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14129 POST THIS CARD NEAR FRONT OF BUILDING ITRMIT NUN186R CITY OF CUPERTINO 14129 INSPECTION DIVISION JOBANSPECTION RECORD - PERMIT EXPIRATION JOB ADDRESS 1325 ASTER. LANE UNIT# LOT,# PERMIT EXPIRES IF WORK OWNER GRUELLE CONTRACTOR ANTHONY POOLS IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU'' - FOUNDATION ANCE OR 180 DAYS FROM UFER '" � ' LAST CALLED INSPECTION. PREGUNITE / PERMIT VALIDATION _73 2 c/< POUR NO CONCRETE UNTIL ABOVE HAS BE SIGNED T r• UNDERGROUND /SLAB PLUMBING 1 + ELECTRICAL - .-ISSUANCE PATE MECHANICAL , : BO t+ELOr. PL❑6. :�"'„ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT' WOOD FLOOR INFORMATION ION $/FT. VALUATION PLUMBING - MECHANICAL ELECTRICAL ?i.CGUE ° GCdC'7i 1 FRAMING .INSULATION - STORIES TYPECONSTR. - OCC"GROUP RES.UNITS IP,LIACE;NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED .�� ROOF . - sa fT PLPOj}A1H TOTALACRFAGI 'DIAPHRAGM .- BUILDING USE R, i INP CON PB Olt ,t, v APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ROUGH ASSESSORS PARCEL NO. ' . PLUMBING -GAS TEST ��-.� TRACT NO, PARCEL NO, MECHANICAL ELECTRICAL FINALS DATE INSP. ACC.DATE ACC.FILE No. FRAMING SAN * INSULATION PLUMBING ZONING - ENG.SITE NO. oo.L GAS MECHANICAL. t / X00 FIRE SPR INK ENERGY T 24 _ O Y ❑ N❑ Y ❑.- N❑ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED H E A T I N GICAL 0 1 /9 -i�pL0 / •/ FLOOD ZONE .A.I.U.C. LATH—INTERIOR � � ELECTR LATH—EXTERIOR. FIRE DEPT. "Y❑ No Y 0 N❑ SHEETROCK GRADE "Al, FEE SUMMARY SHEAR INTERIOR BUILDING' TNGSHEAR ExTERIOR TEMPORARY APPROVALS BUILFIREWALLS ELECTRIC ` PLANFEENO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCvs SMOCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. CR ARRANGE FOR INSPECTION BY PHONING 252;4505, ELECTRIC _ �� ONE WORKING DAY-BEFORE.REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB,ADDRESS WHEN PHONING. -SEE PERMIT FOR, EXPIRATION.DATE — MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR,FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION "PERMIT NUMBER aVILDING - APPLICATION & PERMIT ADDRES�. - - I - - 141 9 BUILDING - ELECTRICAL-PLUMBING -MECHANICAL OWNER'a �� PLAN CHECK VALID ION "ams � Imo!( OTY. ELECTRIC PERMIT FEE 2/.I�LL�RDNE is CONTRACTOR N E -oS� UTLETS-SWITCHES-RECEP 10.00/1.00 uc.No. LIGHTING FIXTURES10.00/1.00 NrFALro ao67P R IF OW44� yam/ APPLIANCES-RESIDENTIAL 4.00 -! PANELS 10.00 GATE OF APPLICATION AARRCHITECT PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE P.C.NO. O ENGINEER SIGNS TRANS. 3.00. ARCH.OR ENG. - PERMIT VALIDATION ADDRESS, / SPECIAL CIRCUIT 5.00 G ZIP TTEMP. METER OR POLE INS. 20.00 APPLICANT'S ADDRESS t . ' MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 .0 o o LICENSED CONTRACTORS DECLARATION (I7 0 Hp I hereby affirm that 1 am licensed under provisions of Chapter 9 ,,y 1��' E�Lz I .,A4 kri SSUANCE DATE z"" (commencing with Section 7000)of Division`3 of the Business and C1Rg1 BLDG. ELECT. PLG. MECH. a u Wl H o i Professions Co nd rye ' ens e is in full farce u f L 7i O 0 w w 'License class - Lic.Num a C'ii �/I N71 Date Con[nm L'f- L-Y-- I/VI QYf J /• ' ¢ m w a OWNER-BUILDER DECLARATION J BUILDINGPERMIT wo a o au LL I- I hereby affirm that I am exempt from the Contractor's License 'MISC.- REFER TO ORD INFORMATION u o°I Law for the following reason.(Sec.703 1.5,Business and PPofeaalDna VALUATION - g PERMIT ISSUANCE 10.00 - Code:Any city orcounty which requirese permit to construct,,alter,also J �D K 0 ,O improve,demolish,or repair any permit toff prior to its issuance,also ELEC.CONTH. LIC.NO. ELEC, 1+u n c ac requires the applicant for such permit to file o signed eta[ement that TOTAL `.3 J w m m he.is licensed pursuant to the provisions of the Contractors License R T T HZt Law(Chapter9(commencingwith Section 700()of Division 3 ofthe " x o Business and Professions Code)or that Ile is exempt therefrom andOTV. PLUMBING PERMIT FEE at H$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. re n , by any applicant fora permit subjects applicant toacivil penalty ALTER-DRAIN VENT-WATER IEA.) 5.00 of not mothan five hundred donors(8500).