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17956 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUAREH CITY OF CUPERTINO . 1 ' 956 f INSPECTION DIVISION JOB INSPECTION RECORD ' PERMIT EXPIRATION JOB ADDRESS C (—py_ UNIT# LOT#' PERMIT EXPIRES IF WORK OWNER \ft tL W 2--e- 7. - CONTRACTOR CC— IS NOT STARTED WITHIN - I SPECTION DATE INSPECTOR INSIPECTIO EC RD 180 DAYS OF PERMIT ISSU- FOUNDATION NOTE: ANCE OR 180 DAYS FROM " LIFER � ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION. PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERrUFI VALIDATION CUPERTINO STANDARDS. GARAGE SLABS _ -POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB 'D PLUMBING MAY 3 01$89 - � ✓' e it _ ELECTRICAL lssUANCE DATE 11 MECHANICAL BLDG ELECT. PL %IECR, Bib SIF p RI ElG.❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT , WOOD FLOOR - INFORMATION PLUMBING VALUATIONOn SIFT, MECHANICAL ELECTRICAL PEHM TO . FRAMING INSULATION STORIESt YPECONSTR. OCC.GROUP RES.UNITS t PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED l $O.1 T FLOOR AHCL TOTAL ACREAGE ROOF NOTE'NO FINAL INSP.SHALL BE MADE BEFORE '�• DIAPHRAGM THE CONSTRUCTION TAX IS PAID f BUILDING USE ROOF SHEATHING - RCS WD CON PB 0,F- APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS, DATE INSP. ❑ ❑ ❑ ❑ I ❑ _ ROUGH SAN.a ASSESSORS PARCEL NO ` PLUMBING ELECT.ENERGY THACI NO. PARCEL NO . TUBS 85HOWER PAN PLUMBING ENERGY VA MECHANICAL MECH.,ENERGY ACC DATE ACC.FILE NO ELECTRICAL BUILDING ENERGY FRAMING ELECT.FINAL TEST ZONING ENC.SITE NO. INSULATION PLUMBING GAS TEST GAS FIRE SPRINK ENERGY i-24 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N[] ° ❑ NE] EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE A UC. INTERIOR SHEAR FIRE DEPT. Y❑ N❑ Y L7 No SHEETROCK - GRADE FEE SUMMARY EXTERIOR LATH BUILDING ,BUILDING O O INTERIOR "LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRICS - PLAN CHECK GAS FEE ! ' NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCY OF BU I LDI NO IS NOT PER MITTE D UNTI L BUI LD ING F INAL IS SIGN ED BY BUI L61 NG I NSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC Iw—� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING �. 0 ' PLEASE GIVE JOB ADDRESS WHEN PHONING. Z - -.SEE PERMIT FOR EXPIRATION DATE - MECHANICAL 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 . .S!UI LDI NG PROJECT 1 DENTI FICATION PERMIT NUMBER - GILDING APPLICATION & PERMIT ADORE55 r�� 17956, I 9 ��NL� ING-ELECTRICAL-PLUMBING-MECHANICAL J ` OwNER'S J PLAN CHECK VALIDATION NAME OTY. ELECTRIC PERMIT FEE .® rvoNE - - cwM>ERActovs I-// UTLETS-SWITCHES-RECEP 10.00/1.00 N/✓(.V'�- LIC,N0.4(t; LIGHTING FIXTURES 10.00/1.00 r.DNTRACrovs u APPLIANCES - 4.00 - E PANELS 10.00 DATE OF APPLICATION F� ARRCHITECT PANELS (OVER 200 AMP) 20.00 PUN CHECK FEE P.C:NO. ENGINEER LIC.NO. SIGNS TRANS. 3.00 ARCHOR ADDRESS ENG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP EMP. METER OR POLE INS.. -20.00 g ADDRESSAPPLICANT'S -MOTORS SEE FEE SCH. s -3 )-. , SERVICE CHANGE 20.00 / w o o LICENSED CONTRACTORS DECLARATION - N �-Vl��U<: < u V I hereby aftlno that 1 n n licensed under provisions of ClAtiter9 ` ISSUANCE DATE frommencing with Section 7000)of Division 3 of the Business and SLOG. ELECT. PLG. ECH. H y i Professions Codc; my license is in full Ir ae ell z O - License Class Lin NumperjFY ❑ ❑ ❑ 9 r Date�'�/�.gLCon(ry MAY a BUILDING PERMIT ¢ ¢ a OWNER-B UILDIiR DECLARATION ¢ u, u MISC.- OORD INFORMATION X a I hereby alfnn that I am exempt Irate the COntrudor s License u o j law for the following mason.