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15090116CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22740 SAN JUAN RD CST RrR-ACTOF_VKi�K —f'� I� PERMIT NO: 150901 l6 OWNER'S NAME: KOTTKE NELSON AND AMANDA T 1% Cfk 8LW440 DATE ISSUED: 09/k7/2015 OWNER'S PHONE: 4083984346 t f'LL— C/ PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ REMODEL HALLWAY AND MASTER BATHROOMS (I50S.F.) Revision #I - Revise scope of work to include - removing window in Master Bathroom shower License Class Lic. # l Ever(as area and install new separate 2nd shower valve - ISSUED 9/24/2015 Contractor Da a`� lS I hereby affirm t I am lic sed under the provisions of Chapter 9��` % ��� (commencing with Section 7000) of Division 3 of the Business & Professions WI _ Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: Sq. Ft Floor Area: Valuation: $20000 1. 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. APN Number: 34221012.00 Occupancy Type: z 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 permit is issued. PERMIT EXPIRES IF WORK IS NOT STARTED APPLICANT CERTIFICATION WITHIN 180 DAYS OF PERMIT ISSUANCE OR 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 180 "YS FROM LAST CALLED INSP CT ON. to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save j indemnify and keep harmless the City of Cupertino against liabilities, judgments, Issued by: f 410 Date: costs, and expenses which may accrue against said City in consequence of the 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. 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 t. 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 HAZARDOUS MATERIALS DISCLOSURE sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed contractors to I have read the hazardous materials requirements under Chapter 6.95 of the construct the project (Sec.7044, Business & Professions Code). California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & I hereby affirm under penalty of perjury one of the following three declarations: Safety Code, Section 25532(a) should I store or handle hazardous material. t. I have and will maintain a Certificate of Consent to self-insure for Worker's Additionally, should I use equipment or devices which emit hazardous air Compensation, as provided for by Section 3700 of the Labor Code, for the contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the performance of the work for which this permit is issued. Health & Safety Code, Sections 25505, 25533, and 25534. z. 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 Own or r ze agen : G j Date: permit is issued. 3. 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 I hereby affirm that there is a construction lending agency for the performance of work's become subject to the Worker's Compensation provisions of the Labor Code, I for which this permit is issued (Sec. 3097, Civ C.) must forthwith comply with such provisions or this permit shall be deemed Lender's Name revoked. Lender's Address APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is ARCHITECT'S DECLARATION correct. I agree to comply with all city and county ordinances and state laws relating 1 understand my plans shall be used as public records. to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save Licensed Professional indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the 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. Signature Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO I (408) 777-3228 • FAX (408) 777-3333 • build ing4cefpertino.org ❑ NEW CONSTRUCTION ❑ ADDITION . ❑ ALTERATION / TI REVISION / DEFERRED ORIGINAL PERMIT Al PROJECT ADDRESS % (j I �/ J1 APN # ` © f OWNER NAME n (1 O �t [�PHONE � /� // `��O E-MAIL ' V Cj O ,/, `O (� STREET ADDRESS i 1 /� O VC� CITY, STATE, ZIP ✓ 5() r l/ �7FAX Q K CONTACT NAME PHONE E-MAIL /6S 3 2 STREET ADDRESS/Y� ��0 G1641"1 " L)r CITY, STATE, ZIP n YS/ C O ✓� C 0 �C FAX OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR XCIONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER / AKeA � � LICENSE TYPE ' BUS. LIC # a �►s . COMPANY NAME E-MAIL FAX STREET ADDRESS 1 /iJ 1 oa K P� (� t J�7 l v !LICENSE CITY, STATE, ZIP cl q PHONE 9 / (O/b 3j ` 7I5 1 ARCHITECT/ENGINEER NAMEU NI BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK