05110040 (2)CITY OF CUPERTINO
CONTRACTOR INFORMATION
-BUILDING DIVISION PERMIT
hkre;t?8a' ii v3
BUILDING ADDRESS:
D & D CONSTRUCTION
PERMIT No. 0 S 11O O4O
:R' NAME:
PERMIT IgUE GATE
JANE PAN
1447 HAMPTON
PHONE:
SANITARY NO. CONTROL NO.
(408)666-5298
ARCHITECT/ENGINEER' -
BUILDING PERMIT INFO
BLDG ELECTPLUMB MECH
LICENSED CONTRACTOR'S DECLARATION
- lob Description
1 Mab,affirm Nat I an licensed tunder provisions of Chapin 9 (commencing
with Section TWU) of Division 3 of the Business and Piefassiam Code, and my license is
In full roma orderleet.
REVISION—REPLACE WINDOWS & BAYWINDOW
LiaClass Lie. #
NO NEW PERMIT ISSUED/ORIG. #05080137
Dam Contractor
ARCHITECTS DECLARATION
1 understand my plans shall he used as public records
Licensed Pm(essional
OWNER -BUILDER DECLARATION
I hereby alTirm Nal 1 am esemps from Ne Caroni License Law for the
i following mazon. (Section 703I.3, Business and Professions Code: Any city or county,
which mquiru a permit to a roars , alar, improve. demolish, car repair any structure
prmu s its issuance. also aquina One applicant for such permit m rite a signed statement
Contractors ucenseLsw(chapter 9
Sq. FL Floor Area
ValuatioCy214
Kai netsranxdputxanttothe pmviaionaof0.
(commencing with Section ]00(yof Division 3 of the Business and Professions Cmic) or
Out he u exempt therefrom and Ne basin ran On allcgad exemption. Any violation of
APN Number
Occupancy Type
Section 7031.3 by any applicant for a permit subjects um applicant he acivil Penalty of
nor moa than Bw hundred dollars (SR)PI.
3 5617047.00
❑ 1. as owner of Uie property, or my employees with wages u their talc compensation,
Required Inspections
q p
will do the work, and Ne swcsum isnot intended or offered for sale (Sec. 7W. Business
and Professimu Codc: The Crnuvcut's License Law does Mt apply to an owner of
prepcny who builds or improves thereon, and who docs such work himself or through bis
tun employees. provided that such improvements are not inmMW Or offered for solei(.
however, the building or improvement u sold within one you of completion• the owner -
builder will have the burden of proving Nat he did not build or improve far purpose of
ra1c.).
<
(�_L as t 0.come,I of the property am exclusively contracting with IicemW mnaxon'. i.
Ne Code:) The Contmmon.
FOL (Sec. ]004. Business and pirProperty
\
Cease La es who buimeslds rad
who contracts law docs oat apply a an owner of prrperty)wbo builds or Impmvea Nemmuc and
who.Lfor such pmjctts with acrnuacwrts) licensed pursuam m um Gnvanor's
\
Liceram Law.
amCal�der ee B & P C hik Nis on
tum a '2y'
WORKER' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 hart and will maintain a Ccsifcate of Conxm m til( -insure far Warkcrs Conflict'
sation, ar provided for by Section 37W of Ne Labor Code, rot Ne performance of the
weak, Tor which Of, permit is issued.
1 have and will maintain Worktrs Compensation Insurance• u seyvi ed by Sectors
3]W of Ne tabor Cade, for Ne pcnformanec of the work far which Nis Permit is issued.
My Workers Compensation Insurance carrier and Policy number am:
Carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Thu xnion need not hate mpieud if Ne permit is for one hundred dollars (SI W)
or ltss)
I cetu y that in tate performance of the work for which Nis Permit is issued. I shall not
employ any .an in any manner c.. subject to the Workcri Compcnsadon
Laws of California. D 4,W
Applicant ^'1
NOTICE TO APPLICANT: IL afmn making Nu Cenifaate of Exemption, you should
became subject in the Workers Compensation previsions of the labor Codc, you muss
Z forthwith comply with such provisions or this permit shall he deemed awked.
n CONSTRUCTION LENDING ENCY
-
hi that Nemu s leading agency far the peRormance ser
>1hcrehy c
OC wars fur which this permit is issued (See. 3M, Civ. C.)
