14326 `r POST THIS CARD.NEAR'FRONT OF BUILDING
- PERMIT Nl1MRER
CITY OF CUPERTINO 14326
INSPECTION DIVISION '
JOB INSPECTION RECORD '
PERMIT EXPIRATION
JOB ADDRESS 10101 BUBB .ROAD 'UNIT#• LOT# -
rr_ PERMIT EXPIRES IF WORK '
OWNER APPLE COMPUTER CONTRACTOR, HARTJE CONSTRUCTION IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION NOTE: ANCE OR 180 DAYS FROM-
LIFER � _ � ALL GRADING AND DRAINAGE SHALL 8E INSTALLED LASTCALLED INSPECTION.
-
PREGUNITE' 'TO COMPLY WITH THE APPROVED PLANS AND CITY-OF PERMIT VALIDATION
CUPERTINO STANDARDS: -
GARAGE SLABS
' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I 7- si
UNDERGROUND /SLAB 5hr ofoeR
PLUMBING 4 �y+�-,. �•
ELECTRICAL \ISSUANCE DATE .,,I
MECHANICAL �BLDG ELECT- PLG?•4 MECH.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
'WOOD FLOOR F INFORMA'T'ION
VALUATION $/FT,
' PLUMBING. .- p �p Q
MECHANICAL
ELECTRICAL - veRnBT To
FRAMING
INSULATION - STORIES TYPE CONSTR. -
OCC GROUP RES UNITS.
',PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF - NOTE:NO FINAL INSP.SHALL BE MADE BEFORE so pr.FLooR AREA TOTAL ACREAGE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID ,
SURGING USE
ROOF SHEATHINGRES IND CON PB 0,1r 7
APPLY-NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE, INSP. El ❑ ❑ ❑ ❑
ASSESSORS PARCEL NO,
ROUGH SANG
PLUMBING ELECT.ENERGY
- TUBS&SHOWER PAN PLUMBING ENERGY - 'TRACT NO. PARCEL NO
MECHANICAL MECH.ENERGY
ELECTRICAL¢ - ,g'j BUILDING ENERGY Acc.DATE ACC.FILE No
` - FRAMING - ELECT,FINAL TEST zoNlrvc ENG.SITE No.
.INSULATION PLUMBING
GAS TEST GAS
FIRE SPRINK ENERGY T-24
MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ IN E] + v [j. N�
FLOOD ZONE_ !aL u.C..
EXTERIOR SHEAR ELECTRICAL RELEASE
INTERIOR SHEAR FIRE DEPT. - v N� Y N❑
SHEETROCK . GRADE FEE SUMMARY
EXTERIOR LATH _ BUILDING -
INTERIOR LATH - TEMPORARYAPPROVALS BUILDING
SCRATCH COAT ELECTRIC - -- PLAN CHECK
GAS
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY' SEISMIC FEE i
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ~
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING '
z PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
IMPORTANT!
CONST.TAX
PLEASE READ,REVERSE SIDE,BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY
a
f APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
'BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
amLDINc' APPLICATION & PERMIT vaL14
aroREss326
`� BUILDING - ELECTRICAL-PLUMBING-MECHANICAL 4
jy• OWNEP'a PLAN CHECK VALIDATION
' 1
AME, Iaf OTY. ELECTRIC PERMIT FEE
' NE
rvm1ENCTORs UTLETS-SWITCHES-RECEP 10.00/1.00
uc.No. LIGHTING FIXTURES 10.00/1.00
c N RES, _ PPLIANCES-RESIDENTIAL 4.00 -
AD RESs
�_ PHON PANELS • 10.00 DATE OF APPLICATION
- on (TET - .. PANELS(OVER 200'AMP) 20.00 PLAN CHECK FEE. P.C.NO.
ENGINEEP
, Lc,NO. SIGNS TRANS. 3.00
AARCH.OR DDRESS ENG, SPECIALCIRCUIT 5,00 PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20.00 .
APPLICANT'S MOTORS SEE FEE SCH.
ADDRESS
SERVICE CHANGE 20.00ac
O 0 a LICENSED CONTRACTORS DECLARATION l'��! I /
¢U v 1 hereby affirm that I am licensed under provisions of Chapter 9 (ISSUANCE DATE
N a w (commencing with Section 7000)of Division 3 of 11 a Business and BLDG. ELECT., PLG. MECH.
F o z Professions and my license is in full f u=t t.
