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15835 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER j CITY OF CUPERTINO 15335 INSPECTION DIVISION JOB INSPECTION RECORD I r � � '/yam. PERMIT EXPIRATION JOBADD19ESS It( ` ` -��iA �Q-M� V1r UNIT# _LOT# 1 �121c-`eke*f G ! PERMIT EXPIRES IF WORK OWNER CONTRACTOR c�VIMIiar-< G'� IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION - ANCE OR 180 DAYS FROM �� NOTE: LASTCALLED INSPECTION. LIFER fz- ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY.OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING ELECTRICAL FF,\\IssunrvcE unrE MECHANICAL BLDG ELECT I PLG. MECH ❑ ❑ ❑ 00 NOT POUR FLOOR U TIL ABOVE HAS BEEN SIGNED ip PA BUILDING PERMIT INFORMATION WOOD FLOOR ALD A TI GN $/FT. PLUMBING MECHANICAL • . aw Ran ELECTRICAL - _ O (14F ,MIT ro FRAMING ermill '`•—' INSULATION sro TYPE CONSTR. DLC-cvouPHLb ONITS . PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE sG FT FLOOR AREA T04 ACREAGE- DIAPHRAGM THE CONSTRUCTION TAX IS PAID 3047 BUILDING USE " ROOF SHEATHING RES IND CON PB Om" APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ . ROUGH ASSESSORS PARCEL NO PLUMBING OL7C ELECT.ENERGY .' - • TUBS B SHOWER PAN -i,� PLUMBING ENERGY rvncI N No PARCEL No MECHANICAL MECH.ENERGY ELECTRICAL BUILDING NERGY DATE ACC FILE No, E FRAMING ELECT.FINAL TEST 20NING ENG.SITE NO. INSULATION Zj.� PLUMBING 9 GAS TEST 6 2 �/O� GAS - GIRESPRINK ENERGY T 20 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ ° ❑ IN F] EXTERIOR SHEAR 1.t, ELECTRICAL RELEASE GLooD zoNE AL uc INTERIOR SHEAR �� FIRE DEPT. Y❑ N❑ Y ❑ NE] SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING / ' z, BUILDING INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK 972.00 GAS - FEE 15.50 NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY sEl OTWW 52.00 OCCUPANCY OF BUILDING ISNOT PE RMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. 73.13 Z MECHANICAL SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! CON 4 AX 3' J PLEASE READ REVERSE SIDEBEFORE TOTAL CALLING FOR FINAL INSPECTION. J 3 OFFICE COPY /S-7 y4: APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY - - / BUILDING PROJECT I DENTI FICATION 'PERMIT UUMBER nooaess LOt 197 Plan 4C APPLICATION & PERMIT 1 583 p�j 11649 Birch spring Count BUILDING-ELECTRICAL-PLUMBING-MECHANICAL - I iJQJJ OWNER'S NAME PLAN CHECK VALIDATION a - QTY. ELECTRIC PERMIT FEE PHONE CONTRACTORS NAME Gregory Group Inc. & OUTLETS-SWITCHES-RECEP 10.00/1.00 f NAME Ahmanson DeV. AII5-595-2100 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S AOp Ess PPLIANCES-RESIDENTIAL 4.00 Gregory Group Inc. ,,,,, B-430097 PANELS 10.00 DATE OF APPLICATION' ARCHITECT - - PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE F.C.NO. ENGINEER RWC 94065 ID.415-595-210 SIGNS TRANS. 3.00 ARCH 0R ENG. Aram Ba SSenlanr AIA & Assoc. SPECIALCIRCUIT 6,00 PERMIT VALIDATION ADDRESS ,,PC-839EMP.METER OR POLE INS. 20.00 8v - APPLICANT'S 203Orchard Or: 100 MOTORS SEE FEE SCH ADDH Ess S n%,Ant C 07 SERVICE CHANGE 20.00 Dai r 00 LICENSED CON'T'RACTORS DECLARATIONin P qty W am U I hereby affuthat I am licensed under provisions of Chapter 9 2 w ISSUANCE DATE (commencing with Section 700e)i of Division 3 of the Business and BLDG. ELECT.- PLG. MECH. F w i Professions Code,am y license is in full force and effect.-9 _ I 20 - Data Class_ Lin. ractor _4.30©97, LfL�ff O � �-w Data - Contractor Q Y E a w 4 OWNER-BUILDER DECLARATION BUILDING PERMIT o d U INFORMATION w ; y I hereby affirm that 1 inn exempt from the Contractor's License MISC.- REFER TO ORD j w 0 4 Law for the following reason.(Sec.7031.5,Butfi essand Professions VALUATION S/FT. - PERMIT ISSUANCE 10.00 Code:Any city or county which sequiturs permit to construct,after, SE M Q 0 improve,demolish,or repels day structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. 