Leners Name
Z Lenders Address
1 comfy Nat 1 have read this application and rum tha the abosre infmmatiun is
-
-' cosecs. I agree to comply with all city and county ordinances and sum laws relating to
Jbuilding eownumu.n. and hcrehy O.Omia apracnulm, or Nis city to anal upon the
ah. -p rnicred pmpcny for inspection purposes.
WC) agree to save, indemnify and koep haemless the, City of Cupertino against
liabilities. judgments. costa and talent. which may in any way a.. against said City
Z in consequence of the granting of this permit.
.r APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL ON -POINT
Issued by: Date ^Z t v d
SOURC L�ONS. p
_
Re -roofs
Type Roof
Signaturcof ApplicanUContractor m
HAZARDOUS MATERIALS DISCLOSURE
of
Will the applicant or future building Occupant store or handle hvardous mamdal
cfired by the Cupertiw Municipal Code. Chapter 9.12• and the Health and Safety
Section 255324)]
All roofs shall be inspected prior to any roofing material being installed.
0Yes N Na
future
If a roof is installed without firs[ obtaining an inspection, I agree to remove
Will the applicant or building Occupant umequipmcntof devices which
emit hazardous air contaminants in da0mul by the Bay Area Air Quality Management
all new materials for inspection.
DisuicO
CYas j�Na
I have real the bacielex rmacrials requinemenu underChapmr6.95ortheCalirm-
.is HealO& Safety Code. Seeoom2 N5, 25533 and 25534.Infiltration! thatifum Wilding
does not currently him a tuna t, that it u my aapomibilu, w notify dw fee pant of Nc
�mq bin Re egno�sin Or aC'mmamoracu p
Signature of Applicant Date
%��f // �9 0
All roof coverings to be Class "B" or better
Owner or atou.n cd aI Dm
Item 1 of 1
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35617047.00
DATE ISSUED.......: 11/29/2005
RECEIPT #.........: 32153
REFERENCE ID # ...: 05110040
SITE ADDRESS .....: 21776 COLLINGSWORTH ST
SUBDIVISION ......
CITY .............: CUPERTINO
IMPACT AREA ......
OPERATOR: conniew
COPY # : 3
OWNER ............: JANE PAN
ADDRESS ..........:
CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4709
METHOD OF PAYMENT
-----------------
OTHER
TOTAL RECEIPT
AMOUNT NUMBER
------------ ------------------
174.28 VISA
174.28
RECEIVED FROM ....:
MICHAEL RADU
CONTRACTOR .......:
ENDE WU LIC
# 23939
COMPANY ..........:
D & D CONSTRUCTION
ADDRESS ..........:
1447 HAMPTON
DR.
CITY/STATE/ZIP ...:
TELEPHONE :
SUNNYVALE, CA
(408)666-5298
94087
FEE
ID UNIT QUANTITY
AMOUNT
PD -TO -DT THIS REC NEW BAL
---------------------------------------------------
BPLANCKREP HOURS 3.00 261.42
87.14 174.28 0.00
TOTAL
PERMIT
261.42
87.14 174.28 0.00
METHOD OF PAYMENT
-----------------
OTHER
TOTAL RECEIPT
AMOUNT NUMBER
------------ ------------------
174.28 VISA
174.28
LETTER OF TRANSMITTAL
To: City of Cupertino - Building Division
Community Development Dept.
10300 Torre Ave.
Cupertino, CA 95014-3255
CC: Sue Winslow - Administrative Clerk
Date:
November 22, 2005
B&H P.C.:
378-B1-16037-02
Agency Permit:
Berryman & Henignr
LETTER OF TRANSMITTAL
To: City of Cupertino - Building Division
Community Development Dept.
