19875 (2) APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY
Building Project Identification P1RMiTNO.
Building iWmas: ,
, 4 Hut4ThibG& latt19875
Owner Name: Phone: A TEp
s 15-0510 CITY OF CUPERTINO-BUILDING DIVISION —^ ��
conaaaor'.Name: zee.N.: APPLICATION I PERMIT ` ,
BUILDING-ELECnUCAI.PLUMBING-MECHAMCAL CATEGORYCO ll�
Arc'1G /A gineer. Lie.No:
''dIH C QTY ELECTRIC PERMIT FEE BUILDING PERMIT INFO
Address: 61.0 ` C.ktn PERMITISSUANCE15
❑ ❑ ❑
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that am Beensed under provisions of Chapter 9(commenc. APPLIANCES-RESIDENTIAL _ JOB DESCRB'IION .
Ing with Section 7000).(Division 3 ofthe Business and ProfesalonsCads,and my �]
If-..Is In full force and dfect. PANES " s
Limns Cks
Date ContCmu ractor
ARCHITECPS DECLARATION IDI-1000A.MPS
^tDuO I understand my plans shall be used as public records. OVER 100k)AMPS SQ.FT.FLOOR AREA 5/;Q.ET.
Z 0j Licensed Profesional SIGNS ELECTRICAL `
6!� OWNER-BUILDER DECLARATION SPECIALCIRCNT/MISC • • •J
y.,Fn Ih.mby.M.that lam exempt fromihe Contractor's License Lawforthe
2Ovf.^ following reason.(Section 70315,Buainesand Professions Code:My city or TEMP.METER OR POLE INST.
Fzf' =ntywhichrequiresapermittomn•trua,alter,bnpmve,dennlish,orreper
q .a any structure prior to its Issuance,a leo requires the applicant for such permit to
Ct V file a signed statement that he is licensed pursuant to the provisions of the§FLOWPROTECT.
ES
0630 Contractors Lice.Law(Chapter 9(marmencing with Section 7000)of Dlv1- 0 ECIRIC
pis ¢ aon3o(the Businevand Pro(esbmCode)orthrt hebeumpt there(romand VALUATION
�'J the basis for the alleged exemption, Any violation of Section 7MLS by an //yyss
sPPBcantfor a Permit subjecta the applicant to a civil penalty of not nnre thanFIXTURES
five hundred dollars(5500).
L as owner of the NEEL TR SQFf. STORIES TYPE CONSTRUCTION
�n ❑ property,or my employees with wages as their sok
C Ci mmpeevatioq Business and randthes Cde:Th net intended or oQc Lav,5 O vie(Sec.am a ppy Businessandf propety Cade:The Contractorsthe. Lawdon .... ytorn owner ofpmperh who nempWilds orimpmvoted thatand
whodoements an,notintended hrough hlsowale.IL owevrthe ildlaghOCC.GROUIs RFS.UNITS
improvement.. id !mends r.rferedformintQh nveqitMerwdth,veTOTAL: ed
Improveen ofp vingtthathe eyeoro(complal.prolefner-Wilderwials.).i no(ner ofteprodidna exclorimprovefacting with!cense P MITFEE FIAO W EA E L s owner tr the property,am exci4,Busi contracting with❑ce ode:ntraeton to cowwct the project(Sec.7044,Busines and Profeslow Code:The Contractor's Llonse Lew does not apply to an owner of property who & -WATER[EA)Wilds or improvn thereon, and who contract. for such piojecb with acj5actor(s)Brensed pursuant to the Contractor's License Law. FEE SUMMARY
LIIam exe p under Sec B &P C !or thl.masonOTECT.DEVICE
Owner Date DRAINS FLOOR.ROOF,AREA,CONTI. SANITARY RECE N
of
ORKMANCOMPEN'SATIONDECLARA ON
hereby affirm that I have a cortificate of consent to self-insure,or a FIXTURES PER TRAP SCFIOOL TAX Y_ N_
cedifloteof Wort m'Compe.tion1--re .ramdifiedcopythereof(Sec. RECEIPTX
3800,Lab CO GAS PA.SYSTEM-11NC.4 OUTLETS PARK FEE Y N
Paley Y — RECEIPT X
C
any GAS EA.SYSTEM-OVER 4(EA) BUILDINGDMSION FEES
scertNed copy la hereby furnished.
