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13020126 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10211 BYRNE AVE CONTRACTOR:SOLARCITY PERMIT NO:13020126 OWNER'S NAME: SAMEER PADMYE 3055 CLEARVIEW WAY DATE ISSUED:02222013 OWNER'S PHONE: 408802.8681 SAN MATEO,CA 94402 PHONE NO:(650)638-1028 LICENSED CONTRAC'TOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ID License Class C to C Lie.4 INSTALL ELECTRICAL BRANCH CIRCUIT FROM MAIN EL Contractor �C(�/ Dare__g�t2-1[Ls PANEL TO 240V/50AMP OUTLET RECEPTACLE IN I hereby affirm that I am licensed under the provisions of Chapter 9 GARAGE (commencing with Section 7000)of Division 3 of the Business&Professions FOR EV CHARGING PURPOSES Code and that my license is in full force and effect. I hereby affirm under penalty of perjuy one of the following two declarations: _ I 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. Sq.Ft Floor Area: Valuation:$1000 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this APN Number:35711026.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS T ' ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS L ALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, and expenses which may accrue against ity,in consequence of the Date: Z -7— costs, Z j granting of this pe ". r tuna ppticant derstands and will comply s ry. with all no tat source re per the Cu. o Municipal Code,Section . 9.18. Z ILL 3 RE-ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for Inspection. ❑ OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER' I,as owner of the property,or myemployees with wages as their sole compensation, will do.the work,.and the structure isnot intended or offered for sale(Sec.7044, - Business&'Professions Code) L as owner,of the property;ant exclusively.contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will 1 hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous 1 have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use evices which it hazardous Compensation,as provided for.by Section 3700 of the Labor Code,for the air contaminants as defined b eBay Area ' lily Management District 1 performance of the work for which this permit is issued. will maintain compliant rth the Cope n' ipal Cody Chapter 9..12 and I.have and will maintain Workers Compensation Insurance,as provided for by the Health&Safety de,Secfio ,2553 ,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorize agent: Date: 2 2a �� permit is issued. I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address Icertify that I have read this application and state that the above information is correct.I agree to comply with all city and wanly ordinances and state laws relating to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this pernit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature _. Date ALTERNATIVE ENERGY PERMIT APPLICATION /� \� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION - DA E 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228•FAX(408)7773333•buildina(ftuoerlino.ora PROTECT ADDRESS©2 I I ` ^ Jt APNWp/3s�- I O�/ /�q OWNERNAMEsp, A CCI` ^�(\t\ PHONE p Z O J'vC)J' E-MAIL I Ib QOO-7✓�'e rn STREET ADDRESS �'-�` 1 IrtJV`I n,,� /V, C CITY,STA�ZCTY-l+. `0 C A 9501 6FFAIX CONTACT NAME Ernesto Chacin FN /lVC CI PHONE'5`110-4410-0011 eci& IL acin@solarcity.com STREETADDRESS 1501 Eastshore Frontage Rd cITY,sTATE,zIPEerkeley, CA, 94710 FAX 11 OWNER ❑ OWNER-BUILDER ❑OWNER AGENT ❑ CONTRACTOR ®CONTRACTOR AGENT 11 ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME SolarCity LICENSE NUMBER 888104 LICENSE TYPEC46 BUS.LICK COMPANY NAME Solar City -MAIL FAX CorpCOY p ecarnesmason@solarcity.com (650) 638-1029 STREETAODRESS 3055 Clearview Way CITY,STATE,ZIP San Mateo, CA, 94402 PHONE (650) 638-1028 ARCHITECT/ENGINEER NAME Same As Contractor LICENSE NUMBER BUS.LIC ft COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ® SFD or Duplex ❑ Multi-Family PROJECT M WILDLAND PROJECT IN STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes ❑ No SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: #KILOWATTS: TOTAL VALUATION: $1000 DESCRIPTION OF WORK (*A5T LL- GI, .T p- �, L- J �rCC R �l C.r� C k 2u I T M Ay t.J CP�t l_ To C p,j2ACnE- 2 p TAc tt By my signature below,I certify to each o m the pr erty owner or authorized gent to act o e pope owner's have read this application and the information I provide 211t- application I have d the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws r g to b g unction. thorim representatives of Cupertino to enter the abov -identifie property for inspection purposes. Signature of Applican ant: Date: z z2. ) SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY W VER-THE-COUNTER ❑ EXPRESS z ❑ STANDARD ❑ LARGE a ❑ MAJOR PVApp2012.doc revised 0620112 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10211 BYRNE AVE DATE: 02/22/2013 REVIEWED BY: MELISSA APN: 35711026 BP#: -VALUATION: $1,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair PRIMARY SFDorDuplexPENTAMATION 1REAP10 USE: PERMIT TYPE: WORK INSTALL ELECTRICAL BRANCH CIRCUIT FROM MAIN EL PANEL TO 240V/50AMP OUTLET SCOPE RECEPTACLE IN GARAGE FOR EV CHARGING PURPOSES mv Xlech.Plan Check Plumb.Plan Check Elec.Plan Check 0.0 hrs $0.00 Afcclr.Permit Fee:' Plumb.Permit Fee: Elec.Permit Fee: IEPERMIT Other Afech.Insp. Other Plumb Insp. Other Elec.Insp. L2.Oj hrs $45.00 Heck Insp. Fee: Plumb. hrxp.Fee: Elec. Insp.Fee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District eta). Thesefees are based on the prefindna information available and are only an estimate. Contact the Dept for addn 7 info. FEE ITEMS(Fee Resolution 11-053 E . 7f1 /1112) FEE QTY/FEE I MISC ITEMS Plan Check Fee: $0.00 F-T-1 # Electrical Suppl. PC Fee: Q Reg. 0 OT 0.0 hrs $0.00 $45.00 IBREMRECEP Recep/Switch/Outlets PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee:Q Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $45.00 Construction Tax: Administrative Fee: IADMIN $42.00 - 0 Work Without Permit? 0 Yes 0 No $0.00 0 Advanced Planning,Fee. $0.00 Select a Non-Residential 19 Travel Documentation Fee: ITRA VD0C $45.00 Building or Structure, 0 Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 $133.501 $45.001,T $178.50 Revised: 01/01/2013 , a i (n O Z � G CL m C o � o W of z 8 90 0 w v u.f c Q_ :`a C9 ohm a c Lc ^ ::, G 0 G CJ -00 g�5 0 o .`0 0 ° o E c, O CD =3 u> tp �s 0 ao.m 3) #8 AWG THHN-2 ar0r Lij ° (1) #10 AWG THHN-2 (E) 200A Maid Fade Q 3/4" EMT 10' p a N) NEMA 14-50 Outlet O For Electric Vehicle Charging ® Height Between 1.5' and 4' T No Ventilation Required Byrne Ave I CONFIDENTIAL-PIE INFORNAPON HEREINNAt PREMISE OWNER CONTAINED SHALL NOT BE USED EOR THE Same8-9501472 Cupertino ., f ye EENEFlT OF ANYONE EXCEPT SIXARaTY INC., MARIEP MAN PANEL SON CE RAPNG 10211 me Avenue f NOR SHALL IT BE DISCLOSED IN WHOLE OR IN EV Charger 200A 10211 Byrne Avenue bolarCit PART TO OTHERS DOTSNE THE REOPENTS PROECT MAN1091 ORQAT'ALTA4E/MiERNE Cupertino, CA,95014 OR maAPON,EXCEPT r4 CONNECPOq MTH THE SALE AND USE Or THE RESPECnYE Colin Fl n 240V 50A (408)802-8681 3055 aearview way SOIAROTY EQUIPMENT,MPIOUT THE M9TTEN DRAFTER;; CRAM: San Mateo,CA,94902 PERNIsaoNOFsaARaTYINC Zeke Carnes–Mason NEMA 14-50 spadhye007@gmail.com T888I-wLarr(7552999)w m%rc4.m J NEC 220.83 - Adding a Circuit to an Existing Dwelling Unit Square Feet: 3,100 Panel Breaker Rating: 200 A L1/L2: 240 Vac NEC 220.83(A)(1) "General lighting and general use receptacles ... @ 3 volt/amperes per square foot as determined by 220.12" 3,100 square feet x 3w/sq ft 9,300 VA NEC 220.83(A)(2) Small appliance and laundry branch circuits @1500VA per 20 amp circuit Number of circuits 4 x 1500= 6,000 VA NEC 220.83(A)(3)(b) "Household Range(s),wall-mounted oven(s), and counter-mounted cooking unit(s)" Oven 7,680 VA Microwave 1,760 VA 9,440 total VA NEC 220.83(A)(3)(a) "All other appliances that are permanently connected, fastened in place, or connected to a dedicated circuit, at nameplate rating" Dishwasher/Disposal 3,840 VA Refrigerator 1,760 VA VA Washer 1,760 VA Dryer 5,760 VA Pool Equipment 4,000 VA ' VA VA ok Vk- r; 0 VA *� �T Tesla Nema 14-50R 9,600 VA EVSE 2: OVA 26,720 total VT OQ �0 Total of non air-conditioning loads: 91440 total VA �� 'a First 8kVA of load at 100% 8,000 VA Remainder of load at 40% 17,384 VA lid Adjusted total of non air-conditioning load _-A, h. VA F NEC 220.83(8) "Where additional air-conditioning equipment or electric space-heating equipment is to be installed..." A/C Equipment Unit#1 and 2 9,600 VA A/C Equipment Unit#3 VA Total of A/C Loads and All Other Loads: 34,984 total VA Total Proposed Calculated Load: 145.77 Amps ��►IIS JB - Padhye --•;;�SDla i � t ©copyright SolarCity 2008 y_J Y N o•ASM tiLCOULC 2 3894 '= Range Receptacle 50A 125MV f®i Flush MMM 3P 4W moo AIJCU p„e`""`k 75'C w�.r Bloat mu c , Kpo;278 wo. . 