10300 Torre Ave.
Cupertino, CA 95014-3255
CC: Sue Winslow - Administrative Clerk
Date:
November 22, 2005
B&H P.C.:
378-B1-16037-02
Agency Permit:
05110040
Description:
SFD Revision
Address:
21776 Collingsworth St.
Via: ❑ Messenger ❑ Express ❑ Pickup ❑ Mail ® Cal Overnight ®Email
We are forwarding herewith:
1 Plans Energy Calcs. Other
Correction List Soil Report
Structural Calcs. Acoustical Report
Plans have been reviewed for:
® ® Architectural ® Structural ® Plumbing ® Mechanical ® Electrical
❑ Disabled Access Regulations ® Energy Regulations ❑ Fire Code
•
Remarks: Plans have been reviewed and APPROVED in compliance
with the 2001 CBC, 2001 CPC, 2001 CMC, 2004 CEC
requirements,2005Title-24 Energy Requirements.
If enclosures received are not as listed, please notify us at once.
From: BERRYMAN & HENIGAR
Code Compliance
Or Date:
T. Bailey .E.
Received by: Date:
November 22, 2005
6150 Stoneridge Mall Road, Suite 370 • Pleasanton, California 94588 • (925) 468-7400 • FAX (925) 468-7413
\\Siena\B&S\$Projecls Cupenino\37BQ78-B 1 -1 6037-02.dw
REVISION 3
6/0x4/0 SH.
F COFFERED CEILING
I
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BEDROOM 4
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1
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3/0x4/0 SH.
STUDY
FLOOR PLAN NOTES
PROVIDE EMERGENCY EGRESS WINDOWS
WITH MINIMUM NET CLEAR OPENA13LE AREA
OF 5.7 SQUARE FEET. DIMENSIONS SHALL
BE 24" MIN. HIGH BY 20" MIN. WIDE, WITH A
MAXIMUM FINISH SILL HEIGHT OF 44" ABOVE
THE SUBFLOOR. U.B.C. SECTION 310.4.
GLAZING SUBJECT TO HUMAN IMPACT
SHALL BE TEMPERED, LABELED "SAFETY
GLASS", AND COMPLY WITH U.B.C. SECTION
2406 A5 FOLLOWS:
• GLAZING IN FIXED OR OPERABLE PANELS
ADJACENT TO A DOOR WHERE THE NEAREST
EXPOSED EDGE OF THE GLAZING 15 WITHIN A
24" ARC OF EITHER VERTICAL EDGE OF THE
DOOR IN A CLOSED P051TION AND WHERE
THE BOTTOM EXPOSED EDGE OF THE
GLAZING 15 LESS THAN 60" ABOVE THE
WALKING SURFACE.
• GLAZING IN INDIVIDUALLY FIXED OR
OPERABLE PANELS (OTHER THAN ABOVE)
THAT MEET ALL OF THE FOLLOWING
CONDITIONS: GLAZING GREATER THAN 9 50.
FT. IN AREA; BOTTOM EXPOSED EDGE LESS
THAN 18" & TOP EXPOSED EDGE GREATER
THAN 36" ABOVE THE FLOOR; AND WITHIN
36" HORIZONTALLY OF ANY WALKING
SURFACE.
SCOPE OF WORK REVISION 3
• FIVE (5) FRONT 2nd FLOOR WINDOWS TO BE REPLACED LIKE FOR LIKE
• ONE (1) FRONT 2nd FLOOR WINDOW TO BE ADDED TO REPLACE TWO BEDROOM WINDOWS
• REPLACE REAR 8'-O" SLIDING 6LA55 DOOR WITH NEW W -O" "POP-UP" BAY WINDOW
• NO SQUARE FOOTAGE ADDED.
• NO CHANGE IN LATERAL FORCE RESISTING SYSTEM OF THE STRUCTURE NOR
ANY CHANGE IN THE GRAVITY LOAD RE515TING SYSTEM
3/0x4/0 SH.
---------------
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OPEN TO
BELOW
too
ztm
0--SOLAReTUBE _0 HALL
SOLAR
E
a6
BEDROOM 2
REVISION 3
REPLACE WITH NEW WINDOWS LIKE FOR LIKE
3/00/0 FIXED
DN.
