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18518 POST"THIS CARD NEAR FRONT.OF BUILDING IERMITNUMBER CITY OF -CUPERTINO 18518 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION ��. JOB ADDRESS_, (�S�_V I.c1-}`!' pi� UNIT# _ _LOT# PERMIT EXPIRES IF WORK OWNER coNrRAcroR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 100 DAYS OF PERMIT ISSU ANCE OR 180 DAYS FROM FOUNDATION NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED ' TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PREGUNITE CUPERTINO STANDARDS. GARAGE SLABS ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED , UNDERGROUND /SLAB PLUMBING ' ELECTRICAL - ISSUANCE OATS' 7��E BLDG ELECT. P G. MECH MECHANICAL • •"�►li� - .� [j . DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED • ►Ii 1 BUILDING FPERMIT 1989 AUG 2 9 ORMPERMIT WOOD FLOOR .- vnwnnDN slFr. PLUMBING ` MECHANICAL- Wal c- "-w ' ELECTRICAL rERnna To mCs SEI Nn !}Zo tt�� rye o cA lYiL FRAMING G - - INSULATION - - O�,rtU G�C��vs sTDHles rvPE coNSTR GOULIE� �sZ� III '4e JZ ''�kJC" OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 50 FT.FLOOR AR[A TOTAL ACR"GF ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE - • DIAPHRAGM - THE CONSTRUCTION TAX IS PAID DING USE ROOF SHEATHING Ias D CON PB 0,1- APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS . DATE INSP. nSSE550N5 PARCEL NO ROUGH SAN.k PLUMBING ELECT.ENERGY TRACT NO. PARCEL NO TUBS 8 SHOWER PAN - - PLUMBING ENERGY, MECHANICAL MECH.ENERGY ACC.DATE ACL.FILE NO ELECTRICAL BUILDING ENERGY FRAMING - ELECT.FINAL TEST .. ZONING ENG.SITE NO. INSULATION PLUMBING GAS TEST GAS FIRE SPR INK ENERGY LZC MECHANICAL YO NO Y.0 N0 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ` FLooD toNeL.(I C. EXTERIOR SHEAR ELECTRICAL RELEASE . n INTERIOR SHEAR FIRE DEPT. r �' N� 0 N❑ SHEETROCK GRADE _ FEE SUMMARY EXTERIOR LATH - BUILDING BUILDING INTERIOR LATH - - �TEMPORARY APPROVALS SCRATCH COAT' _ ELECTRIC - PLAN CHECK FEE �I ~ GAS. . _.. NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE 'S• OCCUPANCY OF-BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC w ONE WORKING.DAY BEFORE REQUIRED INSPECTION. PLUMBwG U 0- PLEASE GIVE JOB ADDRESS WHEN PHONING.' Z MECHANICAL --SEE PERMIT FOR EXPIRATION DATE-= 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 BUI LD1 NG PROJECT I DENTI FICATION I PERMIT'NUMBER BUILDING APPLICATION & PERMIT O[ O ADDRESS ,x Q • . o J o /`+ BUILDING-ELECTRICAL-PLUMBING-MECHANICAL t4perilil PLAN CHECK VALIDATION ME DTV. ELECTRIC PERMIT FEE NAMERA eons UTLETS-SWITCHES-RECEP 10,00/1.00 LIC NO.ND.. LIGHTING FIXTURES 10,00/1.00 ICON APPLIANCES' RESIDENTIAL 4.00 ADDRESS PRONE PANELS - 10.00 'DATE OF APPLICATION ARCHiTEci PLAN CHECK FEE P.C.NO. DR - PANELS (OVER 200 AMP) 20.00 NGINEER sec.NO, SIGNS TRANS.. 3.00 ARCH.OR VC1PERMIT VALIDATION ADDRESS SPECIAL CIRCUIT 5.00 ZIP TEMP.METER OR POLE INS. 20.00 ' ~ APPUCANT6 MOTORS SEE FEE SCH. ADOREsse IT_ SERVICE CHA 20.00 - o¢'i H 00 LICENSED CONTRACTORS DECLARATION - Q it w 1 hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE y (commencing with Suction 7000)of Division 3 of the Business and AUG 8'9 09 a u - - BLDG. ELECT.. P MECH. D i Professions Code,and Iny license is in full farce and effect. ❑ ❑ ❑ z o - License Class Lic.Number - 2Z m:_w Date Common, �y a B, BUILDING PERMIT ¢ a OWNIiktl UILIIIiR UECLARA'iION X o a INFORMATION X e- LL I hereby affirm that I am exempt from the Coniraetor's License MISC.- REFER TO ORD I" C a Law for the following reason.(Sec.7031.5,Bea nessararmfessions PERMIT ISSUANCE 10.00 VALUATION $/FT. . Code:Any city or counly which reeluires a permit to construct,alter, a ¢ ¢ improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO- IF C ¢ requires the applicant for such Permit to file It signed sudement that TOTAL 6 w m he is licensed pursuant to the provisions of the Contractors License P EMIT TO H z i Law(Chapter 9(eommenciagw'ilh Section 7000)of Division 3 ofthe a Iiusineas and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE f so ..