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18253 POST'THIS'CARD NEAR. FRONT OF BUILDING - ' PERMIT NUMBER 18253 CITY OF CUPERTINO " INSPECTION DIVISION JOB INSPECTIONRECORD (� _I'' / •n PERMIT EXPIRATION' JOB,ADORESS �U r"3"��-�`�-(P� r - UNIT# - _LOT# ff"�•7' i '�'� D. r '.PERMIT EXPIRES IF WORK ., :OWNER -e' CONTRACTOR //E' Lp IS NOT.STARTED WITHIN' INSPROTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT'ISSU- _ `ANCE OR 180 DAYS FROM FOUNDATION' NOTE: - ' LAST CALLED INSPECTION. UFER•,- _ - ALL GRADING AND DRAINAGE SHALL BE INSTALLED ?' TO COMPLY WITH THE APPRt�QYMNS AND CITY,OF PeRn�lr vnuunnoN 1 , PREGUNITE - ' CUPERTINO STANDARDS.' i�-�"9Y GARAGE SLABS *• •,,� POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ' - - UNDERGROUND /SLAB /h, IdU' •.d t. ( ` - Jv ' PLUMBINGU Y a'' ', . ELECTRICAL r ISSUANCE DATE, MECHANICAL ' aLOG. ELICT I PLO' MECH ❑ DO NOT POUR FLOOR UNTIL,ABOVE HAS BEEN SIGNED BUILDING,PERMIT WOOD FLOOR I - - - INFORMATION" "VALUATION .$SFT. PLUMBING - Ok` r.' MECHANICAL: .,PEHMIT.T U" ELECTRICAL FRAMING - Srta.rE� Snl?'P,. + 'INSULATION - - STORIES TYPECONSTH. . - -, OCC.GROUP -RES.UNTS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED.. ROOF "NOTE:NO,FINAL INSP.SHALL BE MADE BEFORE sn.Fr FLOOR Alien TOTAL ACE Ence - - THE CONSTRUCTION TAXIS PAID DYAPH RAGM PULLERNG USE ROOF SHEATHING' "" � � � - � Res IND� CN IN Pe o , APPLY NO ROOFING UNTIL'ABOVE°HAS BEEN SIGNED , ' FINALS,-,' M.: -,, ''RDATE'r �w . .� AssEssoRs,PARCEL Na. ROUGH: SAN:n PLUMBING _ ELECT.ENERGY ' `TRACT NO. PARCEL NO. TUBS B SHOWER PAN - - PLUMBING ENERGY MECHANICAL MECH.ENERGY ACC..DATE ACO.FILE NO. ELECTRICAL' _'jr �, BUILDING ENERGY ` FRAMING'! I)r ELECT.FINAL TEST, ZONING ENG-SITE NO. INSULATION ��.� " PLUMBING , GAS TEST GAS FIRESPRINK ENERGY T-24 MECHANICAL- "- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING N ` "o" FLOOD ZONE A'.L.UC. EXTERIOR'SHEAR ' i' ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. Y Q. IN -. Y L .. N ] •- SHEETROCK - - GRADE' V, FEE SUMMARY EXTERIOR:LATH _ ' - BUILDING IN LATH' TEMPORARY'APPROVALS BUILDING 'eq, ' SCRATOH.COAT: ELECTRIC PLAN CHECK " FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY £ SEISMIC FEE OCCUPANCY OF BUI LDING'IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDINGINSPECTOR. MICROFILM ARRANGE FOR INSPECTI,ON`BY.PHONING 252-4505, ELECTRIC LU ONE WORKING DAY BEFORE REQUIRED INSPECTION P�Ll MBING PLEASE GIVE JOB ADDRESS•WHEN PHONING-- z — SEE PERMIT-FOR EXPIRATION'- MECHANICAL IMRORTANTI ` coNsr:TAx t PLEASE TOTAL, READ'REVERSE SIDE BEFORE yy CALLING FOR FINAL INSPECTION G' OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY -,BU I LDING•PROJECT I DENTIFICATI ON, PERMIT NUMBER BUILDING APPLICATION & PERMIT' q � �- nD®r = ' � � L BUILDING -ELECTRICALPLUMBING-MECHANICAL 1 825 OWNER'S - PLAN CHECK VALIDATION NAME - OTY. ELECTRIC PERMIT FEE ' P.ONE I ' 'y _ CONTRACTORS rvAME MEOUTLETS-SWITCHES-RECEP 10.00/1.00 uc.MND. LIGHTING FIXTURES 10.00/ n1:00 YJ 3 2r• D C ADDRESS �• '! -M PPLIANCES-RESIDENTIAL 4.00 - NTRAZ, (row OryN CA- PNONE PANELS 10.00 DATE OF APPLICATION g.. IT C PLAN CHECK FEE P.C:NO. � "� PANELS (OVER 200 AMP) 20.00 WIO uc.ND.0 SIGNS TRANS. 3.00 SS ENG / " ' C/� SPECIAL CIRCUIT 5.00PERMIT VALIDATION E55 NRS V G/ 'iI EMP.METER OR POLE INS. 20.00 ADDRE N 's - MOTORS - SEE FEE SCH. 7-Z / -� ADDRESS 9 . SERVICE CHANGE 20.00r' -I-yIJLLI / ,09 LICENSED CONTRACTORS DECLARATION -' Y a w 1 hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE (commencing with Section 7000)of Division 3 of the Business and - m Q vdiI B ELECT. .PL❑G. MECH. D z Professions Co s license is in full fore t Z o w - License s Lie.Number , C m r e ContraclorJ�re/�_ ' a a w u OWNI t-BUILDCR Dr:CLARRAATIONN�•�_ ' BUILDING PERMIT X 3 L m I hereby affirm that I am exempt from the Contractor's License MISC.- ORD INFORMATION 'ouoa Law for the following reason.