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16062 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 1,6062 INSPECTION DIVISION JOB IN RECORD --77��// ((�� PERMIT EXPIRATION JOB ADDRESS—/ 7"7� ��`-743 .''/J� UNIT# LOT# PERMIT EXPIRES IF WORK OWNER -/ G, CONTRACTOR e?S7et7LL-t) IS NOT STARTED WITHIN _ INSPECTION -DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU FOUNDATION ANCE OR 180.DAYS FROM NOTE: ' UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED LAST CALLED INSPECTION. PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PI:Hran VAL I IATION CUPERTINO STANDARDS. GARAGE SLABS ...—.-- POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB - - PLUMBING • ' ELECTRICAL ISSUANCE DATE MECHANICAL - FLOG ELECT 1 7177 MEC. + DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION Q 1111171.1 SIFT. PLUMBING - i '6 ' . MECHANICAL ELECTRICAL {�,d,np PERM TO, - FRAMING `I�l"TW OG ' INSULATION ��( `, . ^ ` STORIES IYPE,CCINSTII. OCC.GROUP RES UNITS- PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN S GNED `+.✓1_ ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO,FT.FLOOR AREA TOTAI,ACREAGE � - DIAPHRAGM THE CONSTRUCTION TAX IS PAID . . E BUILDING USE ROOF SHEATHING HES IND CON PB O'l." APPLY NO ROOFING UNTIL ABOVE HAS BEEN S GNED FINALS DATE INSP. 0 ED ❑ E:) ❑ ASBEBSOHS PAHCEL NO ROUGH - SAN.# PLUMBING ELECT.ENERGY TRACT NO. PARCELN'O TUBS 8 SHOWER PAN - PLUMBING ENERGY MECHANICAL MECH.ENERGY . ELECTRICAL BUILDING ENERGY ACC DATE ACCFILE NO FRAMING ELECT.FINAL TEST INSULATIONPLUMBING ZONING ENG.SITE NO. GAS TEST GAS cv MECHANICAL FIRESPHINK ENERGY T.]J ' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ Y ❑ N� EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD DONE A L U C. INTERIOR SHEAR IRE DEPT. Y b NO ° ❑ N❑ SHEETROCK G DE FEE SUMMARY EXTERIOR LATH BUIL 13 INTERIOR LATH TEMPORARY APPROVALS BUILDING tea, I SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY - SEISMIC FEE 7 OCCUPANCY OF BUILDING IS NOTPERMITTED UNTILBUILD I NGFINALIS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ' o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. Z - SEE'PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL ry CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU LDI NG PROJECT IDENTIFICATION PERMIT NUMBER BUILDING .APPLICATION & PERMIT q AEDRESS� I / I v 2 Vli.(� ` BUILDING - ELECTRICAL-PLUMBING-MECHANICAL �+O� r� OWNER'S / PLAN CHECK VALIDATION NAME C OTY. ELECTRIC PERMIT FEE CONTRACTOR'S NAME // / UTLETS-SWITCHES-RECEP 10.00/1.00 UC,No. 2c LIGHTING FIXTURES 10.00/1.00 CONTRACTOR 5 ooaEssTORS t� PPLIANCES-RESIDENTIAL 4.00 %f�� PANELS 10.00 DATE OF APPLICATION ^ ARCHITECT I PLAN CHECK FEE .C.NO. on PANELS (OVER 200 AMP) 20.00 .. ENGINEER LIc,No. ISIGNS TRANS. 3.00 ARCH.OR ENG, PERMIT VALIDATION ADDRESS SPECIALCIRCUIT 5.00 ZIP TEMP.METER OR POLE INS. 20.00 n s aooREss MOTORS SEE FEE SCH. lM�`- SERVICE CHANGE 20.00 - D �O O LICENSED CtJNI'RACIORS DECLARATION v w 1 hereby affirm that I am licensed muter provisions of Chapter 9 H a A (commencing with Sec ion )of Dirisbn of rhes ui LSS o ISSUANCE DATE BLDG. ELECT. PLG. MECH. r D Professions Code,and li coir is in full Cor IDCt ❑ ❑ ❑ _ ❑ z O N_- License lass .Lies.Nmnber LL- o m Dure Contrunor' ¢ YF J GGGGGGSSSSSS E c W OWNER-BUILDER DECLARATION BUILDING PERMIT E A w I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD INFORMATION H A o j Lawlor the following reason.