18309 POST THIS CARD NEAR FRONT OF BUILDING LRMIT NOIBER
<. CITY OF CUPERTIND .; 18309
A �g INSPECTION DIVISION
JOB INSPECTION RECORDp
JOB ADDRESSL�w/ UNIT# _LOT# •P/ '411 XPI y�Tl i `
PERMIT EXPIRES-IF WORK
OWNER
OWNER CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD _ 180DAYS OF PERMIT ISSU-
FOUNDATION - _ - ANCE OR 180 DAYS,FROM
NOTE:- LAST CALLED INSPECTION.
LIFER ALL GRADING AND DRAINAGE SHALL BE'INSTALLED
PREGUTO COMPLY WITH THE APPROVED PLANS AND CITY OF PER n rT VALID A TION
GARAGE ARAGE ITE SLABS CUPERTINO STANDARDS. � _ _I
G � _ � �• .+ + • '�, 1*.+'- /
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
w'�0l`3
'UNDERGROUND /SLAB
PLUMBING .�+ SEP " 989
ELECTRICAL - ` w F ISSUANCE BATE
IILDG ELECT. PLG: MECR
MECHANICAL
S CGr'RcxF� scSt+C4JCliy 01 Cu ❑ ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED e PeiBUILDING PERMIT
INFORMATION
' WOOD FLOOR � OF H�'�ifdl.l 4 . vnwanDN
PLUMBING. q 1,` ('�h 1ION
MECHANICAL lfJ V
ELECTRICAL PERMIT TO:- �' b `
FRAMING :tl t'( )
INSULATION ; STORIES TYPE CONSTR,
OCC.GROUP RES.UNITS
1'"may PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED o -
0 FT FLOCH�rytA TOTALPCHEAG[
'4 ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE $'! s L`
DIAPHRAGM •yam
THE CONSTRUCTION TAX IS PAID �" �`
-
BUILDING USE
"'�'�✓ ROOF SHEATHING � '� � TIES IND cory PR. omGr
-APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑' ❑ ❑ 0 ❑
1 ASSESSORSPARCELNO
ROUGH SANA
PLUMBING - ELECT.ENERGY
TRACT NO, PARCEL NO
TUBS&SHOWER PAN PLUMBING ENERGY
MECHANICAL MECR ENERGY ' -
ELECTRICAL - - BUILDING ENERGY ACC.DATE ACC FILE NO,
FRAMING ELECT.FINAL TEST zoNtNc ENc.SITE No. ,
INSULATION PLUMBING ,
GAS TEST GAS
MECHANICAL FIRE SPRINK ENERGY T 24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING " NE]
FLOOD ZONE A.L.U,C
EXTERIOR SHEAR., ELECTRICAL RELEASE
INTERIOR SHEAR FIRE DEPT. ' z(�A ❑ Y ] 'No
SHEETROCK + GRADE FEE SUMMARY
EXTERIOR LATH BUILDING BUILDING ! 1f.,rr1
INTERIOR LATH TEMPORARY APPROVALS ���
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC.FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UN TIL BU I LD I N G FINALISSIGNED BY BUILDING INSPECTOR. ,MICROFILM
ARRANGE FOR INSPECTION BY PHONING M-4505,., ELECTRIC
I, FF ONE'WQRKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
3 z .PLEASE GIVE JOB'ADDRESS WHEN PHONING:
f — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL
IMPORTANT!
CONST.TAX
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION. TOTAL
OFFICE COPY,
'APPLICANT TO FILL IN INFORMATION W,ITHIN .RED LINES - USE BALLPOINT PEN ONLY.,
'
BUILDING PROJECT IDENTIFICATION; POAMIT NUMBER
BUILD _ APPLICATION & PERMIT _ � •d
AOOREss l}.�.jBSA p-t� - ;.18309
- .
lv . , BUILDING '''.ELECTRICAL-PLUMBING-MECHANICAL r'v
OWNER'S
,PLAN CHECK VALIDATION
QTV. ELECTRIC PERMIT FEE 'i "
N41 -98 , ,
CONTRACTOR'S
ME,,''nn - OUTLETS-SWITCHES;RECEP,� 10.00/1.00 7 /�'/�
xYV• NC' u� A'/ LIGHTING FIXTURES- 10:00/1.00
roNTRAcroas 1$ A ,APPLIANCES-RESIDENTIAL ' S' 4.00 •' •
yFV
(A&0 - PANELS - 1000 ''
ARCHrtECT GATE OF APPLICATION'
OR PANELS (OVER 200 AMP) 20.00 - PLAN CHECK FEE. P.C.NO.
