S 4316 (2) APPLICANTTO FILL IN INFORMATION WITHIN RED LINES_USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL PERMIT NO.
BUILDIN(i DIVISION APPLICATIONWERMIT PLUMBING-MECHANICAL S 4316
BUILDING PROJECT IDENT '(CATION
HOL 11NG ADDRESS'. SANIIARY NO. APPLICATION SUBMITTAL.FIAT
& xia 16 E5 O>w LZ lSIT, r Z D d q(
NAME: PHONE: CONT ACTOR'S NAME LIC NO: NIC CONIROLN
I c,
LL
;HITECTIENGINEER: LQ LIC NO: ADD�S'. ,I ;`_ /._ ,.-r ❑
CONTACT: //''�� PHONE: BUILDING PERMIT INFO
LOU �rh I !� 4�2 2,l 1/�_38D ❑ Consultant I=Paid by Applicant(Initial) BLDG ELECT PLUMB MECH
TI / -( OT O j) � ❑ ❑ ❑
LICENSED CONTRACTOR'S DECLARATION QTY. ELECTRIC PERMIT FEE
1 hereby affirm that I inti licensed under providon,fir chapter 9(commencing JOB DESCRIPTION
�kKZ with section ngo)rl Division 3ofthe Bn.me..and Pit e>L endo dhyEeenseiz RESIDENTIAL:
Ili O PERMIT ISSUANCE
�ly� infallCorceenJ c1ljl. � t7� OSFDWL OKITCHIiN REA10DEL
aUyV Licens Class�l--�Lic.p APPLIANCES-RESIDENTIAL ❑ADDITION ❑PLUMBING RE-PIPE
F d W Date Cmanicmr
ARCILITECT'S DECLARATION ❑MUCrLUNIT []STRUCTURAL
TION
Z O y Z„ I undesmed my plans shall betsed os public records PANUS CHIMNMODIFEY
REPAIR OZ•-p UP T021NIAMPS [I INTERIOR ❑CHIMNL•Y REPAIR
[F�F'WLicensed Pndesmed 201-1000AMPS IMPROVEMENT C]SWIMMING POOLS
=YMJ OWNER-BUILDER DECLARATION OVER 1000 AMPS gJ164H REMODEUREPAIR C1 DEMOLITION
tY C Q 1 hereby affirm that I um exempt Crum the Contractor's License Law far the
pj 3 U fallowing reason.(Section 7031.5.Business and Professions Cole:Any city or county SIGNS ELECTRICAL []OTHER
i- which w,mors u permn to const mm,inner.roporve demolish,or repair any structure
prior to io Issuance.also require\the applicant for such penin to rile a signed Imminent SPECIAL Cl RCUIT/M ISC.
f } (hat he is licensed pursuant to the pmvisions of the Cmume s',License Law(Chapmr 9
4�a0 (commencing with Section 7000)of Division 3 ofthe Business and Professions CWc)m TEMP.METER OR POLE.INST. COMMERCIAL:
it.a ea tY that he is emmpl therefrom find the basis for the alleged exemption.Any violation of ❑NEW BLDG/ADDITION ❑DEMOLITION
Wim Section]011.5 by any applicantfor a permit subjects the applicant to a civil penalty of POWER DEVICES []TENANT ❑FWD SERVICE
t more than live hundred dollars(5510). IMPROVEMENT
� d0 I,it,owner fir the
0 prop slmen yummyotinomendceewithwauf
gasthelsedmsr
er mpenunn, SWIMMING POOL ELIiCf
b.
