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B 0482 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY FBUILDINGADDR OF CUPfgItTINO BUILDING-FLEC`fRICAI, I PERMIT NO./y�� APPLICATIONIPERMIT PLUMRI NG-MECHANICAL /� a O 4 8 2 1�JINC I1IVISION I BUILDING PROJIECT IDEYITFICATEON sono S: �� {�- � SANITARY NO.i APPLICATION SUBMITi'AI.DAT R NAMF /L/r��,fl(fNl_ C A R" ME: 'LIC NO: S ^� /�J/Iy)//TI''///�y/Irz IiI/'/'/(/� ?3 ACT�A/'/�/IY LI N( AQ})RF_SS.� "IK�✓ �I ❑ I J CONTACT: PHONE: (L/1!^/ BUILDING PERMIT INFO qAa_ p/ ❑ Consultant Fcef Paid by Applicant(Initial) HE BELE PLUMB MECH T`� / LrnY/ LICENSED CON RACIORS DECLARATION QTY ELECTRIC PERMIT FEE I hereby arnn Ina I on Iiarnscd umfer provision or Chapter 9(co m ens nN JOB DESCRIPTION O=Z with Scmiun T00B)of Divbinn3Uflhc Buxina.soul Pletarnns Cuuukkk,,, M ny volts it RESIDENTIAL: woo q "�I t PF.RMITISSUANCE F-4: in full h:mc arm]elfmr'� _I 1 l ❑SFDW'1, [I KITCHEN RBFIODEL �UE IJccmv Clew'.--�-�D hi<.N. APPLIANCES-RESIDENTIAL ❑ADDITION ❑PLUMBING R&PIPE FF.. yI Doc 1-a�1LI I•'IU Contour N6a "-'-T - ❑MUI:I'h UNIT ❑MMUCIUHAI, F.,DN A"hA h o".'ehliRATION ppNE1S MDUE 'CATION Z O I ulsknwlmd my plans shit be awl w puhlic rcaxdv OZ O UPT02fM1AMP5 ❑[NTERIOR ❑CHIMNP.V RIiPAIR [=.FW Liallwd Pmfasimvl 201-IBDIAMPS IMPROVFh1ENf L]SWIMMING POOLS CS: OWNER-BUILDER DECLARATION OVER I(p(IAMPS [I HATH REMODEVREPAIR C3 DEMOLITION C W Q 1 hereby Mr.them 1 am warp from Ne C..mr's License Law for Ilse sLx O y U following rcawn.(Section 70313.Best.ad Profeeviom Code:Acridly m army SIGNS ELECTRICAL []OTHER W 3 tL which ryuirtv a pe mir to annvun,alkr,improve,demdiah,m repair any nrucwre F u-O� pdmlo:u isuwce.alwrdryirn de vpplicanmlf«sixhp[Irleil to Fkasilrcd uelemenl SPECIALCIRCUDD/IISC. e ' 'CIyC+ (aexnmercin8 with Sufi«:]WIBoflNvirisxeH Dole Busilezv wdl'ndewitxa CNy or TEMP.MI..M;k OR P0IE INET. COMMERCIAL: a pp.o yO Ihm bc is escmq Ilcrclium smd Ihc M...for rho u11gd cxcmlrim,Any vialmioe or C1 NEW BLDG/ADDITION El DEMOLITION W m Section]Ihan1 by hen r111i, huts(ESpe,ner ohjmn the-Wicenl to a dill prnldly of POWER DEVICES El gBNAM' El1)OOD SERVICE not Ttorclmd ,?Q ] 1. nwller of the gopeny.«my cnlpluy cs wirl wayc.u.lhciru:k minlenculim, SWIMMINGPOOLELF.CIRIC IMPH(IVEMENT �y w111 Jo lFe w«L,and Ne svuclmeis mr:nlenkJ«ntTemlfor We(Sec.](114,Bunircxr ElO LER 413 aril Profevmos Code:The Cosometors Lieeme law does ml epplY In N Duller of OEjrt- S-SWITCHES-FlXTURFS m propcnY woo builds«impmvcs IICrM.ed wch does such wvlk himself«Ihrwgh hi.own erptw c pm sles]Inn such impnxrnclet ue ml immul m offered f« NEW RISID Nf1AL ELECfR Q PT. - We.if.hair+cr.de howing«imprmcmcm is sold within me Y.a comletion,We SQ.17.FLOOR AREA 