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14451 POST THIS CARD NEAR, FRONT OF BUILDING PERM IT NUMBER CITY OF CUPERTINO 14451, _ INSPECTION DIVISION ° JOB INSPECTION RECORD - PERMIT EXP 'A•TION x JOBADDRESS 10101 BUBB ROAD UNIT# _LOT# " PERMIT EXPIRES IF WORK OWNER CONNECT INC. CONTRACTOR CONNECT INC'. 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 VALIUATIn CUPERTINO STANDARDS. GARAGE SLABS ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB D PLUMBING .� - � c, ELECTRICAL - IIISSUANCE DATE MECHANICAL eus. ELECT. PLG. MEC. ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR - VALUATION SIFT. PLUMBING - MECHANICAL 'I ' ELECTRICAL PERM - IT TOi FRAMING INSULATION .. STORIES TYPE CONSTR. OCc.GROUP RES UNITS " PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ` ROOF NOTE:NO FINAL INSP.SHALL_6E MADE BEFORE SO,PT.FLOOR AREA TOTAL Ac.eAOe DIAPHRAGM - THE CONSTRUCTION TAX IS PAID - _ RUILOI USE ROOF SHEATHING RES IND CON PR omr, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ El El 0 ❑ ASSESSORS PARCEL NO ROUGH SANA PLUMBING. ELECT.ENERGY' PARCEL NO RACT No, TUBS&SHOWER PAN PLUMBING ENERGY - MECHANICAL MECH.ENERGY' - ELECTRICAL BUILDING ENERGY ACC.DATE ACC.FILE NO, FRAMING - ELECT.FINAL TEST ZONING ,ENG.SITE NO. INSULATION PLUMBING GAS TEST GAS'. ' FIRE SPRINK ENERGY 12 MECHANICAL " YE) N(] v ❑ Ncl COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD LONE A,L.0 C. EXTERIOR SHEAR -' - � ELECTRICAL RELEASE _ Z-��,• '' INTERIOR SHEAR .FIRE DEPT. Y ❑ 'Y ❑ "E-1 SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDIN INTERIOR LATH TEMPORADRY APPROVAL BUILDING '� •�� .' SCRATCH COATELECTRIC - PLAN CHECK. GAS , - FEE 1 .q NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM'S ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o� ONE WORKING DAY BEFORE REQUIRED-INSPECTION. PLUMBING ' PLEASE GIVE JOB ADDRESS WHEN PHONING. SEE PERMIT FOR EXPIRATION DATE - MECHANICAL 'IMPORTANT! CONST.TAX r, 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 IDENTIFICATION PERMIT NUMBER CaoI APPLICATION & PERMIT A �r� -p AIS 4 IiOREss .� BUILDING-ELECTRICAL-PLUMBING-MECHANICAL `t1J o� of b OWNER'S PLAN CHECK VALIDATION y, ki AME QTY. ELECTRIC PERMIT FEE I '3I CoroyjEcr 1HGNEy3-oJl o S yz_/,// flyl CONTRACTOR'S - V rr NAME UTLETS-SWITCHES-RECEP 10.0011.007i-::: - SAvIA E. LIC.NO LIGHTING FIXTURES 10.00/1.00 - CONTRACTOR'S ppLIANCES-RESIDENTIAL 4.00 ADDRESS ,,//II S Tx144 F, PHONE PANELS 10.00 DATE OF APPLICATION Ogcrrrscr PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ENGINEER LID NO SIGNS TRANS. 3.00 ADDRESSs ENG' - SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 ARMOTORS SEE FEE SCH. Ess ADDDDRESS SERVICE CHANGE 20,00 o o LICENSED CONTRACTORS DECLARATION ¢U U I hereby affirm that 1 am licensed fey er provisions of Chapter 9 ANCE DATE IS<ac (commencing with Section 7000)Of/Dlvis n 3 of the Busint5s and LOG. ELECT. PLG. MECH. H 7 or Professions Code,and my license is in full foTea.and effect ❑ ❑ z o v`$ License Class Lic.Number - 0 zt O Date- P: atc - --Contractor 1 ¢ M , - UII DING PERMIT Ic a.w u OWNER-BUILDER DECLARATION INFORMATION X o n w 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD y, W y p VALUATION $/FT. FW0 < Law for the following reason.