$500),): ❑ L as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 their sole compensation,will do the work,and the structure is not - OCC-GROUP RES,UNITS intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of - properly who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 s0.ET PLDOR AR TOTAL ACREAGE mentahimself re through his own employees Provided that such improve- - orimprovemenot Intended within rone or Sure.year however,the building GAS-EA.SYSTEM-1INC.4OUTLETS 6.00 or improvement is sold within one year of completion,build owner builder will have the burden of proving that he did not build ar im- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ES I❑ ❑N ❑ Other ❑ 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. 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 N contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under Sec.__ c1I'&PT:.for this WATER HEATER W/VENT 6.00 reason•- (� Owner ^\ WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKF-RS'COMPF-NSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of I' t t If- insure, or a certificate of Workers'Comp aliov 1 Is.nmeL', certified ZONING ENG.SITE NO. copy there (Sec.3900,Lab.C.) _ Policy C Y17 - - Cetliiedcopyishereby must FIRE SPRINK ENERGYTR4 Z Certified cropy,�is�(I led 'it-th• city ns eeliou Ivieion. F O Applicant___ MISC.- REFER TO ORD, v N y N� . cc CERTIFICATE OF EXEMPTION F YORKERS' PERMIT ISSUANCE 10.00 C) -FLOODZONE A.L.UC. L COMPENSATION INSUR CE - PLC.CONTR. LIC.NO.- PLG. 1 O IThis section need not he completed if the permit Is for one TOTAL '� V❑ N V N Z hundred dollars($100)or Tess.) U O 1 certify that,in the performance of the work for which this per- QTY. MECHANICAL PERMIT' FEE • FEE SUMMARY LL U mit is issued,I shall not employ any person in any manner so as to became SKNecu to the Workers'Compensation Laws of California. C1. Date ` Ap I'^ ALTER OR ADD TO MECH. 5.00 BUILDING / W NOTICE TO : If,after making this Certi mate of Ex- F 2 emption,you should become subject to the Workers'Compensation APPLIANCE 5,00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with U FEE such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 1Q000C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY' AIR HANDLING UNIT(OVER 10=1C.F.M.) 6.00 SEISMIC FEE /a I hereby affirm that there is a construction lending agency'm, EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for whi this permit is issued(Sec. MICROFILM 3097,Civ.C.). , HEATING UNIT,(TO 100,000 B.T.U.) 8.00 Lender's Names-09 Lender's Address / HEATI NG UN IT(OV E R 100,000 B.T.U.)9.50 ELECTRIC I certify that I have read this application and state that Ole above VENTILATION FAN (SINGLE) 4.00 information n correct. I agree to comply with all city and county BOILER- H.P.Or 100,000B.T.U.) 6.00 PLUMBING � ordinances and state representatives laws-relating to building construction,upon and , hereby authorize representatives ec this city to enter.upon the BOILER-COMPIOver 100,000 BTU)SEE FEE SCH. MECHANICAL' �' S""UV above-mentioned property for inspection purposes. �y (We) agree to save, indemnify and keep harmless the City o1' MISC.- REFER TO ORD./J J_b Cupertino against liabilities,judgments, costs and expenses which CONST.TAX may in any way,a n• age' st said City in consequence of the PERMIT ISSUANCE 10.00 U- gmnti g u^per lit. MECH.CONT,, ' LIG NO. MECH. - L2ATOTA4 TOTAL (� 6� 'Signatureof Applicant/Contracto ate - - ' - OFFICE COPY " - -