The URL can be used to link to this page

00010125APPLICANTTO FILL IN INFORMATION WITHIN RED LINES • USE BALL POINT PEN ONLY BOO a CITY OBUILDF CUPERTINO BUILDING . ELECTRICAL PIiRMIT NO. ING DIVISION APPLICATION/PERMIT _. PI,OMBtISct MEcnA'9'QALT r" �\ N . T-,1tAq 1- 2-7- o 0 'H 'CI'/ENG ' _ LIC NO: .\DDRESS: 1 -. CONTACT. PHONE, BUILDING PERMIT INFO BL^ Eu � PLUMB ML vH/ I(! ILiJ' 1 _,-� �+_ A J - ,e lig0 •VX/✓K, YcM'LII(CESIS/EDP/CYOONNTRAUTOORR''S✓-DECCLAAARALATION 1 ❑ Consullanl Fccs Paid by Applicant (Initial) I hmcby affirm that 1 win Ii.IciJ mNkr pnrviz'i.ns of Ch x, 9lcomm,,t ing with JIXXdofniviImm Jof,hc Baaircrs red! Po Cock odenyliwnm it in full forte wd dfnl. f liO, Dr.N� lyric Crntmctnr RCHITECCS DECLARATION Y s Il be uud as public mvrrdx Q'ry ELECTRIC PERMIT FEE JOBLDDFSCRIPPION RESIDENTIAL ❑SPDWL ❑KITCHEN REMODEL ❑ADDITION ❑PLUMBING RE -PIPE ❑MULTI -UNIT ❑STRUCTURAL MODIFICATION ❑INTERIOR ❑CHIMN17Y REPAIR IMPROVEMENT SWNIMING POOLS ❑ BATH REMODEUREPAIR ❑DF1.fOLfDON ❑ UTHPA oaZ W p F rL� <U �j F. Z W yap, F>y p�Z ,Z�p ��I- 'iYf I K W a p G U 131E {'2 p y,Mr �ap0(aunmcreing -y PERNIIT ISSUANCE APPLIANCES - RISIDILr'IJAL PANELS UPTOIIIBAMPS lie marl Ph .A renal OWNER -BUILDER DECLARATION 1 hveby adfmd char I am exerrdp from fir Contract«a License Ise for the following riven. (.Suction ]IUI S, Bmimx and Profteimns Crdc Any city or er.my which b,,a rc a Femtit to cumuock WNr, retire , demolub or orl" troy structure �rnN to its ivuarxe. alvr rtquim do Npplicant fa with permit to hk a aigred slurnrnt he is lkcnvd puawnur the prmkmnsof the Comrav-s Lkcnse law lgelle,9 with ticchrn]IXXpW DivieiunJ.fthc lfmimsv'md l4ofdxi,ms Crdcprr clot m is exempt uertfrom hei Jc Muis fur the &III csem rim. Any methrion of Seevian'I(1J1.5 by any applieatl for a pennid whjeets gyre applieam to it civil penalty M 201-1000"PS OVER 1000AMPS SIGNS IiLECI'RICN, SPECIALCIRCUIT/MISC. OR POLE INST. TEMP. MPIP.R COMMERCIAL ❑ NEW ELDGIADDI nO,N' ❑ DEMOLITION LPmNANT [I FOOD SERVICE POWER DEVICES i�0 C � 3 � he. mom than fw hundred &.Ilan P15n01. ❑ 1. arvwnerof0c propaty, or my emph,=s with wages as rose soli cmr, shearrier, anddofesimk, and pre struntneurwtinderukdaawresfnot pi to am 119 end Pr.fcusiom Cale: The Cuntrvctm's littnse law dosx not apply to on erect dr1 p,,,,,,y whir builds ur impi ,here e, uml who Ira wch oak himzclt or Ihmagh his I w , cmpWym, pmvidat Ihnt such impmvc.cnts arc nut inrcrdcc or uHcrtd fur sak. If Wes', IN, building s impmvcrtcru is oW widdnedit Year of ronrpMim.the IMPROVEMENT ❑OTHER SWIMMING P(R).ELECI'KIC OUTLI:IS, SWITCH-FlX'NRES NEW RESIDENTIAL EL tC SQ tT. SQ. FT. FLOOR AREA S/SQ.IT. crbuiWer will haw Nc bardrn of Irving did he did nod I'mW - improve for p,r pm.