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18337 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER " CITY OF CUPERTINO � 83�7 -- INSPECTION DIVISION JOB INSPECTION RECORD JOB ADDRESS Q �! —�. I �QN/✓I�p E.�� PERMIT EXPIRATION UNIT# _LOT# "' - — PERMIT EXPIRES IF WORK OWNER,' �2GTG'l��GL - CONTRACTOR .Q. rL IS 'NOT'STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION 'ANCE OR 180 DAYS FROM .NOTE: LASTCALLED INSPECTION. LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE - TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERnnT VALIDATION GARAGE SLABS CUPERTINO STANDARDS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING �f ELECTRICAL - IssunmcE DA TE MECHANICAL BLDG. ELECT PLD. N1EGR E] ❑ g-Lign DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT WOOD FLOOR - INFORMATION PLUMBING VALUnTION SIFT. MECHANICAL ELECTRICAL PEPER�nJnI�T�To� FRAMING INSULATION STORIES TYPE CONSTR, Occ.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ' ROOF TIT ITFLOOR ARE. TOTAL ACREAGE NOTE:NO FINAL INSP.SHALL BE MADE BEFORE , DIAPHRAGM . 1 THE CONSTRUCTION TAX IS PAID ROOF SHEATHING BUILDING USE RES IND CON PB Une 1 "APPLY NO ROOFING UNTIL ABOVE-HAS BEEN SIGNED FINALSDATE - INSP. ❑ ❑ ❑ ❑ ❑ SAN.q ROUGH Assessoas PARCEL NO � PLUMBING ELECT.ENERGY • TUBS B SHOWER PAN PLUMBING ENERGY rRnn rvo. PARCEL DD, MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY - - Acr,.OnrE Acc.wLE NO. FRAMING ELECT.FINAL TEST INSULATION - PLUMBING zoNlrvc ENc.SITE No. GAS TEST GAS FIRE SPRINK ENERGY T}G MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑' N❑ Y ❑ N❑ EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE -A.LUC INTERIOR SHEAR FIRE DEPT. Y ❑ . N❑ Y ❑ N❑ SHEETROCK - GRADE FEE SUMMARY EXTERIOR LATH' - 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 OCCUPANCY'OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED13Y'BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC H ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING CIO PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE IS FOR�EXPIRATION DATE - MECHANICAL 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 i BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT 18337 ao Ess /7s Qvin 1s oi-t a� BUILDING -ELECTRICAL-PLUMBING-MECHANICAL vq OWNERS - PLAN CHECK VALIDATION N S I cl,L-�I-��/Iyf/TLL J ) HON �'J]1 ELECTRIC PERMIT FEE O V CONTRACTOR RACTORS NA/x�E�� -/- q/ / TLETS-SWITCHES-RECEP 10.00/1.00 /NTRACTR (tiJi LIC.NO. LOO LI TING FIXTURES 10.00/1.00 CONTRACTORS PPL NCES-RESIDENTIAL 4.00 a/oo REsS A' ^ ' 'rn Q� ( S�}Yf•-wlvHONE OC DATE PANEL 10.00 DATE OF APPLICATION ARCHITECT PANELS (O ER 200 AMP)' 20.00 PLAN CHECK FEE P.C.NO. ENGINEER f j LIC.NO, SIGNS TRAN 3.00 ARCH.OR ENG. SPECIAL R 5.00 PERMIT VALIDATION ADOREss zry EMP.METER OR NLE INS. 20.00d�t ADDRESS MOTORS S E SCH. AOORCEss //^�^ (cII ' �55(0 r7 Yryi 1cc UT SERVICE CHANGE - .00 n p o¢ i ' Foo LICENSED CONT RACT'ORS DECLARATION - �r non•� v`V� - ao u 1 hereby affirm that 1 can licensed under provisions of Chapter 9 /t-•�' n C yr 2 i - ISSUANCE DATE ,HA< w (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH F y z Professions Cod Id,nt license is in full force L "t. ❑ ❑ \❑ z o m o License Class --L Lic.Number o m j Date Contractor s or .- w a ER-BUILDER DECLARATION 71 BUILDING PERMIT °a " MISC.- REFER TO ORD INFORMATION K ; y 1 hereby affirm that I am exempt from life Contractor's License LL o j Law for the following reason.(Sec.703 L5,Business and Professions VALUATION $/FT. - PERMIT ISSUANCE 10.00 Code:Any city or county which requires a permit to construct,alter. 