❑Certifledcopy 6Elect with[he city inspectio,division. CREASE/INDUSTRLWASTE INTERCEPTOR PLANCHECK FEE
CERTIFICATE OF EXEMPTIONtt–
FROM WORKERS' CREASE TRAP PAID "S J V
COMPENSATION INSURANCE
(Thissecti.nneed not Wcomplend ifthepermit isforom hundred dollars SEWER-SANITARY-STORM EA.2001T. Date Remi t#
OlMorleas.) ENERGY FEE Y_ _
O
Imrtifythat In the perfornunmof the work f.rwhichthle permit is iuued, WATER HEATER W/VENT/ELECTR Z N
I shall not employ any person In any nsnner so as to became subject to the
Worlo,s'Compensatlon L.awso(California.Date WATERSY911M/TREATING PAID�S-1�e
Z Applicant Q
Z O NOTICE TO APPLICANT:?,ager maWng this CertRiote of Exemptbn'you NEW RE9DENTIAL PLMB.__SQyT. Date BCCI [#
F — should become•ubjMmthe Workers''Comperuatlon provisions ofthe Labor TOTAL:
jr W Cade,you must forthwlthmmply with such provisions orthb permit shall be
W > dmmed revoked. BUILDING FEE
CL c CONSTRUCTION LENDING AGENCY, SEISMIC FEE
= Z Ihsmbyeffirmthat there k a mnatruaion leadingagency forthe perforr, - •BQ
anm of the work for which this permit is Issued(Sec.3097,Civ.C.) TOTAL: ELECTRIC FEE
LL 0 4nder'.Nmre PLUMBING FEE
LL f (.ender'sAddres QTY. MECHANICAL PERMIT FEE `
O W Iodlfythatlhave readthbapplicatlonand statetm"reab.valmmmation MECHANICAL FEE
S Iscorrect.lagreetoeomplywithalld andomnty oudinanoesandstatelaws PERMIT ISSUANCE FEES PAID:
} N relating to Wilding mnatmNun,and hereby authorize represent.tiveso(thk �•
H Z citytoenterupontheabove-mentioned property for ins I,,purpoxs. l ALTER OR ADD TOMFCH.
V (We)agree to save,indemnify an d keep barMes the City of Cupertino Date Receipt#
agaWt habilitio,judgments,mstsand expenses which may in anywayaccrus AIR HANDLING UNIT(TO 10,000 CFM)
�•` Zabutesid Citylncone quenceoftM granU.B.Ifthl.permit. SUBTOTAL:
'>. AIR HANDLING UNIT(OVER I0,000CFM) CONSTRUCTION TAX
9 Slgm..mppPliont/C.,m'or Data E(HAUS'THOOD(W/DUCT) CONSTRUCTION TAX PAID:
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future bulidi-9 occupant store.,handle h=rdous HEATING UNIT(TO 100MDENmAL
(100 BTU)
material as defined by the Cupertino Municipal Code,Chapter 9.1 Z and theDate Rceel t#
rkahh and Safety code+SSection 2553](x)? (OVER 100,000 BTU) TOTAL:
❑Y. LI No
Will the applicant or future Wilding oavpant use equipment or devices FAN(SINGLE RESID) ISSUANCE DATE
which emit haeardous air cora amniote as defined by the Bay Area Air
Quality Management District? CIH'OR 100,0(D BTU)
Fl Yea Q No n o�
`-('have readitch. us materials requirements under Chapter6.95 of (OVER 100,000 BTU) —M
the Glifomia}lealth&Safety Code,Sea[arca 25505,25533 and 25534.I
ands to ad tha}if thebuilding does net currently have a Xena.I,that it is myIAL MECH. SQ.FT. ,/ j'`;Ur¢ponsda vy to notify the oavpant of the requirements which must be metr ,
pa.?d�nmofa Cemf1 tt. pansy.
umror aumonu.agent• rs Iyate •
TOTAL:. •
ISSUEDBj♦
OFFICE COPY
FIDE
June b, 1990
• From: Steve and Barbra Hol. te
7724 Huntridge Lane
Cupertino, Calif . 95050
Home phone 725-0510
Work phone 2.35-7414
To: Joe Antonucci.
Head Building Inspector
City of Cupertino
Dear Joe,
We are currently in the middle of an addition and remodeling -
project on our home at the address above. The approved
plans included relocation of the existing furnace from the
middle of the house into the garage. When we got to this
point in the project I made the decision to replace theold
furnace. It was the original that came with the house 31
years ago, and although it still worked I believe it 's . days
were numbered.'
In consideration of a large second story addition we are
planning to do in the future, I had a furnace large enough
to accomida'te the' future expansion installed. This seemed
to be the appropriate thing to do because I did not want to
have to replace an almost new furnace when we do the second
story adddition.
However , it seems I have been tripped up by my own foresight
due to the title 24 limitation on the size of the furnace.
The maximum size allowed per the calculations is 52K BTU.
The size installed :is SOK BTU.
As the new furnace is already installed and inlight of the
rational for it being oversize to meet the existing demand ,
but appropriate for our future needs, we 'are asking to have
this requirement waived.
Fest fAE.�irba
s9
�no�lte
fy