5/SQ.FT. rcnnuiklcr will bre dee buNco of proving lhet be did rW build«improve fm qtr- ' 1,w owner of the pn,pcny,on se.,vely cmwc im,with licensed nm.t.to L' corm.,Ln d gojm(Sec..on Bavime.u'end 14ow ssions C us'i Theves melon eLi- xlawdmorwch ymun mwmr of prtdecnywhobuikls«implom lM.vm,( ed QTY. PLUMBING FEE who n.nrvca for wch pn Xms wish n somemex(s)lianwd punuwno IIICGmlmclsc'x L'lanse Lew. PERMIT ISSUANCE I con escmq alder See ,B R P C For this mann ALTER-URNN&VEM-WATER(EAI VALUATION Umc Owar 1111111111111111k I WORKER'S COMPENSATION DECLARATION BACK FLOW MOTECI'.DEVI O 0c) , DO 1 hereby al under prnnity of perjmy ollc of t c folkwin Jccumtion: t ❑Ihavc arW will nuinuina Crniflceu of Goosed to seB-inumf«Wu4ets C«nlcn- DRAINS-Il.ODR ROOF,AR55�x� 1-fORI TYPH CONSfRU ON .h.,Its pmvidd for by Section J]W of the Lubar Code,for Ile perf«rmna of the I / work for which IN,p.I is vowed. MIXTURES-E'ER TRAP 1 bw m,1 will ma:nlvn W«kerx ComPemetion heamenc,as required by Semon 370(1oftbc Lala Code,for Ihc pcdemnmec ofllc mxk f«which 11N,pemer ix isxad. GAS-EA.SYS9'IN-1 INCA Ol EiTS UCOl1GROUP )/ APN(s MyW« nCan wI' nELwr.Imc cmdcrand PNicy yygeMr^:^ I / IG �r Cnrr'r Put-YRIM: GAS-EA.SYSI1inI-0VER4(L'A) CBRTIFICA E OF F�CIJHPI'ION FROM WURKEH.S' GREASFANDUSTRI.WASTE INTERCEPTOR COMPENSATION INSURANCE BUILDING DIVISION FEES The; ion Inert not necrmr4cmd U nIc permit iv for me hwemlrcd"Im,IE 100) GRFASETRAP less.) PLANCIII!CK TEE I certify lout Inde perfortmme of0e work for which Nu permit is iswr Ishan SEWER-SANITARY-STORM E.A.2W FT nor employ any paean u any mmrcr so Its to bccwrc subject to the Workvs'Ccmq¢ry ENERGY F 2 C) Z sntism tum of Crifi oroinI.Dae WATER HEATER WNEI.T/F C`Ht GRAVING FIJ! Z Applkma NOUCE TO APPLICANT.If,after making this Ccrlihale of Pcmglon.ynu sbould WATER SYSTIiAVBE1TING F ; boom:wbjeet to the Worker's Compenotion Oovisiuns of the lalor Corte.you mus SOILS r fonhwiih comply with wch pnwkior , his per mit Aril he,d«nw.l rcvokcd WATER SERVICE UZ CIINSmRUCfIONLENDINGAGENCY NEW RESIDI!NI'IAL PI-MB. SU IT 1 ] Ih¢ m Racigp 1 hereby affirm must nh i is u c,l(Seceder lending agrncy for Ile peRurmmceuf Nc w«k f«which Wis remail is iawN(Sa.3097.Civ.CJ TOTAL: O U I<dkrs Nude } Lcdc I A ctify TOTAL_ BUIL NO FEE ErE I crn,e dlal I have rand Ihuty ound atim end..,.c dal the shove inf«mntion is rn c«recr.l aNrce m eamini her,byl Whosi cdaxY«dirunces and cult la et r utIon iho QTY. MECHANICAL PERMIT FEE U Z building etmaV,ecsiro.aew teeny•dl.,d.<repre.elelali.