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15632 POST THIS CARD NEAR FRONT'OF BUILDING PERMIT NUMBER m . CITY OF CUPERTIN•0 : :15632 INSPECTION DIVISION . JOB INSPECTION RECORD " ' ,PERMIT EXPIRATION JOB ADDRESS 10260• Bubb Road UNIT# LOT# ' PERMIT EXPIRES IF WORK OWNER Apple COMIDDUter CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATIONANCE OR 180 DAYS FROM NOTE: ' - LASTCALLED INSPECTION.-. LIFER ALL GRADING-AND DRAINAGE SHALL BE INSTALLED PREGUNITE' TO'COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION , CUPERTINO STANDARDS: GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED (:0 UNDERGROUN /SLABDIS I C PLUMBING - ,r ELECTRICAL - I�' �' �J\ ISSUANCE DATE MECHANICAL BLDG. ELECL PLG. MECH,; ^� - AM2 '� �; ❑ ❑ 0 I ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED 7_ X2 i/S,4 17 BUILDING PERMIT �L 5 �X� INFORMATION WOOD FLOOR VALUATION SIFT, PLUMBING 9_ T /'.( A/l^ MECHANICAL DC) Q/N! 110 PERMIT' - ELECTRICAL � 'TO FRAMING ' STORIES TYPE CONSTH. INSULATION � � � � � - OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOFNOTE:NO FINAL INSP.SHALL BE MADE BEFORE So.FT.FLOORAHEA TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID i _ BUILDING USE ROOF SHEATHING H Es IND PH 011111 —APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. El 11El 1:1 ASSESSORS❑PARCEL NO ROUGH SAN.# PLUMBING - ELECT.ENERGY TUBSBSHOWERPA PLUMBING ENERGY TRACT NoPARCEL ND . MECHANICAL MECH.ENERGY ACC.DATE ACC.FILE NO. ELECTRICAL, BUILDING ENERGY FRAMING ELECT,FINAL TEST _ ZONING ENG SITENO. INSULATION PLUMBING' . GAS TEST GAS FIRESPRINK ENERGY T-24: MECHANICAL Y ❑ N❑ YI❑ NO COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE A.L Uc, N❑ • INTERIOR SHEAR - � FIRE DEPT. Y ❑ Y ❑ N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH - TEMPORARY APPROVALS BUILDING SCRATCH COAT - ELECTRIC PLAN CH ECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC LU ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. Z MECHANICAL — SEE PERMIT FOR EXPIRATION DATE — CONST.TAX - --- IMPORTANT! . . ' 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 I DENTI FICATI ON .PERMIT NUMBER aGILpnNG APPLICATION & PERMIT 1 [C _ AOOREss I J ` 32 2(,O wbb - BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 6 OWNER'S PLAN CHECK VALIDATION NAME l..L' QTY. ELECTRIC PERMIT FEE filophq I .1L PRONE X CONTRACTORS NA E OUTLETS-SWITCHES-RECEP 10.00/1.00 �g'E 1r�77/j��!'{{//J/�N /Wel R• RUM Pr/4LIC.NO.Ie 303 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR S�;�o 1�171[!Y�✓�IJiF Ir APPLIANCES-RESIDENTIAL_, 4.00 - rR �lal,(/Ol d CIT PHONE SY'-/� PANELS 10.00 PLAN DATE E OF APPLICATION NO. ARCHITECT PANELS (OVER 200 AMP) 20.00 ' EE aR ENGINEER uc.No. SIGNS TRANS: 3.00 AOOHEOR SS ENG _ SPECIAL CIRCUIT5,00 - PERMIT VALIDATION zIP EMP.METER OR POLE INS.: 20.00 '^ ` APPLICANT'S MOTORS - ADDRESS SEE FEE SCH. - ' SERVICE CHANGE 20.00 wo D' LICENSED CONTRACTORS DECLARATION ¢u U 1 hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE ya n (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. - MECH. F m z rofessions Co •_a d y license is in full for cY, d1n(lAc� ❑ ❑ z Om- icense Class Lic.NumherJ,-%/ ..YY ❑ O z H w DaleContractor a r s ( BUILDING PERMIT ¢ ¢w u OWNER-BUILDER DECLARATION INFORMATION d o a MISC.