11810POST THIS CARD NEAR FRONT OF BUILDING
'CITY OF CUPERTINO
: INSPECTION DIVISION.
JOB INSPECTION RECORD
JOB ADDRESS 8O2 CANDLEWOOD DRIVE UNIT# Lor#
-
OWNER STEPHEN RUDD CONTRACTOR VALLEY HEATING
PERMIT NUMBER
11810
PER MIT EXPIRATION
PERMIT EXPIRES IF WORK
IS NOT STARTED WITHIN,;
180 DAYS OF PERMIT'ISSU-
ANCE OR 180 DAYS FROM
LASTCALLED INSPECTION.
s
INSPECTION DATE INSPECTOR
INSPECTION RECORD
FOUNDATION - -
�
LIFER' - �
PR EGUNITE
- -
PERMIT VALIDATION
III y
^;;,j�.C;1LIF2ii100
-
-` . 'ISSUANCEDATE .y.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND/SLAB
PLUMBING,
ELECTRICAL - -
MECHANICAL
RLDc.
ELEcr.
PLc. M;cR.
DO NOT POUR FLOOR UNTIL ABOVE HAS,BEEN SIGNED
' -
euR.DwG PERMIT
INFORMATION
• WOOD FLOOR
VALUATION
$JFT.
PLUMBING -
- -
-
MECHANICAL
ELECTRICAL
PERMIT TO
-
I J
FRAMING.
INSULATION
STORIES-
TYPE CONSTR.
-
OCC. GROUP
-
RES, UNITS,
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
- ROOF
SO. FT. FLOOR AREA
TOTAL ACREAGE
DIAPHRAGM
'
BUILDINGUSE
RES IND CONON ' PR Otfter
❑ ❑ ❑ ❑ ❑
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED
_
ROUGH
ASSESSORS PARCEL NO,
.aM.T: �. ,-•'><I*+7w:.,Yz ;_R>..
PLUMBING
GAS TEST
'IRTRACI NO,
PARCEL NO.
MECHANICAL, -
ELECTRICAL
FINALS DATE INSP.
•ACC, DATE
ACCFILE NO
FRAMING
SAN u
INSULATION -
PLUMBING
ZONING
ENG. SITE NO.
-
FIRE SPRINK
ENERGY RZ4
CHAN ICA
!HES
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ATINGLATH—INTERIOR
ECTRICAL
•FLOOOZONE -1
Y ❑ — N❑
A.L.U.C.
I Y ❑ No
LATH—EXTERIOR -
FIRE DEPT.
SHEETROCK
GRADE
FEE SUMMARY
SHEAR INTERIOR -
BUILDIN
BUILDING
SHEAR EXTERIOR -
T MPORA APPROVALS
FIREWALLS' - -
ELECTRI
PLAN CHECK
FEE
GAS
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY
SEISMIC FEE
OCCUPANCY OF BUILDING ISNOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR.
- I
I
MICROFILM
--
ARRANGE FOR INSPECTION BY PHONING 252-4505,
F ONE WORKING DAY BEFORE REQUIRED INSPECTION.
z -PLEASE GIVE JOB ADDRESS WHEN PHONING. •
—SEE PERMIT FOR EXPIRATION DATE —MECHAMCAL
ELECTRIC
PLUMBING
y CONST. TAX
,6"i`;'
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE A 't,
CALLING FOR FINAL INSPECTION.
TOTAL
r
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN -ONLY
BUIL-d1 FIG PROJECT IDENTIFICATION
,
&'PERMIT .A
BUILDING - ELECTRICAL- PLUMBING - MECHANICAL
PERMITNUmMBFRBUILDING
�OADDRESS��
/^1`APPLICATION
(�.lf\�.JJ� (l`J$1
`�1`NGµIWo ��I
OWNER'S
R1 o ^C.••/_pp
�l 'PHONEOL�J � C 0
QTY. ELECTRIC PERMIT FEE
PLAN CHECK VALIDATION -
• '
'
coNTRAc Rs
E^^``
i•�ll ��n� a .NO.
OUTLETS - SWITCHES -RECEP 10.00/1.00 -
LIGHTING FIXTURES 10.00/1.00
CONTRACTOR' n "�'
ADDRESS
APPLIANCES -RESIDENTIAL 4,00
PANELS - 10.00
PHONE
DATE OF APPLICATION
ARCHITECT
OR
ENGINEER
- LIC. rvo.
- PANELS (OVER 200 AMP) 20.00
PLAN CHECK FEE P.C. NO.
SIGNS TRANS. 3.00
AHON.OR ENG,
ADDRESS
SPECIAL CIRCUIT 5.00
"PERMIT VALIDATION
-
EMP. METER OR POLE INS. 20.00
ZIP
_
'y
APPLICANT'S
ADDRESS
-MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
- I"
{Tx
VrSf ^rti( lilll}owino
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9
ISSUANCE DATE
(commencing with Section 7000) of Division 3 of the Business and
Professions CO an y use is in full f
License C�IgS� Con Numb
Date-_Sl.�Conlraetor
'
-
SLOG. ELECT.
❑ ❑
PLG. MECH.