1 1 pC J,11,!111�1[1�1III-IIIIz89 s C t CA Q n � 0 % o� tD C) 7- �� Building Department City Of Cupertino 10300 Torre Avenue :;Cupertino,CA 95014-3255 C O P E RT 1 N O Telephone:408-777-3228 Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LI T JOB ADDRESS: 10211 6e,-JE- Aue- PERMIT_# OWNER'SNAME: SSM t2 P DN l= PHONE4 516 416 — 00 (1 GENERAL CONTRACTOR: o c�O-r-( BUSINESS LICENSE ADDRESS:3c355 C LA, Aez1tEb,� CITY/ZIPCODE: SA4-'S M&-P b '74102- *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL O CTg HAVE OBTAINED A.CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: z I zzI l� Signature Date Please check applicable subcontractors and complete the following information:- �/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation - Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10171 E ESTATES DR CONTRACTOR:SEARS HOME 'PERMIT NO: 13020127 IMPROVEMENT OWNER'S NAME: FLESHMAN STEVEN G AND RITA K E 1024 FLORIDA CENTRAL PKWY DATE ISSUED:02/22/2013 OWNER'S PHONE:,4088364476 LONGWOOD,FL 32750 PHONE NO:(925)245-2000 .INCENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL L1 COMMERCIAL q License Class` Lic.# ?2 132 /. KITCHEN REMODEL,REPLACE SINK, r DISHWASHER/DISPOSER Contractor I'f Date. Z Zti &COUNTERTOPS,RE-FACE CABINETS&PLUMBING& I hereby affirm that I am licensed un. er the provisions of Chapter 9 ELECTRICAL UPDATES (commencing with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I 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. Sq.Ft Floor Area: Valuation:$14499 I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the.Labor Code,for the performance of the work for which this APN Number:36908004.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct.I agree to comply with all city and.county ordinances and state laws relating WITHIN 180 DAYS OF PEPSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Z Issued a 2 L13 granting of this permit. Additionally,the applicant understands and will comply with.all:non-point source regulations per the Cupertino Municip to 9.18: RE-ROOFS: Signature Date 2 Zz (� All roofs shall be inspected prior to any roofing material being installed.If a roof is installed without first obtaining an inspection,I agree to remove all new materials for inspection. ❑ -BUILDER DECLARATION Signature of Applicant: Date: I hereby a arm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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, Business&Professions Code) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(x)should I store or handle hazardous I have and:will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance.ofIthe.work for which.this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534 Section 3700 of the Labor.Code,.for the performance of the work for which thisZ2. permit is issued. Owner or authorized agent: Date: 13 I certify that in the:performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. It after making this certificate of exemption,I CONS' U LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct.I 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 upon the.above mentioned propertyfor inspection purposes.