Al do the work,and lM1e cure is not tmed oroffercd for a (
le(Sec.]Dia,Btniness
ro and Pmfessions Cade:The Contractor's License Law does nal apply to as owner of OUTLETS-SWITCI IIXTURES "�'^�--�•.__
a 3- property who builds or improves thereon,and who does such or himself or through
his own employees,provided that such improvements are not intended or oRcred far NEW RFSIUENTI SQ FT.
sale.If.however,the building or improvement is sold within one year of completion.the ET.FLOOR AR EA
cr-huuder will have the burden of proving that be dud not build or Improve for par- 11,1
pate of sale.). JUN 2 3 199
❑ L,as owner of the property am exclusively contracting with licensed contractors m O L: y
construct the project(Sec.7014,Business and Pmfessions Case.)The Contrumr's Li-
I
c ase law does not apply to an owner of propcny who builds or improves thereon,and QTY, PLUMP5MIT FEE
who contracts far.mcn projects with a mmracons)licensed paramount the Contractor's By
License Law, PERMIT ISSUA
❑ l and uscntpt node,See. B M P C far faster,..... -Z J
ALTER-DRAIN R VIEN' - (EA VALUATION
Doc
WORKERS COMPENSATION DECLARATION BACK PLOW PROTECT.DEVICE C� D /^'�
(hereby affirm under Penalty of ofConeneo selfom following declaration (� EC
LnavnanJwi11,I]fmaintainrSe......700 of the
Code for the urfum Worker,Compel. DRAINS-FLOOR.ROOI(ARF.A,CON .TORIES TYPE C(INSTR TION
emion, r pmvldhi for by is issued.
3]00 of thu Luhnr CnJc,for the nsrformunce of the C////
work for which this)canal is issued FIXTURES-PCR TRA('
❑1 have and will maintain worker's Cominnsatinn Imurance,as myuircJ by Section
l]00 of the lade CMcform<perfoniance of the wad for which this permit is issued. GAS-PA.SYSTEM-I INCAOUTLETS OCC. OUP APN
My War k<' ,m a ace ca JPolicyn c. 516 4. ` �l
Cartier: Policy Nu.: GAS-EA.SI'STEALOVER 4IEA)
CI?R' FIC ATE OP EXEMPTION FROM WORKERS' GREA513LNDUSTRI,WASTE INTERCEPTOR
COMPENSATION INSURANCE BUILDING DIVISION FI?IS
(This section need not hecompleted ifthepcnnh N firranehundrcddollarslSl D)) OREASH TRAP
or las) PLANCHECK PEE
I renify that in the performance mfthe work far which this permit is issued,Ishall SEWER-SANITARY-STORM EA.200 FT.
not employ any person in any manner so as to become subject to the Workers'Comped. ENERGY FEE
OZ sauna Laws of Cal'domia.Date WATER HEATER WNENI'IF,LECIR CRAVING FEF.
Q Applicant
z'
NOTICE 10 APPLICANT:If alter making this Certificate of Exemption.You shnNd WATERSYSTEMOREATNG
F? became subjcel to the W'orker's Compensation Provisions of the Labor Code.you masa 5011 ti hili
forthwith comply with such provisions m this .it shall be decmed revoked. WATER SERVICE 41
LLIQ
7 Z CONSTRUCTION LENDING AGENCY NEW RESIDENTIAL PLMB. SQ.FT. PAID
U 0 l herebyv0inn that them tea cemstmetitn lending agency for the performance of ate ReceiplN
V. P: the work for which this Permit is isvuId(See.309],Civ.C.) V TOTAL,
p U Lenders Name
} O.1Lenders Address r Q
y I crony mat L have reeml this application road sa mat the above Information is BUILDIN EE T
F h correct.I agree to comply with au city and county ordinances and smm laws relating to QTY MECHANICAL PERMIT ( FEF,
U Z building fmL9mmioo,and hereby aulhonce representative'ofthis city tnenterupon the SBISMI.FEE
es
ahovcnterionud propeny for inxpcoinn pmpascs' PERMIT ISSUANCE
(We)agrcemsuve,indmmnify and keep bamdcV,the City of Capron.against ELL't RIC FEE
Iiabilifics.juJgmcn¢,mats rad expenses which may in any wayau1rm. m.vaid City ALTER OR ADD TO MECH.
in onsecnce of me granting of this permit. PIU. LNG FEE
yu
APPLICANT 5{NDERSTANDS AND L)MPLY WITH ALL NON MINT AIR HANDLING UNIT T010.000 CFM) MECHA.'ICAL FEE
SOURC r Ii f LATIONS.