�e`ar cob dtymemer nroa the sc1S. cFEE .tswe-menlxrmlproll f«inlgection pngrscc PFRMITISSUANCE (We)aertc In raw,irdcnutify ansd kccp hormleu'he City a Cuprnin0 epainvl F1ECfR a: liahllitics,judcmrnu.emu arN cspenms which meyinenyway.recag.insl with Ciy ALTER OR ADD TO MECH. PI.UMBING111H In amxequcrce of the gmminp if IN,"ma. APPLICANT UNDERSTANDS AND WILL COMPLY WITH At,[,NON-PIIIN'1AIR HANDLING UNITITO I0,AX)CFM) MECIIANICAL1q!E $(�ItCE E(ULATIC S l��ATIC Slq(66 AIR HANDLING UNIT(OVER 10,00)CFM) CONST UC TONT. Sljnadt MApplcmt cmmn« Detc EXIAUST HOOD(W/DUC17 HOUSING MITIGATION FTE HA ARDC)US MATERIALS DISCLOSURE. WB Ueapplicism a Encore Wiwing«cvlsad uare«lmndle huud:us mammal HEADING UNIT(TO 100,000 BTUI M defiad by the Cupmim Municipal Code,Chapter 9.12,and de Health anti Safety Co,k.Swim 25532(e)? HEATING UNIT(OVER 100.000 BTU) C3Vcv ;I PAID VENTILATION PAN(SWGfE RESIU) Ih¢ m RcreiptN Will the ambernl nr future huilding o,eulom mc,Nuimieme or deviay which e hvaNnus airemmmilmanLr av dchnd bylfc Bay Area Au Quulity Munugrccm BOILER-COMP(5I1POR IB (0)BTU) ], 1 �Diwnet I � ROUTER-COMP(OVER 1W."BTU) ❑Ycv [(No I leve and de hmard:ru mucno,oN.iurnww unto Chapter 6.95 of the Cali- AIR CONDITIONER mISSUANCE DATE forme IIoIJm A Stiety Code,Secti«a 25505.255]1 seed 25511.1 udee.lxld dna if de NEW RESIDE IAL MECH. SQ.FT. 'Wing does oornmrn Wl itu my lespasvGlay w notify de 'Cirri �© f .m x w W" rfi r i _ Oumecr«autdmud ager Ihte TUTAI.: ISSUED BY: OFFICE STRUCTURAL JUL 2 8 15 J ENGINEERS INCORPORATED July 13, 1999 To: Chief Building Official City of Cupertino Building Department Cupertino,CA Fax: 408-777-3333 Re: Oblix, Inc. 18922 Forge Drive Cupertino, CA Dear Sir: This is to confirm that special inspection for the installation of the expansion anchors shown in Detail 5/S3.1 is not required. If you have any additional questions regarding this matter,please do not hesitate to contact me. Sincerely, Structural� in Engineers, Inc. Sam Koerper,S.E. Principal 4970 EI Camino Real Suite 100 Los Altos,California 941722-1461 Phone(650)938-2200 Fax(650)938-5538 www.structuraiengl neersl nc.com O x -\ J �q56 78 ,, Coll cam+ CO r.... TT I Am 0 N 0m m fl C - cn Cl) 14A O n � � z,A ftpol� ' O � z� J Z 0 0 D > o Z co m O (T T O O co— z m — _ — _ D m A n m rn � G7 7 � cnO p z y 0 m Jr m s, \�1 _� \ . •,zs — — C4 O \' � D C) z p �yy L o Z — Z D CSD ;�I Z o �m � � m � AZZ ® (Dx - - - � - � om_ _ �rn — I 11.0_ — _I— _ x � A _ S PANELIZED ROOF 5/8" TYPE "X" SEE DETL 1/A-7.0 rGYP BD I I Q SHAFT WALL METAL STUDS W/ 5/8" GYP. MTL BOT. EACH SIDE a TRACK JOISTS BRACES (E) 5/8"�^ L TPE X" WOOD SOFFIT GYP BD C(E) ONE—HR RATED SUSPENDED CEILING STOREFRONT WALL SYSTEM LOBBY EXTERIOR 101 CONC. SLAB 1 1 MINERT Arc:v,ec:s (--,-'�WALL SECTION THROUGH LOBBY 101 .