15477 (2) _ POST THIS CARD NEAR FRONT OF BUILDING PFRMIT NUMBER
y . CITY" OF CUPERTINO 15477
INSPECTION DIVISION
JOB INSPECTION RECORD
Lots 14 - 145 Lake Spring Court
Lots 146- 149 Orchard Spring Court"PLANS
PERMIT EXPIRATION
JOB ADDRESS_Lot-s-15-7 16.2-Ra ntr-ee-Cou_r PERMIT EXPIRES IF WORK
OWNER Gregory Group CONTRACTORIS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR SP 180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
OTE: LASTCALLED INSPECTION.
LIFER ALL A G AND STALLED
PREGUNITE LY WITH THCITY OF PfBMIJ VA1.IOATION
C ANO_ ST-AND
GARAGE SLABS 74 1'i(
POUR NO CONCRETE UNTIL ABOVE HAS BEE SIGN 4y_( wl
UNDERGROUND /SLAB `
PLUMBING •2.2 V✓d G .� ! r
ELECTRICAL
ISSUANCE DATE
MECHANICAL 1�.C> LI A LOG ELECT PLG,. m CH
vG ❑ ❑ 13 .
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR INFORMATION
^
PLUMBING VALUATION S&T,
T
MECHANICAL
ELECTRICAL PERMIT TO
FRAMING -
INSULATION STOHIES TYPE CONSTR.
OCC GHOUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE $D IT f10OHA11fA TOTALACHEACI
�. DIAPHRAGM THE CONSTRUCTION TAX IS PAID
BUILDING USE
ROOF SHEATHING RES IND CDN PB OIHn
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ O 0
ASSESSORS PARCEL No
ROUGH SANA
PLUMBING ELECT.ENERGY
1 TUBS 8 SHOWER PAN PLUMBING ENERGY iHACT NO PARCEL NO
MECHANICAL MECH.ENERGY
ELECTRICAL ACD n
BUILDING ENERGY ATE Acc.FUE No
FRAMING ELECT,FINAL TEST PLUMBING
INSULATION ZONING ENC.SITE NO. .
GAS TEST GAS
AMECHANICAL FIHESPRINK ENE RGY 724
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y [D N[:] Y E] N�
EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE A D.C.
INTERIOR SHEAR FIRE DEPT. Y❑ N❑ Y 0 IN
SHEETROCK GRADE
FEE SUMMARY
EXTERIOR LATH BUILDING
INTERIOR LATHTEMPORARY APPROVALS
BUILDING _
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
ONE WORKING DAY BEFORE REQUIRED INSPECTION. t PLUMBING
I PLEASE GIVE JOB ADDRESS WHEN PHONING. �I-°1,
Z
- SEE PERMIT FOR EXPIRATION DATE NIC
MECHAAL
- ��y�k
IMPORTANT! � coNST.TA
PLEASE READ REVERSE SIDE BEFORE �' ;�✓�„a;Lg����;;{ k;�'�I TOTAL _
CALLING FOR FINAL INSPECTION.
OFFICE COPY
Arr LJLakly 1 i U FILL IN IIVrUIi IVIA I IDN VU1YI-Illy RED LIIVES - USE GALL POINT PEN ONLY
.�-BUILDING PROJECT ID PIT)FICATION PERMIT NUMBER
�) BUILDING l �/ Q,P,,7APPLICATION & PERMIT 15477
aooflcss / � � p
11 L-PLUMBING-MECHANICAL
OWNEH'S q
NAME Q Lp LJ�ZJIts, PLAN CHECK VALIDATION
QTY. ELECTRIC PERMIT FEE
PHONE
CON �j
TR r0 5
NAME „�jp1a, -M- Ly Gp AQ l .L, OUTLETS-SWITCHES-RECEP 10.00/1.00
/ sec.No, LIGHTING FIXTURES 10.00/1.00
CORrnaciorrs � p - 4,� APPLIANCES-RESIDENTIAL 4.00
a ORE55
14\ N' I fIll ilt PANELS 10.00 DATE OF APPLICATION
ARC TECT PLAN CHECK FEE P.C.NO.
