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14308POST THIS CARD NEAR FRONT OF BUILDING - CITY -OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD JOB ADDRESS 10143 AMADOR OAKS CT UNIT# _LOT# JAN' TRUSSO_ OWNER CONTRACTOR . PERMIT NUMBER 1430$ ; PERMIT EXPIRATION I PERMIT EXPIRES IF WORK. IS NOT STARTED WITHIN 180DAYS OF PERMIT' ISSU- ANCE OR 180 DAYS FROM : LAST CALLEDINSPECTION. INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION - - NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY'WITH THE APPROVED PLANS AND CITY OF CUPERTINO•STANDARDS.- UFER. ' PR EGUNI?E` ' ' - - PERMIT VALIDATION �T �S- I SSUANCEUATE •BLDG wMECH. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING- ELECTRICAL MECHANICAL " ELECT. PLG. 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ' BUILDING PERMIT,'- INFORMATION I' -' WOOD FLOOR vnwnnON SBFT. . ` PLUMBING ; - - MECHANICAL ELECTRICAL 'PERMIT TO .FRAMING' INSULATION ` - TOHIES TYPE Co NSTH. - ` - y ' Ul C N G DCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ROOF NOTE; NO FINAL INSP. SHALL BE MADE BEFORE . THE CONSTRUCTION TAX IS PAID so IT PI.nDRnREA TOTAL ACREAGE DIAPHRAGM ROOF SHEATHING . BUILDING USE RES IND CON PB 0'." , � E 0 ED 0' ' . APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNID .FINALS DATE - INSP. ROUGH SAN.# ASSF.SSURSPAHCfiL NO. ` PLUMBING' ELECT. ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT NO. PARCEL NO. ' MECHANICAL MECH.ENERGY ELECTRICALBUILDING ENERGY ACC DATE ,ACC. FILE NO 'I FRAMING ELECT. FINAL TEST INSULATION - PLUMBING ' ZONING ENG. SITE NO.. GAS TEST GAS. - MECHANICAL 'FIRESPRINK Yo, No ENERGY T.24 Y E] NO COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR LECTRICAL RELEA aonO zorve v N� A.I. U C. , Y L1 rv� INTERIOR SHEAR FIRE DEPT. SHEETROCK GRADE FEESUMMARY EXTERIOR LATH BUILDING , 'BUILDING� -' INTERIOR 'LATH ,,TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK FEE - "GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY I 'SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTILBUILDING FINAL ISSIGNED BY BUILDINGINSPECTOR. MICROFILM` wARRANGE FOR'INSPECTI.ON BY PHONING 252-4505, o~� . ONE WORKING DAY BEFORE REQUIRED INSPECTION. Z PLEASE -GIVE JOB ADDRESS WHEN PHONING.., —SEE PERMIT FOR EXPIRATION DATE - ELECTRIC 3r PLumaiNc MECHANICAL CONST. TAX.. IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL`INSPECTION. TOTAL <' I OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES- USE BALL; POINT PEN ONLY :'ByILDING PROJECT IDENTIFICATION w '' APPLICATION & PERMIT'' BUILDING —ELECTRICAL— PLUMBING —MECHANICAL - PERMIT NUMBER - u.' 14308, BUILDING AD DRES OI43 0,-, & . ..NEDS Nam E/ & /�O — V/I //If PHONE . V. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION -. ' DATE OF APPLICATION CONTRACTORS nA-yam,/,� AME IL, ✓�� !qL DA)E Gil Lm N - UTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS ao R PHONE � UU NNEp[� PPLIANCES-RESIDENTIAL 4.00 PANELS � 10.00 oRcwiwT ENGINEER LLQ PANEL S(OVER,20O AMP) - 20.00 PLAN CHECK FEE P.C. NO. , ' ISIGNS.TRANS.- 3,00 RCH OR ENG." - r ADD 11 ZIP. SPECIAL CIRCUIT 5.00 „ § PERMIT VALIDATION . �✓ /Z ISSUANCE DLtE BLDG- ELECT. PLG. MECH. ❑ ❑EI ❑ TEMP. METER OR POLE INS. 20.00 APPLICANT'S ADDRESS - MOTORS _ SEE FEE SCH, % SERVICE CHANGE -.20.00 0 G LICENSED CON'T'RACTORS 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 CR &, an license is in full force and effect License Class Lia Number Date Contractor -- OWNER -BUILDER DECLARATIONBUILDING I hereby affirm that I am exempt from the Compactor's License Law for the following reason, (Sec. 7031.5, Businessand Professions Code: Any city or anmty which requires a permit to construct, improve, demolish, or repair any structure; prior to its issuance,, also also requires the applicant for such permit to file a signed statement that lie is licensed pursuanten the provisions of the ) ofDiv[sir's License, Law (Chand ter ProcommenCmic)with Section is exempt therefoof the Business and Professions empt or'lhat he is