13332 NEAR FRONT OF BUILDING YPFRMIT NUMBER
OF CUPERTINO 13332
INSPECTION DIVISION
JOfbB IcN/1S�PECTION�q•RECORD
JOB ADDRESS r7.POSTT�Hl�SC�ARD
�ee ' "' "� r� ` -u UNIT# - LOT PERMIT EXPIRATION
I y/ CONTROTV� LS�-_ - PERMIT EXPIRES IF WORK
OWNER /}4A5rr h '
IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION -, Q Z��p'87 ANCE OR 180 DAYS FROM
LAST CALLED INSPECTION.
UFER
PERMIT VALIDATION
PREG NITE
P R NO ONCRETE UNTI ABOV HAS BEEN SIGNED
UNDERGROUND /SLAB AUGPLUMBING - R
ELECTRICAL ISSUANCE DATE
{
- MECHANICAL - e�� �BLEGj ,, PI MECH.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR VALUATION S/FT.
PLUMBING _/?-F2 )ud ten/ , `}.�
MECHANICAL _a a,r) v1o� [.�.-1./
r PERMIT TO
ELECTRICAL. D
FRAMINGV t
STORIES TYPEEC CONSTR.
INSULATION v
d
_� ,ORC0.GROUP RES.UNITS
yo
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED -3 I/
ROOF
SO.FT,FLOOR AREA TOTAL ACREAGE
DIAPHRAGM tG
BUILDING USE
HES IND CON PB 09"
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED El ❑ ❑ Q
ROUGH ASSESSORS PARCEL NO.
PLUMBING .L- /p1-
GAS TEST O
TRACT Ng PARCEL No.
MECHANICAL _t�,k7 pw
ACC,DATE ACC.FILE NO,
ELECTRICAL FINALS DATE INSP.
FRAMING / . - SAN # ZONING ENG.SITE NO.
INSULATION IZ- t)- PLUMBING
liokd Pali caIC vGr 't GAS
FIRE SPRINK ENERGY T 2
oWM MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING , 00 ° L. NE]FLOOD ZONE
0.L.U.C.
LATH-INTERIOR 2_,9,Qj ELECTRICAL -
LATH-EXTERIOR FIRE DEPT. `'❑ N� r N[]
SHEETROCK RADE FEE SUMMARY
SHEAR INTERIOR BUILDING
SHEAR EXTERIOR I 1 TEMPORARY APPROVAL BUILDING //3z
FIREWALLS ELECTRIC - PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE '
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNE68Y BUILDING INSPECTOR. MICROFILM'
I
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
i
uJ ONE WORKING DAY BEFORE REQUIRED INSPECTION._: PLUMBING _
I PLEASE GIVE JOB ADDRESS WHEN PHONING. _
Z L
- SEE PERMIT FOR EXPIRATION DATE - MECHANICALy�•
IMPORTANT! CONST.TAXd0,r~
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY
. f
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
=y)" BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
E BUILot.. APPLICATION & PERMIT
ADDRESS 13332
e court .'. BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
OWNER'S PLAN CHECK VALIDATION
NAME TY
TVA Inc, OTV. ELECTRIC PERMIT FEE
Thrust IV, LoPNON
COONTERACTORs UTLETS-SWITCHES-RECEP 10.00/1.00 1,&4-
Thrust IV Inc, LIG.No.319115 35 LIGHTING FIXTURES 10.00/1.00
Vf-
CONTRACTOR
ADDRESS 2 APPLIANCES-RESIDENTIAL 4.00
y+ D'• PHONE 969-7722 2 PANELS 10.00 ?C- DATE OF APPLICATION
ARCHITECTY_ PLAN CHECK FEE P.C.NO.
OR Corp. Arch. PANELS (OVER 200 AMP) 20.00 �Pby:
ENGINEER Y
LIC.NO. SIGNS TRANS. 3.00 T
ARCH.OR ENG. PERMIT VpALIDATION:
AanREss SBIILA SPECIAL CIRCUIT ,. 5.00 "� U s.. -
IOCFwTn Eno, nv EMP.METER OR POLE INS. r^'''20.00 U l
AvvucANrs MOTORS - SEE FEE,SCH. (p'- � �
ADDRESS J
9M1 Tandings Dr. Yint. View SERVICE CHANGE (UU 'J 20:001 /���rJ
w o o LICENSED CONTRACTORS DECLARATIONl /
< i w 1 hereby affirm that 1 am licensed under provisions of Chapter 9LillyUI'V ISSUANCE DATE
N a e (commencing with Section 7000)of Division 3 of the Businessand BLDG. ELECT. PLG. MECH.
r o i Professions C and my license is in full for &gf�ct.