TUB/�3FIOtq(: — — ✓' ? ?�
--
--------------
00
BATH 2 De _
0LLI
ci ~•
Fo 25-
m
FULL HT.
%\ CABNE7 ;
v 1
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1
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MASTER BEDROOM
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--------------------------------=
3/0x3/0 5H. 3/00/0 SH. I ��
4/O0/0,FIXED I ids
4/0x4/0 H.S.
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----------------------------
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ND FL
SCALE: 1/4"= l'-17'
SLIDING GLASS WINDOWS SHALL BE
DESIGNED AND INSTALLED 50 A5 TO
PREVENT THEIR REMOVAL BY RAISING THE
MOVABLE PANEL FROM THE TRACK WHILE IN
THE CLOSED POSITION. SLIDING UNITS
SHALL ALSO HAVE AN APPROVED PRIMARY
AND AUXILIARY LOCKING DEVICE
PERMANENTLY MOUNTED AND NOT
ACCES5115LE FROM THE EXTERIOR OF THE
BUILDING. THE MOVABLE SECTION OF THE
SLIDING UNITS SHALL BE MOUNTED ON THE
IN51DE TRACK.
ALL DOORS AND WINDOWS ARE TO BE FULLY
WEATHER-STRIPPED PER TITLE 24
REQUIREMENTS.
ALL JOINTS AND PENETRATIONS ARE TO BE
PROPERLY CAULKED AND SEALED PER TITLE
24 REQUIREMENTS.
PROVIDE 26 GA. GI. FLASHING AT ALL NEW
CONCRETE PORCH/STOOP AREAS WHERE
CONTACT WITH WOOD FRAMING WILL OCCUR.
GLASS BLOCK
3
n
SHOWER AND TUB WALLS SHALL BE
FINISHED WITH A NON-ABSORBENT
SURFACE, SUCH AS TILE OR OTHER
APPROVED MATERIAL, TO A MINIMUM
HEIGHT OF 70" ABOVE THE DRAIN INLET.
APPLY NON-ABSORBENT MATERIAL TO
WATER -PROOF BUILDING PAPER AND WIRE
LATH, INSTALLED OVER WATER-RES15TANT
GYP. BOARD APPLIED DIRECTLY TO STUDS.
U.B.C. SECTIONS 807.1.3, & 2512.
PROVIDE MIN. 24" CLEAR AT FRONT AND MIN.
30" CLEAR WIDTH AT ALL WATER CLOSETS.
SEISMIC STRAP WATER HEATER TO BUILDING
AND INSTALL MIN. R-12IN67ULATION
BLANKET. U.P.C. SECTION 510.5, & TITLE 24
REQUIREMENTS.
MECHANICAL AND PLUMBING
PENETRATIONS PASSING ENTIRELY
THROUGH BOTH PROTECTIVE MEMBRANES
OF BEARING WALLS REQUIRED TO HAVE A
FIRE-RE515TANCE RATING, AND WALLS
REQUIRING PROTECTED OPENINGS SHALL BE
PROTECTED WITH THROUGH -PENETRATION
PROVIDE FIRE13LOCKING IN THE FOLLOWING
LOCATIONS PER U.B.C. SECTION 708:
(A) IN CONCEALED SPACES OF STUD WALLS
AND PARTITIONS, INCLUDING FURRED
SPACES, AT THE CEILING AND FLOOR LEVELS
AND AT 10 FT. INTERVALS BOTH VERTICAL
AND HORIZONTAL.
(B) AT ALL INTERCONNECTIONS BETWEEN
CONCEALED VERTICAL AND HORIZONTAL
SPACES SUCH AS OCCUR AT SOFFITS, DROP
CEILINGS, AND COVE CEILINGS.
(C) IN CONCEALED SPACES BETWEEN STAIR
STRINGERS AT THE TOP AND BOTTOM OF
THE RUN, AND BETWEEN STUDS ALONG AND
IN LINE WITH THE RUN OF THE STAIRS IF THE
WALLS UNDER THE STAIRS ARE UNFINISHED.
