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30593 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO BUILDING-ELECTRICAL, PERM IT NO. O BUILDING DIVISION APPLICATIONIPERMIT PLUMBING-MECIIANICAL BUILDING PROJECT IDEN nFICXpION 593 BUILDING ADDRESS'. SANITARY NO. APPLICATION SUBMITTAL DATE to W 6[e 6 OWN . NAME: O� ��1' f _.) COW C R'S NA . N0:� NIC CONTROL. RCHITECr/ENGINEER: LIC NO: ADD S. ❑ CONTACT PHONE: L/OA BUILDING PERMIT INFO ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH ❑ CR ❑ ❑ LICENSED CON'TRACTOR'S DECLARATION QTY. ELECTRIC PERMIT FEE L hereby affirm that I am licensed ander provisions of Chapter 9(commencing JOB DESCRIPTION WOO Ih Section WKKOaf Dlvislon Jofthe Business and Professions Code,and my license is RPSIDENTIAL: FOO a full foreeandeReet. ,l �] PGRMII'ISSUANCIi U F License Class �� J hie,k �/dV ❑SFDWL KITCHEN RF.MOUEL V, c. AI'VLIANCES-RLSNENTIAL []ADDITION ❑PLUMBING [. PIPE; NQ M Date Contractor �Oy AR DEC CI. AIDN PANELS FI MULTI-UNIT ❑STRUCTURAL. z 00Z IunderstanJ my plan..hot sed asp is records MODIFICATION UPT02g1AMVS OZ�_O ❑INTERIOR ❑CHIMNEY REPAIR r4LW Licensed Professional 201-1000AMPS IMPROVEMENT )WNER- :R DECLARATION C Y�-) OVER 11110 AMPS ❑NATH❑ REM DEM01.1T10 C C Q I hereby affirm the,1 a erupt from the Commerce Licenu Law Baltic aU following reason.IScdim .S.Business and Professions Cedc:Any city or County SIGNS ELECTRICAL ❑OTHF LL7 3 LL NQ which requires a permit In construct,alter,improve,demolish,or repair any sBuchare 10'�LOJ prior to its issuance,also requires the applicant for such permit o file a signed statement SPECIAL CIRCUIT/MISC. that he is licensud pursuanno the provisions of the Commcter's License Law(Chapter 9 W 20 (commencing with Secuun 7001p of UivisionJofthe Business and Professions Cale)or TEMP.METER OR POLI:INST. COMMERCIAL; a E �G thin he is exempt thcrefmm and the nasi,for the alleged exanption.Any vinimmrs of ❑NEW BLDG/ADDITION ❑DEMOLITION �=,, Section 7031.5 by any applicant for a permit subjects the applicant)a civil penaltyof POWER DEVICES ❑TENANT ❑1'001)SERVICE nm more than live hundred doll...(S5M). F_ min IMPROVEMENT ❑Q ❑Las othe ook.me unr,meeor my employees ith owages ed for,lc theiresale 04G,B linen, SWIMMING POOL ELECTRIC SW[�++ will dnlhework,and thehe Co risnols License does of apply fur Rosiness W � and Professions Cale:The Comracmr'e Licentt Law dins not apply to w uwxr of OUTLETS-SWITCHES-FIXTURES C I G property who builds or improves thereon,and who does such work himself or through his own employees,provided the,such improvements am not lmmrded or offered for NEW RESIDENTIAL ELECIR SQ FT. sale If.however,the building or improvement is sold within one year of completion.[he SQ.FT.FLOOR AREA 5/SQ.lel'. owner-hailder will have the burden of proving that he did not build or improve for pur- pose of sale.). h as owner of the property,am exclusively contracting with licensed contractors to A consumer me project(Sec.9014.Business and Professions CaOC,..Covnumors Li- cense Law does not apply to an owner of property who builds or impmves menton.and QIY. PLUMBING PERMIT whir contracts for such projects with a commenor(s)licensed pursuant to the ContranoCs g� Q 1 License Law. PERMIT ISSUANCE 2 i7 1996 ❑I am exempt under Sec. B&P C for this reaum ALTER-DRAIN&VENT-WATER(EA) 'I t k,- VALUATION •Owner Dam / lsul tit t tali WORKER'S COMPIiNSAI'ION DECLARATION BACK FLOW PROTECT.DEVICE 0/O 1 hereby affirm under penalty of perjury one of the following decimations: ❑Inoue unJ will nminmina CcrliOcvm o[Consem tosdf-inmrefnr Wmrkds Compen- DRAINS-FLOOR,ROOF AREA,COND. STORIES TYPECONSTRUCTION sulfur.as Provided for by Section 370p of he tabor,Code,for dte performance of the work for which this permit is issued. FIXTURES-PER TRAP I have and will maintuln Worker's Comperevtion Insurance,as required by Section 3700m me Labor Code.fur the performance mitre work I,,,Much this permit is issued. GAS-EA.SYSTEM-I INC.4OTTLETS OCC.GROUP APN My Worker's Compensation Insurance carrier and Policy number are: Currier: Policy No, GAS-EA.SYSTEM-OVER 4(EA) CE EXEMPTION FROM WORKERS' GRF.ASFIINDUSTRL WASTE.INTERCEPTOR GOMPl . TION INSURANCE BUILDING DIVISION FEES (This, tion need nahnrmpl cdif tM1e permit in forme bundmldollars(SI W) GREASETRAP or Iess.) PLANCIIECK FF.Ii Iceddyt t eperfomm