[mky ❑ 1, as mist of dhc propeny. am CxcImi,,IY arwxting w'idh liethri asameho" to rema t chi pmjtt-t (St 70,t4. Be,us s and Pmfevia,s Code:)The Commas..Ii- xclawdcxo,x uprly le anowncrufpnrlrcoy who baildxor lmpnrvca thcrmn, and � �� TOTAL QTY.- PLUMBI 17 MIT FEE whr mmrau for wch pmjau with N cvnnoc7m(a7liecmal punuwd do Nit Contru'mr'a Lkcnx Is, lam caemp utdm Stt. .Bk PC hndhis «aun PERMIT ISSUANCE /' VALUATION (T� ..a ... ((��rya� ALTER -DRAIN dr VENT -WAIF IIS\I Date M'rmr WORKER'S COMPENSATION DECLARATION BACK FLOW PROTECT. DEVICE 1 Mrehy atfmr abler Fcmlly rf perjury o. rf the f rlluwing declaraw o : I have and will mwnadn aCmif de ufCnnaent to adt-inmrttnr Wakens C.ndpv- --Bone as prnvidul fur by Satire JJX of Nit Lade Cards, for de pcHdmmrce M Jc n fmwhicb NiapermIizi.hcd. DRAINS- FLDOC ROOF, ARE\, GI) D.' STORIES 2 TYPECONSfRUCITON v' FlXIURIS - PER TRAP GAS-EA.SYSItM-I INC 30lffLITS hei,e red will m,mehre WI -A, .J( of ddc Lslw Cude.f.r the penmow,ce rf Nc work fgmrpws h�k�h this prmii�tyiL.iawaL MYIW YYlf1'AI'Jg.l-.Nsure s Co,npeawria, Inxumnoe, as required by Seelirn �ttP�'y No,, /a I CERTIFICATE OF EX( (PION FROM WORKERS' COMPENSATION INSURANCE. OCC GROUP APNw vur GASH-EA.SY511iM-OVIiRiIEA) GREA.SFANDUSERI. WASTE INTERCEPTOR BUILDING DIVISION FEES GREASETRAP I'LANCIIECK Ilile (Tnix aetdidm rrttd mtMcmO�Ined ifthc permit isfarN,c hulydal dollms(SlfXll ru Ire.) ICMity de in the perh unroof dr,y�work yfor cwhich dhix pchrmt i. iomRl. I hrfl n ploy any Ptt"on in any man sWrjcct I.anp urc N'Mcri Crn- aem SEWER - SANITARY - SJDRNI E.A. 200 Ff. ENERGY FEE WATER HEATER WNENEELECI'R WATER SYSTIl.1/IREATING GRADING ME z z 2 y h 0 uz V— , ""on luxe tr?"'fo /1/TW Alplica ^� N(J1'IC D PLICAN T. If, after making die EW E. of Estro ti n, you sh.uW dame wtysct to the Wirier. Comlrcnse,.n preeisirms of IN, labor Cate, you muss form, ithv,,mply wilhsuch mo,ieirmsunhis Ith, 1,Woll he deemed revoked. CONSTRUCTION LEWLNGAGFNLN Itfor hiehni,sere,iisnc.n.Se630ktddi, agcn yfa the pertonrw,aof tM work hn which Ihix padnit ix larudl (.1m. 71YJJ. Civ. C.) Inder's Nome SOUS PPl WAFER SERVICE PAID L NEW RCSIDFMIALPIbf B. SQ.IT. r