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14889 POST THIS CARD NEAR FRONT OF BUILDING PF R MIT NUMBER " CITY OF •CUPERTINO INSPECTION DIVISION 48" JOB INSPECTION RECORD. _ PERMIT EXPIRATION 10407' AVENIDA LANE ' JOB AD DRESS UNIT# _LOT# OWNER SEAG-, JAMESPERMIT-EXPIRES IF WORK CONTRACTOR IS NOT STARTED WITHIN ` INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU FOUNDATIONANCE OR 180 DAYS FROM 'NOTE:. - - LAST CALLED INSPECTION. ' UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED - PREGUNITE - ,TO COMPLY WITH THE APPROVED PLANS AND CITY OF 7 PERMIT VALIDATION CUPERTINO STANDARDS. - GARAGESLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED _ ` {/� CI% ✓ UNDERGROUND /,SLA.B PLUMBING - ELECTRICAL - - ISSUANCE DATE NOOrN MECHANICAL ' - - ELECT PLc. •NECK 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED M El SCOLDING PERMIT WOOD FLOOR - %F RMATION ' PLUMBING , . . �.,, slFr, MECHANICAL ELECTRICAL ._ PERMIT TO - FRAMING •• L:.:�=^'�' INSULATION STORIES TYPE CONSTR- ' OCC.GROUP.- RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED S(1.FT,FI.00 B.EA LOT ALACREAGE ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE ' DIAPHRAGM - THE,CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING - RES IND CON PB '' om"• APPLY NO ROOFING'UNTIL ABOVEMAS BEEN SIGNED FINALS DATE INSP. ❑ El ❑ 0 F ROUGH SAN.q ASSESSORS PARCEL NO .. - - PLUMBING ELECT.ENERGY ' TUBS 8 SHOWER PAN TRACT NO. --. PARCEL NO - PLUMBING ENERGY MECHANICAL MECH.ENERGY ' ELECTRICALBUILDING ENERGY ACC DATE ACC.FILE NO1 FRAMING ELECT'.FINAL TEST - ZONING ENG.SITE NO • INSULATION � ., � - PLUMBING ` . - GAS TEST - - GAS ' MECHANICAL EIRE SPRINKENERGY T.7a - COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING T;, 'Y.E) N[] Y 0 NQ EXTERIOR SHEAR - ELECTRICAL RELEASE Z FLOODZONE'" A.L.UG. INTERIOR SHEAR ` FIRE DEPT., - Y❑. N Y L, NE] SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH - TEMPORARY APPROVALS BUILDING ' SCRATCH COAT ELECTRIC - PLAN CHECK. NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - SEISMIC FEE OCCUPANCY'OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BYBUILDING INSPECTOR: MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o� ONE.WORRING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.Tnx' 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 B ILDING PROJECT IDENTIFICATION PERMIT NumeER - (-] � .UILDINu APPLICATION & PERMIT 14SSJ ADDRES O H p^/ h BUILDING-ELECTRICAL-PLUMBING-MECHANICAL rvAMENs - yo f/ PLAN CHECK VALIDATION a r7-24�/• GTI/• ELECTRIC PERMIT FEE /1f( C PHONE --,/ NAME OUTLETS-SWITCHES-RECEP 10.00/1.00 h LIC.No. LIGHTING FIXTURES 10.00/1.00 ' ADDRESS tuna APPLIANCES-RESIDENTIAL 4.00 PHONE PANELS 10.00 O DATE OF APPLICATION -. ARCHITECT PLAN CHECK FEE P.C.NO. OR PANELS (OVER 200 AMP) 20.00 f ENGINEER ' uc.No. ISIGNS TRANS. 3.00 ' Roo Ess ENG' SPECIAL CIRCUIT 5.00 PERMIT VALIDATION zIP EMP.METER OR POLE INS. 20.00 APPucaNTS MOTORS p� I SEE FEE SCH. ADDRESS. SERVICE CHANGE 20.00 12,y�y . woo LICENSED CONTRACTORS DECLARATION a U v I hereby affirm that I am licensed under provisions of Chapter 9 - ISSUANCE DATE ' ,�rt w (commencing with Section 7000)of Division 3 of the Business and - r o Professions Code,and my license is in full force and effect, - BLDG. ELECT. PLG. MECH. ' 0. - License Class Lie.NumberEl El . 11 2 z r o Date Contractor Pip1 w OWNER-BUILDER DECLARATION ' O BUILDING PERMIT X ;,a. I hereby Affirm that I am exempt from the Contractor's License MISC.- REFER T INFORMATION LL O j Law for the 1'Wlowin reason.