31264 (2) APPLACANTTO FILL.IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CPFY OF CUPERTINO BUILDNG-ELECTRICAL. PERMITNO. /k /N^g6 4 Ik
BUILDING DIVISION APPLICATIONAaERMIT PLUMR=N MECHANICAL J< L
BUILDING.PROJECT IDENTIFICATION
RUILDINGADDRESS: SANITARY NO. APPLICATION SUBMITTAL DATE
OWNER'SNE: ,� PHONE: CO ACTOR'S IS LIC NO:
x M _ S C NIC CONTROLI
NR HITEI:I'/ENGI SER: LIC NO: ADDRESS: ❑
CONTACT. PHONE: rynfw(J O O L 1 •�' Ob BUILDING PERMO
IT INF
consultant Fees Paid by Applicant(Initial) RLDG ELECT PLUMB MECH
❑ ❑ ❑ ❑
LICENSED CONTRACTOR'S DECLARATION QTY ELECTRIC PERMIT FEE
1ion7 affirm Nallvm licensedheHunderprovisionsof Chapter ddi9(commencing JOB DESCRIPTION
{D{r�MZ with$rcdon"IBIIO).f Division 3of Ne Nusinexs and Professions Codr,and my license is
F�� in lull(.,esti Dcct ` PERMI'1'ISSUANCE ,rC RESIDENTIAL
- -
V F License lass Lie.N ❑SPDWI, ❑KITCHEN REMODEL
a�U] Uwe ' 13mvucmr APPLIANCES-RESIDENTIAL
sRl ❑ADDITION 11 PLUMBING RE-PIPE.
E,�y ARC II I'IiC'I"S DIiCI' PANELS ❑MUL11-UNIT ❑STRUCTURAL
Oz n 7� 1 undersmnd my plans shall M:used us puhlic recnNs MODIFICATION
�J UPT0200AMPS
P.'?,(j ley Licensed Professional - C1 INTERIOR ❑CHIMNEY REPAIR
j6.-1 201-INX)AMPS IMPROVEMENT
OWNER-BUILDER
ad I am eU opt from
m Ce Cont,ON OVER HWAMPS
� Q I hereby affirm Nm 1 am exempt from the Contractor's license law for the ❑BATH NEMOIJEVREPAIR ❑DEMOLITION
x 3 6 V following reason.(Section 703 I.S.Business and Professions Code:Any city or county SIGNS ELIiCfRICAL ❑OTHER
u] u• which requires a Permit to construct,alter,improve.demolish,or repair any sticture
.LLC pd.,to its is....se,ak.oci timit,he applicant fnroah Permit to file is signedsmmroem SPECIAL Cl RCUIT/M LSC.
ythat he is tiecrudpursmauo the provisions ofthe Contractor's License Law(Chapter 9
aC) (eninmcncing wi@Section]OOtD of Division3 nfthe Business and Professions Csde)or TEMP.METER OR POLE INST. COMMERCIAL:
CL ry,o K that he is exempt Nerefrom said he hmis for the alleged exemption.Any violaiinn of ❑NEW BLDG/ADDITION ❑DEMOLITION
iYCI Yy Section](q LS by any applicant lint pericat subjects the applicant n a civil Penalty of POWER DI!VICIiS ❑TENAMI' ❑FOOD SERVICE111111............ a mom than live hundred dollars(85110).
56 1,as owncrof Ne o n IMPROVEMENT
G ❑ thpey,,cmyet intialedathwned for N.Irsol.compcnsiness SWIMMING POOL
F will do tetions and the heomianots License
does not apply
an,Business []OTHER
L 3 and property
Protections Code:The Ce,there License Law docs not apply m an owner of OUTLETS-SWITCHES-FIXTURES
his o ny who hails,or improves thinch i and who does such work deed or or through
his own employees,e building
that such improvements arc not intended or oBenvl for NEW RI31DFN1'IAL FLECTR SQ FT.
owner-builder
wns Laweve¢Ne buil di burden of
issoldbewithinion build or
provetiogthe SQ.FT.FLOOR AREA SISQ.FT.
