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18411 I POST THIS CARD NEAR FRONT OF BUILDING Sflf / CITY OF CUPERTINO PERMIT 18411 INSPECTION DIVISION JOB INSPECTION RECORD 6/ !�� IIQN/r.0 rEJ�rl PERMIT EXPIRATION JOB ADDRESS�y"""'O —l>V �N"t Wil�"�E•U NIT# _LOT# PERMIT EXPIRES IF WORK owme" CONTRACTOR IS NOT STARTED"WITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 180 DAYS OF PERMIT ISSU- FOUNDATION U,E 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 GARAGE SLABS CUPERTINO STANDARDS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PAM, PLUMBING (10 `� ELECTRICAL At1l� t)I11989 'l .�•Y ISSUANCE UArE MECHANICAL 131-06. ELECT PLD, mFCR. Gia�cuQ ino El ❑ 'c ❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT. :, WOOD FLOOR INFORMATION PLUMBING VALUATION MECHANICAL ELECTRICAL �r�– - -� - y.yy PERMIT TO FRAMING INSULATION STORIES TYPE CONSTR S L .0 ✓ 70 ODf }N OCG GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF I NOTE:NO FINAL INSP.SHALL BE MADE BEFORE su,r r FLOOR AREA +oinL nuunct .• DIAPHRAGM THE CONSTRUCTION TAX IS PAID - ROOF SHEATHING TU WG USE TIES WON PEI Utlm• APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED I FINALS.r. 'DATEi"('. INSP.': ❑ ❑ ❑ ❑ ❑ ROUGH ASSESSORS PARCEL NOS ANA PLUMBING ELECT.ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY TRACI NO. PARCEL NO, MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY .Acc.OAIE ;,_ ACC.FILE NO FRAMING ELECT.FINAL TEST INSULATION PLUMBING ZONING ENO-SITE NO. GAS TEST GAS MECHANICAL FIRE SPRINK ENE RGV 1 2 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ V ❑ N❑ EXTERIOR SHEWFIREDEPT. ELECTRICAL RELEASE FLOOD ZONE ALUC D' INTERIOR SHE ' ❑ N❑ YI] N❑ SHEERI O LGRADE 'i � ` ' FEE SUMMARYEXTERIOR LATHBUILDING INTERIOR LATdBUILDING P OVASCRAT CH COATELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE /y OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED', BUILDING INSPECTOR. r. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLEASE GIVE JOB ADDRESS WHEN PHONING. PLUMBING - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL ' IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL / !; APPLICANTS POSTING COPY I POST THIS CARO NEAR FRONT OF BUILDING PEAT CITY OF CUPERTINO . $41 r INSPECTION DIVISION _ J BINSPECTION ECORD JOB ADDRB$SYCfLt'/__1/ 1 UNIT# _LOT# PERMIT EXPIRATION PERMIT EXPIRES IF WORK OWNER 0 RACTOR IS NOT STARTED WITHIN INSPECTION DATE !INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION ANCE OR 180 DAYS FROM NOTE: L'ASTCALLED INSPECTION. UFER' - ALL GRADING AND DRAINAGE SHALL BE INSTALLED _ PR EGUNITE 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 ?AM (�/ /� � PLUMBING 4 l� 1 ELECTRICAL AuLi 07989 ISSUANCE DATE MECHANICAL Rwc eLECT. PL; MECH. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION SIFT. •- _ MECHANICAL . ELECTRICAL PE Mn TO FRAMING 'INSULATION. p E,y.�s,� _ sroRlEs TYPE CONSTR. d/0—OV•/ / .y J OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE'NO FINAL INSP.SHALL BE MADE BEFORE SO.FT.FLOOR AREA TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID - ROOF SHEATHING RES USE ' RLS INDO CON,P.R:m`,rvLWn.-�A: APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALSDATE INSP. ❑ El ❑ El El SAN.k ROUGH ASSEssoRS PARCEL NO PLUMBING ELECT.ENERGY TUBS&SHOWERPAN - PLUMBING ENERGY IHACI NO 77AICELNO MECHANICAL MECH.ENERGY ELECTRICALACC.DATE ACC."LE.NO BUILDING ENERGY -., FRAMING ELECT.FINAL TEST, INSULATION PLUMBING .ZONING ENG.SITE NO. GAS TEST - GAS MECHANICAL FIRESPRINK ENERGY T.24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ` ❑ N❑ . ❑ N❑ EXTERIOR SHEARELECTRICAL RELEASE FL000 zorve A.Lc. INTERIOR SHEAR FIRE DEPT. Y E] N❑ v ❑ N❑ SHEETROCK GRADE EXTERIOR LATHBUILDING FEE SUMMARY INTERIOR LATH TEMPORARY APPROVALS BUILDING /"— SCRATCH COAT ELECTRIC. PLAN.CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED occuPANcv I I SEISMIC FEE ' OCCUPANCYQF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM ✓- ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. �9, - SEE PERMIT FOR EXPIRATION DATE'- MtCWANICAL IMPORTANT! CONST. TAX PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION'. TOTAL OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN-ONLY BU I LDING PROJECT-IDENTIFICATION PERMIT NUMBER B ADILDIN DRESS �O &n►DIwG- 8 APPLICATION & PERMIT °� 18 411 Rod BUILDING -ELECTRICAL-PLUMBING-MECHANICAL OTL D WNER � " ' PLAN CHECK VALIDATION NAME V QTY. ELECTRIC PERMIT FEE PHONE n°N ' T V U:ej ecu"BI OUTLETS-SWITCHES-RECEP 10.00/1.00 wn cic.No LIGHTING FIXTURES 10.00/1.00 f,ONTRACTORs APPLIANCES-RESIDENTIAL . 4.00 ADDRESS AA'�R1� �A'06E -' PANELS 10.00 DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.NO. OR }A� /^1 ////��l PANELS (OVER 200 AMP) 20.00 ENGINEER �� ` , ss- hyo L SIGNS TRANS. 