(Sec.7031.5.Business and Professions VALUATION $/FT. � - g - PERMIT ISSUANCE 10.00 Q--- Code:Any city or county which requires a permit to construct,alter, Qa ¢ 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC. oa IFKo S, requires the applicant for such permit to file a signed stalenhent that TOTAL 6 W p y RC IS IICCnSCd pursuant to the provisions 01 lire Contractor's License PERMIT TO ��FiQ Law(Chapter 9(commencing with Section 7000)of Division 3 of the 5 i D Business and Professions Code)or that he is exempt therefrom and GTY. PLUMBING PERMIT FEE MI_m the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. Is by any applicant for a permit subjects theapplicam one civil penalty ALTER-DRAIN IEA.) 5.00 of not more than five hundred dollars(8500).): ❑ 1,as owner of the.properly,-or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS sole compensation,will do lite work,and the structure is not intended or offered I'or sale(Sec. 7044,'Business and Professions DRAINS-FLOOR,ROOF,AR EA,CON D. 5.00 Code:'Fire Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work _ FIXTURES-PER TRAP 5.00 s0.Pc FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- . 40 cents are not intended or offered l'or sale.If,however,the building GAS-EA.SYSTEM-l1NC.4OUTLETS 6.00 or improvement is sold within one year of completion, the owner- builder wilfhuve the burden of proving that he did not build or im- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE prove for purpose of sale.). ' INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB• Omer ❑ 1,as owner of the property,am exclusively contracting with 0 ❑ El ❑ ❑ 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 docs 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 contractors)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ 1 exempt under Sec. B.A.P.C.for this WATER HEATER W/VENT 6.00 ' realm Owne Date WATER SYSTEM S.00 ACC.DATE. ACC.FILE NO. WORKERS'COhIPIiNSA ION DECLARATION WATER TREATING EQUIP, 5.00 1 hereby'alYirm that I have a certificate ofconsent to self-insure. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. Copy thereof(Sec.3800,Lab C.). Policy No. Company , 0 ❑ Certifhedcopyislmlehyfumishedl FIRESPRINK ENERGYT-24 Z Z ❑-Certified copy is filed with the oily inspection division. � - FO Applicant' MISC.- - REFER TO ORD. Y NY N CC W CERTI 171CA'11:OF EXE.MPI'ION PROM WORK Ii RS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U,C. W > COMPENSATION INSURANCE PLG.CONTE. LIC.NO. PLG. CL 0 This section need not be completed if tire mi e pert is for one TOTAL Y El NO V E] N0 :D Z hundred dollars IS 100)or less.) U O'. 1 certify that in the performance of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL'H mit is issued,I shall not employ any person in any manner so as to O L) become subject to lire Workers'Cmnpensnt ion Laws of California.Date ABUILDING ' a lhplicant ALTER OR ADD TO MECH. 5.00 } W NOTICE:TO APPLICANT: If,after making this Certificate of Ex- F- Z umption,you should become subject to the Workers'Compensation APPLIANCE - 5.00 PLAN CHECK provisions of the Labor Coda you must forthwith comply with V FEE such provisions or this permit shall be deemed revoked. - AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 ` CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 1 hereby affirm that (here is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of to work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's dee NamELECTRIC Lender's Address HEATING UNIT(OVER 100,000 B.T.U.)9.50 Icertify that l have read this application and Into that the above VENTILATION FAN (SINGLE) - 4.00 information is correct. 1 agree to comply with all city and county PLUMBING ardinences mud state laws rolating to building construction, and BOILER-COMP 13 H.P.,or 100,000 B.T.U.) 6.00 . hereby authorize representatives monies of this city to enter upon the. BOILER-COMP (Over IOg000BTU)SEE FEESCH. MECHANICAL herebymentioned property for inspection of purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. uperlino against liabilities,judgments, costs and expenses which CONST.TAX may y in any accrue against sur -City in consequence of the PERMIT ISSUANCE 10.00 ra a oflhispermit. MECH.CONT. LIC.NO. MECH. y TOTAL TOTAL ig ure of Applicant/ oaf ct Date OFFICE COPY,' r