C 8654 POST THISCARD NEAR FRONT OF BUILDING
/ PFRVI CNUMBER
CITY OF CUPERT'INO. ... ' $654
INSPECTION DIVISION
JOB INSPECTION RECORD ' '
• _ PERMIT EXPIRATION
JOBADDRESS ✓ K �-`� UN # .l CYr#
' - PERMIT EXPIRES IF WORK..
OWNER CONTRACTOR ISNOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPEC N RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION - ANCE OR 180 DAYS FROM
LIFER
LAST CALLED INSPECTION.
PR EGUNITE
PERMIT VALIDATION
� .. �-
OR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING ' - ,((!! •- ."
ELECTRICAL y. ISSUANCE DATE
MECHANICAL B D . ELECT. PLG. MECH.
❑ ❑ ❑ ; . .
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WINFORMATION
WOOD FLOOR -
VALUATION. $IFT.
PLUMBING
MECHANICAL
ELECTRICAL - -PERMITTO
FRAMING
INSULATION - - "s RIES Iry PE'CONSTR:,�
_OCC.OR -RES.UNITS-
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED. - v
ROOF - ,SO.FT.FLOOR AREA TO ACREAGE
DIAPHRAGM -
BE IND IL CON usEPe ON',
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED - ❑ ❑ '� 1:1ASSESSORS PARCEL NO
ROUGH ... .. ' � � , . .
PLUMBING
GAS TEST TRACT NO. PARCEL N0,
MECHANICAL .
PCC.DATE ACC FILE NO.
ELECTRICAL FINALS DATE': INSP.' ,
FRAMING SAN.it '
ZONING ENG.SITE NO.
INSULATION PLUMBING '
GAS -
MECHANICAL FIRE SPRINK ENERGY T 24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING `. 'Y ❑ N[_ Y [:] ' .NE]
. ,
' LATH—INTERIOR ELECTRICAL FLOOD ZONE AL.0C.
LATH—EXTERIOR FIRE DEPT. Y❑ N❑ v.0 N❑
SHEETROCK GRADE .'FEESUMMARY
SHEAR INTERIOR' BUILDING 7.
SHEAR EXTERIORBUILDING
TEMPORARY APPROVALS
FIREWALLS - ELECTRIC PLAN CHECK
- ' GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE r�z
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM- -
ARRANGE FOR INSPECTION BY P =INSP.ECT116ON
ELECTRIC
_ o� ONE WORKING DAY BEFORE REQPLUMBING
PLEASE GIVE JOB ADDRESS WHEN? MECHANICAL'' SEE PERMIT FOR,EXPIRA1
' CONST.TAX
IMPORTANT!
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
BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
IWILDING
APPLICATION & PERMIT
A,7;'65 BUILDING -ELECTRICAL-PLUMBING =ME
CHANICAL ��R)g () 8654
OWNERS ' PLAN CHECK VALIOATION
Ni ME
.�� -QYQS OTY. ELECTRIC PERMIT FEE
N .1e s Ic PWNE
CONT L `Se r m t
NaME �JfJ�/- j" UTLETS-SWITCHES-RECEP 10:00/1.00 ^.
01 M.1 C uC.rno. LIGHTING FIXTURES 10.00/1.00 P'vD
CONTRACTORS
ADDRESS rn yl�p II PPLIANCES-RESIDENTIAL 4.00
3 PANELS 1000 MA Y10'
ATION
ARCHITECT PLAN CHECK FEP.C.NO.
DR PANELS (OVER 200 AMP) 20.00
ENGINEER /,,
I.C.No. SIGNS TRANS. 3.00ARCIT '`r °f ICU rt
ADDRESS EnG. SPECIALCIRCUIT 5.00 PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20.00
ADDRESS rS MOTORS SEE FEE SCH.
ADDRESS
SERVICE CHANGE 20.00
w
02 LICENSED CONTRACTORS DECLARATION TEMP.POLE 30.00
< U 1 hereby affirm that I am hcenud under provisions of Ch per 9 ISSUANCE DATE
commencing with Section 7000)of Division 3 of the Business and
o
B ELECT. PLG. MECN.
'^ Professions Code,and my license is in full force,a ffnet '
Linnse)Clasy�_Con Numhr eS IC]�1 - El E
, : i "
¢ ¢ IS a OWNER-BUILELR DECLARATION BUILDING PERMIT
w r I hereby afl7rm that I an exempt from the Contractor's LicenseMISC.- REFER TO ORD INFORMATION -
u O law for the following re,son.(SeC.703 LS,Businessand Professions VALUATION S/FT.
