14348 �\r POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER
�J �1 CITY OF CUPERTINO
-
14348
INSPECTION q� P INSPECTION DIVISION
1�! JOB INSPFCTION.RECORD
PERMIT EXPIRATION
TOM FUNAKI
JOB ADDRESS UNIT# LOT# 'PERMIT EXPIRES IF WORK •�
OWNER 20997 FAIRWOODS CONTRHCTOR RYAN ENTERPRISES IS NOT STARTED WITHIN '!
INSPECTION DATE' INSPECTORINSPECTION RECORD 180DAYS OFPERMIT'ISSU-
FOUNDATION NOTE: ANCE OR 180 DAYS FROM I
LAST CALL66 INSPECTION..
LIFER •ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITE )✓'u+t �� _ TO COMPLY WITH THE APPROVED PLANS AND CIN OF PLRIa1T VALIDATION
97" CUPERTI NO.STANDARDS.
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BERN SIGNED
UNDERGROUND /SLAB,
PLUMBING
ELECTRICAL .1 IUAA TE
MECHANICAL 'BLDG ,L'T NCE U
cT. Pue, meal.
n•MF � '
DO NOT PO - V, BUILDING U R F LOOK UNTIL ABOVE HAS BEEN SIGNED G PERMIT
INFORMATION
PLUMBING
WOOD FLOOR _ � vA1.UAT1oN y�PT
MECHANICAL - '� P ~�
ELECTRICAL PERMIT To '
FRAMING Y
INSULATION STORIES IVPE CONSTR.
OCC,GROVP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
1(1011 AIVEA TOIAL ACREAGE
1
- ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE $O,FT,
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
BUILDING USE .
ROOF SHEATHING RES. INU CON , PB olh-
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 1:1 El 11 El El
ROUGH SAN.W '
ASSESSORSPARCEL NO
� -
PLUMBING - ELECT.ENERGY
TRACT NO. PARCEL NO
TUBS 8SHOWER PAN PLUMBING ENERGY - ,
MECHANICAL - MECR ENERGY
ELECTRICALAGO DATE ACE.FILE NO.
BUILDING ENERGY
FRAMING - ELECT,FINAL TEST
ZONING ENG.SITE NO.
INSULATION - - PLUMBING -
e
GAS TEST GAS '
FIRE SPRINK ENERGY T,74
MECHANICAL,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING. ° ❑ N[] ` Q NC
' EXTERIOR SHEAR
ELECTRICAL RELEASE FLOOD ZONE A,L u.C.
INTERIOR SHEAR FIRE DEPT, " Y❑ N❑ v ❑ N❑
SHEETROCK GRADE ''FEESUMMARY
EXTERIOR LATH - BUILDING -
INTERIOR LATH - TEMPORARY APPROVALS BUILDING
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCYISEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BU ILDING INSPECTOR. MICROFILM ,
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC M
• F- ONE WORKING DAY BEFORE REQUIRED INSPECTION.
O PLEASE GIVE JOB ADDRESS WHEN PHONING. PLUMBING
z
• - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL -
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
-CALLING FOR FINAL INSPECTION. / <
1 OFFICE COPY :.
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BIJI LDI NG PROJECT 1 DENTI FICATION ' PERMIT NUMBER
eoILOING APPLICATION & PERMIT A
' 'r 15o o CT BUILDING-ELECTRICAL-PLUMBING-MECHANICAL L}
1
OWNER'S PLAN CHECK VALIDATION
�- NAME . QTY. ELECTRIC PERMIT FEE
rOM . FU VA r vuarvE -0
e Norv>ERACTORs UTLETS-SWITCHES-RECEP 10.00/1.00 //�
e�A1TYR LIC.11o.'30 2 190 LIGHTING FIXTURES .10.00/1.00
CONTRACTOR APPLIANCES 4.00
R's '
CONTRA y}►1y{+„aq�1M �V
{V'Zs fJ� PHONEq s O PANELS 10.00 DATE OF APPLICATION .
