S0308 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPRRTINO BUIL)INc-ELECTRICAL PERMIT NO.
BUILDING DIVISION APPLICATION/PERMIT PING PROO CT inv MECHANICAL S 0308
- BUILDING 1'R(1JF.Cf IDFNfIFIC'ATION'
BUILDING ADDRESS: SANITARY NO. APPLICATION SUBMITTAL DAPI?
In ti oo N -TA N iu tra c 7 l Q
OWNER'S NAM1ILtor �' PHONF_27�� CONTRAgoFe NAAIF LIC NOPet asi :
3 NIC CONTROL 9
�ARCHITECDFNGINEER: LIC NO: ADDRESS: ❑
I r1o/.VetalJ AJ hat Ufea/
CONTACT, PRONE: NG PERMIT INFO
❑ Consultant Fees Paid by Applicant(Initial) lj;7
-CI T/PLUMB MECH
LICENSED CONTRACTORS DECLARATION QTY ELECTRICPERMIT GSCRIPTIDN
1 hereby affirm Nat I em linn,ed under provisions of Chapter 9(nmmwming"Z xifSixtioo]000)dDismon 3 ofthe,Birinesntnd Pbafa,siomCodc.aml myliceri is PERM1IITISSUANCE 1-won Wl= nlleCm1ed.`2 -lf 2 31 ❑KITCHFIJ REAfODEI.RR..ZIy Dae LL II JJ Cnntrwl,x APIY,IANCGti-RISIDENTIAI. ❑PLUA1111NG RF.-PIPIT
NQ1 RCHITECTS DECLARATION ❑STRUCTURAL
F,p h PANELS MODIFICATION
OZn-'Z I understand my plain shall be used at,public reared; UPT03O)AMPS
C1 INTERIOR ❑CHIMNEYREPAIR
rQ4�0 Limnscd Professional 201-IIhX)AMPS IMPROVEMENT SWIMMING IYbIS
Oat I am exemptfr m the RATION
OC OVER IO MPS ❑IMPROVEME IiVREPAIR SWIMMING
I hereby anion Nat I am Hemp from to CmtmcuMs Licrnsa law for dtc
�1�( aU follmvingresan.IScetieo WOLi.Busirma,and Professions Code:Any city n ttwwy SIGNS ELECTRICAL. OTHER
1+13 LL V,{,whicb requires a px rmd to mruno,,ager.in,mi demolish,or re,ir any structure
Np atd�a prior to ita&,sear),aim rtquirtx the tppliumfnr.,..h prmtitwBlctsigrcdatmcmcm SPECIALCIRCUMMISC.
HHONmhc is,ing sed punatn 70311)of Dsion 3 MCnnuictnr'undPnsclaw(ChaptnY
OC��(mmmcning wiN Sm3ian]000)nf UivisionJof NCBmimx,and Prof�siom Code)or TEMP.MICIFR OR POLE.INST COMMERCIAL
Et.d o K 0,he is exerryw therefrom and he Ni for the alleged exemption.Any violation of
❑NEW BLDGIADDITIO.�' ❑DFA101-fTION
y Se tion 70313 by any e,licarm for n permit whis-,the applicant to s civil penalty of POWER DEVICES [D TENANT ❑FOOD SERVICE
zy ml mora Form five hundnvl ddlam($500), IMPROVEM11
ISS ❑ La,mvncr MFhepmpcny.wmy empbycex wiN wag[sNINEir ale ntmpcnwinn, SWIMMING POOL.ELECTRIC F]OTHER
p. w711 do Ne work.and the atrtr3urt isna intended oroRwed for sale(Sec.7lHJ,Bustev
a 3 If
and Pmfnsiom Cmc:The Conrawols Live.Ian dm nd apply 3o m s wan of OU1I.ITS-SWHCIiFS-Fl%TLRF_S
popcny who Mtilds or impovcs IF.and who doh such w,rk himself or through
- his awn cmplo,,povidrd That such impo,,ccnm me net innm,kd bn nRcred for N17W RESIDENTIAL I!LECTR SQ]
mlc.lf.however,3hc huikgngmimpombnmis.dd wiNin secyror ofcanplctm,Ile SQ.PI'.II,OORAHI3A 5/gQ.IT.