3.00 ADDRRESS ENG. SPECIALCIRCUIT 5.00 PERMIT VALIDATION SZIP EMP.METER OR POLE INS. 20.00 ADDRESS AMOTORS SEE FEE SCH. SERVICE CHANGE 20.00 o 0 z S A T Foo LICENSED CONTRACTORS DECLARATION (�Y�- L&l a u v I hereby affirm That 1 am licensed under provisions of Chapter 9 a i (ennumencing will SecNnn 7000)of Division 3 of the Basingss and ISSUANCE DATE l/Y_ BLDG. PL F o z Professions Cod h y inlull f ECH. (j f ❑ ❑ELECT, ❑ o0 v°i o License CO- ce is Oin Lie.Numbe - F N F J Uale �. Contraeto _ ¢ w a OWNER-BUILDER DECLARATION BUILDING PERMIT wo a " INFORMATION I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD FLL0`� Luw for the following reason.(Sec.9031.5,Business mhd Professions PERMIT ISSUANCE VALUATION $/FT. Code:Any City m county which requires a permit ID construct,atler, 10.00 It Q 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEIl o LL requires the applicant for such permit to file a signal statement that TOTAL ' w m he is licensed Pursuant m the provisions of the Contractor's License PERMIT TO}�r`�` r FZQLaw(Chapter 9(commencingm'ith Section 70000of Division 3 ofthe 5 ell Vt`\J• k i o Buoress and Professions Code)o,.thiet he isexempt theucl'rom and OTY- PLUMBING PERMIT FEE F es the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant too civil penalty of not more than five hundred dollars(S500).): ALTER-DRAIN& VENT-WATER IEA.) 5.00 ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 Oce. (heir sole compensation,will do the work,and the structure is not GROUP RES.UNITS__ end inted or offered for sale (Sec. 7044. Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Comraclor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5,00 50.FT.FLOOR AREA TOTALACREAGE himself or trough his own employees,provided that such inlpro c melts are not intended or offered for sale If,however.the building GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is 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.). INDUSTRIAL WASTE INTER. 30.00 "RES IND CON PB Omer ID 1.as owner of the property.am exclusively contracting with e F-1 [__1 ❑, ❑ ❑ licensed contractors to construct the project(Sec. 7044, Business LAWN SPRINKLERS-1 INC 6 V.B. 8.00 AssEssoas PARCEL NO. and Professions CodThe Contractor,License Law does not apply to an owner of property who builds or inquovus thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 contracts for such projects with a enntracions)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00_?1_00TRACT NO. PARCEL NO. ❑ lura exempt under Sec._,B.&P.C.for lLi> onWATER HEATER W/VENT 6.00 Owner Dam WATER SYSTEM rj,gB ACC.DATE ACC.FILE NO. WORKERS'COMPCNSATION DECLARATION WATER TREATING EQUIP. 5.00 I herchy affirm that I have a certil'icateofenownt toself-insure. or a certificate of Worker,'Conlpcnsmion Insurance,or a certified ZONING ENG.SITE 10. copy thercof(Sec.3800,Lab.C.). - policy Nb. Company 0 r,❑/Cr:rtiI d opy is herchyI Is d. FIRE SPHINK ENERGY T24 Z Z yt Ccrlif- c d it tl i 'n. thin division. FO APp icmu ,�,� _ MISC.- REFER TO ORD. Y ❑ N❑ Y ❑ N❑ w CERTIFICATE 01'EXEMPTION FROM WOI RS' PERMIT ISSUANCE 126 00,1D.BQ FLOOOzoNE A.L.U.C. LU > COMPENSWION INSURANCE PLG.CONTR. LIC.N0. PLO. ,y( C O (This section need not be completed if the permit is for on, TOTAL /p(J Y❑ N❑ v❑ ❑ ::) Z hundred callars(S 100)or less) N 00 I certify that in the Performance of me work for which this per TY.OMECHANICAL PERMIT FEE FEE SUMMARY LL F- not is issued,1 shall not employ any person in any manner so as to O W become subject to the Workers'Compensation Laws of California. D. Date APPLAppliICANT; I ALTER OR ADD TO MECH. 5.00 BUILDING �- } D. DNOTate ICF TO.AI'I'LICANT: If,after making this Q•rt ificale of Ex F 2 emption,you should become subject to the Workers'Compensation APPLIANCE provisions of the Labor Code, you must forthwith comply with 5.00 PLAN CHECK U such provisions or this permit shall he deemed revoked. AIR HANDLING UNIT(TO iOXGC.F.M.) 4.00 FEE CONSTRUCT ION LENDING AGENCY AIR HANDLING UNIT(OVER 1000C.F.M.) 6.00 SEISMIC FEE I hereby ullom that there is a mrotruction 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 I.cndef,Address HEATI NG UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 1certify that I ba,vmadthisapplication and state Unit atheabove VENTILATION FAN (SINGLE) 4.00 information n correct.I agree to comply wish all city and county PLUMBING ordinances end state laws relating to building coater ion, and BOILER-COMP I3 H.P.or 100,000 B.T.U.) 6.00 _ 160 hereby authorize representatives of this city es enter upon the above-mentioned property comfy and keep hxs. BOILER-COMP (Over t0O,O0o BTU)SEE FEE SCH. MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which CONST.TAX / ay in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 'matin of thh' a niL� MECH.CONT. LIC.NO. - MECH. _ 7 gl TOTAL . TOTAL Signain e o Apphcan t/Contractor Dae / OFFICE COPY