,❑ VL
-
BUILDING PERMIT
owNeR-BuaoeR DECLARATION -
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason. (Sec. 7031.5, Businessand Professions
Code: Any city or county which requires permit to construct, alter,
improve, demolish, or repair any structure, prior to its issuance, also
requires the applicant for such permit t0 file a signed statement that
he is licensed pursuant to the provisions Of the Contractor's License
INFORMATION
'MISC. - - REFER TO ORD
VALUATION
$/FT.
PERMIT ISSUANCE . 10.00
ELEC. CONTR. ,LIC. NO.
ELEC.
TOTAL
PERMIT TO
OTY. PLUMBING PERMIT FEE
1
Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) Or that he is exempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5
STORIBE
TYPE CONSTR.
ALTER -DRAIN &VENT-WATER(EA.) 5.00
by any applicant for a permit subjects the applicant toacivil penalty
of not more than five hundred dollars ($500).):
'
❑ 1, as owner of the property, or my employees with wages as
their sole compensation, will do the work, and the structure is not'
intended or offered for,sale (Sec. 7044, Business and Professions'
BACK FLOW PROTECT. DEVICE 4.00
OCC. GROUP
RES. UNITS
DRAINS -FLOOR, ROOF, AREA,COND. 5.00
-
Code: The Contractor's License Law does not apply to an Owner of
property who builds or improves thereon, and who does such work
FIXTURES - PER TRAP 5.00
SO: FT. FLOOR AREA
TOTALACREAGE
himself or through his own employees, provided that such improve-
meals are not intended or offered for sale. If, however, the building
GAS-EA.SVSTEM-11NC.40UTLETS 6.00
or improvement is sold within one year of completion, the owner-
builder will have the burden of proving that he did not build or im-
prove for purpose of sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
GAS - EA. SYSTEM -OVER 4 (EA.) 2,00
BUILDING USE
RES IND CON PB Other
❑ ❑ ❑ ❑ ❑
I INDUSTRIAL WASTE INTER. 30.00
LAWN SPRINKLERS- 1 INC 5 V.B. 6.00
ASSESSORS PARCEL NO.
and Professions Code: The Contractor's License Law does not apply
to an owner of property who Builds or improves thereon, and who
LAWN SPRINKLERS - OVER 5 (EA.) 1.00
'
contracts for such projects with a contractors) licensed pursuant to
the Contractor's License Law.
SEWER -SANITARY -STORM EA. 200ft/10.00
TRACT No.
PARCEL No.
❑ I am exempt under Sec. ,B.&P.C. for this
reason
WATER HEATER W/VENT 6.00
-
Owner - Date,
WATER SYSTEM 5.00
ACC. DATE
ACC. FILE NO.
WORKERYCOMPENSATION DECLARATION -
WATER TREATING EQUIP. 5.00
1 hereby affirm that I have a certificate cf consent to selibiosure,
ace,
or a certificate of Workers' .Compensation UaIj ora �ertifivd
eopY [ ra�{$PS.�ASd�n'/ i.
-
ZONING
'ENG. SITE NO.
,.
.:.
OR Lpn�mW^Y 1Pt111� �'
-
FIRE BPRINK
'y ❑ No
ENERGY T-24
v ❑ N❑
Crttlifified iedcopy ishereby furnished.
Cent rite e cit inspection division.
Applicant`�+ x_r-�L±F�I IFIL"
MISC. - REFER TO ORD.
PERMIT ISSUANCE 10.00
FLOOD ZONE
A.L.U.G.
CERTIFICATE OF/EXEMPTION FROM WORKERS'
PLG. CONTR. LIC. NO.
PLG.
TOTAL -,
COMPENSATION INSURANCE
(This section need not he completed if the permit is for one
V❑ N❑
v❑ N❑
OTY. MECHANICAL PERMIT FEE
FEE SUMMARY
hundred dollars ($100) or less.)
I certify that in the performance of the work for which this per-
out is issued, I shall not employ any person in any manner so as to
become subject to the Workers' Compensation Laws of California..:
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Ex-
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.
BUILDING -
ALTER OR ADD TO MECH. ' 5.00
APPLIANCE 5.00
PLAN CHECK
FEE '
AIR HANDLING UNIT (TO 10=11F.M.) 4.00
AIR HANDLING UNIT (OVER 101000C.F.M.) 6.00
SEISMIC FEE '
CONSTRUCTION LENDING AGENCY
EXHAUST HOOD (WITH DUCT) 5.00
MICROFILM
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec.
3097, CR.CJ. _
HEATING UNIT (TO 100,000 B.T.U.) 8.00 a
HEATI NG UNIT•(OVER 100,000 B.T.U.)9.50
ELECTRIC
Lender's Name
Lender's Address
VENTILATION FAN (SINGLE) 4.00
-
PLUMBING
I certify that I have read this application and state that the above
information is correct. I agree t0 comply with all City and countyBOILER-COMP,(3
ordinances and state laws relating to building construction, and
H.P. or 100,000 B.T.U.) '6.00
BOILER -COMP (Over 100,000 BTU) SEE FEE SCH.
MECHANICAL
p
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
Cupertino against liabilities, judgments, costs and expenses which
may in any way accrue against said City in consequence of the
PERMIT ISSUANCE 10.00
MECH. CONT. LIC. NO.
1 ,��
MECH:
TOTALIFOO
1
TOTAL
ra of this permit.
di A -1U
i are of App want/Contractor D' a
v I `-' . OFFICE COPY-'' J