13479 POST THIS,CARD NEAR FRONT OF BUILDING i
r Mrf .f Pf HMIT NUMBER
CITY OF CUPERTINO
INSPECTION DIVISION 13479 ' ,
JOB INSPECTION RECORD _
PERMIT EXPIRATION
JOB ADDRESS 7806 FESTIVAL DRIVE UNIT# Lor# •`-I
PERMIT EXPIRES IF WORK
OWNER WILLIAM DAY CO CONTRACTOR WILLIAM DAY CO IS NOT STARTED WITHIN
INSPECTION DATE INSP TOR INSPECTION RECORD ' 180OAYSOFPERMIT ISSU-
FOUNDATION ANC. OR 180 DAYS FROM
UFERLASTCALLED INSPECTIOI*-I'
' . � _ - '
PREGUNITE PERMIT VALIDATION
IA ez
- P R NO CONCRETE UNTIL ABOVE HAS BIFEN SIGNED
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL a - Pih� Al 'S IVVE
MECHANICAL , R ELEC PLG. MECH.
[:1 ❑ ❑
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR VALUATION S/FT.
PLUMBING (..
MECHANICAL _ -
ELECTRICAL C` RMIT roi /
FRAMING
STORIES TYPE CONSTR.e.
INS ATION -
_ r�
OCC.GROUP RES.UNITS
' j }
PLACE NO SUBFLOOR UNTIL ABOVE NAS BEEN SIGNED
50 FT.FIWfl AREA TOTAL ACREAGE
ROOF a
DIAPHRAGM
BUILDING USE
' • RES IND CON PER Oinry
El El
APPLY,NO ROOFING UNTIL ABOVE HAS BEEN SIGNED D`AsEl PARCEL No.
ROUGH
PLUMBING _ S.
GAS TEST7 ID ry .TRACT NO. PARCEL NO.
MECHANICAL —/S= p9 ACC.OATE ACC.FILE NO.
ELECTRICAL _2. _ FINALS DATE INSP.
FRAMING SAN # L-1412 do
INSULATION 3✓1 - Ip 1 PLUMBING zoNlNc ENG.SITE No.
GAS'
MECHANICAL ,✓; FIRE SPRINK ENERGY T 24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y [] NE] I Y ❑ NE]
FLOOD ZONE A.L.U,C,
LATH—INTERIOR _ 'gll
& ELECTRICALN.0 Y N[]LATH—EXTERIOR ��,�/� FIRE DEPT.
El SHEETROCK Ila Zo '� GRADE FEE SUMMARY-
SHEAR INTERIORp,.*2/-f7 BUILDING _
BUILDING
SHEAR ExrER1oR /0, 5=f TEMPORARY APPROVALS
FIREWALLS ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE • =�
UCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUI LDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
LU WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
00 PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z MECHANICAL
- SEE PERMIT FOR EXPIRATION DATE - '
IMPORTANT! CONST.TAX c:• J
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 IDENTIFICATION - PERMIT NUMBER
BUILDING APPLICATION & PERMIT
.-y. AODR err W L BUILDING- ELECTRICAL-PLUM13ING-MECHANICAL 13479
I OWNER' OIY. ELECTRIC PERMIT FEE
S CJ ( PLAN CHECK VALIDATION
• "AME
PHONE
CONTRACTORS
NAME / UTLETS-SWITCHES-RECEP 10.00/1.00
mull-M Lot_ .NO 1110771 LIGHTING FIXTURES 10.00/1.00 YVl
coNTRACTOR's PPLIANCES-RESIDENTIAL 4.00
ADDR 53 / .(,�yy�
O C�LoKRD PHONE stJ'JU/ 6 PANELS 10.00 DATE OF APPLICATION
ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C,NO.
OR
ENGINEER
Sac,No. SIGNS TRANS. 3.00
ARCH
ENG, SPECIAL CIRCUIT 5.00 P LIDATION
ZIP TEMP.METER OR POLE INS. 20.00 /]
APPLICANTS MOTORSSEE FEE SCH. t'
ADDRESS
SERVICE CHANGE 20.00
o o LICENSED CONTRACTORS DECLARATION
a v U I hereby of ino that I am licensed under provisions of Chapter9 DANCE DATE
w rt (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH.
F
0'. Professions Code,a my license is in full force q�f L. A
z o 2 - License a LC.Number �(� /J El ❑
o H O Dam ContractorAyl
`a y ••A D BUILDING PERMIT
s Ic ce a OWNER-BUILDER DECLARATION INFORMATION
oAea MISC.- REFER TO ORD
X ; w 1- I hereby affirm that I um exempt from the Contractor's License VALUATION S/FT.
r .. o a Law for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10.00
Code:Any city or county which requires a pennit In construct,alter,
IC ¢¢o improv,,demolish,or repair any structure,prior to its Mayotte,also EIEC.CONTR. LIC.NO. ELEC.