ME S�ka,'ni k Q off ' 6-< 6 —\ Sq a --r f -- EXISTING USE I PROPOSED USE CONSTR TYPE "TORIES S I / USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA _. BATHROOM KITCHEN 0713ER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH I ATTACH # DWELLING UNITS: IS A SECOND UNrr ❑ YES SECOND STORY []YES BEING ADDED? []NO ADDITION? ❑ NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF Is THE BLDG AN ❑ YES '}Zr z I TOTAL VALUATION: PLANNINGAPPL# []NO PLANNING APPROVAL LETTER EICHLERHOhiE? E-] NO -y... By my signature below, I certify to each of the following: I am the property owner or authorized Bent to act on the property ovmer's behalf. I have read this application and the information I have provided ' 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 build'M I authori epresentatives of Cupertino to enter the above -identified property for inspection purposes. S i gnature of Appl icant/Agent: Date: p1 -q SUPPLEMENTAL INFORMATION REQUIRED ,�M-000,HE..._4071W _ ROUITIVG-SI IP `k O VER TTi1+<CO"UItTEIZ New SFD or Multifamily dwellings: Apply for demolition permit for - f' existing building(s). Demolition permit is required prior to issuance of building .,4 permit for new building.® E, - ,, i NU1- , il _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure Tor—in if any Hazardous Materials are being used as part of this project.�� CIsTAxnA n*� &LARGr�,,_ Copy Planning Approval Letter Meeting _ of or with Planning prior to QR= submittal of Building Permit application. �... .A1NITARYSE:%, •:RDISTRICI -1-1 1�-EIiVIROR c TW BldgApp_2 011. doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION iaADDRESS: 22740 San Juan Rd DATE: 09/24/2015 REVIEWED BY: PAUL ilech. Pe "f lee: APN: 342 21 012 BP#: 15090116 *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: �Ce: PENTAMATION PERMIT TYPE: WORK Revision #1 - Revise scope of work to include - removing window in Master Bathroom shower area SCOPE and install new separate 2nd shower valve NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (&e Resolution 11-053 ! :711113) Allech..Plan Check Plumb, flan Chech :Yee. Plaut Check ilech. Pe "f lee: Plumb. Perwit Elec Permit Fee: Other ,i4ech..Insp. Other Plumb Lt!at>. Other Elec. Insp Suppl. PC Fee: (F) Reg. Q OTT0.0 �Ce: r3v). Fee. NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are onlv an estimate. Contact the Dept for addn'l info. FEE ITEMS (&e Resolution 11-053 ! :711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (F) Reg. Q OTT0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ()Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: A(lminisirtxtive T'ee: E) Work Without Permit? Yes (D No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 0 i Trcnel Doelancrrtution T c.s_ Strong Motion Fee: $0.00 1.0 hrs $143.00 Inspections iSTINSP Inspection, Hourly Bldg Stds Commission Fee: $0.00 SUBTOTALS: 1 $0.00 $143.00 TOTAL FEE: 1 $143.00 Revised: 07/02/2015 a, L� O S LILA C��e,r-h v,, u CA R'S C I `j JeA 2- \,oc,4-�\rod Ak 3 (),", CVNaAy s +0 10 n s Pew C- Co CBL 0-o t 3 C E'C- t'b C:PC �o t3 CMC R4tl ba+hrnom 2-\,,A � (o r' r 9-eP [O CQ, C�-:) acU '3 led 1tc.:.essed� L'4a vets re P\."-, (t�> -kf) tG11 c3,'� C� P 5/ REVISION #� OFFICE COPY CUPERTINO Building Department ! s.i SEP 2 4 2015 REVIEVVE-D FOR CODE COMPLIANCE Reviewed By: 1�jaa4wI w K -2- a (3,A 2a(3,A LA yea 'i)--cessC--TA- RECEIVED SEP 2 4 2015 BY COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - CUPERTINO This set of plans and specifications MUST be kept at the job site during construction. It is unlawful to make any changes or alterations on same, or to deviate therefrom, without approval from the Building Official. The stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violaton of provisions of any City / Ordinance or State Law. BY DATE PERMIT N0. io bpi Cj�bLAx ?� ` Q``` o Qrata, Vac ve. �1ati11s. CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 22740 SAN JUAN RD CONTRACTOR: PERMIT NO: 15090116 OWNER'S NAME: KOTTKE NELSON AND AMANDA T 1q4J019KffLRK&VD4WDATE ISSUED: 09/17/2015 OWNER'S PHONE: 4083984346 REA5PW H ILL Q PHONE NO: LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ (� �i (� _t �Z� REMODEL HALLWAY &MASTER BATHROOMS (150 S.F.) License Class Lic. # O �Q Contractor Date l I hereby affirm t t 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. Sq. Ft Floor Area: Valuation: $20000 1 hereby affirm under penalty of perjury one of the following two declarations: APN Number: 34221012.00 Occupancy Type: 1. 