4262 CITY 017 CLTUMNO INSPECTIOI! RECORD (Office Copy) �
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4262 10321 Greenwood Court
PI:PIAT Nn. SANITARY DIST. N0. LOT id0. ADI)PESS
Fire Repair Constant
PROJECT 01•11TER JOB SITE PFIONE NO.
PEM!IT ISSUED Date ELECTRICAL
Bui din
Date Insp.
Electrical Power Pole
PlumhiliL Underground
1lcchnnical Rou th idirin
Teml. Gas/('.lett. laffs
Solar Ceiling
Fire Sprinkler Fixtures Int/Ext
Sian flotors
Grounding
Mise. Temp. Power
Other
FINAI, INSPECTIONS Not Approved
Date Insp. µ..
PLUMBING
Electric Date Insp.
PLimbin g a' - Backf1ox:
Mechanical - - Underground
Solar Underfloo
Pool
Partial Rough f j-
Crading
_
Rough Complete
l'Innning Solar Rough
Fire De t. (dater & Insulation
Health 'Dept. '4a in Drain
Othern — R/of/S Drain
Other Ga
-CEXCe/' T CAn4c:r- [pANlc5" -- vi ire Other
F° n G^ R " ��UYLD12IC� ntNr Not Approved
Date Insp. W
Pad Certification
Foundation e n �l
Pre-GuniteX"SD Y e to Ss� •a
Slab-1lembrane Ducts & Insulation
Bond Beam Fire Dampers
Underfloor Girders fireplace
Floor Steel Grease Duct & flood
Tiedowns One flour Shaft
Diaphrams Condensate Drain
Seismic Bracing Equipment Anchorage
halls-Pan s Flues & Comb. Air
Frame Other
Lath off a a S4� �( 1, S� Not Approved
ilallboards Gn
Firewalls
Other P c e- C n T o U .v /T #/
Not Apnroved GIQ,(,Q ,N,H•� 103>1
S"e dlset0 M .,. Bmin�ss Forms, Inc:m`'
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APPLICANT TO FILL IN.INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
• - PERMIT NUMBER
-,r "`' BU I LDING PROJECT I DENTIFICATI ON
Y nUILOINs -VIP oil APPLICATION & PERMIT n
03 262
071; BUILDING-ELECTRICAL-PLUMBING -MECHANICAL `F
OWNER'S PLAN CHECK VALIDATION
�C "AME OTV. ELECTRIC PERMIT FEE
O' se DNE73r�/3
CONTRACTORSOUTLETS-SWITCHES-RECEP 5.00/1.00
uc,N. 396 a cP9LIGHTING FIXTURES 5.00/1.00
CONTRACTOR�s � '
ADDRESS
PPLIANCES-RESIDENTIAL 4.00 -
DREss
y'TE RD.E,;Zj'g L/9 YC PANELS "" 5.00 DATE OF APPLICATION
ARCHIiECiSIGNS - -- 6,00 PLAN CHECK FEE P.C.NO.
on 611 Z
ENGINEER
- uc.No. SIGNS TRANS. 3.00
AAR H. RDDRESS E"G SPECIAL CIRCUIT 5.00PERMIT VALIDATION -
. ZIP EMP. METER OR POLE INS. 15.00
APPLICANTS SCIA.
/'S
ACIDDR� '$ MOTORS SEE FEE SC . \UJ/y/J/vu
. 13 r J12', pS�_ SERVICE CHANG10.00
onto
Foo LICENSED CON]'RACI'OR5.111iCLA R,1T10N ry�
a v 1 hereby aflirTn that 1 am licensed under provisions of Chapter 9 XR d lC Q PAI y DAN/JCE DATE
vEi 2 i fcommcncing with Section 70001 of Divisimt 3 of the Bmincss and JaL BLDG. ELECT. PLG. MECH.'
