14435 POST THIS'CARD NEAR FRONT OF BUILDING PERMIT NUMBER
CITY OF CUPERTINO 14435 .
INSPECTION DIVISION ',,'
JOB INSPECTION RECORD
.-• •• PERMIT EXPIRATION
JOB ADDRESS 10101 BUBB ROAD- - UNIT# _LOT#
` PERMIT EXPIRES IF WORK
OWNER APPLE -COMPUTER, CONTRACTOR TITAN PLUMBING IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 188 DAYS OF PERMIT ISSU
FOUNDATION - ANCE OR 180 DAYS FROM
NOTE: • LASTCALLEDINSPECTION.
LIFER - ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PR EGUNITE 1 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 I;. •'
ELECTRICAL - ISSUANCE DATEE
MECHANICAL - BLDG. 'ELECT. PLG. MECH,
❑ ❑ •❑ ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR PAI® INFORMATION
VALUATION S/FT. 1
PLUMBING
MECHANICAL D�,IJ "
ELECTRICAL M� PERMIT To
FRAMING CdY.Df CDQed GD "•:. J"...
INSULATION STORIES, TYPE CONSTR'
OCG GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
.ROOF - NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO.vT FLOOR,AR EA TCTAL ACREAGE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
BUILDING USE,
ROOF SHEATHING :" ., Res IND .-coN PB 0,1
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. +❑ ❑ ❑ ' ❑
ASSESSORS PARCEL NO
ROUGH - SAN.#
PLUMBING ELECT.ENERGY
TIiACI NO. PARCEL NO
' TUBS 8 SHOWER PAN PLUMBING ENERGY
MECHANICAL MECH.ENERGY
. ELECTRICAL . - BUILDING ENERGY • - ACC RATE ACC.FILE No
FRAMING , ELECT,FINAL TEST
ZONINIM ENG.SITE NO.
INSULATION - PLUMBING '
e
GAS TEST GAS
• MECHANICAL - FIRE SPRINK - ENERGY T.24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING " N[:]
EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE A.L.UC
INTERIOR SHEAR FIRE DEPT. •" �❑ ' "❑ YL7 'N❑
SHEETROCK' '. GRADE FEE SUMMARY
EXTERIOR LATH BUILDING - - -
• INTERIOR LATH - TEMPORARY APPROVALS' 'BUILOwG
SCRATCH COAT ELECTRIC - PLAN CHECK
. GAS - FEE -
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCYOF BUILDINGIS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
H ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUM',B,�Inc i.
Z . ' PLEASE GIVE JOB ADDRESS WHEN PHONING.
—� SEE PERMIT FOR EXPIRATION DATE — MECHANI L,M .,
IMPORTANT! . CDNST.TAX `'*e
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR-FINAL INSPECTION.
OFFICE COPY, '
APPLICANT TO.FILL IN INFORMATION WITHIN RED LINES = USE BALL POINT PEN ONLY
- • BUILDING PROJECT)DENTI FICATION , - PERMIT NUMBER.
StudbaNd APPLICATION & PERMIT A A
AODREss L L
BUILDING-EL
D. UU - '. ECTRICAL-PLUMBING.-MECHANICAL
OwNE1.R'S PLAN CHECK V ALIDATION
NAM "' ,
y +'DTV. ELECTRIC PERMIT FEE
DD li-P ^ PRONE _
CONTR C O
N E I. �b T_ UTLETS.=SWITCHES-RECEP 10.00/1.00
WGFIXTURES .•10,00/1.00 '
LIC.ND. LIGHT
4�
CONTRACTORS' APPLIANCES-RESIDENTIAL4.00 '
ADDRESS y
1-769-4l PHONE -(�I�O -PANELS 10.00 DATE OF APPLICATION .
ARCHITECT _ PLAN CHECK FEE P.C.N0. .
OR S. 1?sw2- - PANELS (OVER 200 AMP) 20,00
ENGINEER' '
uc.NO. SIGNS TRANS. 3.00 '
ARCH OR ADDRESS ENG. ' SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20A0 � �/ n�-'- ,� '
APPLICANT'S _ MOTORS, - SEE FEE SCH. N.X 1.:.�'+--�
ADDRESS
_ SERVICE CHANGE 20.00 / a7
,� 'I
oo LICENSED CONTRACTORS DECLARATION 1tI -
G Z n I I hereby affirm that I am licensed under provisions of Chapter 9 - ISSUANCE DATE
as (commencing with Section 7000)of Division 3 of the Business and
¢ BLDG. ELECT. PLG. MECH.
H i Professions CO asW y license is In full fo c• I e f�.[�F .
Z o m ca Date a Class ,Lie.Number
0 w r w Date Contractor -
¢ m Y d ' BUILDING PERMIT
¢ ¢ ¢ OWNER-BUILDER DECLARATION _,
a p 6 u INFORMATION
w g w u- I hereby,affirm that 1 um exempt from,the Contractor's License MISC.- REFER TO ORD
w VALUATION $/FT.
