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276810889 S BLANEY AVE 2768a288792851 F THE DONUT SHOP SCANNED BOX # 798 O1 !A Z z O W _ 0-0 Z) z UO LL V O w >- W rn )-' Z A APPLICANT•TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN UNLY BUILDING PROJECT I DENftN -'BUILDING , ADDRESS - - APPLICATION IT - ' BUILDING - ELECTRICAL- PLUMBING-- MECHANICAL P 2768 OWNER'S NAMEQTY- ELECTRIC PERMIT FEE PHON ¢IS PLAN CHECK VALIDATION PLAN CONTRACTOF1'$ OUTLETS - SWITCHES - RECEP 5.00/1.00 NAME O/NS COVr� /F1/ - LIC.NO. / LIGHTING FIXTURES 5.00%1.00 - ' - - ' DATE OF APPLICATION OONTRACTOR•sAPPLIANCES - RESIDENTIAL 4.00 AODRESS .. •, 9y y ��D AIZ04 PHON / PANELS 5.00 Z92 to Z� ARCHITECT 94s9S SIGNS 6.00 OR ENGINEER LIC. NO. SIGNS TRANS. 3.00 PLAN CHECK FEE P.C. NO. / ARCH. OR ENG. ADDRESS SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP. METER OR POLE INS. 15.00 APPLICANT'S MOTORS SEE FEE SCH. .ADDRESS SERVICE CHANGE 10.00 LICENSED CONTRACTORS DECLARATION 5�rU3d hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division'3 of the Business and v ProfessionsCode,&/ny license is in full force d.e t. - Class Lic. Number O ISSUANCE DATE. - BLDG. EL ���(GG' EJ}L, u MECH. EJLicense Date / Z ontractor OWNER-BUILDER DECLAR ON I hereby affirm that I am exempt from the Contractor's License MISC. - REFER TO ORD Law for the following reason. (Sec. 703 1.5, Business and,'Professions PERMIT ISSUANCE 6.00-�I-`y Code: Any city or county which requires a permit to construct, alter, - improve, demolish, or repair any structure, prior to its issuance, also ELEC. CONTR. LIC. NO. - ELEC. requires the applicant for such permit to file a signed statement that TOTAL he is licensed pursuant to the provisions of the Contractor's License IN ORMA - yy� u�(J�je rJn�$/FT. (/�"', - PERMIT TO Law (Chapter 9 (commencing with Section 7000) of Division 3 of the/] Business and Professions Code) or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE VV-_ STORIES TYPE CONSTR. the basis for the alleged exemption. Any violation ofSeclion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).): ALTER -DRAIN &VENT -WATER (EA.) 4.00 / '�'/ N ❑ I, as owner of the property, or my employeds with wages'as BACK FLOW PROTECT. DEVICE 2.00 their sole compensation, will do -the work, and the structure is not intended or offered for sale (Sec: 7044, Business and Professions DRAINS -FLOOR, ROOF, AREA, COND. 4.00 Code: The Contractor's License Law does not apply to an owner of OCC. GROUP �j v RES. UNITS property who builds or improves thereon, and who does such work FIXTURES - PER TRAP 4.00 himself or through his own employees, provided that such improve- ments are not intended or offered for sale. If, however, the building GAS - EA. SYSTEM - 1 INC. 4 OUTLETS 4.00 $O. FT. FLOOR AREA , TOTAL ACREAGE -�--- 3 or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im- GAS - EA. SYSTEM - OVER 4 (EA.) 1.00 prove for purposeofsale.). INDUSTRIAL.WASTE'JNTER. 20.00 ❑ 1, as owner of the property, am exclusively contracting with J BUILDING.USE RES IND CO PB Ocher ❑ - ❑Fer, ❑ ❑. licensed contractors to construct the project (Sec. 7044, Business LAWN SPRINKLERS - 1: INC 5 V.B. 5.00 and Professions Code: The Contractor's License Law does not apply to -an owner of property who builds or improves thereon, and who LAWN SPRINKLERS -,OVER-5 (EA.) 1.00 ASSESSORS PARCEL NO. contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft/8.00 .r TRACT NO. PARCEL NO. ❑ I am exempt under Sec. B.&P.C. for this WATER HEATER W/VENT' 4.00 reason Date Owner- WATER SYSTEM 4.00 ACC, DATE ACC. FILE NO. WATER TREATING EQUIP. 