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1537710 POST THIS CARD NEAR FRONT OF BUILDING' PERMIT NUMBER j..., CITY OF LUPERTINO 15377 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 602 'Candlewood Drive UNIT# ' _LOT# ' PERMIT EXPIRES IF WORK OWNER Stephens S •' RUCICl -' CONTRACTOR IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU- OR 180 DAYS FROM INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATIONANCE 'NOTE: ALL GRADING AND DRAINAGE SHALL- BE'INSTALLED TO COMPLY WITH THE APPROVED. PLANS AND CIN OF LASTCALLED INSPECTION. UFER .' _ PREGUNITE ' PERMIT VALIDATION ; CUPERz IND STQj!pp��ggDgg .3_�/ /.CHIC pt/77fJr •j�' r �� : ISSUANW,DATF GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING - ELECTRICAL MECHANICAL' BLDG ELECr� PLG. MECH,; ••f�11 DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ,n col BUILDING PERMIT 1J INFORMATION WOOD FLOOR yq (TION %I SIFT. PLUMBING IIQ4e �.{J Q1( MECHANICAL ELECTRICAL .. - .. f � PERMIT TO - y FRAMING INSULATION i STORIES - TVPE "INST.R. - - OCC'GHCUP % RES, UNITS ' PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ' ROOF j NOTE: NO FINAL INSP, SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID 5O FT "OOH gHeA , TOTAL ACREAGE DIAPHRAGM ROOF SHEATHING BUILDING USE REs IND CON PR 'Other . APPLY NO ROOFING. UNTIL ABOVE HAS BEEN SIGNED FINALS> DATE'• INSP. ❑ El 1:1❑ `❑ - - ROUGH' SAN.# . Assessoas PARCEL No• PLUMBING - ELECT. ENERGY - TUBS S SHOWER PAN .,Al- .• .PLUMBING ENERGY TRACT NO. PARCEL No MECHANICAL - MECH.ENERGY ELECTRICAL BUILDING ENERGY ACC.DATE ACC FRE NO FRAMING " ELECT, FINAL TEST INSULATION," � � � PLUMBING _ ZONING _ - ENC. SITE NO, GAS TEST - GAS •, MECHANICAL .FIRE SPRINK .. ° ❑"❑ •ENERGYT-24 "❑ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - - EXTERIOR SHEAR .. . ELECTRICAL RELEASE 'FLOOD ZONE ❑ "❑ A Uc. ❑ N❑ INTERIOR SHEARFIRE,DEPT. SHEETROCK ' " GRADE - FEE SUMMARY EXTERIOR LATH - BUILDING 1Z 3-29 -AW INTERIOR LATH TEMPORARY,.APPROVALS SCRATCH COAT. ELECTRIC C PLAN CHECK FEE , GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY _ SEISMIC FEE `: v OCCUPANCYOF.BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC. �� ONE -WORKING DAY BEFORE REQUIRED INSPECTION. o PLEASE GIVE JOB ADDRESS WHEN PHONING. PLUMBING, MECHANICAL Z •• • —SEE PERMIT FOR EXPIRATION DATE — CONST. TAX. IMPORTANT! ..' TOTAL e- :G "PLEASE READ,'REVERSE SIDE BEFORE CALLING FOR FINAL.INSPECTION. f OFFICECOPY. APPLICANT•TO FILL IN INFORMATION WITHIN RED LINES= USE BALL POINT PEN ONLY 'BUILDING PROJECT I DENTIFICATION APPLICATION & PERMIT BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PERMITNUMBER ,. 77 1 1 15377 .OILaI.G - ADDRESS OWNER'S "AME OTY. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION cNAMEoral;Acr s_ UTLETS-SWITCHES -RECEP 10.00/1.00 LIC. NO. ILIGHTING FIXTURES 10.00/1.00 - ADDRESS t0R5 PPLIANCES- RESIDENTIAL 4.00 PANELS. 10.00 PHONE " DATE OF APPLICATION ARCHITECT -, OR PANELS (OVER 200 AMP) - 20.00 PLAN CHECK FEE P.C. NO. ENGINEER LIC. NO. SIGNS TRANS. - 3.00 ARCH. OR ENG. ADDRESS SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR,POLE INS. 20.00 ZIP - ; APPLICANT ADDRESS- MOTORS SEE FEE SCH. SERVICE CHANGE '20.00 W ✓`' T LICENSEE CONTRACTORS DECLARATION - t - - - I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business anti Professions Code, and my license Is in full force and effect. License ClassLie. Number // ISSUANCE DATE BLDG. ELECT. PLG. MECH. El 11r ❑ - - - Date Contractor - ' Ilat BUILDING PERMIT -N$!INFORMATION OWNER-BUILDFR DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason. IS& 7031.5, Businessand Professions Code: Any city Countywhichreqstructure, prlvittoconsuance, ter,also improve, demolish, or repair any structure, prior to its issuance, also requires ic thl`dp pursuant t t the permitns fill' a Signed statement i that he is licensed pursuant In the provisions of the Contradods License Law (Chapmr9(cosionsCde)., Section is 00) exemfDtherefoofthe Business and Professions Coder or that he is exempt therefrom and r' MISC. L - REFER TO ORD y t PERMIT ISSUANCE 10.00 U VA UATION ' 1 S/FT. t ELEC. CONTR. LIC. N0. ELEC. �y TOTAL PIR O . PERMIT TO ' n - u(„7d .