D LL requires the applicant for such permil tD file a signed statement that TOTAL PER MIT TO
A. whe u licensed pursuant to the provisions of the Contractor's License
i ��� w
iiLaw with Section 7000)of Division 3 ofthe
a Bminea and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE
1 O the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
n ;$ by any applicant for a pennit subjects the applicant loo civil penalty ALTER-DRAIN -WATER (EA.) 5.00
of not more than five hundred dollan(S500)J: �J '✓ '\
❑ I,as owner of the property,or nsy employ...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 offemd For salt (Sec. 7144, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00 7�- 3
Code:The Contractor's License Law does not opply m An owner of
e property who builds or improves ym,thereon,vid who docs such work FIXTURES-PER TRAP 5.00 sa� �R aRgA TOTAL ACREAGE
himself m Through his own mered for s provided that such int building
�`JJ jfj
mems ere not intended or offered for sale.It,however,the building GAS-EA.SYSTEM-I1NC.40UTLETS 6.00
or improvement is Sold within one year of completion, the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING,USE
builder will have the burden of proving that he did not build Sar int- RES IND CON PB Omer
prove for purprse.(Sale.). INDUSTRIAL WASTE INTER. 30.00
❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑
licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESBORSPARCELNO.
and Professions Code:The Contractor's License Law does not apply
to an owner of property who builds or improves tmrcon.and who LAWN SPRINKLERS-OVER 5(EA.) 1.00
contracts for such projects with a conlractolls)licensed pursuant to
the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
❑ lam exempt under Sec.-,B.&P.C.(or this WATER HEATER W/VENT 6.00
on
Owner Date WATER SYSTEM 5.00
ACC.DATE ACG FILE NO.
WORKERS'COMPENSA9'ION DECLARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate of conunt to self-insure,
or a certificate of Workers Compensatiorn Insurance,or a certified ZONING ENG.SITE NO.
copy thereof(Sec.3800,Lnb.C.)�� ) r�L G
Policy No. Company l//Aa
❑ Certified copy is hemby famished. FIRE SPRINK ENERGY T 24
Z Z ❑ CerliO' n y - Ee�ills the�ly _ipSpec iu division. ❑ ❑ ❑
O 'Applicant y��( MISC..- REFER TO ORD. Y NE] Y N
~ w PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.c.
Cr
CERTIFICATE OF EXEMPTION TINS PROM WORKERS'
lL COMPENSATION INSURANCE PLG.coerR. LIC.N0. PLG. Y[:] Is❑ Y E] N❑
� Z (This section 10 not be completed if the permit is for one TOTAL
hundred dnllvrs lS 1001 or IessJ
U O 1 certify that in the performance of the work for which this per. OTV. MECHANICAL PERMIT FEE FEE SUMMARY
LL I- mit is.issued,I shall not employ any person in any manner.,as to
U become object to the Workers Compensation Laws.f California. S.D
Do Datc ApplicantALTER OR ADD TO MECH. 500 BUILDING S--_
} N NOTICE TO APPLICANT: If.after making this CenflFwiae of Ex-
. .
F Z emption,you should become subject to the Workers'Compensation APPLIANCE _ 5.00 PLAN CHECK
provisions .f the labor Code, you must forthwith comply with FEE
U such provisions or this pennit shall be deemed revoked. AIR HANDLING UNIT(TO IOSMCF.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIC FEE s3S
1 hereby affiml that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00
the suformance
MICROFILM
Iormance of the work for which this permit is issued fSec. HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name H EATING UN IT(OVER 100,000 B.T.U.)9.50
Lender's Address ELECTRIC
I certify that I have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00
information is correct. I agree to comply with all city and county PLUMBING
ordinances and state laws relating to building constmetion, and BOILER-COfrP(3 H.P.or 100,000 B.T.U.) 6.00
hereby authorize representatives of this city to enter upon the BOILER-COMP(Ow.100,000 BTU)SEE FEE SCH. MECHANICAL
above-mentioned property for inspection purposes.
(We) agree to Save, indemnify and keep harmless the City of MISC.- REFER TO ORD. t10
Cupertino against abilities,l cots, costs and expenses which CONST.TAX
may in I way, o Said City in consequence of the PERMIT ISSUANCE 10.00
gsantln . its nn 7MECH.CONT. LIC.NO. MECH. q
8,-r1/
TOTAL TOTAL 9�/ �5
Si ! ]karst/C.r14 0rt Date /
OFFICE COPY