13090087 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20777 GARDEN GATE DR CONTRACTOR:SANDIUM PERMIT NO: 13090087
OWNER'S NAME: WEI-MING&MAN LEE SHEN 4223 VERDIGRIS CIR DATE ISSUED:09/12/2013
OWNER'S PHONE: 6509062683 SAN JOSE,CA 95134 PHONE NO:(408)894-9072
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIAL
License Class L' Lic.# ��S b ` REMOVE AND REPLACE FURNACE AND INSTALL A/C
� � � UNIT AT
Contractor ��GtM.( 1511 Date G L 3 RIGHT SIDE OF SFDWL
I hereby affirm that I am licensed under the provisions of Chapter 9
(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:$7600
AI have and will maintain Worker's Compensation Insurance,as provided for by
W ection 3700 of the Labor Code,for the performance of the work for which this APN Number:32630043.00 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 1 DAYS OF PERMIT 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 DAY ROM LAST CALLED 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
Issued by: Date:
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
.49� RE-ROOFS:
Signature j6, Date ` ` 2i 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
I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
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 isnot 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(a)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 of the 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,S ' ns 505,2553 nd 25534. (�
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date:—
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
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION 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 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 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 MEP
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333•buildingna.cupertino.org misc
❑PLUMBING MECHANICAL ✓ELECTRICAL [:]MISCELLANEOUS
PROJECT ADDRESS q-777
Z7 /� _ / �� APN# ^ � �/1 6 L�
OWNER NAME i I` _` ��,y M`�lT PHONE ' Q �3 E-MAIL�`/ ;I �1�lC.��+ (_e
[�77L� 1,1 1 1
STREET ADDRESS t CITY, STATE,ZIP FAX
CONTACT NAME ':� !�y�n_ PHONE E-MAIL
STREET ADDRESS J/•yi Dr VL/VV CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER BUILDER ❑ OWNER AGENT ❑ CONTRACTOR -❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME � 'M LICENSE NUMB LICENSEE�Eo BUS.LIC# C
COMPANY NAME I ryr i�JhI� E-MAIL i 6_ken Q C,r,_- �,- -/ _ FAX (=1 .104/4/ J
STREET ADDRESS 4 G+,� eVIPO CITY,STATE,ZIP &.I- 3-wwr/1`'�^eJSky n• PHONE 4164-
707 Z
ARCHITECT/ENGINEER NAME LICENSE NUMBER `,{�1. J`(' BUS.LIC# O
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WB,DLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES
BUILDING. ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO
DESCRIPTION OF WORK
TOTAL VAL ATION: MR
By my sign re bel I certify to each of the following: I am the property owner or authorized agent to act on the pr owner's behalf. I have read this
application an a information I have provi ed is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to b ' In construction. ooze representatives of Cupertino to enter the above-idenf lied p 1erty for inspection purposes.
Signature of Applicant/Agent Date:
SUPPLEMENTAL;INFORMATION REQUIRED
at��
MEPMiscApp_2011.doc revised 06/21/11
HVAC ALTERATIONS ENERGY COMPLIANCE FORM
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTtNC3 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228 •FAX(408)777-3333•buildingacupertino.ora
WHEN IS A PERMIT REQUIRED
A construction permit shall be obtained from the enforcement agency prior to the erection,
construction,reconstruction, installation, relocation, or alteration of any mechanical system, except as
permitted in Chapter 1, Section 112.2 of the 2010 California Mechanical Code. Projects requiring
permits include, but are not limited to:
• New HVAC installation
• HVAC Changeout
• Replacement of furnace, coil,FAU or condenser
• Relocation of an existing HVAC unit
• Adding or replacing more than40ft ducting in unconditioned space
BUSINESS AND PROFESSIONS CODE, SECTION 7110
Willful or deliberate disregard and violation of the building laws, including the California Building
Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors
State License Board working in conjunction with the local building department. This action may
consist of fines up to $5,000 per violation or suspension/revocation of a contractor's license.
2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24,Part 6) REQUIREMENTS
INCLUDE:
1. Heating equipment must have a minimum 78%AFUE(Exception: Wall &floor furnaces; room
heaters).
2. Central air conditioners &heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER.
3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2.
4. A setback type thermostat(24 hr clock with four set points) is required for all alterations.
5. New or replacement ducts must meet the mandatory requirement of Section 150(m).
• AlI joints and openings in the HVAC system must be sealed.
• Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct
openings.
• Connections of metal ducts and the inner core of flex ducts shall.be mechanically fastened.
Flex ducts must be connected using a metal sleeve/coupling.
• Flex ducts that are suspended must be supported every 4 ft. max for horizontal runs with no
more than 2"of sag between supports and 6 ft. max for vertical runs.
6. The CF-6R-MECH-04 must be completed and signed by the installing contractor. The Inspector
will collect this form and verify that the model numbers are the same as the installed equipment.
