19877 (2) APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY
��OAdderses: Pro`Identification 2$ OLEO Cf. PFxwT No.
T VJ 19877
r¢re ams: one: p
CITY OF CUPERTINO-BUILDING DIVISION
Contractor's Name Lk.Na APPLICATION I PERMIT
BUILDING- OC-IWCALPLUMBINGNtECHAN AL CATEGORY COMBO[./
A rchlteet/Engineer: Lie.No:
QTY ELECTRIC PERMIT FEE BUILDING PERMIT INFO
Add. PERMITISS UANCE
LICENSEDCLkmT (. DECLARATION
Thereby af(bmtlutlam lbmsed uadererprovieloru of Chaper9(mmmen< APIaLIANCESRESDEMTAL pB OFsciflPTO
lice.1'
farm of effect.
NeguJn wand PmfeW«uC"de,end my l
Ikerue b in full forte and c.0 PANELSLtm1
Data Cha Lk.I
Data CoNndor LM TO 2DUANIPS
701 1000
ARCHITEcrs DecuRAnoN
q�q�vu reOZQ I wdentsnd my plavahau be used.public moods, OVER 1000 AMPS - .Fr. R S/SQ.
kzTj Licensed Professional SIGNS ELECTRICAL
«<<� yu OWNER-BUILDER DECLARATION
7F, 3 Ihereby.fif.that I am esempt from the Comranor'e Limme Law fee he SPECIAL CIRCUIT/MISO
O QLF� following reason.portion 7031 S,Business a rd Pmfesle.Cade:Aey city or TEMP.METERORPOUE INST.
Qy�y muntywhkhrequb aper tomratruMalter,impmve,dermlbhormpalr
2ystm=mpd«toitsl ame,aborequb.thrappUantf«wchpermltto POWER DEVICES
O 5 a Jgmd statement that he is Themed pursuam to the provisium of the
Yr� Contractors Llcrre Law(Chapter 9(commendngwhh Sect1on700(i)of D1v1- SWGUANG POOL ELECTRIC
Eh Jon3 of the BuJneuand Prefer ora Code)«that be b exempt therefromand VALUATION
y-' the bast for the alleged exemption. Any violation of Section 7031L by any
appaeant for a permit subjects the applicant to a civil penalty of not mem,than OUTLEISSWITCHES-FIXTURES
Evghundmdddlan(•SBU). I NEW RP9DENUAL ELEcTR SQFf. STORIES TYPE CONSTRUCTION
7�n u I,as owner of the property,or my employees with wages u their sok _ .
mmpmarti wBldo thewart.andthea =mbnet Wendedorofferedfor
�D sat(Sec 701/,Bunlrmssad[hvfesbro Code:ihr Connciats Llmnu Taw
EE.• whorl eapuphhywtorkhUw if tph meghhis x bempoyl ,p ,eldhethtand
OCC.GROUP RPS.UNITS
4proem asroktendedof fwn . inneeeerthebiWinger TOTAL
mpmN6wwhnorcyearocmpibMthwr-0derw ]ove
ArdeoofpwNngthat heddnotbuddorlmprovefoprposrofnk.). QTY. PLUMBING PERMIT- FEE
I,ae sumer of the property,am eaclusivehy contrecting with 11mrs ed FLOOD ZONE APN
Ron to mmtruct the pmject(See 7044,BuJnes and Professbro Code: ! PEtMITISSUANCE
The Cmd.elm S Limen a Law dm not apply to an owner ofproperty who ALS-DRAW 4 VFDTI-WATER(FA)
bas Bds or Improv.thereon,and who contracts fee Such Pm)eas with a -
�➢l� o(s) .wan eCmtnna/SLkerue Lw. BACK FLOW PROTECT.DEVICE FEE SUMMARY
LJ I a p B k P C for this mason
ea DRAINSFLOORROOP,AREA,CONTI, SANITARY Y N
"e RECEIPT_ NI
W COMPENATION FDCIVRFS IaFlt TRAP Sp ppL TA% Y_ N
❑i hereby af(Irm have o Iver ale of.omifi to opy thereof
m a RDCEFnv'Y
mm,Lab of Worker.'C«nperuJiollmmmnnm«amrtifkd copy CSrc GAS F.I.SYM'ElA-1 INC4 OUT= PARK FEE Y N
3800,lab C.I
REC
Is
s GAS.E.A.SYSTIe(-0VFR4(FA) DINGDT
Co� ray - BuaomcDrvlsloNtEEs
CeM1Ned ropy is hmby furnbhed. GREASE/INDUSIRL WASTE IN]IRCII'TOR PI.ANGHECK FEE
CcrtNed mpybflkd with the cityfmpRion dlvlJon.
