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8615OFFICE COPY , POST THIS C D NEAR FRONT•OF BUILDING - •° ` '' CIT�F CUPERTINO •' • INSPECTION DIVISION '" JOB INSPECTION RECORD 7��7��ff /�•1 y}�s T�/� -JOB 'ADDRESSI•'l b Or?!e killf, Fr VI•' UNIT 4P-- LOT# � •'11 - OWNER • 'CONTRACTORMdafl C-0 � PERMIT NUMBER •>:i".'' UV PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS 'NOT 'STARTED WITHIN 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM ��ASTCALLED INSPECTION,1. • INSPECTION DATE 1 INSPECTOR INSPECTION RECORD FOUNDATION / / J,/O zz J UFER'w PREGUNITE - j -;1-, 31-e5- 6 K-7�-- .PERMIT VALIDATION IJUL 2 91985 CIf 1 & c ,'OA BLDG, ELECT. MECH. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING - ELECTRICAL MECHANICAL • ? DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BU INO ERMIT I FORMATION . • WOOD FLOOR - VALUATION - I , PLUMBING - MECHANICAL ELECTRICAL - ,PERMrz ro - .- FRAMING - INSULATION STORIES. ^•,r PE TH. p PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED OCG GROUP G'RES?UNI S ROOF Il F" - SQ FT. F OUR AREA TOTAL GREAGE'. D_1'APHRAGM - r ✓ ',BUILDING USE IND CON PB Ow" ❑ ❑ ' ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED - ROUGH ' ASSESSORS PARCEL NO. PLUMBING GAS TEST -All MECHANICAL(/l�C/,I I TRACT NO. f /./ PARCEL NO, ELECTRICAL - -i/ FINALS TE INSP. cc . DAT ACC. FILE NO. FRAMING SAN # INSULATION PLUMBING ZONING , . ENG. SITE NO. • GAS I. — ' MECHANICAL FIRE SPRINK Y ❑ N❑ ENERGY T 24. Y ❑ N❑ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATLNG LATH -INTERIOR - ELE T ICAL FLOOD ZONE Y❑ N❑ A.L.U.C, Y❑- N❑ LATH -EXTERIOR FIR 'DEPT - i SHEETROCK — ? 97(0GRA FEE SUMMARY SHEAR INTERIOR I --7 BUILDING - BUILDwc. r SHEAR EXTERIOR.. - TEMPORARY APPROVALS FIREWALLS ELECTRIC PLAN CHECK' FEE .1 ' GAS �' NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY . SEISMIC FEE i - OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL'ISSIGNED BY BUILDING INSPECTOR. • ------------------------ MICROFILM ' ARRANGE FOR' INSPECTION BY PHONING 252-4505, o�'=' ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLEASE GIVE, JOB ADDRESSWHENPHONING.. Z -.SEE PERMIT FOR EXPIRATION DATE'- ELECTRIC .PLUMBING MECHANICAL IMPORTANTI READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. ECONST.xPLEASE L r" . OFFICE COPY , 3 O ZZ F2 = i LU _ Q_ o 0 Z UQ LL U O.w i• N A APPLICANT TO FILL IN INFOP"TION WITHIN RED LINES - USE BJOL POINT PEN ONLY @UI LDI(4G PROJECT 1 DENTI FICAT APPLICATION &PERMIT BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PERMIT NUMBER ^ A ADE Ao..East PLAN 2 Le NE a NAME DeAnza Group, A California Ltd. Partnership PHONE415/571-1 QTY ELECTRIC PERMIT FEE 81 PLAN CHECK VALIDATION DATE OF APPLICATION CONTRACTOR'a 'NAME The Alden Company LIC. No. 465640 OUTLETS -SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 ADDRESSTOP'a 411 Borel Ave,Ste. 410 San Mateo Ca.94402PHo4l5/571-14 APPLIANCES -RESIDENTIAL 4.00 1 PANELS 10.00 ARCHITECT ENGIN R a lderon-NakamuraL,C.NO. C013712 PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE .ONO. SIGNS TRANS. 3.00 ADDRESS ENG 2070 Business Ctr. 220 Irvine Ca. x,,9271$ SPECIALCIRCUIT 5.00 PERMIT VALIDATION - 'JUL 2 9 1985 1 SUANC GATE FEMP. METER OR POLE INS. 20.00 APPLICANTS ADDRESS 411 Borel, Ave, Ste., 410 San Mateo' Ca. 94402 MOTORS SEE FEESCH. SERVICE CHANGE 20.00 LICENSED CONTRACTORS DECLARATION 1 hereby affirm that 1 am licensed under provisions of Cha ter 9 (commencing with Section 7000) of Division 3 of th Busine s and Professions Code, q nd my license is in full force Licen79.r- Lir. Number Date Contractor_ - OWNER -BUILDER DECLA RATTOW 1 hereby affirm that I am exempt From the Contractor's License Law for the following mason, (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also for such permit to file a signed statement that requires the dp pursuant he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section