13228 POST THIS CARD NEAR FRONT OF BUILDING - {
CITY OF CUPERTINO PERM1,IrNDA,RER
INSPECTION DIVISION + 13228
'• JOB INSPECTION RECORD
PERMIT.EXPIRATION
�r JOB ADDRESS 7802 'FESTIVAL DRIVE UNIT# LOT# 2 -
WILLIAM DAY COMPANY ' SAME PERMIT EXPIRES IF WORK-
OWNER CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-.
FOUNDATIONANCE OR 180 DAYS FROM
LAST CALLED INSPECTION.
UFER
PREGUNITE PERMIT VALIDATION
POUR NOCONC ETE UNTIL ABOVE HAS BEE SIGNED
UNDERGROUND-'-41-414
PLUMBING
ELECTRICAL '—' ., r� ISSUANCE D TE
MECHANICAL eLDc.� ELECT. 'PLG. MECR.
' � ..1 Int -❑ Lrl
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED k 1 -`BUILDING PERMIT
INFORMATION
WOOD FLOOR vnwnn DN $OFT.
PLUMBING - - ,
MECHANICAL t'
PERMIT TO
- ELECTRICAL
FRAMING _ c/( �•J {�
INSULATION STORIES; -TYPE CONSTR.
_ OCC. ROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED /
ROOF - so.FT FLODR AREA TOTAL ACREAGE
DtAFqWAf
'BUILDINGUSE
1 HES IND CON PB OVIII
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ 0
ASSESSORS PARCEL NO.
ROUGH 3 _
PLUMBING _ ,8
TRACT NO. PARCEL NO,
GAS TEST _ - -
MECHANICAL /_8"f r as
ACC,DATE ACC.FILE NO.
ELECTRICAL i FINALS DATE INSP.
FRAMING SAN # 1,2/7ZONING ENG.SITE NO.
INSULATION PLUMBING
.AI GAS
FIRE SPRINK ENERGY T 2
MECHANICAL Y ❑ No Y ❑ ' N[:]
COVER NO WORK UNTIL ABOVE HAS BEEN SI NED HEATING
LATH—INTERIOR 10 — ELECTRICAL FLOOD20NE A,LUC.
LATH—EXTERIOR' �— ,� FIRE DEPT. YC NE' Yo NF]SHEETROCK GRADE A FEE SUMMARY
SHEAR INTERIOR. BUILDING r J BUILDING
SHEAR EXTERIOR TEMPORARY APPROVALS Vf
FIREWALLS ELECTRIC1 211:
PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM
I
- ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC'
P 0o ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING.
z e MECHANICAL
' - SEE PERMIT FOR EXPIRATION DATE -
IMPORTANT! -CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
i• OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
g, BUILDINGPROJECT IDENTIFICATI N PERMIT NUMBER
9UILnING _ APPLICATION & PERMIT
.4 aooaEss r J) BUILDING - ELECTRICAL-PLUMBING-MECHANICAL 13228
BOZ' T G�7z/C'/ /�QIC•sC�
OWNENS - nPLAN CHEGKVALIOATION
"A �^ OA' Ce _01 QTY. ELECTRIC PERMIT FEE �C9[
C. PHONE 7
CONTRACTOR
NAMUTLETS-SWITCHES-RECEP 10.00/1.00 �C3 low- _1A/V
/ `E � v
LIC.NO. �/O• j LIGHTING FIXTURES 10.00/1.00 yv_
CONTRACTORS S Shy/Ctt_ Q�o7o PPLIANCES-RESIDENTIAL 4.00DRESS
�6 U
ea . Q� ^ (i]'�PHONE _5SZ-' 07 PANELS 10.00 DATE OF APPLICATION
RCwiEOT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO.
OR
O
ENGINEER
LIC.No, SIGNS TRANS. 3.00
ADP ESS ENc. SPECIALCIRCUIT 5.0Q PERMIT VALIDATION
zIP EMP.METER OR POLE INS. 20.00
APPLICANADDRESSTS - MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
w o o LICENSED CONTRACTORS DECLARATION 3 1313c -elk
/
a u 1 hereby affinn that I am licensed under provisions of Chapter 9 ,� ISSUANCE DATE
N< (commencing with Section 7000)of Division 3 of the Business and BLDG s�kfUm,S I PLG. MECH.
