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13077 POST-THIC.QARD NEAR FRONT OF BUILDING PERMIT NUBER CI OF CUPERTINO M13077 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 10729 S. Blaney Ave. UNIT# LOT# PERMIT EXPIRES IF WORK OWNER - J. McGehee CONTRACTOR Blue Haven Pools ISINOT STARTED WITHIN INSPECTION DATE j INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM UFER -' LASTCALLED INSPECTION. PREGUNITE 6. 7 PERMIT VALIDATION PAID G POUR NO CONCRETE UNTIL AB E HAS BEEN SIGNED U^) .1,� 1Jj7 _ UNDERGROUND /SLAB PLUMBING - it .ySG' ✓ ELECTRICAL - !ty Of CD SUANCIoDATE MECHANICAL BLDG. ELECT. [ PLG. MECH. A.0 EI m. 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION PLUMBING MECHANICAL ELECTRICAL 's PERMIT TO FRAMING INSULATION b STORIES TYPE CONsI ,J ✓i OCC.GROUP REs,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF SO.FT FLOOR AREA TOTAL ACREAGE DIAPHRAGM BUILDING USE RES IND CON PB O,h,, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED El ❑ El 1:1 ASSESSORS PARCEL NO, ROUGH PLUMBING GAS TEST TRACT No. PARCEL No. .. MECHANICAL ' ELECTRICAL FINALS DATE INSP. ACC.DATE ACC.FILE NO. FRAMING SAN # INSULATION PLUMBING ZONING ENG.SITE-NO. GAS j .. MECHANICA24 0eL I� FIRE$PRINK ENERGY LN COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING L y "� ED ' D ZONE LATH-INTERIOR ELECTRICAL / FLOOv� NO A,LUL. v � N� LATH-EXTERIOR FIRE DEPT. SHEETROCK GRADE FEE SUMMARY SHEAR INTERIOR BUILDING / 77 1d9Z SHEAR EXTERIOR TEMPORARY A PR V L BUILDING / k FIREWALLS ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE r OCCUPANCYOF BUILDING IS NOTPERMITTED UNTIL BUILDI NG FINAL SSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o�. ONE WORKING DAY BEFORE REQUIRED INSPECTION. �16AllPLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHbNICAL TAX IMPORTANT! CONST. � PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. A TOTAL r OFFICE COPY -- APPLICANT TO FILL IN INFO MATION WITHIN RED LINES - USWLL ALL POINT PEN ONLY BUI LDI NG PROJECT I DENTI FI N PERMIT NUMBER aGORE S APPLICATION & PERMIT 13077 BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION N ME QTY. ELECTRIC PERMIT FEE DN yL NAMEPaCTOR's CSOUTLETS u OUTLETS-SWITCHES-RECEP 10.00/1.00 � 7 � c.NDJ�/J/ LIGHTING FIXTURES 10.00/1.00 CONTRACTORS ADDRESS APPLIANCES-RESIDENTIAL 4.00 PHDN O PANELS 10.00 DATE OF APPLICATION OR HITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ENGINEER uc.rv0. SIGNS TRANS. - 3.00 ARCH.OR XLI ADDRESS ENG. - SPECIALCIRCUIT 5.00 PERMITVSir ZIP TEMP.METER OR POLE INS. 20.00 J/ UP7 APPLICANT'S ADDRESS MOTORS SEE FE CH. J N SERVICE CHANGE 26'.001 J I / 00 LICENSED CONTRACTORS DECLARATION 161N - a i w I hereby affirm that 1 am licensed under provisions of Chapter 9 E• v' a J II ,6t ISSUANCE DATE G ¢ vai (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. H H z Professions Co y/ license is in full fo n Licens Class a Lic.Nuenbe UUD rhnD r• w r w Datc Contractor ¢ w a OWNER-BUILE R DECLARAT ONeO� BUILDING PERMIT ra MISC.- REFER TO-ORD INFORMATION K 1 hereby affirm that I am exempt from the Contractor's License VALUATION $/FT. u 0¢ Law\�7 the following reason.