owner buil Jcrcaill have the burden of proving Nw he did not build nr improve for par- S A t D
pox. �a I�
1,to,owner oftheprogeny,am Business
vely contracting with Iiecnodenanacmrsi- TOTAL:
aLow does
nw[(gra]M0.Rnerof properand ty
who ons bunds ori provesno he ton, Li-
come OCT 9 1996
wholaw Jcesnot chapply
rogranOwac coolni pony whose,)aorlmpmvaa mcmonand QTY. PLUMBING PERMIT FEE
who,.ovum,for such projects call u conbucmKa)licensut pursunm m the Cnnlractnr'a '
License l.aw. PERMIT ISSUANCE
1 �/ �.I r,�
1amexempt under See ,BA,PCfor this Mason 11 Ur siIINO
Owner
ALTER-DRAIN&VENT-WA ) V VALUATION
Dale
WORKERS COMI'ENSATIon DECLARATION BACK PLOW I'1tDTECT.DEVICE
I hereby uf0rm mune,pcnahy.f perjury one of Ne following W akr,'ions:
Ihavaried vide maintains Ceni cne 37coofCo ecia Usluor Cade.for dor
W.dromor Ithe DRAINS-PLOOR,ROOE AREA,CON STORIES TYPE CONSTRUCTION.
a ,as hick this
for by Ss issued,
3]IXI.f the roar Cade.for Ne prrinmunce of the
work for which Nis pema is issue]. 'FIXTURF_5-PER TRAP
❑ 1 have and will ode,fon Workersperformance
an a afthew Insurance,h his required t i Section
3700 of the War Code.for the Perf.rmvnceofthe work for which this permit is issued. GAS-FA,SYS"TF.M-I INC.40UTLETS OCC.GROUP- AM
My Wrxcr'aC p tion lnvt µµ}}IrtiwunJPnllay nugN arc:1� GAS-nA.SYSTEM-OVER 4(EA)
Car or— ati NAIV P.Iicy No.: 1�J-Z—r/ T
CERTIPICATE OP IiXEMPTION PROM WORKERS'
COMPENSATION INSURANCE GREASPIINDUSTRL WASTE INTERCEPTOR
or less.)
(This section need not be completed if the permit is for one mithed doliws(SI WGREASE TRAP
) BUILDING DIVISION FEES
I certify thwart the performance f,ha work for which Nis permit is issued.I shall PLANCHECK FEE
not eoy any person in say manner s m )as became subject come Worked Com SEWER-SANITARY-STORM EA. PIl
2 mtiontmplawsof California.Date Rn_ ENERGYItiE
Z O Applicant WATER DEATHS WNENT/ELECTR
PP GRADING FEE
VVVjjj NOTICE TOhi APPLICANT:If.Co making this Certificateue, f,h Extension,scoCeyou aloins WATER SYSTIiM/IREATING
a
become acanit o the Worker's iWom osntion provisions.f the Labor Axle,you most SOILS FEE
W
forthwith comply calm such provisiuna nr this permit shell badwmeA rcvnkcJ. WATER SERVICE
Q
Canham isa.ONLENDINGAOENCY NEW RESIDENTIAL PCMB. SQ.Pf. PAID
L)Q l for which thi parthemism issued
leading agency for perfnmunceaf Date Receipt
u
the work for which this permit is isxued(Sec.JIN].Civ.CJ
Q E-' Undcr's Name TOTAL:
C.J Uod.e,Address TOTAL:
A I certify that 1 have rein this spplicmmin and time that me save informwioa is BUILDING FEE - .
h
correct, a e to comply with all eityaad crimayinchruneas and sum laws relmiagm QTY MECHANICAL PERMIT FEE
06
V ,� building constitution,and herebyauthorixe repreuntances of Nis citymemer upset the SEISMIC FEE D
aavr-mentioned property for nexpenimt purposes. PERMIT ISSUANCE
(We)agree to save,indemnify and keep harmless the City of Caperton against ELECTRIC FEE
liabilities,judgments,costs and expenses which may in any way wane against said City ALTER OR ADD TO MECH.
in consequence of the granting of this permit, PLUMBING FEE +4)
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT AIR HANDLING UNII'(1'O If1,WO(PM) !/
SOURCE REGULATIONS. MECHANICAL FEE
AIR HANDLING UNIT(OVER 10,000 CFM) CONSTRUCTION TAX
Signature Of Appherm Comineor - Date EXHAUST HOOD DMDUCI) HOUSING MITIGATION FEE
HAZARDOUS MATERIALS DISCLOSURE.
