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14344 POST THIS.CARD NEAR FRONT OF BUILDING PERMIT"NUMBER - .,CITY OF CUPERTINO 14344 INSPECTION DIVISION „ JOB INSPECTION RECORD PERMIT EXPIRATION 10475 BANDLEY DRIVE JOB ADDRESS - UNIT# LOT# ' - - - .PERMIT EXPIRES IF WORK • OWNER . APPLE .COMPUTER CONTRACTOR - IS NOT.STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU FOUNDATION - - ANCE OR 180 DAYS FROM NOTE: ' LIFER. ALL GRADING AND DRAINAGE SHALL BE INSTALLED LAST CALLED INSPECTION. PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION _ GARAGE SLABS CUPERTINO� STANDARDS. - - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED q 7 . UNDERGROUND /SLAB PLUMBING , - - •''e%F ELECTRICAL - ISSUANCE GATE c MECHANICAL - eLoc. ELECT. - PLG. MECH. ! ❑ I ❑ I ❑ 1:1 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - " BUILDING PERMIT WOOD FLOOR - _, INFORMATION PLUMBING - VALUATION SIFT. - • '� - - .MECHANICAL - _. - ELECTRICAL_: - ,. - - PERMIT To FRAMING INSULATION STORIES TYGECONSTR. "OCC GROUP RES.ON ITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED _ _ - SO,ET.FLOOR wREA-TOTAL PLREw4E --ROOF NOTE:NO FINAL INS'.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID , BUILDING USE ROOF SHEATHING RES ; IND - CON BE Oma, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE - INSP. . 0 '- ❑ 0 : L - El • ASSESSORS PARCEL NO. ROUGH SAN.# PLUMBING - ELECT.ENERGY. TUBS 8 SHOWER PAN TRACT NO. PARCEL NO - PLUMBING ENERGY - MECHANICAL - - - - MECH.ENERGY. ELECTRICAL - - ACC DATE ACC FILE No. BUILDING ENERGY _ FRAMING. - ELECT.FINAL TEST INSULATION - PLUMBING ZONING :ENc-srtENo- GAS TEST GAS MECHANICAL - FIRESPRINK: ENERGY T-24 ❑ , `- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING YD N` Y El N❑ PL000 zaNE .A.L uc. EXTERIOR SHEAR , ELECTRICAL RELEASE '' 'INT,ERIOR SHEAR - - FIRE DEPT. Y� -N� - vL N1 1 " SHEETROCK - GRADE - - FEE SUMMARY EXTERIOR LATH BUILDING - - INTERIOR LATH - - TEMPORARY APPROVALS euiLDlrvG - • SCRATCH COAT ELECTRIC - - •PLAN CHECK - - GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY - SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM. 1. �z 11J ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC , } ONE WORKING DAY BEFORE REQUIRED INSPECTION. . O.Z � PLEASE GIVE JOB ADDRESS WHEN PHONING.. PLUMBING — SEE PERMECHANICALMIT FOR.EXPIRATION DATE'— • IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR-FINAL INSPECTION. 'OFFICE COPY, I APPLICANT TO FILL IN INFORMATION WITHIN RED LINES,=,USE'BALL POINT PEN ONLY ^BUI LOI NG PROJECT I DENT[F16ATION ' � PERMIT NUMBER aDIL[IING -APPLICATION & PERMIT t7 ADOREaa 14 3.4 4 lo /7S— RA�`• - Y.,'; BUILDING ELECTRICAL—PLUMBING--MECHANICAL '. , X OWNER'S — .. i PLAN CHECK VALIDATION NAME ' FYIELFiCTRIC PERMIT - FEE i cONrRc Rs . OUTLETS'-SWITCHES-RECEP" 10.00/1.00 NAME f ry x' " uc.No :- LIGHTING FIXTURES, ;' ;.`;10.00/1.00 CONTRACTORS., ;. - ., APPLIANCES-RESIDENTIAL 4,00 _ p ' PHONE PANELS •10,00 ' DATE OF APPLICATION ARCHITECT i'• ` ,PLAN CHECK FEE P.C.NO. - OR L, _ IPA AMP) _ 20.00. ENGINEER • ': - • l SIGNS TRANS. .-x`LIC.NO . •3:00 ' • - ARCH.OR ENG. - + '^ ` PERMIT VALIDATION ` ADDRESS - SPECIAL CIRCUIT 5.00 . h i EMP.METER OR POLE INS. 20.00 Q w Zip. t' . APPLICANTS - MOTORS ` "' "'i SEE F H. ADDRESS _ y SERVICE CHAN r IN ,00 - 00 LICENSED CONTRACTORS DECLARATION a ami I hereby-affirm that I am licensed under provisions of Chapter 9� - !' �: r ISSUANCE ATE E y a'm ' (commencing with Section 7000)of Division 3 of the Business and _ - BLDG, ELECT- -PLG. - MECH. H w z Professions Code,and my license is in full force and effect. " 0,O„ ❑ ❑ - oO.mo License Class Lia Number p r _ Date Contractor ' a y"f 1 - - - a- - BUILDING PERMIT , ¢ ¢ ¢ OWNER-BUILDER DECLARATION - - o a o " INFORMATION w g It I- I.hereby affirm that 1 am exempt from the Contmetor's License MISC:— REFER TO ORD PERMIT ISSUANCE Q VALUATION b/FT.