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18315 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUFI9ER CITY OF CUPERTINO ._ 18315 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPI'RATION JOB ADDRESS-( L-[ '� �d' L[ Ct UNI,T# LOT# PERMIT EXPIRES IF WORK OWNER CONTRACTOR CfIJ IS NOT STARTED WITHIN I INSPE TION DATE IN ECTOR INSPECTION RECORD 18U DAYS OF PERMIT ISSU- FOUNDATION _Z - ANCE OR 180 DAYS FROM -NOTE: ' UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION. PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF - PERNI T VALIDATION. GARAGE SLABS CUPERTINO STANDARDS. ppm •� .y • POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNEDr / - 0 UNDERGROUND /SLAB. - $EP 1�� PLUMBING ELECTRICALw ISSUANCE DALE MECHANICALeLOG, .ELECT. PLG. MEC.. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT WOOD FLOOR INFORMATION - / I ' VALUAIION s/FT. PLUMBING MECHANICAL `- _ ELECTRICAL Pe NR To FRAMING �� v7 INSULATION STORIES TYPE CONSTR, Q A - / OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED • .ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO ET FLOOR AREA TOTALACREAGE DIAPHRAGM t— THE CONSTRUCTION TAX IS ROOF SHEATHING BUILDING USE RES . IND -CON PR 0,1. APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 11 ❑ ❑ 1:1 0 ASSESSORS PARCEL NO. ROUGH SAN,# PLUMBING Qv ELECT.ENERGY I HRCT NO. PARCEL NO . TUBS 8 SHOWE PANviPLUMBING ENERGY - MECHANICALMECH.ENERGY ALC.DATE ACC.FILE NO ELECTRICAL BUILDING ENERGY 1 FRAMING' Z ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION I som PLUMBING GAS TEST GAS MECHANICAL FIRE SPRINK ENERGY L]a COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - ` ❑ "E ` ❑ EXTERIOR SHEAR FLOOD ZONE A.I.U.C, - ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. . - "� ` L� "� f SHEETROCK - •1 GRADE - FEE SUMMARY - EXTERIOR LATH BUILDING - INTERIOR LATH TEMPORARY APPROVALS BUILDING SCRATCH COAT' v lu- M5 ELECTRIC. - PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE 26 OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING'INSPECTOR: MICROFILM �-- ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING �. 0 PLEASE GIVE JOB ADDRESS WHEN'PHONING. 0 - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL latUD' IMPORTANT! CONST.TAX ' PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER 3ra LDING- APPLICATION & PERMIT - yy° 1 ADADDRESSBUILDING-ELECTRICAL-PLUMBING-MECHANICAL N: 1 S� 115 V 4 //c - OWNER'S PLAN CHECK VALIDATION NAME - QTY. ELECTRIC PERMIT FEE PRONE 2575- _I_sJ79 CONTRACTOR 5- CONTRACTOR8 /,• NAME - UTLETS-SWITCHES-RECEP 10.00/1.00 f/ C>V-f:LIC.NoLIGHTING FIXTURES 10.00/1.00 a37 3 D� C-ONTRACTOR9• PPLIANCES-RESIDENTIAL 4.00 AODREu ' le �(oC G �PHpNE PANELS 10.00 PATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.NO. 1.GmNEER rc'--' - PANELS (OVER 200 AMP) 20.00 LiC.NO. _ SIGNSTRANS. 3.00 ADDRESS OR ENG. SPECIAL CIRCUIT 5.0Q PERMIT VALIDATION �- ZIP TEMP.METER OR POLE INS. 20.00 AFDREEiS s MOTORS SEE FEE SCH. ' AODREss /// • SERVICE CHANGE 20.00 ran oa i vrl/ '02 LICENSED CONTRACTORS DECLARATION rtN ar u' zu� I hereby affirm that 1 am licensed under provisions of Chapter9 ISSUANCE DATE (commencing with Section 7000)of Division 3 of the Business and rt BLDG. ELECT. I PLG. MEC . 0 i License Professions Cod�•.and my lactase is in full fo¢c and c Ccct. a o - License Clusa./�Lic.Numhcr Q ma, Call,7 -�9-Coniy:rur-��.� /�j�'�� _ 11Mf BUILDING PERMIT w OWNi.R-BUIL[ DECa.ARA1 1 0G� - - f INFORMATION E ;LL N 1 hereby affirm that 1 am exempt from the Conmctor's License MISC.- > REFER TO ORD - PERMIT.ISSUANCE vALunnoN S/FT. .. o J Wwfor lhe(ollowing reason.I5cc.70J L5,Basin ccs and Prof scions ZP O sa Cede:Any city or county which requires a pemdt to construct,'Iter, 10.00 is a ¢ p Improve,demolish,Or repair any structure,prior to Its iswance,also ELEC.CONTR. LIC.NO. ELEC, ll ,,�� D D o u requires the applicant fursuch permit to file a signed statement that TOTAL D-4• Ef pE MIT TO E he is licensed pursuant❑t the provisions of the Con trmtor's License �^ /p ' Hz ¢ Law(Chaptcr9(commencing with Section 7000)of Division 3 of the .