� o,: 0,7, -.,. SK-2 .o.191 e W9.911511; FELIX/07/14/99 ® 10.47PM 7/14/99 Teelc. <8.94.9116 F:\2056.00\0NEH0URWALL.DWG BUILT—UP ROOF SEE DETL 1/A-7.0 WITH PLYWOOD SHEATHING SHAFT WALL METAL STUDS W/ 5/8" GYP. O EACH SIDE O MTL BOT. TRACK X (E)SUSPENDED J —WOOD SOFFIT T—BAR CLG STOREFRONT WALL SYSTEM OFFICE EXTERIOR 102 CONC. SLAB MINERT A:ciliecs WALL SECTION THROUGH OFFICE 102 .♦ SCALE: 1/2"=1'-0" r<konorc <099«9.. FE'Lix/07/14/99 ® 10 al PM 7/14/99 F:\20 S 5.0 0\0 N E h O U R WALL.O W C _ C.AIrAM INC. 1555 South Sewnth SaVO 9.1033 Ssn 3 E,C.A 95112 0 408/2832300 PAX 408/2939511 ue.nmss July 27, 1999 City of Cupertino Building Division Reference: Obllx 18922 Forge Dr, Cal Air Job No. - 6578 Subject: Air Balancing Dear Sir or Madam: Cal-Air has had a technician at the above-mentioned project for the past several days testing and balancing the air requirements. This has included all outside air requirements and ventilation to all necessary areas- All standards have been complied with as per 1997 California UMC and Californian Non-residential Energy Standards. If you have any questions, please contact our office. Sincerely, Cal-Air, Inc. e.Mo _/'_ Kerry Mowlam Design Engineer Wbillio' Glcwd."'x .&n�,/nu• .tiucrannm(u !Y'tv/u Z 'd 6LlL LLZ sev dS3i/33dS tdIV--WZ) HlOtid WdLL :V 6661—LZ—L Z eCad !NOI1onU_L8N00 AVB H1no6 < BLLL LLZ eo4 =r4dBL:V Ga ILZ/L :POnTOoed NOV-16-98 MON 12 : 15 PM DO Y 4082573669 P. 03 \ • CF 6R INSTALLATION CERTIFICATE ;• the opposite side of this toren: The following is an explanation of many of the input values require tl on HVAC SYSTEMS Hearin E til ment T e• must be one of the followin urnaco: Gas or ol-Ilred central furnaces a �oaco heaters. Soifer: Gas or oil-tired boilers. PckoHeatPumo: Packa ed central heat oumos. IrtHaatPu S fit central heat oumos. RoornHearPum ; .Floomheat Trip. Pck Heat um : Ler a Packa ed Heat umos 1265.000 Brun out ur). Electric: Elattric resislance heatingHSPF-3.413. Radiant electric resist. healin HSPF.3.55 CombinedH ro: Reference water heater under water haatin s slams.below. ' Refer to CEC pubrication-Appliance Efficiency Ragulattons', P400-92-029. CEC Cortiffad Manul. Make 6 ,Wode/ Number; from applicable CEC appliance directory. Actual efficiency; from applicable CEC appliance directory. Dlstrlb type S locatlon; Distnb type is 'Ducts', 'Piping'or both. Duct location is 'Attic*. 'Crawlspace', 'CVCcrawlspace'or'conditioned space'. Piping location is to be listed as 'Cond.'or'Uncond.'