194,540 n n o, requires the applicant for such permit to file a signed statement that TOTAL w es w U. he is licensed pursuant to the provisions of the Contractor's License PERMIT TO r i Q Law(Chapter 9(commencing with Section 7000)of Division 3 cfthe SFDU,J L i D Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE w f$ the basis for the alleged exemption.Any violation of5eclion 7031.5 STORIES TYPE CONSTR, e3 - by any applicant for a permit subjects the applicant to a civil penally ALTER-DRAIN (EA.) 5.00 of not more than five hundred dollarsALTER- ,(5500).1: 2 5NHR O I,as of triowner the property,or my employees with wages as their sola cower at ,will do the work,and the structure is not BACK FLOW PROTECT.DEVICE 4,00 OCC.GROUP RES.UNITS intended or offered for sale (Sec. 7044, Business and Profusions DRAINS-FLOOR,ROOF,AREA,COND, 5.00 R-3 ..1 Code:The Contractor's License Law does not apply to an owner of Property who builds or improves thereon,and who doer such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- ments are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00 3047 or improvement is sold within one year of completion,the owner- builder ,will have the burden of proving that he did not build or am. GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE -q - prove for purpose of sale.). INDUSTRIALWASTE INTER. - 30,00 RE IND CON PB Other ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ licensed contractors to encomia, the project(Sec 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. 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-OVER 5(EA.) 1.00 contracts for such projects with a conlractuds)licensed pursuant to Vw V/ the Contractor's License Law. I SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO, PARCEL NO. ❑ Tum exempt under Sec. ,R.rEP.C.bar this reuse, WATER HEATER W/VENT 6.00 8098 Owner Data WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. W'ORKERS'COAIPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that 1 have a cerlificne o Fconsent to self-imare, or a certificate of Workers'Compensation Insurance,or a certified I ZONING ENG.SITE NO. an py t If e reof(See.3 S 00,Lab.C.). United PACIFIC Policy Na. Cm11pFa, ' O Cj, Certified copy is hereby furnished. FIRE SPRINK ENERGY TdO Z Z f�r Certified copy is riled With the Cily inspection division. H O Applicant MISC.- REFER TO ORD. ❑ N[] Y F] No CC T CERTIFICATE OP EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. LU > COMHIHNSATION INSURANCE PLO.CONTR. LIC.NO. PLO, Z This section need not he completed it the permit is for one - TOTAL V❑ N❑ V❑ N❑ hundred dollars IS 1001 or cess.) - U O 1 enrtify that in the performance of the work for which this par- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL 1- mil is issued,I shall not employ any person in any manner so as to Q Q become subject to the Workers'Compensation Laws of California. Ed 0. Data Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 972.00 >_ N NOl'ICE'1'0 APPLICANT: If,after making this Certificate of Ex- I" ? emption,you should become subject to Om Workers'Compensation APPLIANCE 5.00 PLAN CHECK .50 Provisions of the Labor Code, you must forthwith comply with FEE U such provisions or this permit shall,be deem00ed revoked. AIR HANDLING UNIT(TO 10, 0C.F.NL) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 13.65 1 hereby Orion that there is a Construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance-of the work for which this permit is issued(Sec. MICROFILM 309 tit PdC 1'f 1C HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lenders Add ress14ttf-f-1'r• HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 73-.13 I cattily That I have read this app icahoa and State that the above VENTILATION FAN (SINGLE) 4.00 information n correct. I agree to comply b with all dry and county PLUMBING 73.13 information and state laws relining m building construction, and BOILER-COMP(3 H.P.or 100,0006.T.U.) 6.00 hereby authorize representatives ec this pity to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL 73.13 uhove.men[ioned property far inspection purposes. (We) agree to save, indenmify and keep harmless the City at MISC.- REFER TO ORD. upertino against liabilities,judgments, Hosts and'expenses which PERMIT ISSUANCE 10.00 CON .TAX Sy in any way, awme against said Chy in consequence of the S' r of this peMECH.CONT. LIC.NO. MECH. TOTAL TOTAL [noting gnature o a Contractor Dare OFFICE COPY �S X957