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13732 rw POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER ., CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD '/ PERMIT EXPIRATION JOB ADDR SLL�6 / tT'w'0d" Y UINIT# SLOT# `-'' pERM1T'EXPIRES IF WORK OWNER /(/� CONTRACTOR I IS NOT STARTED WITHIN INSPECTI DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDAT,ION _ _ a ANCE OR 180 DAYS FROM UFER "' LASTCALLED INSPECTION. '2 - .PERMIT VALIDATION PREGUNITE PAID uar o POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED- UNDERGROUND /SLAB IGNEDUNDERGROUND /SLAB - • DEC 3 ON87' PLUMBING T ELECTRICALI �-ISSUANCE DATE I MECHANICAL ' - - BLDG. - ELEcr. PLG. MECR. a ID a, 1 a DO NOT PaUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - _ . . BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION'• $/FT. � _ MECHANICAL ,tnoo 00 ELECTRICAL > - - PERMIT TO FRAMING L INSULATION STORIES TYPE CONSTR. J -` S OCC GROUP RES.UNITS PLACE Ni SUBFLOOR UNTIL ABOVE HAlz BEEN SIGNED ROOF SO.FT.FLOOR AREA _TOTAL ACREAGE DIAPHRAGM BUILDING USE _ RES IND CON PB O'Fr' APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED 1 ❑ El El ❑ ASSESSORS PARCEL NO. ROUGH o OV PLUMBING GAS TESTO 'TRACT NO. PARCEL NO. MECHANICAL ELECTRICALACC.DATE ACC.FILE NO. ., FINALS DATE INSP. FRAMING SAN # ZONING ENG.SITE NO. INSULATION _ PLUMBING �{ GAS MECHANICAL FIRE SPRINK ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I HEATING Y ❑ "E-] Y'❑ N[j FLOOD ZONE A.LUC. LATH-INTERIOR 6 ELECTRICAL ' LATH-EXTERIOR -j FIRE DEPT. Y❑ "E] Y ❑ N❑ SHEETROCK _ '2 GRADE FEE-SUMMARY' SHEAR INTERIOR BUILDING i SHEAR EXTERIOR TEMPORARY APPROVALS BUILDING FIREWALLS ELECTRIC PLAN CHECK GAS FEE 18.8'3 NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEIS&#PVE9Y OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC I' ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 0P Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL CONST.TAX IMPORTANT! .282.66 PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICECOPY - - - _APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU I LDING PROJECT I DENTIF I CATION PERMIT NUMBER 6 I'LDING APPLICATION & PERMIT 13732 ADDHass Lot-62 PLAN 3B BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 11567 Fallicred Spring Co OWNER'S PLAN CHECK VALIDATION NAME GREGORY GROUP> INC< 415 Ory, ELECTRIC PERMIT FEE GREWGO PNDNE 595-2100 NAMERACTDR's 99 OUTLETS-SWITCHES-RECEP 10.00/1.00 I gR�gQRY GROUP) !NGVN° B-430097 LIGHTING FIXTURES 10.00/1.00 1 r-ory 21 .0 PPLIANCES-RESIDENTIAL 4.00 I °°"E� 220=C Twin Dolphin Dr. 12.0 P NEqqq PANELS 10.00 I DATE OF APPLICATION ORT. r ;21 PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. NGINEER AAM SENIANZ, 4aA SIGNS TRANS. 3.00 ADDRESS SPECIAL CIRCUIT 5.00 PERMIT VALIDATION APP 39 0 W $t ly e z,P#170 EMP.METER OR POLE INS. 20.00 ] MOTORS SEE FEE SCH. P n I AOORaas 2ZDA Twin Dolphin Dr. . SERVICE CHANGE . 20.00 i] w O O RW6 _t 94065 LICENSED CONIRAC(ORS DECLARATIONEC d O v 1 hereby allirm that 1 all licensed under provisions of Chapter 9 I55U GATE H a N( commencing with Section 71X10)of Division 3 of the Business and {y, PLG. MECH. Hoz Professions Code,enq my license B N full for z o - Dacnx Class-IS_Lic. nnefo-af IFrL-+I� o_ � r o Da¢ Commctor a x s BUILDING PERMIT S 0 it sr c o 'OWNER-BUILDER DEC TION INFORMATION . 3. LL I- 1 hereby affirm that I am exempt front the Contractor's License MISC.- REFER TO ORD H .c la o a w for the following reason.(Sec.7031.5.Businev and Professions PERMIT ISSUANCE 10.00 VALunT10N 5/FT. Code:Any city or county which requires a permit to construct,alter, Qimprove,demolish,or repair any structure,prior to its issuance:also ELEC.CONTE. LIC.NO. ELEC. - O u requires the applicant for such permit to File a signed statement that TOTAL PERMIT O 000.00 ' w he is licensed pursuant to tum provisions of the Contractor's Liccnu H z i Law(Chapter 9(commencingwith Section 7000)of Division 3 of the S,c,5 L(_/_ a Business and Professions Code)or that he is exempt the¢from'and QTY. PLUMBING PERMIT FEE ¢ F $ the basis for the elle d exemption,An gm p (he of Section malty STORIES TYPE CONSTR. i 3 - by any applicant Fe a Permit subjects the a001icanl toacivil penalty of not more than five hundred dollars($500b.) ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ [.11 owner of the property,or my employees with wages ss 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. 