06080023 CITY OF CUPERTINO
BUILDING DIVISION PERINUT �#lCON;TRA,CTOR INF�ORMA ION .
BUILDING ADDRESS: NORTHWEST ELECTRICAL PER MIT No 06 O 8 O 023
10180 BYRNE AVE
OWNERS NAME: PERMIT ISSIIE DATE
MAURY & TATIANA FESKANICH 2625 REBEIRO AVE08/03/2006
ONE: SANITARY NO. CONTROL NO.
(408) 243-8310
ARCHITECITENGINEER: BUILDING PERMITINFO
BLDG ELECT PLUMB MECH
0
LICENSED CONTRACTOR'S DECLARATION lob Description
�tFC I bemby drimo TNI l tooJmmcE,.µ.r plo.itiau of Chaper9(mmmencNj p
W NNSrstion]WII)of Drrtme3af Je Butisr.•and Pafuvw Cnde,Wmylke,mis
>>N mrwltamoWurea ('IoS'� � MAIN ELECTRICAL 200 .AMP PANEL UPGRADE
'.'-� Aacxl]EcrsDEcv,RAnoN NORTHWEST ELECTRIC RENEWED BL 8/3/06
1 uMemaml mY PU^s ill M uW w public recmh
du
'off l.icnrxd PntfeeJolul
Oita I. DIIDER DECLARATION
C- ION
it-0 I hcmhy alarm Nat 1 1. ucmpt filo Nc C--'W-Cot :eninteAry c Law for the
p o folwwirtQ won.(,,«nail 703 1.5. itrier.W Pm. lemol Code:Any oily Of Cooney
S_ riot maims a prnhit re cmwra:l aper,rib for ,dcmrmit t or,a iiir my urvcmm
-iy Pn«nils iauasce,aBo tMuum Nc applkam fartmhpumiln Bk auircdfWOnpa
_ < Nobe.l��dpu e.i�«.,
tim;toiWpraJ ,�l«'i
the rtamer Sq.F FFloorArea Valuation
(tail.endnrrimsm+on700MefD+wl«r34the l3kee, Prope-i—Co )or $2700
i $ Nu W U esempl Wo rrao W the bout f«the,WLM;cd esmtPd..Any rholm�on of
xdon 703Is by my iPP=f«.Permit tm7eeti Ne.PPEmnt to,CivilpeowY of APN Number Occupancy Type
cot m«e Nm fire htmdmd dollim DIM
❑Luewer of Ne pmperty,«my uoPlolc*4 wise nCoath4,dc c«nprnaJm,
will mine wort.W the itrvcbsle bmlimestlea or offered f« e
al (See TOa,BuuoucRequired Inspections
W Pmfuuoru Cade cvn
The enoam/t I,Ite IAw does ml apply m m orner of q
property win builds«improret Nmmii.W whodocsuch wort Wvralf«Nmullb hu
own employcn,pp«'Wetd thm arch impmwmenu art WE we"manerei for ale If.
hawswr,Ne Wiwi.,or unplotemem is sold wiNin arc ynu of c«oo im,the owls.
wilder will Ane the hmdm of pmrwC wt Wow rot bila«inprow f«prvpoe of
ak.)_
❑1.u awsa of the property.w vtiv y mnu tint wIN Ikemsd unitmom to
rsrussocl the project(Sec 7014.B"isea and Profesd«u Cade)The cmmerels U.
Cm••
U.docs oat"ply n m ower d progeny rM10 hoiidi ar bnpmsa Nem..W
win comma for web poiwoh a Coovan«(U tisAted praaal b Ne C(ir x Yl
I.kctm Isr.
❑Tun wernq uMer See .BkPcf«Nit. />
Orrcs Dar
WORKERS COMPENSATION DECLARATION
I W oby f.on0er pmby of per}my ane of the whoring d••�
o0mINw ad rN!per by Se CUJ 3a dtLmn air-Wor the R'aormome«npcn-
,imr1c, r proridrd f«by Sl felt 3]00 of We labor code,r«the puf«mutm of Ne
wart for wM1ieh this pemil v Istmd
1 Nw and will munuio Worktes Comperti Inavana,u mryird by Section .
my W.of Je len«Code Joo pc+I.nma of the wort f«.bkn Thu pcmJt li awed
My rtdt Cit 'moo Wmiae case.W Pdky ptimber
Carrfc. Pdky No.
