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14604 POSTTHIS'CARD NEAR FRONT OF BUILDING, PERMIT NUMBER .CITY OF CUPERTINO 114604 INSPECTION-DIVISION ' JOB INSPECTION RECORD �•J--. • PERMIT EXPIRATION JOB ADORESS ���� VU 6e4 '�- UNIT# "_LOT# - PERMIT EXPIRES IF WORK OWNER _ ��E• �O%'Y��O. CONTRACTOR �a-/� G e �Rdc,v /� IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VAL,IOATION CUPERTINO STANDARDS. _ GARAGESLABS ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED r/- n (�,�,� •,,� UNDERGROUND /SLAB " PLUMBING ELECTRICAL - - ISSUANCE DATE MECHANICAL _ - - Uc. ELILI I PL;. MECH- ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED auILDING PERMIT WOOD FLOOR ORMATION LUArION PLUMBING � - \ - MECHANICAL .. q h ' PERMIT To ELECTRICALS. FRAMING INSULATION - - STORIES TYPE CONST". 1 / OCQ DROOP RES,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - SO FT FLOOR AREA TOTAL ACREAGE ` - ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID - P - • ROOF SHEATHING Res ,NU CON9llILOING USE PR 0m., "APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ASSESSORS PARCEL NO ROUGH SANA PLUMBING : ELECT.ENERGY - TUBS&SHOWER PAN• PLUMBING ENERGY - TRACT rvo, PARCEL No MECHANICAL ' MECH.ENERGY ' . ELECTRICAL BUILDING ENERGY Acc:onrE ACC.FILE NO^ FRAMING ELECT.FINAL TEST INSULATION - PLUMBING ZONING ENG-SATE NO. GAS TEST - GAS • MECHANICAL - FIRE SPRINT( ENERGY n}a' % COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATINGYLl v E-) "❑ .EXTERIOR SHEAR - ELECTRICAL RE - FLOOD ZONE ALuc. Y❑ - N❑ Y ❑ N❑ INTERIOR SHEAR FIRE DEPT. ' SHEETROCK GRADECON FEESUMMARY EXTERIOR LATH BUILDING INTERIOR.LATH TEMPORARY APPROVALSY BUILDING ii{J SCRATCH COAT ELECTRIC PLAN CHECK - GAS - - FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY _ SEISMIC FEE ' OCCUPANCY OF BUILDING,IS NOTPERMITTED UNTIL.BUILDING FINAL ISSIGNED BY BUILDING I NSPECTOR. MICROFILM LU I. ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC r ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING O� PLEASE GIVE JOB ADDRESS WHEN PHONING.. ' ZMECHANICAL - SEE PERMIT FOR EXPIRATION DATE — . .IMPORTANT! CONST.TAX- PLEASE READ REVERSE SIDE BEFORE — . e CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY POST T CARD NEAR FRONT OF BUILDING'-' PFRNIi NUht BER CITY OF CUPERTINO 14604 INSPECTION DIVISION JOB INSPECTION RECORD ^4 / JOB ADDRESS I `�.3.e R4 —UNIT-a _LOT# PERMIT EXPIRATION /� �.p^1' PERMIT EXPIRES IF WORK OwrvER C,c `-Oti 7J'�- CONTR AC'. 1 - p p IS NOT STARTED WITHIN INP CTICN DATE INSPECTOR - INSPEC ION RECORD 180 DAYS OF PERMIT ISSU ANCE OR 180 DAYS FROM FOUNDATION NOTE: LASTCALLED INSPECTION. LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PR EGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERNIIT VALIDATION CUPERTINO STANDARDS. GARAGESLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED U^ UNDERGROUND /SLAB I GG /N2qIti4/iLf PLUMBING /�[ //���v /aa — gyp..-F /e(-/ 7 • ELECTRICAL Z ISSUANCE LATE BLDG ELECT PLG NIECH MECHANICAL ❑ ❑ ❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED PIKI3.0. BUILDING PERMIT INFORMATION WOOD FLOOR 1 Anory FdSIFT. PLUMBING MECHANICAL PERIT TO ELECTRICAL /EvC I FRAMING 0.4/L -OU $TORIES TYPE CONSTR. INSULATION OCC,GROUP RES UNITS :PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED; $O.FT.FLOOR IRE• TOTAL ACRf RGf - '�` ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE 77;��AOPPLY PHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE F SHEATHING RES IND CON pB DIN, NO.ROOFING UNTIL ABOVE HAS BEEN SIGNEDi's sem? ?'=FINALS js; : DATE' t .i1NSP:`,: ClclclD C3 ASSESSORS PARCEL N0ROUGH SAN.MMBING ELECT.ENERGYTRACT NO. PARCEL NO S 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ACC FILE NO ELECTRICAL BUILDING ENERGY Act.GATE FRAMING ELECT,FINAL TEST ZONING ENG.SITE NO. INSULATION PLUMBING GAS TEST GAS FIRE SPRINN ENERGY T 2 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1HEATING . ❑ N❑ C] N[D FLOOD 20NE AIU C. EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT-. ❑ N� T L' N❑ SHE ETROCK GRADE FEE SUMMARY .',, 4` EXTERIOR LATH BUILDING BUILDING INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. -MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE.PERMIT FOR EXPIRATION DATE - MECHANICAL CONST:TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. APPLICANTS POSTING COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY t, PERMIT NUMBER ' "` UIEDING PROJECT IDENTIFICATION APPLICATION & PERMIT DING aDDRE55 ,I d 1 - BUILDING-'ELECTRICAL-PLUMBING-ME,CHANICA14604 L „ OwNEH'S � •.,,✓�C� PLAN CHECK VALIDATION NAME !'r/5!I [415�j��,.�� OTV. ELECTRIC PERMIT FEE .. "` PHONE ,WWW ONTRACTOR'S aME C UTLETS-SWITCHES--RECEP '10.00/1,00 >; S uo No. LIGHTING FIXTURES 10.00/1,00 - foNTRACTOR's aooREss (54WPPLIANCES-RESIDENTIAL 4.00PAW_ - - p Z 1..NE 3,24- 3 Z PANELS 10.00 . DATE OF APPLICATION - ARCH, ECT PLAN CHECK FEE P.C.NO_ OR. PANELS (OVER 200 AMPI- .20.00 ENGINEER LIC.No, SIGNS TRANS. 