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15385 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES -'USE BALL POINT PEN ONLY BCI LD1 NG PROJECT I DENTI FICATION PERMIT NUMBER_ BmrmNG APPLICATION & PERMIT 15385 ADDRESS: 7 /0 0 114114 e_., BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNEWl NAME Q ply (� PLAN CHECK VALIDATION 11Z v.ONEC.�lS� QTY ELECTRIC PERMIT FEE I NOMTRAGTDRs OUTLETS-SWITCHES-RECEP 10.00/1.00 FF I^ -� •rlc.No. 79S LIGHTING FIXTURES 10.00/1.00 rADDREit!% 711ONTRACTOR's �� (( / PPLIANCES-RESIDENTIAL 4.00 'I PH.AUGP j PANELS 10.00 DATE OF APPLICATION ARCHITEC . PLAN CHECK FEE .0,'NO. OR PANELS (OVER 200 AMP) 20.00 ENGINEER LIC.NO. SIGNS TRANS. 3.00 ARCH.08 ADDRESS ENG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 ADDREnTs MOTORS SEE FEE SCH. SERVICE CHANGE . 20.00 3/6 71fJ _ Foo LICENSED CONTRACTORS DECLARATION a v w I hereby affirm that I am licensed under provisions of Chapter 9 Z ISSUANCE DATE ,I,� a H (commencing with 5 bon]000)of Division 3 of the Business and BLDG. ELECT. PLC. MECH. F y z Professions Co a t license is in full force' ❑ ❑ ❑ z o L - Licensy(:Igss _SL-Lic.Number P, r w� Cmc (_� Contractor ¢ ¢ w a OWNER-BUILDER DECLAR T N BUILDING PERMIT wo A." INFORMATION I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD H '. 04 Law forthe followingomxon.(Sec.7031.5,Business and Professions PERMIT ISSUANCEVgwgT10N $/FT. Code:Any city Or county which requires a permit to construct,alter, 1 QOO <o improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.N0. ` LL requires the applicant for such permit to file a signed statement that TOTAL w m he is licensed Pursuant to the provisions of the Contractor's License PER 0 .. r z a Law(Chapter 9(commencing with Section 700()of Division 3 o fibs E 4 D Business and Professions Code)or that he R exen,d therefrom and GTY. PLUMBING PERMIT FEE ¢ r m the basis for the allege)exempt ion.Any violation of Section 703 LS STORIES TYPE CONSTR. u3 _ by any applicant for a permit subjects the applicant ton civil penalty of not mon than five hundred dollars 0500).) gLTER-DRAIN&VENT-WATER (EA.) 5,00 ❑ 1,as owner of the property,or my employees with wages az BACK FLOW PROTECT.DEVICE 4.00 Ohhir sole compensation,will do the'work,and file structure isnot OCC.GROUP RES.UNITS intended or offered for sale(Sec. 7044. Business.aud Professions DRAINS-FLOOR,ROOF,'AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of ' property who builds or improves thereon,and who does such work . FIXTURES-PER SD.FT.FLOOR AREA TOTAL ACREAGE TRAP 5.00 himself or through his own employees.Provided that such improve- mentsmenotintendedorOfferedforsale.If,however,the building GAS-EA.SYSTEM-l1NC.4OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 builder will have tlm burden of proving that he did not build or im- BUILDING USE prove for 1,aso neeose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Other ❑ d as owner of the property,am preclusively contracting with '❑ ❑ ❑ 0 0 and Pro contractors: construct Coutrf Om Project(Spa. 7044,BusinessILAWN N SPRINKLERS-1 INC 5 V.B. 6.00 XSSESSORS PARCEL NO. and Professions Code:The who 'S License s til does apply ho to tr owner of Properly who builds or improves thereon,and who SPRINKLERS-OVER 5 (EA.) 1.00 contracts for Stich projects with a contraetorts)license)pursuant to the Contractor's License Law. ER-SANITARY-STORM EA.2001t/10.00 TRACT NO. PARCEL NO. ❑ IamexemptlmderSec. B.&RC.for tillsTER HEATER W/VENT 6.00reasonOW1erKatoTER SYSTEM 5.00ACC.DATE ACC.FILE NO. WORKIiRS'COMPENSATION DECLARATION TER TREATING EQUIP. 5.001 hereby affirm that I have a certificate afconsent to sslGir,um. \� or u eertifmWp of Workers'CompenwIio In umnee,or a '• rficd ZONING. P copy thereof(Svc.3800LAC.). ENG.SITE NO. Policy No, Co an 0 ❑ C cup is her by f,,,shcd. Z Z etlified vith cityvpcCtion division. FIRE SPRINK ENERGY LT< C- p plica ` t _ MISC.