(Sec.703 1.5,Businessland Professions 1 E - PERMIT ISSUANCE 10.00 m Cadecity or county which requires a permit to construct,alter, a, Q p impre, olish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. p a wO u requis thea Iicant far Walt permit to filen Signed statement that TOTAL 3 PERMIT TO m w he isensed p want to the provisions of the Contractor's License r z a Law(Chapter 9(c mencing with Section 7000)of Division 3 of the p Busins and Profess ns Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE v y��v�� tl0 K F$ the bis for the allege xemption.Any violation of Section 7031.5 STORIES TVPE CONSTR. i ; by anapplicant forage lit subjects the applicant tuucivil penalty ALTER-DRAIN IEA.) 5.00 /� of noore than five hon tl dollars($500).): w.v17t� ❑ ,as owner of the pro Fly,Or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES.UNITS theirle compensation,will the work,and the siruclure is not intend or offered for sale (Se 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Codehe Contractor's License La does not apply to an owner of propy who builds Or improves the on,and who does Such work FIXTURES-PER TRAP 5.06 SO.FT.FLOOR AREA TOTAL ACREAGE himsor through his own employees, ovided_that such improvmentre not intended or offered for sale If.however,the building GAS-EA.SYSTEM-11NC.4 OUTLETS 6.00 or imovement is sold within one year o ompletion, the owner- GAS-EA.SYSTEM-OVER 4 (EA.) .buildwill have the burden of proving that did not build or im- BUILDING USE RES IND CON PB Other proveor purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ ,as owner of the property,um exclusive contracting with ❑ ❑ ❑ ❑ ❑ licenscontractors to construct the project(Se 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Pfessions Code:The Contractor's License La oes not apply to anwner of property who builds or improves the mr,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contrts for such projects with a contracmr(s)license ursuam(n SEWER-SANITARY-S J��ii ..200ft/1000the Ctractor's License Law. - TRACT NO. PARCEL NO. ❑ am exempt under Sec. ,B&P. forthis WATER HEATER W/VENT 6.00 reaso Owner Date WATER SYSTE 1 C7' 7 IT 5.00 ACG DATE ACC FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that 1 have a Certificate of consent to self-insure. It Of .f ZONING e certificate of Workers'Compensation Insurance,ora certified Y CU el Lino ENG.SITE NO. or thereof(Sec.9500,Lab. fy --"w u•�n '�„'' 3 o Policy No. Company_ 'SdSd7 o ❑ Serbfled copy is hereby furnished. Z Z Cert��Q�� qpJx fy�l,w+fq�ly.�ety��y�ppe�� 1 ISIoo. FIRESPRINK ENERGY T 24 F O Applicari _k .{1_ _ 66- MISC.- REFER TO ORD. Y❑ N❑ Y ❑ N❑ CC to CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 LU '- FLOOD ZONE A.L.U.C. LU > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. d 0 (This section lived not be completed if the permit is for one TOTAL Q Y❑ N❑ Y❑ N❑ rD Z hundr dollars($100)or less) ' -) O I cerci tin Lire performance of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY IL F- mit is issued, no[employ any person in any manner so as to O W become subject[n th kers'COmpensut,on Laws of California. 0- Date APP Ica ALTER OR ADD TO MECH. 5.00 BUILDING G .S'a } Vl NOTICE TO APPLICANT: If,a mking this Certificate of F.x- H Z emplion,you should become subject In Workers'Compensation APPLIANCE B 5.00 PLAN CHECK provisions of the Labor Code, yon muss with comply with FEE U such provisions or this permit shall be deemed revo AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT•(QVEF�IO,000CiF.M.) 6.00 SEISMIC FEE ' I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT( y0D0 ' W.U1: 8.00 Lender's Name TL Lender's Address HEATI NG UN IT(OVER 100,000 B.T.U.19.50 ELECTRIC 3 I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county BOILER-COMP(3 H.P.Or 100,000 B.T.U.1 6.00 PLUMBING ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. BOILER-CO P (Over 100,000 BTU)SEE FEE$GH, MECHANICAL (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 CONST.TAX may in any way cme./ �inst said City in consequence of the G gran[I os p nit. V/ MECH.CONT. LIC.NO. MECH. p1 - TOTALS TOTAL billionturco plicant COnlracmr Dale OFFICE COPY