(Sec.7031.5•Businessand Professions PERMIT ISSUANCE 10.00 2 mvCade:Any city or county whiehrequiresa permit to construct, ,car a ¢p improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. - LIC.NO. ELEC.. W 0 rc requires the applicant for such permit to files signed statement that TOTAL p? PERMIT TO A w m he is licensed pursuant to the provisions of the Contractor's License A �� H z a Lew(Chapter 9(commencing with Section 7000)of Division 3 oflhe f E G Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE w^ (CH $ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. ag � Of not more than five hundred dollars($500).)by any applicant for a permit subjects the applicant toacivilDrnNty ALTER-DRAIN&VENT-WATER (EA.) 5.00 - ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE. 4.00 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,ROOF,AREA,COND. 5.00 - Code:The Contractor's License Law does not apply loan 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 or through his own employees,provided that such improve. la menta are not intended or offered for sale.l f,however,lire building GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00 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- for purposeRES $NO CON PB Other prove 1,as Oner of sale.). INDUSTRIAL WASTE INTER. 30.00 O d as owner of the property,he exclusively.contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. andProfessionsowner Of Cole:The who o improvense Law does hot apply co an owner of property who builds or improves t , ua who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a cnntructortsllicensed licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT N0, PARCEL N0. (9-1 am exemptunder Sec. �-=L ,BAKC.fnr this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM. 5.00 ACG DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION, WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate ofcomseet to sell'-insure, or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE N0, copy thereof(Sec.3800,Lab.C.). Policy No. Company O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T-24 Z Z ❑ Certified copy is Bled will the city inspection division. MISC.- REFER TO ORD. O Applicant Y❑ N❑ Y❑ No ~ mPERMIT ISSUANCE -. 10.00 FLOOD ZONE. A.L.U.C.' � CIiRTI FICATE OI'EXEMPTION FROM WORKERS' LU > COMPHNSAT'ION INSURANCE PLG.CONTR. - LIC.NO.. PLG: CL Z( This section need not be completed if the permit is for one _ TOTAL Y E] N❑ 'Y❑ N❑ hundred dollars IS 100)or less.I U O I certify that in the performance of the work for which this per Q•E,. MECHANICAL PERMIT - FEE FEE SUMMARY LL I. mit is issued,1 shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. 1 - Date ADPlicantALTER OR ADD TO MECH. 5.00 BUILDING , x;50 } m NOTICE TO APPLICANT': If,after making this Certificate of Ex- F. ? eruption,you should become suhject to the Workers'Compensation APPLIANCE - 5.00 PLAN CHECK, provisions of the Labor Code, you must forthwith comply with 'FEE C.1 such provisions or this permit shall be retroed revoked.. AIR HANDLING UNIT.(TO 10,000C.F.ML) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10000C.FM.) 6.00 SEISMIC FEE • 4 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,Cie.C.). - HEATING UNIT(TO 100,000 B.T.U.) 8.00 f.tK7YLn9l`,E Lender's Name AuL)ErE t HEATING UNIT 100,000B.T.U.)B.50 ELECTRIC , Lender's AJdress - h . I certify that 1 have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 infornatimris correct. Lagree to comply with all city and county PLUMBING ordinances and state laws relating to building 4 construction:and BOILER-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 100,000 BTU)SEE FEE SCH. MECHANICAL tysr. above-mentioned property for inspection purposes. ' '(We) agree m save, indemnify and keep harmless the City of MISC.- REFER TO ORD. - upertino against liabilities,judgments costs and expenses which - CONST.TAX it 9 ay in an way accrue oil r said ity i, consequence of the PERMIT ISSUANCE 10.00 ran[' go this permit �J MECH.CONT. LIC.NO. MECH. rJ OIO P8� TOTAL TOTAL S gna are ofA cent/ n(rnct /Date/ OFFICE COPY