14360. , ... 17
APPLICANT TO FILL IN INFORMATION WITHIN. RED LINES= USE BALL POINT PEN ONLY,_'.
•
BUILDING PROJECT IDENTIFICATION
APPLICATION &'PERMIT
'
BUILDING'-ELECTRICAL-PLUMBING-MECHANICAL
l IT NUMBER
- s:PERM,
"1060
ED,LDING
ADDRESS $29 10627' Bandley Dr.'
OwrvER'S•
NAME Apple ComPUter''PRDNe.. 996-1010
DTV. ELECTRICPERMIT FEE I
c,
PLAN CHECK VALIDATIONS _
°;
•.
't •.• ` "'
CONTRACTOR f _r
NAME .
Bergie Plumbing L .. NO. 1,76303
OUTLETS=SWITCHES -RECEP [,10.00/1. 0 -"
LIGHTING FIXTURES '.' 10.00/1.00
CONTRACTOR'S '3570'•HaVen AVe.
ADDRESS
PPLIANCES- RESIDENTIAL 4.00
PANELS _' 10.007
Redwood' City CA 94060RE368-9494
DATE oF+APPLICATION "
ARCHITECT :.
OR
ENGINEERS n
' 'LIC. NO,
PANELS (OVER 200 AMP) 20.00
PLAN CHECK FEE' P.C. NO.
...
SIGNS TRANS.. 3.00
ARCH. OR ENG.
ADDRESS
SPECIAL CIRCUIT 5.00
PERMIT VALIDATION
EMP. METER.OR POLE INS. - 20.00
- ZIP
•`
:`-
_ 3/ fl r
APPLICANTMOTORS
ADDDRESDRESS,,,
v SEE FEE SCH.
SERVICE CHANGE - 20.00
LICENSED CONTRACTORS DECLARATION
-
I hereby affirm that I am licensed under provisions of Chapter 9
(commencing with Section 70000 of Division 3 of the Business and
Professions Code d license Is In full Ibr�i 16 f, r.
License Ll" �'-3 CLieo Number 1 / O.3k1
Date % Contractor
ISSUANCE DATE
BLDG. ELECT., PLG. MECH.
LJ . �" �'
. t
n '
BUILDING T MIT
INFORMATION
OWNER -BUILDER DECL' RATIO
I hereby affirm that I em exempt from the Contractor s License
Lew forAny the Professions
Code: Any city or county which structure permit to consuanc alter,
countywhichng reason. ec.70315,Busit to
,.
'MISC.- - REFER TO ORD `
P ERMIT' ISSUANCE. -'10.00
'VALUATION,.
$/FT.
ELEC. CONTE, 'LIC. NO. ELEC.
_ C TOTAL
` ^'
DTV. .PLUMBING PERMIT - FEE
improve, demolish, or repair any structure, prior to its issuance, also
t such revisit to file a signed statement that
requires the dp pursuant
he l9 license(Chapter 9(co t0 One withprovisionsofth6 (.'n fEnvisi S 3 License
Law (Cha ndr 9 (commencing Code) or
Business and ns Code) or that he is exempt therefrom and
is 00) exempt [heron 3 and
_ _ PERMIT TO
�
the basis for the alleged exemption. Any violation ofSection 7031.$
he lieu
by any applicant for a permit suhjecta the applicant Ina civil penalty
of not more than five hundred dollars (S500).):
RIES
STORIES_
TYPE CON6TR. .
.. gLTER-DRAIN&VENT-WATER IEA.) 5.00 "
❑ I, as owner of the property, or my employees with wages as
their sale compensalion,'wlll do the work, end the structure is not
BACK FLOW PROTECT. DEVICE 4.00
OCC. GROUP
RES. UNITS
27 DRAINS -FLOOR, ROOF,AR EA,CON D. 5.00 135.0
0
intended or offered for sale (Sec. 7044, Business and Professions
Code' The Contractor's License Law does not apply to an owner of
property who builds or improvesthereon, and who does such work
himself or through his own employees, provided that such improve-
meats are not intended or offered for sale. If, however, the building
a
28 FIX'TURES'- PER TRAP ;4 5.00 140.0
- '
I GAS-EA.SYSTEM-11NC.40UTLETS 6.00 6.0
ID. FT. FLOOR AREA
TOTALACREAGE
'
or Improvement is sold within one year of completion, the owner-
builder will have the burden of proving that he did not build or im,
prove for
s ownwneeof sale.). '"
❑ 1, as er of the property, am exclusively contracting with
S GAS - EA..SYSTEM'- OVER 4 (EA.) 2.00 10.0
BUILDING USE .