Z o`vl' - License -1y--�Lie.Number ''s��yt1�11
O wo Da[e K2 Contruetor
1-
m
w a OWNCR-BUILDER DECLARATION BUILDING PERMIT
w ;LL y I hereby at firm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD INFORMATION
FU04 Law for the following reason.(See,7031.5,Businessand Professions PERMIT ISSUANCE 10.00 VALUATION $/FT.
iw>f Code:Any city orcounty which requires a permit to construct.alter, �Q'- hi /
o: (( a p improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. pp L1�7
io M requires the applicant for such permit to file a signed statement that TOTAL �03-
F
$N he is licensed pursuant en the provisions of the Contractor's License -5rE-D IT TO L
H E a Law(Chapter 9(commencing with Section 7000)ofDivision3 of[he T W
f 4 o Business and Professions Code)or that Ile is exempt therefrom and OTV, PLUMBING PERMIT FEE
X 1- the basis for the alleged exemption.Any violation of$eclion 703 L5 STORIES TYPE CONS
&VENT-WATER (EA.) 5.00 R.
i; ,- by any applicant for a permit subjects the applicant to a civil penalty ,/�[J
of not more than five hundred dollars(5500).): ALTER-DRAIN
❑ 1,as owner o�lhe property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 oee.GROUP RES.UNITS
their sole compensation,will do the work,and the structure is not n /
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 F IXTUR ES-PER TRAP 5,00 g,5 SD.FT.FLOOR
/AREA TOTAL ACREAGE
himself m through his own employees.provided that such improve- 323 j
mention through
rt or offered employees,
or provided that such
building GAS-EA.SYSTEM-11NC.4OUTLETS 6.00 (e-
or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00
builder will have the burden of proving that he did not build or im-
BUILDING USE
prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RE IND CON PR Other
111,as owner of the property,am exclusively contracting with ❑ 0 ❑
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 Contractors License Law does not apply /
to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5- A-) 1.00
contracts for such projects with a contractor(s)licensed pursuant to -' IE
the Contractor's License Law, SEWER-SANITARY•STD MEA.200ft/10.00 0.- TRACT N( PARCEL NO.
reason lam exempt under See.-,B.&P.C.hr this / yygTER HEATER W/VENT _ 6.00 r,_
Owner Date WATER SYSTEM ( 5,00
�� .� ,S- ACC.GATE ACC.FILE NO,
WORKERS'COMPENSATION DECLARATION WATER TREATINGE LIP. rsLn�(`5100
[hereby affirm that I have a certificate of consent to self-insure,
or a certificate of Workers ComgqSSLQls-�a{{ion{wgsuraaa��a�JlllIce,or a cenified lv ZONING ENG.SITE NO.
copy thereof(Sec.3800,Lab.CJ s�LgLB„L'118 5
copy
ere Company.C.L 77..11__JJ/LLL-�L� �+y� -/ 'l
0 ❑ Certified Copy is hereby furnished. Vq/ry pp FIRE SPRINK ENERGY T 24
Z Z ❑ Certified copy is filed with the city inspection division. MISC. REFER TO ORD.
Q Applicant V NE] I Y ❑ N�
cc y CERTI FICATE OF EX I'M PTION F ROM WOR K E RS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C.
W > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG, .J qqoo
d 0 (This section need not be completed if the permit is for one
TOTAL �.i G Y N V NC]
Z hundred dollars IS 100)or less.)
U O 1 certify that in the performance of the work for which this per- CITY MECHANICAL PERMIT FEE FEE SUMMARY
LL 1- mil is issued I slmll not employ any person in any manner so as to
0 0 become subject to the Workers'Compensation Laws of California. ��
Q. Uate Applicam BUILDING VS
} 0 NOTICE TO APPLICANT: If,after making this Certificate of Ex- ALTER OR ADD T MECH. 5.00
? emplion,you should become subject to the Workers'Compensation APPLIANCEr, 5.00 PLAN CHECK
previsions of the Labor Code, you must forthwith comply with FEE
U such provisions or this permit shall be deemed revoked. AIR HANDLING U IT,�(T.b 10000G_F..KP 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UN (OVER,1dblb- .RM.) 6.00 SEISMIC FEE r
I hereby affirm that there is a construction lending agency 1'or EXHAUST HOOD( , DUCT) 5.00 S^
the performance oI'the work for which this permit is issued(Sec. MICROFILM
y 3097,Civ.CJ. ' Q HEATING UNIT(TO 100,000 B.T.U.) 8.00 /(e-
R Lender's Name FE HEATING UNIT(OVER 100,000 B.T.U.)9.50 �/3,�
Lender's Adore ELECTRIC
I certify that l have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 /2- '
information is Correct.1 agree to comply with all city andcounty PLUMBING
on
ordinances and state laws relating to building cstruction, and BOILER-COMPI3 H.P.or 100,000 RT.U.) 6.00
hereby authorize representatives of this city to enter upon the BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL y3,✓
above-mentioned property for inspection purposes.
(We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD.
Cupertino against liabilities judgments, costs and expenses which PERMIT ISSUANCE 10.00 �Q - CONST.TAX
may in an way accrue against said City in consequence of the
gnoingoftlampermit. MECH.CONT. LIC.NO. MECH.
.ane4(lm 8/3/87 TOTAL TOTAL r3j�'S
Signature of Applicant/contractor Date �--
OFFICE COPY