18228 POST THIS CARD NEAR FRONT OF BUILDING �- y/ �,,�
" 6 PERMIT NUMBER
CITY OF CUPERTINO 18228
INSPECTION DIVISION
JOB INSPECTION RECORD
'—/ h - P1ERjMIT EX/TPI R,{LTION
JOB ADDRESS_ ��(�-¢-- le UNIT# LOT# j-PE F(M ITE PIRES IF WORK
OWNER S � CONTRACTOR 4/N IS NOT STARTED WITHIN
INSPECTION D T INSPECTOR INSPECTION ECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION ANCE OR 180 DAYS FROM
NOTE: LASTCALLED INSPECTION.
UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITE TO COMPLY WITH THE APPROVED ANS AND CITY OF PENMIT VALIDATION
GARAGE SLABS
CUPERTINO STANDARDS. (Z ;UL)
-
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
• PLUMBING
ELECTRICAL ISSUANCE DA TE
MECHANICAL ye LOG. ELECT vLc. MECH.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR INFORMATION
VALUATION SIFT.
PLUMBING
!
MECHANICAL ..J -
ELECTRICAL PERMIT�TO
p� I
FRAMING 4_ "-aV•"�[I Y ."^E--�.(MO
INSULATION I StOR IES TYPE CONSTR
�2
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
. - sa IT rLo�oR�R EA T A RCACE
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE I 'T" C (.j kCIII
DIAPHRAGM THE CONSTRUCTION TAX IS PAID , '!J
BUILDING USE
ROOF SHEATHING O-Io-y� IP RES IND CON PB Om.,
APPLY NO ROOFING UNTIL ABOVE HAS BEEK SIGNED FINALS DATE INSP. ❑ ❑ El Q � 0
ROUGH SAN.k ASSESSORS PARCEL NO.
PLUMBING ELECT.ENERGY
TUBS 8 SHOWE AN . :''IS1�EI;L�_ PLUMBING ENERGY TRACT NO, PARCEL NO
MECHANICAL '� .�,J. T MECH.ENERGY
ELECTRICAL ACC Dare ACC FILE NO.
_ BUILDING ENERGY
FRAMING 'Z,�C ELECT.FINAL TEST
INSULATION PLUMBING ZONING ENG.SITE NO
GAS TEST GAS
MECHANICAL FIRE SPRINK ENERGYT.24
COVER NO WORK UNTIL ABOVE HAS BEEN IGNED HEATING Y ❑• N ` Ej NO.
EXTERIOR SHEAR WIN A ELECTRICAL RELEASE ' 'LOUD ZONE AL U.c.
INTERIOR SHEAR - FIRE DEPT.
❑ "❑ ❑ N❑
SHEETROCK I.. GRADE FEE SUMMARY
EXTERIOR LATH BUILDING BUILDING ;1r DD
INTERIOR LATH -TEMPORARY APPROVALS
SCRATCH COAT' ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING 15 NOT PERMITTED UNTI L BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ,
uJ ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ro
1-- ONE WORKING DAY BEFORE. REQUIRED INSPECTION. PLUMBING a. G•D
z0 PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL `, 7,
CALLING FOR FINAL INSPECTION.
OFFICE COPY
. . . >•�;:., �4_,. •=i�11 Y:; ,,Ur�-;,fily7r ,. n,l• i-, ;Y_.., • „�.::i\tA'•1 1
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1 - 4As7 ixXP ,
17
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- - -- - - - - --- T
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
9
,
BUILDING PROJECT IDENTIFICATION PERMIT NUMBERBUILDING APPLICATION Sf PERMIT
ADDRESS
AOOa E55 18228%G/,S'Z Q'f 7'OS'G /L , BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
OWNER'S - PLAN CHECK VALIDATION
NAME
arw(t OTY, ELECTRIC PERMIT FEE
7 l PHGNE•r�e-E9s3
DON7aAcroas �����f OUTLETS 10.00/1.00
NAME ET { q C
n 7t „� c a/4 On NO. �OI�SS LIGHTING FIXTURES 10.00/1.00 rill
roNragcroas PPLIANCES-RESIDENTIAL 4.00
Aoo rA ll//
Nj jfC/�y^ �'!s�PH �a -7u• - PANELS 10.00 DATE OF APPLICATION
ORROHITEcr PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE P.C.NO.
