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INSPECTION WORK LOG - ONE PER PAGE DETAIL FORMAT PAGE-001 PRINTED ON 03/14/11 PERMIT BER: 09060134 10041 N BLANEY AVE CUPERTINO PERMIT TYPE: 1B TI TENANT IMPROVEMENT USAGE CLASS: II/III B, II/III B, IV-HT,V-B NEW SPECIAL :COM'L TI-Q MART- NO ELECT, NO LIGHTNG, REPLACE PERMIT :EXISTING EQUIPMENT, FOOL) PREP CONDITIONS: AND NOTES : PARCEL ID: 31623036 . 00 LOT: BLOCK: SUBDIVISION: OWNER NAME: SYLVIA DUONG G INC O ER ADDRESS : 1548 CLARITA AVE CONTRACTOR ID: 00096 CONTRACTOR NAME: TBD - TO BE DETERMINED CONTRACTOR PHONE: * NOT ON FILE * INSPECTION TYPE: 505 FINAL ELECTRICAL INSPECTION AREA: SCHED DATE: 09/03/09 INSPECT TIME: CONTACT INFO: INSPECTOR: JG GREEF, JEFFREY INSTRUCTIONS: COMMENTS: RESULTS: PASS FAIL CANCEL RE-FEE FAIL CODE: NOTES : PRIOR INSPECTION RESULTS: 113 SLAB 08/19/09 F JG 301 ROUGH PLUMBING 08/27/09 I JG 505 FINAL ELECTRICAL 09/03/09 P JG 507 FINAL PLUMBING 09/03/09 P JG 508 FINAL MEC k ..ICAL 09/03/09 P JG 512 FINAL 4 .. DI-CAP 09/03/09 P JG 516 FINAL BUILDING 09/03/09 P JG CITY OF CUPERTINO BUILDING PE IT BUILDING ADDRESS: 10041 N BLANEY AVE CONTRACTOR:TBD TO BE DETE* 'NED PERMIT NO:09060134 0 ER'S NAME: SYLVIA DUONG HANG[NC DATE ISSUED:08/11/2009 0 ER'S PHONE: 4086793821 PHONE NO: _ — LICENSED C NTRACTOWS DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class Lic. MECH RESIDENTIAL COMMERCIAL Contractor Date JOB DESCRIPTION:COMI TI-Q MART-NO ELECT,NO LIGHTNG, I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business&Professions REPLACE Code and that my license is in full force and effect. EXISTING EQUIPMENT,FOOD PREP 1 hereby affirm under penalty of perjury one of the following two declarations: 1 have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Valuation:$22610 Sq.Ft Floor Area: Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:31623036.00 Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is - — correctI agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter PE IT EXPIRES IF NVO IS NOT STARTED upon the above mentioned property for inspection purposes. (We) :ree to save indemnify and keep h. less the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PE IT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM L T CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section : Z.4 )1 07 9.18. Issued byDate: Signature Date 0 ER-BUILDER DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed,If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. I,as owner of the property,or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale(Sec.7044, Signature of Applicant: Date: Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec 7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER hereby affirm under penalty of perjury one of the following three declarations; HAZARDOUS MATERIALS DISCLOSURE I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain performance of the work for which this permit is