RES IND CON PB On., '
, 11 1:1 El El ❑'
INDUSTRIAL WASTE INTER. 30.00
-
. licensed contractors'to construct the project (Sec. 7044, Business
and Professions Code: The Contractor's License Law does not apply
to an owner of property who builds or improves thereon, and who
LAWN SPRINKLERS - YINC 5 V.B. 6.00
ASSESSORS PARCEL N0. -
- ,
LAWN SPRINKLERS -_ OVER 5'(EA.) 1.00
contracts for such projects with a co nOactorts) licensed pursumd to
the Contractor's License Law.-
,❑ lam retainexemp[wider Sec. ,B.&P. C. for thi>
n
SEWER -SANITARY -STORM EA. 200ft/10.00
TRACT NO,
PARCEL NO.,
3 WATER HEATER,W/VE .6.00 18.0
Owner . - . Date -
WATER SYSTEM. , .,5:00
ACC.DATE
- ACC. FILE NO. .
WORKERS'COMPF-NSATION DECLARATION
WATER TREATING P.f �'t,.00_
'
hereby aCfirm`tlmt 1 have a certificate of COn9ent "I in, insole,
- _
"
ZONING
•
'ENG. SITE N0.-
or a certificate of Workers' Compensation Insurance, or a certified
o e Ino
-__
MISC REFER TO ORD.
copy there�See 338,0,01 Lab.0 1
Policy�`7 -� _F
❑ Certified copy l9 here y furm;he T p (h
ty Certified COpy'1 Bled4h IIIC Ilj` 9petlhl(1� IV19011.
Applicant
"FIRE $PRINK
Y❑. N❑,
ENERGY T-24
,Y-❑ N❑
PERMIT ISSUANCE, - 10,00
CERTIPICATEOF EXEMPTION FROM WON ERS'
. COMPENSATION INSURANCE
(This section need not be completed if the permit is for one
'FLOOD ZONE
Y ❑ . N ❑
A.L.u.C.
Y ❑ N ❑
PLG. CONTR. - LIC. NO.
-
PLG.
TAL
hundred dollars IS 100) or less.)
I certify that. in the performance of the work for which this per-
mit is issued: I'shall not, employ any person in any manner so as to
OTY. MECHANICAL PERMIT' ,FEE
"
FEE SUMMARY "
become subject to the Workers' Compensation Laws of California.
ALTER OR ADD TO MECH:' , 5.00
DateApplicantBUILDING
NOTICE TO'APPLICAN'1': II', after making this Certificate of Ex-
APPLIANCE 5,00
'AIR HANDLING UNIT (TO 10,000C-F.M.) 4.00
PLAN CHECK
'FEE
'
emption, you should become subject to the Workers:Compensation
provisions of the labor Code, you most forthwith comply with
deviated provisions or this permit shall he deted revoked'
AIR HANDLING UNIT (OVER 10=C_.F.M.) 6.00
SEISMIC.FEE
- CONSTRUCTION LENDING AGEIsl
EXHAUST HOOD (WITH DUCT) 6.00
I hereby affirm that there is e construction lending agency for
MICROFILM
the performance of the work for which this permit is issued (Sec.
3097,'Civ.C.).
HEATING UNIT (TO 100,000 B.T.U.) '.8.00
Lender's Name
Lender's Address -
HEATING UNIT 100,000 B.T.U:) 9.50
ELECTRIC
VENTILATION FAN (SINGLE) 4.00
I Imfidy that l have read this application and slate that the above,
inl'ormmion is correct. I agree to comply with all city and county
ordinances and state Taws relating 90 building construction, and
PLUMBING
3U e dw
BOILER-COMP(3 H.P. or 100,000 B.T.U.) 6.00
hereby authorize representatives of this city -lo cnter upan-the
above-mentioned property for inspection purposes.
BOILER -COMP (Over 100,000 BTU) SEE FEE 6CH.
:MECHANICAL
(We) agree to save, indemnify and keep harmless the City of
- MISC. - - '. REFER'TO. ORD.
-
uptrtino against liabilities, judgments, costs and expenses which
naY in any way ecarue again[ said 'ty in co seruence Of the
sane Of [his siert.