ENGINEER
uc.N0. SIGNS TRANS. 3.00
ARCH.OR ENG SPECIALCIRCUIT S.QQ PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20.00
APPLICANTS
ADDRESS MOTORS EE SCH.
PAU
SERVICE CHANGE - 2000.
o o LICENSED CONTRACTORS DECLARA'f10N
a v 1 hereby affirm that I am licensed under provisions o'Chapter 9 SEP 5 ISSUANCE DATE
z w fcommenctng with Scctiun 7000)of Division 3 of the Business and
LOG. ELECT. P G. MEC
0 m i Professions Code of my license is in full lora nd effect u -
z Orn - License Class Lie.Number aS"O/ .r-$ cupIfU-C}I
9 m DatcContracmr
m s -
a OWNER-BUILDER UIiCLA RA410N BUILDING PERMIT
a o d INFORMATION
w ; 1 hereby'collo than I am exempt from the Contractor's License MISC.- REFER TO ORD
F .. o Law for the following ru-uean.ISec.7031.5,Nusincv mW Prufessiune PERMIT ISSUANCE - 10.00 VALUATION
S/FT.
Code.Anyd city or county whiry,lnuilum prior boconstruct,alter, f ]
Q Q¢ InIplOV0.demolish,Of repair any StrOCtIIIC,priorb, ISSOa11"'"Ho EL C,CONTR, LIC.NO, ELEC. Ir J
al O LL requires the applicant for such permit to IIIC a,igned statement that TOTAL •OU PERMIT TO
n w $ he u licensed pursuant In the provisions al'th,Contractor's License �I
V_�M
r z a Law(Chapter9(contmeteing with Section 70001af Division 3 o fill, p ��� /
Q
i 4 o Business and Professions Calc)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE � OO M
wI- the basis for the alleged exemption.Any violation o fSccti.H 7031.5 STORIES TYPE CONSTR.
u ; by any applicant for a permit subjects the applicant to a civil penalty
of not more than five hundred dollars(5500).): ,Z, ALTER-DRAIN& VENT-WATER (EA.) 5.00 ,DU
❑ I.as owner Hf the property,or IT,empluyecs with wag.as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS
sole ul
compenlion,will do the work,and the structure is not
intended or offered for sale (Sec. 7044, Basins and Profession, DRAINS-FLOOR,ROOF,AREA,COND. 5.00
Code:l'he Coo Raclor's Liaise Law doe not apply to an owns,of /,
property who builds or Improves thereon,and who does well work p
FIXTURES-PER TRAP 5.00 O SG FT.FLOOR EA T TA A EAGE
-� meats re through his own furred for s,provided n that such impfovo
meimprov me intended w offered y ar o IL no thebuildingo ding GAS-EA.SYSTEM-1 INCA OUTLETS 6.0041
or improvement is sold within one year of completion.the own
in,- GAS-EA.SYSTEM-OVER 4'(EA.) 2.00
builder will haw the burden of proving that he did not build or ire- ILDING USE
prove for purpose of sale.). INDUSTRIAL WASTE INTER.- 3000 . RES IND CDN PB Diner
El .
I,as owner of the properly,am exclusively contracting with -
licenuf`d contractors to construct the project(See.7044.Business LAWN SPRINKLERS-1 INC 5 00 1:1 El E-1g55EgSORSPARC❑ND11.
and Prossions Code:The Contractor's License law does not apply V.S.. .
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 conlmetortO licensed puwant to
the Contractor',License Law. SEWER-SAN ITARV-STORM EA.200tt/10.00 TRACT NO. PARCEL NO.
