28031 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO '- I RICA] PERMIT G'
BUILDING DIVISION APPLICATIONIPERMIT PLUMBING /N ^O
BUILDING PROJECT IDENTIFICATION L VX J{
BUILDING ADDRESS: SANITARY NO. APPUCATIO/N SUBMTTAALL DATE
104-00 W . AVff, NIT# LOT#
OWNERS NAME: %ZONE: �ONTRACT R'S NAM LIC NO:
_ _ NIC CONTROL M
AR .�N IN LIC NO ADDRESS: ��
iCAqs
a ACI': 1 CJPUONE: �'1 Qom" ELECTRIC PERMIT FEE ❑ BUILDING PERMIT INFO
ECE
G. 510 -ZZ( /OZ PERMIT ISSUANCE BLDG El PLUMB 0
t� ❑ ❑ ❑
LICEbISED CONTRACTOR'S DECLARATION APPLIANCES-RESIDP1lHAl
JOB DFSCRIPIIDN
GY7 1M1errbyeff bmdall am oicBttorder ProviumaofCaCode, (com,liccog with
�»Op full Ionc and of Divisian3 oflle Busircmand Rafesiom Code,cod my lkcnse is In PANELS
a�+� Li,c C4.affect.
License Clam Lic.M
N Q y Due Cmtrena 201-1000 AMPS
ZOyZ ARCHITECTS DECLARATION OVER I"AMPS SQ,FT.FLOOR AREA S/SQ.FT.
O Z—❑ l uadmxwd mY P1^^s shell h mad u laudic raobds.
aFhC� Lianscd Pmfe:siaW SIGNS EIFCTRICAL
5 OWNER-BUILDER DECLARATION SPLCIAL C'BtCUIT/MISC.
�OacVF. 1 hcbrhy of imt Nu 1 on ravnpl from the Canned«a Licwe Law for IM
FLL�Cbn¢ following reason lSeeuon7031.5,Busiws erd Profemimde
n Co :Mu MI
Y city county TEMP.METER OR LE INST.
_ "oJ which o cwntruu,eller,inmrove,dvroliah,or eepeir any anoctue
f Y pdorlo' iuwrrte.also rtgolre such permit to file a sigmd eWccncra POWER DEVICES
�KOsp thathc licemWporsuanitolhr proviaiora of onrractola lmv(Duper
o- o� 9( irgwilhSmian]WO)of Divisicm3o(lh Busircm eebd Ra(wims Code) SWIMMING POOL ELEC UC VALUATION
p ^_,y mlM1e civcanllplherefmm eml the hmisfwdeaIle Wrecrrnion.Anyviolelionof
� Q Sati 7031.5hyanyepplicarlforep:rmlsubjcul a,,1i.l..civdpr.Byof, OUTLETS-SWITCHE -FIXURES
MI M1w fvc hudrvl do0en(550). NEWRESBJENTIALELEC IR _
SQ.FT.
YPE,
ONTUCON
1-0 ❑ ww ofhpony,amyrmpLowid
3_
will Newak,aMde turelsretlnleadrdorof fauk(See.]044,BIIVbbe{
erd I 'on Wr: Corn.or a Liecnee doe Ilot apply m an owber of
yw o ere "wdro aauch wok M1imsdfalhlalgM1 his
11 emvl vmro
ploy on ccs IldimrndnluoBacd fineele.If, R P RFS.UNITS
'cr,Ir _ provc pcl dWhhi mcymrofrompledon,deownv-
dd,r,willtra burdeno(pruvid¢Naheei rolhuihlmimpmve fm purpou of TOTAL:
° \ QTY. PLUMBING PERMIT FEE FLOOD ZONE AM
❑)I,mowrcraf the cuvvclYc vacting wid liccmclmarrlanm
0.Yawcl Ilse pnJ 7614,Buaineu andofmom Code:)Th,,Comnclm'a -
IicemeLaw nm apply loanownvnfpropeny whobuildsaimpoves tlreernnard PERMIT ISSUANCE
who ca for such,otjocts wiibecomrecoroO IdcnsW pumuanvo WO Cnnlr¢ude AhDiR-DRAIN&VPNf-WATER(FA) FEE SUMMARY
❑c�l Law.an earmpl uWerS . ,B A P C fm this rtasan BACK FLOW PROTECT.DEVICE
OU[SIDE FE-Es
SANITARY Y N
Overly WORKMAN COMPENSATION DECLARATION DRAINS-Fi00R.ROOF,ARU,COND. SCHOOLTAX YECFIPI'N N
❑ IM1rmhy eff dwlllaveacmificue of camenl l0 ul!-Inaurt,aemtlBweof Rl:m1IPTN
FIXTURES-PER TRAP
Wakai Canpmselion lmuuacaaunifidrnpylhcrtd(Ss 3800,Isb Cl which PARK FEE Y N
co�cn all employee s uMer Thu Nord. GAS-IA.SYSTEM-I INCA ETS REC TO—
Policy
Y OUTL
PolicyN BUILDING DIV IONFEES
❑ CCrlOfid uhvcby fwdahrd. GAS-EA.SYSTEM PX EA) PIANCHECK FEE
❑ CcniTed copy is flM wid lk clly ibsapalivn division. GREASE/INDUSTRL W NfERCEPPIM GRADING FEE
CERTIFICATE OFEXEMPIION FROM WORKERSGRHASP"TRAP SOILS FEC
COMPENSATION INSURANCE!