4.00 WORKERS'COMPENSATION DECLARATION r - I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insur ce, or a certified copy thereof (Sec. 3800, La /�/),-� /l f 1 ZONING 09 ENG. SITE NO. ny.). o. Company_/J-d,`Ji- l.. I 'Policy No.-Company. - - FIRE SPRINK Y N ENERGY T-24 YX No ❑ Certified copy is hereby furnishe �. '- ❑ Certified c is fled with t e city inspection division. Applicant- 7z0 - MISC. - - REFER TO ORD. CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 6.00 FLOOD ZONE COMPENSATION INSURANCE This section need not be completed if the permit is for one Y El `,�, -E" - e PLG. CONTR. , LIC. NO. PLG. - TOTAL hundred dollars (S 100) or less.) I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so as to. QTY. MECHANICAL PERMIT FEE - FEE SUMMARY BUILDING / a60Ifo become subject to the Workers' Compensation Laws of California. Date Applicant ALTER OR ADD TO MECH. . 4.00 NOTICE TO APPLICANT: If, after making this Certificate of Ex- -APPLIANCE 4.00 AIR HANDLING UNIT (TO 10=C.F.M.) 3.00 PLAN CHECK FEE emption, you should become subject to the workers' Compensation provisions of the Labor Code, you must forthwith comply will, such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 5.00 SEISMIC FEE 3 �S I hereby affirm that there is ,a construction lending agency for EXHAUST HOOD (WITH DUCT) 2.00 - the performance of the work for which this permit is issued (Sec. 3097,Civ.C.).��. MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 4.00 Lender's Name Lender's Address HEATING UNIT (OVER 100,000 B,T.U.)7.50 ELECTRIC I certify that l have read this application and state that the above VENTILATION FAN (SINGLE) 3.00 information is correct. I agree to comply with all city and county ordinances and 'state laws relating to building construction, and PLUMBING BOILER - COMP (3 H.P.-or 100,000 B.T.U.) 4.00 gOILER•COMP,'(over 700,000 BfUI SEE FEE SCH. MECHANICAL hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. (we) agree to save, Inde n y and keep harmless the City of Cupertino against ie , j gments,' costs and expenses whichPERMIT ' g of th' [may in any we c ag st said City in consequence of the 142 �raor - MISC. - ' REFER TO ORD. CONST. TAX ISSUANCE 3.00 MECH. CONT. LIC, NO. . MECH. TOTAL TOTAL (p3 J Signatur of Applicant Datt \ OFFICE COPY Z z N W > 0-0 0 z 01 LL 1— Oa } rn � z APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY, BUI LDI NG PROJECT I DENTI FIC IN .. APPLICATION & Pi IT BUILDING — ELECTRICAL—'PLUMBING — MECHANICAL _i—--�� �J �— —�—^� , PER �YBV) - I*� I BUILDING .ADDRESSq OWNER'S - ill r NAME �i / —1 J j�V (.'V YA) �L G/G/< PHONE 949 -YS'S8 QTY. ELECTRIC PERMIT FEE: PLAN CHECK VALIDATION - . ' .• DATE OF APPLICATION COME NTRACTOR'S NA L 0,t_ 17A5 a.J (dC , LIC. NO."/X, ig ` --to /y OUTLETS -SWITCHES- RECEP 5.00/1.00 LIGH NG FIXTURES 5.00/1.00 CONTRACTOR•sPPLIANCES-RESIDENTIAL ADDRESS - [ �,•(/ p 6 Y y U�l V�(fJ( fJ / / .y y�I VC. PHONE ` &Ja d -4.00 - PANELS 5.00 ARCHITECT OR ENGINEER - uc.No: SIGNS 6.00 PLAN CHECK FEE P.C. NO. -' SIGNS TRANS. 3.00 ARCH. OR ENG. ADDRESS - ZIP SPECIAL CIRCUIT 5.00 PERMIT VALIDATION . _ ISSUANCE DATE TEMP. METER OR POLE INS. 15.00 APPLICANT'S ADDRESS ArS . fC'OA/ -re AcTefZ _ MOTORS SEE FEE SCH. s��"I� eI rerrl►s'E _ „' ^^- LICENSED CONTRACTORS DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, an'm dy license is in full force a d (f L/ Class C —� Lie. Number Date - 2 _r Contr o OWNER -BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the following reason. (Sec. 703 1.5, Business and Professions Code: Any city or county which requiresa permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) o(Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toacivil