❑ I um exemec
rea
pt under S . ,B.&P.C.for this WATER HEATER W/VENT 6.00
son
owner Date WATER SYSTEM 5.00 Dt) ACC.DATE ACC.FILE NO.
, WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
I hereby df m that I have a ecrlificale of consent 1. elf-insure,
or a certificate of Workers'Cnlpch.tioo Insumncc,or a,edified ZONING ENG.SITE NO.
cup,thereof(Sec.3800,Lob.C.).
Policy Nn. Company
O ❑ Certified copy is hereby mrnished. -
z Z ❑ Cert icd copy is filed with the city in,pct'llon dimmoa. FIRE SPRINK ENERGY T-24
FO Applicant - MISC.- REFER TO ORD. Y ❑ N❑ Y N❑
rn LU PERMIT ISSUANCE - 10.00- CIiRTI PICATI!OI°EXEMPTION WORKERS' .0 FLOOD ZONE A.L.U.C.
W > COMPENSATION INS URANCIi PLG.CONTR. LIC.NO. PLG.
CL Z( This section need not.be completed if the permit is for one TOTAL• _Q✓ Y El -0 Y C1N❑
hundred dollars(51 W)of lass.)
U O 1 certify that in the jrerformance of the work for whfe this per QTY. MECHANICAL PERMIT FEE
LL U mit is issued,I ,hall not employ any pc min any er so FEE SUMMARY
come sutye11 the Workers'Com on, Calif. aa.
O a Date ICITI��' Applicant g / BUILDING 3I
to NO'1'ICIi 10 A PLICAN'I': If, ter mukin this Cs,1if oto ul rix- ALTER OR ADD TO MECH. 5.0070 110
F ? emplion,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK
provisions of the Lahor Code, you most I..thwnh c reply with FEE
U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10MOC.F.M,) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVF.A IO,OWC.F.M.) 6.00 SEISMIC FEE
I hereby affirm that there u a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00
the performance of the work for which this permit is issued(See. MICROFILM
3097.0,,C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name H EATING UNIT(OVER 100,000 B.T.U.)9.50 D
Lender's Address ELECTRIC I C
I cenity that I have read this application and state that the above VENTILATION FAN (SINGLE) 4,00 a m
information is cored. 1 agree to comply with all city and county BOILER-CC3NP 13 H.P,or 100,000 B.T.U.) 6.00 PLUMBING ,w
ordilunces and nate laws relating to building construction, and �/�
a% hereby aulliocutis d ropertyfor ins of this city m ewer upon the BOILER-COMP 10 ver,100,000 BTU)SEE FEE SCH. MECHANICAL �.� V
hereby enlioned properly for inspection puity to
(We) agnx to save, indemnify end keep hin,levs the City of MISC.- REFER TO ORD.
upertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX
ay in any way accrue against said City m Hose nee of the ,p
ranting of tl/-W / / MECH.CONT. LIC.NO. MECH.
�K TOTAL
&ger,nM eof Apphcont Contractor Dam O_C F J TOTAL
OFFICE COPY
. 12 April, 1992
City of Cupertino
10300 Torre Avenue
Cupertino, California 95014
(408)252-4505
Department of Planning and Development
Joe Antonucci
Fax # 252-0753
Permit # 18228
Address: 10152 Deeprose Place.
Dear Mr. Antonucci:
This letter is a request for a 6 month extension from today on the above permit. The
construction is complete, except for 3 corrections Identified by the last inspector. We
are working toward completing those and a final Inspection by September , 1992.
Thankyou for the extension. If there are an questions r
Y y q s o problems , lease call me
duringthe da at 415 354-5558 or leave a message at 408 252-6953.
p
Y g
O Sin rely,
Z
race Ste y
Homeowner
10152 Deeprose Place
Cupertino, CA 95014
EX -T Nsl ° N �qr / K ° � tP
RECEIVED
APR 1 ,� 19yC
CITY OF CUPERTINO
dU1lDIK§ p�
O
1 4/12/92