+ ¢ H $ the basis for the alleged exemption.Any violation of Section 703115 STORIES TYPE CONSTR. a3 � by any applicant for a permitsuhjects the applicant too civil penalty XALTERDRAIN&VENT-WATER IEA._) 5.00 0 of re mothan five hundred dollars($5001): - -L L as owner the properly,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 O C.GROUP RES.UNITS to sole compensation, ion,will do the work,and the structure is not intended or offered for sale (See. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,CONE). 5.00 Code:The Contractor's License Law does not apply to on owner of property who builds or improves thereon,send who Ines such work FIXTURES-PER TRAP 5.00 So,FT.FLOOR AREA TOTAL ACREAGE himself or through his own employers,provided that such improve- mentsamnotinlendedorofferedforsale.If,however,the building GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 builder will have the burden of proving flint Im did not build or im- DING USE prove for purpose of sale.I, RES CON PB Other ❑ I,as owner of the property,am exclusively'conlructingwith INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ ❑ 0 licensed conlractnrs to construct the project(Sec 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:'I'he 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 contracts for such projects with a eoutracfons)licevud pursuant to LSEW ER-SANITARY-STORM EA.200ft110.00 the Contractor's icense Law. -Wy� TRACT NO. PARCEL NO. ElIamedemptunder Sec. ,W&P.C.lir this WATER HEATER W/VENT 6.00 reason Owne - Dec WATER SYSTEM 5.00 E Q ACC.DATE ACC.FILE NO. WOR COMPIiN-"".l DELLA RATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate ofconsent to sell-iomm. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy lhereof(Sce.3800,Lab.C.). - - - Policy No. Company O ❑ Certified copy ishcreby furnished. FIRESPRINKENERGY T-24 Z Z ❑, Certified copy is filed with the city inspection division. FO Applicant' MISC,- REFER TO ORD. Y� N� YQ N� . PERMIT ISSUANCE 10.00 �Dss FLOODZONE A.L.U.C.- LU y CIi ItTI PICCO.NiPE I AX I MINS FROM WORK ERS' .Bp W � - COl1PIiNSATION INSURANCE PLG.CONTE. LIC.rv0. PLG. `'7 p CL O (This section need not be completed if the permit is for one TOTALS n D` Y F] No . Y N 0 Z) Z hundred!dollars IS 100)or less.) U O I certify that in the performance n1'the work for which this per- DTV MECHANICALPERMIT - FEE FEE SUMMARY LL I- mit is Issued,I shall not employ any person in any manner so as to O L) become subject to the Workers'Compens4tion Laws of California. D- Date Applicant BUILDING' >_ 0 NOTICE 'f0 APPLICANT: If,after making this Certificue of Ex- ALTER OR ADD TO MECH. 5.00 F-? entption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forlhwifh comply with FEE - CJ 1.01hprovisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F:M.) 4.00 CONS I'RUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.EM.) 6.00 SEISMIC FEE I hereby affirm that there is u construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 _ the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT 100,000 B.T.U.)9.50 ' ' Lender's Address ELECTRIC I Dirtily that l have mad fiisuppliculicn and slure the the above VENTILATION FAN (SINGLE) 4.00 . information is correct.1 agree to w comply with all city and bounty PLUMBING ordinances and state lows relating to ly ill) construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 -O hereby authority representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL' above-muntio rite represe for inspection of puityrp to. (We) agree to-save. indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX By in any way accme ainst s'' iry .onse9uc a of he •ra this ermi 1 MECH.CONT. LIC.N0. MECH. Z TOTAL ' TOTAL Signature of Applic omra1 Uat - ' OFFICE COPY