building Mipprt-ino Village Aqqnr Address
,z Building Address 10969 N_WoEd. Bldg R
Locality Qu]2ertino, f'91ifnrnja
Space B-20
By: Joe AntoniiQqi, -Bij1djn!a Qffirial
Date: 2/23/98
Building Official
POST IN A CONSPICUOUS rLAcC
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APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL PERMIT NO.
BUILDING DIVISION APPLICATION/PERMIT PING PR G-M IDENiFUITIC Q4303�
BUILDING PRIIJI?C'T IDE\TIFICATION
NUILDINGADDRESS: SANITARY NO. APPLICATION SUBMITTAL DATE
VV 0a GU rl�o CA I'AI.�2?
0 R'S NA E: t P IONE: o CON]RACfOR'S NAME: LIC NO:
ARCH1"ii E G 'TIC LIC U' ADDRESS'.
G- 13
CONTACT. PHONE: BUILDING PERMITINFO
E] Cnn56Rural Fees Paid by Applicant(Initial) BLLQ ELECT PLUMB MECH
LICENSED CONTRACTORS DECLARATION QTY. ELECTRIC PERMIT FEE JOU BSCRIPTION
I heresy v1Trm mire 1 um liecrvsul under previsions of CM1aptar Y(mmmcncing
Z th Smtion9(NN)7of Dlvtdon3nl'the Busmcss and Pmlas,ions Cade.vnd my license ix RESIDENTIAL:
X00 w jAIPLIANC�
MI'1'ISSUANCE
CWF• in hill form and efim. ❑SFDWh ❑KITCIII3N I21iMOOEI.
aUV [.lams,Clvss Lic# -RF_SID1?N'I ML ❑ADDITION ❑PLUMBING RIYI'll'E
y<i )at, Contactor ❑MULTLUNIT El STRUCTURAL
ARCUITECI'S DECLARATION PANELS MODIFICATION
Z~OyZ IuWcrstanJ my Plana xball M1e used as public records UI'T0200AMPS
OZ�� [I INTERIOR ❑CHIMNEY REPAIR
—do Limused Professional !0�.. WITCHES
201IMPROVEMhNT El SWIMMING I'UOIS
�.1 OWNER BUILDER DECLARATION NICK) BATH REMODELtREPAIR El DEMOLITION
C C< I herehy affirm that 1 am exempt from the Carnation's License Law for the OTHER
Xd U hdlnwing rason.(Section 91131 5,Business and Professions Code:Any city oreounty C
61'3 W N which requires a permit nr construct,alter,improve,demolish,or repair any structure
�.W--op ' prize I t al 4 .II ppl tf hp 'It II g Wsm¢�ent IR misc..
r�..} that IN I -dP ze t i n: Ili Contra I Law(Chapterl COMMERCIAL:
WE:Q0Ieammenengwon Section 9010)of 1)vsimn3of the Bus me.0 Jl f!' mcCWgrn TER0 :INS'T.
Q.d ey mbar he is exempt thereGnm and the bred,for the alleged cncmption.Any violation of N' ,BLDG/ADDI'I]ON ❑DEMOLITION
NSection 7031.5 by any applicant for a Permit subjmrs the applicant m u civil pen ally of EVICES ,NAN'I' C]1700D SERVICE
a more than five hundred dollar(S5W). IN ROVF:MENT
SSC C] I,asownerefthe pmperty,ormy employees with wages as their compensation. G P001 'CfRIC ❑OT TR
F- will do the work.and the structure is not intended proffered for.ilc(Sec.9(W.Business
aim and profession,Code:The Contractors License Law does not apply to ant owner of WITCHES-FI>/J'URES
property who builds or improves thereon,and who does such work himself or through
his own employees,prosuch vided that ch impmvro
emcs me not intended nr offered for NEW RESIDENTIAL EL SQ FT.
sola.If however,thebuildingoriinprnvcmcnt isV,Idwilhi.orcycnrof completing the SQ.IT.FLDD $ISQPI'.
.
own
enbuilder will have the hurden of proving that hedid not bmild or improve for pur,
oI'aldf TAE:
pracXl,m owner of the property,am exclusively convading wit cd c actors 1.