exempt therefrom and th basis for the alleged exemption. subjects Any violation applicant to Iction malty by by any applicant fora permit subjects the0).): to u civil penalty of not more'than five hundred dnllare($500).): ❑ 1, 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 Prom-ssions Cade: 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 merits are not'domded 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 on- of theJ. - prove 1, as owner ❑ d as owner of the property, and exclusively contractus with contractors to Immilluct Contra the project (Sec. 7044, Business and Professions Contractor's improv Law doom,[ apply and Professions Codeproperty to tracts o o1' property who builds or improves thereon, and who contracts for such projects with a amtractots) licensed pursuant to the Contractor's License Law. ❑ lam exempt render Sec. ,B.&P.C. for this real.,WATER l- _ PERMIT • INFORMATION " MISC. -- REFER TO ORD PERMIT ISSUANCE 10.00, VALUATION ' $/FT. - ELEC. CONTR. - LIC. NO. - ELE TOTAL TOTA PERMIT _TO -' DTV. PLUMBING PERMIT FEE CRIES TYPE CONSTR. ALTER=DRAIN& VENT -WATER (EA.) 6.00 BACK FLOW PROTECT. DEVICE, 4.00 OCC. GROUP ' RES. UNITS DRAINS -FLOOR; ROOF, AREA,COND. 5.00 ' FIXTURES -, PER TRAP S.00 - - - GAS -EA.SVSTEM-1 INC.4 OUTLETS 6.00 SG. FT. FLOOR AREA TOTAL ACREAGE GAS - EA. SYSTEM -OVER 4 (EA.) 2.00 ` - •BUILDING USE RES IND CON PB Ome, ❑ ❑ - ❑ ❑ ❑ INDUSTRIAL WASTE INTER. - 30.00 LAWN SPRINKLERS},I INC 5 V.B:.,, 6.00 ASSESSORS PARCEL NO. LAWN SPRINKLERS -OVER 5 IEA.) 1.00 -SEWER-SANITARY-STORM EA. 200ft/10.00 Tgacr NO. PARCEL No. - HEATER W/VENT '6.00 Owner' ' Date - WORKERS'COMPENSATIONOfSCLARATION - I hereby affirm that I have a certificate of consent to self -insure, or certificate of Workers' Compensation Insurance, or a certified /38p0�/.:a Policy N<�F0, ❑ Cerishereby furnished. copy ther7�_ ❑ Ceru filed with if city inspection division. Applicant - WATER SYSTEM 5.00 ACC.DATE AcG FILE NO. WATER TREATING EQUIP; 5,00 ZONING ENG. SITE NO. MISC. - REFER TO ORD. FIRE SPRINK y ❑ N ❑' ENERGY L]4 'v ❑ N❑ CERTIFICATE OF EXEMPTION FROMWORKERS' ' COMPENSATION INSURANCE'- `, (This section need not be completedil' the permit is for one hundred dollars IS 100) or less.) 1 -certify that in the performance of the work for which this per- mil is issued, I shall not employ any person in any munner so as to become Subject tothe Workers'Compensatlon Laws of California. Date Applicant' NOTICE TO APPLICANT, If, sifter making this rs' Compe'of Ex- emption, you should become subject to the Wothwit Compensation provisions of the Labor Codhall F must forthwith comply -with such such provisions or this permit shall tie deemed revoked. - CONSTRUCTION LENDING AGENCY - I hereby affirm that there is,a,const,oclion lending agency for the performance of the work I'ar which this permit is issued (Sec, 3097, Cw.C.L Lender's Name - - PERMITISSUANCE 10.00 FLOOD ZONE Y, El N❑;, A. L. u.C. v❑ N❑ PLG. CONTR., LIC. NO. TLG OTAL QTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING ALTER OR ADD TO MECH. _ 5.00 APPLIANCE 5.00 AIR HANDLING UNIT (TO 10,000 C. F.M.) .4.00 PLAN CHECK - FEE ` AIR HANDLING UNIT (OVER 10=C.F.M.) 6.00 -• SEISMIC FEE - EXHAUST. HOOD (WITH DUCT) 5.00 HEATING UNIT (TO 100,000 B.T.U.) 8.00 MICROFILM - Censer's Address -- I certify that I have read this application and star, that Ote above information is correct. I agree to comply with all city and county 'oNinons ances 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 uperlino against liabilities, judgments, costs and expenses which Imay any way 'accrue oinet S,id City in cronmquence of r e gra f This permit • ' - HEATING UNIT (OVER 100,000 B.T.U.)9,50' ELECTRIC nod VENTILATION FAN (SINGLE) 4.00 - BOILER-COMP(3 H.P. Dr 100,000 B.T.U.) 6.00 - PLUMBING - BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL - MISC. =' - REFER TO ORD. PERMIT ISSUANCE 10.00 CONST. TAX _ ECH. CONT. LIG NO. - MECH. } TOTAL TOTAL SI a re of Applican n[rtworm UoR V OFFICE COPY