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13943 POST THIS CARD NEAR FRONT.OF BUILDING ' ' PF.RMiT NUMBER CITY OF CUPERTINO 13943 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 10201 & 10211 Bubb Road UNIT# LOT# PERMIT EXPIRES IF WORK OWNER Apple Compute CONTRACTOR Nor-Cal Mech IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM LIFER P Lind/�G FAV-41- LASTCALLED IN PREGUNITE /f (/d 0 PERMIT VALIDATION IV N1;1 POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB . PLUMBING ELECTRICAL _ ISSUANCE DATE ' MECHANICAL BLDG, ELECT. PLG. MECH, ❑ ❑ �� ' DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION $/FT. PLUMBING MECHANICAL � ELECTRICAL //11 (/,//4/PERMIT Tq. FRAMING STORIES, TYPE CONSTR, INSULATION, J _ Occ.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED X50.{'T.FLOOR AREA TOTAL ACREAGE ROOF DIAPHRAGM BUILDING USE ' RES IND CON. PB OiOer E-10 0 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED SE 0' ASSESSORS PARCEL NO. ROUGH PLUMBING' TRACT NO. PARCEL NO, GAS TEST . MECHANICAL •. ELECTRICAL 'da `,;�+ -NALS DATE INSP. ACC.DATE ACC FILE NO. FRAMING SAN # ZONING ENO.SITE N0. INSULATION PLUMBING � � GAS . MECHANICAL FIRE SPRINK ENERGY T-24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING "� FLOOD ZONE A LATH-INTERIOR ELECTRICAL .L.0C. , LATH—EXTER(,OR FIRE DEPT. Y N[] v "� SHEETROCK GRADE FEE SUMMARY • SHEAR INTERIOR BUILDING SHEAR EXTERIOR TEMPORARY.APPROVALS BUILDING FIREWALLS ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE, OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR, MICROFILM ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC LU ONE WORKING DAY BEFORE REQUIRED INSPECTION. PwMBwc y 0� PLEASE GIVE JOB ADDRESS WHEN.PHONING. . • Z. MECHANICAL — SEE PERMiT, FOR EXPIRATION DATE — IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE-BEFORE TOTAL 6� CALLING FOR FINAL.INSPECTION. IC OFFICE COPY APPLICANT TO FILL.IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDINGAgOBJESS APPLICATION & PERMIT ONE BUILDING-ELECTRICAL-PLUMBING-MECHANICAL13943 OWR'B IIn PLAN CHECK VALIDATION I . M A GE �/ QTY. ELECTRIC PERMIT FEE �f Liri PHONE CONTMCTOR E IF UTLETS-SWITCHES-RECEP 10.00/1.00 NAME �J LIC.NO,3LIG 3o HTING FIXTURES 10.00/1.00 r-OrvTRACTOHai ( }j/ ,5' PPLIANCES-RESIDENTIAL 4.00 - aD Ess /Jp�7, ` D �O /YZA)C PHONE �� PANELS 10.00 PATE OF APPLICATION ARCHITECT <70 PANELS (OVER 200 AMP) 2000 PLAN CNECK FEE P.G.NO. OR NiTEcTS / .s 71wli✓Fin.% LIC.No. ISIGNS TRANS. 3.00 ARCH.OR ENO. t SPECIAL CIRCUIT 5,06 M^T VALIDATION ADDREss C 93S �iJ6RSiT �Aro/s�7b IP9��3 EMP.METER OR POLE INS. 20.00 g. ADDRESSDDRESS PPLICA ,S TS n MOTORS SEE FEE SCH. r 6,n. .Mp e; e,0I 7 SERVICE CHANGE 20.00 it w o o LICENSED CONTRACTORS DECLARATI N a ¢(�jflr�7 < v u 1 hereby affirm that I am licensed under provisions of Chapter 9 21?, �IBSUANCE DATE n (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PL MECH. > o z Professions Code,and my license is in full force and effect. EJ ❑ ❑ to i O License Class -Lic.Number j Date Contractor ¢ ¢w OWNER-BUILDER DECLARATION BUILDING PERMIT INFORMATION MISC.- REFER TO ORD X n w 1° a. 0 ¢ Law for the following reason.(Sec,703 1.5,Businessand Professions PERMIT ISSUANCE 10.00 r NMS Code:Any cayorcounty which requires a permitto construct,alter, e, Q Q p Improve,demolish,or repair any struclum,prior to b,romace,also ELEC.CO NTH. LIC.N0. ELEC. ¢ requires the applicant for such permit to file a signed statement that TOTAL PERMIT T X $m he is licensed pursuant to the provisions of the Contractor's License Fi > Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe ¢ Business and Professions Code)or that he is exempt therefrom and OT PLUMBING PERMIT FEE ¢_0 the basis for the alleged exemption.Any violation ofSeclion 7031.5 STORIES TYPE CON w. by any applicant for a permit subjects the applicant toacivil penalty ALTER-DRAIN -WATER IEA.) 5.00 of not mom than five hundred dollars(S500f): - ❑ I,as owner of the property,or my employees with wages as BACK F LOW 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 (See. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 D Code:The Contractor's License Law does not apply to an owner of properly who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5,00 7SI1FT.FLOOR AREA TOTAL ACRE/GE himself or through his own employees.provided that such improve- GAS-EA.SYSTEM-11NC.40UTLETS 6.00 mems are not'intended or offered for sa1c.IL however,the building or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUI LUING USE builder will have the burden of proving that he did not build or owner, RES INP CON Pe Orner prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ 1,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PAHCEL NO. and Professions Code:The Contractor's License Law dues not apply - to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 - contracts forsuch projects witll a contractor(s)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under Sec. ,BARC.for this WATER HEATER W/VENT 6.00 reason Owner Dule WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP, 5.00 hereby affirm that I have a certificate of consent m sell'-insure, or certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thercuf(Sec.3800,Lab.C.L ' Policy No. Company - O 13Certified copy is hereby furnished FIRE SPRINK ENERGY T24 Z Z ❑ Certified copy is tiled with the city inspection division. MISC.- REFER TO ORD. Applicant Y ❑ N❑ Y ElNEI CC CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. UJ > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. ,D a' O (This section need not be completed if the permit Is for one TOTALa Y❑ N❑ Y ❑ N❑ Z) Z hundred dollars(S 1001 or less) U 0 1 certify that in the performance of the war r which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL 5mil is issued,I shall not employ a Persc. a manner so as to U beco the Workers'C • 'Y wsuf California. Ow Data ALTER OR ADD TO MECH. 5,00 BUILDING } GO NOT E O APPLICANT: IL after maki is Certificate of Ex- emption,you should become subject tot L kers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you mu orlhwilh comply wit]1 FEE U 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 IQOODC.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. HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM 3097,Cio.CJ. Lender's Name H EATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is 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 to enter upon the BOI LER-COMP love,100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. (We) agree to Save, indemnify and keep harmless the City of MISC.- REFER TO ORD. - Cupertino 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 gm ng of this permit. MECH.CONT. ', LIC.NO. - MECH. 9 Sr TOTAL TOTAL Signa um of Apph Contractor Dale 'Q OFFICECOPY