(Sec.7031.5,Businessand Professions VALUATION Q/ S/FT. - PERMIT ISSUANCE 10.00 Code:Any city or county which remittee Hermit to lnnsuance,also alter, ST ¢ 0 improve,demolish,or repair any slmdurU,prior lO its issuance,also ELEC.CONTR. LIC.NO. ELEC. O¢ mluircs the applicard for such pcmtit to flc a signed statement that TOTAL PERMI TO a w m he Is licensed pursuant to the provisions of the Contractor's License H z i Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe - Z 4 o Business and Professions Code)or that he is .exempt therefrom and GTYPLUMBING PERMIT _ FEE It F o the basis for the alleged exemption.Any violation of Section 7031.5 ` STORIES tYPE C NSTR. _ by any applicad for a permit subjects the applicant o a civil penalty gLTER-DRAIN& VENT-WATER (EA.) 5.00 of not more than Five hundred dollars(S500)J: ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 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:The Contractor's License Lew don not apply to an owner of property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 SO,.FT.FLOOR AREA TOTAL ACREAGE e himself or through hL own employees,provided that urehvu- - mentsare not intended oroffered lot sale.It,however,the bolding GAS-EA.SYSTEM-111NC.40UTLETS 6.00 or improvement is sold within one year of completion,the owne builder will have the burden of proving that he did not build or imr- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE - prove for purpose ofsah.). - RES IND CON PB Other ❑ 1,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 '❑ ❑ ❑ ❑ ❑ licensed cunt...Rios to cunmmcl 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 docs not apply to an owner of property who builds or improves thereon.and who LAWN SPRINKLERS OV ER 5 (EA.) 1.00 contracts for such projects with a contractortO licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.20011/10.00 TRACT NO. PARCEL NO. ❑ tum exempt under see, ;H.NJ'.C.for this an WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM 5.00 " ACC.DATE. ACC.FILE NO. WORAERS'COMPFNSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to sol Finsum. ' or a cer[i0<ute of Workers'Cmnpenvtit I surunce,orortifieA ZONING ENG.SITE NO. copy thenanfi Sec.3800 IahC.7.i Policy No. Company e-�eftjl U ❑ Certified ' py is hereby furnish eJ. '- CerlifcJ is fled with th• T FIRE SPRINK ENERGYT34 Z Z joy t 1 y inspection division. MISC.,- REFER TO ORD. � O AphbeantQ,--/�(.��_N�/ ,� Y ❑ N❑ Y ❑ N❑ 2N- CERTIFICATE 01'EXEM PfION 17ROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE anUC. W > CO,I IPENSATION INSURANCE I PLG.CONTR. LIC.NO. PLG. n' O (This section need not be completed if the permit is for one TOTAL Y[:] N❑ V ❑ N❑ � Z h...Wood dollars(S 100)or lc.,.) U O 1 certify that in the perlormmnee of the work for which this per- OTY MECHANICAL PERMIT FEE FEE SUMMARY LL I- mit is issued.I shall not employ any person in any manner so as to (� U w become subject to the Workers'Compensation laws of California. 5.00 �Q(/ Uatc Applicant ALTER OR ADD TO MECH. BUILDING M. (/ } to NOTICE TO APPLICANT: It,after making this Certificate of Ex- ♦- = entption,YOU should bccomu subject to the Worked Conlpinsation APPLIANCE 5.00 PLAN CHECK l l• Lr provisions of Labor bor Code, you most forthwith comply with U etch provisions or this Nook shall be deemed revoked AIR HANDLING UNIT(TO 10SWC.F.M-) 4.00 FEE CONSTRUCTION LENDING AGENCY AIR HANDLING UNTT(OVER 10=C.F.M.) 6.00 SEISMIC FEE E I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec - MICROFILM 3097.Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name � Lender's Address HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC I certify that I have read(his application and state that the above VENTILATION FAN (SINGLE) - 4,00 i� information is correct.I agree to comply with all city rod county PLUMBING .chance, and estate laws relating to building const 'lion, unJ BOILER-CONP(3 H.P.or 100,000 B.T.U.) 6.00 hereby am. nod rcpresen Inti inspection the city to .'upon the BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL abovetnenYursed property for inspection purpo"i• (We) rte to snve, indemnify m cep ilc c he City of MISC.- REFER TO ORD• uperti against liabilities,judge cos and penes which PERMIT ISSUANCE 10.00 CONST.TAX I any way itec, against d City n co •qua ce of he ran lh p,...it MECH.CONT. LIC.NO. MECH. TOTAL TOTAL .73^ igdm! o t/Con car to OFFICE COPY