issued, compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should 1 store or handle hazardous material. Additionally,should 1 use equipment or devices which emit hazardous air Section 3700 of the Labor Code,for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shall Health&Safety Code,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,I Own5x,orauthaized agent; become subject to the Worker's Compensation provisions of the Labor Code,I must ,6)7 di-74' Date: a forthwith comply with such provisions or this permit shall be deemed revoked. CONST TION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C) correct. I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature 'me(' /WDate ti 011 Aukaailasamatasammmal Oci b(.0 0 CITY OF CUPERTINO ) f , r - c... TEN A T IMPROVEMENT ...,... .... .,. C ''- '1----' 0 PE ' IT APPLICATION FO I APN # Date: 1.2,3 / Building Address: Ai ' 0 1 i t, 1 - ' 1 . . Mailing Address (if different from I ilding address): 1 . g C ICt)r it , A Vir , : To - CA q 50 1 Tenant (If tenant please provide a letter from the building o er approving the tenantImprovement) Building 0 er Tenant/Building Owner's Name: Phone#: Ili' i 111 it - I i. 9. ....., , Contractor: Phone#: hRU iVibiti #' COO Static fib 111 1 Fax #: (IC/6) -2- 11- .1 - 37ce Contractor License#: 8 .2 E) S Cupertino Business License#: '3 0 rg,0 2 Contact: -1-4tu .44 --Tm tialy6N Phone#:(40e7) 623_713z. Fax #: (40S) 323g_AM/. f Alternate Contact: Phone#: (AO 81 C-79_ 3 3 2 1 Hc_vij Fax #: 0.1.04) .2 9 ' - 37 Valuation(cost of project): .2 2 i 0 ' 42 Job Description (be specific): ---r i cc lin e c rce, 1 IU0 elcc "1-Yit / ) 1111-1-1 .1) Reptciced epds-froj Tenant Imov- ent Includes Re-Roof: Yes 0 No [11 If yes, number of squares Tenant Improv- ent Includes Structural Yes El No w i Type of Construction (Usage Class): II Occupancy Type: 1-A, 1-B 0 II/III/VA El II/III B, 1V-HT, VB ' CO VI U I'IIJMC FiGRockgy Project Size: Express n Standard 011 Large 0 Major E Green Building: Please complete Leed for commercial interiors checklist & attach it to the application or if applicable, include in plans & sheet Index LEED Points Achieved *** For Office Use Only*** Over The Counter El Revised 01/07/09 11 CITY OF CUPERTINO TENANT IMPROVEMENT I 4 II 1I Quantity Description ■ Permit Inspection — I I ry 5 ! r CheckrIB -I) ! Inspection . Check (....Check-Preschool Inspection-Factory/Indust ) Inspection-Hazardous Check-Hazardous Inspection-Institutional 1 Check-Institutional f 4 . Check-Merchandise Inspection-Parking Garag 1 SIIPINCK tenant Improv- ent Plan B Check-Parking Garage Commission Fee B ALL PE ' IT TYPES _ It Seismic1BSEISMICO I( BUS LAC Business Licen'se B 3 B.A..., LO 1' 4i P n C, 1 ( PE---g/411 rfEE ■ CITY OF CUPERTINO 5 ITEMS OF 5 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31623036 . 