24975 (2) APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO11,1M to• PERMIT NO.
APPLICATION/PERMIX - PLUMBING-MECHAN'ICAI, n /I (] C
O6!;�I)ING DIVISION BUILDING PROJECT'IDENFIFICA'1'ION L LI J J
+BUILDING ADDRESS: r SANI'1'ARYNO. APP�ON SUBMITTAL E,
TTAL DAT
�4B �( UNIT LOT
OWNERS NAME: PHONE: CONTRACTORS NAME: LIC NO:
N/C COM'ROL#
sl(C111'1'I?CI'/ENGINF.EK: LIC NO: ADDRESS: ❑
CONTACT: PHONE:
QTY. ELECTRIC PERMIT FEE BUILDING PERMIT INFO
ELECT PLUMB :CII
LICENSED CONTRACVTOR'S DECLARPERMIT ISSUANCE ATION APPLIANCES-RESIDENTIAL 10 DESCRIPTION
O®Z I hereby attain that l am licensed under provisionsof(.Tapter9(commencing with
6%a)
FOO Section 7000)of Division3mf the Business and Ptvfessiom Code.and my license is in ppNElg �,�rr�\
y W full force und effort, r's{J't6\
FLW License Class Lic.# UP TO 200 AMPS
y Q 2
Data Crouna for 201-1000 AMPS
FyZ ARCHITLCI•S DECLARATION SQ.IT.FLOOR AREA E/SQ.FT.
Z0,6— I understand my plans shall be used as public records. OVER IOW AMPS
OZ_O
�N
W SIGNS ELECTRICAL
a
Licensed l4nfesaionul
KOW'Q OWNER-BUILDER DECLARATION SPECIAL CIRCUIT/MISC.
WO:V Ingherebyono n.(Section
thm 1 am exempt from the Canvas Cs License Law for the
W 3 W y following ream..(Secsion]031.5.d.alt es and Professions Cade:Any city st county TEMP.METER OR POLE INST.
which rcyuirmsapermiteacoresihe ,Iic.improve.for such d
emolish,orrepair any swcmre
0 }S that he it,licensed
eprsu requires thevisios of due Cop'rmilto file a License
La smocidedhapter POWER DEVICES
C Op ehmhelslicensedpursuannmthe pmvisiissof the Cotnmcmrs License Lsion, ars) SWIMMING POOL ELECTRIC
W E:0 9(commencing with Sation]eXp)of Division3of the Businessand Rofessions Cade) VALUATION
or that he is cacmpe thesofmm and the breis for the alleged exemption.Any violation of OUTLETS-SWITCHES-FDCII/RES
Z Q Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
�Gnot more than rofthe ro oy.odollarmyemp. Q STORIES '1'YPI!CONSTRUCT I ON
❑ omowncive the n armem lm eeswimwe esmtheirsolecom tion, NEW RESIDENTIAL ELL'LTR —SQ.p prop' X Y p Y B Acts'
y3°. will dothcwons and the stmmurelsnot's Licenseended Law
s not apply t oan owner of
and Professions Code'Ihc Conuacmr s License Isw Jas not apply w an owner of
propeny w ho bu ilds or improves thereon,and who dm's such work Morsel f or through his
ownemployebuildi goried thpt such rovemmpis sold within
not earaf ramplemod foeowner-
C.GROUP RES,UNITS
however,the building or improvement is sold within one yearofcompleeian,':'owner- T
builder will have the burden of proving that he did not build or improv'for purpose of
sale')' QTY. PLUMBIN T FEE F1O0D LONE APN
❑ I,as ownerofthe property,ameulusively commeting wig,licensed eismosemrs to l . n
omtmed the project(Sec.VOa4.Business and PrafessiorogCo4c)Tho Ci nuactorsl t^'PERMIT ISSUANCE • —• ^d
Litt se Law doe nm upplymon nwncrvdprnpeny wbobuibborimpro es thereon,and
who conuacesfor such project%with acmnractorls)licensed pursuanuothe Contractur'a ALTER DRAIN& ,�-WATEK( AT FEE SUMMARY
License Law. u
❑ 1 am exempt under Sec. .B&P C for this ream. OUTBACK Fl.O x E I SANITARY SIDE FEES N
Owner Date RECEIPT#
WORKMAN COMPENSATION DECLARATION SCHOOL9'AX YN
❑ I hereby affirm that l have a cemifau'nfconsem to self-insure,or a certificate ofFlXTlIRES-PER TRAP RECEIPTp
Wmke Compensation).suramccocac'niEedcopytbereof(Sec.38W,lab C.)whieh PARK FEE Y N
covers all employee's undenhis pemsit. GAS-EA.SYSTEMA INC.4 OUTLETS RECEIPT#
Policy# BUILDING DIVISION FRES
Company GAS-FA.SYSTEM-OVER 4(EA) PLANCIIECK FEE
❑ Certified copy is hereby famished.