F y Professions Cala a y lic,mse is in full for df t ❑ ❑
zo i �� Licun CI' Lic Nunthcr� '1 H
F Date G°m'on, City of Cupertino 1
F¢ m -a BUILDING_PERMIT
a OWNER-BUILDER DECLARATION
E:
3 LL F - 1 hereby affirm.that I am exempt from the Contractors License MISC.- REFER TO ORD VALUATION TION
g re. $/FT.
F u o a Law for the following anon.(Sec 7031.5.Business and Pro(cstions PERMIT ISSUANCE 6,00
Code:Any city or county which requires a permit to construct,alter, to
SE . 40improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC.
Ls
o e requires the applicant for such Permit to Gk a signed statement that TOTAL CZ{� PERMIT TO
w.S he is licensed pursuant to the provisions of the Contractors LiceLF,
F z i
Law(Chapter 9(commencing with Section 7000)of Division 3 of the /,�����iO-y+C-
4 Business and Professions Code)or that he is exerupt,therefroin uiul OTY. PLUMBING PERMIT FEE
SE I the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
d ; _ by any applicant for a permit subjects the applicant toa civil malty
of not or,than five hundred dollars(S500L)'. ALTER-DRAIN -WATER (EA.) 4.00 -
O I,is owner of the property,or my emplo,st,with wages us BACK F LOW PROTECT. DEVICE 2.00 - CC.GROUP 'RES.UNITS
their sol,compensation,will do tine work,and the structure is not --
intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND, 4.00
Code:'I'hc Contractor's License Law dos not apply to an owner of
Property who builds or improves thereon,and who docs such work F IXTUR ES-PER TRAP - - 4.00 SD.FT.FLOOR AREA TOTAL ACREAGE
himself re through his own ltered fors provided that however,t himprovo-
himefo throuhhisot or employee'.le..'I'd tat the building GAS-EA.SYSTEM-.11NC.40UTLETS 4.00
or improvement is sold within one year of completion,the own
builder will have the burden of proving that he did not build or inn GAS-EA.SYSTEM-OVER 4 (EA.) 1,00 BUILDING USE
prove for purpose of sale.). INDUSTRIAL WASTE INTER. 20.00 RES IND CON PB Om.,
- ❑ I,us owner of,thu pro DertY,um exclusively Conl rutting"with ❑ ❑ ❑ ❑ ❑
licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO.
and ProfessionsCode:The Contractor's Licemr Law docs 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 Omtractoro licensed pursuant to e
the Contractor's Licunw Law. SEWER-SANITARY-STORM EA. 200ft/8.00 TRACT NO. PARCEL NO.
❑ lam exempt under Sec. .B.SI'.C.for this
WATER HEATER W/VENT 4.00 -
reaso,
Dam - - Owner WATER SYSTEM 4.00 ACC.DATE ACC FILE NO,
WORK FRS'CO.MPENSAT]ON DECLARATION' WATER TREATING EQUIP, 4.00
I hemby.aflinn that I have E Certificate°f con.wnl to scl Gimurc, ZONING '
or a certificate of N11.�n(1�kk//c�D1.'Compensation IIP, ante, c,rti0ed -ENG.SITE NO.
PoItcY N r ( b3*'C,7ty,f'�AJ Lr��v�'•a_✓�
O Certiedcopy ishereby'fur shed. FIRE SPRINK ENERGY T 24
z Z Cenifi pyy is [fed Re ly the ay insjtectiun division.
� O Applicant YJ '1„� MISC.- REFERTOORD. Y ❑ N❑ Y ❑ N❑
CC T. CERTIFICATE 01'EXEMPTION'FROM WORK Ii RSA PERMIT ISSUANCE . 6.00 FLOOD ZONE A.L.U.C.
LU > COMPENSATION IN'SURAN'CE PLG.CONTR. - LIC(NO.CL PLG. v❑ N❑ v ❑ ❑
_ ('Phis section need not be Completed if the Permit is for one TOTAL N
hundred dollars(S 100)or Icss.)