(See,7031,5,Businessand Professions PERMIT ISSUANCE 10.00 VALUATION GO S/FT. fw g Code:Any city or county which requiresu permit to construct,alter, _ SDD IL rz Q O improve,demolish,or repair any structure,prior to Its Issuance,also ELEC.CONTE. LIC-NO. ELEC. ' c LL requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO w m m he is licensed pursuant to life provisions of the Contractor's License R z > Law(Chapter 9(commencing with Section 7000)of Division 3 of the sTo �a- lY EJ -a Business and Professions Code)or that he is exempt therefrom unit CITY. PLUMBING PERMIT FEE 1 Il V M mthe basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. La by any applicant fur,a permit subjects the applicant to a civil penalty gLTER-DRAIN (EA.) 5.00 of not more than five hundred dollars(5500).1:' ❑ Las owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE .4.00 09c.GROUP RES:UNITS sole compensation,will do the work,and the stn¢ture is not 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 Property who builds or improves thereon,and who does such work FIXTURES,PER TRAP 5.00 so.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees provided that such improve. merits are not intended or offered for sale If,howevcr;the building GAS-,EA:SYSTEM-11NC.4 OUTLETS 6,00 ' or improvement is sold within one year of completion,the owner- GAS EA.-SYSTEM 4(EA) builder will have the burden of proving that h - .•SVSTEM- . 2.00e did not build or int- BUILDING USE prove for purpose of sale.). RES IND CON PB Oma, ❑ I,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. - 30,00 ns 1:1 F-1 ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,.Rushoss LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and ProfessioCode: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 contracts for such projects with a contractors)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. O Inc exempt under Sec. ,Ii.x1P.0-Gu This WATER HEATER W/VENT 8.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION.UECLA RA TION WATER TREATING EQUIP, 5.00 hereby affirm that I have a certificate ofconsmtt to self-insure, _ , ora I r 1 e`{ ers'Compensation Insurance,or a certified - ZONING ENG.SITE NO. copy (`F�,Lab,C, � Policy No. ompany Q ❑ er[ified'co is hemby furnished. •- - FIRE SPRINK ENERGY T;24 Z Z. - Cer" with Bm 'tY i.n.sre�• ''�rvision. - FO Applicant _ MISC.- REFER TO ORD. Y ❑ N❑• . Y N❑ � !2 CERTIFICATL OF EXEMPTION PROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. Du COMPENSATION INSURANCE PLG.CONTR.. LIC.NO: PLG. ' 0. Z( This section need not be completed if the permit is for one TOTAL Y❑ 'N[-] rY E] NC] hundred dollars(5100)or less.) UA I certify that in the performance of the work for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY LL'U mil is issued,I shall not employ any,person in any manner so its to , O w become subject to the Workers Compensation Laws of California. y Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 2 I t) fl } rA NOTICE TO APPLICANT: If,after,nsa king this Certificate of fix- Z emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE . U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY - AIR HANDLING UNIT(OVER 10.000GEM.) 6.00 SEISMIC FEE F 71 I hereby affirm that there is a construction[coding agency for EXHAUST HOOD (WITH DUCT) '5.00 - the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Cie.CJ. - HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name H EATI NG UN IT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC_ - Icmtifyths,Ilovereal'thisupplicutionnnd state that the above VENTILATION FAN (SINGLE) 4,00 information is Correct. 1 agree to comply with all city and county' PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 herebhereby authorize representatives ec This city es enteruponthe BOILER-COMP. (Over 100,000 BTU)SEE FEE SCH. MECHANICAL y authorize ned property fnrinsp of tion purposes: (We) agree to save, indemnify and keep harmless the City of MISC.• REFER TO ORD. - - upetlino against liabil'ies,judgments, costs and oxpenses which PERMIT ISSUANCE 10.00 CONST.TAX ay in any ac against said Cily in consequence of the 's en ECH.CONT. LIC.N0. NO TOTAL , TOTAL Si at rc o C raor Uate OFFICE COPY