❑ Cmifed copy is filed with ehc city inspection division. GREASEdINDUSTRL WASTE INTERCEPTOR GRADING IEE
CERTIFICATE-OF EXEMPTION FROM WORKERS' GREASETRAP SOILS FEF,
COMPENSATION INSURANCE
(T his section need not becompleeW if the permit is for one hundred dollars(SIM) SEWER SANITARY-STORM EA.200IT. ENERGY PER
or less.)
Ier,rdythat in the perfarmmnce of Ne workfor which this permit is issued,I shill WATER HEATER W/VIINT/ELECA
not employ any person in any manner so is to became subject to the Worken PAID
Comproodanlss
wof Culifomia. Date WATER SYSTEMTTREATING Date Receipt#
z APPliem,
z0 NO]ICIi TO APPLICANT:If.after makingthis Cmificme of Exempnon,you should NEW RESIDENTIAL PLMB. SQ.FT. TOTAL:
(" fn become subject to the Workers Compensation provisions ofthe labor Code.you must
� ; fordwith comply with such provisions in this period,shift Fee o
domed revoked. BUILDING IEE
{I-) F;
CONSTRUCTION LENDING AGENCY SEISMIC PEE
uz Ihcrcby affirmthat ispentre is construction lending for the p'rfunm
nceof TOTAL: ELECTRIC FEE
V O the work for which this permiv.
it is issued(Sec.3007.CC.)
).enders Name
U^ F
Lcnde Address 1 QTY. MECHANICAL PERMIT FEE PLUMBING FEE
U 1 certify to 1 have read ails application and state that the above information is MECHANICAL FEE
mmcat. lugrco to comply with all city uunitcounty ordinances and state laws rotating to PERMIT ISSUANCE
,,0 building construction,and herchy authoria'representatives of this city eocmer upon the CONSTRUCTION TAX
LI Z above-mentioned property for imspemion purpose. ALTER OR ADD TO MECH.
(We)agree to save,indemnify and kap harnlecs the City of Cupertino against
habil hies.judgments,costs and expenses which may in..y wayaccrueogainstsald City AIR HANDLING UNIT(TO 10,000 CPM)
nnecyucncm senting,ifthi.apermit.
S AIR HANDLING ON]](OVER 10,000 CPM)
ig mum of Applican(Conaan Date GXIIAUST HOOD(WlDUCI}
PAID
HA3ARDOUS MATERIALS DISCLOSURE H EATING UNIT(TO 100.000 BTU) Date Receipt#
Willtheappliwm nr future buildlngis,c...at seam or handle M1amrdons material HEATING UNIT(OVER 100,000 BTU)
as defined byline Capon an Municipal Code,Chapter 9.12,and the Health unit Safety TOl
Code.Session 25532001 VENTILATION FAN(SINGLE RESI D) waa—
❑Yes ❑No
ISSUANCE DATE
10 Wilhhca Iicatnorfumrebuildin msee tardeviceswhichemit BOILER-COMP(3IIP OR)W,000 BTU)
pp gay the Yea Air
hazardous air cnmuminunts m defncJ by the Bay Area Air Quality Management BOILER-COMP(OVER IW(10(1 B-1 U)
oi=�" 6 D
❑Yes ❑No NEW RESIDENTIAL MECH. SQ.FT. n
I have read the hurardous mmcrials reyairemems ander Chapter 6.95 of the APR R 1 15��3
California I hudift&Safety Code.Sections 25505,25533 mW mi
25534. 1 undco d thil
Uthe building docs me cumenOy have a tennis,that it is my responsibility to notify the
acuPaml of the requirements which mors be met prior m issuatttt of a Cenifiwte of q.y�♦�
'awncr. 1
Owner or authorised agent Date TOTAL: ISSUED BYe
Cay
Community Realty
ROGER FLEMING
8 April 1993
APR 15 1993
Reference: Parcel No. 369-29-022 BLDG. INSPECTION DEPARTIVIRIT
CITY OF CUPERTINO
To Whom It May Concern:
The following information pertains to the permits granted for improvements to the
Garland residence at 10409 Normandy Ct., Cupertino.
• Permit #213 was issued by the City of Cupertino on 17 July 1978, to Donatelli & Sons
Construction Inc. to add a master bedroom and bath to the west end of the residence.
The estimated addition was approximately $14,000.
The original building size of 1484 SF was increased by 357 SF to 1841 SF, completed
in January 1979, and is now on record with Santa Clara County.