(Sea 7071.5,Business and Professions PERMIT ISSUANCE 10.00 UATION S/FT. Code:Any city or county whichnaluiresa peUrit nscunstmet,ulteq x-0-10 a: ¢ O improve,denmlish,or repair any structure,prior lir its issuance.also ELEC.CONTE. LIC.NO. ELEC. -O u requires the applicant for such permit to rile a signed statement that TOTAL A se he is licensed pursuant to the provisions of the Contractors License R PERMIT TO H i Q Law(Chapter 9(commencing with Section 7000)LI'Division 3 ofthe �d�L x O Business and Profossions Code)or that he Is exempt therefrom sad OTY. PLUMBING PERMIT FE ¢ H g the basis for the alleged exemption.Any violation of Seetion 7031.5TYPE CONSTR. A by any applicant for a permit subjects the applicant Goa civil penally of not more than five hundred dollars 155000.1: ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ h as owner of the properly,or my employees with wages as BACK F LOW PROTECT. DEVICE 4.00 their sole compensation,will do the work,and the structure is not CC.GROUP RES.UNITS me ndrd or uttered for sale (See. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,CONO. 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 6.90 So,FT.FLOOR AREA TOTALACREAGE himself or through his own employees,provided that such improve- �-•r meets are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-I1NC.4OUTLETS 6.0 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 budder will have the burden of proving that he did not build or int- BUILDING 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 ❑ ❑ El ❑ El licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:'!he Contractor's License Law does not apply to an ow..C,o!p,.,rly who hands nr improve,(terra..,uud who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 contracts for such projects with a contructoRs)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under SCc. ,B.SP.C.for this reason WATER HEATER W/VENT 6.00 Owner Dare WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK I.RS'COMPENSA'IION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a cerlilkale ofconwnt to sel Ginsurc. UI a certificate of Workers'Compenmtion Insurance,or a cerlifed I ZONING ENG.SITE NO. copy thcrmt(See 3500,Lab.C.r' Policy Na. Cmnpuny O ❑ Cenitied copy is hereby furnished. Z 2 ❑ Certified copy is filed with the city inspection division. .FIRE SPRINK ENERGY T 24 O Applicant MISC.- REFER TO ORD. yo N❑ Y ❑ No CC T CCR'll I'ICATI;OIs 1:XISMPIION I:ROM WORKERS' PERMIT ISSUANCE 10!88 L FLOOD ZONE A.L.U.C. LU > COMPFNSATION INSLJRANC17 PLG.CONTE. LIC.NO. PLG. CL Z (This section need not be complete.) if the permit is for one TOTAL Y❑ N Y ry hundred dollars(S 100)or less.) U O I certify that in the perfnfrunce o-the elk I er- OTY MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issucA, I shall net employ any p r n n n mann i s w beco h t {(�rynrkco Co I. r n u UmctYt�9tpplicam p ALTER OR ADD TO MECH. 5.00 BUILDING } NOTICE TO APPLICANT: IL of r inking this Certificate of lie- f.. 2 Cmption,you should become subj n to the W'orkeri Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Inbar Code, you must forthwith comply wish U FEE such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,000 C.F.M.) 4.00 CONSTRUCDON LENDING AGENCY AIR HANDLING UNff(OVER IQOOOC.F.M.) 6.00 SEISMIC FEE 4J-6 j I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the I orformance of the work for which this pennil is issued(Sec. MICROFILM 3097,Ci,CA HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lenders Address HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC I certify that I have read this application and stare that rhe above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city end county PLUMBING ordinances and state laws relating to building construction. and BOILER-COMP(3H.Ror100,000B.T.U.) 6.00 hereby aurhori a representatives of this city to enter upon the BO LER IOser 100,000 BTU)SEE FEE SCH. MECHANICAL above mentimead property for inspection purposes. (We) agree to save, indemnify and keep nnloss rhes City of MISC.- REFER TO ORD. .upertino against lia6ihi ,,,��IIIndgn7;tlls, nJ fxpcnses which - CONST.TAX lay in anyy way -cru- a97fine guld•C'{ consyrtBrc of the PERMIT ISSUANCE 10.00 ranting ft is r iL CH.CONE LIC.NO. MECH. \ TOTAL TOTAL /[I Si at res ApplirantlCnntmctoi Data 0FFICE COPY