ARCHITECT - PLAN CHECK FEE
oR PANELS (OVER 200 AMP) 20.00
NGI R
sic.rvo. yZ SIGNS TRANS. 3.00 -
ARCH OR ENG SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
z,P EMP. METER OR POLE INS. 20.00 _
ADDRESS Ts MOTORS SEE FEE SCH.
5AiI SERVICE CHANGE „rj 20,00
Foo LICENSED CONTRACTORS DIiCLARAI'ION
¢ u w I hereby affirm that I am licensed under provisions of Chapter 9' ELCZ.- r DC[`
n < (eLmvuncing with Section]000)of Division 3 of the Business and �� ISSUANCE DATE
F D re Professions Code,a id my license is in IiJI force and e(fy,L r IJ , " 'BLDG. ELECT. PLG. MECH.
i 0 Loe-ense Class_ -Contractor
max o7-11
o y E w
Doe-11-7-- (IfLL16l{dR�
a i w a
OWNER-BUILDER DECLARATION CIN - Ot' BUILDING PERMIT
a " MISC.- REFER TO ORD _ s,)NF,ORMATI ON
w LL 1 herby aflinn that 1 s m exempt from the Contractor's License .y '
F .. Oj Irw(ur the following reason sec]OJLS.tlusin<ssand Professions PERMIT ISSUANCE VaALUATION f/FT.
an Code:Any oily or county which rnluiresa pemuuoconstrud,eller. - 10'� C �
rove,demolish,or re ELEC.CONTR. - LIC.NO. ELEC. 3 G
ae re ¢ imp pair any strucmm,prior to its issuance,also !� Y
o ¢ requires the 8j Phcunl for such permit to file a signed statement that TOTAL 1
6 w m¢ he Is licensed pursuant mto the provisions of the Contractors License PERMIT TO yf^�
H f Law(Chapter 9(comereingwith Section 7000)of Division 3 oflhe ,PW 1��T'V /aG
/ C
I i o Business asand Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE
¢ H $ the bis for the alleged exemption.Any violalion of Section 70315 STORIES TYPE CONSTR.
by any applicant for a permit subjects the applicant Va civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 �ilNvt`taf
of not more than Five hundred dollars(S50O.)�
❑ I,as owner.1 the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 .
their sole compensation,will do the work,and the structure is not OCC.GROUP RES.UNITS
intended or offered for sale(Sec 7044. Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00
Code:The Contractor's License law dols nor apply to an owner of _
property who builds(it unpruvus thereon,and who docs such work FIXTURES-PER TRAP 5.00 Sa FT,FLOOR AREA TOTAL ACREAGE
A himself or through his own employees,provided that such improve
mcofs are not intended or offered for sale.if,however,the building GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00
or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 IEA.) 2.00
builder will have the burden of proving that he did not build or im- BUILDING USE
- prove for purpose of sale.). RES IND CON PB Other
❑ I,as owner of the property,am exclusively contraning with JINDUSTRIAL WASTE INTER. :30.00
licerued contractors to construct the project(Sec. 7044,BusinessLAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. -
and Professions code:'rhe Contractor's License Law does not apply
to an owner of properly who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00
contracts for such projects with a contractogs)licensed pursuant to
the Contractor,License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
❑ lam exempt under Sec. ,B.&p.C.for this
reason WATER HEATER W/VENT 6.00
Owner Date WATER SYSTEM 5.00
11 n, ACC.DATE -ACO.FILE NO.
WORKERS'COM PENSAI'ION DECLARATION WATERTREATING EQUIP,!+-Aa5.00
I hereby affirm that I lase a eerliflcar,of consent to set Finsurs,
or a certificate of Workers'Conlpen,00m Insurance,or'a certified ZONING ENG.SITE NO.
opy thereof'f Sec.3800, pang `� ` _ L�_ fit; D
I
Policy No. Company-o {i,hed. ECeL� ms's � _
❑ Curtilied copy ishereby furnish ed . txa�3R11�x FIRESPRINK ENERGY T 24
Z Z plica lis p Is fit it the ity inspc I Jirision.
