17480 APPLICANT TO FILL iN INFONkMk'WITHIWpCl LINEST USE BALL,POINT PEN ONLY
BU I LDING PROJECT I DENTIFICATI ON - - PERMITNUMBER
BUILDING APPLICATION & PERMIT , f 1748 0
ADDRESS . BUILDING-ELECTRICAL-PLUMBING-MECHANICAL , t.
10475 Bandl¢ .
OwNER'S - - PLAN CHECK VALIDATION
NAME QTY. ELECTRIC PERMIT FEE
Apple ComputerPHONE • ouipaonp jo 4413
C04T ACTORS - ", OUTLETS 10.00/1.00
ME
Cal-Air, Inc. LI ND.137195 LIGHTING FIXTURES 10.00/1.00 ���� ^0 L,1J0
CONTRACTOR'S - .APPLIANCES-RESIDENTIAL 4.00 N
ADDRESS
17.75 S. 1st St., PHONE947-.0155 PANELS 10.00 D ucnTION
-1'
ARCHITECT • r., .PANELS (OVER 200 AMP) 20.00 PLANC K c.,No.
ENGINEER"
LIC.xo. SIGNS TRANS. 3.00
Doo'ESSs ENG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
ZIP EMP.METER OR POLE INS. 20.00 AVII ✓'v CM 1
APPLICANT'S " MOTORS SEE FEE SCH.
ADDRESS 11 �j�J
SERVICE CHANGE 20.00
o O LICENSED CONTRACTORS DECLARATION
.Q v w =I hereby afllnm that I pm licensed under.provisions of CIu,ocr 9 - ISSUANCE DATE
v,<h (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. pECH.
H w z Professions Code,and my license is in full force and effect E] - E] ❑
z o m - License Class- -7+9-c;--Lie.Number_1
E m- J O Date��./ .9_Contraclor_� r_
H _H
re Yae J
¢ ¢wOWNER-BUILDER DECLARATION - BUILDING PERMIT
se ;a- w 1"hereby affirm that,l um exempt from the Contractors License. MISC.- REFER TO ORD INFORMATION
u O¢ Caw for the following,reason.(Sec.7031.5,Business:md Professions - VALUATION $/FT.
H H w PERMIT ISSUANCE' 10.00
Code Any oily or county which requires permit to construct,alter,
.a Be¢ 0 improve,demolish,or repair any sRaeture,prior to its issuance,also ELEC.CONTR. LIC.N0. ELEC.
O¢ requires the,applican,fur such permit to file a signed statement that _
A w'm y he is licensed pursuant to the.provisions of the Contractor's License TOTAL PERMIT TO
rz } Law(Chapter 9(commencing with Section 7000)of Division 3 of the
4 o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE
¢ I- the basis for the alleged exemption.Any violation of Section 7031.5 _ _ STORIES TYPE CONSTR.
.n3 - by any applicant for a permit subjects the applicant to u civil penally ALTER-DRAIN (EA.) 5.00 '
of not more than five hundred dollars(8500)): - - -
❑ I;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(See. 7044, Business and Professions DRAINS'-FLOOR,ROOF,AR EA,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 50.FT.FLOOR AREA TOTAL ACREAGE
himself or through his awn employees,provided that such improve-
ments are not intended or offered for sale It,however,the building GAS-EA.SYSTEM-11 NC.4 OUTLETS 6.00
or improvement is-sold within one year of completion,the owner- GAS EASYSTEM-OVER 4 (EA.) 2.00
builder will have the burden of proving that hnt - .e did not build or i
- BUILDING USE
prove for purpose of Sale.). INDUSTRIAL WASTE INTER.' 30.00 RES IND CON PB Omer
❑ I,as owner of the property,am exclusively contracting with
licensed contractors to construct the project(Sec. 7044,Business j LAWN SPRINKLERS- 1 INC 5 V.B. 'T6.00 ASSESSORS PARCEL NO.
and Professions Code:The Contractor's License Law does not apply -
to an owner of property who builds or improves Ihercon.and who LAWN SPRINKLERS-OVER 5(EA.) 1.00
\\
contracts far such projects with a.conlrncmrs)licensed pursuant m
the contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00
TRACT N0, PARCEL N0.
�.� ❑ I am exempt under Sec. ,RAP.C.Ibr this - WATER HEATER W/VENT 6.00
reason
Owner
DateWATER SYSTEM 5.00 ACC.DATE ACC.FILE,NO.
WORKERS'COMPENSA'PION DIiCLARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate of consent to self-insure. _
or a certificate of Workers Compensation Insurance,or a certified ZONING ENG.SITE NO.
Copy th4-C-2i
00,Lab.C��11 - �
Policy NL, ttQ ❑ oislere yturn FIRE SPRINK ENERGY T-24
Z2 ❑ l�ial wi ne i , - he v' MISC.=. REFER TO ORD.
7'I'��-� OR-Ili "PERMIT ISSUANCE - 10.00
�.N CERTIIJCA E 1: P 1 ORKERS' FLOOD ZONE A.L.U.C.
ELI COMPENSATION INSURANCE P G.CONTR. LIC.NO. PLG.
