15477 POST THIS CARD NEAR FRONT OF BUILDING
PIRMIT NUMBER
CITY" OF CUPERTINO 15477
INSPECTION DIVISION
JOB INSPECTION RECORD
• Lots 14 - 145 Lake Spring Court
Lots 146- 149. Orchard Spring_Cour-t-
PERMIT EXPIRATION
JOB ADDRESS-LOt9--1-5-7I 1-6.2=R4r:-tree-Ccu-r LOT$t
PERMIT EXPIRES IF WORK
OWNER Gregory Group CONTHACTO,1 IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR YNSP5CTION RECORD 180 DAYS OF PERMIT ISSU.
FOUNDATION ANCE OR 180 DAYS FROM
OTE: LASTCALLED INSPECTION.
LIFER ALL A G AND DRAINAGE SHALL BE INSTALLED
PREGUNITE LY WITH THE APPROVED PLANS AND CITY OF PLHMIT VALIDATION
0 ANO STAND
GARAGE SLABS fIy
POUR NO CONCRETE UNTIL ABOVE HAS BEE
UNDERGROUND /SLAB
PLUMBING --jrZ Wd G � !
ELECTRICAL ISSUANCE DATE
MECHANICAL �7 �.C> �.I 1� S- I Euc:. ELECT,1. ElPLO MT:cH
0 11
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR - VALUA noN $/FT.
PLUMBING
MECHANICAL
ELECTRICAL PERMIT ro
FRAMING
STORIES TYPE CONSTR.
INSULATION
UCC CHOUP BES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO 11 11 oDR MBIA 10TAL ACR,Au
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
` BUILDING USE
ROOF SHEATHING BEs Irvu CON PB al-
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑
ASSESSORS PARCEL NO
ROUGH SANA
PLUMBING ELECT.ENERGY
ulnr., NO PnI¢E,.NO
TUBS 8 SHOWER PAN PLUMBING ENERGY
MECHANICAL MECH.ENERGY
ELECTRICAL BUILDING ENERGY ACC.DATF ACC FILE NO
FRAMING ELECT.FINAL TEST
INSULATION PLUMBING ZONING ENG SITE NO,
GAS TEST GAS
FIRE SPRINK ENERGY T-74
MECHANICAL Y ❑ N❑ Y ❑ N❑
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
EXTERIOR SHEAR ELECTRICAL RELEASE ILOODaONE ALuc.
❑ N❑ ❑ N❑
INTERIOR SHEAR FIRE DEPT.
SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH BUILDING BUILDING
INTERIOR LATH TEMPORARY APPROVAL
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 ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
�I F0 ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
O PLEASE GIVE JOB ADDRESS WHEN PHONING. = ul
Z - SEE PERMIT FOR EXPIRATION DATE - } . i MECHANICAL
r nab
CONST.TAX
IMPORTANT! �"It
,��, �;
PLEASE READ REVERSE SIDE BEFORE »?'t4i•.Y"' TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLICANT TO FILL IN INFO IIMATION WITHIN I"il_Il LINES -- LISf_ I:iALL POINT 141_N ONLY
-~`BUILDINGPROJECT ID NTIF- ICAT[ON fe-t �06 PERMIT NUMBER
7z' nooee": y4PPLICATION & PERMIT
is< � EkAimIT0�2iF N?
ago P I�ou�r L-PLUMBING-MECHANICAL 15477
\ /OWNER'S 6 ^�v PLAN CHECK VALIDATION
�C NaME EO OTY. ELECTRIC PERMIT FEE
PHONE
OMTRf2lies� f
� � 7�. OUTLETS-SWITCHES-RECEP 10. 0/ .00
LIC,No LIGHTING FIXTURES 10.00/1.00
roNTHAcracSa p PPLIANCES-RESIDENTIAL 4.00
CONTHHAC
EANELS 10.00 DATE OF APPLICATION
ANOniECT P.C.NO.
oR a� PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE
R �M
SIGNS TRANS. 3.00
ARCH,ON ENG PERMIT VALIDATION
oRFss AP�r. , SPECIAL CIRCUIT 5.00
Rkb LWNa �It� �J :H, TEMP.METER OR POLE INS. 20.00
APPLICANT'S
AUDHE SS MOTORS SEE FEE SCH. q
CAl✓�+�C.rD SERVICE CHANGE 20.00
o¢z Qy/
F O O
LICENSED CONTRACTORS DECLA ATION
a i u I hereby anion that I am licensed under provisions ol'Chapter 9 ISSUANCE DATE
Or G a (commencing with Section 70001 of Division J of the OusinessanJ BLDG, ELECT, PLG. MECH.
H z P,Ofe"Ho"Cone,and my license is in full lurce and eflect. El El 1-1 1:1o 0 r O Lice s- p�y�Lie.Number
Dale �O_G Contnn �/ - A
J / BUILDING PERMIT
¢ ¢ w OWNER-BUILDER DECLARATION INFORMATION
w3: w 1 hereby Minn Ila, I am exe...pt from the Comnnori License MISC.- REFER TO ORD
r Woo Law for(he following rcasoa(Sae.7031.5,Businessand PHoession° PERMIT ISSUANCE 10.00 VALUATION SIFT.