Dom RttcipN CT IF TQfAL: Wlsmkra !L ..i v1 Addrtss 1 amify the I have red this .ppliamirm ad udro the chic aMvc Iof ematinn Ix crmculagmcmcnmplywiN an cidyemlcruvy nNirwtccavw xtata Wes rdmingw Wilding comnuerms, and hcrtby amhmire dcpraive rf rt Ihix city da carer opn IN, PIJILIIINC Fl!E QTY. MECHANICAL PERMIT �E SHSNuc FEE j PERMITISSUANCE EIECITi1CFEE " adrvn-menmeahl propcey far impaction prprs-. twe) r"re m.wve, idukmnify unit keep hvndaz the City of Cre rim..'am't Iiabllidics, jadgremts,. and rsc , which may in anyway rccrue agai a seld City in arms. acrcc of the granrin, N this prmiit. ALTER OR ADD TO MECH. PLUISIBLNG FEE, APPLICANT UNDIiR$TANI S AND WILL COMPLY WITH ALL NON -POINT AIR HANDLING UNIT(TO 10,000CFM) MECHANICAL ME SOUR ERE DONS. / I � NRHANDLINGUNIT(OVER10,00u CFN1) CONSTRUCTION TAX m SI of Ap icoNCmt arm Dare IIAZ RDOUS MATERIALS DISCLOSURE Will the agrlicant« Teen Wilding oavpam stare or handle hvabus material EXHAUST HOOD I WIDUM) HOUSINGnffDGATION PEE UEFING UNIT(TO 100,000 BTU) ox dehmH by the Cupertinu Municipal C,.k, Chortler 9.12, and the Healrb aM Safy Crdc,S Iiun 25532(a)J �'`�//q �Yao ,it hvvdrm air ummndnmua as dcfnc l by dhc Bay Area Air Qaality Manage I Will the at,ream rfwum Wileing.ceapam uw elm,mem nr devius whichAgni HEATING UNIT'(OVER I IXIJXX) H'11J) PAID Dade Rcttiry N VENTILATION PAN (SINGLE RESIDI OR IIq.WU B'DI) TOTAL: ER 100,000 BTU) TAuoel ❑Y�n Nn ISSUANCE DATE / I have reee dhc ha�d.us rnmcrids rtpairentcw ardi Chtrprcr695 of ddc Cali- hm&a IbltM1 R Safcdy Codc. Si enor,x 2 Ndri. 25513 at 155-U. I makxumd Jut if 0cMECII. SQ� FT herldinFd�cswrl try have, rum, rem it my n.rpomihilidy In thirty this runt ( .filor INN 1. LiVItrM1YOf 8 C[nlhrv��.�rf TOTAL:: 1/I/ I$SIlE1l BY: ), U err i OFFICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO • BUILDING PERMIT INVOICE OPERATOR: kerenb Sec: TWP: Rng: Sub: Blk: LOC:31619061.00 INVOICE DATE......: 01/27/2000 REFERENCE ID 8 ...: 00010125 SITE ADDRESS .....: 10200 N TANTAU AV SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... OWNER ............: CCMPAO ADDRESS ..........: CITY/STATE/ZIP .... CUPERTINO CA, CA 95014 CONTRACTOR ........ LIC 4 21546 COMPANY ..........: GORDON-PMU INC ADDRESS ..........: 1245 PEAR AVE CITY/STATE/ZIP ...: MT VIEW, CA 94043 TELEPHONE ......... (650)335-1990 FEB DESCRIPTION CHK TOTAL FEE PAID -TO -DATE BALANCE DUE ----------- --------------- BENEROY ------------ A 204.00 ------------ 0.00 204.00 BPERMFEE P 680.00 0.00 680.00 BPLANCHK A 576.00 0.00 578.00 BRBMRECBPT P 31.58 0.00 31.58 BREMREPALT P 97.68 0.00 97.68 BSEISMIICOM P 16.80 0.00 16.80 F ITFEE P 35.52 0.00 35.52 M ITFEB P 35.52 0.00 35.52 --------- 1679.10 ------------ 1 0.00 ----------- 1679.10 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ........ 101 ............................ FOUNDATION ........ 102 ..................... PIERS 103 LIFER 104 REBAR 105 ANCHOR BOLTS 106 SEWER 6 WATER 202 UNDERFLOOR PLUMBING 203 UNDERFLOOR MECHANICAL 204 UNDERFLOOR FRAME 205 UNDERFLOOR INSULATION 301 ROUGH PLUBING 302 TUB 6 OR SHOWER 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 305 FRAME 306 HOLDOWNS 307 INSULATION 308 SHHB7ROCK 309 EXTERIOR LATH - 310 INTERIOR LATH 311 SCRATCH COAT 313 ROOF NAIL 501 FINAL ELECTRICAL ENERGY 502 FINAL PLUMBING ENERGY 503 FINAL MECHANICAL ENERGY 504 FINAL BUILDING ENERGY 505 FINAL ELECTRICAL 506 OAS TEST 507 FINAL. PLUMBING 508 FINAL MECHANICAL 509 FINAL GRADE 510 FINAL PLANNING 514 FINAL PUBLIC WORXS 11 • n U • 1BREMACOVER JAC UN17>IGC0GCF%l JNI ;nAN ICA. LI IBREMAIRHAN JA/C UNITS <= 10.OGCCr�I MECHANICAL IBRENIFURN (RELOCATION OF FURNACE (MECHANICAL �BREMFURNOV IP,ELO rURNACE > 1CK B i U INIEr- C4ANICA+L REMINH000 INSTALLATION OF HOOD MECHANICAL REIYIRELOCA RELOCATION OF HO00 MECHANICAL MB REMREPALT REPAIR/ALTER HEATING (MECHANICAL REMVENSYS (VENTILATION SYSTEMS IMECHANICAL PERMITFEE JPLUMBNG PERMIT ISSUE IPLUMBING BNUMULTI NEW MUUFAMILY RES PLUMBING BNUSFO NEW SINGLEFAMILY RES PLUMBING BPBACKFLOW ATMOSPHERIC VACUUM PLUMBING BPCESSPOOL CESSPOOL PLUMBING BPFIXTURE PBLG FIXTURE PLUMBING BPGAS GAS PIPING SYSTEM FEE PLUMBING BPINTERCEP IND WASTE INTERCEPTOR PLUMBING BPREPIPE REPIPE OF FIXTURES PLUMBING SPSEWAGE SEWAGE DISPOSAL PLUMBING BPSEWER SEWERS PLUMBING BPSPRINK LAWN SPRINKLER/BACKFLO PLUMBING BPSTORM STORMIRAIN WATER PLUMBING BPTRAP KITCHEN TRAP PLUMBING BPVENT AL•T OF DRAIN & VENT PLUMBING BPWATER INSTALL/ALTER WATERPIP PLUMBING BPWHEATER WATER HEATER/VENT PLUMBING BPWSVCS MAIN WATER SERVICE PLUMBING ZDEVAGREE DEVELOPMENT AGREEMENT PLANNING ZDIRTM DIR TENT MAP PLANNING ZFULLHR IFULLAPPL BASE +HR PLANNING ZFULLTM IFULL APPL TENT MAP PLANNING ULLUP IFULLAPPL USE PERMIT PLANNING ZFULLZONE IFULLAPPLZONING PLANNING ZGPAMEND IGENERAL PLAN AMEND PLANNING ZUMAMEND JUMITED AMEND PLANNING ZLIMTM LIMITED TENT MAP PLANNING lzumup LIMITED APPL USE PERM[ PLANNING ZMATEMPUP MIN AMEND