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14816 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF • CUPERTINO 14816 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOBADDRESS 20620 Homestead Road UNITS LOT# PERMIT EXPIRES IF WORK OWNER West Valley $$O in Ce R�ggAcroR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180,DAYS OF PERMIT ISSU. FOUNDATION ANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. UFER - ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF - PERMIT VALIDATION CUPERTINO STANDARDS. _ GARAGE SLABS . POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ` UNDERGROUND /SLAB PLUMBING .�3� U'0 6 � i I-1e ' ELECTRICAL - v ISSUANCE Dore MECHANICAL BLDG, ELECT I PLG. MEC.. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBINGVALUATION SIFT. • - MECHANICAL ' ELECTRICAL PERMIT TO FRAMING 1&d - C— INSULATION AP STORIES TYPE CONSTR. 1y " OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED . ., ROOF � NOTE:NO FINAL INSP.SHALL BE MADE BEFORE $OFT FLOOR AREA TOTALACIIEAGE, DIAPHRAGM THE CONSTRUCTION-TAX IS PAID PELLUCTRICAL HING BUILDING USE RES IND CON PB 0".., ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑ ROUGH ASSESSOR5 PARCEL NO. SAN.# ,j _ 'ELECT.ENERGY ERFIN - PLUMBING ENERGY TRACT NO. PARCEL NO L MECH.ENERGY L_ BUILDING ENERGYACC DATE ACE.FILE NO ELECT.FINAL TEST INSQLATIONPLUMBING ZONING ENG.SITE NO. GAS TEST GAS T MECHANICAL �, FiRE SPRINK ENERGY 12 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1HEATING ° "❑ Y ❑ N❑ MSHEAR .HEAR ELECTRICAL RELEASE FLOOD ZONE A U.E. EARFIREDEPT. Y ❑ N❑ v ❑ N❑ GRADE FEE SUMMARY TH BUILDING TH TEMPORARY APPROVALS BUILDING T ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE NAS BEEN SIGNED JOCCUFANCY . SEISMIC FEE OCCUPANCY OF BUILDING ISNOTPERMITTED UNTILBUILDING F'INAL ISSIGNED By BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F_ ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING <' z PLEASE GIVE JOB ADDRESS WHEN PHONING. - !' — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BmLmNG APPLICATION & PERMIT A AooREss BUILDING- 4 ELECTRICAL-PLUMBING -MECHANICAL 7�io C� ot��c 1r_fir3 RR 8 6 OWNEn'$ ry AME PLAN CHECK VALIDATION TV. ELECTRIC PERMIT FEE C IE'CT rJF�OP�'In 17pNE 7 CNANONTRACTORS UTLETS-SWITCHES-RECEP 10.00/1.00 'D •"*.FJ1-wr .No. I5bZ LIGHTING FIXTURES 10.00/1.00 ADDRESS oR's - PPLIANCES-RESIDENTIAL 4.00. ((1�`�T rY� "L a'�:p. <NV �1.1E,V'`N 1:. PHONE LI-." ` PANELS � 10.00 DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.NO. OR PANELS (OVER 200 AMP) 20.00 ENGINEER LIC.No. SIGNS TRANS. 3.00 ANCH Do ADDRESS ENG. SPECIALCIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 APPLICANT'S l oo�nEss� MOTORS ., SEE FEE SCH. 5,"y SERVICE CHANGE 20.00 00 LICENSED CONTRACTORS DECL RATION rt v v I hereby affirm that 1 am licensed under provisions of Chapter 9 y a n (commencing with Section 7000)of Division 3 of the Business and ISSUANCE DATE _ F N i LicenProfession,ehCod nJ my license isN full furarnde[fI¢L� - BLDG. ELECT. PLG. MECH. o f rn o License Gasz Lic.N actor_ El ❑ m F a Lute 1 Contracmr_ a a,M RM IT ¢w a OWNER-BUILDER UECLARA'fION BUILDING P A a A " - - INFORMATION w ;or y I hemhy xtfino that I am exempt from the Contractor's License MISC.- REFER TO ORD r LL o j Law for the following reason.