The URL can be used to link to this page

14870 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF. CUPERTINO ' INSPECTION DIVISION 14870 JOB INSPECTION RECORD - PERMIT EXPIRATION JOB ADDRESS, 1006)1• Bubb ROHCI UNIT# LOT# PERMIT EXPIRES IF WORK OWNER - Ale Com user .• CONTRACTOR ,IS NOT STARTED WITHIN, INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATIONANCE 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 VALIDATION CUPERTINO STANDARDS. GARAGE SLABS , POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB . PLUMBING - ELECTRICAL ISSUANCE DATE BLUG '.ELECT T PLG. MECH MECHANICAL DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT INFORMATION WOOD FLOOR - - VALUATION $/FT. PLUMBING MECHANICAL ' _ PERMIT TO . ELECTRICAL - FRAMING - - INSULATION STORIES TYPE'CONSTR. ' - _ :ace GHpUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO'IT FLOOF AREA TOTAL ACREAGE C ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE '. DIAPHRAGM THE CONSTRUCTION TAX IS PAID, ` "t. BUILDING USE ROOF SHEATHING , 1HES '.IND CON- PB"r UIQ., APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. o ❑ -ASSESSORS PARCEL NO ROUGH SAN.k' PLUMBING ELECT.ENERGY ' TUBS&SHOWER PAN PLUMBING ENERGY TRACT No. PARCEL No MECHANICAL MECH.ENERGY . ACC.DATE ACO,FILE N0. ELECTRICAL BUILDING ENERGY FRAMING ELECT.FINAL TEST zoNlNc: ENG.SITE No. INSULATION PLUMBING GAS TEST - GAS FIRE SPRINKENERGY Fla MECHANICAL - "• COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y �' NE] Y No FZE : EXTERIOR SHEAR ELECTRICAL RELEASE � LOOD ONAL'UC_ INTERIOR SHEAR FIRE DEPT. W YC] NL IL 'NE] SHEETROCK . GRADE - FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK - GAS FEE . NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SI GNLDJ OCCUPANCY SEISMIC FEE' OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. ' PLUMBING e PLEASE GIVE JOB ADDRESS WHEN PHONING. " .' Z - MECHANICAL - SEE PERMIT FOR EXPIRATION DATE, - IMPORTANT! CONST.TAX " PLEASE READ REVERSE SIDE BEFORE TOTAL . CALLING FOR FINAL INSPECTION. OFFICE'COPY %NAME TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY PROJECT IDENTIFICATION. PERMIT NUMBER APPLICATION & PERMIT BUILDING-ELECTRICAL-PLUMBING-MECHANICALPLAN CHECK VALIDATION DTV. ELECTRIC PERMIT FEE DNErrnme UTLETS-SWITCHES-RECEP 10.00/1.00 LIC.NO. LIGHTING FIXTURES 10.00/1.00 - CONTRAS To APPLIANCESRESIDENTIAL 4.00ADDRESA - PHOry PANELS 10.00 DATE OF APPLICATION OR ARCHITECT PANELS (OVER 200 AMP) 20.00 , PLAN CHECK FEE P.C.NO., ENGINEER - uc.No. SIGNS TRANS. 3.00 ADDRESS Ervo' SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 ADDRESNr'$ MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 Foo LICENSED CONTRACTORS DECLARATION a u 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 BLDG. ELECT. PLG. MECH. D Professions Cod• all license is in full for ❑ ❑ ❑ 2 O Liceree ss_ ylty� Lic.Number O z r w� Date. i2„ Q�Conlractm-M _ ¢ m s BUILDING PERMIT ¢ ¢ w u OWNER-BUILDER DECLARATION - INFORMATION oa a MISC- REFER TO ORD a, N. I hereby affirm that I am exempt from the Contractor's License u o ¢ Law far the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 VALUATION :E/FT. t - mom Code:Any city or county which requires a permit to construct,alter, ' a ¢ ¢Q improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. - LIC.NO. _ n w m u requires the applicant for such permit to file a signed statement that PA*L PERMIT TO he is licensed pursuant to the provisions of the Contractor's License ! n Hii Law(Chapter 9(commencing with Section 7000)of Division 3 of the a Business and Professions Code)or that he is exempt therefrom and PLUMBING PERM FEE ¢Ii-$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.' n by any applicant for a permit subjects the applicant toacivil penaltyALTERDRAIN& VENT- E (EAI 0 of not more than five hundred dollars(8500).): - - ' ❑ 1,as owner of the property,or my employees with,wages as .BACK FLOW PROTECT. DE O _ OCC.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 AREA,COND. 5.0030 Code:The Contractor's License Law does not apply to as owner of property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 50.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such imPmvo- meritsarenotintendedorofferedforsale,If,howeveq the building GAS-EA.SYSTEM-I INC.4OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 IEA.) 2.00 a BUILDING USE builder will have the burden of proving that he did not buil)or im- - RES IND CON PB Oshar prove for purposeof sale.). INDUSTRIAL WASTE INTER. t 30.00 EI ❑ C1 .❑ ❑ ❑ 1,as owner of the property,ani exclusively contracting with licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5. .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 - 1.00 contracts for such projects with a comractods)licensed pursuant to SEWER-SANITARY EA f 1 the Contractors License Law. TRACT NO. PARCEL NO. ❑ lam exempt under Sec,-.B.&P.C.for this WATER,HEATER W/VENT 6.00 reason Owner Ome WATER SYSTEM topACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. Wt 5.00 I hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(Sec.3800,Lab.C.). Policy Na Company 0 ❑ CelaiReJ copy is hereby furnished. 'FIRE SPgINK ENERGY T-Za Z Z Ceriif + I led with th city inspection division. O plicant a�ir3�0I 4111-�. MISC.- REFER TO ORD. y❑ N❑ y❑ N❑ ~ LU ti CERTIFICATEPERMIT ISSUANCE 10.00 A� FLOOD ZONE 'A.L.U.C. > EXEMPTION INS PROM WORKERS' - W COMPEENSATIURANCIi PLG.CONTR. UC,NO. PLG. p Q-O ' 0 Z (This section need not be completed if the permit is for one TOTAL Q3 Y[:] ❑ N❑ Y❑ N . hundred dollars IS 100)or less.) - U O 1 certify that in the porfoonance.of the work for which this per- OTV. 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 Culifornia. i Date- Applicant ALTER OR ADD TO MECH. 5.00 BUILDING >_ co NOTICE TO APPLICANT: If,after making this Certificate of 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 such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,000C.F,.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10;MC.F.M.) 6.00 SEISMIC FEE" - 1 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.) '8.00 Lender's Name - Londer's Address HEATI NG UN IT(OV ER 100,000 B.T.U.)9,50 ELECTRIC 1 certify that I have read this application and stale that the above VENTILATION FAN (SINGLE) - 4.00 mformmmr, is correct. I agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-CDMP(3 H.P.Or 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTUI BE E FE E SCH. MECHANICAL above-mentioned property for inspection purposes. - (We) agree 1n save, indemnify and keep harmless the City of MISC.- REFER TO ORD. , upertino against liabilities,judgments, casts and expenses whichCONST.TAX ay in any way accrue against said City in consequenceof the ' PERMIT ISSUANCE 10.00 mn '� f his-per HNT. LIC.NO. - MECH, (�/r]/ MEC .COaodn TOTAL TOTAL S nature of Applicant/Contractor Date ' OFFICE COPY