C FlCATE N FROM ERS
COMPENSATION INSURANCE
'
O-M,seed.aced oat be Cnmpknd'J th perah is for.hmichE does.(Slam
or kta)
I oem y Wt to the p«farmaue of tfswonrok�f r sir en this Permit it Wood.1"I W,
%any mirr
cmpl P ^w arpyl( YOL+�ltub �PrnaJm
Remo( Incimen°ia.0
NOTICE
NOTICE ID APPLI :U,of coati d pr Tule or EUWr Co,you n,lama
haeme.note m the Wa h'ci C«o.ora pro.iu«u of Jle lib«Code,yon,lo,m
0O farNwNcomply rite tach psorisiam«Nit permit shwlhdsmd rented.
Z CONSTRUCTION LENDING AGENCY
E1 hereby en.Thu Jen u w
ea caunion kMing am
Qy fur to Pr..of
> Ne wart for rbieh Nis permit 4 wit,E(Sec.3M.cm C)
W�Q Lebl sAdd
7 2 LcMets AdGeu
U O I rerafy Nat I hits tad this"plicitti.W tate Jut the aww isJ«madun U
ll. P corrin 1 alms m comply rith Al city W C«mty oin ilu«si W amt Ian rt Wins to
0 U wiwin,constmcti.,and hemby tulharise rtpr-scrub. or Nis city to cnerupnn Nc
W Wijtkcnuoncd pmperty for i Ciiporecm pmpmea
(We)agree n ate.indemnify and keep humim the City of Cupcniw aeailm
r0.j1 liabilbia,jud6mc«t,cpat W cupcn¢s which may to my ny a¢ruc itwml aid Cly \^_
UZ inof the tnnthti of thu iclnit. y Dale
^� APPLICANT UNDERSTAN AND WILL COMPLY WITH ALLL�}..NON-POINT Issued b
StJUq(2�pEGU NS. / /,I
Si orereofAp'1ionUCantnn« /� Onle Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
W W Je"Pbonl or wbure wlwbtr;Oeeopmt more«NMk houdms ImYilal
v defied by Je Cupertino M«uci Code.Chapter 9.11 W Ne Hebb W Wuy
toot,section us3u.)a All roofs shall be inspected prior to any roofing material being installed.
❑Yu No ,
WJI one applicmt or rutute biline aaupnt bn quiioeoi or k.Mitch .If a roof is installed without first obtaining an inspection,I agree to remove
Omit bvu airc.murmY u defvW by toe Bar Ana Air Owlily Masul;cax all new materials for inspection.
D an a
❑Yo
I him rt tK NaAous macr1iii,i gwm^^^,ulukrCNpa7&95ofttrCalir«-
N 11,mlNh SafnyCodc,Sav«v 155(]5.25333 ad 25534.1 usdviud"lite Wildin{
Jon coN
t comently w a ttrimi it ii my rmp lilily M notify Na Wnforl N the
ma rhichm Sita nit„tanaer.cm;antey '` Signature of Applicant Date
S' All roof coverings to be Class"B" or better
GWIIUIXlY1h0 lgetll Dan
CITY OF CUPERTINO
•em 1 of 1 PERMIT RECEIPT OPERATOR: amyw
COPY # 2
Sec : Twp: Rng: Sub: Blk: Lot :
APN . . . . . . . . : 35716070 . 00
DATE ISSUED. . . . . . . : 08/03/2006
RECEIPT # . . . . . . . . . 35508
REFERENCE ID # . . . : 06080023
SITE ADDRESS . . . . . : 10180 BYRNE AVE
SUBDIVISION . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . .
OWNER . . . . . . . . . . . . : MAURY & TATIANA FESKANICH
ADDRESS . . . : . . . . . .