. Duct or Piping R•Value; from the Directory Of Certified Insulation Materials and/or manufs data. Heating Load Before Ovarsizing; Toler to GEC-approved heading load calculation procedure. This is rhe heating road result prior to application of tha/actor recommanded in the load cak:ulation procadurs for ovarsizas rhe appliance to account for the use of a setback thermostat. aWe GEC appliance directory. Note;location elevations over 2000 it Heating Equipment Capacity;from the appllc above sea roval require a darating of output capacity(refer to menulacmrere literature). Coolfn E u! ment T a• must be ons of the followin : S tltAirCond: its stem air cc Wrier. ck AlrCond: Parka ed air mnditioner. Lr eat u S1111 s stem heat Durno. Pck HeatPum -• acita ad at Durno. oomHeatpumo: Room imp. LgPckgHeatPump: Large Pa aged Heal umps(265,000 tuh output). Substitute EE for SEER when SEER is not avalable. comAi Dom a'v conditioner, Min. S varies' 11 LrgPckgAirCond; Large acltaged oat Pumps(265,000 tuh output). Subsutule ER for SE when SEER is not available. Evap iroM: Direct vaporative Cooling System. The SE is fixed al SEER�7 t.0. a Duct condition is to be fixed at kcalion-aeic and duct insulation R-vafue.a.2. Evapind;rect: Indirectvaporativa Goofing System. The S R is fixed at SEE -13.0- Thoduff condition is to be fixed at location-ar is and duct insulation R-value.4,2. • eler to CEC pubucanon-Applma Eftidsncy Regulations', P400.92-029. WATER HEATING SYSTEMS Dlslrlbutlon a stem e: refer to Residential Manual for more details. Standard: Standard OUMWA: Point of use/Hot water recovery Pipe insulation: Pie Insulation RecirUNoControl: eamulaton loo with no mnirol eci rmer: 'rculation bop with a timer ecirwDemand: contra laden bop with demand Aecir me. amp: .loop with timer and temp Racv amp: eeirculatbn loop with temperature control control The table below summarizes the water heat in a stem items needed b water heater type. Input item NAECA NAECA NAECA Instant. Instant- Large Indirect Storage Storage Heat Gas Electric Storage BGas r Gas or Cil Electric Pump Ener y Factor Yes Yes Yes Yes Pilot Inpul, Btu Yes Yes Recov. E(f., fraction Yes Yes (AFUE Standby Loss % Yes Tank Volume, al. Yes Yes Yea Yes Yes Yes Yes Tank Insulation R Yes Yes Ext- Insulation. R Yes Yes Yes Additional Information Required If Combined H dronic S stem: Rated Inout. kBtuh Yes Yes Yes Rated Inout. kWl Yes Yes Rec. Eff. fraction Yes IVUV–lb-70 ' U�• –.. • 3 S - CF-6R INSTAL TION ERTIFICATE tM r� Wninont�of IM 1emlNrinlhe Cade V eptldnK out IoM blarrn.tlee tool b•yrc.Idrd sM M1rd. M thl lotto to q.t1.b i permit Number Site Address An installation certificate required to be posted at the building is reqSite prior to the issuance of the occupancy P anis lone may be used to meet these requirements- All appliance categories listed below are the actual equiprttent installed. Note that the efficiency and type of the appliance installed must be equivalent or better on the cenillcate of compliance (Form CFA R). This certificate (or it equivalent) nt) than the appliance SpOCWW the erson(a) assuming overall responsibility for the app n. shall be prepared and Slued by D Refer to the reverse side of this certificate for an explanation of informalbn required. 