2 ¢Q Q improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC. o ac requires life applicant for such permit to file a signed statement that TOTAL 6wm he is licensed pursuant to the provisions of the Contractor's License PERMIT TO HZQ Law(Chapter 9(commencing with Section 7000)ofDivision 3 oflhe \ 5 i o Business and Professions Code)or that he is exempt therefrom and OTY PLUMBING PERMIT FEE ¢ I- m the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. n _ by any applicant for a permit subjects the applicant to a civil penalty of nor more than five hundred dollars($500).): ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ I,as owner of life properly,or my employees with wages as g/jCK FLOW PROTECT. DEVICE 400 their sale compensation,will do the work,and the structure is not . OCC.GROUP RES.UNITS intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00 ' Code:The Contractor's License Law does not apply to in owner of properly who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SD.FT.FLOOR AREA TOTAL ACREAGE himself'or through his own employees,provided 11111.1 pmvc- .cutsarenotintendedoroffend for sale.If.however,the building GAS-EA.SYSTEM-1INC.4OUTLETS 6.00 or improveaem Is sold within one year of completion, (he owner- GAS-EA_SV TEM-OVER 4 (EA.) 2.00 builder will have the burden of proving that he did not build or im- BUILDING USE prove for purpose ofsale.)' INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Other ❑ I,As owner of the proper Y.can exclusively convecting with ❑ ❑ ❑ 0 0 licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PAfl CE L'NO. and Professions Codu:The Contractors License Law Joe,not apply to an owner of properly who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 IEA.) 1.00 conlmc(s for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 ❑ TRACT NO. PARCEL NO. rexfel am exmnpt under$ec. ,B.&P.C.lin this WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE N0. WUkk ERS'CO.M I'IiNSATION DECLARATION --WATER TREATING EQUIP. 5.00 ' I hereby affirm that I have a certificate of conien(m scl C-insure. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thenyyl'��f�y,�3_lp Lah.C.lp, ,,,,, • N0.f / Policy Notified copy isomueb y J�W' " Z Z � Certified copy is hereby tarnished. FIRE SPRINK ENERGY T Certif ict rot y is fit• with he c ty inspection division. A 24 Applicant MISC.- REFER TO ORD. Y ❑ N Y C] No ~ o PERMIT ISSUANCE 10.00 LU - - Clikl'IEICCOMONSATI COMPENSATION RtHWOkkERS' FLOOD ZONE A.L.u.O. W � COMPIiNSATION INSURANCE PLG.CONTE. LIC.NO. PLG. d O (This section need not he completed if life permit is for one TOTAL V N Y NE] Z hundred dollars IS 100)or less) U O 1 certify that in life perfornhance of me work for which this per- OTV MECHANICAL PERMIT FEE FEE SUMMARY LL U not is issued,I shall not employ any person in any manner w as to O W become subject to the Workers.-'Compensation Laws of Celitornia. °- Date-Applicant ALTER OR ADD TO MECH. 5.00 BUILDING } W NOTICE TO APPLICAN 1': If,after making this Certificate of Ex- Z caption,you should become subject to the Workers Compensation APPLIANCE 5.00 PLAN CHECK sha provisions of the Labor Code, you Ams( forthwith comply with U such provisions or this permit ll be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 FEE CONSTRUCPION LENDING AGENCY AIR HANDLING UNIT(OVER 10000.EM.) 6.00 SEISMIC FEE I hereby affirm (hat there is a ru consrclion lending agency for EXHAUST HOOD(WITH DUCT) 5.00 life performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.), HEATING UNIT(TO 100,000 B.T.U.) 0 Lender's Name Lender's Address HEATI NG UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC • I certify that 1 have read this application and state(hal the above VENTILATION FAN (SINGLE) 4.00 inlbnnation is correct. I agree to comply with if city and county PLUMBING ordinances and state laws relating to building construCtion, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the shove-mentioned property for inspection BOILER-COMP (Over 100.000 BTU)SEE FEE SCH. purposes. MECHANICAL .Uro (We) agreega 1st save, indemnify and keep harmless the City of MISC.- REFER TO ORD. CupFor in against liabilities.against inst said l', COsin and expenses which CONST.TAX For in any way accrue against said City in Ase ucnce of the PERMIT ISSUANCE }g;00 2,� res fit this pennil' MECH.CONT. I.C.NO. MECH. pit" /Z�D�oANI /� L// rz / / TOTAL Q�/ TOTAL S a[ rc of Applmant/Contractor are Q.9 �"I"n- f� k� OFFICE COPY