F u o at Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE - 10.00
u,v+ Code:Any city or county which requires u permit to construct,alter, - - -
rc> ELEC.CONTE. LIG NO.
¢o improve,demolish,or repair any structure,prior to its issuance,also ELEC.
n D s requires Ilie applicant for such permit to file a signed statement that TOTAL
w•m" he is licensed pursuant to the provisions of the Contractor's License PERMIT TO
I- z Law 9(commencing with Section 7000)of Divisiun 3 ufthe +
-¢ Business and Professions Code)or that he is exempt therefrom and
iw QTY ,PLUMBING PERMIT .FEE
bio
tc r m the basis for the alleged exemption.Any violation of Section7031.5 - STORIES TYPE CONSTR.
A. by any applicant for a permit subjects the applicant ton civil penults ALTER-DRAIN&VENT-WATER (EA.) -5.00
of not more than five hundred dollars($500).):
' ❑ 1,as owner of the property,or my employees with we,"as BACK FLOW PROTECT.DEVICE 4.00
- their sole compensation;will do the work,and the structure is not _ OCC.GROUP RES..U NITS
intended or offered for sale(See. 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 SO.FT,FLOOR AREA TOTAL ACREAGE
himself ornthrough his own employees,provided that such improve-
mems are not intended or offered for sale:If,however,the building GAS-EA.SYSTEM-11 NC.4 OUTLETS 6.00
orimprovement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 IEA.) 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 of sale.). INDUSTRIAL WASTE INTER. 30.00
❑ 1,as owner OI the property,am exclusively contracting with ❑ ❑ ❑ "❑ ❑
licensed contractor's m 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 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 c_ontmctor(s)licensed pursuant to SEWER-SANITARY-STORM EA. 10.00
the Contrietor's License Law. TRACT NO. PARCEL NO.
❑ Iameaempt'under,Sec. ,B.&P.C.forthis WATER HEATER W/VENT 6.00
reason
Owner - Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO.
WORKERS'COMPF-NSATION DECLARATION _ WATERTREATING EQUI JP 5.00
I hereby affirm that I have a certificate of consent to self-insure. ZONING
or a certificate of Workers'Compensation Insurance,or a certified
•ENG-SITE N0.
copy they Sec.3800,Cary- 014
0, --�demn 4W -
PolicY N�C rby fished. _
O ❑ �ertifie rebs furnished. FIRE SPRINK ENERGY T-24
'Z'Z •(E,Certified copy is fled with the city inspection division. MISC.- REFER TO ORD:
Q Applicant _ YE] N❑ V ❑ N❑
' � N t CERTIFICATEOF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 ?)'� FLOOD ZONE A.L.U.C.,
W COMPENSATION INSURANCE - . PLG.CONTR. LIC.NO. PLG.
'd D (This section need not be completed,if the permit is for one TOTAL /S-'D� Y❑ N❑. Y❑ N❑
-Z hundred dollars($100)or[E,s,)
,* U O I certify that in the performance of th'c work for which this per, DTV. MECHANICAL PERMIT FEE FEE SUMMARY
U. I. mit is issued,1 shall not employ any person in any manner sn as to
U become subject to the Workers'Compensation Lawsof California. .
Date Applicant - ALTER OR ADD TO MECH. 5.00 BUILDING
} m NOTICE TO APPLICANT: If,alter making this Certificate of Ex- -
F ? " emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 - PLAN CHECK, ,
provisions of the.Labor Code, you'must,forthwith comply with FEE -
V - - such provisions or this permit shall be deemed revoked AIR HANDLING UNIT,(TO=10=C.F.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.EM.) 6.00 SEISMIC FEE
I hereby affirm that there is a'construction lending agency for EXHAUST HOOD (WITH DUCT)' 5.00
the performance of the work for which this permit is issued(Sec. MICROFILM '
�= 3097,Civc) , HEATING,UNIT(TO 100,000 B.T.U.) 800
Lender's N6me HEATING UNIT(OV,ER,100,000 B.T.U.)950 '
Lender's Address ELECTRIC
-
I certlfy,that 1 have read this appllcatibn'and state that the above VENTILATION FAN (SINGLE) 4.00 -3'1
mfonnatwn'o correct. I agree to comply with all city and county PLUMBING
ordinances and,state laws relating to building construction, and BOILER COMP(3 H.P.or 100,000 B.T.U.) 6.00
hereby authorize representatives'of this city t0 enter upon the BOILER-COMP (Over 100,000.BTU)SEE FEE SCH. ' MECHANICAL'
4S above-mentioned property for inspedian purposes.
(We) agree to save, indemnify and keep harmless the City.pf MISC:'- REFER TO ORD.
upertino against liabilities,judgments, costs and expenses which, CONST.TAX
may in any way,accrue against said.City in consequence Of the + PERMIT ISSUANCE- 10.00
rami Of lhis,pLrmrt, ,, ` MECH.CONT. - LIC.NO.. MECH'
7��QAP (A/ . I��$/P7 TOTAL TOTAL
ISifindBurept ApplicaM/Cbntlactor [e-
CO
-
OFFICE PY