1,the undersigned,verily that the equipment listed in the category above my signature is the actual equipment irtstaited and tnat the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. in addition, I have verifled that the equipment is equivalent to or more eafctern than the equipment specified on the Certificate of Compliance submdted to demortstrate compliance with he Energy Elficiency Standards for residential buildings. HVAC SYSTEMS: Healing Equlpmanl Heating Equip• CEC Certified Actual Distribution Duct or Heating Load Heating Before Over- Equipment T Packaged Martut.Meke b Efficiency T" Type�_ plpkt-Val c:siro t tuht ` r yPe( y•1 N int p 1EEUE.etga t�� OPV S U rU--�•f.-1=� ys — coling oli equipment qua Cooling Equipment Duct Duct Typo(Packaged ManuMEC f Make ated M octal user Unit Efficiency r er Atbn R-vauw basal MIT��e�nt�� 1– HVAC Subcontractor(Co.Name) Signature. Date on Ganoral Corwraraor OR Owner WATER HEATING SYSTEMS Energy Tank Insu1 Internal Pilot Rated Solar/ Distrib. Water CEG CenifedWood System Heaton Mamtf.Make 8 Factor/ Volume Wrap 1A S_v&hte Standby jobM LInput WISIV Credit% Ium Tvoe/ Medeta F„ie lsi9oo,1 FAUCETS & SHOWER HEADS: atlowerfleada installed ted Mme Commiaa'lons OiDirect”OI CsItN•led Fweetn And Showerhaads. An fauceu end are fa pursuant to Tkte-24, pad 6.Subchapter 2.Section 111. vL'� Cortfl`r�-a'e7�D Plumbing Suboontractor(Co.Name) Signature. to OR General Contractor OR Owner APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPF-,tTINO BUILDING-ELFe ICAL M PERM TN�0 4 7�g BU11,I�ING UiVItiION APPLICATION/1'ERMIT PLU>IBING-MECHANICAL. SOWI / BUILDING PROJECT IDENTIFICATION BUILDII�GA RIi�S:/N /� ^'�")—' �� Como �1 SANITARY NQ. APIX.ICnTON SUBMTTrAL DATE OWNE�I , iu/vll�l aV-IA�,,•SlJ/�.. ia7�� /q -( lyy1�1 WC `/�eCONTROLe \RCIJITE�/11iGINEER'. "IxLIC NO: JT A I Mi\ 1 C\, (%� ❑ 7 3 3 / CONTTTAMI �Y PHONE Q: v `-h"r`Y BUILDING PERMIT INFO Jo N S ,- U� ( Conwl not Fees Paid J by Appli ant(Ini(la) BL� LECIa P U ECHE LICENSED CONTRnCfORS DECII\RATION QTY ELECTRIC PERMIT FqE3 1 hrrehy alEnn lwl]..I Etcruw order padeione of Cm o,,9 homnsming JOB DFSCRII'fION GZZ wiN Smian lUlp)MUvision9MJr Bmircv fesaiaes Codc,ad myliamris ESIDENTIAL- LLI O O PERMIT ISSUANCE F irmilfnrceu SEL I. ❑KITCHEN RFIAODF.L QUU Lw<mr APPLIANCES-RESIDENTIAL ADDITION ❑pl'UNIBING BE PIPE Q Dulc Cnmrectnr ARCHITECTS DECLARATION MULTIUNIT ❑STRUCTURAL. ~n Z I uMcrslaw my plus snail M uscJ as puhlic rcrmis PANELS MODIFICATION OZ-O UP'f02110 AMPS INTERIOR El CHIMNEY REPAIR VryF"W Licamd l'romslonul _ 201-I000AMPS IMPROVEAIIAT 0SWIMMING POOLS C C 6 I hrcl u(Brm that em o l emptI'tvmthc CCmtracnrr'a License Law for the OVER I000AMPS RKFION ❑PATH REMOUEIIREPAI ❑DEMOLFFION xnx O s W U following nasal.