12308 POST THIS CARD NEAR FRONT OF BUILDING
PFRMIT NUMBER
CITY OF " CUPERTINO L3��
INSPECTION DIVISION
{� JOB INSPECTION RECORD
PERMIT EXPIRATION
JOB ADDRESS 10605 FarallOne Drive UNITI* LOT#
PERMIT EXPIRES IF WORK
OWNER Albert Tsang CONTRACTOR Sav-Awn Alum Piod IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION ANCE OR 180 DAYS FROM
UFER
LASTCALLED INSPECTION.
PREGUNITE PERMIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING �j///`� ��/J
ELECTRICAL - ,IssTi (E/6TE'
MECHANICAL B c. ELECT. PLG. MECILL
❑ ❑ ❑
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT
INFORMATION
,WOOD FLOOR VALUATION $/FT.
PLUMBING
MECHANICAL _ µ �•
ELECTRICAL PERMIT TO
FRAMING
INSULATION -STORIES TYPE CON TR.
UCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
• ROOF _ - - SO.FT,FLOOR AREA TOTAL ACREAGE
DIAPHRAGM
- BUILDING USE
RES IND CON PB O,ne,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑
ASSESSORS PARCEL NO
ROUGH
PLUMBING
TRACT NO. PARCEL NO.
GAS TEST
MECHANICAL -
.
ELECTRICAL FINALS DATE INSP. ACC DATE ACCFILE NO.
FRAMING SAN M
INSULATION PLUMBING ZONING ENO.SITE NO.
GAS
MECHANICAL FIRE SPRmrc ENERGY T-2a
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ No Y ❑ No
c LATH-INTERIOR ELECTRICAL FLOOD ZONE A.L.UC
LATH-EXTERIOR _ FIRE DEPT. F pip Y❑ N❑ Y 0NEISHEETROCK - GRADE StI FEE SUMMARY
SHEAR INTERIOR BUILDING
SHEAR.EXTERIOR TEMPORARY APPROVALS BUILDING fir,
FIREWALLS ELECTRICPLAN CHECK
FEE r
GAS ,11''
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC RgE
OCCUPANCY OF BU I LDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
i� LU WORKING DAY BEFORE REQUIRED INSPECTION. ' PLUMBING
Z PLEASE GIVE JOB ADDRESS WHEN PHONING.
— SEE PERMIT FOR EXPIRATION DATE — MECHANICAL
TAX
IMPORTANT! CONST. '
PLEASE READ REVERSE SIDE BEFORE TOTAL / 7
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLICANT TO FILL IWINFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
.. _e BU LDI NG PROJECT IDENTIFICATION PERMIT NUMBER
ADDRE„G APPLICATION & PERMIT 12308
AppREss 10605 FARALLONE DR. BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
OwNER'9 PLAN CHECK VALIDATION
NAME
ALBERT TSANG OTY. ELECTRIC PERMIT FEE
PRUNE
CONTRACTORS
NAMESAV-AWN ALUM PROD 01561 UTLETS-SWITCHES-RECEP 10.00/1.00
Llc.No. LIGHTING FIXTURES 10.00/1.00
CONTRACTOR'S PPLIANCES-RESIDENTIAL 4.00
ADDREss850 ALDO AVE 988-44
PHONE PANELS 10.00 - DATE OF APPLICATION
ORCNIT[CT SANTA CLA ANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO.
ENGINEER
RBT HAUSSLERNo. SIGNS TRANS. 3.00
ARCH.OR ENG. PERMIT VALIDATION
ADDRESS VAN NUYS , CA. SPECIAL CIRCUIT 5.00
ZIP TEMP.METER OR POLE INS. 20.00
APPLICANTS MOTORS SEE FEE SCH.
ADDRESS 850 ALDO AVE SANTA CL SERVICE
CHANGE 20.00 /
Foo
LICENSED CONTRACTORS DECLARATION
or
v v 1 hereby affirm (hal I sin licensed under provisions of Clmpter'J ISSUANCE GATE
wzser (commencing with Section 7000)of Division 3 of the Business and
Q u ELECT. PLG. MECH.
' 0 ., Profasiors CWC,yylpµlicense is in full force and ([[fi�rr,,((
O o e - License Class_1..01_Lie.Number_ .L.`J_3]Z
o us w Date Contractor_SAV+AWN-AL M
MA -BUILDING PERMIT
ce O s 4 OWNER-BUILDER DECLARATIO7_ MATION
w ;LL 1- 1 hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD
r u o`� Law for the following reason.f5ec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 S/FT.
