Loading...
17628Ob! POST THIS CAR D.NEAR FRONT OF BUILDING � DIVISION CITY OF CUPERTINOYLO'T 1,JOB INSPECTION RECORDpPERMIT JOB ADDRESS��( ��V\d V`UN IT## - OWNER oOv-&I CONTRACTOR . SSC>WiP PEPM1IIT NUMBER �j%INSPECTION 17628 EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN _'180DAYS OFPERMIT ISSU- ANCE OR 180 DAYS FROM LASTCALLED INSPECTION. INSPECTION' DATE INSPECTOR INSPECTION RECORD - FOUNDATION - NOTE:. ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF -0UPERTINO STANDARDS. UFER PREGUNITE _ PERMI T' VALIDA ON II ` , `` ! _r ►iL1.;:.�. ISSUANCE DATE' � GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 1 n 14 'APR 14. 90. UNDERGROUND/ SLAB PLUMBING � -. Cly OF cupelow ELECTRICAL - - MECHANICAL - ., BLDG. ELECT I PLG. MECH DO NOT POUR FLOOR UNTILABOVEHAS BEEN SIGNED '' - .. BUILDING PERMIT INFORMATION _ WOOD FLOOR+ VALUATION S/ET. PLUMBING p ,(�•- � � MECHANICAL ELECTRICAL d1eV Q FRAMING INSULATION STORIES ' IYP,ECONSTR. - ` OCCGROUP 'RES -UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID SOfFr. FLOOR AREA TOTAL ACREAGE DIAPHRAGM ROOF SHEATHING BUILDING USE IN Res D 'cory PB O.., n ❑ El 1 ❑ ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGH SAN.# ASSESSORS PARCEL NO. PLUMBING p _ - f, - ELECT. ENERGY TUBS ROWER - - PLUMBING ENERGY - TRACT NO. PARCEL NO , MECHA MECH.ENERGY - ELECTRICAL BUILDING ENERGY ACC.OATE' : . ACCFILENO. FRAMING., - ELECT. FINAL TEST - INSULATIONtog PLUMBING ZONING ENG, SITE NO. GAS TEST :S - GAS - - - MECHANICAL' - FINE SPRINK � N� ENERGY T-74 v � NEI COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL RELEASE FLooD zorvE ' °.❑ N❑ A. L. - u C. ❑ N❑ INTERIOR SHEAR FIRE DEPT. SHEETROCKGRADE -. FEE SUMMARY EXTERIOR LATH - 'BUILDING' BUILDING ,,U INTERIOR -LATH _ TEMPORARY APPROVALS SCRATCH COAT, ELECTRIC PLAN CHECK- FEE ' NO•TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY '- 1 - SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERM ITTED UNTIL BUI LDING FINAL IS SIGNED BVBUI LDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ` DO! ONE WORKING DAY BEFORE REQUIRED INSPECTION-. z PLEASE GIVE JOB ADDRESS WHEN PHONING. -.SEE PERMIT FOR EXPIRATION DATE'-' ELECTRIC PLUMBING 'MECHANICAL CONST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION: TOTAL OFFICE COPY D a i r• o0 QUU N2w H 'n zo ion 4„I -w r-� IS af, w3 Ic a Pq u 0 a: fN > 0 a, A wLL r i r as I La a as i o a i ? C-1 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES = USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION - 1,a APPLICATION & PERMIT , BUILDING -ELECTRICAL- PLUMBING -MECHANICAL I PERMIT NUMBER A I G BUILDING ADDRESS 10 /.¢ A. i/6 A 7 !/ DMNER'S PLAN CHECK VALIDATION NA PRONE /i e�lT1 Y ✓� 2-/b4 QTY. ELECTRIC PERMIT FEE -, � DATE OF APPLICATION CNAME ONTRACTORS �7 -1 r� / L Uc.ND, 7 I L Ip OUTLETS =SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS AooREss �( , I�, �(� Q (� `( Ikl, M0J 4 IrONE S � PPLIANCES- RESIDENTIAL 4.00 PANELS 10,00 ogcwTEcr ENGINEER (: UC. NO. PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. No.. SIGNSTRANS. 3.00 AARCH. OR DDRESS ENG. SPECIAL CIRCUIT • 5.00 PERMIT VALIDATION ZIP TEMP. METER OR POLE INS. 20.00 I (] /L„TOx Uc(,� �T�L, 1 APPLICANTS ADORES$ ✓/r i�iL MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICENSIiD CONTRACTORS DECLARATION APR 41,i- „„ 1 hereby affiRr [Hill I tint Ilccnsed Under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Businessand Professions C1. y license is in full forQ 3 License CI I� Lic. Number.11976 Date ISSUANCE DATE ` BLDG. ❑ . ELECT. ❑ PLG. MECH. ❑ ❑ - - BUILDING PERMIT INFORMATION -Conlremor.// OWNER -BUILDER DECLARA N - 1 hereby affirm that I am exempt from the Cc Tactor s License Law lot the following macro (Sec. 7031.5. Businessand ProfessionsPERMIT Cale: Any city or county whichrequiresa permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also reclaims the applicant for such permit to file a signed collocent that he is licensed pursuant to the provisions of the Contractor's License MISC. - REFER TO ORD ISSUANCE 10.00 VALUATION D D $/FT. ' ' ELEC. CONTR. LIC. NO. ELEC. TOTAL PERMITTO a OTY. PLUMBING PERMIT FEE iheO(� Law (Charter 9(commencing with Seelion 7000) of Division 3o fill,-POA Business and Professions Code) or that he is exempt therefrom and \, Pe �O ✓\ the basis for the alleged exemption. Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a Civil penalty of not mom than five hundred dollars (5500).): ' gLTER-DRAIN-WATER (EA.) 5.00 ❑ 1, as owner of the property, or my employers with wages as it,c it rile compensation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 - intended or offered for sale (Sec. 7044. Business and Proomions Code The Contractor's License Law does not applyto an owner of ' FIXTURES - PER TRAP - 5.00 SO. FT. FLOOR AREA TOTAL ACREAGE property who builds or impro,c, thereon, .,,it It. dols -such work himi or through his own employees, provided that such improv,- mentsarenotintendedoroffered for Sale. If, however, lire building GAS- EA. SYSTEM: I I NC. 4 OUTLETS 6.00 or intproverent is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im- provcfor porposeofsale.). - - ❑ I, as owner of the property, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 (EA.) 2.00 BUILDING USE RES IND CON PB Other ❑ 0 ❑ 0 0 INDUSTRIAL WASTE INTER. 30.00 licensed contractors to mmtmct the project (Sec 7044, Business and Richtoions Calc:'I'he Convacmr's License Law docs not apply to an owner of property who builds or improves thereon: and who LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 - LAWN SPRINKLERS - OVER 5 (EA.) 1.00 ASSESSORS PARCEL NO. r - contracts for well projects with a contractors) licensed pursuant to the Contractor's Liccma Law. SEWER -SAN V -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under Sec. , BAP.C. for this WATER HEATER W/VENT 6.00 reason Owner Dat, WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP, 5.00 WORKERS'COMPENSATION DECLARATION 1 hereby IF. that I hive a certitieale of commGt m self-insum. or a ce 1 F', - he o ? Compensation Insu^�yce, ora rifled Popy W,rLllrac�; Compal c.7, C Policy No. Company_5 ❑ C,rift d cop, u h eIb furnish D Ce a file with the I ��}}..�� �4_ copy is y{ - yi jp inspc d///i��Ivisi n Applican`v ALV+-(' KN :�l.n- ZONING - ENG. SITE NO. / FIRE SPRINK ' YE:] N ENERGY T -Z4 V N MISC. - REFER TO ORD. CHR'I' INCA'(' COP EXEMPT IONF RUN WDRKI S 9 PERMIT ISSUANCE 10.00 FLOOOZONE A.LO.C. COMPIiNSATIONI NSURANCE I fhi-s section need nod be complctcd if the penlut is for ore Y ❑ NE) Y ❑ NO PLG. CONTR. LIC. NO. PLG. TOTAL hundred dsollars IS 1004 or les.) 1 certify that in the performance of the work for which this per- hilt is issued, I shall not employ any person in y "nota" so as to an - OTV MECHANICAL PERMIT FEE FEE SUMMARY BUILDING' , D become subject to the Workers' Compensation Laws of California. Date ApplicantALTER ALTEROR ADD TO MECH. 5.00 • • NO]T: IC� TO APPLICANIf, oder making Ilia Ccrificme of Es APPLIANCE 5.00 AIR HANDLING UNIT (TO 10=QF.M.) 4.00 PLAN CHECK FEE _ - m you should become subject to the Workers' Compensation provisions of the later Code, you must forthwith comply with such provision or this permit shall be deemed revoked. AIR HANDLING UNIT (OVER 10A0011F.M.) 6.00 SEISMIC FEE •IT -0 CONsfRUCHON LENDING AGENCY 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. 3097, CIv.C.L MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Address HEATI NG UNIT ER 100,000 B.T.U.) 9.50 ELECTRIC - - I certify that 1 have read this application and state that the aboveA TILATION FAN (SINGLE) 4.00 information n correct, I agree to comply with all city and county ordinances hod state laws miming to building construction, andER- PLUMBING CONP(3 H.P. or 100,000 B.T.U.) 6.00 (Over 100,000 BTU) SEE FEE SCH. MECHANICAL hereby authorise representatives ec this city es enter upon theER-COMP above-mentioned property efor inspection purposes, to. ON agree to save, indemnify and keep harmless `the City of, - REFER TO ORD. aper ino apei t U. ilio , j gments, costs and expenses which fay n any ru a I s iA City in conscq uencb of ll¢ res in of lhrs r 1. ! CONST. TAX PERMIT ISSUANCE 10,00 MECH. CONT. LIC. NO MECH. TOTAL TOTAL ign are A li ant/'o ractor D. s II OFFICE COPY