(Sec.7031.5.Business and Professions PERMIT ISSUANCE VALUATION S/FT. Code:Any city or county which regains o permit to construct,alter 10.00 a ¢ a 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC NO. ELEC. o ¢ requires the applicant for such permit to file a signed statement that TOTAL e w m u. he is licensed pursuant to the provisions of tire Contractor's License PERMIT TO . HZa Law(Chapter 9(commencing with Section 7000)ofDivision 3 of the x o Business and Professions Code)or that he is exempt therefOTY. rom and . PLUMBING PERMIT FEE (T ¢ F m the basis for the alleged exemption.Any'violatiun of Section 7031 $ STORIES' TYPE CONSTR. a3 - by any aPPlicalu for a permit subjects the applicant to a civil penalty ALTER-DRAIN&VENT-WATE of not more than five hundred dollar,(S500).): R IEA.) 5.00 ❑ 1,as owner of Be Property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 their sole compensation,will do the work,and the structure a not OCC.GROUP RES.UNITS intended or offend for sale (Sec 7044, Business and Professions 6 DRAINS-FLOOR,ROOF,AREA,COND. 5.00 a4o.ca Code:The Contractor's License Law does not apply to an owner of )> property who builds or Improves thereon,and who does such work I FIXTURES-PER TRAP 5.00 ® SQ FT.FLOOR AREq himself or through his own employees,provided that such improve- TOTgL ACREAGE mentiare not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1INC.4 OUTLETS 6.00 OO , or on"mee...cut is sold within one year of 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- V BUILDING USE Prove for Purpose of,alc). INDUSTRIAL WASTE INTER. 30.00 - RBs IND coN PB ower ❑ 1,as owner of the property,am exclusively,contracting with licensed contractors to construct the project(Sec. 7044,Business ;zZ�, LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Caw 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 contractousl licensed pursuant to the Contracmr's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 Q TRgCT NO. PARCEL NO. ❑ tont exempt under Sea. ,B.&P.C.for this WATER HEATER W/VENT rcazon 6.00 tSk Owner Lam WATER SV STEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EO 5.00 1 hereby affirm that I have a certificate of consent to self-insure. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy 11•rggf IS+c '3800, C Policy ❑ er d co by lurnuhed. ' Z Z 5( CertiLiedn 11 11Yh ith the city inspection division. e 0 FIRE SPR INK ENERGY T-14 F p Applicant l o MISC.- ORD. r F NEJ V ❑ N❑ ir rn CERTIFICA' .:� o ENIPTION FROM WORKERS' PERM(T ISSUANCE, 10.00 IaOz =FLOA.L.0C. W > (This action neOM EN h TIONcomI tSURANChed if the permit is for one PLG.CONTR. LIC.NO. TOTAL v � ry ao � Z hundred dollars(S 100)or less.) L O I is issue that h the t vGPlnancc of the work for which this Per- TY. MECHANICAL PERMIT FEE FEE SUMMARY LL U mit is issued, I shall not employ any Person in any nlunner so as to become subject to the Workers'Compensation Laws of California. 0 n U:nc Applicant ALTER OR ADD TOMECH. 5.00 BUILDING } w NOTIC17 TO APPLICANT': If,after making this Certificate of Ex- ? eruption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK Previsions of the Labor Code, you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIC FEE I hereby a[finn that there is a construction lending agency I'or EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(See. MICROFILM 3097,Civ.C.). HEATING UNIT(MFERRD B.T.U.I 8.00 Lender's Name Lender's Address HEATING UNIT( 000 B.T.U.)9.50 ELECTRIC I certify that l have read this application and state that the above VENTILATION FE) 4.00 information is correct, I agree to comply with all City and county ordinances and state laws relating to building construction, and BOILER-CCM9P13H00B.T.U.) 6.00 PLUMBINGhereby authorise representatives of this city to emm upon the gDILER-COMPabovrmentioneA Property forinspection purposes. (OTU(SEE FEE SCH. MECHANICAL En We) agree to save, indemnify and keep harmless the City of MISC.- EFER TO ORD.ino against liabilitiesjudgments, costs and expenses whichCONST.TAX way accrue against said City in consequence of the PERMIT ISSUANC10.00 of IIs mit. MECH.CONT. MECH. x 5• TOTAL TOTAL atureo ,pp leant/Contractor Date OFFICE COPY /