,ter-wilder wsn have Ne Ivbden ar pm•'mg Nat k aid tttt Ir,id W ire fn wr-
pme of side.).
1,as caner of the a,oPcnY,am exclusively conuacung with licensed mntmeta,to
matmd the p,,jaal(Sec.70Hd,Inline,toil P,ofis,inrx Crelc:)The Comnea,ra 1-1-
skid QTY QTY. PLUMBING PERMIT FEE
wlr kobmacl,frv.ach a,oject,wiN a comnworts)licensed W bxua^r m Ire Corn.-,
Lott.Law. PERMIT ISSUANCE
1 am enema,mi Sec. .B A P C fm this reantn
ALTER-DRAIN M VIN'1'-WADER IIA) VN,UAIION
.Owner 1}to
WORKER'S COMPENSATION DECLARATION BACK FLOW PROTECT.DEVICE.
lhcrcby tlBrmuma pwugyne perjuryoncof NcfnsA'NWAcrs o
o,ns andide Psrby a non3 mnl he baro Cokic." Gr Whrkcr's Qt of di, DRAINS-II.00R.N(R)H ARIA,GDND. SIUHIES TYI'F,CONSTRUCTION
vtiun a,Provided Tse by Sm, 97110 of FM1c WMr Ctadc,Lrc INC IcHsrnm¢c of the
work for which Nispm7ir i,orkd. FlNTURLS-PFJt TRAP
s:and sill..,•;Matin Worker's Cmmpenaatian In,urutcu,as rcquiml by Secnm
J] )of the l�Mr Ctdc fw the perfnmarce of the wart fa x'hich Nis permit i,is,nrJ. GAS-IA.SV STIJ.1-1 INC.]OVD-EfS OCC.GROUP APN
My W,rckyy-C'n.w3pm6.camp pod Nlo GAS-M.SYSFM-OVFR4(HA)
Cmncr. 5j6, Y A
CERTIFICATE OF EXIN FFION FROM WORKERS' GRE,UIMNDUSTRL WASTE INTERCEPTOR
COMPENSATION INSURANCE! BUILDING DIVISION I'EF_S
(To, ,,ti.bred nil be completed lithe pecrom is fora¢hurab idnlliMOO) GREASETRAP
a 7cµ.7 n—
I
I sonify Fwt'm he pertixnwntt uf3he sunk finwhwh Fhb,p;—it is lrsunl.I Jwll SEWER-SANITARY-STORM 1A.200 FF.
M employ any pe.N my manncr a a,to bev.uhjec,to the Workeni Cont
,z saitm lass ofcdifornia Dote WATER HEATER WIVPN PELECTR
ZApplicant t
Lr NOTICE TO APPLICANT.If,atter making this CmiGrnFe of Exempnon,you rhould N'AI'HE SYSTEKIG BEATING
F^ hcennc subj¢uo the Works,Cmnpem,niim pmvi mi,.rlhc labor Cnlc.pw most
Wforthwith comply wit such co,noom in his pmnitshall Ne dissected revoked WATER SERVICE:
7z CONSTRUCTION LdiNDINGAGP1tCY NEW RESIDE,YI'IALPLMIB. SQ.17. g hereby affirm that is u comm,ctibm lending agency❑k floc,lcrl'onnarce of
Oreonn0 far which this pant is issued(Set.YN7,Civ.C.) TAT
O 1<tdn's Nano TOTAL:
Lebdcls Addreax
mfim
1 certify Lrea
ha 1 have d Ni,ri'l.pnd owe thIM at above inaiom is BUILDING FEE
N coined.1 agree ocmm,I,wonaB cip'and many ordittancex im smm less,relaing to QTY. MECHANICALPERMIT IFF,
U Nuikhr,con.meFlon.tont henhy mthons¢prc,cngnives ofthis city Foconer upon the s—15SEISMIC FEE
ebovcorrotimed
property for ina set n pt rl PERMIT ISSUANCE � �
(We)agree to wT,imcmnlfy am keep turmltts tw City of Cua,'mirc apiml ELECTRIC FI:I;
IinMline>Itdgnorms.co.s am ex,—whwh may in my x.y eccrtro again.said City ALTER OR ADD'Or MECH, PLUMBING ITE
in m yocmc of the gaming of this pcmiil.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT AIR HANDLING UNIT CFU In01M)CPM) MI CHANICALFI!E
SOURCE REGULATIONS.