2008 Residential Compliance Forms.doc revised 04/10/12
Simplified Prescriptive Certificate of Compliance:2008 Residential HVACAIierations CF-IR-ALT-HVAC
Umate Zones 1 and 3-7 --
MeAd& �0 777 G Ettforc—e&Aje—y: .: Permit#
Conditioned Duct insulation
Egaipment Type
List 1mitriitm heti floor Aisa" re "? Theimosiat
rM Pa*2ged Unit ' ` Over 40: of darts`
AFM- COP Setback
orCodiSPF Served'by system added or replaced in
Rmdensing Unit R E3 Resistance f imconditioaedspace, > esou nasi be
®R6 (CZ 'Tam �
M O&M
1.Equipment Type:Choose the equipment being installed,if mote than one.system,use another CF-IR-ALT-HVAC for each system.
2.ATnimum Equipment Efficiencies:13 SEER,78%AFUE,7.7HSPF for typical residential systems.
Contractor(I)ocumentation Author's/Responsible Des'igner's Declaration Statement)
• I certify that this Certificate of Compliance documentation is acctuate and comlete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the desim identified on this
Certificate of Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24,Parts I and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable
compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit
application, _
Name: - �,` Signature: /
Company SC ^�'— Date �1(eW
AdderZz 3 erg Gam- , I.iOM e ggg t�
CitylSiateJZip: �y Phone: 41019
2008 Residential Compliance Forms.doc revised 04/10/12
7-7
( CUPFRTINO t
Build+n9 u, -- -- --
'''° SEP 1E
ED FOR GUIVII
CODE
VIEW ;
Reviewer BY'
r
R1
Co _---
COMMU JITY DaIELO?MENT DEPARTMENT
Qui DING
APT-71, �PLa.D
his Ge fo p( n, and sPeCific^tions MUST be k.;nt at the
t Job s;fe dinar rig ons!rurr,on. It is unlavvful to m..ke an
=-,s-5Mcame,or to oe+Jl£ z
therefrom,wit' cut approval from the Builc+ing- aNcial.
'rhe^iampingof his pl;;n and.
s;eci?icatA! L NOT
r!, '�'o; to br -� ���ro a of if V1ri-
c"Aryr provls"ol a o. am, C,t r IrluriCw ar S ca, eJ,
S �vlf
DATE Q-12-13
40T-rL-11-LZ1
ME CULD
AC Wvi
Z
Fuh V1 Hca acs h-L - ,��E
a
P1
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20777 GARDEN GATE DR CONTRACTOR:SANDIUM PERMIT NO: 13090087
OWNER'S NAME: WEI-MING&MAN LEE SHEN 4223 VERDIGRIS CIR DATE ISSUED:09/12/2013
OWNER'S PHONE: 6509062683 SAN JOSE,CA 95134 PHONE NO:(408)894-9072
LICENSED CONTRACTOWSSDDE(CLARATION JOB DESCRIPTION: RESIDENTIAL❑ COMMERCIALE]
License ClassC� Lic.# ��S b t� REMOVE AND REPLACE FURNACE AND INSTALL A/C
Contractor �' � Date G L 3 UNIT ATRIGHT SIDE OF SFDWL
I hereby affirm that I am licensed under the provisions of Chapter
(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:$7600
have and will maintain Worker's Compensation Insurance,as provided for by
ection 3700 of the Labor Code,for the performance of the work for which this APN Number:32630043.00 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 1 DAYS OF PERMIT 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 DAY ROM LAST CALLED 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 /�/2 �^7
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date: ( >
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
Ql/ Zl/ RE-ROOFS:
SignatureDate r 1 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
I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
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)
1,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(a)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 of the 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,S ns 505,255 nd 25534. �J
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date ```�' C 3
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
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION 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 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 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
L01GENERAL.PERMIT APPLICATION �� MEP
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333•building(Wcupertino.org misc
❑PLUMBING MECHANICAL ELECTRICAL nMISCELLANFOUS
PROJECT ADDRESS ,�o-777 /' _ &,c(.e+ (
A�PN#�.� �j ^ L / 0 q3
SOOWNERNAME �• w� O ,� PHONE 6 JV q' c6 vV��5 E-MAIL ;�f
STREET ADDRESS e G CITY, STATE,ZIP r ` FAX
CONTACT NAME :� ��n, PHONE E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME �t w LICENSE NUMB ///LIICENSSEEE Z� BUS.LIC#
COMPANY NAME .7 M�1�/�q " � E-MAIL W i Eden()� s A__ � ! _ FAX L�j•%//([,_���y
STREET ADDRESS 4�3,V {,n� CITY,STATE,ZIP &.-:�•3 a 1?S0 nn• PHONE
42.2,3>
qo7
ARCHITECT/ENGINEERNAME LICENSE NUMBER �LJ�' BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
USE OF ❑SFD or DUPLEX i] MULTI-FAMQ,Y PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES
BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA 13 NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO
DESCRIPTION OF WORK
sav o-
TOTAL VAL ATION:By my signA4kre beI94,I certify to each of the following: I am the property owner or authorized agent to act on the pr owner's behalf I have read this
application an a information I have proved is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to b ' In construction. onzle representatives of Cupertino to enter the above-identi,led p erty for inspection purposes.