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 erformance of the work for which this permit is issued. ave 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 PERMIT EXPIRES IF WORK IS NOT STARTED permit is issued. WITHIN 180 DAYS OF PERMIT ISSUANCE OR APPLICANT CERTIFICATION 180 DA FROM LAST CALLED INSP C ION. I certify that I have read this application and state that the above information is I agree to comply with all city and county ordinances and state laws relating Scorrect. ��/ I MW to building construction, and hereby authorize representatives of this city to enter Issued by: Date: v upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with RE-ROOFS: all non-point source egulations per the Cupertino Municipal Code, Section 9.18. All roofs shall be inspected prior to any roofing material being installed. If a roof is { " ` l installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature Date Signature of Applicant: Date: ❑ OWNER-BUILDER DECLARATION ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIALS DISCLOSURE compensation, will do the work, and the structure is not intended or offered for I have read the hazardous materials requirements under Chapter 6.95 of the sale (Sec.7044, Business & Professions Code) California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain 2. I, as owner of the property, am exclusively contracting with licensed contractors to compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & construct the project (Sec.7044, Business & Professions Code). Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air I hereby affirm under penalty of perjury one of the following three declarations: contaminants as defined by the Bay Area Air Quality Management District I will 1. I have and will maintain a Certificate of Consent to self-insure for Worker's maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Compensation, as provided for by Section 3700 of the Labor Code, for the Health & Safety Code, Sections 25505, 25533, and 25534. performance of the work for which this permit is issued. Own er h rize e 2. I have and will maintain Worker's Compensation Insurance, as provided for by Date: S Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. CONSTRUCTION LENDING AGENCY 3. 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 I hereby affirm that there is a construction lending agency for the performance of work's Compensation laws of California. If, after making this certificate of exemption, I for which this permit is issued (Sec. 3097, Civ C.) become subject to the Worker's Compensation provisions of the Labor Code, I Lender's Name must forthwith comply with such provisions or this permit shall be deemed Lender's Address revoked. ARCHITECT'S DECLARATION APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I understand my plans shall be used as public records. correct. I agree to comply with all city and county ordinances and state laws relating Licensed Professional to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the 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. Signature Date CUPERTINO CONSTRUCTION PERMIT APPLICATION 6090tJ j COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build ingacuUertino.org ❑ NEW CONSTRUCTION ❑ ADDITION 0 ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS C' avi J'�k a v� R APN # N I Q . OWNER NAME (� t D ' S D � I �- O f y K� V `a/ 1'T PHONE O 3.9 8 � E-MAIL STREET ADDRESSI a , [L C aN CITY, STATE, ZIP u 1 C� ©t FAX CONTACT NAME Sad PHONE ® E-MAIL �\/%P�rn STREET ADDRESS 161 ✓d � o CITY, S rkff FAX -- OWNER Q OWNER -BUILDER ❑OWNER AGENT )d CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTORNAME jq�y /�_ ..51� LICENSENUMBER %I / {O l LIC SE TYPE BUS. LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS ] On V Park- 6144 #70 V1 /� CITY, STATE, ZIP /- n +n � I L 1 1 R �J l [ �1 ) I 7 p 31t,517121- BUS. LIC # ARCHITECT/ENGINEER NAME LICENSE NUMBER COMPANY NAME E-MAIL FAX STF.EET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK���� IQCs— (10 vers L-47� o