AIR HANDLINGUNITIOVER 10.000CM) CONSTRUCTION TAN
SignwuteafA,1w,mUComraetm Dori, BBIIAUSTHOOD(WNUCT) I OUSINGMI'UGAFION ITT
HAZARDOUS MATERIALS DISCLOSURE.
HJI Ncapplicantsrfaun,buildimgn0.vpanF.mevhtrdc Nic;IrNms matcbial HH,ATING UNIT TO 1011"BTU)
m def cal by the 32ni)? o Municipd Cab.Chapttt 9.13,am the,Hraltb and Saftty
Code.Section,,y55J2(a)7 H W'FING UNIT(OVER I(MIAX)B I1TU)
�Ycr V ITN'II LAI'ION FAN IS INGLE H f SI D) I'NU Gam Rreeia,M
Will the applicant or future building necupam use cyvip ew on dcvk s xtich BOILER-COMP QHPOR 100.1100 BTUI
emit hamrdws air cawmmmis;m defiarJ by the Bay A.Air Wality Mm
anagcern TOTAL:
Di,hfO? / BOILER-COMP(OVER I B)IOI BTI!)
❑Yca
I have real the la:vdaux vorams na,irenenra under Chapter 695 of the CAI- AIR CONDITIONER ISSUANCE.DATE
Tama HedN R Safely CoatSm' 25Nks,25S1J end]-sSJ,a.1 wdcntand dw if the NEW RESIDENTIAL,MECH. SO.Ef. _ Thuilding By have or,Ihot i3 umy resom1hiliO to nti IMnc<ulm+ 7 - 16, -
yCthen eiremc hk t t In nt laruubtm ofn Crnlfic-semi ��Ica
rcamimrix ggem Uatc TOTAL: ISSUED BY: C O
OFFICE
07/16/97 WED 11:23 FAX 4159683945 FERNA CORP. i++ FERNA SHOP 0002
_ -- 07/16/97 10:39 0406 268 3232 TANDEM-[ORP RE »»» FERMA CORP. ®0o2/002
• Tandem Computers Incorporaled
CorpITA�u 1040 micNor Real EsIaleiau A And Slte C 248-s
MNYan6 10400 NorU Tant6u AVOnue LOC 248-0a
Cupetift,CA 95014
(408)18S•32DD
July 15, 1987
Forma Corporation
1265 Montecito Avenue, Suite 200
i Mountain View, CA 94043
Attention: Frank Hilo
Reference: Santa Clara Valley Water District
Celabazas Creek, Phase IV, Trailer Location Approval
Dear Mr. Hile
It was a pleasure speaking to you on July 1 S. 1997 concerning the placement of
Ferma's construction trailers an Tandem Computers. Inc. property during
Santa Clara Valley Water District Calabazas Creek, Phase N. project.
• This letter serves as an approval by Tandem Computers that two construction
trailers may reside a Tandem campus located at 10400 N. Tantau Ave.
Should you have any questions concerning the above approval please contact
me at (408) 285-3202.
Sincerely,
JiV mHeywood
Project Manger, Design B Construction
jrh