00 DATE ISSUED. . . . . . . : 06/23/2009 RECEIPT #. . . . . . BS000008026 REFERENCE ID # 09060134 SITE ADDRESS . . . . . : 10041 N BL, EY AVE SUBD CITY....... . . . . . . . : CUPERTINO IMPACT AREA . . . . . . : OWNER SYLVIA DUONG A G INC ADDRESS 1548 C ' VITA AVE CITY/STATE/ZIP . . . : SJOSE, CA 95014 RECEIVED FROM . . . . : Q MART CONTRACTOR . . . . . . . : TBD - TO BE DETERMINED LIC # 00096 COMP, Y . . . . . . . . . . : TBD - TO BE DETERMINED ADDRESS CITY/STATE/ZIP , TELEPHONE • FEE ID UNIT QUA TITY OUNT PD-TO-DT THIS REC NEW BAL 1BAPPLOTHE NO OF APPLIA 3 . 00 183 .57 0 .00 183 .57 0 .00 it, 1BCBSC VALUATION 22, 610 .00 1 . 00 0 . 00 1 . 00 0 .00 1BSEISMICO VALUATION 22, 610 .00 4 . 83 0 .00 4 . 83 0 . 00 qr 1PLMBLNCK HOUR 1 .00 122 . 38 0 .00 122 . 38 0 .00 1PPERMITFE FLAT RATE 1 .00 40 .79 0 .00 40 . 79 0 .00 TOTAL PERMIT : 352 .57 0 .00 352 . 57 0 . 00 fp METHOD OF PAYMENT , 0 T REFERENCE BER CHECK 352 . 57 #10018 TOTAL RECEIPT : 352 . 57 • 1 lH AUG ._1 County of Santa Clara Departrnent of Environn-lental Fiealth 'An-tall ittki4,. Consumer Proinclion Division 1555 Berger Drive, Sui144()() u07 2009 , ,,...,„ .....,y, San lose. Calitc)nyia 95112-2716 ...r.Lt,_,_. (408)9 I 8-3400 FAX(408) 258-5891 A, w\A-vv,E1 lin10.0r8 . August 5, 2009 .. _ Thu Ha Thi Nguyen PROJECT NUMBER: SR0832653 2918 Mitton Drive PROJECT NAME: Q MART San Jose CA 95148 PROJECT ADDRESS: 10041 N. BLANEY AVENUE CUPERTINO Dear Ms. Nguyen: Drawings for the above project have bee .- , by this department This approval shall ex.:-,,;,by limitation and will become null5 ;,-:;„.:,....-;:ii,L , ::::i.- : ,,iion, reconstruction, alteration, or other wftijA *uthorized by this approval is not ,-- :.„-_:-. -:', .- :..-' f7: ,--.-..-...--,ays from the date of approval. Please n•-,-..., his office when construction begin ti . L Please retain one copy of the approved •'• - 7,,i ;-,'::: ,:,::.-L:. : -:•;::: Jr' FOOD FAcli CONSTRU ON CARD has been attached to the job cop inr:.'' . :::7'' __.,, '. . ...'".r- the other building permits. Present at . , ,.-:„ .. , . 'f.5'.' least 4%-::44.: i,it .;, Ii-'.,.., -6:, . .,,,...:_k is...1:„..,; :,.. -1- - . _ _ ,.,4Ifor the required permit application and a ppr•! '17L- 76,:a:,,:4,017,_,,,,, .7.•%?.';;;__,..,,,i-„. ...„ 4,4,,.,_. 2, '1 ; ,„.,_.,,-,,,,,:- ;4-:., . by other jurisdictions must be L brou' .71 --, 1'....:T -- -- '.1.-.,-- ,,' s ''''. 1: '''''. '. .4,17---r.' _ _ -,.- to avoid construction delays, -l',1:32'. •-•k3;kiii0a11011141tiiir'''-'1 Please be advised that you are respo •,-_...,---17::,y.,.:11-.-.:"•I'li:1--•-1:,..,:::,:y1.,r1-. range for a construction inspection before rough plumbing signoff, installa'...i:ci.'Ar,L ,-:, ,:ro:,,,,_ completion of the project. . -1 •_r114,-;:„ - .-I'-- - ,.- : ,,,,..L;od storage or food er -::: -., -- ' . --'•• -- ntil the de•artment issues a Permit llik ' permit will be issued --.•-: - ' ' : r-n-s -. .-`,' : :7:6:•f our final construction inspection. - ,,,,,,.. _.. •,--_-_-2:04,‘A ;,.,,;(K.. :I .