�Id s 4 o Business and Professions Code)or that he isexempt therefrom and QTY. PLUMBING PERMIT FEE u/ fl a H $ the basis for the alleged cxemplior.Any violation of Section 7031.5 STORIES TYPE CONSTR. dam _ by any applicant for a permit subjects the applicant too civil penalty ALTER-DRAIN -WATER (EA.) of not more than live hundred dollars ISSUE),I (!V ❑ I,as owner of the property,or my cmpluyccs with wages as BACK FLOW PROTECT. DEV ICE 4.05,OQ0 OCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:'I'hc Convacrorh License Law deo not apply ro an owner of property who builds or improve.Thereon,and who Anes such work FIXTURES-PER TRAPSEEFT.FLOOR AREA TOTAL ACREAGE himself or through his own cmpluyccs,provided that such improve- - mentsare net intended or offered for sale.If,however.the building GAS-EA.SYSTEM-1INC.4 OUTLETS 6.00 U era improvemenT is sold within Fc year of contplen tlo , the owner GAS EA.SYSTEM-OVER 4 (EA.) 2.00 builder will have the burden of proving that he did not build or im- BUILDINGUSE Prove for purpose of sale.). - INDUSTRIAL WASTE INTER3000 RES IND CON PR Oran m ❑ I,as owner of the property,aexclusively cont raCling . . With 1:1 El 1 '1:1 0 licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Profession,Code:The Contractor's License Law docs not apply to an owner of properly who builds or inrmovss thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) -1.00 contracts for such projects with i contraalor(.0 liocnsd pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ l am exempt under Sec.-,B,&P,C.for this un son WATER HEATER W/VENT 6.00 - Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. �+ WORKERS'COMPFNSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm That I have a cerliliratn of consent to self-insure. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(Sec.3800,Lab.C.). Policy No. Continua, O ❑ Certified Copy is hereby fumi5hed. FIRE SPRINK ENERGY T$4 Z ��p'' Certifi�d6opy' is fled wit the city inspection division. MISC.- - REFER TO ORD. Applicant V N Y N w C- TIFICA. O :XI!.\IPTION PROM WORKERS' PERMIT ISSUANCE 10.00 12.OV FLOOD ZONE A.L.u.c. W > COMPSNSATION INSURANCE PLG.CONTR. LIC.NO. - PLG. -a CL O (This section teed not be completed if the permit is for one TOTALLO,L0 YE] N Y [] No :0Z hundred dollars(5100)or less.) ' U O I certify that in the pel-o rmao ,of the work for which this per- QTY MECHANICAL PERMIT FEE FEE SUMMARY LL V our is issued,1 shall not employ any person in any manner so as to become subject to the Workers'Cumpensalion Laws of California. O ED Datc Applicant BUILDING } y NOTICE '(0 APPLICANT: If,after making this Certificate of fix- ALTER OR ADD TO MECH. 5.00 . (.� (_ ? emptier,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the labor Code, you most forthwith comply with FEE GJ such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C F.NL) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.DO SEISMIC FEE z6 1 hereby affirm that Were in a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the Performance of the work for which this permit is issued ISec. MICROFILM 3097,Cv.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATI NO UNIT ER 100,000 B.T.U.)9.50 d Lenders Address ELECTRIC b ' I certify That 1 have read this applicalion and state that the above VENTILATION FAN (SINGLE) 4.00 h n(ounallon is correct. I agree to Comply with all city and county PLUMBING -Q i ordinances and stole laws relating to building construction, and BOILER-OCti H.P.or 100,000 B.T.U.) 6.00 hereby anchorite repmsentarivesins inspection This city to enter upon the BOILER-COMP IUver loo,000 BTU)SEE FEE SCH. MECHANICAL show-m ancorit Prnpirmerty IOrinsp of this Purposes.to (We) agree to save, indemnify and keep harmless the City of MISC. REFER TO ORD. upertfno against liabilities,judgments, costs and expenses which PERMIT ISSUANCE -' 1Q,QQ CONST.TAX �-- aY in any way uc.c .,lost said City in consalucncc of rhe sating of ibis ppirftit. MECH.CONT. LIC:NO. .MECH.. / .�Ew4l b- ro?req I D D TOTAL S7.pG igna[ Applican Conrractur Date d-( OFFICE COPY