16163 POST THIS CARD NEAR FRONT OF BUILDING
PERMIT NUMBER '
CITY 01"CUPERTINO 16163
INSPECTION DIVISION '
L JOB`INSPECTION RECORD
/� I PERMIT EXPIRATION
JOB ADDRESS �, o-o 60,/!;e'y ✓�c r'1� C c4it f# ' - �� _LOT#"
PERMIT EXPIRES IF WORK
OWNER L CONTRACTOR CD C�.�7C IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT;ISSU-J
FOUNDATION '• ANCE OR 180 DAYS FROM .
NOTE: LASTCALLED INSPECTION.
UFER ALL GRADING AND DRAINAGE,SHALL:BE INSTALLED
PR EGUNITE _
TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION
CUPERTINO STANDARDS
GARAGE SLABS -btr �Qyi.�-✓ I
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 0_Tp7 lJ"r
- UNDERGROUND /SLABq �t qd -
PLUMBING " (
ELECTRICAL - ISSUANCE DATE
h' -
MECHANICAL - p 'BLDG, ELEc* •PLG.. MECH.-
f
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEDGP 1=o��o�{Itp ►AIL L� BUILDING PERMIT INFORMATION
WOOD FLOOR - SE AwATION $/FT.
PLUMBING FRa%o'T'L�►+Q 510GYPe$��y o1 nyQ-p)-a•
MECHANICAL
ELECTRICAL
FRAMING
L, STORIES TYPECONSTH,
INSULATION' )5&ek 1
,OCC.GROUP ` RES.UNITS
• of Focr,1.fj '
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNE ,bS - "Bf -
_ ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE so.FT.rLooH ARCA TOTAL ACREAcc
DIAPHRAGM .THE CONSTRUCTION TAX IS PAID
BUILDING USE
ROOF SHEATHING - RES IND CON'' PB om., +.
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. L L El 11ASSESSORSPARCEL No
ROUGH SANA .
PLUMBING ELECT.ENERGY
TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT No. PARCEL No
MECHANICAL MECH.ENERGY -
ELECTRICAL BUILDING ENERGY ACC,DATE ACC.PILE NO
FRAMING - ELECT:FINALTEST - zoNiNc ENG SITE No,
_
INSULATION PLUMBING
GASTEST GAS '
• - MECHANICAL FIRE SPRINK 'ENERGY T 24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y "Ej
EXTERIOR SHEAR - ELECTRICAL RELEASE FLOO1.D ZONE A.L U.c.
Y❑ NL L NL
INTERIOR SHEAR FIRE-DEPT,
SHEETROCK GRADE - FEE SUMMARY
EXTERIOR LATH, BUILDING'
INTERIOR ,LATH TEMPORARY APPROVALS BUILDINGQ�
SCRATCH COAT - ELECTRIC •PLAN CHECK -
GAS - FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNEDBY BUILDING INSPECTOR. MICROFILM •�_
ARRANGE FOR INSPECTION BY PHONING 252-4505, '` ELECTRIC
z ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING:
o
' SEE PERMIT FOR'EXPIRATION-DATE — ;` MECHANICAL
IMPORTANT! . CONST.TAX
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION. TOTAL (1�
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION - - PERMIT NUMBERA.
aD,y,Dnlo APPLICATION & PERMIT -
16•� -`, oOREss I ' -'
-1
U — MEHANICAL OJ QO _ n\ Cj
�C, OWNER'S
NAME - PLAN CHECK VALIDATION
• CITY. ELECTRIC PERMIT FEE '
PHONE
NAME ;61 UTLETS-SWITCHES-RECEP 10.00/1.00
G ;af�lco/oL CC`1C? uc.No.4'Z LIGHTING FIXTURES 10.00/1.00 n
CONTRACTOR p APPLIANCES-RESIDENTIAL 4.00 '
37 . A, N I/ PHONE PANELS 10.00 DATE OF APPLICATION-
ARCHITECT ��� LO PLAN CHECK FEE P.C.NO.
oR .m PANELS (OVER 200 AMP) - 20.00 ..
ENGINEER All H.OR Y
ud.No, SIGNS TRANS, 3:00 -
ADCRESS ENG. • SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
ZIP EMP.METER OR POLE INS. - 20.00
APPLICANT MOTORS SEE FEE SCH. I '
ADDRESS
SERVICE CHANGE 20.00
o ay- LICENSED CONTRACTORS DECLARATION
a U w I hereby all inn that I am licensed under provisions of Chapter 9 ISSUANCE DATE"
(commencing with Section 7000)of Division 3 of Ilse Business and BLDG. ELECT. PLG. MECH.
w i Professions Code a my license is in full fore• d effefI/
z o m- License��CClas9 Lic.Number' — �, E
m H w Uate�'1 N� Contractor_
Mk1pBUILDING PERMIT
0w OWNER-BUILDER UECLARAT'ION - INFORMATION
X o in m I hereby affirm that I am exempt frothe Contractor's License MISC.- REFER TO,ORD
tLL0< Law forthe following reason.