(D) IN OPENINGS OPENINGS AROUND VENTS,
PIPES, DUCTS, CHIMNEYS, FIREPLACES AND
SIMILAR OPENINGS AT CEILING AND FLOOR
LEVELS, WITH NON-COMBUSTIBLE
MATERIALS.
(E) AT OPENINGS BETWEEN ATTIC 5PACE5 &
CHIMNEY CHASES FOR FACTORY -BUILT
CHIMNEYS.
5/8" TYPE T ONE HOUR FIRE RATED GYP.
BOARD SHALL BE INSTALLED ON ALL WALLS
AND CEILING AT GARAGE SIDE WHICH ARE
COMMON TO ANY LIVING AREAS, AL50
INSTALL FIRE RATED GYPSUM BOARD AT
UNDERSIDE OF ANY ENCLOSED STAIRWAYS.
U.B.C. SECTIONS 302.4, & 1003.3.3.9
WALL LEGEND
EXISTING WALL
NEW WALL
KEMOVEL WALL
PATCH / CLOSE WALL
N5N 10 1005
R v
PLEASANTON
FIRST FLOOR PLAN
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REVISION:
PER PLAN CHECK
COMMENTS DATED 9/6/05
,AOfESSIQ..a . a
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OF CA
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DRAWN BY
MSR
CHECKED BY
JOB NO.
05-051
DATE
09/30/05
SCALE
A5 SHOWN
SHEET
4
m
CITY or
CUPERTINO
CITY OF CUPERTINO C-> 12- CJI
PERMIT APPLICATION FORM
APN # .�5
Fee Description
Date:
Building Address:Mailing
'7(g
Address (if different from building address):
,)X7LUN(,5
W ofZ1-14
ST
Owner's Name:
I"IfLS F
�4rJ
BBOILER2
Phone #:
Contractor: /1� d ^
090,5V "5770
t,)
License #:
Contact: Phone: 35'8-&'713
Cupertino Business License#:
(1 ieFIQt L r<APt-L Fax: 35'$-6'7'7cj
MECHANICAL
Building Permit Info:
Boiler > 1.75M Btu
MECHANICAL
Bldg Er Elect ❑
Plumb ❑
Mech ❑
F@ kJtsir .,.
Job Description:2F�w� cs FIVE
St Nc.zWJ
iU. wbr�-.� R�4ely�y
Lt KFPtrr
Lu«
T� 5rwnccf 2
Residential ❑ R€ntz SLIMAPIL f a
0f'1N
ercial ❑
Sq.Ft. Floor Area:
N
BCONSTAXH
Hotel and Motel
n S�,FT, gof�,7
BCONSTAXR
Constax - Resi/Mobile
Cost of Project:
BELEC1000
Occupanr.�Tno:
Type of Construction:
BELEC1001
Please check this box if the project is a
L/ o✓
BELEC200
second -story addition: ❑
Project Size: Standard ❑ Large ❑ Major ❑
Quantity Fee ID
Fee Description
Fee Group
BAPPLOTHER
Other Appliances
MECHANICAL
BBOILERl
Boiler <= 100,000 Btu
MECHANICAL
BBOILER2
Boiler > 100K to 500K Btu
MECHANICAL
BB,OILER3.