penalty of not more than five hundred dollars (5500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve- ments are not intended or offered for sale. If, however,the building or improvement is sold within one year of completion, the owner- builder will have the' burden.of proving that he did not build or.im- prove for purpose of sale:). ❑ I, as owner of the property, am exclusively contracting with, licensed contractors to construct the. project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds orimprovesthereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. ❑ 1 am exempt under Sec. BAP.C. for this reason PoAf 'r Ro8OT 31/;P, /a '?! Fi,w(� a N. t? Ft ;!-£R 3 NP REPER P lc J30)(dttf P BLDG. E ELECT. PLG. El MECH. - El `F ?0 BUILDING PERMIT . INFORMATION MISCLWF IDTO ORD . — VALUATION $/FT. " PERMIT ISSUANCE 6.00 ELEC. CONTR. LIC. NO.' (� £ /�� �� C—/ O „/ ELEC. TOTAL �� PERMIT TO r--'- , e I G QTY. PLUMBING PERMIT FEE STORIES TYPE CONSTR. ALTER -DRAIN & VENT -WATER IEA.) 4.00 BACK FLOW PROTECT. DEVICE 2.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA,COND. 4,00 FIXTURES,- PER TRAP 4.00 SO. FT. FLOOR AREA TOTAL ACREAGE GAS - EA. SYSTEM- 1 INC.4 OUTLETS 4.00 GAS- EA. SYSTEM - OVER 4 (EA.) 1.00 BUILDING USE RES IND CON PB Other 0 0 0 0 INDUSTRIAL WASTE INTER. 20.00 LAWN SPRINKLERS- 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO. p_ LAWN SPRINKLERS - OVER 5 (EA.) 1.00 SEWER -SANITARY -STORM EA. 200ft/8.00 TRACT NO. PARCEL NO. WATER HEATER W/VENT 4.00 Date Owner WORKERS'COMPENSATION DECLARATION' • I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab .C.). / / UAL Policy No. Company G• ❑ Certified copy is hereby furnished. Certificd� py is filed . iIh the ity inspection division. pp (Cant WATER SYSTEM 4.00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. 4,00 . - ZONING - ENG. SITE NO. - FIRE SPRINK - Y N ENERGY T-24 Y [:] NE] MISC. - REFER TO ORD. CERTIFICATE OEX MPTION FROM WO KERS'. COMPENSATION INSURANCE, (This section need not be completed if the permit is for one hundred, dollars (S 100) or less.) I certify that in the performance of the -work for which this per- mit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date ApplicantBUILDING PERMIT ISSUANCE 6.00 FLOOD ZONE Y 0 N ❑ A.L.U.C. Y o - No PLG. CONTR. UC. NO. PLG„ TOTAL. QTY. MECHANICAL PERMIT FEE FEE SUMMARY ALTER OR ADD TO MECH. 4.00 Ex- NOTICE TO APPLICANT: If"after making this Certificate of Ex- emption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. C.ONSTRUCTIONLENDINGAGENCY I hereby affirm that there is a construction lending agency for, the performance of the work for which this permit is issued (Sec. 3097,Civ.CJ. Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to'comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities; judgments, costs and expenses which may in any way- accrue against said City: in' consequence of the grant" of this Pe it,7-- na ure of Applicant/Contractor Date APPLIANCE' 4.00 PLAN CHECK FEE AIR HANDLING UNIT (TO 10,000 C. F. M.) 3.00 AIR HANDLING UNIT(OVER10=C.`F.M.) 5.00 SEISMICFEE EXHAUST HOOD (WITH DUCT) 2.00 MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 4.00 HEATING UNIT (OVER 100;000 B.T.U.P.50 ELECTRIC a VENTILATION FAN (SINGLE) 3.00 PLUMBING' BOILER - COMP (3 H.P. or, 100,000B.T,U.) 4,00 BOILER -COMP (Over 100,000 BTU) SEE F,EESCH. MECHANICAL misc.