Z i o License Class Le.Number �_ ❑ ❑
. Date' Contract
a m f El
BUILDING PERMIT
¢ rt w OWNER-BUILDER D17CLARATION' INFORMATION
is ;LL I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD PVALUITIIN -5/FT.
o¢ Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00
i Code:Any city orcounty which requires a permit to construct,alter,S, o improve,demolish,or repair any structure,prior to its issuance.also ELEC.CONTR. LIC.NO. ELEC. fa- arequires the applicant for such permit to file a signed Statement that TOTAL UERMITTO
w$ whe is licensed pursuant tothe provisions ofthe Contractors License> Law.(Chapter 9(commencing with Section 7000)of Division 3 of the¢ Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT Fthebasis for the alleged exemption.Any violation ofSection 7031.5 ` .I TYPE CONSTR.
a ; � by any applicant for a permit subjects the applicant loo civil penaltyALTER-DRAIN&VENT-WATER (EA.) 5.00
of not more than five hundred dollars(8500).):❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 UP 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,AR EA,CONDE 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 SO.FT.FLOOR AREA TOTAL ACREAGE,.
himselfre through[its ownemployees,provided such improve- GAS-EA.SYSTEM-1 INC.4OUTLETS 6.00
mems are not intended or offered for sale.If,however,the building
or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE
builder will have the burden of proving that he did not build or im- RES IND CON PB Omer
prove for purpose ofsaleJ. INDUSTRIAL WASTE INTER. 30,00
❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑
licensed contractors to construct the project(Sea 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 themon,and who LAWN SPRINKLERS.OVER 5(EA.) 1.00
contrathe Coctsctor'shcenects Lwithu contructur(s)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
the Contractor's such
License Law.
❑ I am exempt under Sec. ,B.&P.C.far this WATER HEATER W/VENT 6.00
reason
Owner - Date WATER SYSTEM 5.00
ACC.DATE ACC.FILE NO.
WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate of consent to sel&insure, ZONING ENG.SITE NO.
or a certificate of Workers'Compensation Insurance,or a certified -
copy thereof(Sec.3800,Lab.C.)
Policy No.-Company_
O ' ❑ Certifmd ' pyisherebyfurnished. FIRESPRINK ENERGY T 34
ZZ ❑ Cerli% s I 1j�.�It erX inspection divisi I. MISC.- REFER TO ORD.
U Applicant- _ 7}i Y [:] ON Y C] N❑
F wPERMIT ISSUANCE 10.00 CF:RTIFICATEOFEXEMPTION ROhIWORKIiRS' FLOOD ZONE A.L.U.C.
UJ
11 > COMPENSATION INSURANCE PEG.CONTE. LIC.NO. PLG.
IL Z m
(This section need not be completed if the perit is for ono TOTAL V❑ N❑ Y❑ N❑
hundred dollms(8100)or less.)
U O I certify that in the performance of the work for which this per, QTY. MECHANICAL PERMIT FEE FEE SUMMARY
,LL F mit is issued.I shall not employ any person in any mannerso as to
Ubecome subject to the Workers Compensation Laws of California.
O w BUILDING S
n. . Date Applicant ALTER OR ADD TO MECH. 5.00 ��-�
} N NOTICE TO APPLICANT: IL after making this Certificate of Ex-
emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK
provisions of the Labor Code, you most forthwith comply with FEE -
(.1 such provisions or this permit sball be deemed revoked. AIR HANDLING UNIT(TO 10,000C.F.M.) , 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 , SEISMIC FEE
11
hereby afEtm 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, . HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lenderr's's Man i
e
Lender's Addss , HEATING UNIT(OVER 100,000B.T.U.)9.50 ELECTRIC
re '
1 certify that 1 have read this application and stale that the above VENTILATION FAN (SINGLE) '4.00
F. information is ee[. I agree to comply with allcity and county PLUMBING
ordinances and state m construction lows relating building construction, and [BC
OILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00
hereby authorize representatives of this city to enter upon the BOILER-COMP(Over 100,000BTU)SEE FEE SCH. MECHANICAL
176� above-me tioned property for inspection purposes.
(We) a to save, indemnify and keep harmless the City of MISC.- REFER TO ORD.
Cupertino 'nut liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX
3an
n y y accrue against Said City in c sego nce of the �'`
MECH.CONT. LIC.NO. MECH
Oka OTALTOTAL ,J o plicant/Contract r at
OFFICE COPY
d