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18878APPLICANT TA FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT I DENTI FICATI ON _ APPLICATION & PERMIT BUILDING - ELECTRICAL- PLUMBING - MECHANICAL .PERMIT NUMBER 111 �7 ;>, I r BUILDING ADDRESS OwN "AM ` ONE QTY. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION --•'�~/J DATE OF APPLICATION DONTRA.TDRs A/ uc. ND, UTLETS-SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS (J PHONE APPLIANCES - RESIDENTIAL 4.00 PANELS 10.00 ARCHITECT DR ENGINEER LIC. NO. PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ARCH, OR ENG.PERMIT ADDRESSo zIP SPECIAL CIRCUIT 5.00 VALIDATIO /-„•R,//.q/,1.61.✓ - ISSUANCE DATE BLDGELECT. PLG. MECH. . ❑ Ell ❑ EMP. METER OR POLE INS. 20.00 APPLICANT'S • AD Ess • MOTORS ,SEE FEE SCH. - SERVICE CHANGE 20.00 LICENSED CON IRACTO DECLARATION 1 hereby attire Ilml I am lice d under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Professions Co C,: an my license is in full force d effect. Liccnsc Class _ Lie Number Date_!/�/V_ Conlractor.5'7G� /�" 1 OWN it I am exempt t fromDECLRATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason. (Site 7031.5. Business and Professions Code: Any city or county' which requiresa permit to construct, alter, improve, demolish, or repair any StruCtme, prior to its issuance, also requires the applicant fol -such permit to file a signed stat Cn,enl that he is licensed pursuant to Lite provisions of the Contractor's License Law(Chapter (Commencingwith Section 7000)of D ivisionJ of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Scdion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty- ofnolmore than five hundred dollsfs(S500).): ❑ I, as owner of the property, or my employees with wages aspe their sole comnsmiun, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of Property who builds or improves thereon, and who docs such work himself or through his own employees, provided that such improve - ments are not intended or offered for sale, If, however, the building or improvement is sold within one year of completion, tire owner- builder will have the burden of Proving that he did not build or on- prove for purpose of sale.). O 1, as owner of the property, an, exclusively contracting wily licensed contractors to construct the project (Seo. 7044, Bminess and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves Ihercon, and who contracts for solely projects will, n Contractor(.) licensed pursuant to theConlractor'sLicenseLaw, ❑ I am exempt under Sec. 1B.&P.C. for this reason PAIC -NOV141989 BUILDING PERMIT INFORMATION MISC. - •y,r rf n,RE TO ORD PERMIT ISSUAN E' - 10.00 VALUATION CY^�� •+ O S/FT. ELEC. CONTE. LIC. N0. - ELEC. TOTAL /I /j('J�r�//iL PER IT TO QTY. PLUMBING PERMIT FEE ALTER -DRAIN -WATER IEA.) 5.00 STORIES TYPE CONSTR. BACK FLOW PROTECT. DEVICE 4.00 Oce. DEOUP RE6. u"Yrs DRAINS -FLOOR, ROOF, AREA, COND. 5.00 FIXTURES - PER TRAP 5.00 GAS-EA.SYSTEM-11NC.40UTLETS 6.00 GAS - EA. SYSTEM -OVER 4 IEA.) 2.00 SO. Fr. FLOOR AREA TOTAL ACREAGE BUILDING USE RES IND CON Pa Other ❑ ❑ 0 0 ❑ INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO, ' LAWN SPRINKLERS - OVER 5 (EA.) 1.00 - SEWER -SA NITAR V -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. WATER HEATER W/VENT 6.00 Owner Dace WATER SYSTEM 5.00 WORKEiRS'CO.MPENSATION DECLARATION I hereby affirm that I have a ceriifniltc of consent to selG' sure. or a certificate of Work • s' C ...anion Ill or or When Policy w1i o PlAic, N , vn ACC. DATE ACC. FILE NO. WATER TREATING EQUIP, 5.00 ZONING ENG. SITE NO. _ Certified yis hereby forms hFIRE Cerlihc copy is Filed wit Applicant c city in tio -n isi m. SPRINK Y[:] NEI ENERGY 1.24 YE] NC] MISC.