S 0003 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING.-ELECTRICAL PERMIT NO
BUILDING DIVISION APPLICATIONIPERMIT PLUMBING.MECHANICAL
BUILDING PROJECT LDENTIEIGTtUN
BUILDING ADDRESS: A_ ar 7SANiTARYO. APAPPUCACAaTrIIOON SUBMI MAL DATE oft
O R'g NA PH NES NAME T LI NO:�[ . �*2? /V CONI'RO.#ARCHIIECI'RiNGINEER: LIC NO: f(, ADDRESS� dob�CONTACT PHONE: 11 �,�,y YOM ods, UILDING PERMIT INFO
O``�� ,�(�� ✓.l ❑ Consultant Fees Paid by Applicant(Initial) B. G ELECT PLUMB MECH
dAV N 14A I36� 646�' & `F na rp ❑ ❑
LICENSED CONTRACTOR'S DECLARATION QTY ELECTRIC PERMIT FEE
1 hereby option that 1 am licensed under provisions of Chapter 9(commencing JOB DESCRIPTION
OCZ with Section 70f101of Division 3of the Business and Pmfessiens Code.and my license is RESIDENTIAL,
WOO In PERMIT ISSUANCE
F•�.. full 5mceard ellen. ❑SFDWL ❑KITCHEN REMODEL
aUzV Licenu IT
Lic.# 1G APPLIANCES-RESIDENTIAL []ADDITION [I PLUMBING RE-PIPE
F 6 W Dam Contractor
y W ❑MULTI-UNIT ❑STRUCTURAL
C.F.Doe AR'HITF.C'T'S DECLARATION PANELS MODIFICATION
d as s
ll h
h
l
d d
1 understand my pans sae used public records
ZOtrfs zJ UP T0200 AMPS [I INTERIOR El CHIMNEY REPAIR
OZ—
r 41p' Limmed Professional 201-1oWAMPS IMPROVEMENT E]SWIMMING POOLS
Si1J OWNER-BUILDER DECLARATION OVER HXMAMPS - C3 BATH REMOUEUREPAIR ❑DP.NIOLITION
eL+a 6'el 6 I thereby off roe that 1 am exempt from the Cantmcmr's Licenu Law for the
X-Q- fallowing Treason.(S,ctlen 713 L5,Business and Professions Code:Any city or county SIGNS ELECTRICAL. El OTHER
W 3 LL which requires a permit to construct,skier.improve,demolish,m repair any awcwrc
4]•LL^O4 pruirmnsissuance,slso requires the epplicem for each p,rmiuo file vsigned see¢mem SPECIAL CIRCUIT/MISC. l
rrWW�11>. khat he is licensed p.m.to the provisions nfro,Cmdruchre,Licenu Luw(Chapter 9
L'p0 (commencing with Section 7lXNp of Division J ofthe Business and ProfesomisCode)or THMP.MITER OR POLE INSf.
that he is exempt therefrom and the basis for the alleged exemption.Any violation of ❑NEW BLDG/ADDITION ❑DEMOLITION
��� Section 7031.5 by anyapplicant for u permit subject,the applicant 1.u civil penalty of POWER DEVICES []TENANT ❑FOOD SERVICE
t more than five hundred dollars(8500). IMPROVEMENT
�C ❑ 1,as owner nfine pmpeny,or my nnployees with wages as their sole com,oxnaim, SWIMMING POOL ELH ❑OTHCR
will do roc work,and the stmtclarc is not intended mattered for sale(Sec.7040,Easiness
and Professions Code:The Contractor's Licenu Isw does not apply to an owner of I, OUT(. S-BWIT -FIX U
pmpeny who builds or improves thereon,and who does such work h....—of IMmgh
his own employees,provided that such improvements am not intended or offered for NEW g&AFIAL EL CT I SQ IT.
sale.If.however.the building or improvement is sold within one yemofeintletion,rhe 'SQ.PI'.FLOOR AREA SISQ.FC
:
own
cr-huilder will have rte burden of proving mar he did not build or improve for put-
' pow of serol. WN
1,as owner of the pmNny,o xduactly contracting mrs A
with licensed emormto D
consumer the project(Sec.7610,Business and Professions Cale:)The Contractor's Li-
mnusv
rnduesnotapplytoanownerofpmpertywhobuildsorimprove,teo
hern,and QTY. PLUMBING PERMIT FEE Ma
who contracts for such projmts with a comments)licensed Pursuam m the Comrucror's /n
License Lass, PERMIT ISSUANCE /s/ �• ,�4U
Iameacceptunder Seo. .B&PCforthis reason v
ALTER-DRAIN&VLNT-WATER IEA) N UO /�
Owner Dan
WORKER'S COMPENSATION DECLARA'T'ION BACK I1.OW PROTECT.DEVICE
1 hereby affirm under penalty of perjury one of the following declarations:
]IM1ave enJ will maintain aCenifcmenf Conscm mulf--,mare far WoRcrs Cnmpcn- DRAINS-FLOOR,ROOF.AREA,COND. STORIES TYPE-,CONSTRUCT101
sarien,as provided for by Section 37M of me L.Wr Code,for the performance of the
work for which this permit is issued. FIXTUR17S-PER TRAP
I have and will maintain Worker's Compensation Insurance,ss reyuircd by Section
37M ofthe Labso CBode,for the pedonnmam ofthe work for which thiTp ti issued. GAS-EA.SYSTEM-1 INC.0 OUTLETS OCC,GROUT' APN
my woo' T-CnsQt'innr-In`sur�ce carrittPadY Noy ousA'QAre ol-'� GAS-EA.SYSTEM-OVER 4(EA)
CERTIFICATE OF EXEMPTION FROM WORKERS' GREASPANDUSTR,WASTE IM'ERCEPTOR
COMPENSATION INSURANCE ❑01LDIN DIVISIONP S
(This sminnuednol be,munplemd ifinepermit is future hundreddo11ars($Ig)) GREASETRAP
at less.) PLANCHECK FEE
I certify that in me performaremofthe work forwhich this permit is issued.I shell SEWER-SANITARY-STORM EA.200 FT.
