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24970 (2) APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CTY B ILD1N, ELECTRICAL PERMIT NO. . APPLICATION/PERMIT PLUMBS;-MECHANICAL fULbING DIVISION 24970 BUILDING 1'R03NC"f IDNN'TIFICATION BUILDING ADDRESS SANITARY NO. APPLLIICA'DON SUBMI'TT/A�LL DATE UNITp LOTH �I OWNIiRS NAME: PHONE: CTOR'S NAME: LIC NO: r l - iJ + t 6 SIC CONI'ROLN ROUTECIDENGINEER: UCNO: A 7 CON'1'nCl': QPIIOMi: BUILDING PERMIT INFO �6�✓�b 9 /, G / ELECT PLUMB MECH —' PERMIT ISSUANCE � ❑ ICENSF.D C( TRACTOR'S DECLARATION APPLIANCES-RESIDENTIAL Lllllllll""" ❑p,.Z Ihereby) T)Mhml3mfi,hm Brundu pnwlxi0nsofw Carer and license with � 3_O�I-rSCRIP- t w� l LL100 Scmion]WUI ofirmthin Lonli sBusrmE'and';omionh.pm,9 and m license PANELS ► Tp����` V`-�T\KM C-tDfF-. frJlforceandeffact. U V � UP TO 200 AMPS <pty License Class _ LIC.N vFi<a Dae Cummetor_(�i9tyC�-f 201.IIXp AMPS ZOorrz A CIII I'13CI"S DECLANA'1l SQ.PI'.FLOOR AREA E/SU PI'. I understand my plans shall he used as public records. .rNC OVER Ilgll AMPS oy�J SIGNS ELECTRICAL n Q �a LicensedDofnsional OWNER-BUILDER DECLARATION SPECIAL CIRCUIT/MISC. 11jd''06 V hereby aflinn that 1 am exempt ss an the Contractors Cods: s:An,city Law co the _ k� m3V-vFi following xavon(S thatIfima 0con exempt Cod a Ama,Law county ]'13MP.M13TER OR pOLE1N5T. 8 t1 \ ( 11�..,(l F O which requires a permit o constmct,ulcer,imprme,demolish,or repair any ebumure u�f }5 prior to its issuance,also requires the applicant for such Permit o file a signed sutemem POWER DEVICES �0.G that he is licensed pursuant to the pmvmons of the Contractor's license Law(Chapter 0�' 9(mmmcnefng with Section]WO)of Ui ,ow 3ofthe Bminasvand Professions Code) SWIMMING POOL EI.ECIRIC DAT -- XW—y or that he is exempt therefrom and the basis for the alleged exemption.Any violation of OUTLE-I'S-SWITCHES- } Section 703 L5 by Team faro tsub ecuthaa Ic noacivil nalt of FIXTURES F Z_Q Yany aped pcwi j pPi on pc y not transition five hundred dollar iye p). � ❑ NF.W RFSIDIiM'IAL ELECIR _SQ.FT. STORIES TYPE CONSTRUCTION atY � ❑ othe wrk,calhcpropentureis yemtendedwiftered sassleiSm.compeusiness 3— will Jn the work,and thehc Carcianor,License Law out apply 1.son Business and ertufcmlone Crde:Tho Comrumnr's Llcenx Law ism not apply lf an owner iof s property whobuildsnrimpmvestherctun,undwM1od«ssuchwork himxlfor Waugh his employees,prmiJed that sucM1 improvememsarenotimendcdorof(ercd Tarsale.IL OCC.GROUP RIE.UNITS however,the building or improvement iv wild within one yew of completion,the owner- TOT builder will have the harden of proving thm he did not build or improve for purpose of XI L I av ownerofthepropeny,ameaclusivdy cnnvxtmg with licensed conwmnrso QTY. PLUMBING PERMIT FEE PLOOU LONIi APEouwet the project(Sec.7044,Business and Professions CoJe:)The Comr«mr's License Law does not applyomosocrofpropenywhobuildsor improves thereon,and PERMIT ISSUANCE whoconuacu forsuch projects with aconoactoos)licensed pursuant to the Contractor's License law. ALTER-DRAIN&VENT-WATER(13A) FEE SUMMARY ❑ 1 win exempt under Sec. .B&P C for Nis reason BACK FLOW PROTECT.DEVICE OUT SIDE FEIiS SANITARY Y N Owner Dare y DRAINS-FLOOR.ROOF.AREA.COND. RECEIPI'p N I WORKMAN COMPENSATIOiCLARATION SCHOOLTAX YN Thereby uf0rm 0mlM1aveeanif icete Mnmsmumulf-insure.oracertificum of IIXTURI3S-1'ER TRAP RFCF.IPI'N *mkct%Compensmion Insurance or acenified copy thalam Sec.3800.Lids C.)which PARK FEI3 Y N cover all em to de 't RF.CEIPI'If P Y iPP5;r�^ GAS-G.SYSTEM-1 INC.40IITLETS Policy If��.,Jt�}� L� BUILDING DTVI FEES Carnpmp C d.