(Sec.7031.5,Business and Professions PERMIT ISSUANCE '10.00 'ON - $/FT.
in J Code:Any city or county which requires a permit to construct,alter, D
JIMd
WIc ¢ 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC'NO. ELEC
I O a, requires the applicant for such permit to file a signed statement that • TOTAC ERMIT TO
8 Z w$ he is licensed pursuant to the provisions of the Contractor's License { B
/ Hii Law(Chaoter 9(commencing with Section 7000)of Division 3 of the s-TF}i N/N� W4C:
EE o Business and Professions Code)or that he is exempt therefrom and CITY. PLUMBING PERMIT FEE"
t ¢ H m the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
a ; � by any applicant for a permit subjects the applicant t0 a civil penalty ALTER-DRAIN -WATER.(EA.) 5,00
of not more than five hundred dollars($500).): '
❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP BEs.UNITS
sole compensation,will do the work,and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND, 5.00 I -
Code:The Contractor's License Law does not apply to an owner of -
property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5,00 a0.FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve-
meetsamnotintendedoroffered for Sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00
or improvement is sold within one year of completion,the owner. GAS-E.A. YSTEM OVER 4 (EA) 200
builder will have the burden of proving that he did not build or im- . - . 21.
OE USE
prove for purpose of sale.). RES :IND CON PB Other
❑ I,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 ❑ 1 ❑ ❑ 1:1 ❑
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 Contract.,',License Law does not apply
to an owner of properly who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 MAY 1.00
contracts for such projects with a contractors)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00
the Contraclo!,License Law. TRACT NO, PARCEL NO.
❑ I am exempt under Sec.—,B&P.C.for this WATER HEATER W/VENT" 6.00 .
reason
Owner Date WATER SYSTEM' 5.00
ACC.DATE ACC.FILE NO.
WORAERS'COMPFNSATION DECLARATION WATER TREATIN GEQUIP, "5.00
Jr I hereby affirm that I have a certificate of consent to self-hemre,
/ or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO.
copy thereof(Sec 3800,Lab.G). •�•
Policy No(038_NS9C.al
❑ Certified copy is hereby furnished. � � � � FIRE SPRINK �ENERGY T-04
Z ❑ Cenifieco a with the city ins eaion division.
0
O Applicant— MISC.- - REFER TO ORD. Y N❑' V N
PERMIT ISSUANCE 10.00
W -
CERTIFICATE E EXEMPTION FROM WORKERS' FLOOD ZONE A.L.0 c:
W COM act be ora INSURANCE PLG.CONTR, LIC.NO. PLG. Y N� Y 0 N�
0 Z (This sella,n need not be completed if the permit is for one _ TOTAL
hundred dollars f$100)or less.) ,
L) O 1 certify that in the performance of the work for which this per, CITY MECHANICAL PERMIT FEE FEE SUMMARY
LL mit is issued,I shall not employ any person in any manner so as to
O W become subject to the Workers'Compensation Laws of California.
Date Applicant BUILDING Q�
a ALTER OR ADD TO MECH. .5.00
} N NOTICE TO APPLICANT: If,alter making this rs'Compo sa Ex"
F 2 emotion,you should become Co subject to Workers'Cco poly with APPLIANCE 5,00 PLAN CHECK, ;
provisions io the Labor Cola you must forthwith comply with FEE
U such provisions or this permit shall he deemed revoked. AIR HANDLING UNIT(TO 10,000 C.F.M.). 4.00 �� aa
CONSTRUCTION LENDING AGENCY - AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE fpm
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.CJ. HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50
Lender's Addams 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 cmnply,vitt I city and county PLUMBING
ordinances and state laws relating to bui g construction, and BOILER-COMPI3 H.P.or 100,0008.T.U.) 6.00
hereby authorise reprL onlatives of thi Ity to enter open the SOI LER-COMP IOver 100,000 BTU)SEE FEE SCH. MECHANICAL
t above-mentioned property for inspecti purposes.
