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08110098CITY OF CUPERTINO'x'" ry�g� �y � t � BUILDING DIVISION PERMIT BUILDING ADDRESS: PERMR NO. 10420 BUBB RD TBD - T R'S NAME: PERMIT L4UE DATE NE: SA CONTROL N0. ARCHITECT/ENGINEER: BUILDING PERMIT INFO ADD MCPA EQUIPMENT BOX TO BLDG ELECT PLUMB MECH O O O D LICENSED CONTRACTOR'S DECLARATION (E) T—MOBILE FACILIT4ob Description I herby a1Brm Nat 1 am licensed under provisions of Chapter 9 (commencing 3ofNe Business and o@ssiuo Code. and my licenauu inullfame andafecDlviaiora in full force and eHra. OO Liccne Chis lie. g IAIG Dam vl TSDECr ARCHTfERS DECLARATION I understood my plaits shall be uaud a public meomr ' Licensed Professional OWNER-BUILDER DECLARATION I hereby aRnn dart I am mmunin from the Camaedrs License Law for the following reason. (Section 7031.5, Business and Pmlessio s Code: Any city at county which mquims a permit to construct, alcor, improve, demolt h. for repair coy stncmm prior to its issuance. also requires tiro applicant for each Permit to file a Signed statement Cmametms Limes Law 9 Sq. Ft. Floor Area Valuation That he rs licensed pursuant.the provisions of the (Chapter (commencing with Section 7000) of Division 3 of Be, Business and Professions Code) of that be u uemps therefrom and the basis for the alleged eemption. Any violation of APN Number Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant m a civil pe.lty of ad, more Nm five hundred dollars (000). D I, u owocr of Be pmpmy, a my wployco with wage u Neh sole compcmdon. Required Inspections will dotmwortandmeaweuresbutioundedarneferedfacede(Si.70".Busine. and Pmkeeridns Cade The Ci m ucmr. Liasvw Law aces not apply m am owner of q P property who builds or i mprow.s daemon. and who docs such wad himself dr Igmugh his own employees, provided that such improvementsart not intended oroRemd forsale If. howeven, the building or improvement is sold within one year of completion, the dwaer- builder, who have the buena of proving Nat Ire did not Wild or improve for periodic of sale J. 0 Lee Mae, of Bre Property, am exclusively comanding with licensed consaclats of cd.Imn dace project (Sec. 7044. Bodo. and profused. Code:) The Conuandrs U. , crow law does not apply m an owner of property who builds or improves daemon, and who contface; for such pmjecls with a edntmcmr(s) licensed pursuant to the L'omossef's Llcwnfe Law. ❑lam eump, under Sao ,B&P C far due wai Date WORKER'S COMPENSATION DECLARATION 1 by aBitm under penalty of perjury onee of the following declara0a.: .w arm will maintain a CWE.m of C... t to elf-had. for WorYa'sCompcn- ran, u provided for by Section 3700 of Ne Labor Code, for the Performance of the wort for which this pnmit is issued. ❑ I have and will ma etur, Woriees Compensation Insurance, o required by section 7700 of the labor Code, for the pufarmace of Ne wort for which Nis permit is issued. ' My Worms Compeoation Insurance carrier and Policy number are: Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This auction faced at 4 com plead if Ne permit is fa one hundred doltais (S 100) or lou) 1 verify that in the performance of dar wort for which this Permit is Wood. l shall not - cmployanypersan�ganymaarmazmbecomesubjeclmNewartcs"aspen atidn - Lee, of Caiifpmrs. Applicant / ! 