ENGINEER C �p����pRI
LIC.N SIGNS TRANS. �'. _ 300 <
ARCH.OR ENG. _ _
SPECIAL CIRCUIT��'� 500 I r PERMIT VALIDATION'
D //•+�71. ✓"• r^"^""' zfp'. // EMP.METER OR POLE INS. ' 20.00
Y APPLICANT'S
ADOREss MOTORS SEE FEE SCH.
/� /�•V y
�N4(.}{' C14/�i PLS � SERVICE CHANGE ' _ ��.I-I• C,7•,1 ,
o o LICENSED CONTRACTORS DECLARATION'
v 1 hereby affirm[hat'I am licensed under provisions of Chapter 9 SEP 1 ISSUANCE DATE
y n (commencing with Section 7000)of Division 3 of the Business and BLDO. ELECT' - PLG.' MECH. ^
r w i Professions s my license is in full f -
z o-m,- License CI Lic.Nurob, , - -
9 m 5 w Date__Contractor
a x M BUILDING PERMIT
¢ OWNER-BUILDERDECLARATION,,, INFORMATION
a w
'x ;a- r I hereby affuln that I am exempt from the Contractor's License MISC.- REFER TO ORD -
w P' - - .VALUATIONS' $/FT.
Fa. Law for the following reason. 7031.5,BZits
d Profe ons PERMIT ISSUANCE 10.00
w y Code:Any city or county which requires a pestru alter, ` •7 �O 0 D
Ir ¢ o improve,demolish,or repair any structure,prI s ce alsoELEC.CONTR. LIC.NO. LEC Vu requires the appbcant for such pLrmi[to file ement thatTa he is licensed pursuant to the provisions of thtor's LicenseLew(Chapter 9(commencing with Section 70ision 3 oCrhe t Business and Professions Code)or that he iserefrom and OTV. PLUMBING PERMIT FEE
¢ H es the basis for the alleged exemption.Any v' ation of Section 7031.5 STORIES TYPE CONSTR.
n 3 .- by any applicant for a permit subjects t applicant one civil penalty ALTER-DRAIN&VENT-WATER IEA.) 5.00 "
of not more than five hundred dolle 500).).
❑ '1,as owner of the property r my employees with wages as BACK F LOW PROTECTED EVICE 4.00 - OCC.GROUPREs.uNrtS
their sole compensation,will do a work,and the structure is not ,
intended or offered for sale cc. DRAINS-FLOOR,ROOF;AREA, 5.00 7044, Business and Professions '
Code:The Contractor's Lic se'Law does not apply✓o an owner of FY
Property who builds or i roves thereon,and who does such work FIXTURES-PER TRAP 5.00 so.FT.PLa RR Agga TOTAL ACREAGE .
himself or through his a employees;provided that such improve. �pOo 9 )n i
ments are not intend proffered forsale.if,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 OO T
or improvement is Id within one year of completion,the owner- GAS-EA.SYSTEM:OVER 4 IEA.) 2.00 ,
builder will have a burden of proving that he did not build or int- BUILDING USE -
Prove for pulp of sale.). RES IND -'CON" PB Other
INDUSTRIAL WASTE INTER. 30.00 ' E] C] '❑ ❑ ❑-
❑ I,as o er of the property,am exclusively contractingwith
licensed c tractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL N0.
• and Prof sions Code:The Contractor's License Law does not apply
to an net of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00
cont cts for•such projects with a contractors)licensedpursuant to SEWER-SANITARY-STORM EA.200ft/10.00
[h on lmctoi s License Law: _ TRACT NO. - PARCEL NO.
reason
I am exempt under Sec. ,BAP.C.for this - WATER.HEATER W/VENT. 6.00 1
_
OwnerDate WATER SYSTEM .. 5.00 ACC.DATE ACC.FILE NO.
WORK r S'COMPEN,nT ON DECLARATION WATER TREATING EQUIP. 5.00
I hereby affu that I have cc ificate of,.n,tnt to self-insure, -
or a certificate Workers'C p sation Insurance,or a certified ( ZONING ENG SITE NO
copy thereo ( .3800,Lab. .J -
Policy N.0 pmpa
0 ❑ Certifi opy is here ished. .