mtruci the project(Sec.9DW,Business and Rnfcssimtacnors Li-
c se law does not apministerps
yum minister of proobuildz provestherton.and QTY. PLUMBING PI?RMIT FEE
x lacmandetsforxuchp jcdx withaco no,)lice pursuant to the Contravenes
License law. PERMIT ISSUANCE
I am exempt under Sce .B&PCkvthismicen `\II
ALTER-DRAIN&VENT'-W\'TIiR(EA) �qy--`V.�LI \l�
Owner
Dole V /�
ERS COM IiNSAT1ON DECLARATION BACK FLOW PROTECT.DEVICE
here r u[finn under MnulmY of pglury ons of tM rnunwing dadinali°ns: /�
I have and will maintain v Cerificateof Consent to self-in.vurc for Worker's Compen. DRAINS-FLOOIL ROOF.AREA.,GOND, OV //V. S'I DRIES TYPECONS'1'RUGTION
salon.as provided for by Section 39X)of the Labor Cede.for the beffim om,c of the V �
work for which this permit is issued PI%TURES-PER TRAP / CT�OA,
1 have and will maintain We'
Compensation Insurance,as required by Section CAS-EA.SYSTEM-1 INC.J OUTLETS ,Y
370K)of the labor Code.'or'W performance of the work for which this Permit is issued. R APN
My Workers Compensation lnsurdnce carver and Policy number art: GAS'-EA SYSTEM-OVER 4(EA) 9T1/yp ENT
Cumee Policy lod:
CERTIFICATE OF EXEMPTION FROM WORKERS' GREASMSIDUSTRI.WASTE INTERCEPTOR
COMI'IiNSA'nUN INSURANCE {, DING DIVISION FEES
1'lak,.bon areannt bcmmpincd ifmhe permit is for one hundred dollars($100) GREASETRAP
or Ices.) PhANCII, T?E
Iccnify that in the pcd'nnnuncc of the work for which lhix passim In iswcdlsh°l1 S,WER-SANITARY-SIORMF.A,300FT. ENEVIwi
I net employ any person in any runner so as to become subject to the Workers
Comport—'anion lax,of California.Date WATER HEATER WNENT/F,LECTR GRADING PL6
ZO Applicant l
(Al NOTICE TO APPLICANT:IL after making this Cemfcare of Exemption,you should WATER SYSTEMITRFATING SOILS FEE
a , become subject to the Worker's Compensation provisions of the labor Code,you must
forthwith comply with such provisions or this permit shall he deemed revoked. WATER SERVICE
CONSTRUCT ION LENDING AGENCY NEW RESIDENTIAL PLMB, SQ.FT PAID
1 D Pt#
UO kto, hick his
trout i i,uco (Ste,3nlending vgcnty lanae pedormooceof
w F, the work ire wnioM1 tea nemdt i'iaxaul(Ste,3097,Co.c3 TOTn1.:
O U Lender's Name TOTAL:
} Ulender's Addoss BUILDING FIT.
y 1 ccnify nnat 1 have read this application and stem tlmt the above information is
F N Cones.l agree to comply with allcity and county ordinances and state laws relatingm QTY. MECHANICAL PERMIT FEE SEISMIC FET;
U Z building commuction.and hereby authorize representatives of to tamer uponthe
aMwc.m minind papcny for inspmtinn purposes. PERMIT ISSUANCE ELECTRIC FEE
(We)agree m save,indemnify and k armksx th y of Cupertino against
liahilities.judgmenv,cma and expert ich an. way accrue against said City ALTER OR ADD TO MECH. PLUMBIN ;E
in mequcneeof she grumin rtpermit.
APPLICANT UNDER" USAN LCo .Y W1'FH ALL NON-POINT AIR HANDLING UNIT(TO IIJXN)CFM) ME ANICALFEE
SOURCE REGU NS, \ r _72
AIR HANDLING UNIT[OVlllt 10,000 CFM) 'ONSTItUC9lON'I'
sur pplicam/Contracmr Dam EXHAUST FOOD(W/DUCT) HOUSING MITIGA FEF
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future Wilding oecupant more or handle Weardous..chat I IEATING UNIT(TO[00.00i BTU)
as defined by Ne Cupertino Municipal Code.Chapter 9.12,and the Health and Safety HEATING UNIT(OVER 100.00U BTU)
Cede,Section 2553200Y
❑Yex F1 No VENTILATION FAN(SIN GLERESID) PAD
Date Receipt If
Will the applicant or future building receptor use equipmem or devices which BOILER-COMP QHPOR 10.17070)BTU)
emit ha;nsinL.vir noaanfn rn,as defimcd by the 13,Arum ,ably Management T L:
Disused': BOILER-COMP(OVER 10K),IIDOB'I U)
❑Yes No
1 have read Ise Lar: s macrials mequi nts under Chapter(.95 of 1M Cali-
NR CONDITIONER ISSUANCE DA'P13
fornia Health&Safe We,Sections 533 ami 25534.1 understand Nat if Jmc NEW RESIDENTIAL MECH. SQ.ET.
huthe or does urrtmly have L.Nm it reaponsC."iytonotifythc occupant
of there omens whic st t .am of Ccrtihcatc of Occupaney.�
)wrn unMriee agent
•-f Date7'7 TOTAL ISSUED BY:
OFFICE