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B-2016-1401 JOB CANCELLEDI fa CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CUPERTINO (408) 777-3228 • FAX (408) 777-3333 • buildingCcilcuoertino.org I I ETMAT P"MQTai TCTInN1 I I ...FEIr1TI I AT TUN ATI(1N/TI I RFViSA)N/IIFFFRRFTi (1RI(NNAI. Pp.R MITH PROJECTADDRESS - APN# 7 s C� OWNERNAME �1/1. .c�ti/ q PHONE E-MAIL 2 vJ STREET ADDREcc ST Ri CI I n� FAX U I CONTACT NAME. 'a tl� PHONE w Y E-MAIL 1,^O STREET ADDRESS • CITY, TA\TE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ARCHTECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAM LICENSENUMBER ' LICE ETYPE BUS. LICK COMPANY NAM 1! � l FAX STREET ADDRES n IT ST TL �r\I j� lJ PHONE ARCHITECT/E!S�a�A E LICE NSENUMBER /�^/'1 [ BUS. LICX A�+�ls'®� COMPANYNAME µr �, (^ ,�C�'` E-MAIL r? FAX FAX STREET ADDRESS Cam, SITnATE, I®��CA- `j'^' ONG 9 S ^ t IIr JG f �„ DESCRIPTIONOFWORK (� ItXI91NCq (46 t ISi C OWMeD ONE-ZAP/ "o, d'C (}�P`C" r(aor �I /q 12oaWl N 15 EXISTINGUSE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.P'P. VALUATION($) EXISTG AREA NEW FLOOR AREA DEMO AREA TOTAL NET AREA V 6� (((/// VVV VVVV O BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODELAREA PORCH AREA DECK AREA TOTAL DECK/PORCH ARE A GARAGE AREA: DATETTACACHH #DWELLINGUNITS: IS SECOND UNIT ❑YES SECONDSTORY OYES BEING ADDED? ONO ADDITION? ONO PRE -APPLICATION OYES I' YES, PROVIDE COPY OF ISTHEBIAGAN El YES - '•OTAL VALUATION: PLANNING APPL# ONO PLANNING APPROVAL LETTER EICHLER HOME? ❑N Q\ By my signature below, I certify to each of the following: I am the property owner or authorize 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 < and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relatin bi4ing construct ®rimer resentatives of Cupertino to enter the ^above -identified roperty for inspection purposes. Signature ofApplicant/Agen . Date: SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROOTING SLUI ❑ OVER-THE-COUNTER fff��,,,,,000eerrrr WIVILIANG PLAN REVIEW _ New SIT) or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD ❑ PUBLIC WORKS _ form if any Hazardous Materials are being used as put of this project. ❑ LARGE R1a[, nePPT _ Copy Of Planning Approval Letter OY Meeting with Planning prior t0 ❑ DISTRICT submittal of Building Permit application. MAJOR SANITARY SEWER ENVIRONMENTAL HEALTH Bldgflpp 2011.doc revised 06121111 CUPERTINO PURPOSE HAZARDOUS MATERIALS CHECKLIST COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildinaCcDcunertino.ora Project Address: 20400 Mariani Ave Cupertino CA To minimize possible delays that would result for the Fire Department plan review, please complete the following checklist to determine if an additional level of Hazardous Materials plan review will be required. MARK'YES' IF THE PROPOSED SCOPE OF WORK INCLUDE ANY OF THE FOLLOWING? PLEASE MARK YOUR ANSWER WITH AN 'X' IN THE YES OR NO BOX ON THE SIDE BELOW. YES NO 1. Use, dispensing, mixing or storage of flammable or combustible liquids or gases, hazardous materials, etc. �, 2. Battery back-up rooms or racks. N 3. Propane tanks. N 4. Gasoline stations with underground tanks. N 5. Installation or replacement above ground or underground storage of liquid petroleum products, liquefied petroleum gases, compressed natural gas, explosives or other regulated hazardous materials. N 6. Gas rooms for dentist, doctors or veterinarians. N 7. Generators with back-up diesel or other fuels. N 8. Large refrigeration systems. N 9. Fuel cell systems. N 10. Commercial pool systems. N 11. Chemical Storage areas. Y 12. Flammable liquid storage. Y 13. Compressed Gases. N 14. Dry cleaners. N 15. Print Shops. N 16. Auto Repair and Auto Body Shops. N 17. Research and Development. Y For any additional information regarding this checklist, please contact Hazardous Materials Specialist, Santa Clara County Fire Department, at (408) 378-4010. HasMat 2011.doc revised 03107111 LE High efficiency, full duty fume hood in 3611, 60" 72" and 96" widths. UniFlow LE fume hoods are low flow constant volume for energy savings and maximum user protection. The aerodynamic face opening with airfoil provides uniform airflow through the fume chamber. The VaraFlow baffle system directs the air through the fume chamber to the bell shaped exhaust outlet Access Panel removable to access ducting connections, plumbing & electrical services from a single point electrical box,115V/60HzAC operation. Energy efficient T-5 two -bulb vapor proof fluorescen light fixture with polished stainless steel reflectors, and light switch on left column, all factory installed. Air Flow Monitor continuously monitors face velocity airflow, analog or digital available. Meets ANSI and OSHA requirements. Vertical Sash to be counterbalanced connecter with coated stainless steel cables, 3116" tempered safety glass with chemical resistant non-metallic PVC framing track and aerodynamic sash lift. Ergonomic Sash Lift contoured for efficient airflow and ease of movement. FUII 33" Viewing Height for ease of access and unobstructed view of fume chamber while work ing with tall apparatus and distillation grids. VaraFlow Baffle System maintains uniform airflow thru the VaraFlow baffle system to bell shaped exhaust collar outlet. 