/Certifi co r FIRE SPRINK ENERGY TZ4
Z Z Ifs py,is'fd d illi the.city inspection division.
Cc Applicant MISC.- - . 'REFER TO ORD. - :Y ❑ N❑• 'Y ❑, IN - i
PERMIT ISSUANCE, - '• ," 10.00
LU y CER FICCOM E I ION ION FNOM WOR FLOOD ZONE - ." A.L.U.C.
W > COMPENSATION INSURANC- PLc.cONTR. CIC.NO: r PLG,. �
d.0 (This section need not be completed in petro it is for one TOTAL Y❑,: N❑ K❑ N❑
Z hundred dn116rs($100)or less.). 7 -
U O 1 certify that in the perform' of the work for which Ihis per FEE SUMMARY
LL I- - mit is issued,I shall not e y any person in any manner so as to QTV. MECHANICAL PERMIT FEE
O W become subject Ip the ers',Compensation Laws of California. - /
Date ppl - BUILDING . l�ro
} y icr NOTICE,TO LICANr If,If,after making this Certificate of Ex-
ALTER OR ADD TO MECH. 5.00 1(
r ? emprion u should become subject to the Workers'Compensation APPLIANCE 5.00 'PLAN CHECK -
pr as of the Labor Code, you must forthwith comply with FEE L'
U s provisi
ons or i permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,000C.F.M.). 4.00
C NST UCTION'LENDINC AGENCY '" AIR HANDLING UNIT(OVER 10XIC.F.M.) 6.00 SEISMIC FEE r 3,7t'SD.
I hereby aft in th it there Is a construction lending agency for EXHAUST HOOD (WITH,DUCT) 5:00
the performan a of ne work for which this permit is issued(Sec. MICROFILM
97,Cie.C.). HEATING UNIT(TO 100,000 B_.T.U.) 8.00
L nJer's Nam TfW(A'B4N
L Jar's Add a SIC Ib HEATING UNIT(OVER 100,000 B:T.U.0.50 ELECTRIC d '
certifyth 11 hat-read this applicatiomund stajethat the above VENTILATION FAN (SINGLE)' 4.001
in ration i come t. 1 agree to comply with all city and county PLUMBING`',
or aances an stat laws relating to building construction, and BOILER-COMP(3 H.P.or 1.00,000 B.T.U.)''6.00 .
oath"
"Jim
r re en
lativee of this city to enter upon the
a e-menlio d pr Forty for inspection purposes. - ' BOILER-COMP (Ovar 100,000 BTU)SEC FEE SCH. MECHANICAL -
• e) agree s e, indemnify'and keep harmless'the City of MISC.- - 'REFER TO ORD.
rtino eget s 1' bilines,judgments, costs and expenses which PERMIT ISSUANCE - 10.00 f CONST.'TAX `
in any w •cmc against said City in o nsequene of the
Ing of Ihis r it. -FMMECH.CONT. - LIC.NO. ECH.
TOTAL TOTAL''
12U2
o p a
OFFICE COPY /
i\\\�^��rel,��� r - .\ � �\. n _r� ri '/.s�� \ , 53�yM�`tA`a\ 1 c. G /1a�7�u \.u�• a"',.SCJ\+�f,•� n�l��//p
rNa.
+1 -- — -- — — -- -' —Mnm
/
t t No. 815 �� I
1.ri:�`rr e4 - of
r� �i►�i1 -.•01;1\x'
Titiy ofp �y
(btu prrinn
1 'Uppr#mrnt of Vitillin "Jrcqrr#ion �It
This certificate issued pursuant to the requirements of Section 307 of the
Uniform Building Code certiffing that at the time of issuance this structure tit-as
in compliance with the various ordinances of the city regulating building
construction or use. For the following:
_ t
, - Interior Remodel
Use Classification 18309
t Bldg. Permit No.
Group
Yom. P B-Z lypeConstmction V-N Use Zone Planned Development �0
yr" Owner of Building Hilborn Hoover 1
g Address 10131 Bubb Road
% Building Address 10131 Bubb Road
Locality Cupertino, CA 95014
gY� Joe Antonucci-
^. �
Date: _ 10/31/89 t \
uilding Official n
��- POST IN A CONSPICUOUS PLAC[ -
10 Wid;
yt , ' IRS T. 1 -
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rover. .Wl .i /