(I suction bleed not be manpcind Urn,Perrot N for ane hurN ddolle,s PEEK) SEWER-SANTTAR - -.200FT. ENERGY
wa)
I auy Own inito inrun 'e orll to
for whicit pamilo dbeWlJUB WA FA /FlECITt
rlot arpluY any Pecan in any mumcr ao m to bcmrtc rvbjm to tM Wukai PAID
Cmlpvtmlion Mews of CJifomia. Flue WA R SY TING Re io N
O z Appliem
z 0 NOTICE 10 APPLICANT:If.oBv oinking this Ccri(a of Eacmption,you should NEWSQ.IT. TOTAL:
� vJ vJ fcconoch*tto cWoorkesConimn aov'uiau oft ...code.ruumust
p y mo Pon ia;om or tfuu,pemlil Nall bc hoped bevy � BWj F'
pW„ p CONSTRUCTION LENDING AGENCY SETS
Z I hereby aft duo Ihrsc is a ambnlrvL'Iklbl lading ayacy for dic pvfunurcc M TOTAL: ELECTRIC
U O the work for which this permit ie issuem3(S . .Civ.C.)
Mender's Nems
_endo,AU. QTY. MECHANICAL PERMIT FEE PLUMBING �tiE
U I anlfy oat I lave lead W s appllntion and ave Jon IM1e above infomudm is I
MECHANI L FT:E
c.'.leges to canply with dl city and cumry adiruree mid Noe laws rtiving to PERMIT ISSUANCE
I^' bddiogmbulrvmbn,and hereby alWwiu lepmellativm allhuriryloauerupan tlbe CONSfRU ZION TAX
() z above-rreofo ed pap.'nY for impecNon purpmev ALTM OR ADD TO MECIL
(We)eg.to save,mdarmlfy and keep humkae the City of Cupeni.egoltw
It abililie,j gments,msuendealenseswhich road,in any way e<cmeegaiw eaid City AIR HANDLING ON]](TO 10,13W CFM) -
u4 lhr8 flM16 1.
AIR HANDLING UNIT(OVER IQOW CFM)
'igwurt of onlla[la
Duc7 EXHAUST GOOD(W/DUCID
PAID
I IAZARDOUS MATERIALS DISCLOSURE HEATINGUNTT(TOIW,000BT1J) Dale RrmP'#
Will IIB applicant or fulure building occupant more m handle hYvmdrus underial I D!ATI NO UNIT(OVER I W,BI)O BTU) I TOAL
ore defnW by the Cu,rtoo Monicipnl Code,Chapter 0.12,end de Heallh eW Safety
Calla,Smi 25532(x)^
11Ye ❑No VFN%IATION FAN(SINGLE RFSID)
❑
ISSUANCE DATE
tYJI deeppirwmfugue building by div use Ancor Ar uhty Manichemil
BOILIiR-COMPfJHP OR 100.000 BTUJ � e D
M1arudoua air[(MIeII1111ID11e m dcflrcJ by the Bey Arte Air Qoeti7 Mmiegcmcm BOILER-COW(OVER 100,00)BTU)
,�Dlsnictl
11 yrs 11 No
NEW RESIDENr1A1,MI;CII. SUIT. ���[
1 bore veld Thr huaadaus nutm ills rtGuirtbllralls ti v Chxpty 6.95 of thr MAY J
Cehfmnix Hcdth k Salm Cad.Scctiora 25505.25533 aM 2553,1. 1 undmNend Ibet 1
If th<building docs m c.ly lave a Irnanl.Thu it is my rvµvuibiliry to bunify theCil Y U ../
aclrpant ar de brwib<bnalta wbwh moil x mel prior m imllana ar x crrdfiwle nr t UUr
Occuparcy.
Owrxraaullxxisd ngem Dem TGI'A1U ISSUED BY \ : RJ
( Ii]' of
Cupertino
10300 Torre Avenue
Cupertino, CA 95014
Building Division
(408)777-3228
Fax(408)777-3333
December 4, 1995
Tandem Computers
10400 Tantau
Cupertino, CA 95014
Attn: Greg Bunton
Subject: 10400 Tantau, Permit#28031 - Awnings
Dear Resident,
I According to our records the above mentioned permit has never been finaled by a
City Building Inspector. A permit is considered to be valid only six months from its
last inspection date. If your permit shows that the final inspection has been completed
please send a copy of the permit, along with this letter to 10300 Torre Avenue,
Cupertino, CA., 95014, Attention Building Department.
If your permit has not been finaled, please contact the Building Department by
calling (408) 777-3228, so that we may arrange to extend your permit, and schedule a
final inspection.
In an effort to control the number of expired permits, the City of Cupertino
requires a response in ten working days from your day of receipt of this letter. If we do
not hear from you, the City of Cupertino's Building Department will have no
alternative but to resolve your permit as expired and discard the records.-
Thank you for your assistance.
Sincerely,
City of Cupertino
i
•
Plrnten nn Peca-Icc Pnper