(We) agree to save, Inde i J keep harmless the City of Misc.- - REFER TO ORD.
upe'film against liabiliti eats, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX
may in any way ac a said City in consequence of the
rending Of his MECH,CONT.- LIC.NO. MECH. "
TOTAL TOTAL 106
Signa of Appl cant/ ontractor Date
OFFICE COPY
1 �
' TIPS CARD NEAR FRONT OF BUILDING PERMIT NUMBER
CITY OF CUPERTINO 16163
INSPECTION DIVISION
JOB INSPECTION RECORD
I� f/ PERMIT EXPIRATION
J05ADDRESS
( ' 1f! '� "i-- Aj E_6MT4 _LOT# PERMIT EXPIRES IF WORK
,
(' IS NOT STARTED WITHIN
OWNER , (_u �.J CONTRACTOR 41 ,.•, 180 DAYS OF PERMIT ISSU
INSPECTION DATE INSPECTOR INSPECTION RECORD ANCE OR 180 DAYS FROM
FOUNDATION NOTE: LAST CALLED INSPECTION.
LIFER TO
GRADING AND DRAINAGE SHALL BE INSTALLED rIRMn Va,.Ina nuN
TO COMPLY WITH THE APPROVED PLANS AND CITY OF
PREGUNITE CUPERTINO STANDARDS.
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ; * ' \— b
UNDERGROUND /SLAB
PLUMBING IFS"ANCE uaTE
ELECTRICAL ELECT PEG. M
MECHANICAL
El El
UILDING PERMIT
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED cR l 19 INFORMATION
WOOD FLOOR f`V 1 ou G l ll— b,aTloN siP r.
PLUMBING
MECHANICAL 0° E¢ .`33.rPERMIT To
p wr- �F i. I
ELECTRICAL SO'fi ��� �j� ��•_ • � �
FRAMING sTwuls PE CONSI
INSULATION .SO
OLC GROUP ' RES UNITS
Nom/o�
• ` L� snF1,F1,0011.Fr cooanEn rorai ACR EAI:E
PLACE NO SU BF LOOK UNTIL ABOVE HAS BEEN SIGNED
�—. ROOF THHE CONSTIRUCTION TAX S PANAL INSP.SHALL BID ADE BEFORE
xuIEmNG USE
DIAPHRAGM Rt:; uvD t.oN Po um.
ROOF SHEATHING INSP.
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED) FINALS DATE ssuRS PaR r.EE No
ROUGH SAN.q
PLUMBING ELECT,ENERGY TRar.T No raRLet No
TUBS 8 SHOWER PAN PLUMBING ENERGY
MECHANICAL MECH.ENERGY ncc Dort. acc Fne No
ELECTRICAL BUILDING ENERGY
FRAMING ELECT.FINAL TEST ZONING ENG.SITE NO.
INSULATION PLUMBING
GAS TEST GAS FIRE SPRINT( ENERGY 7,24
MECHANICAL Y ❑ No v ❑ No
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING IFOOD ZONE A.L U
EXTERIOR SHEAR ELECTRICAL RELEASE Y❑ NYCl N
INTERIOR SHEAR FIRE DEPT. FEE SUMMARY
GRADE
SHEETROCK c
EXTERIOR LATH
BUILDING — 7�'�� f BUILDING
INTERIOR LATH TEMPORARY APPROVALS PLAN CHECK
SCRATCH COAT ELECTRIC FEE
GAS
SEISMIC FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY .....
OCCUPANCY OF BUILDING 15 NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
T '!
ELECTRIC
• ARRANGE FOR INSPECTION BY PHONING 252-4505,
Lu k}i T
ONE WORKING DAY BEFORE REQUIRED INSPECTION.::, PLUMBING
'- o PLEASE GIVE JOB ADDRESS WHEN PHONING. MECHANICAL
- SEE PERMIT FOR EXPIRATION DATE - 1 •_,
1171 CONST.TAX
I° t A1\1TI ate^ r^
TOTAL ..._.
DAVCO ASSOCIATES (408) 778.2525
smhitMure V.O. BOX 1421
planning MORGAN HILL.CA
consulution �
9 November 1988
Giancola Concrete Construction, Inc.
375 Ronan Ave.
Gilroy, CA 95020
RE: Yard Renovation
for Mr. & Mrs. Allen
11300 Canyon Viow Circle
Cupertino., CA.
Gentlemen.
As per your request for a substitute waterproofing system, we have reviewed
the information which you supplied to us for Xypex crystalline waterproofing.
Based on this information vie will accept 7lypex crystalline waterproofing as
an alternate to the hot mop membrane shown on the drawings. It must be
• installed in strict conformance to the recommendations of the manufacturer
and we understand that a manufacturerts representative will be available at
the site to give instructions regarding the method and manner of application.
Sincerely,
voN D q F�f
Ion Davis
architect C 7193
s
p Bldg.cc: Cupertino B Dept. \ �gTFO
. ep FCA
Mr. L. Tars. Allen
u Nov 18 �9es
BLDG. INSPECTION DEPARTMENT.
CITY. OF CUPERTINO.
OFFICE COPS