--LL,�e GAS-EA.SYSTEM-OVER 4(EA) PLANCI IECK FTE �+ ❑ Certified copy is hereby furnished. ❑ Certified copy is fled with the city inspection Division. GRFASPJINDUSTRL WASTE INTERCEPTOR GRADING FEE CERTIFICATE OF EXEMPTION FROM WORKERS' GREASETRAP SOILS FEE COMPENSATION INSURANCE Ltissectioa n«Jnm be,complamd ifthe permit is fortune hundred dollars 00) SEWER-SANITARY-S'1'ORM EA,200PY. 13NERGY FEE or less.) I certify Jut in the performance ofthe work for which this Permit is issued,)shall WATER HEATER W/VENLE'LECTR not employ any person in any manner so az to become subject to Ne Workers PAID Compensation Lsowif California. Dam WATER SYSTEMOREATING -A Receipt- O Z Applicant 2 NOTICETOAPPLICANT:If,after making this Certificate of Esemption.you should NEWRESIDFMIALPLMIL SQ.FT. V TOTAL: (•' ry become subject to the Workers Compensation Provisions of the labor Cade,you must > forthwith comply with such provisions or this Pewit shall he deemed revoked. BUILDI .E SE C FEE ❑ CONS]RUCTION LENDING AGENCY Irk far affirm ohm there is i sued Sam. 3 lending agency for the performance of ' '� the work fm which this 1 is issued)Sec.309].Civ.C.) TOTAL: CTR PEE U O Permit Lender's Name PLUMBING FEE U. Fy" Lenders Address QTY. MECHANICAL PERMI9' FEE U I coif,shut I have read this implication and state that the above infnwminn is M[CIIANICAI.I :fi correct.I agree to comply with all city and county ordinances and state laws mlatingm PERMIT ISSUANCE f-' Co buildingconshuctlon,and hereby amhnriureprcxnmtivesofthiscity w enter upon the CONSTRUCID TAX (J 2 above-mentioned property for inspection purposes. ALTER OR ADD TO MECH. (We)agree m save,indemnify and keep harmless Ne City of Coconino against Ilahilities,judgm ds.costs and expenvev wh ' cony in any way accrue against said City AIR I IAN IDLING ON IT ITO 10,000 CIM) in c yoe c t f the gmnang of w pcyfyJi �� AIR HANDLING UNIT(OVER 10.0110 CFM) �� I¢amtytPv Ur Do. EXHAUST HOOD(W/DUCT) PAID // HAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO H111,000 BTU) Date Rewipt N Will the applicant or furore building«cupant sort or handle hi animus mmerid as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health mad Safety HEATING UNIT(OVER 100.000 BTU) TOT Cade,Sodium25532(a)'! VEN ILAT'ION FAN(SINGLE RESIU) ❑Yet, ❑No ISSUA E UA'I'E Will theappllcamorfumre buildiagoccupanmxequipmetordevi«awhich emit BOILER.COMP(311P OR 110,0011 BTU) PAID 00,standous air comaminants as defined by the Bay Area Air Quality Management BOILER-COMP(OVER 100,000 BTU) mricT.' 11 Yet; 0N NEW RFSIDFN'I'IAL MECII. SQ.FT WPR � 4 1 have mad the haurdons materials«quirements under Chapter 6.95 of the 1993 California Hath&Safety Code,Sections 25505.25533 and 25534. 