-----i-i'7,-;e,-cf,' ,a asked to submit#14.,.,. ::::_.;"4 '. ' ::-I',-:charlical exhaust system, if one d verification of ,-,' ,c, _ .t , I: :_...1-1; ::_ 71: ,he issuance of the Permit to • 1 * rate. This food establishment will be required to have either the owner or an employee successfully pass an approved and accredited food safety certification examination. This certification must be obtained within sixty (60) days after your Permit to Operate is obtained. Contact this department for more information. If you have any further questions or would like to call for an inspection appointment, please contact the Department at (408) 918-3400, between 8:00 a.m. and 5:00 p.m., Monday through Friday. Very truly yours, ..."-- / 7 ..--- erry Ann Hamilton, REHS Senior Environmental Health Specialist Plan Review and Construction Unit cc: City of Cupertino Building Department 1 ) H(1 of Superyn isors: Do ,F11(11.. GaCi ge. co11 lge N.1. !--; 1rakaNA/ei. Dove Cortese. 1n er \eYudo , Liz kniss iy,nog(-.01-1111V FX('CUliVC: (;z11-Y A (4(1vc1.:-3 . :.; • -pagiiiimajanmaii.eagisAiiiheassailiafroz.A.. --- - 2009 , g . CITY OF CUPERTINO BUILDING PE ' IT PLAN CHECK CO ENTS CONTACT PERSON.VO A ,v, 4.vi,,,, „ F A NO: 4" (233-97,....572Y ADDRESS: /69(29/ i4,/, 4:2:21, //''''' ey )1Ata_.DATE; 9/ „,„. i PROJECT DESC: - ..._:'---- '''''Vl..X: (1 Z) --ty619,fr.Z...--72,- ( PE ' IT NO: 62 ,9696 03 0 ER: -C/2-04 A 6,1.2,<-- , . - //s7C _ The departments/agencies checked below have reviewed your plans. Attached are copies of the comments. Pleas. - *bw and make the required changes. Resubmit Y' copies of the plans TO THE BUILDING DEPT with written res •onses to the comments from all departments attached to each set of i lans. Incomplete submittals will not be accepted. Note: All departments who previously reviewed the plans will need to re-check them regardless ---i--'7 of prior approval. All re-sub *ttals need to be sub *tted to the Building Department. Plans sub 'tted directly to other departments (bypassing building) will not be valid. NOT APPROVED/APPROVED BY: NA/ BUIL(ii/IN"G' (sob, office) OUTSIDE (job, office) 9 ab. I (1) PLANNING PUBLIC WORKS (71/-3) FIRE DEP- •TMENT 6 ' . / _...... /92/16" _ S A ITARY DISTRICT _ A,C 1:i9,/HEALTH DEPARTMENT HOOD ASSESSOR Note: Initial plan check fee includes 1st and 2nd plan checks. Additional re-submiftals will be subject to additional plan check fees. Note: Permit applications are valid for 6 months from the date of application. After 6 months the application expires and new fees will be required. / e $' ....,......... COMM ITYPLUS V8 . 1 PAGE BER: 1 DATE: 07/08/2009 CITY OF CUPERTINO MODULE pinrvrpt : TIME: 09 :05 : 02 P _ ' REVIEW STOP REPORT SELECTION CRITERIA: BLDG PERMIT NUMBER: 09060134 - SYLVIA DUONG ' G INC TYPE: 1B TI PARCEL ID : 31623036 .00 PARCEL ADDRS : 10041 N BL_'... EY AVE CUPERTINO, CA 95014 APPLY DATE : 06/23/09 ISSUE DATE : C/O DATE : REVIEW STOP: BLDG - BUILDING DEPARTMENT REVIEW REV NO: 1 STATUS: N DATE: CONT ID: REVIEW SENT BY: DATE: 07/07/09 DUE:07/07/09 TIME SPENT: 0 .00 REV RECEIVD BY: LARRY DATE: 06/23/09 SENT TO: REVIEW NOTES: 06/23/2009 T. I COMM REPLACE EXISTING EQUIPMENT. NO ELECTRICAL 07/08/2009 1 . PROVIDE ACCESSIBLE RESTROOM FACILITIES. 