Willtheapplicam or fmure building wcupaut sore.,handle limitations material HEATING UNIT Q0100,000 BTU)
as def red by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Cale,Section 25532(.)1 HEAT[NO UNIT(OVER 10),(100 BTU)
Dyes ' ❑No
VENT RAT PAN(SINGLE kESID) PAID
Dole Receipt M
Will the air cmum icfurore building n he Bleu..An omordeviceswhich -
40 unitM1nenNnuxairconmmimmausdcfinMbytheBayArcaAlrQuulilyMnnagmncnt BOILGR-COMP(JI{p OR 100,000 BTU)
Ld.�.al
' - TOTAL:
(]No BOILER—COMP(OVER 100,000 BTU)
reed the hazuNous mvmriab ra]uimmenm under Chapter 695 of the Cali- AIR CONDITIONER ISSUANCE DATE
&Safety Code,Seebeck 8500 25533 and 25534.1 understand met if be NEW RESIDENTIAL MECH. SQ.PF.
not cmremly have a hunt,that it is my mpomibilityto nsibyNetacaantments which must be met prior o issuance of a Cer ificam of Occupancy.
horized agent Date TOTAL: ISSUED BY:
OFFICE
Patio Doors 12'
CURRENT CONFIGURATION
FIREPLACE PAD x
8' Y R
� Dinning Room
_
O o o 0
tA
N_
O V `G N = - 22
u a D
O
O W y E n y 5 = .2
H w o �p E ; RE .E ° 2 OCT 9 1996
>
� 03 ¢ 0`
$, 5„ N
_ Small BLDG. INSPECTION DEPARTMENT
_ CITY OF CUPERTINO
� 33 A
x-35„i .. ;� 'a :° j'.-, � � � Bedroom
�A Q z Q �L m� o
d E a >
� � 5, 1�'3hy � sa2
`n , Closet Closet p� y` ;Q3
1899 b��l � P
A .
Kitchen Is
Hall Hall
Q 1' from
t I square
N
N =
a �
v
Reason for change:The
current floor plan forces
r
0 30”p the farniy room into a
large hall used to get from
3Family Room pocket the front door to the
rn door kitchen-No room for
N furniture except to
'^ place on the parallel walls.
—14' 2"
in
N `r 30"
Front
Door
Patio Doors 12'
PLANNED CONFIGURATION
FIREPLACE PAD A
V8' By 27" .4
Dinning Room
24'
1/4 Painted Wood
Living Room Paneling
n HE
E
Small 8
Bedroom 2x4 rn
m STUD
CONST. 2
"
'pocket r -15' 8
door /
dosed Closet Closet
I
Kitchen5/8"Sheetrock
Hall Hall
if
A
E CUT
Passage Way A 19q from!
�5' �— 5,
N
30" Reason for change:The
pocket planned floor plan allows
O door the room to be used on
i dosed three walls,still allowing
3 Family Roomaccess to the kitchen and
m a more formal entry
w to the dinning area.
w
14' 4"
N v 30"
Front
Door
mnwm nnnnuu nnnnm unnmw nmmnn nnnuuu umm�m nnnmm mmnnn nnm
Current Family/Living
Room Wall
Wall between family room
and living room is currently
2 x 4 Stud Construction
Faced with sheetrock on
both sides,and plus a 1/4"
wood paneling on family
room side.
mnmm nnnmm nnnnm nnunnu nnnunn nunnnu muumu nuunnn nnmuw num
nnnnm nnunun nunnw mmnn mm�nm nnnmm mm�nn nmwnn mnnm° m°n Planned Family/Living
Room Wall
5'
11111111111 111111111111 11111111111 IIIIIIIIIIII IIIIIIIIIIII HUM
4,
14'4"
nuuum Ilmunnnll�mm�uullunn°°0II1pp°I°ul I Current Family Room/
Entry Hall Pocket Door
The door wall between
hall/family room and
kitchen/dining room are
currently---------
-
___ ____with
sheetroc ked on both sides
The walls contain a std.
30"pocket door.
mnnnu
F .... 11 I
nmmm mnnnm nnnmm�nmmmm�nmm�nn Planned Family Room/
Entry Hall Wall
Walls between halls,farnily
room and living room will
be 2 x stud faced with
sheetrocked on both sides.
11111111111 ill IIIIIIiIII 1111111
2x4 brace
2x6 Ceiling Joist
(2)2x4 plate 4x12 header
r--
2x4 studs
r
2x6 Joist
4x6 grider
4x4 post
is cement pier P,,FPr7,
Plno p Q Ii r'(� I y j