ofinewarkfmwhichmis Nonitieissued,Ishell SEWER-SANITARY-STORM EA.200 FT. not employ,any N y cr w as nr become subject to the Worker'Compen- ENERGY FE17 O Z cation laws of Cnlifo WATER HEATER WNENT/ELECfR GRADING FEE Z 2 Applicant y NOTICE I 'PEACANT: offer making this Ccoricam of Exemption,you should WATER SYSTEMTREATING F ; became subjeet a Compensation provisions of the Labor Cade,you must SOILS IPE LQ>. comply with such provisions or this permit shall he deenmd rooked. WATER SERVICE Q 7z CONSTRUCI'l(IN LENDING AGENCY NEW RESIDENTIAL PI,MR. SQ.4T PAID Dmc Receipt# L) p (hereby affirm that them is a construction lending agency foram llsufommece of the work far which this permit is issue)(Sec.3097.Civ.C) V. U Lender's Name TOTAL: r. TOTAL WLenders Address fL 1 arify that 1 have read this application and state that me mrve infammien is BUILDING FEE cO correct.I agree to comply with all city and county ordinances and state laws relating to Q'TY. MECHANICAL PERMIT FEE V Z building con.amction.:md hereby nutherize representatives ofthi,city to enter upon the SEISMIC Plili abovomemamool pnrpeny far inspection purposes. PERMIT ISSUANCE (We)agree to sous,in rinnify and keep harmless the City of Cupertino against IiLECIRIC FF, liabilities,judgments.costs and infuriate,which may in any way acerae against said City ALTER OR ADD TO MECH. PLUMBING FEIi in consequence of the griming of this permit.WILL APPLICANT UN TA'DS AND WILL COMPLY WITH ALL NON-POINT AIR HANDLING UNIT(TO IO.IXp CFM) MECHANICAL FEE SOUR iREGIfif AIR HANDLING UNIT(OVER 10,000CFM) CONSI'RUCTIONTAX Signmurel nor )ate EXHAUSTHOOD IW/DUCT) HOUSING MITIGATION FEE HAZARDOUS MATERIALS DISCLO. Rli th m plicmn nr for..building wcu,nm smreor handle haallous.,coal HEATING UNIT(TO 100.100 BTU) as defined by the Cupcnino Municipal Cala Chapter 9.12,and the Health and Safely Cale.Section 25532(1W / HEATING UNIT(OVER 100.IXp BTU) ❑Yes Lam' VENTILATION FAN(SINGLE RElIU) PAID Dam Recelpta Will the applicant or future building occupant use equipment or devices which BOILER-COMP(d11P OR 100,0X10 BTU) emit hazardous air corm unan¢as defined by the Ray Area Air Quality Management TOTAL: District? BOILER-COMP(OVER 103.(1q BTU) Yes n-55— I have read the hazardous materials regairemmoss under Chapter 6,95 of the Ceti. AIR CONDITIONER ISSUANCE:DATE fomin HeaBh&Safc ,:cliorts 25505.2553)stat 2551.I undersmnd that if me NEW RESIDENTIAL MECH. SQ.FT. buildin note eptly If unions firwithmy re,on,ihllhy nohOf c occupant of the nt M met prior m iemarce of n c of y. Own or authnos ac TOTAL: ISSUED BY: OFFICE SEP. 16. 1996 8:32AM KIEP. & WP.IGHT 110.725 P.2i3 • w September 16, 1996 KIER WRIGHT Civil Engineers Surveyors, Inc. Mr. Kenneth Samson Deveon Construction, Inc. 555 Los Coches Street Milpitas, CA 9 503 5 Re, Classics at City Center, Tract No, 8817, Cupertino, California Dear Ken: We have checked the forms for Lots 16, 17, 18, and 19. We found that the forms for these Lots are set per the Horizontal Control Plan prepared for this project. We found the forms set tothe following elevation for the finish floor: Lot 16 220.95 Lot 17 220.96 Lot 18 221.12 • Lot 19 221.51 If you have any questions, please give me a call. S CeSf-" lo;a ��( \ i qt t .zr R 6&A )DW/lm SF° 16 1996 STDG. IAISFFCTION DEPAFlTh ClT/OF CUPERTIMO gE1VT • gAword\notes\9608 9.jdw 3350 Scott Boulevard, Building 22 • Santa Clara, California 95054 • (408) 727-6665 ! FAX (408) 727-5641 - RUG.29. 1996 9:40RM KIER & WRIGHT N0.998 P.2i2 w August 28, 1996 KIER WRIGHT Civil Engineers El Surveyors, Inc. Mr. Kenneth Samson bevcon Construction, Inc. 555 Los Coches Street Milpitas, CA 95035 Re: Classics at City Center, Tract No. 8817, Cupertino, California Dear Ken: We have checked the forms for Lots 11, 12, 13, 14, and 15. We bund that the forms for these Lots are set per the Horizontal Control Plan prepared-for.ithis project. We found the forms set tothe following elevation for the finish&oor: Lot 11 221.70 Lot 12 221.10 • Lot 13 220,50 Lot 14 220.20 Lot 15 220,20 If you have any questions, please give me a call. Sincere Q�pQ grill" I: U4 20,388 IL a CE SOF CALtF�Q� 7AW/ct AUG 2 8 1996 BLDG. INSPECTION DEPARTMENT CITY OF CUPERTINO g:4orftote A96089,jdw 3350 Scott Boulevard, Building 22 • Santa Clara, California 95064 • (408) 727-6665 • FAX (408) 727-5641