2 . PROVIDE DETAILS FOR ACCESSIBLE PARKING. SHOW SIDEWALK ACCESS DETAILS. 3 . DOOR STRIKESIDE CLEA' ' CE DOES NOT APPEAR TO BE ADEQUATE AT THE REAR EXIT DOOR. 4 . EXTERIOR NON' ■TED EXIT DOORS TO REQUIRE 5 LBS OR LESS FORCE TO OPEN. 5 . FLOOR SINK REQUIRED FOR ICE MAKER. 6 . DETAIL PROPER REQUIRED DIMENSIONS FOR ACCESSIBLE T',' SACTION AREA. 7 . PROVIDE MARKINGS ON FLOOR TO PREVENT ENCROACHMENT INTO REQUIRED ELECTRICAL PL EL WORKING AREA. 8 . WATER HEATER T&P TO R TO THE BUILDING EXTERIOR. COMMUNITYPLUS V8 . 1 PAGE BER: DATE: 06/23/2009 CITY OF CUPERTINO MODULE pinrvrpt : TIME: 15:14 :39 P , REVIEW STOP REPORT SELECTION CRITERIA: PERMIT BER: 09060134 - SYLVIA DUONG G INC TYPE: 1B TI PARCEL ID : 31623036 .00 PARCEL ADDRS : 10041 N B ' EY AVE CUPERTINO, CA 95014 APPLY DATE : 06/23/09 ISSUE DATE : C/O DATE REVIEW STOP: ASSESS REV NO: 1 STATUS: DATE: CONT ID: REVIEW SENT BY: DATE: DUE: 07/07/09 TIME SPENT: REV RECEIVD BY: DATE: 06/23/09 SENT TO: REVIEW NOTES: ***NONE*** REVIEW STOP: BLDG - BUILDING DEPARTMENT REVIEW REV NO: 1 STATUS: DATE: CONT ID: REVIEW SENT BY: DATE: DUE 07/07/09 TIME SPENT: 0 . 00 REV RECEIVD BY: LARRY DATE: 06/23/09 SENT TO: REVIEW NOTES: 06/23/2009 T. I COMM REPLACE EXISTING EQUIPMENT. NO ELECTRICAL REVIEW STOP: FIRE - FIRE DISTRICT REVIEW REV NO: 1 STATUS: DATE: CONT ID: REVIEW SENT BY: DATE: DUE 07/07/09 TIME SPENT: REV RECEIVD BY: DATE: 06/23/09 SENT TO: REVIEW NOTES: 06/23/2009 T. I COMM REPLACE EXISTING EQUIPMENT. NO ELECTRICAL REVIEW STOP: HEALTH - HEALTH DEP"TMENT REVIEW REV NO: 1 STATUS: DATE: CONT ID: REVIEW SENT BY: DATE: DUE 07/07/09 TIME SPENT: 0 , 00 REV RECEIVD BY: DATE: 06/23/09 SENT TO: REVIEW NOTES: 06/23/2009 T. I COMM REPLACE EXISTING EQUIPMENT. NO ELECTRICAL REVIEW STOP: .1) , PLL ING DEPARTMENT REVIEW REV NO: 1 STATUS: DATE: 06/23/09 CONT ID: REVIEW SENT BY: SylviaM DATE: DUE 07/07/09 TIME SPENT: 0 . 0f REV RECEIVD BY: COLIN DATE: 06/23/09 SENT TO: REVIEW NOTES: .4iffre.) 4 06/23/2009 T, I COMM REPLACE EXISTING EQUIPMENT. NO ELECTRICAL FIRE DEPARTMENT 0. Oov AO, SANTA CLARA COUNTY 14700 Winchester Blvd., Los Gatos, CA 950324818 (408) 3784010 • (408) 3789342(fax)• .sccfd.org Internationally Accredited COURTESY&SERVICE _ _ - - Agency E Fag 09 1 573 PLAN R - TS pERmrTC. 090601 34 CODE/SEC. SHEET —1-4-0—.1 REQUIREMENT Review of plans for replacement of existing equipment for new tenant 1 NOTE If the existing sprinkler is to be modified/altered in anyway to accommodate this project, alter the sprinkler system as needed by new partitions and ceilings. Submit shop drawings (3 sets) and a permit application to the Santa Clara County Fire Department for approval before altering the system. Call (408) 3784010 for more information. CBC/602 1 of 3 2 