- REFER TO ORD. CONST. TAX PERMIT ISSUANCE 3.00 MECH. CONT. LIC. NO. MECH. TOTAL TOTAL OFFICE COPY �X ¢ z 00 U U O Z Z� CC.. - LLJ a0 :D z U_O LL Ow } a In WA X� APPLICANT TO FILL IN INFORMATION WITHIN RED LINES -USE BALL POINT PEN ONL_jfnl BUILDING PROJECT 1 DENTI FI( )N BUILDING APPLICATION & P IIT ADDRESS q R yVP 8 �,4,v� � i. BUILDING -ELECTRICAL- PLUMBING -MECHANICAL ER BER OWNER'S _ - Y - NAME Q S h TY. ELECTRIC PERMIT FEE j0mN6t T45 PRONE PLAN CHECK VALIDATION CONTRACTOR' NAME ,,%iamb.11 , 1%7e/%7Sr,-n 4 tlhs Ic.No. OUTLETS' -SWITCHES -RECEP 5.00/1.00• LIGHTING FIXTURES 5.00/1.00 AS .. '- DDREScroR's ADDRES- APPLIANCES - RESIDENTIAL '4.00 PANELS 5.00 PHONE' DATE OF APPLICATION ARCHITECT OR ENGINEER ' LIC. NO. SIGNS 6.00 PLAN CHECK FEE ' P.C. NO. ' SIGNS TRANS. 3.00 ARCH. - ZIP SPECIAL CIRCUIT 5.00 PERMIT VALIDATION - TEMP. METER OR POLE INS. 15.00 APPLICANT'S - ADDRESS MOTORS SEE FEE SCH. SERVICE'CHANGE 10.00 �O LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and ray.IjCense is in full fort ar r c .p� License Class L' ✓6 Lic. Number u '// \ ISSUANCE DATE BLDG. ❑ ELECT.. E]❑ PLG. MECH. Date Z .J F _2 Contractor t BUILDING PERMIT INFORMATIONSC. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason. (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Such permit to file a Signed statement that he is licensed pursuant to the provisions of the Contractor's License MI- REFER TO ORD PERMIT ISSUANCE 6.00 VALUATION $/FT. . . ELEC. CONTR. LIC. NO. _7E LEC. TOTAL PERMIT TO QTY. PLUMBING PERMIT FEE Law (Chapter 9 (commencing with Section 7000) of Division 3 of [Ile Business and. Professions Code) or that lie is exempt therefrom and STORIES TYPE CONSTR. the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toa civil penalty of not more than five hundred dollars (5500).): ALTER -DRAIN &VENT -WATER (EA.) 4.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not BACK FLOW PROTECT'. DEVICE 2.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA,-COND. 4.00 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds Or improves thereon,.and who does such work himself or through his own employees, provided that such improve- ments are not intended or offered for sale. If, however; the building F SO. FT. FLOOR AREA - 'TOTAL ACREAGE FIXTURES - PER TRAP 4.00 Ct % GAS - EA. SYSTEM - 1 INC.4 OUTLETS 4.00 11601 or improvement is sold within one year of completion, the owner- builder will have the burden of proving that lie did not build or im- prove for purpose of sale.). ❑ 1, as owner of the properly, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 (EA.) 1.00 /db BUILDING USE RES-' IND CON' PB Other ❑ '❑ ❑ . ❑ ❑ INDUSTRIAL WASTE INTER. 20.00 licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who LAWN SPRINKLERS - 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO. LAWN SPRINKLERS - OVER 5 (EA.) 1.00 contracts for such projects with a contractor(s) licensed pursuant l0 the Contractor's License Law, SEWER -SANITARY -STORM EA. 200ft/8.00 TRACT NO. PARCEL NO. ❑ 1 am exempt under Sec. B.&P.C. for this (.WATER HEATER W/VENT 4.00 O6 reason Date --Owner .WA TER SYSTEM e1 4.00 7 0 0 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. 4.00 WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-igsure, or a cert Icge Workers' Co pens ton Insurance, or a certified copy th 38Q0�T/� ZONING ENG. SITE NO. ' Policy No. Company G�kd -Zml _ - FIRE SPRINK V ❑ No ENERGY T-29 Y ❑ NEI ❑ Certified copy is. hereby, furnished. ��Certifie p s � d the CI Ins [ n division. AppTcant,_; _ �c�- MISC. - REFER TO ORD. CERTIFICATE,OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 6.00 r FLOOD ZONE A.L.U.C. COMPENSATION INSURANCE (This section need not; be completed if [he permit is for one I. Y ❑ N ❑ "- Y E]N ❑ PLG. /C�O,NTR. _ LIC. NO. r'! �z - 40�10�- PLG. PV TOTAL hundred dollars (S 100) or less.) I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so as to QTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING become subject to the Workers' Compensation Laws of California. Date Applicant ALTER OR ADD TO MECH. 4.00 NOTICE TO APPLICANT: IL after making this Certificate of Ex- APPLIANCE 4.00 AIR HANDLING UNIT. (TO 10,000C.F.M.) 3.00 PLAN CHECK FEE emption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with- such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT (OVER 10=C.F.M.) 5.