(We)agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Signature Date GENERAL PERMIT APPLICATION n COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION MEP Vo, 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 ^O (408)777-3228•FAX(408)777-3333•building aC�cupertino.ora `r'` misc CUPERTINO LUMBING `MECHANICAL ELECTRICAL []MISCELLANEOUS PROJECT ADDRESSS�I © �-71 C , E 5-7�4 l E S D;� , APN# 2 r 09 ^ 004 OWNER NAME 1—f A r'E 5t+MA IJ PHONED g ^3 4 4-t I-t?t E-MAIL STREET ADDRESS--I- O I - �- ITY, STATE,ZIP e, CONTACT NAME BERNIE MATHESON PHONE 925-2451-J2t0C1=`3G E-MAIL STREET ADDRESS CITY,STATE,ZIP FAX 283 E. AIRWAY BLVD. }� LIVERMORE,CA 94551 925-245-2017 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT LJ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSENUMBER 721379 LICENSE TYPE B C10 BUS.LIC# BERNIE MATHESON C17 C6 COMPANYNAME SEARS HOME IMPROVEMENT E-MAIL FAX 925-245-2017 STREETADDRESS 283 E. AIRWAY BLVD. CITY,STATE,ZIP LIVERMORE, CA 94551 PHONE 925-245-2013 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF FD or DUPLEX ❑ MULTI-FAMB.Y PROJECT IN WEALAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA �❑ NO FLOOD ZONE f J ❑NO 1 EICHLER HOME? ❑NO DESCRIPTION OF WORK71 1 1� � I�G�L � 1 C. /✓��L � �l`�� !N �'r>�� 131 TOTALVALUATION: ! OEI'ED By my signature below,I certify to each ofthe following: I am the property owner or authorized agent to act on th Pes behalf ave read this application and the information I have provided is correct. I:have read the Description of Work and verify it is accurate. I agree to comply wit all applicable local ordinances and state laws relating to building construction.I authorize representa' ter the above-identified proJerty for inspection purposes. Signature of Applicant/Agent. Date: SUPPLEMENT TION REQUIRED OYER-TAE-COUNTER ❑ EXPRESS s 0 S`T�ANpA�RD L JIG,E -' ❑ MAJOR: MEPMiscApp_2011.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10171 E ESTATES DR DATE: 02/22/20137] REVIEWED BY: MELISSA APN: 369 08 004 BP#: ''VALUATION: 1$14,499 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex PENTAMATION 1 R3SFDREM USE: PERMIT TYPE: WORK KITCHEN REMODEL REPLACE SINK DISHWASHER/DISPOSER& COUNTER TOPS RE-FACE SCOPE CABINETS& PLUMBING & ELECTRICAL UPDATES . Sm ,. feE ,h.flan(,heck, Plumb, Plan Check F_lec..Plan(.:heck Nfech.Permit Fee: Plumb.Permit Fee: Elec. Permit fee: Orher,Meeh.Insp. Other Plumb Insp. Other Elec.Insp. Heck Insp.Fee:... Plumb. hap.Fee: Elec.Insp..I'ee: NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School District,etG). These fees are based on the prelimina information available and are only an estimate. Contact the Det fiv addn'1 in o. FEE ITEMS (Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS. Plan.Check Fee: $0.00131 s.f. Remodel,Kitchen(<=300 sf) Suppl.PC Fee: (j) Reg. O.OT 0.0 ht's $0.00 $600.001 1REMRESKIT PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp.Fee-.0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Constrztction Tar: 77- Adininistrative.Fe0 Work Without.Permit? ®Yes iq No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential G 7'rave Uocujraentalion Fees: Building or.Structure. 0 i Strong Motion Fee: IBSEISMICR $1.45 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 $2.45 $600.00 - $602:45 Revised: 01/01/2013 3 r � , f10Mt f�PNC [P UOr� LIVERMORE OFFICE g _ 283 E.arway Blvd. C. a I Livermore,CA 94661 , .(800)871-3988 / 926( )246-2000' ... ! . F8x.(925)•246-2D18 -g9- T to i I t , C57,4- D2. — 6G/F�271AO CA c75., COMM!; i NTN GDIVIS1 r.M_- TD'-pARTMENT BUILDING pl'✓ISION-CUPERTINO APPROVEED This set ofplans and specifications MUST be kept at the job site during construction. It is unlawful to make any changes or alterations on same, .1 therefrom, without a or to deviate ` rs 1' approval from the Building Official. v ! The stamping of this plan and specific tions SHALL NOT be held to permit or to be of any pro a oval of the violation 1 / Ity nonce or State Law. By DATE PERMIT NO. — ! pRCF jVF ID FEB 2 2 2013 OFFICE CO ��� Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOBADDRESS: 1 cr. E$ F PERMIT# I Z v 1 Z OWNER'SNAME: 1LrTA r-jc5i-w.4,) PHONE# 6 GENERAL CONTRACTOR: Hor4E 1 MP(WF. BUSINESS LICENSE# ADDRESS: ZQ E_ zt-J6,/ aL-up CITY/ZIPCODE': l%ftk-RjAC4 F- r/4 551 *Our municipal code requires all bu inesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S)';WI,LIr BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE-.OBTAINED'A`CITY OF CUPERTINO BUSINESS LICENSE. ., I am not using any subcontractors: Si a Date Please check applicable subcontrac �0mplete the following information: 6/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date