Code:Any city or Courtly which,v, h,,apermit m.... cL ullcq �/
Q G Q tl
Improve,demolish,Or repair any structure,prior to Ib ELEC. LIC.N0
Issuance,also ELEC.CONTH. 7N07771E /
LEC. Y r/ La
O¢ rcquitts,he app ieml,lin suet.permit I.lige a signed statement iliac TOTAL PERMIT TO
n w es lie is licensed pursumR,o(lie provisions of the Contractor's License
Law(Chapter 9(cmmuu'ncingwith Section 7000)a1'Division 3 of tire
i O Business and Professions Code)or that he is Csrnpr Ihe,cl'wm and
¢ ,- o ,he basis I'or,he alleged exemption.Any violation nl SenQTY. PLUMBING PERMIT FEE
ium 7031.$ STORIES TYPE CONSTR.
n ; m by any applicant lot a permit subjects the applicant Ina civil penalty ALTER-DRAIN -WATER IEA.) 5.00
of not IIT Ilan five hundred ned dollars 155001.1:
❑ 1,as owner of the property,or my arrlployces wills wage as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS
,heir sole colnpensaliun,will do,he work,and the structure is uo1
inmW,d or uller,,i lin at, (Sec. 7044, Buo,c-and plot:•asnow DRAINS-FLOOR,ROOF,AREA,COND. 5.00
Code:The Con trao.,v Licansr Law dues nal apply to an owner ul
. property who builds err inlpruvn Dmrcan,and who docs such work FIXTURES,PER TRAP S.OD SO.FT.FLOOR AREA TOTALACREAGE
himself or through his own angnoyCes,provided that such inhprovC-
.cuts are not intended or oll'eren lot sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00
or improvemem is veld within one year of completion,Dm owner GAS-EA.SYSTEM-OVER 4 IEA.) 2.00 BUILDING USE
builder will have the burden of proving,hat be did not build or inn-
prove for partner of soleal. RES IND CON PB Omer
INDUSTRIAL WASTE INTER. 30.00
❑ 1,as owner of the property,he exclusivelyrojecSe . 7044,tins with
and
contractors to construct the project L a'. 7044,IH apply LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO.
and Professions Code:The ill)builds
i License Law Jues oat apply
to 11 owner of progeny who builds l' improves lhareun,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00
eon Inns lar aueh Pensee is wilh'e eanlnnaNN IivvnxJ Pulsuum In
IIIc Cuntncm,l License Law. SEWER-SANITARY-STORM EA.20011/10.00 TRACT NO. PARCEL NO.
❑ lam Cxenhpt under Sec ,B.,tll('.fur this WATER HEATER W/VENT 6.00
reason
OW12 Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO.
WORK ERS•COM PENSATION DECLARATION WATER TREATING EQUIP. 5.00
1 hereby alli,m phut I have a cenific.le of conunl to sell-insure, ZONING ENG.SITE NO.
r a certificale of Workers'Compensation Insurance,err a ccnif J
opy Ihereoh'(Sec.3800,Lab.C.L
policy No. Cons puny
O ❑ Cer,illnJ Copy is hereby famish°n' FIRE SPRINK ENERGY TZ4
Z z 0 Cer' o y s lil•1 wit It It tty` japeyt�m ion'" MISC.- REFER TO ORD.
O APpIIL'allt L - 1 /_/{/L� Y ❑ N❑ Y 0 NEI
I- rn PERMIT ISSUANCE 10.00
LU CIiRT114CATli OP6XfIONINSURf1MWORKERS' FLOOD ZONE A.L.u.C.
W needCOWrot be completed
INSURANCE tiro PLG.CONTR. LIC.NO. PLG. Y E] N❑ Y❑ N❑
Z) Z (This section need not be conhpineJ if Ile Pennil is for mm TOTAL
hundred
cert dollars(n tiro pe leash
LL O 1 certify ,I in the re employ
of the work for which,his per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY
0 F- mil is issued,I shall not employ any person in cry manner so to
Q w become wbjec,to the Workeri Comperomion Laws of California.iu /
p Date Applicunl ALTER OR ADD TO MECH. 5.00 BUILDINGS b
} to NOTICE TO APPLICANT: 11,alter making this Certificate of fix.
Z em prior,,you z[,.aid bccmne subject to Dm Workeri Compensation APPLIANCE 5.00 PLAN CHECK
provisions of ,he Labor Code, you must forthwith Comply with FEE
U 'net,provisions err this permit shall be deemed revoked. AIR HANDLING UNIT ITO 10=C.F.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIC FEE
1 hereby affirm Dat there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00
the performance of the work lot which phis pernsit is issued ISec. MICROFILM
3097,Ci..C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50
Lender's AJJrcss ELECTRIC
• 1 ce,llly That I ,,vv real IIII,appllcmlun and stave that the above VENTILATION FAN (SINGLE) 4.00
information is Correct.1 agree to comply will.all city and county PLUMBING
Ordinances and awte laws PeUting In building conMruction. and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00
hereby aulhori a representatives of this city In Cater upon ,he BOILER-COMP (Over tOLL000 BTU)SEE FEE SCH. MECHANICAL
above-mcn,imud property for inapecliun pugwrs.
(We) agree to save, indenmify and keep harmless the City of MISC.- REFER TO ORD.
operon.against liabilities,judgments,costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX
I in any way accrue .,ainsl sai City in conuyuelme ol' Ihc
mud. It,h peOnn MECH.CONT. LIC.NO. MECH.
TOTAL TOTAL 3 ,0 97
I o , p, ¢am/COnlwcmr Uu c
OFFICE COPY