Q' (This•section need not be completed If the permit is IT, one TOTAL Y IN E] Y N�
Z hundred dollars(SICK)or less)
U O 1 certify that in the performance of the work for which this per- OTV MECHANICAL PERMIT FEE FEE SUMMARY
LL H mit is issued, I shall not employ any person in any manner so as to
.Q w become subject to the Workers'Compens5rimi'Laws of Calif -
a Date Applicant - A ALTER OR ADD TO MECH. CI BUILDING' �-
} W NOTICE TO APPLICANT: If,alter making this Certificate of FxIL-
f- ? Cotillion,you should become subject to the Workers;Compehsation APPLIANCE 5.00 PLAN CHECK
provisions of the Labor Code, you most forthwith Comply with FEE _ �1
U such provisions or this permit shall be deemed revoked. - AIR HANDLING'UNIT ITO 10,000C.F.M.)', 4.00
CONSTRUCfIONLENDING.AGENCY AIR HANDLING UNIT(OVER 10=1C.F.M.) 6.00 SEISMIC FEE
1 hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT). 5.00
the performance'of tire 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(OVER 100,0008. .
Lender'sAndress ELECTRIC
_ 1 cert" that I have read this application and slue that the above VENTILATION FAN (SINGLE)
• nforma R is correct. I agree to comply with all city and county PLUMBING
brdina s and slate laws relating to building construction, and BOILER-CQMP(3H.P.or100,0008.T.U.) 6.00
harcl uthoritcohered
representativesofthis city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. .�� MECHANICAL'. / D
abov entioned propert 'nspeaion purposes, •
( agree to save, dem,"fy and keep harmless the City of MISC.- REF R TO ORD.
Cu o against Gobi ie ju "nen s, costs and expenses which PERMIT ISSUANCE ./ --�,(]D CONST.TAX -�
i ny way ace a in Sul Ci ty.In 'onsal uence'of a ..j
g f this P run ECH.CONT: LIC.NO. MECH.
TOTAL TOTAL
Signature of Applicant ontractor' .&. 1 to Tnr o
OFFICE COPY
POST THIS CARD NEAR FRONT OF BUILDING
' . PERMIT NUMBER -
CITY OF CUPERTINO PAID174$0
INSPECTION,DIVISION QCT 1-Q:1989
"'. JOB INSPECTION RECORD p
• p�7 •_ CIfv Of'.f140RI}IOO PERMIT EXPIRATION'
JOB ADDRESS - CDS / v �� UNIT# _LOT# •�
PERMIT EXPIRES IF WORK
OWNER CONTRACTOR _ IS NOT STARTED WITHIN
INSPECTION IJAIJ I INSPECTOR INSPECTION RECORD .180 DAYS of PERMIT ISSU-
FOUNDATION - ANCE OR 180 DAYS FROM
NOTE: - LASTCALLED INSPECTION.
LIFER - ALL•GRADING AND DRAINAGE SHALL'BE INSTALLED
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF . PENM 7 VauunnON r
CUPERTI NO STANDARDS: 4 _
GARAGE SLABS - Qil%ko"vj 1,ST
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED -
UNDERGROUND /,SLAB 116, �'� �/'}�..-•J�
PLUMBING
ELECTRICAL ' ' V
ISSUANCE DATE
O MECHANICAL BLDG ELECT, PL❑G �R
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR - ,INFORMATION
PLUMBING
VALUATION" SIFT;
�� - y � - .,
MECHANICAL
ELECTRICAL - - - - 'PERMIT TO
FRAMING .. Vlo - a ]
INSULATION ,. STORIES TYPE CONSTR.
... - OCC GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
$D,FT,FEOUN PFF'P iOIAL ACREHGE
• ROOF NOTE:NO FINAL I IONNSIF.-T X.IPAID'..BE MADE BEFORE.
DIAPHRAGM THE CONSTRUCTION TAX IS PAID'. I
BUILDING USE
ROOF'SHEATHING' - RES IND -CON PB Cln,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ` r. FINALS DATE " INSP. 1:1 ' ❑ '� ❑ ❑
A SSESSORSPAHCELNO
ROUGH SAN.#
" PLUMBING - ELECT.ENERGY
TRACT NO., PARCEL NO
TUBS,&SHOWER PAN PLUMBING ENERGY .
MECHANICAL - 'MECH.ENERGY
ELECTRICAL ' - BUILDING ENERGY - ACC.DATE ACC FILE NO
- FRAMING ELECT.FINAL TEST.'
INSULATION PLUMBING,- _ ZONING - ENG.SITE NO.
GAS TEST GAS -
FIRE SPR INK ENERGY L29
MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ "❑• +,° ❑ `"❑
EXTERIOR SHEAR -
ELECTRICAL RELEASE r FLOOD ZONE A L,U.C.
INTERIOR SHEAR °❑ "❑ YLL N❑
SHEETROCK GRADE -
FEE SUMMARY
EXTERIOR LATH BUILDING' -
INTERIOR LATH TEMPORARY.APPROVALS BUILDING
SCRATCH COAT ELECTRIC.' •PLAN CHECK,,,
GAS FEE.. . ..�
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - SEISMIC FEE _
OCCUPANCY,OF BUILDING IS NOT PE RMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-45051 ELECTRIC _
�
� _ ' ONE WORKING DAY.BEFORE REQUIRED INSPECTION. PLUMBING
z PLEASE GIVE JOB ADDRESS WHEN-PHONING. '
— SEE PERMITTOR EXPIRATION DATE— MECHANICAL .
IMPORTANT! . 'corysT. Tnx`' _
PLEASE READ REVERSE SIDE.BEF. RE TOTAL' }2
CALLING FOR FINAL INSPECTION..
OFFICE COPY.