nor employ any persin any mamtcr so as m Wer me subject 1.the Workers'Co., ENERGY FEE
on
,Zs section Tmws of California.Date WATER HEATER W/VENT/ELECTIt
0 Applicant ) GRADING IrF.E
NOTICE TO APPLICANT:If,after making this Cedifcate of Exemption,you should WATER SYS'I ENITREATING SOILS FEE If ila
(•" become subject to the Workets Compensation provisions of the Lbof Code,you must
{aLl forthwith comply withsuch previsions or this permit shall W deemed revoked. WAT17R SERVICE-,
CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL PLMB. SQ.}T. PAID
I hereby mrion that them is v construction lending agency for the performanceof are Receipt#
U
H the work for which this permit is issued(Sec.3097,Co,CJ TOTAL:
0 U Lenders Name
TOTAL:
Lender's Address
BUILDING PEE
1 certify that I have read this application and state that the above information is
..iV) crrect l agree to comply win all city and county Ddinmmes and state taws mining m QTY. MECHANICAL PERMIT FEE 'SEISMIC FEE
building construction.andherehy vumnmc representatives,fors city memerupon the
ab ,o-immioned property for hapecther Purpmes. PERMIT ISSUANCE LiLECIIt1C ITE
(Wel agree to save,indemnify and keep harmless are City of Cupertino against
liahilitic,3 gment,.costs and exp( s which may in any way accrue against said City ALTER OR ADD TO MECH.nIISSUED
LUMBING FEE
we lac a of the gmmin of Thr!pemtit.
APPL IL N'UN DI!RST )S s ND WILL CONII'L WITH ALL NON-POINT AIR HANDLING UNIT(TO M) MECHANICAL IT f:
SOURCE. C ATI)N p
46 AIR HANDLING UNIT(OVERCFNE CONSTRUCTION TAX
Signamrcof pplice Cr t Dnm EXI{AUSTHGOD(W/DUCHOUSING SITIG TION PER
ZA US MATERIALS DISCLOSURE
WdIdicapplicant future building wcupam store or handle hmmm�uc inmeriul PIRATING UNIT(TO 100,00
as defined by the Cupcniw Municipal Carle,Clmpter 9.12,and the Hemsh amt Safety
Code,Sallov 25532(v)'! HEATING UNIT(OVER Is0 )
❑Yes ❑No VENTILATION FAN(SINGLE ) lAID Dam km,ipt
Will the applicant or future building occupant eau equipment m devices which BOILER-COMP(3HP OR U)
-mit hazardous air mot minams as defined by the Bay Arca Air Quality.ManagementTOTAL:
District? BOILER-COMP(OVER 1 )
❑Yes F1 No
I have mad the harrdnm mamriuls requirements under Chante!5a5 of the Cull- AIR CONDITIONERISSUANCE DATE
from Hmlm&Safety Cede,Sections 25505,25533 and 25530.1 understand IMT if the NEW RESIDENTIAL MECSQ.F1'.
building does net currently have a tenant,that it is my responsibility to be ify the mccupmr
of the requirements which must be met poor to Issuance of v Cenifcale of Occupancy
Ownermuunerized agent Date TOTAL: ISSUED BY:
OFFICE
rt;t 1 -r p -
h1reY 09:55 HCCESS INDUSTRIES 816 763 4467 P.02i63 I'
r �
i
. j
c� o� D OFF ICS Py
MAY 2 7 1991
,j
ilj BLDG.CITY OFC'TWIVATE REST DE ELEVATORS
j .
i ) SCOPE T"RODUC.T
!
�d•,t This Part applies to elevators inslalled in or at a —rVNQ_
+ private residence. This Part also applies to similar
� l elevators installed in multiple dwellings as a meens
of access to private residences in such buildings pro-
STA R_ LI DE Qp1oRAT lG�f�l
vided the elevators are so installed that they are not
•I�','i. l accessible to the general public or to otheraccupants
i In the building.