CERTIFICATE OF EXEMPTION FROM WORKERS CRFA.SETRAP PAID
COMPENBATIOIf WSURANCE SEWRR.SAN'ITARYSR)RM E&2T�l' Date Recei t#
(This SeRbn need not I ENSATId Bt he SUIR bfa am hundrtd dolls.
mm)rdlyth WATER HFATE2 W/VFNT/EECIB ENERGY FEE Y N
I mnor thatkthe persrtanmtithework so as to
penrdte toed,
1 shall.' empty any io.Lawn k any manner at as to home subjtti to the WATERSYSIEM/,TREATING
w«kerJ c«npeasamnTaw,are.lfrmnh.Date PAID
PP NEW RESIDENTIAL PLMB. SQJrF.
n Bant
ZO NDTlCE TO beenme APPLICANT:toteaRermakingthis perCtion provisions,
,you Date OTA t#
ahold become f b h tithe W ya t Compewtlot orvb p of the the - TOTAL:
LU N Code,yau nusefothwkh comply wltM1 wch provbbm orthb permit e4u11h f
> d.nra ranked.
(L F3 CONSTRUCTION LENDING AGENCY SEISMIC ELE 0-W
I hemby efBnn that then b a mrawctlon lending agcrncy far the perforrry ELECTRIC FEB
7 Z anm of the work for which this. rmlt b Issued bee 3097,Civ.Q TOTAL:
U O lender's Name PLUMBING FEE
LL H LendrY.Add. QTY. MECHANICAL PERMIT FEB MECHANICAL FEE
OW I and ilythat l have mad thbappB tion a rad state that the abwelnlorrtwion
a iscorrM.I agree to comply with all eityarW county mc!In..and state hews - PFBhRT ISSUANCE FEES PAID:
relatingtobulldingmmtruRbtiand hembyauth«t: npresentativesedthis
= dtytoenteruponthe F%,
brcdp rty fmlrupecdonpurpmea. ALTERORADDTOMH:H. Dale Reeei t#
e)agree o ssve, e .n 'Less the City of CupertW
ag+ bIW ;pdg awhichmayInwywayaanue AIR HAh'DllNC[JhTT(IO 10,000ffh1) SUBTOTAL: . 0in t ingathts.rook.' ,�1
�� W flT AIRHANDUNGUNITtDVERl0,"CFN0 CONSTRUCTION TAX
Signa mMAppO .der v Dam`Sj 4 E)(HAUsr HOOD W/DUCT ' CONSTRUCTION TAX PAID:
HAZAR SMATERIALSDISCLOSURE 'T�7
Will theepplicant or future building omnpant Mom or handle havnlous HFATINGUMT(TOI00,000BTU)
malrrhlasdeOrN by the mMurddpalCode,Cheaper 9.17,and the Date Recelt#
P,?
ET
HeaBn.rd suety Code Stoocticr lon Ls5324I1 HEATING UNIT(oven 100,000 BTI. TOTAL: .0{'
ETYes
Ill the applicant o taro building arupant use equipmeN«deices VENTILATION FAN(SINGLE RFSID) ISSUANCE DATE
huh colt lvaardoua afr catsndnaNe as defined!by the Bay Area Air
Ilty hfarugement Dktrini BOILER-COMP QHP OR 100,"BTU) PAID
Yes ❑No
shave mad theh rdwematerials requirements under Chapter 6.95 of 110ILERCOMP(OVEI 1W,o00 BTT1)
the CalBomk HeJthkSafRYCode,Sectlona 25505,25533 and 75531.E IVIAK 1 41199U
uMmtsMthat if the bu0dkg do.not mrrantly have etenanL that ltbmy NEW RESIDEJTTAL NIRCH. SQ.FT
responsibility to notify the oaupant of the requirements which neat be met
prior to h.ntarur of a CertiBate of Occupancy. City of I1up'effi'Ino
Owner«authmix agent Date I Ire
TOTAL ISSUED BY: 0
OFFICE COPY
rn R. L. MORRISON & ASSOCIATES
ARCHITECT AND BUILDING CONSULTANT
{�' (((((� 1449 PRIMROSE WAV, CUPERTINO. CA 95014 (408) 4461700
March 13, 1990
City of Cupertino
Department of Planning and Development
Building Inspection Division
10300 Torre Avenue
Cupertino, CA 95014
Subject: Final Inspection Release for Construction of a Two Story Addition
to existing Dwelling at 10567 Glenview Av„CU.
Re: Cupertino Inspection of 1969: File - 51118, Partial Second Story Addition
Owner, Lyn E. Watson, Type & Group 5 I J.
Inspection of Present Single &Two Story Addition by, R.L.Morrison, Architect
from, 2 pm to 4 pm ontMarch 12, 1990.
Dear City of Cupertino:
The Second storyAddition and affected Single story dwelling were inspected and
found ,in complience with the applicable codes e.g. 67-UBC,NEC,UMC,UPC.
The inspection consisted of visual review of the exteriors: Roof,Siding, and
• Foundation. Also the interiors of the first and second floors.
Recommendation: The existing second flodr'- furnace is exposed into the attic
this is definatley a fire hazard, therefore provide a 1-hr ceiling in the furnace
room. Also remove stored items within the room, do not use the furnace romm as
a storage room.
Si cerely,
e
R.L.Morrison, AIA nn
ARCHITECT - C4761
u u
MAR 141990
RLM:mjm
BLDG. INSPECTION DEPARTMEN.L
ciW OF. CUPERTINQ
QPOFEss���,
p L.41 6y�ilov9�y
OFFICE copy Cn �wrM
9
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