1 understand Nat CI17 if the building docs not currently have a tenant,that it is my responsibility to notify fie Uh (etHI11 ,ccupnm of the rcarvimour s which moat be met print u,Issuance of a Cealfiwm or occupancy. Owner or authorized agent Data / ISSUED BY: lo�l MicroModule • Il�ol lool Systems Multichip Solutions April 13 , 1993 City of Cupertino Community Development 10300 Torre Avenue Cupertino, CA 95014-4505 To Whom it May Concern: ' Please find enclosed plans for your review and approval to obtain a permit for modifications of an existing room at our _address. These alterations include the replacement of an exist— ing cleanroom T—bar ceiling system and ( lea . ) fire rated door . The previous use of this space ( 724 sq. ft. ) was a personal locker area for fab operators. The proposed usage is to accommodate , ( 3ea . ) Hay— worth work stations with computer design equipment. If you have any questions regarding our permit application or the permit process, please contact me at ( 408 ) 864-5997 . • Sincerly, MICROMODULE SYSTEMS, INC. � i Gary . Vegter Senior Facility Engineer APPROVED 10 AOCORDANCE WITH THE CITY Of. —jm"NO CODES AND ORDINANCES SIGNED This set of plans and s pe ak kept on the job at a,,IF 'Cations Imes and It s ST lawful to make any changes or alterations on same without written permission from the building Dept., City of Cupertino. The stamping of this plan and spocifications SHALL NOT be held to permit or to be an approval of the vancL, o of to Provisions of any City Ordinance or State law, • 10500 Ridgeview Court,Cupertino CA 95014.0715 408-864-7437 408.255.0328 fax r II • �C =C =C L C CE T �c N �s �V I o O C w UITTTTTITT��11�fT1111 nnlnnlinuiiiin 0 o m r m 0 z -p m i nD c Z r, • a s t . � � 2 � N , � . . ■ ! : � q & § ■ | . | § _ § ° ■ T ) ) is is - � ® ■ E a § ! ; \ � � � � e e ; S e e a e \ k : � i | |& � n ; , I � � � ~ ° ■ � | ■ § ! ! | ` U "LATI ] ! | ■ ■ | §§ f ; ; ■ ■ ® | | QRS2RmRPLAN «F-a . AS BUILT LOCKER' • ROOM 81 71746 TOOLBROOKS BI ® 6 6' CA& BENCH BENCH 1 12x12 ABL LOCKERS I I ®T cvB cvB cve (TYPICAL) L� cnB cne 14, aEEI r p, © 1 AVSTRS ACID • Punw slr6c $� 'S+:t:l:'{>> ,t 'v .f �. » _•:it5 ly t. .t��'" b�r��',,1;,n..1- ,y r �1� p ij_ ik ,AIC; t'Wh vfef .s++,tJ.'.a... ✓ w b.A-.d>4 tq r^h,�F7�.3'i.A._x(:v -�eN'5b�Ti� u�i ALi. .K'-scY[-C'G•ry1_ t :1"x•5 `H .,.i. O HOC-% THRMCD 102' HLF TABLE SC V/ ELEVATOR 038-08482 ®®� -�'9 DYWITRONDC SINK 009 • 3S 03MMH1 MLYA3-13�1 ./A .9E 038-06507 g . g C71EM tgrgrr CHEM CHEM. SININ CART c�S c� �c� csi DA p14 2 6 038-09073 p 038-08841 HO% ENT p IRTY VASHER R R® • T � V1P L o a I O cZ R/'qC P s�-Fo-n 5 Ws,38 AMBIENT ---- LIGHTING LIGHTING 2 EFs SR417TWBIE WS08 -AMBIENT AMBIENT L IGHT ING • L IGHT ING � �7 Otis K TPR. . 81'11-Q�-HS 42 (� K OSA • (]�_�J 11��-16 11-ttf-u5 918111-Qf-BS RMB IENT L IGHT ING AMBIENT LIGHTING rllTL AMBIENT LIGHTING JL11-04-US— Ton �Sa-Fo- el YS1AMBIENT AMBIENT . LIGHTINGLIGHT WG � S . i Al - - - - - - - - - - 4! OSA- ll�nl-►6 u-acus 9181 U-af-bS I 91-FD-TL 3M S8-Fn-n M z 5 'ISOOY5139 ni s z � i4 sz Di O N w N W N N MENO GGN3G11 W 0 m N Oil s _ 70, r^ LIGHTIN6 AND PONER rMICROMOME SYSTEMS sPIANS 1 ROOD