(Stttion 9091.5,Buimc,s and! m .ati Pfclms C dc:Any city or SIGNS ELIT RICAL OTHER W 3 LL which reyoimi,a p:rmit to Mutracl alter.impm.s,drtrulisR ac repa'v any structure 0� primmibiuuarcc,elson,trite,thurr,llnm formah pc me mu,Glen sigrcd,larmcnl SPECIALCIRCUMMISC. F Y that he is licassrd purvunt m Jr poviai«e of th,Cmltrxtata Liccrcr Law(Chap«9 XIY�Q (c«nnrncingwiN&nim 9IXx0uflNvlsi�m3nflhc BusitlsasunJ Pm[csinnsC�dy�. TEMP MIOUR OR POLE NSII COMMERCIAL a1 a thu be is cxcny0 itrrefmm and tlr basis for Jr dLtW csemptiou.Any vioWiao of ❑NEW BI.DC✓ADDRION ❑DI;MULITION %r4iLL Saction70313 hymyappicant f«n pcmdl subjalr Jr.applicnnt to ucivil N.111 of IroFOODSERVICE, r y alt dare•••0vc hurdhod dcllus(8500). F Z Y IMPROVI;A1ENF =Q D I,m Iwnu of Ne pnryrny,or my empuym with wages m tMir wle emnpenwiun. SWIMMING POOL IiLIGfNIC Lp., will do Jrw«4„Cell Jr o,CntclolsI.,, or otfcrtAfmule(,Set.1- B m,1os ❑QfHFA and 14ofarinnr,Gd¢To,CnnlRClnrn Licrnm Taw d¢.a nm apply to ut ovrcr of ()VILETS-SWITCIIIS-FI%TI1R1 His o nY who builds«impmscs r such i,erd wbo daa uxh w«k himself f through His own employtx,poviJW lhL wcM1 inwmrctrcnts are rot imetdcsl or offerN fur NEW RESIDINfIAh ELIiCTit nk.If,howema Jr building or impmenwnt ix sold within me year McompledcnJhe 10 SQ.FT lLWRARFA 3/g Q.FII m-builder will hove Jr buNcn M pawing Jw he did not build or impove for Pon. I,us iuwrcrof thepapmy,oatuth,,vclymcl cuowcung wird I)Tho,Ncolumcior's i- TL'lL' c«mmcl the pn9st LSce.901J,Bmincxs urrd Pom(cuiann CMcO Tho,Comrvmnr's hi- pAs raia 1o' taw Joanmopplymnn owner of pmpcny who buildsm impmvrs C,num.ne, QTY. PLUMBING PERMIT FEE who mnlmv�N hw such pn�jmswithecunwclorix)lircmal lntsuunt mthe Conlnrmr. Uanr law. PERMIT ISSUA C, sJ \J �f 1OO [:] I am eeemp un1,,See .II&P this recusal for trecusal Off. ALTER-1 VFM- R(EA) VALUAPION Owrcr Date WORKLR'S COMPENSATION DECIARATION BACK FLOW PROR L ICE IMtcbys, nuNm prndly of prii one of 0c following Jrduaion,: I have aM will rtuinuin aCrnif to nfCaucm to redo-itulac for Wmkcr'sCmmprn DRAINS-FLUOR.R OND. STORIES 'FYPI?CONS'T'RUCTION sutmn,is roviJsd 0T by 4xrion 37W of the labra Code,fm Or perf rcmani of Jr O wul for wbicb This prmut is isw FIXTURES-PER TRAP ❑ I have toll will nummor Wmker's Campen.uncro Insurnim,as rc ircd by S Tmru J]00Mthe laMrCrde,f«the performvtee oftlr woh(«which thiepetmn�siu GAS-EA.SYSTEM.)) O TS OCC.GROUT' My Cnm,ac, Wuraee cerrirr and Polity CAS-EA,gYSfEM-0VI'.RJ(IAJ I/O Can A'DAL(. Policy No.: .