29" Sash Height for viewing of fume chamber, loading and unloading equipment for set up. Angled Picture Frame Opening The aerodynamic face opening with air foil provides uniform airflow into the fume chamber and thru the VaraFlow baffle system to the bell shaped exhaust collar. Sash Stop located at 1/2 open to re- duce airflow 50%, standard equipment. Cat. No. 51651 SASH MANAGEMENT 1-2-3 1� optional accessories. Cut energy costs up to 50%. For improved lab efficiency air flow monitors check the fume hood face velocity & help to insure that the proper amount of room air changes per hour are maintained. The sash stop is designed for user protection and cfm reduction, allowing the sash to open to a maximum position of half open. With an average utility rate of $7.00 per cfm a typical annual savings on a 4' fume hood would be $2705.00 on a 6' fume hood $4067.00. 2. Sash should only set to full open position for the set up of tall apparatus. Personal safety protection should be worn as recommended by the Lab Safety Officer. 3. When the fume hood is not in use return the sash to the closed position. Fume Hood Face Velocity cfm The recommended face velocity for efficiency & safety should be 80-100 fpm. Lower face velocity may compromise user safety. Sash in full open position should be for setup of apparatus & maintenance service only. If opening is at 1/2 open at 100 fpm (feet per minute), face velocity at full open would be approximately 50 fpm. UnFlow, LE Fume Hood Sash Management & Design Size hood 36" 48" 60" 72" 1 96" Full open cfm 438 773 938 1162 1613 112 open cfm 241 385 474 592 800 711 S. Powell Road Indenendence. MO 64056 Phone (816) 796-2900 Fax (816) 796-3333 1 F-41 4 R UNIFLOW LE FUME HOOD DESCRIPTIONS 1 1 Fume Hood Width A 1. UniFlow LE CAV Fume Hood: Air By-pass low flow, constant air volume hood. Dual wall unitized construction, all non-metallic corrosion and fire resistant composite fiberglass construction. Molded fume chamber with white glass -smooth surface with all coved corners. Sash to be counterbalanced, 3/16" tempered safety glass with chemical resistant non-metallic PVC framing, track and aerodynamic sash lift. Vapor proof two bulb T-5 fluorescent light fixture and control switch are wired to a single point junction box. 115V/60Hz, AC All electrical components are U.L. listed. Optional electrical services available. Fume hood is U1.1805 classified 36" 48" 60" 72" 96" Cat. `Gal:" Cat. Cat. Cat. No. No. No. No. I No. 35321 1 35421 1 35521 1 35621 1 35821 2. UniFlow LE VAV Fume Hood: Same as #1 above except equipped with Variable Air Volume VAV restricted by-pass feature, in place of CAV by-pass feature. Ducting must be connected to optional VAV exhaust system and controls. 35322 35422 1 11122 11122 11112 3. Un!Flow LE Fume Hood with Explosion -Proof Light: Same as #1 above except, equipped with explosion proof vapor tight light fixture. Class I, Div II,Group A,B,C& D. Class 11 Div II Group F, & G, 115V/60Hz, U.L. listed fixture Is Installed but not wired. 35323 35423 35523 35623 35823 Must be field wired to comply Wth codes. Optional electrical services available. 4. UntFlow LE Fume Hood in CE Configuration: Same as #1 above except equipped to comply with optional CE international electrical configuration. 35324 317424 35524 35624 35824 220V15OHz AC. 5. Horizontal Sliding Sash Option: Add suffix to number above. I NA 35HS-4 135HS-5 I 35HS-6 135HS-8 6. Combination Sliding Sash Option: Add suffix to number above I NA 135CS-4 135CS-5 I 35CS-6 135CS-8 Diameter D bell she ad exhaust collar low tw 30" T-5 Fluorescent Light Top View UniFlow LE Hood Dimensions Width A 36" 4%,, 60" 72" 9 Width C 25" 1 37" 49" 61" 1 8 Diameter D>1 8" 1 10" 10" 12" (2) Optional Accessories Plumbing Fixtures Fume Hood Fire Extinguisher Epoxy Work Surfaces Fume Hood Acid Cabinet Electrical Services Air Flow Monitor 4�p551fjFo �L U1.1805 classified 1805 35" 1 Front View Optional Services Shown 44' e © 14" Sash 112 Open Side View