:
CITY/STATE/ZIP . . . : ,
RECEIVED FROM . . . . : NORTHWEST ELECTRIC
CONTRACTOR . . . . . . . : KEVIN SOUZA LIC .# 22163
COMPANY . . . . . . . . . . : NORTHWEST ELECTRICAL
ADDRESS . . . . . . . . . . : 2625 REBEIRO AVE
CITY/STATE/ZIP . . . : SANTA CLARA, CA 95051
TELEPHONE . . . . . . . . : (408) 243-8310
•FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
-- - - - - - - - - - - - ---------- ---- ------ ------- - -- ----- - ---- -- - --
BELEC200 METERS 1 . 00 29 . 43 0 . 00 29 . 43 0 . 00
BENERGY PERMIT FEE 1 . 00 34 . 86 0 . 00 34 . 86 0 . 00
EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00
BSEISMICRE VALUATION 2, 700 . 00 0 . 50 0 . 00 0 . 50 0 . 00
TOTAL PERMIT 103 . 16 0 . 00 103 . 16 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
--- - - - - - - -------- - - - --------- --- ------ - --------
CHECK 103 . 16 1183
------------
TOTAL RECEIPT 103 . 16
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
304 ROUGH ELECTRICAL 501 FINAL ELECTRICAL ENERGY
505 FINAL ELECTRICAL
•
Community Development
10300 Tom Avenue
Cupertino CA 95014
I�
Telephone(408) 777-3228
G7Y OF Fax(408)777-3333
46UPEI�TINO
Building Department
JOB/DD p0 8y��� Avg PE 0
OdZ
OWNER'S NAME: /tr l� T/l riM✓� Fps/Li PHONE # yo r— 9 7�--1Y
GENERAL CONTRALTO "if/a/Lrf/y.&-jr oLrc�,ner� FAX #
I am not using any subcontractors:
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
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/ ntracto ignature Date
cgpOu CITY OF CUPERTINO (�
CI F
PERMIT APPLICATION FORM
CUPEkTINO
N # Date: LAZO
Building Address�v jE Mailing Address (if different from building address):
Owner's Name: / Jl�i �luf Phone #:
/!f /¢T!/Ia✓/�
Contractor: E� License#: '
Conta / Phone:yo?-3/°– ° Cupertino Business License#:
�Vl✓ a✓7!� Fax: /(6417-1) y1/7 0/0000/5–/YG
Building Permit Info:
Bldg ❑ Elect Plumb ❑ Mech ❑
Job Description: Zoo A-m/a
Residentia /11,+7'/ 4--Z-*�`At' L L Commercial ❑
Sq.Ft. Floor Area: Sq.Ft.:
Cost of Project: Occupancy Group-
Type of Construction: Please check this box if the project is a
second-story addition: ❑
ro'ect Size: Standar — Lar e ❑ Ma or ❑
uanti Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> IOOK to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax–Resi/Mobile BUILDING
BELEC1000 Elec 600V <= IOOOA ELECTRICAL
BELEC1001 Elec 600V > IOOOA ELECTRICAL
BELEC200 Elec Svcs 600V<=200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
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Q. CITY OF CUPERTINO
CUPERTF PERMIT APPLICATION FORM
Quantity Fee ID Fee Description Fee Group
BMISCELL Miscellaneous Fee BUILDING
BMITIGATC Comm. Housin Mit. Fee BUILDING
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pb1g Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINTERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check R eat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinkler/Backflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING •
BPVENT Alt of Drain & Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water Heater/Vent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN ' Relocation of Furnace MECHANICAL
BREMFURNOV Rel- Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl Switch & Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
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(G CITY OF CUPERTINO
alvor PERMIT APPLICATION FORM
CUPEkTINO
Quantity Fee ID Fee Description Fee Group
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumbing Permit Issue PLUMBING
PPLBG Plumbing Fee sq foot PLUMBING
PLLONGRNGC Planning LR Comme/ Multi-Fam PLANNING
PLLONGRNGR Planning Long Range Residential PLANNING
ZADDCHG Address Chane BUILDING
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