�IG�.L1� CERTIFICATE OF FXEMPfLON FROM WORKERSGRPASF/INDUSTRI.WASTE INTERCEPTOR COMPENSATION INSURANCE, ILDING DIVISION EELS (ThussOan tredmnec«npaeJ if Jr lrmlit i.f«orc bun4 NJdlon(SILO) GRFASETRAP mlcasJ I'IANC I ccnifythv in l6c prK coo Nc,orl, which tbispwut is ialuul L SMII $EWER-SANRARY-1"IIIRM F�\.2W IT norcnpoyany per,m many mmroc-oto,,beton¢mhjcctu,l lo,Workcrs'Gmtpn- HNE F. Z F zZ .seri.taws of California.Date WATER BEATER W'NENT)EI.EM C) Applitanl I 44V1,11— i,,, ' 11, 1—i,,, NOTICE TO APPLICANT.If,now making this Cmifscatc of Bacntpion.Yon shoad WATER SYS'D M/ EATING SOILS :I: a ' Ixmmnit,comp In the Walk«'•Canyrnaaln crout ora cul the WMr Cala you moot foMwilh campy wilh such povixi«rcmthinpmnit alWl he droned revoked WATER SL'RVICP, d _ Q 7z V� tCONSIRUTONI. L AGENCY NEW RESIDENTIALPLMB. SO 17, PAID IMrhnnth uuwuunkingacry f«theper«nttDac Rcccip he w«tf«whicthis prima iiissued!(cc.3091, M CIV.C.1 1"' Ilydcfs Numc / I<nJcfs AiLhcv O ' 0. 1 certify n t 1 Marc rod lhu upplicuian turd! That the.hove infanmtion is BUIL G .I: y curl legreemenmply witholl city andcuomy ordinance,nnd,mm Ims-clmingm QTy, MECHANICAL PERMIT FEF, U Z building construction.and hereby eulhatisere{xonita4ves nfthis city tornterupoo tlr SE shove motion il Fmp_+ty for for irclion prpaw�. PERMIT ISSUANCE (We)aptt m use.udemnufy std kcep bromi Jr city a cu,l,gal IC IEE O p O IiobJ.ir,jWgnrn,,osL,unJ-,pals which nwy in any wry mems ugaiml aid it ALTER UR ADD TO h1ECH. U MING FEL: in cooseytrrce M We granting of this proal. . APT'TACANT UNDERSTANDS AND WILL COMPLY WITH A`I.hkI -POIN Il AIR HANDLING UNIT TO iG.(Xk CFM) ORG\E Go -1 f1�\ _' S 1114,111x14/] F1 HANICAL R2G O f� Mo, v')� -1 AIR HANDLING UNIT(OVER BRX)CFND COp, RUCf10NTA% SigtmlurcoffAWliliccauWContrsllrr�•LiYI Dom / HXHAUSTHOOD(W/DUCD HOUSING MITIGATION FEE HAV RDOUS MATERIALS DISE OSURE Will lac apphrunt orfutum buildingtwc ,,cm start or hardk hver6us rmtcrid HEATING UNTf(TO LOO."BTU) as detiml by the Cupmion Municipal Cade,Clap«9.12,ud the IloHh nod Safety Cods.Section 255921n)' HEATING UNIT(OVER 100,0110 BTU) Yr No VE 'ILAMON FAN PAID NIIhte Rettiplg Will the opplicam m fututc holding occupant unit tkviccs which BOIDiR-COMP FHP OR 100.1100 HTO) snit b.,......s ur rnaamitlarlu as&find]by Jr Bay Atcn Air Quality Mutugrmrnt 'h4nctP BOH-ER-COMP(OVER iw."B'FU) El Ye, . FINa Co 3 AIR CONDITIONER Ihath rod Jr haranl«wmeRs159M.15533 ntxt ZI ClI 6.95 of Cali- ISSUANCE DATE ^� Lanio licalthdocs on Snfay Gwk.Sn'llms 2551).5,25519 ad 25100.1 utak surd slut if ora NEW RPSIDPNTIAI.M11BC11. SQ.FT. �0bwk4tre Ess cut ewrently havicet Jul it ix my repmlbility to notify Jr,tapcy cut l_l0 t��,whim hr��r ;^c 'J�Gtctwm.y. � r« legrnt //VV WW VV �Uur T U ( ISSUED BY: OFFICE