- REFER TO ORD. v NK v ❑ N� m CIiRTI FICAT OP IiXli I I'R 'ORKERS' PERMIT ISSUANCE 10.00 LL > CO Pi NSA ION INSURANCE PLG.CONTR. FLOOD ZONE A.L.U.C. LIC.NO. PLG. Z) Z (This section ne d not be completed if the permit is for one TAIL Y� N❑ v ❑ NED U O hundred dollars IS 100)or less.) � certify that in the performance of the work for which this pct- OT Y 7 ( FEE SUMMARY LL 1- mit is issued, I shall not employ any person in any manner so as to MECHANICAL PERMIT A'v FEE O become subject to the Workers'Compensation Laws of California, r l 1�� 0 y w NNOTOApplicant ALTER OR ADD TO MECH - x 5.00 Lf - BUILDING t } TICE TO APPLICANT: If, m after aking This Ccrtifipate of fix- _ F 2 cmption,you should become subject tri file Workers'Compensation APPLIANCE provisions of the Labor Code, you Guist forthwith comply with xQ5ti00 PLAN CHECK U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO TorryRC.Fdv1.I 4.00 FEE CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE I hereby affirm that there is a construction Inuring agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the-work for which.this permit is issued(Sec. ' 3097.Cv.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 - MICROFILM Lenders Name Lender's Address HEAT[NG UN I T(OV ER 100,000 B.T.U.)9,50 ELECTRIC 1 certify that l have read t his application and state film the above VENTILATION FAN (SINGLE) 4,00 , inl'onnation is correct. I agree to comply will,all lily and county ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING hereby authorize representatives of this city to enter upon fit, above mentioned property for inspection purposes. BOILER-COMP Over 100,000 BTU)SEE FEE SCH, MECHANICAL 3 (We) awed in Save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upeftino ain't liabilities,judgments, costs and expenses Which CONST.TAX may in wa accrue 'inst said ily in consequence of the PERMIT ISSUANCE 10.00 O I'd tis crmit. - wy'T MECH.CONT. LIC.NO. MECH. Sibnat ren a Cmp( n racr Date TOTAL '`S'1 TOTAL OFFICE COPY POST THIS CARD NEAR FRONT OF BUILDING ' PERMIT NUMBER CITY OF CUPERTINO 15385 ) INSPECTION DIVISION JOB INSPECTION-RECORD PERMIT EXPIRATION JOBADDRESS 7710 Huntridge UNIT# _LOT# PERMIT EXPIRES IF WORK OWNER Friedrich CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION NOTE: - ANCE OR 180 DAYS FROM UFER ALL GRADING AND DRAINAGE`SHALL BE INSTALLED LASTCALLED INSPECTION. PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PEAMIT VALIDATION GARAGE SLABS CUPERTINO STANDARDS. ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - `;%� `,.. � •'•..," UNDERGROUND /SLAB ' PLUMBING ELECTRICAL ISSUANCE RAT MECHANICAL BLDG ELECT,I PLG. MECR, , ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION STET. MECHANICAL ELECTRICAL Per+nm To V FRAMING " _ r '7 IF INSULATIONLPh•IuTTsroRlEs TYPE coNsrR, OCC.GROUP RES,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED • ROOF NOTENO FINAL INSP.SHALL BE MADE BEFORE so.IT FLooR ARLn TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATHINGBUILDING USE RES IND CON 'PB' DOI, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ El11 1:1 'D SAN.p ROUGH ASSESSORS PARCEL No, PLUMBING - - ELECT.ENERGY F • TUBS&SHOWER PAN PLUMBING ENERGY i TRACT NO. PARCEL NO MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY '�� ACC.OATE ACC FILE NO FRAMING ELECT.FINAL TEST. - INSULATION PLUMBING ZONING ENG.SITE NO. GAS TEST GAS MECHANICAL EIRE SPRINK ENERGY 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - V ❑ N❑ ♦ ❑ N❑ EXTERIOR SHEAR - ELECTRICAL RELEASE "FLOOD LONE A.L Uc, INTERIOR SHEAR FIRE DEPT. ❑ N❑ v ❑ NO SHEETROCK GRADE EXTERIOR-LATHFEE SUMMARY BUILDING � INTERIOR LATH TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR: " M IC R O F`I LM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL G' IMPORTANTI CONST.TAX` PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. -TOTAL OFFICE COPY