6 NOTICE TO �� �j�j"fpLICANT: If, ager sting Nu CertiOcau of Excm ion, y should become aubfEa in the Wor re's Compensation provisions of No later Code, you mus r forthwith comply with such pmvisim. or Nu permit shall be decreed rowed d. LENDING BudCONSTRUCTION agenY 1 hereby UPeNero issmn(See.3 lending7.C,agency far the performance of which Bm wort for which this permit Is issued (Sec. 3097, Civ. Cd Lenders Name , Lenders Address 1 comfy Nat I hate road this application and sum that Ne shove information is ' ' correct. I agree to comply with all city and county embrasures and ante laws misting an building construction, and hereby auNorse representatives of this city m order upon Bre above-mcnik ned property for inspnction purposes. (We) agree to ave. indemnify and keep harmless the City of Cupertino afford, .Lj liabilities.judgmcrs, caro ad expereas which may in any way aanm fgaaiot sold City in conequed. of Ne granting of this permit, ' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE RScu�. IONS. JJ /db/o� / Re-roofs �--� Type of Roof signs rt qG E�C-W Cd-A oda 1ATERIALS DISCLOSURE Date �— Will Ne applicant for future building occupant store or handle haaardou, material dcBncd by the Cuanino Municipal Code. Chapter 9.12, and Ne Health and Safety . Section 25532(.)?— / All roofs shall be inspected prior to any roofing material being installed. ❑ Yes [� o If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or furore building occupant use equipment or devices which . hacardow air contaminants a defied by the Bay Area Air Quality Management all new materials for inspection. vin? [3Yes o I have mad the harardousmaterlab mquimmenu under Chapterd.95 ofthc Califor- ' ria H.IB of seloty Cade, Satimu25505, 255 7 anJ 25534.1 Understand thatif t e Nildmi; does a nBY haw a to dor, the cceupat of the mqui men ors,hemet pdopmiss aCenlncateofecenpied Signature of Applicant Date f! 7f All roof coverings to be Class'%?" or better ow dr.ohori ed agent oro 9 � 0 o m m \ � � 2 } 2 E k / ( / \ P< \ / con } \00 � S / / / / -kl N2 zq &\ eoo �b m • 3 ITEMS OF 3 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Elk: Lot: APN ........: 35720038.00 DATE ISSUED.......: 11/26/2008 RECEIPT #.........: BS000006698 REFERENCE ID # ...: 08110098 SITE ADDRESS .....: 10420 BUBB RD SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: BRADFORD FINANCIAL LLC ADDRESS ...........: 10420 BUBB RD CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: SylviaM COPY # : 1 RECEIVED FROM ....: SANDRA STEELE CONTRACTOR .......: TBD - TO BE DETERMINED LIC # 00096 COMPANY ..........: TBD - TO BE DETERMINED ADDRESS ..........: CITY/STATE/ZIP .... , TELEPHONE ........: • FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW BAL 1BREMPOWER POWER UNITS 1.00 152.98 0.00 152.98 0.00 1BSEISMICO VALUATION 2,000.00 0.63 0.00 0.63 0.00 1TRAVDOC FLAT RATE 1.00 40.79 0.00 40.79 0.00 TOTAL PERMIT : 194.40 0.00 194.40 0.00 METHOD OF PAYMENT AMOUNT ----------------- ---- CREDIT CARD 194.40 --------------- TOTAL RECEIPT 194.40 • REFERENCE NUMBER -------------------- visa Assessors Parcel Number: 3 S -3- - 20 - 032f Name of business. Project address. IO*f?-0 L308 12-D Contact person. Phone.-) .S �3- �g©o Fax. d/s) .t-2.0 -0/0Z Current use of space. C.ovh,w u tvi C q-r7c.vS c Proposed use. ✓G Rp�� Building construction type. 'v Az /�Oi b ofA Occupancy Group(s) N /aMti/ C17'os .o Occupancy Load. *Square footage of remodeled area. Is the building equipped with: Fire sprinkles? K/IA Number of floors in the building? On what floor(s) is work being done? V a�/fa y ch_%&IC Brief description of work. / -DID /h c P/4 F-4 v f OMe2 7- SOX %a CC-) T - 4ti06/ 6c PAc 4- / 7-1 Code editions: 2008 CBC (Y - N)2008 CFC (Y = N)2008 CMC (Y_Di3 Com, LVED 2008 CPC (Y - N)2008 NEC N) K� NOV 262008 � Effective 1/1/08 BY' Are there any chemicals/hazardous materials to be stored at site? Y - N If above answer is yes, provide a list of materials and quantities. If job is involves food service, provide 3 extra plan sets for Health Department review. O Commercial Plan Review Process Work BookPage -10- revised 1/1/08 r1 E N ��GN�PM HIXM vm4•.ylryp � R � � p9 �Y POW ERWAVE I Multi -Carrier Amplifiers - Outdoor Booster Systems • OS-1951-HO-OOX OS -1 Outdoor System • E Air Interface GSM/EDGE/CDMMNCDMA Frequency (MHz) Down Link 1930-1990 Frequency (MHz) Up Link 1850-1910 System Output Power -GSM/EDGEfWCDMA 125 -Walls System Output Power - CDMA/CDMA 2000 100" Watts IMD Specification -65' dBc Instantaneous Bandwidth (MHz) 45/60 Tx Gain Range (dB) 0 to +14 variable Rx Path Insertion Loss 2.0' Supply Voltage 180-264 VAC or+27 VDC Noise Figure (de) 3dB Rx Gain Range +4dB Fixed (-002) Input Intercept Point IIP3 (dBm) +12d0m Tx Rejection In Rx Band (dB) 100 min VSWR Alarm Threshold (dB) 7+-2dB Return Loss, All Ports (dB) 15 min. Impedance All Ports (Ohms) 50 Misc. Dimension HxWxD mm(ft) 228 x 660 x 660 (9"x 2'2 x 2'2") Welght(lbs) 102 RF Connectors 7/16 DIN Female X 6 Number of MCPAs per Sector 1 Number of Sectors 1 Operating Temperature Range_20 C to +50 C Ingress Protection Class IP54 Liqhtninq Protection 40kA EIC 61000-0-5, 8/20 us waveform _ 930-00018-009 3 KW Rectifier OS -1951 -HO -002 Enclosure - TMA model with LNA - DC transparency Choose one of: G3L-1929-120 120W MCPA module G3L.19 1 160W MCPA module Typical Performance. "Typical, with G3L-1929-160 MCPA Module Inserted, 45 MHz IBW ME BY: All specifications are subject to change without notice. Contact your Powerwave representative for complete performance data. m Capyd9ht 2008 Powarv+ave TacM1nolpgles, Inc. All rl9his reserved. • s A. l §- CITY OF CUPERTINO CUPEkTINO GENERAL BUILDING PERMIT APPLICATION FORM APN # r:7- Date: Building Address: 0!1-7-j Q u 6 /zb . Mailing Address (if different from building address): 4S 4-9evff Owner's Name:62A&F A D �NfM/Gr / i-4-le— � Phone #: Contractor: Contractor: SHfiv n/ S H Phone: W 112-1� 4-t,C. 49h `/ /N G , Fax: ¢CuContractor License #: �O 0 S '14- Cupertino ertino Business License #: Contact: S;,oWDR-, S�t� w fTM Phone: (41 3 - �00 T- /Y> -OBI lit; Fax: /S Si -2.0- 010-2- /oZResidential ResidentialEl Commercial ET Job Description: E-QU/10M157/7 80X %-O CES -F— tnoc3, bE F19- 6, 1 i- 17i . Building Permit Info: / Bldg ❑ Elect Plumb ❑ Mech ❑ Type of Construction (Usage Class):N f Occupancy Type: 1-A, 1-B F]II/III/V-A ❑ II/III B, IV -HT, V -B ❑ Valuation:poo. Do �Square Footage: Project Size: Ex ress ❑ Standard ❑ Laze ❑ Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the application or if applicable, include in plan set & the sheet index. Points Achieved: For help, contact Build it Green at www.builditgreen.ora Revised 10/20/08 0�ZFCI CUPEkTINO CITY OF CUPERTINO GENERAL BUILDING PERMIT APPLICATION FORM Quantity/Sf Fee ID Fee Description Fee Permit Type f Group 1GENRES or 1GENCOM 1 BBOILERI For the installation or relocation of ea M boiler/compressor to & including 3 horsepower, or ea absorption sys to & incl 100,000 Btu/h (29.3kw 1 BBOILER2 Installation /relocation of ea I M boiler/compressor over 3 horsepower to & incl 15 horsepower, or ea absorption sys over 100,000 Btu/h 1 BBOILER3 Installation/relocation of ea M boiler/compressor over 15•horsepower to & incl 30 horsepower, or ea absorption sys over 500,000 Btu/h to & incl 1,000,000 Btu/h 1BBOILER4 Installation/relocation of ea M boiler/compressor over 30 hosepower to & incl 50 horsepower, or for ea absorption sys over 1,000,000 Btu/h to & incl 1,750,000 Btu/h 1 BBOILER5 Installation/relocation of ea boiler or M refrigeration compressor over 50 horsepower, or ea absorption sys over 1,750,000 Btu/h 1 BAPPLOTH For ea appliance or piece of equip M regulated by this Code but not classed in other appliance categories, or for which no other fee is listed in this code. 1 ELECINSP Other Electrical Inspections (per hour) E 1MECHINSP Other Mechanical Inspections (per M hour) 1PLMBINSP Other Plumbing & Gas Inspections P (per hour) 1MEETINGiHR Application Meeting B 0 • •