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097,Civ.C.). EXHAUST HOOD (WITH DUCT) 2.00 HEATING UNIT (TO 100,000'B.T.U.) 4.00 MICROFILM Lender's Name Lender's Address HEATING UNIT (OVER 100,000 B.T.U.)7.50 ELECTRIC I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 3.00 information is correct. I agree to comply with all "city and county ordinances and state laws relating lo.btiilding construction, and PLUMBING O'O BOILER - COMP (3 H.P. or 100,000B:T.U.) 4.00 hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. MECHANICAL BOILER (Over 100;000 BTU) SEE FEE SCH. ,(We) agree to save, indemnify and keep harmless the City of MISC. - REFER TO ORD. Cupertino against liabilities, judgments, costs and expenses which may in any way accrue against said 'City in consequence of the gr of rs pe nrt' CONST. TAX PERMIT ISSUANCE- 3.00 MECH. CONT. LIC. NO.MECH. - p 2. O TOTAL TOTAL Signature of Applicant/Contractor Date OFFICE COPY C`I'T'i OF C U P E R T I N 0 Building Division PROJECT E/`'I o46 L CONTROL # I �h ADDRESS x v cs PERMIT # M,GTER Cv6 L" —7 ,'V S L u cr< PHONE SAN. # ADDRESS BLDG. TYPE REP. PHONE OCC. GROUP ARCHITECT PHONE ADDRESS REP. PHONE r1� /� CONTRACTOR / / O M J E �/ l (j A1,f PHON-CtL2j5 7ad',5-VA-L. `� , 0 0 ADDRESS :3 S yam- 7.--�, 7 Z1% ST�RUCT . PLAN CK REP. GLL n/ �eo c c9 PHONE jJ_4�-7S� 7 BLDG.PII/O�k PLAN CHECK HOURS PERMIT FEE o2 lv S� CAP FEE CONST. TAX ENERGY FEE TOTAL FEES DATE REC. DATE RET. / of -- --- — — - .. - BLDG. DEPT. ENG. DEPT. PLAN. DEPT. STRUCT. ENG. CENTRAL FIRE DIST. -HEALTH DEPT. -SAN. DIST. •EITERGY -HANDICAPPED C.I'.CY Or.CUPF.RTINO I11SPI.:CTIOV RP.CORD (Office Cony) 2768 10889 Blaney Ave. PL'P1ti,r NO. SANITARY DIST. NO. LOT NO. ADDRESS Remodel Evelyn Sluck PROJECT OWNER JOB SITE P11014E NO. PERMIT ISSUED Date ELECTRICAL Building _ 11-24-82 Date Insp. Electrical i,4 Y27- Power Pole_ _ 1'111mhinfi Underground Ifechanica1 Rough Wiring_ Temp. Gas/llect. [laF1s Solar Ceiling Fire Sprinkler Fixtures.Int/Ext Sign Etotors Grounding hist. Temp. Power FINAL INSPECTIONS Date Insp. s Electric Plumbin fy, Mechanical Solar Pool Gradin Planning Fire Dept. Ilealth Dept. B U i I d i n Other 1 BUILDING Date Insp. Pad Certification Founda.ti.on Pre-Gunite S lab-Itemb rane Bond Beam Underfloor Girders Floor Steel Tiedowns Diaphrams ;seismic Bracing Ualls-Panels Frame ].a t h Uallboards nt Ext. Firewalls Other Not Approved .,, fWazi SKo.�..va.- Other Not Approved T PLUMBING Date Insp. B ckflow U er ,round d rfloor Parti'a-1 Rough Rough Complete Solar Rough [dater & Insulation Main Drain R/of/S Drain Gas . 2.— —�Z Other _ Not Approved MECHANICAL Date Underfloor S.N. Insp. Ducts & Insulation Fire Dampers _ Fireplace Grease Duct & Hood One flour Shaft _ Condensate Drain _! Equipment Anchorage Flues & Comb. Air Other Not Approved BUILDING ELECTRICAL PLUMBING MECHANICAL MISCELLANEOUS Outlets for ducts serving eithr-- Type I or Type II hoods must extend through the ro< Mess otherwise ap- proved by the building official. It can be anticipated that designs employing a- horizontal run to the exterior wall and thence vertically on the exterior will be submitted for approval particularly in multistory buildings because vertical shaft construction is both expensive