Signature of Applicant/Agent V Date:
SUPPLEMENTAL INFORMATION REQUIRED y
w 1M„
Y � f
MEPMiscApp_201 Ldoc revised 06/21/11
HVAC ALTERATIONS ENERGY COMPLIANCE FORM
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERT[NO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildina(ftuozrtino.oro
WHEN IS A PERMIT REQUIRED
A construction permit shall be obtained from the enforcement agency prior to the erection,
construction, reconstruction, installation, relocation, or alteration of any mechanical system, except as
permitted in Chapter 1, Section 112.2 of the 2010 California Mechanical Code. Projects requiring
permits include, but are not limited to:
• New HVAC installation
• HVAC Changeout
• Replacement of furnace, coil,FAU or condenser
• Relocation of an existing HVAC unit
• Adding or replacing more than 40ft ducting in unconditioned space
BUSINESS AND PROFESSIONS CODE, SECTION 7110
Willful or deliberate disregard and violation of the building laws, including the California Building
Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors
State License Board working in conjunction with the local building department. This action may
consist of fines up to $5,000 per violation or suspension/revocation of a contractor's Iicense.
2008 BUILDING ENERGY EFFICIENCY STANDARDS (Title 24,Part 6)REQUIREMENTS
INCLUDE:
I. Heating equipment must have a minimum 78%AFUE(Exception: Wall &floor furnaces; room
heaters).
2. Central air conditioners &heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER.
3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2.
4. A setback type thermostat(24 hr clock with four set points) is required for all alterations.
5. New or replacement ducts must meet the mandatory requirement of Section 150(m).
• All joints and openings in the HVAC system must be sealed.
• Only UL 181, UL 181A, or UL 181B approved tapes or mastic shall be used to seal duct
openings.
• Connections of metal ducts and the inner core of flex ducts shall.be mechanically fastened.
Flex ducts must be connected using a metal sleeve/coupling.
• Flex ducts that are suspended must be supported every 4 ft. max for horizontal runs with no
more than 2"of sag between supports and 6 ft. max for vertical runs.
6. The CF-6R-MECH-04 must be completed and signed by the installing contractor. The Inspector
will collect this form and verify that the model numbers are the same as the installed equipment.
2008 Residential Compliance Forms.doc revised 04/10/12
Simplified Prescriptive Certificate of Compliance:2008 Residentru HVACAI eratinms. Cp-IR-ALT-AYAC
Climate Tomes 1 and 3-7
McAddr-e 2,07
_�� i Enf&r= -WAk=-y: I3nfee, i eer"*I:;.::
�jC� O� Consi'ittoned Duct insulation
Equ
ent Type] Its Iminiirsi`Etoieri '' Boar Aima rr '` Theiauostai
Packaged Unit ; Over 40 ft of ducts
urn= ;AFUE GAP Seaved'hy system added orreglaxd in
e$ack
Coif HSPF (Il nw oieady present,rvsr be
_ f unconditioned space. .
Other nig Unit EER Resistce E3R 6 (CZ 1,3-5)
1.Equipment Type:Choose the equipment being installed;if more than one_systern,use another CF-IR-ALT-HVAC.for each sys-tem.
2.Afinimum Equipment Efficiencies:13 SEER,78%AFUE,7.7HSPF for typical residential systems.
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified.on this
Certificate of Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24,Parts I and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable
compliance forms,wodcsheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit
application.
Name: Signature:
Company se Date: Cj J`4 :
Address` 3 81 License.
City/StateiZip: ..�dve_ . Phone: 92
4(E..((
2008 Residential Compliance Forms.doc revised 04110112
-77
_ - nt
guildin9 --` – —
yRi, SEP 1
�' cE
VIEWED FOR
CODE 't
i' Reviewed gY
COMMU dITY DEVELOPMENT DEPARTMENT
A# PFIC rl E k d J 1
rs cpT-of plan,
and sper;Ificr�tions MIDST be k pt at the
Job Site c�urinu ons'rL!ctlan. It is unla�d V to n -e an
.ctGmE 1,o La
there`irom,Wit ut approval frorn:l-ie Building ificial.
ThL'stsmp?nn of his plan and S' eC!tICaT.lai I r INOT
SHA: IOT
d
,..;�
J_ _ _.. _._ -- - Y u`I•• ia�9.r-.Ol S f-^ i�. 3 ;Iar1G,,ar._,,....., �iil,°:,
or to be a-m
oi
RV
S IVIr
DATE 0.12.13
7 T-
A.
PLANA,
AC
Vt AAA Ce G1C�i'nQ SATE
{ Ta - -
PLAN-
r