_— AIR HANDLING UNI T(OVER 10,000 CFM) CONSIRIkTIONTAX
Signature IAppliean yy em Date EXHAUST HOOD IW/DUCT) HOUSING MITIGATION PEE
HATARIX 5 MATERIALS DISCLOSURE
Will the applicant pr Tutu building ds:cupam score or handle hazvdous mamrial HEATING UNIT GO 100J0(#)BTU)
as defined by the Constant Municipal Code.Chapter 9.12,and the health and Safety
Code,Section 25532(r)'I HEA'T'ING UNIT(OVER H)l BTU)
r:IYd 0 N VENTILATION PAN(SINGI F RESID) PAID
Dem Rcecipt#
Will the air contractors
or furore building occupant use unpipmardQu or devices which BOILER-COMP(THP OR 100.000 BTU)
nit hazardous air comaminants as JcfinrA by the Bay Arca Air Quality Management TOTAL:
Distnc@
U Vcs Fl No BOILER-COMP(OVER 100.00)BTU)
AIR CONDITIONER
Iallh&admnM1iAe,Ssmencrltlsrcyulmutamsundcr Chuphs6caddhaeifthe / IS$IIANCE DAT$
fomiu flcuhh A SnWy fide,Sectinm 25505 fid 2553x.1 toirm,and Nat Bme NEW RESIDENTIAL MECH. SQ.IT.
G 3 41
budding die. rremN nave ant. tl ism .fro inditytohoary me occupant
of th fits which fie t AwIncc a Certificate of Oveupancy.
Owner .mthorim .gent Olde TOTAL: ISSUED BY: A
OFFICE
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- - � 15' Min. :�i•r
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&him installation �
1.. A solid structural mounting surface is required for cable
cleat Installation, remove fiber board or foam sheathing i TOO plittfetm
e to expose a solid structural mounting
r
T;.08rmeC necessary � rg .
surface at header, 2nd floor sill plate or 2nd floor wap studs.
2-"measure the proledng win daw units top platform board 1
and subtract 4' from the Interior elle to locate the exterior
sheathing line. Determine the T nut dimension from the
`:exterior sheathing line(D) (see Illustration). locate the r '� -=
cable deals so that the angle between the cable and the
"( top platform board is greater than 15 degrees. Roof
structure for the unit(by others)should also be considered _
ti.when boating the cable cleats. 1"
k0mr.cable cleats with 2'wood screws(furnished). -
:Measure the diagonal distance between the bottom of the cable cleat and the T nut 1
- o platform board . Measure the distance between the outer surfaces
` located h the top
+.,,of the top and bottom platform boards(F). To dimension(E&F) add 1'Inch,this will
be
the length of cable you will need hanging from the bottom of the cable cleat.
When the window unit Is being set Into the opening thread cables through the top&
"j bottom platform, ch k the cable Isnoth before anchoring the unit,
!See preparation for Installation.
OrIR lnstellatton
1ri As bay or bow unit Is being positioned Into the openkg,thread cable through top&bottom platforms(on unit
`' without accessibility check cable length before anchoring unit). Thread cables through the window unit so 17
Inch of cable three&are protruding below the bottom of the lower platform board.
I! Provide temporary support while unit is being Installed In rough opening(jacks, lover arms,etc.). Support unit
'ii" above leve(. Screw(2) nuts with washer on to each cable end,place screwdriver In the skri at the cable
er!d,this will keep the cable from twisting while the nuts are being adjusted. .
t7tlos
unit has been anchored per unit i
the cables have been adWedr and the windowInstallationirtstilictbrts
rtsmove the temporary supports.
yy ad and Seal Boards will have to be rmotclned to accept the cables. Slide tine head and seal into place
Z3Z,'psr po)ecting widow unit installation instructions, make appropriate measurements and notch boards. ;
'i%j JMQ. UM Strati xn Sr RrNlted 11!20Rl '