On the sheet 1 of 3, under "Tenant Space Information", the "Building Type" is & indicated as "VN". Please revise the drawings to indicate under "Building Type" the Table 601 applicable Type of construction of the building according to the section 602.1 of the 2007 CBC. CBC/1011.3 3 Tactile exit signs shall be provided as required to comply with the section 1011.3. Show location on drawings. CBC/1014.4 4 NOTE Aisles serving as a portion of the exit access in the means of egress system shall be in accordance with CBC 1014.4. CBC/1008.1. 5 NOTE 8 Egress doors shall be readily openable from the egress side without the use of a key, thumb turn, or any special knowledge or effort. Manually operated flush bolts or surface bolts are not permitted. CFC/906 6 NOTE All portions of the building shall be within 75 feet of a fire extinguisher. The minimum size of the extinguisher shall be 2A:10BC. City PLANS SPECS NEW RMDL AS OCCUPANCY CONST.TYPE ApplIcantName DATE PAGE CUP 0 0 '114 :4 M Thu Ha Thi Nguyen Building 7/7/2009 1 OF 2 SEC./FLOOR AREA LOAD DESCRIPTION 1 Story 2,400 s.f. Commercial Construction O'brien, Gilery NAME OF PROJECT LOCATION 0 MART 10041 Blaney Av Orianized as the Santa Clara Count Central Fire Protection District - --- - - - - - _ Serving Santa Clara County and the communities of Campbell,Cupertino,Los Altos, Los Altos Hills,Los Gatos, Monte Sereno, Morgan Hill,and Sara ... - - - - _ _ _ • • -• FIRE DEPARTMENT • -co A SANTA CLARA COUNTY s 14700 Winchester Blvd., Los Gatos, CA 950324818 --- (408)3784010 6 (408)3789342(fax) .sccfdorg Internationally Accredited 'le COURTESY A SERVICE Agency PLAN REVIEW 09 1573 _ • _, NoPLAN RE TSBLDG PERMIT No. 09060134 CODE/SEC. SHEET NO. REQUIREMENT CFC/505.1 7 Approved numbers or 2:,;.44 on all new and existing buildings in such a position as to be • • from the street or road fronting the property. Said numbers round. Pa4- :43t? Plans are approved, s OK to issue Bldg. Dep • — City PLANS SPECS NEW RMDL AS OCCUPANCY CONST.TYPE ApplIcanINa - DATE PAGE CUP 0 0 "4 M Thu Ha Thi Nguyen Building 7/7/2009 2 OF 2 SEC./FLOOR AREA LOAD DESCRIPTION 1 Story 2,400 s.f. Commercial Construction Obrien, Gilery NAME OF PROJECT LOCATION 0 MART 10041 Blaney Av _ _ Orianized as the SantaClara Count Central Fire Protection District Serving Santa Clara County and the communities of Campbell, Cupertino,Los Altos, Los Altos Hills,Los Gatos, Monte Sereno,Morgan Hill,and&rat stc Aok 6 o ,t, FIRE D ii:::,:: ;.,...... - : -: MENT , ...-...ii.:...... .. ...* ,,,,t, SANTA cLARA COUNTY CONTROL NUMBER li. Ili,' 14700 Winchester Blvd-, 1--°s Gatos, CA 950304818 .i':.'4f1:14,013 9.1i Es, ,,,, (408) 3784010 (phone) a (408) 3789342 (fx) PERMIT NUMBER COURTESY&SERVICE PLAN CHECK No. PLAN REVIEW COMMENTS CODE/SEC. SHEET NO. ir -t6. ,,__. 7,-•..,' ,:::-.. .,,,,, ..,1!'''',:'::-.',-,:-..',..:::::t;; :::_',...;.' A 7,-...::::,7,.•=,.....-:, r. 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