•' Hao J Law for the following reason (Sec 70315,Buslnessand Professions 10.00 Code:Any city or county which requires a permit to construct,alter, - S ¢,<p improve,demolish,or repair any structure,prior to its Issuance also ELEC.CONTR. LIC. EI:EC.' 3/t' e , IY requires the applicant for such permit to file a signed statement[hot • TOTAL VV 1i PERMITTO X m he is licensed pursuant to the provisions of the Contractors License „ - H z a- Low(Chapter9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE A� ¢ e- the basis for the alleged,exemption.Any violation of Section 7031.5 STOR S TYPE CONSTR. a ;W by any applicant fora perniit'subjects the applicant to a civil penalty - ' ALTERDRAIN&VENT-WATER (EA) "5.00 • of not more than five hundred dollar,($500)J: - • . - - ❑ I,as owner of the property,or my employees with wages as - BACK FLOW PROTECT. DEVICE' ' _4.00 «oCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not _ intended or offered for sole (Sec. 7044, Business and Professions - DRAINS-FLOOR,ROOF,AREA,COND. 5.00 - Code:The Contractors 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 SD.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve ments are not Intended or offered for saledfhwevep the building GAS-EA'SYSTEM-1.INC.40UTLETS 800 • or improvement is sold within one year of completion,the owner GAS-EA.SYSTEM-OVER 4 (EA.) ' 2 00 - moulder will have the burden of proving that he did not build or an- . . BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER. . 3000 . "RES- IND ,CON PB - Other ( ❑ ,I,as owner of the property,am Cxchtslvely contracting with _ El1❑ , 1:11 - 1:1, ,❑ t licensed contractors to 'construct the project(Sec.7044,Bushels" LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and professions Code:The Contractor's Liconsc Law does not applyto an owner of property"who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.), 1.00 contracts forsuch projects with u conlractor(s)lmensed pursuant to - the Contractor's License Law, SEWER-SANITARY-STORM EA.200ft/1000_ . ,. TRACT NO. '_PARCEL NO. - ❑ e e t under Sec. B.&P.C.for this (' reason1 p WATER HEATER W/VENT t' '6.00 Owner Date WATER SYSTEM 't '5.00 . ' qC4 DATE lACC.FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. • 5.00 . d hereby affirm that I have a certificate of consent or self-insure, ' - or acertificate of Workers'b.C.).Compensation Insurance,or a certified ..i p1➢ ZONING ENG.SITE NO. ' copy[hereof(Sec 3800,Lab.C.). Policy No. Company Q ❑ Certified copy is herehy furnished ' FIRESPRINK. ENERGY T"24 ,Z Z ❑ Certified copy is fled with the city inspection.1 MISC.- REFER TO ORD ^' —.Q Applicant .. Y:❑y N❑' Y ❑ No • H " PERMITISSUANCE 10.00 — CERTIFICATECOMPENSATION INS FROM WORK LRS' 1•. .' FLooD ZONE A.L.U.C. W � COMPENSATION INSURANCE Pm.CONTE. uc:No. PLG.- � _ 1 O (This,section'need not he completed if the permit is for,one TOTAL - Y❑,: N❑ Y ❑ N❑ Z) Z hundred doilars($100)orJess.) - v C9 O 1'certily that an the performance of the work for w ich this per- FEE SUMMARY QTY. MECHANICAL PERMIT FEE LL F mil is Issued,I shall not employ any person in any manner so as to _ Q W become subject to the Workers'Compensation Lows of California. BUILDING y Date "Applicant ALTER OR ADD TO MECH. 5.00 - } IS NOTICE TO APPLICANT: If,after making this Certificate of Ex- F ? 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 anCll 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 10000C.RM.) 6.00 SEISMIC FEE I hereby.affirm that there is o construction lending agency for EXHAUST.HOOD, DUCT) - .5.00 the ped'onnance of the work for which this Permit is issued(Sec. MICROFILM 3097,Civ.C.). .. HEATING'UNIT(TO 100,000B.T.UX 8.00 ' Lender's Name HEATING UNIT(OVER R 100,000 B.T.U.)9.50 Lender's Address - - ELECTRIC _ lcertify that l have read this`application and state that the above '• VENTILATION FAN (SINGL'E)` 4;00 ' ini ormation.is correct 1 agree to comply with all city and county - PLUMBING ` ordinances and state laws relating to building construction, and, . BOILER-COMP(3H.P:6r100,000B.T,U.I 6.00 hereby, authorize representatives of this city-to enter upon the above-mentioned property for inspection purposes. BOI LER-COMP (Over 100,000 BTU)SEE FEE SCH. . •, MECHANICAL. (we) agree to save, Indemnify' and keep harmless the City of MISC.- REFER TO ORD. Cupertino against,liabilities,judgments, costs and expenses which' - CONST.•TAX in any wayiaecrue against said City in consequence of the - PERMIT ISSUANCE 10.00 _ - mn of �. MECH.CONT. LIC.N0. - MECH. t G4✓�c Vi=a ' ' TOTAL TOTAL Si �[ reof ApPicant/Contractor + Date". _ , -- - ///�� OFFICE COPY •