3.00 AARCW 08 DDRESS ENG. SPECIAL CIRCULI. 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 ^ ' Ars ADDDRESSDRESS MOTORS - SEE FEE SCH. SERVICE CHANGE - - 20.00 - . . w o o LICENSED CONTRACTORS DECLARATION a i W I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE. N a'. (Commencing with Section 7000)of Division 3 of the Business and - ELECT. PLG. MECH. F, D i Professions Cod an my license is in full force. I e. •c ❑ ❑ o f=D License Cla Lic.Number fl t. , Date Contmcmr 311,%eIY @ R NG PERMIT = a wOWNER-BUIL DER DECLARATION O INFORMATION w3: a'w I hereby ufmm that I am exempt from the Contractor's License MISC.- REFER TO ORD qq ,S/FT. F LL a a Law for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10.000 Code:Any city or county which requires a permit to construct.alteq Z a Q Q improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. .LIC.NO. ELE � DLL requires the applicant for such permit to file a signed statement that - TOC. OT ' x 2 hPERMIT TO e is licensed pursuant to the provisions of the Contractor's License - w 'i Law(Chapter 9(commencing with Section 7000)ofDivision 3 ofthe /'`/ i o Business and Professions Code)or that he is exempt therefrom and LUMBING PERMIT FEE �LrfT /�/rGR<''�•J ,e H $ Ihe basis for the alleged exemption.Any violation of Section 7031.5 DTV. PSTORIES TYPE CONSTR. u by any applicant for a permit subjects the applicant EGA civil penalty ALTER-DRAIN -WATER IEA.) 5.00 of not mora than Ove hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCL.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not 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 FIXTURES-PER TRAP 5.00 SQ FT.FLOOR AREA TOTAL ACREAGE himself or of intended his own employees,provided that such offered for that such building GAS-EA.SVSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of complelion,the owner- - GAS-EASYSTEM-OVER 4 (EA.) 200 builder will have the burden of proving that he did not build or on. . . . BUILDING USE prove for purpose of sale.).- INDUSTRIALWASTE INTER. 30.00 RES IND CON PB Omer ❑ 1,as owner of the property,am exclusively contracting with .❑ ❑ El 11licensed contractors to construct 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 docs not apply -' to an owner of property who builds or improves thereon.and who LAWN SPRINKLERS-OV ER 5(EA.) 1.00 ` t contracts for such projects with a contractors)licensed pursuant to - the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ lumexempt,undersec. .B.&P.C.hlr this WATER HEATER W/VENT 6.00 •-. reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKF-RS'COMPENSA'r10N DECLARATION WATER TREATING EQUIP. 5.00 hereby affirm that 1 have a certificate ofconsent to self-insure, - or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(Sec.3800,Lab.0ny IXW138Rnr ALg1 t.1/ Policy No. Company - O ❑ CP nfied copy is 1, bynished. FIRE SPRINK ENERGY T-29 . Z 2 B�CeHifi coy s µh-the airy irispection division. MISC.- REFER TO ORD. ❑ ❑ ❑ ❑ O Applicant_ f1J V N V N $ PERMIT ISSUANCE 10.00 fY CIiR1'I FICA'Tli OPTION FROM WORKERS' FLOOD ZONE A.L.U.C. W > •COMPN INSURANCE' PLG.CONTR. LIC.NO, PLG. EL 0 (This Section Beed not be completed if lhr permit is for one TOTAL Y❑ N❑ Y F] N❑ hundred dollars(S 100)or less.) ' U O 1 certify that in the performance-of the work for whichthis per- DTV. MECHANICAL PERMIT FEE FEE SUMMARY LL F mit is issued,I shall not employ any person in any manner so as to , U become subject to the Workers Compensation Laws of California. 'Z U ED Date Applicant ALTER OR ADD TO MECH' 5.00 - BUILDING pSZ f } N NOTICE TO APPLICANT: If,after making this Certificate Gf Ex- '• F ? emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the'Labor Code, you must forthwith comply with - FEE U such provisions or this permit shall be deemed revoked - AIR HANDLING UNIT(TO 1O=C.RM.) 4.00 e CONSTRUCTION LENDING AGENCY AIRHANDLING UNITIOVER IO,OODC.EM.) 6.00 SEISMIC FEE J 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(TO 100,000 B.T.U:) r 8.00 Lender's Name ' HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address- ELECTRIC ' 1 certify that 1 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 PLUMBING ordinances and state laws relating to building'construction, and BOILER-CJMPI3 H.P.or 100,000 B.T.U.) '6.00 _�• hereby authorize representatives of this city to enter upon the 801 LER-COMP.IOber 100,000 BT61 SEE FEE SCH. MECHANICAL. . above-mentioned property,for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.: - REFER TO ORD. upertino against liabilities,judgments, costs and expenses which CONST.TAX may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10,00 ra ' gof thi it. - MECH.CONT. LIC.NO. TOTAL . s j� i atureo'Applicant/2114cl.r ate TOTAL • OFFICE COPY