i l� %S z �u ✓� � Z �; 3 7 EXISTING USE PROPOSED USE CONSTR TYPE # STORIES 5 r'F n ' ST -g— USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA -. BATHROOM KITCHEN OTHER REMODEL AREA® REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: ODFTACH ❑ ATTACH I # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑YES BEING ADDED? X70 ADDITION? �IaN0 PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES EICHLER HOME? []NO TOTAL VALUATION: By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have 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 with all applicable local ordinances and state laws relating to '1 ing constZ. I a otize representatives of Cupertino to enter the abov identified property for inspection purposes. Signature Applicant/Agent: �� of Date: l SUPPLEMENTAL VFORMATION REQUIRED�aos iPr - New SFD or Multifamily d%Nrellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building VE7tTEE�OUATE " T3UI[ )LN GPL REVIEW" permit for new building. j® iEssEl I , I G I LREVLEW = _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure VMSTANDARD form if any Hazardous Materials are being used as part of this project. .. r� LARG 'J, 'i} PI _ Copy of Planning Approval Letter or Meeting with Planning prior to ` ' OR _ tilhFAi 0intI J I.ICI ���51 submittal of Building Permit application. � Nj "LIi ALill B1d9.4pP_2011.doc revised 06/21/11 CITY OF CUPERTINO F N C FEE ESTIMATOR — BUILDING DIVISION laADDRESS: 22740 San Juan Rd. DATE: 09/17/2015 REVIEWED BY: PAUL dAech. Permit I -e, . l APN: 342 21 012 BP#: "VALUATION: 1$20,000 °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY USE: SFD or Duplex Insp. Fee: PENTAMATION PERMIT TYPE: 1 R3SFDRE i WORK Remodel Hallwa & Master bathrooms 150 S.f. SCOPE $0.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addh7 info. FEE ITEMS (Fee Resolution 11-033 E . 711113) Alech. Plan Check Plumb. Plan C'hecr" Alec. Placa Check dAech. Permit I -e, . Plumb. Permit Fee: _L___ 1, ". Permit Fee: ?(ilea' AIC'C71. I/75i �. Other Plutub hap.Li Other Liec. lii, Ip, ifech. Imp. Fee: Plumb. Insp. Tee: Insp. Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addh7 info. FEE ITEMS (Fee Resolution 11-033 E . 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 150 s.f. $645.00 Remodel, Bath (<=300 sfl IREMRESBAT Suppl. PC Fee: 0 Reg. ® OT 1 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee -0 Reg. Q OTT0,_01lirs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C.'onstruetion Tax: Administrative Fee: Q E) Work Without Permit? ® Yes O No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential Building or Structure E) O i Travel.Documenluliott Pees: Strong Motion Fee: 1BSEISMICR $2.60 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $3.60 $645.00 TOTAL FEE: 1 $648.60 Revised: 07/02/2015 Everlast Construction License # 986126 Power Of attorney Date: 02/13/2015 To whom it may concern, I Ariel Baleli Owner of Everlast construction authorize Elizabeth Schmidt and Evan Schmidt to pull permits and obtain business licenses on their behalf. Please allow them to pull permits and business licenses on behalf of our company. ev Ra.�L72 Print Full Name Sign RECEIVED (925) 334-7600 / License# 986126 SEP 17 2015 1941 Oak Park Blvd #,?o Pleasant Hill, CA 94523 www.everlast-construction.com BY 0 too +� Ke, Q s � aev�\Ce-' aa�tLt C) SaN 13�a� a CA R S W `� ?\t L o ca.�.o n V1) �aA��s -ice s P,,,r a013 CB L L�-o v3 CEEC- D-0 p�- ') cmc a -O l'3 C'M L R4t� bQ+hrc-.om Z'A �- or. OFFICE COPY 'R-eP taco.. CIL) CT) 1<./ �L StLI U&J -,-S Led vtce-SSPsa X49 ht - re -p V�'-Ck' ct� -kr, I , IMr 5+e -r �3a-i h roow) 5 / KS u a, ; - �)J(k -�-o CxdA LA lea 4�--C-P-sse-TA �\PA-s RECEIVED SEP 17 2015 BY COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - CUPERTINO APPROVED This set of plans and specifications MUST be kept at the Job site during construction. It is unlawful to make any changes or alterations on same, or to deviate therefrom, without approval from the Building Official. The stamping of this. plan and specifications SHALL NOT be held to permit or to be an approval of the violation Of a provisions of any City Ordinance or State Law. BY ttI*f DATE PERMIT NO. a7 CUPERTINO Building Department SEP 11 2015 REVIEWED FOR CODE COMPLIANCE Reviewed By: Tft4v 6W w