Code:Any city or county which requires a permit to construct,alter, �,
QQ 4 0O improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC.
-O¢ requires the applicant for such permit t0 file a signed statement that TOTAL PERMIT TO
F
$ he is licensed pursuant to the provisions of the Contractor's License
r law(Cha
pler9(commencing with Section 7000)of Division 3 of the ��k/:✓
i o Business and P ofemlo.Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE 'B'fLt E
Cr the basis for the alleged exemption.Any violation of Section 7031.5 1 STORIES TYPE CONSTR.
a- ;G. by my applicriat for a permit subjects the applicant toa civil penalty
of not more than live hundred dollars(5500).): ALTER-DRAIN& VENT-WATER (EA.) 5.00
❑ [,as owner of the property,or my employers with wages as BACK FLOW PROTECT.DEVICE 4.00
their sole compensation,will do the work,and the structure u Out OCG GROUP RES.UNITS
intended or offered for sale (Sen 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00
Code:The Contractor's License law dos not apply to an owner of
pruperty who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve-
mcm.are Out intended or offered for sale.If,however,the building GAS-EA.SYSTEM-11NC.40UTLETS 6.00
or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING u5E
builder will have the burden of proving that he did not build or im- RES IND CON PB Omer
prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00
❑ I,as owner of the property,am exclusively contracting with 0 ❑ 0 0 D
licensed contractors to com"cl 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 an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00
contracts for such projects with a contractor(s)licensed pursuant to
the Cbntoctori License Law, SEWER-SANITARY-STORM EA.2DOft/10.00 TRACT NO. PARCEL NO.
❑ I am exempt under Sec.-,B.&P.C.for this WATER HEATER WNENT 6.00
reason
Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO.
WORK(RS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
1 hereby affirm that I have a certificate of consentto self-insure. ZONING ENG.SITE N0.
or a certificate of Workers'Compensation Insurance,or u cert Med
copythereofq.. t M,'41. H0,MELAND-CO
O ❑ Certified copy is hereby famished. FIRE SPRINK ENERGY T-24
Z z ❑ Certified copy is Fled with the city inspection division. MISC.- REFER TO ORD.
0 Applicant Y❑ N❑ YE] NE]
~ H 10.00
- CIiRTI FICATIi OF IiX1iMPTION FROM WORKERS' PERMIT ISSUANCE FLOOD ZONE A.L.U.C.
Lu D COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. y N Y N�
CL 0 (Thu section need not be completed if the permit a for one TOTAL
hundred dollars(S 100)or I..)
U o 1 certify that in the performance of Ole work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL U mit is issued,I shall not employ any person in any manner so os m
0 W become subject to the Workers'Compensation Laws of California. Q
Date A liemd BUILDING
a pp ALTER OR ADD TO MECH. 5.00
} N NOTICE TO APPLICANT: If,after making this m'Cocmc of Ex-
F- ? cmp0on,you should L become e, you m the Workers'Cco poly with APPLIANCE 5.00 PLAN CHECK /
provisions io the labor Cole, you must forthwith comply with FEE p
U such provisions or this permit shall b<deemed revoked. AIR HANDLING UNIT(TO 10,000 C.F.M.) 4.00
CONS'rRUCI'ION LENDING AGENCY 'AIR HANDLING UNIT(OVER 10MC.FM.) 6.00 SEISMIC FEE
1 hereby affirm Omit 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.).Name
NONE HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's HEATING UN IT 100,000 B.T.U.)9.50
Lender's Names ELECTRIC
I artily that l have read this application and state lhalthe above VENTILATION FAN (SINGLE) 4.00
information u corner. I egret to comply with a0 city and county gO1LER-CONP(3 H.P,or 100,0008.T.U.) 6.00 PLUMBING
i�
ordinances and state laws relating to bumldmg 'onstmctiulr, and
hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH.
ibove-mentioned property for inspection purposes. MECHANICAL
(We) agree to save, indemnify and keep harmless the City of MISC. REFER TO ORD.
Cupei-hoo against liabilities,judgments, costs and expenses which CONST.TAX
may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00
granting of this permit. MECH.CANT. LIC.NO. MECH.
TOTAL TOTAL
Signature of Applicant/Contractor Uate
OFFICE COPY