F -� Professions Code,a my license is in full rune,u ,Trent. ,I ❑ ❑
Z o m - License('J Lic.Number 7 2
9 w Date In Contractor
a m BUILDING PERMIT
¢ ¢ OWNER-BUILDER DECLARATION
INFORMATION
w H 1 hereby affirm that I am exempt from the Contractor's License
MISC.- REFER TO ORD
u04 Law for the following reason.(Sec.7031.5,Businevsand Professions PERMIT ISSUANCE 1000 VALUATION SIFT.
r W Code:Any city or county which requires a permit toconstruct,alleq �����
¢
. < p Improve,demolish,or repair any structure,prior to its iManC,also ELEC.CONTR. ' LIC.NO. ELEC.
- 0 at requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO
n w he Is licensed pursuant to the provisions of the Contractor's License n� p
La.(Chapter 9(commencingwith Section 7000)of Division 3 ofthe
at Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE
¢ = $ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
e ; by any applicant for a permit subjects theapplicant to a civil Penalty ) 5
of not more than five hundred della.($51x1gLTER-DRAIN&VENT-WATER (EA. .00
1.): "Z �'•
❑ 1,as owner of the property,or my employees with wages to 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,GOND. 5.00
Code:The Contractor i License Law does not apply to an owner of
property who builds or improves themon,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. '
menti 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 yearof completion, the owner- GAS-EA.SYSTEM-OVER 4 IEA.) 2.00
builder will have the burden of proving that he did not build or im- BUILDING USE
prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CDN PB oma
❑ 1,as owner of the property,am exclusively contracting with 30 ❑ ❑ ❑ '❑
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 an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 b �/ 7 -Q
contracts for such projects with a contractors)licensed pursuant to
the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO./ PARCEL NO.
❑ lam exempt under Sec. ,BAP.C.for this WATER HEATERW/VENT 6.00 7��`/
reason ///---
Owner Data WATER SYSTEM 5.00
ACC.DATE ACC.FILE NO.
WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate of consent to selFinsure,
or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE N0.
copy therG,p((S�w Bg00,Lab.C.). - /-�
Policy NdA�L'LIe Company
O ❑ Certified copy is hereby fu i e . FIRE SPRINK ENERGY T-24
Z Z ❑ Certified a p is file l city inspection division.
ppPlic,nI �- MISC.- REFER TO ORD. Y❑ NF] N[]~ va PERMIT ISSUANCE 10.00
LU - CERTIFICATE COMPENSATION
WORKERS' FLOOD ZONE A.L.U.C.
EL EL COMPENSATION INSURANCE. PLO.CONTR. LIC.No. PLD. YF] N❑ Y❑ N[]_ (This section need not be completed if the Permit is for one TOTAL
hundred dollars(SI W)or Iesa)
U O 1 certify that in the performance of the work for which this per. QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL 1- colt is issued,I shall not employ any Person in any manner so as to
O W become subject to the Workem'Compensation Laws of California. BUILDING 6017
Date-Applicant ALTER OR ADD TO MECH. 5.00 sv v
NOTICE TO APPLICANT: If,after making this Certificate of Ex-
F Z emption,you should become subject to the Workers'Compe cation APPLIANCE 5.00 PLAN CHECK
Provisions of the Labor Code, you most forthwith comply with FEE
U such provisions or this permit shall be deemed revoked, AIR HANDLING UNIT(TO 10)000QFJVL) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 90
1 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,CP.C.). ' HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's
ender' Ns Addame HEATING UNIT(OVER 100,000 B.T.U.)8.50 ELECTRIC
Lress
I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00
information is correct. I agree to comply with all city and county PLUMBING
ordinances and stale laws relating to building construction, and BOILER-ODfPP(3 H.P.or 100,000 B.T.U.) 6.00
hereby authorize representatives of this city to enter upon the BOILER-COMP (oxer 100,ODOBTUI SEE FEE SCH. MECHANICAL
above-mentioned property for inspection purposes.
(We) agree to uve, inciemns and keep harmless the City of MISC.- REFER TO ORD. G
Cupertino against Eabililies,js ants, costs and expenses which CONST.TAX del U 010
may in any way accrue ga said City in Lvnsequ race of the PERMIT ISSUANCE 10.00
gran[ gof hpermi rn MECH.CONT. LIC.NO. MECH. q
(� 36 4 TOTAL TOTAL X 99 90
Sigmatism of Applicant/Contractor arDate