- REFER TO ORD. _ CERT FICATE OF i -xi :NIT )N PROM WORKERS' COMPFNSATTO INSURANCE lie section need not be completed if the permit is for one hundred dollars IS 100) Pe form work for which this per- I certify that in the to employ of person mit is issued, I to the W employ any person in any manner co is to hecomc subject to lire Workers' Campensal ion Laws oC Culilbrniu. DatNO ICAN1:art NOTICE '1'O API'LICAN'I : If. alter making This Certificate of lix- emption, you should become subject the workeri Co,npensation of the Labor Code, you must forthwith Comply with such provisions or this permit shall he deemed revoked, CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for lire perforn am, of the work for which this permit is issued (Sec. 3097, Civ C.). Lender's Name Lender's Address I certify that 1 have read this application and stale that the aboveLATION is correct. I agree to comply with all cit ad countyPLUMBING ordinances and stale laws relating to building co truce t, and- amhuriec represenlalives oC this city t .ter on theabove-mentioned properly for inspection purpo (W.) a• ': r,indem y nd keep arm] he City ofREFER against hdi ties, dgn arts, c s an peroses whichCONST. ayany w crue Starts, aid C' in c e luence of the ol'IhispennlL PERMIT ISSUANCE 10.00 FLOOD ZONE V N� A.L.U.C. v N� PLG. CONTE. LIC. NO: PLG. TOTAL QTY MECHANICAL PERMIT FEE FEE SUMMARY BUILDINGg7O ALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 AIR HANDLING UNIT (TO 10=CF.NL) 4.00 PLAN CHECKprovisions FEE AIR HANDLING UNIT(OVER 10=CF.M.) 6.00 SEISMIC FEE EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM ELECTRIC G U NIT (TO 100,000 B. T. U.) 8.00 NG UNIT(OVER 100,000 B.T.U.)9.50 FAN (SINGLE) 4.00nomination COMP(3 H. P. of 100,0008.T.U.) 6.00hereby -COMP (Over 100,000 BTU) SEE FEE SCH. W MECHANICAL TO ORD.uperti ISSUANCE 10.00mntit TAX LIC. N0 MECH. TOTAL TOTAL Si are of Apph rn/C In for LVtc OFFICE COPY POST THIS 'CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD - JOB ADORES (p ( G`V/ GES T _LOT# U�N�{ OWNER CONTRACTOR y� PERMIT NUMBER 1887 8; PERMIT EXPIRATION --'}%'rr'// PERMIT EXRFRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU. ANCE OR 180 DAYS FROM LAST CALLED INSPECTION. INSPECTION DATE INSPECTION RECORD INSPECTOR FOUNDATION " NOTE: ALL GRADING AND. DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF STANDARDS. - LIFER PR EG UNITE P RnRT OVIR kOUCUPERTINO ISSUANCE DATE GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNEDUNDERGROUND/SLAB PLUMBING,._ ELECTRICAL MECHANICAL IVUV .; W�_ B�LyDSc/ ICJ ELEc r, : ❑ - Pu.. mecR • ❑ ❑ ' DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED �jt^ !" -"' ' ' °" - BUILDING PERMIT INFORMATION WOOD FLOOR PLUMBING VALUATION SIFT. - MECHANICAL ELECTRICAL - PER n To FRAMING INSULATION I STORIEB TVPE¢oNsrr� • OCC. GROUP ' RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NO FINAL . SHALL BE MADE BEFORE THE CONSTRUC ON TAX IS PAID L - SO. Er. FLOOR AREA TOTAL ACREAGE DIAPHRAGM ROOF SHEATHING' BUILOIrvG USE RES" IND CON PB 00", ❑ ❑ ❑ ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGHSAN.k ASSESSORSPARCEL NO. PLUMBING ELECT. ENERGY TUBS B SHOWER PAN PLUMBING ENERGY THACT NO PARceL NO MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY Acc onTz ncc. EILE No " FRAMING ELECT. FINAL TEST INSULATION PLUMBING ZONING ENG. SITE NO. GAS TEST GAS MECHANICAL EIRE SPRINK Y ❑ NE]V ENERGY T 24 [-]N[]EXTERIOR COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING SHEAR ELECTRICAL RELEASE FLOCOZON'E v ❑ N❑ A.L Oc . ❑ N❑ INTERIOR SHEAR - FIRE DEPT. SHEETROCK GRADE - - FEE SUMMARY EXTERIOR LATH . BUILDING M BUILDING<! `� INTERIOR LATH - TEMPO RARY APP R OVALS SCRATCH COAT ELECTRIC PLAN CHECK FEE + GAS � - NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY OCCUPANCYOF BUILDING IS-' NO TPERMITTEDUNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. SEISMIC FEE " ' MICROFILM OARRANGE FOR INSPECTION BY PHONING 252-4505, � 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 • Q� s uFFIGe COPY -m. ill flr4�&� L. No. 833 AT %LWrtif traftof o rrit attry ill014 OZ- . 1 Tity of Tuperfluo 'PrItartm Pitt of Nitilbing �11oppr1i"It A. This certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure mu in compliance with the various ordinances of the City regulating building construction or use. For the following: %tfUse Classification Tenant Improvement 18878 Bldg. Permit No. Group B-2 TYpe Construction III -N -UseZone Planned Development Ownerof'Building Oasis Laundry Address 20676 Homestead Road Building Address 20676 Homestead Road Locality Cupprt-ino. California 95014 By: — Joe Attnnuc- - c -i Date: July 17, 1990 b Building Official POST IN A CONSPICUOUS P"CE N, is ,70kVMk Lmim YIWCeR-M-M'\Nf A hml k �MiIARR*�A 101. '.'