TEMP USEPERM PLANNING ZMINHILLEX MINOR APPL HILL EXC PLANNING ZMINSIGNEX MISC SIGN EXCEPTION PLANNING ZMINTM MINOR APP TENT MAP PLANNING INUP MINOR APPL USE PERMIT PLANNING ZMIS MISC ARCH S PLANNING ZMISCEXT MISC TM AND UP EXT PLANNING ZM1SCFE`NC ff MISC FENCE EXCEPTION PLANNING ZMISCGEN MISCELL APPL GENERAL PLANNING ZMISCPCINT MISC PC INTERPRETATION ZSIGN EEqPLANNING SIGN PERMI PLANNING PSIGN PORARY IGN PLANNING IZVARIANCE IDIRECTORVARIANCE PLANNING 2 cf2 Rwited EI11Y" pry, i/ ApplI�able Fee 10 Fee Description Fee Group IBPER11WIFEE IBLOG PERMIT FEES (BUILDING JBCONSTAX lCONSTRUCTION TAX IBUILOING BENERGY JENERGY 1BUILDING BENERGYADD JENERGY ADD MULTI BUILDING �BOVERTIME INSPECTION OVERTIME (BUILDING TENIPPERM ITEMPORARY SLOG PERMIT (BUILDING BMITIGAT HOUSING MITIGATION FEE BUILDING BPLANCHK PLAN CHECK FEE BUILDING BPLANCKADD PLAN CHECK ADD MULTI BUILDING SPLANCKREP PLAN CHECK REPEAT FEE BUILDING BREINSPECT REINSPECTION FEE BUILDING BSCBLVO SCB SPECIFIC PLAN BUILDING BSEISMICOM SEISMIC COMMERCIAL BUILDING BSEISMICRE SEISMIC FEE RES BUILDING BSPECIAL SPECIAL INSPECTION BUILDING SWIM SWIMMING POOL BUILDING ZADOCHG ADDRESS CHANGE ISUILDING EPERMITFEE ELEC PERMIT ISSUANCE ELECTRICAL Be EC1000 ELEC 600V —1000A ELECTRICAL BELEC1001 ELEC 600V >1000A ELECTRICAL BELEC200 ELECT SVCS 600V 4=200A ELECTRICAL NEWMULTI MULTIFAMILY RES ELECTRICAL BREMBUSWAY REMODELBUSWAYS ELECTRICAL BREMFIXT LIGHTING FIXTURES ELECTRICAL BREMMISC MISC APPARATUS ELECTRICAL BREMNRAPP REM NON-RES APPLIANCE JELECTRICAL BREMPOLE POLEIPLATFORM FIXTURE ELECTRICAL BREMPOWER POWER DEVICE/APPARATUS ELECTRICAL BREMRECEPT RCPTL, SWITCH &OUTLETS JELECTRICAL BREMRESAPP REMODEL RES APPUANCE ELECTRICAL BREMSIGNAD RMDL SIGNS ADD BRANCH ELECTRICAL BREMSIGNS REMODEL SIGNS. MARQUEE ELECTRICAL BREMTHEATR THEATRICAL LGHTNG FIX ELECTRICAL BSF&2FAM SINGLE & 2 FAMILY ELECTRICAL BTEMP TEMPORARY POWER ELECTRICAL BTEMPSVCS TEMP DIST SVCS ELECTRICAL MPERMITFEE IMECH PERMIT ISSUANCE MECHANICAL BAPPLOTHER OTHER APPLIANCES MECHANICAL OILERt BOILER e= 100.000 BTU MECHANICAL BBOILER2 BOILER >100KTO500K BTU MECHANICAL BBOILER3 BOILER >50K TOIMBTU MECHANICAL BBOILER4 130ILER>1M TO 1.75M BTU MECHANICAL BBOILER5 BOILER > 1.75M BTU MECHANICAL BREMAPPU APPLIANCE INSTALL MECHANICAL BREMHEAT HEATER INSTALLATION MECHANICAL BREMVENFAN VENT FAN SINGLE DUCT MECHANICAL BMNEWMULTI NEW MUL -FAMILY RIES MECHANICAL BMNEWSF&2F NEW SF RES BLDGS MECHANICAL 4 of2 Revised U10" • • •