Loading...
18256POST THIS CARD NEAR FRONT OF BUILDING', ' CITY OF CUPERTINO ,. INSPECTION DIVISION JOB INSPECTION RECORD - JOB ADDRESS _Q 3 7 �( c'a ��� WIO Q C�UNIT# LOT# ' - OWNER A D -- CONTRACTOR PERMTNUMBER 18256 . PERMIT EXPIRATION - PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU-" ANCE OR 180 DAYS FROM LASTCALLED.INSPECTION. INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. • LIFER PREGUNITE PERNT VALIDATION - ,p+1� ISSUANCE DATE. GARAGE SLABS '' POUR NO CONCRETE UNTIL A86VE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING - .. ELECTRICAL MECHANICAL BLoc. ELECT PLG. M�ECH?. 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - - - BUILDING PERMIT INFORMATION • WOOD FLOOR - VALUATION SIFT. PLUMBING MECHANICAL' ELECTRICAL - .P*"�� PERMIT TO FRAMING. INSULATION - - STORIES TYPE CONSTR. OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX ISRAID- - • sD. FT FLOOR AREA TOTAL ACREAGE DIAPHRAGM ROOF SHEATHING BUILDING USE RES INDCON PB ow., ❑ ❑ ❑ ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ' - FINALS DATE INSP. - ROUGH SANA - ASSESSORS PARCEL NO. ' PLUMBING - ELECT. ENERGY TUBS 8 SHOWERTAN PLUMBING ENERGY TRACT NO. PARCEL NO. MECHANICAL MECH.ENERGY ELECTRICAL BUILDINGENERGY ACC DATE ACC FILE NO. FRAMING ELECT.FINAL TEST INSULATION PLUMBING ZONING ENG SITE NO. GAS TEST - GAS . MECHANICAL FIRE SPRINK v ❑ N❑ ENERGY T 24 Y ❑ N❑ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING _ _ EXTERIOR SHEAR - ELECTRICAL RELEASE FLOOD zorvE v ❑_ "❑ A,L.0 c. - v L� NEI INTERIOR SHEAR FIRE DEPT. SHEETROCK .GRADE FEE SUMMARY EXTERIOR LATH - BUILDING I BUILDING INTERIOR. LATH TEMPORARY APPROVALS SCRATCH COAT. a' ELECTRIC: '. PLAN'CH ECK FEE ' GAS - NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR.' MICROFILM - ARRANGE FOR INSPECTION BY PHONING 252-4505,, ONE -WORKING DAY BEFORE REQUIRED INSPECTION. Z PLEASE GIVE JOB ADDRESS WHEN PHONING. . —SEE PERMIT FOR .EXPIRATION DATE —. " a ELECTRIC . PLUMBING MECHANICAL CONST. TAX IMPORTANT! PLEASE READ REVERSE, SIDE BEFORE FOR FINAL INSPECTION. TOTAL 00,CALLING OFFICE COPY ' 00 z o¢i Foo QUU o Q w 0 N_ w H yI- Q y SE J 6 Q w V w 0 s, r LL O J F Ia it 6wm IS r z Q sxo u 3 0 ZZ O LU - CL CL ❑ Uo LL U O lu x i` U APPLICANT TO FILL IN INFORMATION WITHIN RED LINES --USE BALL POINT PEN ONLY BUYLDIN@ ROJECT IDENTIFICATION - APPLICATION & PERMIT BUILDING -ELECTRICAL- PLUMBING - MECHANICAL PERMIT NUMBER 1 O C C I o 5 o BUILDING - ADDRESS 437 Ca J/C 60 a0 GT OWNER'S - - • PLAN CHECK VALIDATION NAME yTY 08 FJ t A 1J/d T ,PHONE 7 ij plot ELECTRIC PERMIT FEE i - - - DATE OF APPLICATION n CONTRACTOR'S NAME/ QCrk.t ?fib e. I., LC.N0. YO $ UTLETS--SWITCHES -RECEP ,10.00/1.00 LIGHTING FIXTURES ' 10.00/1.00 CONTRACTORS ^' (� s *' . 4 E 4¢ 6y ygy.11 PHONE 0rte /d -7 OV? APPLIANCES - RESIDENTIAL 4.00 PANELS 10.00 ARCHITECT .PLAN OR EN01NEEP ' L No. (�,. PANELS (OVER 200 AMP) 20.00 CHECK FEE P C.,NO. .. -. ^' SIGNS TRANS. - 3:00 ARCH, OR ENG. r ' ✓"' . ADDRESS, +! _ hd ZIP eta.`!' SPECIAL CIRCUIT- 5.00 •PERMIT VALIDATION .. �•�� �' EMP. METER OR POLE INS. 20.00 - ADDRCSS ADOREss r." MOTORS ' ` ` SEE FEE SCH. •' -- SERVICECHANGE' - - 20.00 y° /1-- LICENSED CONTRACTORS DECLA RATION I hereby affirm that I am licensed under provi-sions of Chapter 9 - ISSUANCE DATE _ (commencing with Section 7000) of Division 3 of the Business and Code, and my license Is m full force and effect License Class Lic. Number - BL157 ❑ ELECT. El e •'.PLG. MECH.Professions ,� try 146U! Date - Contractor ^"� - OWNER -BUILDER DECLARATION I hereby orthelfolloi that 1 am exempt from the Contractor's License Professions or county whichequire (Sec. 703 a permit to construct, Law, f Any alter, Code: Any mouse county r pair any structur e p rio it to consu ac e,also improve, demolish, or for such p sticture, e a prior to its issuance, also requites else applicant for such permit t0 file a signed statement that he 16 Capslicensed 9 (co lt[ t0 (Ise with provisions of the Contractor's 3cattle License Division3of the Law (Chapter9(cosions Cngwith Section is exempt Business and Professionsxemption [hal he is exemptSion 7therefrom and [he basis for the alleged exemption. Any violation of Section 7031.5 BUILDING PERMIT INFORMATION MISC.