Boiler> 500K to 1M Btu
MECHANICAL
BBOILER4
Boiler > 1M 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
1 of 3
F
L
aCITY OF CUPERTINO
CITY OF PERMIT APPLICATION FORM
CUPEI,TINO
Quantity Fee ID
Fee Description
Fee Group
BMISCELL
Miscellaneous Fee
BUILDING
BMITIGATC
Comm. Housing Mit. Fee
BUILDING
BNUCOMME
New Comm Electric
ELECTRICAL
BNUCOMMM
New Comm Mechanical
MECHANICAL
BNUCOMMP
New Comm Plumb
PLUMBING
BOVERTIME
Inspection Overtime
BUILDING
BPBACKFLOW
Atmospheric Vacuum
. PLUMBING
BPCESSPOOL
Cesspool
PLUMBING
BPERAWEE
Bldg Permit Fees
BUILDING
BPFIXTURE
Pblg Fixture
PLUMBING
BPGAS
as Piping System Fee
PLUMBING
BPINTERCEP
Ind Waste Interceptor
PLUMBING
BPLANCHK
Plan Check Fee
BUILDING
BPLANCKADD
Plan Check Add Multi
BUILDING
BPLANCKREP
Plan Check Repeat Fee
BUILDING
BPREPIPE
Re i e Of Fixtures
PLUAI[BING
BPSEWAGE
Sewage Disposal
PLUMBING
BPSEWER
Sewers
PLUMBING
BPSPRINK
Lawn S rinkler/Backflo
PLUMBING
BPSTORM
Storm/Rain Water
PLUMBING
BPTRAP
Kitchen Trap
PLUMBING
BPVENT
Alt of Drain & Vent
PLUMBING
BPWATER
Install/Alter Water Pie
PLUMBING
BPWHEATER
Water Heater/Vent
PLUMBING
BPWSVCS
Main Water Service
PLUMBING
BREINSPECT
Reinspection Fee
BUILDING
BREMACOVER
A/C Unit > 10,000 clm
MECHANICAL
BREMAIRHAN
A/C Units <= 10,000 c$n
MECHANICAL
BREMAPPLI
Appliance Install
MECHANICAL
BREMBUSWAY
Remodel Busways
ELECTRICAL
BREMFIXT
Lighting Fixtures
ELECTRICAL
BREMFURN
Relocation of Furnace
MECHANICAL
BREMFURNOV
Relo Fumace > l OK btu
MECHANICAL
BREMHEAT
Heater Installation
MECHANICAL
BRENIINHOOD
Installation of Hood
AIIECHANICAL
BREMMISC
Misc Apparatus
ELECTRICAL
BREMNRAPP
Rem Non -Res Appliance
ELECTRICAL
BREMPOLE
Pole/Platform Fixture
ELECTRICAL
BREMPOWER
Power Device/Apparatus
ELECTRICAL
BREMRECEPT
Rc tl, Switch & Outlets
ELECTRICAL
BREMRELOCA
Relocation of Hood
MECHANICAL
BREMREPALT
Repair/Alter Heating
IVIECHANICAL
BRFN=SAPP
Remodel Res Appliance
ELECTRICAL
2 of 3
apagut
CITY OF
CUPEkTINO
CITY OF CUPERTINO
PERMIT APPLICATION FORM
Quantity Fee ID
Fee Description
Fee Group
BREMSIGNAD
Rmdl Signs Add Branch
ELECTRICAL
BREMSIGNS
Remodel Signs, Marquee
ELECTRICAL
BREMTHEATR
Theatrical Lighting Fix
ELECTRICAL
BREMVENFAN
Vent Fan Single Duct
MECHANICAL
BREMVENSYS
Ventilation Systems
MECHANICAL
BSCBLVD
Scb Specific Plan
BUILDING
BSEISMICOM
Seismic Commercial
BUILDING
BSEISMICRE
Seismic Fee Res
BUILDING
BSPECLU
Special Impection
BUILDING
BSNVIIvI
Swimming Pool
BUILDING
BTEMP
Temporary Power
ELECTRICAL
BTENIPPERAI
Temporary Bldg Permit
BUILDING
BTEMPSVCS
Temp Dist Svcs
ELECTRICAL
BUSLIC
Business License
BUILDING
ELECTRIC
El(-ctrical sq foot
ELECTRICAL
EPERMITFEE
Elec Permit Issuance
ELECTRICAL
MPERMFEE
Mechanicals . foot
MECHANICAL
MPERMITFEE
Mech Permit Issuance
MECHANICAL
PPERMITFEE
Plumbing Permit Issue
PLUMBING
PPLBG
Plumbing Fee sq foot
PLUMBING
PLLONGRNGC
Planning LR Comme/ Multi-Fam
PLANNING
PLLONGRNGR
Planning Long Range Residential
PLANNING
ZADDCHG
Address Change
BUILDING
E
3of3