After the addition was finished in 1979, an appraisal was completed for $10,600 in
added value.
There was an added assessment for the 357 square foot addition.
This information was obtained through examination of Santa Clara County Appraisal
records.
Permit records have been misplaced or lost according to both the City of Cupertino
and the property owners.
Roger W. Fleming
247 South Mathilda Avenue * Sunnyvale, California 94086 * (408)5241868
CI"1'Y OFCUPP;RTINU r1RniIPNu. 2 /1975
_ II,I11N1:DIVISION 11111 LDING I`IIO.IF.CT I MIN'I'M CA'1'1 ON �1
III IILUIN6 AUDRILSS. SANITARY NO. A19'LICA 11UN SUBMl l'I AL DA'11:
p\VNDI1tifJA`I� RIIONIi: CON III M;IOR'S NAMIY LIC No
NIC CON-neol.a
liCl'piNGINIiIiR: LIC NO: ADDRIiSS: ❑
DUILUING PGRMIT INFO
i INSPECTIONS DA'Z'E INSPEC INSPECTION RECORD (,,i-ix; N,.I.h,�I I,xIMy M:c1I
FOUNDATION/I'IL'RS/H.D.S. NOTE: ALL GRADING AND DRAINAGE U 2- 51
SHALL BE INSTALLED TO COMPLY WITH xm DlsceR`rum
UFFR GROUND
'I'll li APPROVED PLANS AND CITY OF
PAD/SETBACK-CERT CUPERTINO STANDARDS.
GARAGE SLABSIPREGUNITE
POUR NOCONCREILUNI'ILABOVE HAS BEL'NSIGNFD INSPECTION SPECIAL INSPECTION DAI F, 11+511.
REQUIRED ❑
UNDERGROUND/SLAB
PLUMBING
ELECTRICAL
Do NOT POUR FLOOR UNTIL ABOVE I[AS BEEN SIGNED
PLUMBING
MECHANICAL
ELEC"1'RICAI.
17RAMING VENTS
INSULATION
PLACE NO SUBFLOOR UNTIL ABOVE I IAS BEEN SIGNED
ROOFSIIEATII/DIAPIIRAM n n �'T 1�a �-�.
PLUMBING Q. su �.� PfX Z� LUVEI VJ uF-�
'PUBS Rc SHOWER PAN '1� �`�"�� �j`
MECHANICAL ��l �4F�+ crr'1 wy�+� ( . 'VWFIEIJ
ET-
7 TRICAL/POOL BOND V (Ly�jR� p� 1 t PEGt501.� ccL;L BE
,MING/STAIRS/E.EGRESS
INSULATION/VENTILATION
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED \, rSP W`(UV of THS A-faD`r"ha W
exT1at10R slu>nit/HOLD nowN CO_lelQ ��UU��f -miF g �-4 1
INTERIOR SI IEAR/ITOLU DOWN ��0 017 'C't1ti� 1 N SPF-
Slll:17'I"ROCK/SIIBETROCK SIIEAR s
EXTERIOR LA'I'I]/W-SCRI?EN
SIIOWEI2 LATII O 1� S F✓
NOTAPE OR PLASTER UNTIL ABOVE I IAS BEEN SIGNED
SCRATCII COAT
SEWFR/WATER
T'EMI'012ARY APPROVAIS
BUILDING q I
� I:LfiC'I'RICAL p �
GAS
FINALS 1
GASTHST
GRADE APPROVED FOR OCCUPANCY ❑
FIRE
"I'O ARRANGE INSPECTION ISSUANCE:UA'IG
HANDICAP (,ALI,AI-'1'I{RNOONS(12:30 I'M -4:00 PM)
ELECTRICAL/ENERGY 252-4505 MONDAY TO FRIDAY 24 HOURS
"I.UMBING/ENERGY BEFORE REQUIRED INSPECTION. JOB AD- � � 1 p
DRESS AND PERMIT#ARE NEEDED WHEN
CI IANICAL./ENERGY PHONING.
A'I"I'ICN'I'IUN CONTRACTORS:u1I,DING/ENERGY FR 15 1993
NO PERSON(S)SI[ALL PERFORM WORK ON
IiLECI'RICAL FINALTEST THIS JOB SITE WITHOUT WORKER'S
COMPEN ATION INSURANCE. "g' I.UrCrlluvV -'
OCCIIIPANCY OF BUILDING IS NOT PERMITTED
IMPORTANT!
UNTIL BUILDING FINAL IS SIGNED BY BUILDING PLEASE READ REVERSE SIDE BEFORE,
INSPECTOR. CALLING FOR FINAL INSPECTION!!
APPLICANT'S POSTING COPY