and reduces usable area of floors above. In deciding the merits of ex- terior grease duct locations, the existence and location of openings in the adjoining wall, access for fire -fighting equipment at grade and the exposure of -adjoining buildings or structures will be important considerations. DUCT SYSTEMS -CONSTRUCTION AND ENCLOSURES See requirements for motors and fa ns, see Sec. 2002 (i) and Exhaust termination -10' minimum from adjacent 2004(a). building, adjacent property line, air intakes, and in' above adjoining grade level Bottom horizontal discharge - T-0- minimum ahove roof ' Sha it separation minimum one-hour or Brea ter as rrquirrd by the Uniform Building Code \/ Roof { Inclwiilual shaft is required exclusively Ventilated Shaft for each exhaust system. This shaft shall. be spaced asvav from the duct a minimum of 3" and a maximum of 12" It xtm Velocity l Solo F PM �. ❑ �I I Minim . Slope due I to hood minimum (W.r lineal foot for ducts less than 75' in horizontal length. If duct exceeds 75'. slope is t" per foot. Cleanout doors in ducts shall be equipped with a substantial method of latching that can be opened . without the use Df tools. Protect outdoor ducts against corrosion, see Sec. 2002 (a I. Provide 111" between ducts and comhustibles or 3" minimum from protected comhustibles. 1. No vibration isolation connectors shall be installed except metal sleeve joint packed with asbestos rope and whose design is acceptable to the building official. .2. Provide adequate. cleanout openings for thorough cleaning of (lust system. .3. Provide adequate make-up air for proper operation. 4. Provide a separate duct system for each hood (see Exception). 5. Thickness of ducts shall be: Ducts Serving Mfg. Std. Ga. Type Ihood 16 If stainless steel 18 Type II hood See Tables Nos. 10-A and 10-B 6. Weld or braze all duct joints and seams on the external surface. 7. Support the ducts as required by Table No. 1(}E. Do not penetrate duct walls with screws, nails, etc. R. Sections of duct shall not contain grease pockets. MERCIAL HOODS CANOPY TYPE (Front View) 4.-0" Maximum Cooking Surface CANOPY TYPE Minimum volume of air exhausted: Q = 150A —Open 4 sides Q =100A—Open 3 sides Q = 50PD—Alternate A=Sq. ft. surface area of hood P = Ft. open perimeter of hood D=Ft. distance from lower lip of hood of cooking surface Q =Cubic feet per minute. Minimum Clearance . from Combustibles 1R" Minimum Clearance from protected COMhUStlhl('S 3" Hood shall overhang cooking surface at least 6 inches on all open sides NON -CANOPY TYPE Minimum volume of air exhausted: Q 300 L = Feet (Front lineal-fetdt of cooking equipment) Q =Cubic feet per minute GENERAL REQUIREMENTS Type I — Grease Hoods: Galvanized steel to be minimum No. 22 Manufacturer's Standard gage. 24 oz. copper or .030" stainless steel. Type II—General Kitchen Hood: Galvanized steel No. 24 Manufacturer's Standard gage, 24 oz. copper or .030" stainless steel. If gutters are provided, they Shall drain to an accessible. receptacle. See Table No. 20-A for minimum distance. between lower edge of grease filter and the cooking or heating surface. Grease filters shall be installed in frames or holders with handles and readily removable for cleaning. All joints and seams substantially tight—use solder only for. sealing joints and seams. Approved fire -extinguishing equipment required for duct system, grease removal devices, hoods and cooking equipment, see Sec. 2004 (h). COMMERCIAL HOODS NON -CANOPY TYPE. (Side View) Minimum Clearance from Combustibles 18" Minimum Clearance from Protected Combustibles 3" Rc quired capacity 300 cfm per foot of length Cooking Surface