is7000) Division3ofthe Business and Professions Code) or that he is exempt lhereGom and exempt lite basis for the alleged exemption. Any violation of Section malty by any applicant fora permit subjectsthe $500).licanl t°acivil penalty of not more than five hundred dollars (my em); ❑ 1, as owner at the property, or my employees with wages as their sole Compensation, will (S the work, and the and Professions is not Code:dor offered for sale (Seca 7044, Business and Professions Code: The Contractor's License Law does not who loan owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve - mems are not intended or offered for sale. if, however, the building or improvement is sold within one year of completion, (be owner. ` builder will have the burden of proving that he did not build or im- I prove for purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractorys) licensed pursuant to the Contractor's License Law. ❑ lam exempt unser Sec. ,B.&P.C. for this reason TEMP. POLE 30.00 pwdjl wU - )1 MECH. BUILDING PERMITINFORMATION MISC. - REFER TO ORD PERMIT ISSUANCE• 10.00 VALUATION S/FT. /5 ELEC. CONTR. LIC. NO. ELEC. TOTAL PERMIT T)O�f �(NV QTY. - PLUMBING PERMIT FEE STORIES TYPE CONSTR. ALTER-DRAIN-WATER(EA.)5.00 BACK FLOW PROTECT. DEVICE 4.00 OC GROUP RES, UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 FIXTURES •PER TRAP 5.00 GAS-EA.SYSTEM-11NC.40UTLETS 6.00 SO. FT. FLOOR AREA TOTAL ACREAGE GAS - EA. SYSTEM - OVER 4 (EA.) 2.00 -BUILDING USE I❑ ❑N RE El El Asse ssORs PARCEL NO. INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 LAWN SPRINKLERS - OVER 5 (EA.) 1.00 SEWER -SANITARY -STORM EA. 200tt/10.00' TRACTNO. PARCEL No. WATER HEATER W/VENT 6.00 OwnerDate WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure. or a certificate of Workers' Compensation Insurance, or u certified copy thereof (Sec. 3800, La .C.). Policy NO._ r Iden-Gogilpa-n ❑ Cerliltpe copy s r fur lis -- EX Certified coy city inspection division. Applicant CERTIFICATE: F EMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (S 100) or less.) 1 certify that in the performance of lite work for which this par- mit is issued, 1 shall not employ any person in any manner sG as to become subject to the Workers' Compensation Laws of California. Date - Applicant WATER SYSTEM 5.00 ACC. DATEI ACC. FILE NO. WATER TREATING EQUIP. 5.00 ZONING ENG. SITE NO. FIRE SPRINK Y ❑ N ENERGY T-24 Y N[] MISC. - REFER TO ORD. PERMIT ISSUANCE 10.00 FLOOD ZONE V N� a.L.u.c. v No PLG. CONTR. LIC, NO, PLG. TOTAL QTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING NItir ALTER OR ADD TO MECH. 5.00 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 redeemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction Inuring agency for the perrormance'.of the work for which this permit is issued (Sec. 3097, Civ.C.). Lender's Name Bank of America P.O. Lender's Address Rnv P_-r-n-n_�4, p� I certify that I have read this application and state t a the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorizethis crus enter upon the hereby authorize representatives inspection ned' property forinsym`th i purposes. (We) agree (o save, indemnify and keep harmless the City of ments, ousts and expenses which Cupertino age. t"a,ai may in any s iysaid City in conuquence of the e5/31/g$ APPLIANCE 5,00 AIR HANDLING UNIT (TO 10ADC.F.M.) 4.00 PLAN CHECK FEE AIR HANDLING UNIT (OVER I0=C.FM.) 6.00 SEISMIC FEE O 7/ EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM HEATING UNIT ITO 100,000 B.T.U.) 8.00 HEATING UNIT (OVER 100,000B.T.U.18.50 ELECTRIC VENTILATION FAN (SINGLE) 4.00 gOILER•00MP13 H.P. or 100,000 B.T.U.) 6.00 PLUMBING SOI LER-COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL MISC. - REFER TO ORD. PERMIT ISSUANCE 10.00grantingofthi CONST. TAX MECH. CONT. LIC. NO. MECH./ TOTAL TOTAL a� Signature of Ap ican Contractor Date 'OFFICE COPY