' Md g�,�.lc���•tneS o... 1
i.... VED
;i SECTION 500
WITH THE CITY 01
HOISTWAYS, HOISTWAY
IN ACCORDANCE
ENCLOSURES. CUPERTINO CODES
jAND ORDINANCES
AND RELATED CONSTRUCTION OATS
II,, •� Rule 500.1 Hoistwely Enclosure ConatructionSIGNED specifications MUST
The hoistway shall be solidly enclosed throughoutThis set Of plans and
.t+ all times and it its height without grillwork or openings other thanbe kept on the job at ations
un
for landing or access doors,except that any extetior'lawful to make any changes or alterations
from
'i^ windows within the hoistway-shall be protected by on same without Writteof Cupertino'
grillwork. Enclosures shall be of sufficient strongth the building Dept., City
! ' g The stamp Ian and specifications
I( to support in true alignment the hoistwey doors and stamping of this P ermit or to be aA
gates and their locking equipment. The fire resist. SHALL NOT be held to P rovisidR�
ante rating shall be in accordance with the require- approval of the violation of any
'1'i"' menta or Rule 100.tb, ggqnnnyys City 0rilinail State
(a/ The enclosure may be omitted on the lowest �
' landing served,unless it opens directly into a garage, ` ` l
t•I. provided the car platform is equipped with a device l l� O ,:a r\o `
�I'•
which, if the platform is obstructed in its downward 1 '� �
! ri
, travel by a force of 4 Ihf (18 NI or more applied
it r anywhere at its lower surface, will open an electric \ vt rr 'r tNN L
' contact in the control circuit and thus stop the down-
ward travel of the car within the range of the free
•IS r
?—_0 V
�7' suspension of the car and not exceeding 3 m. (76 ( 1 ,
mm),
(b) The enclosure May be omitted on the upper
landing on continuous-pressure operation elevators
!f?p, serving only adjacent landings(one-floor travel), Pro-
I
rl
r i !
NA`r'-30-1997 09:56 ACCESS INDUSTRIES 616 763 4467 P.03/G3
.1
r:
vided the floor opening at the upper landing is pro,
tected by an enclosure and gate at least 36 In. ;914 I'
I: mm) high with openings that will reject a ball 1 in.
,.•„
125 mm)in dian.ater and the gate is provided with a
`nlr ' combination mechanical lock and electric contact, y
(c) The enclosure may be cmined an the upper
",r landing of elevators having continuous-pressure op-
oration and serving only adjacent landings(ono-floor
i1 travel), where the floor opening is provided with a
vertically Iihing hatch cover which is automatically
raised and lowered vertically by the ascending and
J, descending car, provided this cover meets the fol-
lowing requirements.
,I^�1 (1) It is fined with guides to ensure its proper
ting. _t r)
l (2) It is designed and Installed to sustain a total -ILeD- P�'tCa1o�2 ` �,reMQrr�¢
I+ load of 75 Ib/h'(3.59 kPa)or 300 Ib 1136 kg)at any
one point.
I,�•i (3) It is equipped with an electric contact which
will prevent the upward travel of the car when a force
of 20 Ibfat an laced is N)89
( P Y point on the top of
the hatch cover.
' �,. gid) The hoistway enclosure may he ominea on at.
)t "evators located in existing open stairwav areas or
Iother existing open areas provided that: "I
(1) the car platform Is equipped with a device
which will meet the requirements of Mute 500.Ila)
and stop the car if it is obstructed in its downwarn
(2) the entrance sides of the hoistwav at the
I' Ill upper landings are protected as required in Rule
500.4;
(3) the car gate is automatically locked except
owhen the car platform is within 6 in. (152 mm) of a
! anding.
,
4t
'.SIN
K
{ it ule 500.2 Pits
c 500.2a Pit Meintenanca. Where a pit is provided,
�i.ail be kept clean and free from dirt ano rubbish. 1V0 ���1 1S ne.d I
4
I '
TOTAL P.03
o a
■L tu
Na
I! d •W W= JS �a :12p
� 2 2 w ~ aiaoWomZ �z3 ¢ a b ` o t
d u g W > Wg ¢ o < 3�=<w �N � rn
N m wp¢ c7ap8p0 co oz wFF-�d � w �(p(p
U za ¢�� m<gwtR w omaFa¢ cc �com
C p_IL�I'
a�C,2 � p ` oz� � LLL� PioUQ 4gouj :3 � ¢ FmO? mw
9
m -
U Q W
HUM= Hwa:
OU
=W
N U�
y� Oma
Z W
O
� oar
CL G o '
u o
aui �
w p
u i< ¢ U u
- -
: O�O
Z N
W
� a ?z
zawi
S U W W
q ggo rLo
C,
J J J
wo
o r
cell
og�
~ ek
deg x
-------------
�� o
e
sF • • rN, . ti�
fit
� � k
E \ =e)
� \ Q ( A 'K ( `® j §\\} /(/\
) Mm , \%~® _ ,.2 & 6r j ƒk \ a�� ( 7 ■/ fe k/ /)®§� ■ 22({
) �})f
° E /@+a\�222§ m ( -& ■2 - !m - @§&/®\§, �f0LL
Q\§vi
. . . . . ... . .. )e m!((3\&) .
. ! -- ----- -- �
` --- -------��� � �
f �
§ ¥
7 | §