- . REFER TO ORD VALUATION ' $/FT. ' PERMIT ISSUANCE 10.00.. ELEC: CONTE. LIC. NO. ., ` - ' SLED., TOTAL - PERMIT TO . vTY _ _ QTY. PLUMBING PERMIT I FEE STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): , ALTER-DRAIN&VENT-WATER (EA.) 5.00 - •- ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ggCK FLOW PROTECT': DEVICE 4.00 OCC. GROUP REB. UNITS DRAINS -FLOOR, ROOF, AREA,COND. '5.00 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does'not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve ments are not intended or offered Icor sale. If, however, the building , - FIXTURES- PER TRAP - 5.00 - So. FT. FLOOR AREA TOTAL ACREAGE GAS -EA. SYSTEM- 11NC. 4 OUTLETS: 6,00 or improvement is sold within one year of completion, the Owner - builder will have lite burden of proving that he did not build or im- prove for purpose of sale.).. ❑ as owner of the property, exclusively contracting with SYSTEM - BUILDING USE RES , IND CON PB Other - `. ❑ ❑ ❑� ❑, ❑ INDUSTRIAL WASTE INTER. 30.00 he licensed contractors to construct the project (Sec. 7044, Business d License Law does not apply and Professions Code:. The who improvesensed n, and who to an owner of property who builds LAWN SPR INKLERS-1'INC 5 V.B. 6.00 ASSESSORS PARCEL N0. LAWN SPRINKLERS -OVER 5 (EA.) .1.00 tr the Contsctor'shcenects Lwith aeanerucmr(s)licenud pursuant to the Contractor's License Law. SEWER-SANITARV-STORM_EA. 200ft/10.00 TRACT NO. PARCEL NO. ❑ I am exempt under Sec. ,B.&PC. for this reaxcm - WATER HEATERW/VENT 6.00 Owner Date WATER SYSTEM. - 5.00 ACC. DATE ACC. FILE NO.. WATER TREATING EQUIP. 5,00 WORKFRS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a'certificate of Workers' Compensation Insurance, or a certified _ - ZONING ENG. SITE NO. - copy thereof(Sec. 3800, 11m - - Policy No. Copany - - FIRE SPRINK - Y❑" 'N❑' ENERGY LY4 Y❑ N❑ ❑ Certified copy is hereby furnished ❑ Certified copy is 'filed with the city inspection division. Applicant MISC. REFER TO ORD, - CERTIFICATE OF IiXFMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A1. U.c: . PLG. GONTR, ," LIC. NO. '. !' PLG. TOTAL COMPENSATION INSURANCE (This section need not be completed If the permit is for one Y ❑ N❑ 'Y Y ❑' N❑ - - QTY. MECHANICAL PERMIT FEE .' - FEE SUMMARY hundred dollars IS 100) or less.) I certify that in the performance of the work for which this per- mit is issued, 1 shall not employ any person in any manner so as to BUILDING - hewyy s ec the Workers' m e 'Non cos of Ca fornix. )ate7'd_��Applicant� NOTICE TO APPLICANT: If, after making this Certificate of Ex- ALTEROR'ADDTOMECH. 5.00 APPLIANCE ".r.`_ 5.00 PLAN CHECK FEE emption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT (TO 10,000C.F.M.) : 4.00 AIR HANDLING UNIT (OVER 10,000C.F.M.) 6.00 SEISMIC FEE. ' CONSTRUCTION LENDING AGENCY " 'I hereby affirm thai 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. 3097,Civ,C.). - HEATING UNIT (TO 100,000 B.T.U.) 8.06 F0 p' .MICROFILM - HEATI NG UN IT (OVER 100,000 B.T.U.) 9.50 ELECTRIC' Lender's Name Lender's Address I certify that I have read this application and slate that the above information is correct. I agree to comply with all city and county' ordinances and state laws relating to building construction, and VENTILATION FAN (SINGLE) 4.00 PLUMBING BOILER- COMP(3 H.P. or 100,000 B.T.U.) 6.00., ` BOILER -COMP (Over 100,000BTU) SEE FEE SCH. MECHANICAL ,A" hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes, MISC. - .' REFER TO ORD: CONST. TAX - - (We) agree to save, indemnify and keep harmless the City of uperlino against liabilities, judgments, costs and expenses which mey,in any way accrue against said City in consequence of the rantilla, of, his permit. / " i/lul8 �. M� PERMIT 10.00 - V '✓ MECH. CONT. LIC: NO. MECH. TOTay �Q' v�- TOTAL �_D�' sign [e of Applicant/Contractor Date OFFICE COPY