7004, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code The Contractor's Limnx Law does not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- Rents arc not intended oroffered for sale.If,however,the building I GAS-EA.SYSTEM-11NC.4 OUTLETS 6.00 or improvement is sold within one year of completion,tine owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 6.0 builder will have the burden of proving thut he did not build or im- BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Ore„ ❑ 1,as owner of the property,am exclusively contracting with ❑ 0 ❑ ❑ licensed contractors to construct the project(Sec. 7044•Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law does not apply / to e" owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 e36 b- 9-- 31 3- 3-3 contracts for such projects with a contractot(s)licensed purwanl to the Contractor's License Law. SEWER-SANITARY-STORMEA.200ft/10.00 - TRACT NO, PARCEL NO. ❑ 1 am exempt under See, ,B.&P.C.her the 1 WATER HEATERW/VENT 6.00 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACL.FILE NO, WORK ERS'COMPENSA'fION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent toself-insure, or a certifcale of Workers'Compemetion Insurance,or a cerifwd ZONING ENG.SITE NO. ropy thereof(Sec.3800,Lab.C.) Policy No. -Company Uni_tecL.P_ac.ifi-c ❑ Certified ropyisherebyfutnished. FIRE SPRINK ENERGY T 24 z Z. Y] an Certified a the city 'inspection division. O Aglict _ MISC.- REFER TO ORD. Y 1:1N� Y [:] N[] F rn PERMIT ISSUANCE 10.00 LU - CERT( ATCEXEMPTION FROM WORKERS' - FLOOD ZONE A.L.u.c. W COMPENSATION nt (NSU if the PLG.CONTE. LIC.rv0. PLG. Y❑ N❑ Y ❑ N d (This xcl.. 10 not be completed if the permit u for one - TOTAL 0 Z hundred rtify that (n the pe lcssJ LL O 1 certify that h the to employ an of the work for which this per- QTYMECHANICAL PERMIT FEE FEE SUMMARY L.T. U mit is issuede I shell not employ any person in any manner so is to 0 LU become subject to the Workers'Compensation Laws of California. a Dale Applmala ALTER OR ADD TO MECH. 5.00 BUILDING 490.50 > m NOTICE TO APPLICANT: If,after making this Cenificale'of Ex F ? emption,you should become subject to the Workers'CompensationAPPLIANCE 5.00 PLAN CHECK provesnex of the Labor Code, you must forthwith comply with FEE 318.83 U such provisions or this permit shell be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.NL) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10)"CF.M.) 6.00 SEISMIC FEE 114 I hereby affirm that there u u construction lending agency for 1 EXHAUST HOOD (WITH DUCT) 5.00 the pvrfomsance of work ark for lLO Ily)Sarmor is issued(Sec. MICROFILM 3097,Civ.C.). JI I HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name gQ._BY,.aClfol„d.-��.-gq.A1 HEATING UNIT(OVER 100,000 B.T.U.)9.50 8.00 ELECTRIC 159.00 Lender's AJdrt� PA�_ I u i information that rca s lend all c tyat anaboved VENTILATION FAN (SINGLE) 4.00 . information n coned.1 ogee to comply with all city and coo my PLUMBING ordinances and erre lows relating to building construction, and BOILER-COAYI3 H.P.or 100,000B.T.U.1 6.00 97.00 hereby authorise representatives for ins of this city m enter upon the BOILER-COMP (Over 100,ODDBTU)SEE FEESCH. MECHANICAL above-mentioned property for inspersion purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses whkh PERMIT ISSUANCE 10.00 CONST.TAX 2B2.68 may in any way acere against said City in consequence of the grannie,O(t rmd. MECH.CONT. LIC.NO. MECH, TOTAL TOTAL Signemmplicent/Contractor Date 55.00 $5 ,571 .16 OFFICE COPY •yrs CERgT(IFIICNATNSOPKCOMoPFEEION fr�!, TOR'SCITY OF CUPERTINO li DATE 18116` 19 BLDG. PERMIT NO, 13 L THE BLDG. LOCATED AT '' ` S�-T ^'E OWNED BY S�! Cze.G e) C�'T2W(,� =�-r �I HAS BEEN <IZZMPLET VFOR USE AS `I—• (� y�� ° IALTEREDI fi A O� I; B�UILDI(JG INS_,P�ECTOR iri ,• BUILDING INSPECTOR'S OFFICE (316• ,�,` •� CITY OF CUPERTINO OffficeDCop1 pv ., I ❑ Backflow Device Sanitary Permit No. /.2-32 / / f F I ❑ Sewer Connection Plumbing Permit No. O Plumbing Final Loi No. oG_ aI Owner or Tenons �P.,«-�r) s 1 At 1 r� I'�1\ ceE=z�� Tract N i Date Connected 19 Date Final d 1913 �I O• PLUMBING ELECTRIC SERVICE NOTICE • OFFICE COPY z�1 BUILDING INSPECTOR'S NOTICE .�1.. CITY OF CUPERTINO To 6 Q [� E l 11 ' (/�1 19 v/ V i You are hereby authorized to Connect electrical service for E LL Owner or Tenant_ ��S Q("c cz AI m I No.of Wires Size of Wires Size of Switch �06"q r) i� Motor Load Voltage Phase t j Heating Load K.W. v Voltage m � No.of Meters �1-� Light 110—New Service Reconnett H-1-1 20—Th,"Wire More Service 'i No.of Add.Meters Power O� Three Ph-,e Move Mw.r ©� ELECTRICAL INSPECTOR - 00 CITY OF CUPERTINO • OFFICE "'r _ COPY GAS SERVICE NOTICE E , 19 �CJ o I " To You are hereby authorized to connect the GAS service for o Owner or Tenant �`g-p(t--t G-lpr� I, i Ar 5 6`�- 1�1\ G2�Z—Ic i,) C t •` New Service \I (✓ UL No. of Meters Reconnect No. of Add. Meters Move Service Mole_ Meter � PLUMBING INSPECTOR L�,C— ©M s bM C� ; 44