�� Y/� RIES •TR DTV. PLUMBING PERMIT FEE is tto theant alleged ermit STORIES T E CONSTR. any applicor ac11on malt03 y byany applicant fore permit subjects$500).licam toacivil penalty by is thea applicant subjects of not more than five hundred dollars (my ' ALTER-DRAIN-WATER(EA.) 5.00 em): ❑ Las owner at theon, properly, or my employees with wages as their sole compensation, will do the work, and the structure is not BACK FLOW PROTECT. -DEV ICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 intended or offered for sale (Soca 7044, Business and Professions ' Code'. Thea Contractor's' License Law does not apply to an owner of property who throug his ow emploeereomandwhat suchsuch improve- improve- himselfornot rovided however. ownemployees. for sale. p mems arc not intended or offend far sale. IL however, the building the .- FIXTURES - PER TRAP 5.00 GAS -EA. SYSTEM'- INC. 4 OUTLETS 6.00 SO. FT. FLOOR AREA FT. TOTAL ACflEAGE ' tof hacompletion, f owner- Or improvement is sold within one burden builder will have the buen of proving that he did not build or int- prove 1, aso neeose of stheJ. ❑ as owner of the property, exclusively contracting with . . . GAS - EASYSTEM - OVER 4 (EA) 200. BUILDING USE RES.' IND CON PB Omer , ❑ ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 30.00 ' d licensed contractors to the project (Sec: 7044, Business he The Contractor's improv Law docs not apply and Professions property to owner of builds improves thereon, and who LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 LAWN SPRINKLERS -OVER 5 (EA.) 1.00 .ASSESSORS PARCEL NO. tr contracts for such projects wish a contractoAs) licensed pursuant to h projects with tr the Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. . ❑ lam:empt under Sec. ,B.&P.C. far ibis WATER HEATER W/VENT 6.00 reason Owner + )u - _ WATER SYSTEM 5.00 Acc.OATE' AceFaENo.- WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or u certified ZONING - .ENG. SITE NO. - Copy thereof (Sec. 3800, Lab.C.). ' Policy No. Company ❑ Cerfilied copy is hereby furnished. ❑ Certified copy is filed with the city inspection division. Applicant - FIRE SPRINK -' Y ❑ N ❑ ENERGY T-24 •�,' Y ❑ No MISC:- REFER TO ORD. CERTIFICATEOF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.001 FLOOD ZONE A.L.U.C. - COMPENSATION INSURANCE section need nm be completed if the permit is for line PLG. CONTR. LIC. NO. ' TP LG Y'❑ N[] v ❑ N[](This hundred dollars ($100) or less.) I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so as to OTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Ex- ALTER OR ADD TOMECH.. 5.00 - APPLIANCE 5.00 AIR HANDLING UNIT (TO 10,000C.F.M.) 4.00 PLAN CHECK FEE emption, you should become subject to the Worken' Compereation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked AIR HANDLING UNIT (OVER 10=C.F.M.) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Cie.C.). EXHAUST HOOD (WITH DUCT) 5.00 - MICROFILM - HEATING UNIT ITO 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 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 ordinances and state laws relating to building construction, and PLUMBING 130ILER-OOMP(3H.P.Or100,000B.T.U.) 6.00 BOILER -COMP IOvar 100,000 BTU) SEE FEE SCH. MECHANICAL hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. MISC. - REFER TO ORD. (We) agree to save, indemnify and keep harmless the City of upertino against liabilities, judgments, costs and expenses which may in any way accrue against said City inconsequence of the CONST. TAX PERMIT ISSUANCE 10.00 tontf This permit. 7, A_ �/ff4/ gnature Applicant/Contractor are ✓ MCC",CONT, LIC. NO. MECH, TOTAL TOTAL - OFFICE COPY