I- - PERMIT ISSUANCE 10.00
Code:Any city or county which rcquirtsv permit to coustncL after,
¢ 6 ¢ improve,demolish,or repair any strudurc,prior to its Issuance,eho ELEC.CONTR. LIC.NO. ELEC. (/(/OO•/
A wD u mean.the applicant for such permit to file a signed statement that TOTAL p MIT TO
w he is licensed pursuant to the provisions of the Contractor's License
Ha > Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe
¢ o Business mid P1.11cla,m,Cude)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE
IS I- the basis for the alleged exemption.Any violation of Section 7031.5 1 STORIESf TYWfONSTR,
a
by any applicant for a permit subjects the applicant toocivil penalty ALTER-DRAIN -WATER IEA.) 5.00
feet more than Ove hundred dollars(5500).):
❑ I,as owner of the property,or my employeeswith wages as BACK F LOW 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 Law docs not apply to an owner of
property who huilds or improves thereon,and who doessuch work FIXTURES-PER TRAP 5.00 SO.FT.PLOORAREA TOTALACREAGE
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-11NC.40UTLETS 6.00
or improvement if sold within one year of completion,the owner- , GAS-EA.SYSTEM-OVER 4(EA.) 2.00
builder will have the burden of proving that he did not build or im- BUILDING USE
prove for purpose of sale). ES IND CON PB Ouar
O Las owner of the property,am exclusively comractingwilh INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ 0, ❑
licensed contractors to construct the project(Sec. 7144,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 A55t: 5UH5PAHCEL 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 Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
❑ 1 am exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00
reas n
Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO.'
WORKERS'COMPBNSATION DIiCIARA'rION WATER TREATING EQUIP. 5.00
/1 1 hereby teof that I have a certificateCompensation
of meant or a cerrure.
6\X or a certificate
oaffirm of Workers'I have anotion Insurance ora certified ZONING ENG SITE NO.
Polliy theicy NTS"
� '&.1�9n1C`J`tn+e FIA 1Jp
❑ CertifisdcopyishrRbyfmmi0md. FIRE SPRINK ENERGY RZ4
Z Z ❑ CeN� �copy is Med ith the ci y inspection division.
� O Applicav�Q o£_Gsla ^) � _)If MISC.- REFER TO ORD. , Y � N� v � N�
CC rn CERTIFICATE 017 EX EMPTION FROM WORK-RS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C.
LU COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PW.
CLZ fThis section need not be completed if the permit Is for one TOTAL Y 1:1N� Y ry�
CJ O hundred doH..IS 100)or I..I
I certify that in the performance of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL U mit is issued,I Shall not employ any person in any nfanner so a to
become subject to the Workcn Compensation Laws of California. �s�• a...y
UJ
Date Applicant BUILDING /✓A ''/Vl
} m NOTICE 'f0 APPLICANT: IL after making this Certificate of nix- ALTER OR ADD TO MECH. 5.00
F Z emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK
provisions of the labor Code, you must forthwith comply with FEE
CJ such provisions or this pennit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER I0)000O.EbU 6.00 SEISMICFEE A�
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 HEATI NG UN IT(OV ER 100,000 B.T.U.)9.50 ELECTRIC
I mill,that 1 have fead Ihis.,plication and state that the above VENTILATION FAN (SINGLE) 4.00
ordinances is correct. 1 agree to comply with all city and county PLUMBING
ordinances and'slam laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.),6.00
hereby authorize representatives of this city to enter upon the BOILER-COMP (O1000o08TUl SEE FEE SCH:
above-mentioned properlver ,
properly or inspection purpo cs. MECHANICAL
(We) agree to save, Indemnify and keep harmless the City of MISC.- REFER TO ORD.
Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 1000 CONST.TAX
may in any way accrue against id City in consequence of the
gra of this permit MECH.CONT. LIC:NO. MECH. /J
�-) S TOTAL TOTAL
Signature o pplicant/Contractor Date 3✓-�
OFFICE COPY
REYES• CONSTRUCTION CO.
N.. .Stelling Rd.
Cupertino, Calif. .95014
Lic. #357718 408-255-6897
May 31, 1985 ECH U E D
City of. Cupertino U D
10300 Torre . Ave. MAY 311985
Cupertino, Calif. 95014 . BLDG. INSPECTION"DEPARTMENNT
CITY OF CUPERTINO
Att: Building Department:
This is to certify that the lathing and stucco
were replaced correctly'. at 21684- Granada Ave. Cuper-
tino, Calif.
First we did the lathing. We placed the paper
backing chicken wire; we pushed it in about '3 in. ,
or as far as we could, passing .the existing wire.
r - The next day..we did the scratching or first
coat. Two days after we did. the browning or second
coat .
The repair was done correctly.
Sincerely :; .
Antonio Reyes President