- _ REFER TO ORD w ; u w I hereby affirm That I am exempt from the Contractor's License VALUATION E/FT. r..w j Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 Code'.Any city or county which requires It permit to construct,alter, R ¢ Q improve,demolish,or repair any structure,prior to its inat once,also ELEC.CONTR. LIC.NO. ELEC. a amu requires the applicant for such permit to file a sighed statement that TOTAL PERMIT TO X he is licensed pursuant to the provisions of the Contractor's License D! y, z i Law(Chapter 9(commencingwith Section 7000)of Division 3 offs e a Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE I S'O ¢ I-$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant for a permit suhjects the applicant o a civil banally IALTER-DRAIN&VENT-WATER (EA.) 5.00 - of not more than five hundred dollars(5500).): ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCD.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 to an owner of '- property who builds or improves•lhereon,and who docs such work FIXTURES-PER TRAP 5.00,50 SQ FT.FLOOR AREA TOTAL ACREAGE '© himself re through his own employees,provided that such improve- himselarethronot utended ghhisoroempl employees, or provided that Sthe building GAS-EA.SYSTEM-11NC.4OUTLETS 6,00 or improvement is sold within one year of completion, the owner- GAS-EA.SYSTEM,-OVER 4 (EA.) 2.00 BUILDING USE builder WRI'have the burden of proving that he did not build or in,-- RES IND CON PB Omanprove for purpose of sale.). INDUSTRIALWASTE INTER. 30.00 ❑ I,as owner of the properly,am exclusively contracting wilh ❑ ❑ ❑ Cl ❑ licensed contractors to 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 properly who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 IEA.) 1.00 contracts for such projects with a contractors)licensed pursuant to ANITAR V R SEWE -S -STORM E .00 the Contractor's License Law. 10TRACT NO. PARCELING. ❑ lam exempt under Sec. -,IJAP.C.lar cis WATER HEATER W/VENT reason Owner Date WATER SYSTEM Elt0 ACC.DATE ACC.FILE NO. WORKF.RS'COMPENSATION DI:CLARATION WATER TREATING EQUIP, 5. •�pD - . I hereby affirm thatJ have a certificate of consent to self-insure, t ZONING or a certificate of Workers'Comp.unnwwtion Insllr n or a certified ENG.SITE NO. copy(herepf(Sce.3800,Lab,CJ.H'C Mavt�W. Policy No. Company rA1,JM'1 P7Jl%'� Q ❑ Certified copy is hereby fumishe ta,ip Q FIRE SPRINK ENERGY T 24- PZ ❑11 Certified cop -s.el� 9cYith e cit a*tion division. . MISC.- REFER TO ORD. LO PERMIT ISSUANCE' '1040 FLOOD ZONE A.L.U.C. � ; Cl: TIFICATEOFF-XEMPT10N PROM ORKIiR3' Ili _ COMPENSATION I NSURANCE PLG,CONTR. LIC.NO. PLG. ro �B Y❑ N❑ Y ❑ N❑ Q. Q TOTAL 1This seetidn need not be completed if the permit is for one v D Z hundred dollars(E100)or less.) U Q 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL 1mit is issued,I shall not employ any person in any manner so as'to U W become subject to the Workeri Compensation Laws of California. ,BUILDING Date Applicant ALTER OR ADD TO MECH. 5.00 } N NOTICE TO APPLICANT: IL after making this Certificate of nix- ; ? 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 U such provisions or this permit shall be deemed revoked AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONS'fRUCf1ON 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,Civ.C.l. HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address I certify Omt l have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00 •rT Q'0 information is correct. I agree to comply with all city and county BOILER-CCMP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING V V ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the BOI LER-COMP Over 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. - upertino against liabilities,judgments, costs and expenses which CONST.TAX ay in any way accrue again^t said ity in onsequence of the PERMIT ISSUANCE 10.00 ranting Of It erm'. MECH.CONT. LIC.NO. MECH. ' Pyla TOTAL TOTAL &nature of Applicant/Contractor Dare OFFICE COPY