Applicant_ _ _ - _ to MISC.- REFER TO ORD. ,Y❑ N❑ Y ❑ INC]
CC y CERTIFICATE OF EXEMPTIl ON O,H WORKERS' PERMIT ISSUANCE 10.00 Ed
FLOOD ZONE A.L.U.C.
W > COMPFNSA'1'ION'INSURANCE PLG.CONTR. LIC.NO. PLG.
❑ (Thu section need not be completed if the permit is for unc TOTAL Y❑ N Y❑ N
CL� Z hundred dollars(S 100)or less.)
U O 1 c,tily that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL I- Fair u issued.I shall not employ any person in any manner so as m
U
❑ become subject to the Worken'Compensation Laws of California. _
a,
Date Applicant ALTER OR ADD TO MECH.4 ` 5.00 BUILDING
} co NOTICE'•TO APPLICANT': 11,after making this Cenificatc of Fix.
? emption,you should become subject to the Worken Compensation APPLIANCE 5.00 PLAN CHECK
provisions of rbc Labor Code, you most I..thwirh comply with FEE
U such provisions or this permit shall be deemed revoked AIR HANDLING UNIT(TO 10,(10DC.F.M.) 4'00 sf)
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10,000CF.M:)-6:00 SEISMIC FEE
I hereby affirm that there iso hick this P mit isg agency for EXHAUST HOOD(WITH DUCT)) 5.00 -
30 performance of the work for which this permit is'issued(Sec. MICROFILM
3onder's .am HEATING UNIT(TO 100,01]0 B.T.U.) 8.00
Lender's Name H EATING U N IT(OVER 100,000 B.T.U.)9.50 p
Lender's Address - .ELECTRIC �l
I certify that I have read this applicurion and state that rhe above VENTILATION FAN (SINGLE) 4.00
information is correct. 1 agree to comply with all city and county PLUMBING
ordinances and state laws relating to building construction. and BOILER-COIvPQ H.P.or,100,000 B.T.U.) 6.00
hereby autionedc mpresromerr nwtives of this city es enter upon rhe BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL hereby
propeny for inspection othis
purpuscs.
4ay
agree to save, indemnify and keep harmlex the City of MISC.- I.- REFER TO ORD. v
o against Liabilities,judgments, costs and expenses which CONST.TAX
any way a«roc aka, st said City in emracquence of the PERMIT ISSUANCE 10.00of[his permit. MECH.CONT. LIC.NO. MECH.TDTAL �S TOTAL ofA hcant/Contractor Dare /
OFFICE-COPY
FAYARD, VRALSTM ANTI ASSOCIATES
ARCHITECTURE-PLANNING -CONSTRUCTION ENGINEERING
313 Pettis Ave., MUnMaln View, Cal. 94041 - (415) X792-6209
I NSPECTION REPORT
Report of field inspection: Date : C2 - 23—g7
To : bCDL—�s c
'�< AtAa' C�QrZ
Site: T Wl t vv 3tLl �1Yv�iY , Sw.tw� �p o� .
IZ Ta TZ
Soil conditions, ( if applicable ) :
Firm //Loose Dense Dry / Moist Wet Other
��yrL(( ti lwu A.Gn1 ..-Si v.e Sei ( , a�`C a% �-�-� t) G/-
Excavation( s ) , (if applicable) :
• Adequate Not acceptable Comments :
Reinforcing in place is compatible with design criteria, ES
Forms , and or screeds , in place :
Adequate Not acceptable Comments :
Framing, -(-ice applicable) : Adequate Not acceptable
Nailing, (-if applicable) : Adequate /.Not acceptable
Comments : ?oo'
4,8—c
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