Ali 3/3/88
" PER ISSUANCE 10.00
CONST. TAX
MECH. CONT. LIC. NO. MECH.
T OTAL
"' - '
TOTAL
gnature of Applicant/Contractor Date
OFFICE COPY
POST THIS CARD NEAR.FRONT'OF, BUILDING
'CITY OF CUPERTINO.
INSPECTION DIVISION ': "•
JOB INSPECTION RECORD
JOB ADDRESS 1'0627 .BANDLEY DRIVE UNIT# _LOT#
OWNER ..APPLE COMPUTER CONTRACTOR .BERGIE 'PLUMBING -
(PERMIT NUMBER'
14360
PERMIT EXPIRATION +
PERMIT EXPIRES IF WORK
IS Nor STARTED WITHIN..
180 DAYS OF PERMIT ISSU-�
ANCE OR .180 DAYS FROM
LAST CALLED INSPECTION.
INSPECTION DATE INSPECTOR
INSPECTION RECORD
FOUNDATION -
NOTE:-
ALL GRADING AND DRAINAGE SHALL BE INSTALLED
TO COMPLY WITH THE APPROVED PLANS AND CITY OF
CUPERTINO STANDARDS.
-
UFER - _ - .
• PREGUNITE -
PERMIT VACIDATION
'
�/� 4 v^' < '•: —� <
' ISSUANCE DATE '
GARAGESLABS -
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND/SLAB
' PLUMBING
^
. ELECTRICAL
MECHANICAL - .q
a,66we a /��✓ D svQ ��rr
aLun
ELECT.
eLO,
d La r6 SpA 3 -8
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
6-16-��. t"drK-P aC`�l IEVo,I 00240
-_
: - BUILDING;P ERMIT
'INFORMATION -.I
WOOD FLOOR
PLUMBING -
• -
`D VALUATION
. SIFT:
MECHANICAL'
ELECTRICAL
L
PBanBT ro'
FRAMING ..
INSULATION
I
D
TYPE CONSTT,
„
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
••
OCL. GROUP
RES UNITS
ROOF *
NOTE: NO FINAL INSP. SHALL BE MADE BEFORE
THE CONSTRUCTION -TAX IS PAID'
-
SO I T, ILOOR ARCA
'
TOTAL ACFCAC,E
DIAPHRAGM '
ROOF SHEATHING -
-
e"CIRCLING USE
.RBS - CON PB DO— .'
_0E ❑ El E
APPLY' NO ROOFING UNTIL ABOVE HAS BEEN SIGNED
FINALS DATE INSP.
R UGH "
SAN,H
ASSESSORS PARCEL NO,
PLUMBING - -
ELECT. ENERGY
TUBS B SHOWER PA
PLUMBING ENERGY
TRACT NO.
PARCELNO
MECHANICAL -
MECH.'ENERGY
ELECTRICAL
BUILDING ENERGY -
ACC DATE
ACC FILEND
L
,
.FRAMING..
---
ELECT. FINAL TEST
INSULATION -
PLUMBING--• -
ZONING -
ENG. SITE NO.
GAS TEST
GAS
MECHANICAL
FIRE SPRINK,-
Y ❑ NE
'ENERGY T as
❑ N❑
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
HEATING
EXTERIOR SHEAR
ELECTRICAL RELEASE
`FLOOD zome
Y ❑ N❑
'A. L. u. C.
Y ❑ N❑
INTERIOR SHEAR -
FIRE DEPT.
SHEETROCK
GRADE -
- .FEE SUMMARY
EXTERIOR
BUILDING
BUILDING
INTERIOR LATH
TEMPO RARV.APPROVALS
SCRATCH'COAT
ELECTRIC
PLAN'CHECK
FEE
•
GAS
NO TAPE OR PLASTER UNTIL ABOVEMAS BEEN SIGNED
OCCUPANCY,
sElsMlc FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. "
'
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505,
F- ONE WORKING'DAYBEFORE,REQUIRED INSPECTION.
z PLEASE GbVE JOB ADDRESS WHEN`, PHONING.,
-`SEE PERMIT FOR EXPIRATION DATE =
ELECTRIC
PLUMBING .,
a.
MECHANICAL
IMPORTANT! .
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION. "
CONST. TAX
TOTAL
",OFFICE COPY '