U O I certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL I- mit is issued,I shall not employ any person in any manner ,as to
O become subject to the Workers'Compensation Laws of California:
U d Dxtc Applicant ALTER OR ADD TO MECH. 4,00 BUILDING
} to NOl'IC17 TO APPLICAN'C IL after making this Certificate of Ex- -
F Z emption,you should become subject to the Workers'Compensation APPLIANCE - 4.00 PLAN CHECK
po,i.ions of the Labor Code, you most forthwith entnply with FEE
U such provisions or this Pcmait shall be deemed revoked AIR HANDLING UNIT.(TO 10=CF.M.) 3.DO
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F-W 5.00 SEISMIC FEE.
I hereby affirm that there is a construction lending Egney for EXHAUST HOOD (WITH DUCT) 2.00
the performance of mit the work for which this peris issued(Sec. MICROFILM
3097,Civ.C.), HEATING UNIT (TO 100,000 B.T.U.) 4.00
Lee
Leer'"s NAdmr` s HEATING UNIT(OVER 100,000 B.T.U. 7.50 ELECTRIC
CTRCab OD
I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 3.00
e information n correct I agree ii comply with all city and county PLUMBING
oldleainformation
End state laws relating to building l city and co and ty ,BOILER-COMP(3 H.P.or 100,000 B.T.U.) 4.00
hereby authorize repr,s,mitnes of this city to enter upon the BOILER-COMP OV,,100,000 BTU)SEE FEE SCH. MECHANICAL
above mentioned property for inspection purposes.
(we) to save, in nify and keep hantless the City of MISC.- . - REFER TO ORD.
Cupcni t a Inst liubllit' !judgmen s, costs End espcoses which PERMIT ISSUANCE - - g 00 CONST.TAX
may i Y way ace against City .....
nse ucnce 1'the
gran it it ni MECH.CONT. - LIG NO. MECH.
' 9�q��e 3
TOTAL TOTAL. -Z .2 8�
Signature o(Appllcmrt/Com udor - Uate -
OFFICE COPY -
Cites of CWperti"o
10300 Torre Avenue P.O. Box 580
Cupertino, California 95014 Cupertino, California 95015
Telephone: (408) 252-4505
DEPARTMENT OF PLANNING AND DEVELOPMENT
• December 5, 1983
Mary Shannon
New Construction
Pacific Gas $ Electric
10900 N. Blaney Avenue
Cupertino, CA 95014
Dear Mary:
A permit was issued on 9/19/83 (Permit #4262), for reconstruction
due to fire damage at 10321 Greenwood Court. On 11/18/83, the approval
was called into P.G. F, E. from this office to release electrical utilities
for unit #1 at 10321 Greenwood Court. On a subsequent inspection made
by this office on 11/30/83, the inspector noticed that electrical meters
had been set at unite #2, and the two laundry rooms without approval by
this office.
This letter is to place you on notice that if those electric meters
for unite #2, and the two laundry rooms at 10321 Greenwood Court are not
removed immediately, this Building Department and the City of Cupertino
will not be responsible for any damage or injury to property or person.
Further, I am instructing the inspectors that no further electrical in-
spections be made until those meters are removed.
If you have any questions, please feel free to call the office.
Very truly yours,
CITY OF CUPERTINO
PJimt"West
Senior Building Inspector
JW/es
c.c. City Attorney
R F, D Restoration
Mr. S.C. Thomas, District .Manager, P.G. f F.
�' �a►rrr�a ��e�clGtica,L �a.
7287 MIDDLEBURY WAY
SAN JOSE, CA.95139 February 3, 1984.
TELEPHONE: (408) 227-9468
City of Cupertino
Building Division
10300 Torre Ave.
Gentlemen:
This letter is in compliance with your request for examination
of smoked damaged wiring left in appartments at 10321 Greenwood
Court. We did examine and tested it for any fire damage. All
wiring was clear of fire damage and tested out good.
Thank You.
Danya Electrical Co.
r
FEB B 9 -
1984
BLDG. INSPECTION DEPARTMENT
CITY OF CUPERTINO