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17624 POST-THIS CARD NEAR FRONT OF BUILDING-- sl PERMIT NUMBER CITY OF CARTING 17624 INSPECTION DIVISION JOB INSPECTION RECORD �' • JOB ADDR ESS_� �Y7 PERMIT EXPIRATION O -1 �_V UNIT# LOT#- PERMIT EXPIRES IF WORK OWNER Aeli A CONTE CTOR -v—tE -P - IS NOT STARTED WITHIN INSPECTION - DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. ' UFER - ALL GRADING AND DRAINAGE SHALL BE INSTALLED PR EGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERnuI vALmanCN CUPERTINO STANDARDS. GARAGE SLABS �- POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - 7 UNDERGROUND /SLAB - - , PR. 13 PLUMBING 7. V'J J U�. V) !•I vc l...j ELECTRICAL city 0 ISSUANCE DATE fLG MECHANICAL - � BLCG, ELECT. PLc. M[cN ❑ �f _❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION SIFT. ' � - - � - MECHANICAL _ ELECTRICAL - PERMI�I TO FRAMING, - _ ` ' fir INSULATION SIURi S TYPE CONSTR, OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF - NOTENO FINAL INSP..SHALL BE MADE BEFORE sn IT.FLooR AREA TOTALACREACE DIAPHRAGM- '. THE CONSTRUCTION TAX IS PAID f BUILDING USE ROOF SHEATHING RES IND CON PB 0,1 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED : FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑- ,ASSESSORSPARCELNO ROUGH SAN.H - PLUMBING ELECT.ENERGY . TUBS 8SHOWER PAN � PLUMBING ENERGY � - TRACT NOPARCEL NO MECHANICAL MECH.ENERGY ELECTRICALBUILDING ENERGY ACC.DATE ACC PILE NO ' FRAMING ELECT. FINAL TEST ` INSULATION ' PLUMBING zoNlNc ENG.SITE No. GAS TEST GAS' - MECHANICAL - • FIRE SPRINK ENERGY 12 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ` ❑ N❑ ` ❑ N❑ ..� . . EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD/UNE ALUC. INTERIOR SHEARFIRE DEPT. Y❑ N❑ YL N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVALS BUILDING• SCRATCH COAT . ELECTRIC Ia. ,Ff I PLAN CHECK _ GAS FEE - NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY sElsMlc FEE OCCUPANCY OF BUILDING ISNOTPERMITTED UNTILBUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM o� AR-RANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC O ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — 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 BUILDING PROJECT lDENTIFICATION PERMIT NUMBER APPLICATION PERMIT BoHUDIADORE - aDDRE15 D/• ,\\/ BUILDING—ELECTRICAL—PLUMBING—MECHANICAL 17624 OWNER [:C PLAN CHECK VALIDATION _ SD� OTV ' ELECTRIC PERMIT FEE vHON NAME..Tans � 5-3 UTLETS-SWITCHES-RECEP 10.00/1.00 LIC No.J 3 LIGHTING FIXTURES 10.00/1.00 ADD croRs RESS PPLIANCES-RESIDENTIAL 4.00 CONTFA HONE PANELS 10.00 DATE OF APPLICATION ) AHCry ELT PLAN CHECK FEE .C:NO. on PANELS (OVER 200 AMP) 20.00 _ ENGINEEP I/ h LIC.NO. I 1?/7 d/' SIGNS TRANS. 3.00 ARCH.OR ENG. _ SPECIAL CIRCUIT $.OB APPLICANTS PERMIT VALIDATION ' vP UO EMP.METER OR POLE INS. 20.00 B- MOTORS SEE FEE SCH. 7 aooREss y 6o SERVICE CHANGE - 20.00 LICCNSED CONTRACTORS DI 'LARATION ¢u u I'hereby affirm "hat I am licensed under provisions of Chapter 9 - - 2 w ISSUANCE DATE Nay (commencing with Section 7000)of Division 3 of the Business a"d BLDG. ELECT. PLG. MECH. F.7 z Professions Code,and I license is in full force of cl "� ❑ ❑ ❑ 0 i O Licenx ass Con Number F _ F j Uufc _Comructor. Qy EJ �T ¢ or wa OWNIi R-d UILDI'R DECLARATION Cb Of BUILDING PERMIT K0 MISC.— REFER TO ORD - INFORMATION w g w H I hereby affirm that I um exempt from the Conl...let',License F LL 0 law for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCEVALUATION 5/FT. Gude:Any city or county which re9uiresa Penni""ucunstnmLulter, 10'00 ¢ 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC,NO. ELEC. O I, retleires the applicant for such permit to the a signed statement that TOTAL se he is licensed pursuant to the PERMIT TO p provisions of the Contractor's Limns. d r z a Law(Charter 9(commereing with Section 7000)of Division 3 ofthe �� 1 i o Business and Professions Code)ear that he is exempt thc,efr0m and CITY. PLUMBING PERMIT FEE ¢ I- g the basis for file alleged exemption.Any violation or Section 7031.5 STORI TYPE CONSTR. a; by any applicant fora hundred subjects the applicant toacivil pcnndy ALTER-DRAIN -WATER (EA.) 5.00 of not mon ther,of hundred,fly,o fmy cant: ❑ I,as owner,of the property,or my employees with wagesBACK F LOW PROTECT.DEVICE 4.00 UCC.CROUP RES.UNITS (heir sole compensation,will do the work,and the strudurc is notet intended or offered for sale (Seo. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,CON D. 5.00 ' Code:'Fire C'ontractor's License Law does not apply to an owner of property who builds He improves thereon, .it who docs suoh work FIXTURES PER TRAP 5.00 SQ FT.FLOOR AREA TOTAL CREAGE himself or through his own employees,provided that such improve- ments are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the owner- builder will have the burden of proving feat he did not build or im- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE prove for Purpose of sale.). INDUSTRIAL WASTE-INTER. 3p,Op RES IND CON PB Omer 111,ns owner of the poj,cry,am exclusively contracting with 1:1 El 1:1 1:1 El licensed contractors to construct the project(Sec.7044,business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. an Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improv s thereon,and who LAWN SPRINKLERS-OVER 5 IEA.) 1.00, contracts for such projects with u contrxctorfa)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ Ium excerpt under See—.B.&P.C.far this reason WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM - - . 5.00 ACC.DATE ACC,FILE NO. WORK ER9'COMPFNSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that 1 have a certificate ofconsent to self-insure. - or a cerliDcate of Workers'Compensalioo Insumn ro,or eeriI- d ZONING ENG.SITE NO. .py thereof(Sec.3800,Lab.C.I t - Policy No. Company ' O 0 Cartired copy is hereby furnished. RE SPRINK ENERGY T-Z4 Z Z Certified y is ded sIh 11 city inspection division. F- O plicant �� — {Cu 4-� misc.- REFER TO ORD. Y ❑ N❑ y ❑ NEI Q9 CFR'['IFICATE OIs EXEMPTION I'ROM WORK ERSPERMIT ISSUANCE 10.00 FLOOOZONE A.L.0 C. LU > COWWENSATION INSURANCE; PLG.CONTR. LIC.NO. PLG. Z (1-his section need not be completed if the permit is for one TOTAL v,D NEI Y E] NEI U O - bmulrcd dollars(SIOOIor Tess.) , I certify that in the performance of the work for which this per QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL F Inn" is issued.1 shall not employ any perwn in any manner w m to U become wbject to the W'orkeri Compensalion Laws of Californin. WDmc Applicant BUILDING } w NOTClTO APPLICANT: If,after making this Cerlificxln a(ISx- ALTER OR ADD TO MECH. 5.00 (— ? emption,you should become subject to the Wcrkeri Compemation APPLIANCE _ 5.00 PLAN CHECK provisions of the Libor Code, you must forthwith comply with FEE - U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=1C.F.M.) 6.00 SEISMIC FEE I hereby affirm that "here is a construction lending agony for EXHAUST HOOD(WITH DUCT) 5.00 ., the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Cie.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lenders Address HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC' I cer"ily that I have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00 information is correct.I agree m comply with all city and county PLUMBING urilnaocas and state laws relating to building construction, and BOILER-CCMT I3 H.P.or100,000B.T.U.) 6.00 �i hereby mthoriee representatives of this city la enter open the BOILER-COMP IOser 100,000 BTU)SEE FEE SCH. MECHANICAL above-mcnlioned property for inspection purposes. (We) agree m save, indemnify and keep haTrih. lho City'of MISC.- - REFER TO ORD. upertlno against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX my in any way reerue incl said City in c.nscyuen of the ranting of this it. `, MELM.CONT. LIC.NO. MECH. 7 /3-6 TOTAL TOTAL ,Oj) Igra Apt l or Dale OFFICE COPY