.R & � /� � PANELS (OVER 200 AMP) 20.00
E fl fT
ore
uc.No. SIGNS TRANS. 3.00
ARCHON ENG, N
L J � q SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
fld VUId E zIP J/J EMP.METER OR POLE INS. 20.00
ASEE FEE SCH.
ADDRESS MOTORS ADDRESS
��� SERVICE CHANGE 20.00
' 2 F0
!/
OO LICIiNSIiU CON'I'RAC'I'ORS DEC'LA ATION
W u u I hereby affirm flat I am licensed under provisions of Chupler 9 ISSUANCE GATE
w ¢ a (commencing with Section 7000)of Division 3 of the Business and
N i Professions Cole,and my license is in full force and effect. BLDG.❑ EL❑ECT. PLG. MECH.
El
❑
e m H o Lice s� Lic.Nu.-T CIL— /
H - r j DLe Cantmelp y I
xBe W u OWNER-BUILDER DECLARATION BUILDING PERMIT
m ;LL H I hereby affirm that I am ascot from Dm Contractor i License MISC.- REFER TO ORD INFORMATION
u O a Law fur the following Baton.(S�C.7031.5,Businessland Profcseioo VALUATION SIFT.
t - PERMIT ISSUANCE
Code:Any city or count wh icb m uiture 10.00
� w i E Y 1 Penni)mc.nsirucl,allcq 71 .11
.s�s
IL o: ¢O improve,demolish,or repair any structure,prim to its issuance,also ELEC,CONTR. LIC.NO. ELEC. V V
i w m Is requires the applicant for such permit to file a signed slutemmol Thal TOTAL PERMIT TO
Ile is licensed 9(count to the with Secti of the Contractor License ^ TSN,
rzr
Law(Chapter Vlcosions Code)lb Section is exempt
lite
and /AEI.'/
ge 4 o Business and Professions Codes or that he is exemptestitherefrom0 and DTV. PLUMBING PERMIT FEE
a H o the basis for IIIB alleged exemption.Any violation of Section 70J 1.5 - STORIES TYPE CONSTR.
n ; m by any applicant for a permit subjects she applicant loa civil penally ALTER-DRAIN IEA.) 5.00
.I not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECTDEVICE 400
their sale cmnpensmion,will do the work,and the structure iv nal . .
DCC.GHOUP RES.UNITS
intended or oll'ered for sale ISec. 7044, Business and Prolesdol.c nDRAINS-FLOOR,ROOF,AREA,COND. 5.00
Code:The Contractors License Law does got apply Ise un owner of
properly who bunds ser improves thereon,and wbo does such work FIXTURE$-PER TRAP 5.00
himself or through his own empl.yess,Provided that such in it ove-
ga FT.FLOOR AREA TOTAL ACREAGE
Burns It,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00
or improvement is sold within one year of completion,the owner
builder will have the burden of proving)hut be did nal build or int. GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE
prove for 1.3p.po purpose Ulu.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Orn.r
❑ L as owner of the properly.he rojectivSc . 7044eling wish 0 ❑ El O O
licensed contractors so construct the project ISec 7044,of apply
LAWN SPRINKLER$-1 INC 5 V.B. 6.00 ASSESSORS FIANCE L NO.
vW Professions Code:The CWntract.r s License Law does not apply
to an owner of property who builds or improves thereon.and who LAWN SPRINKLERS-OVER 5(EA.) 1.00
coltruels for such proiccis with it eanlrucl.dsl lieen.wd pursuant to
file Con(moors License Law. SEWER-SANITARY-STORM EA.20011/10.00 TRACT NO. PARCEL NO.
❑ 1 ahs exenspl under See. ,If,il l'.for this
rwun WATER HEATER W/VENT 6.00
OvOl Date WATER SYSTEM 5.00
ACC.DATE ACC FILE N0.
wORKERS'COMPIiNSATION DECLARATION WATER TREATING EQUIP. 5.00
1 hereby affirm that I have a certificate at consent tis seli.insure,
ra cerlificale of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO.
Popy thereof ISec.JLah.
Policy No.-Company
_
0 ❑ CertilicJ copy is hereby furnished. FIRE SPRINK ENERGY T-24
Z 2 ❑ Cery$1'MM(�Rs1�o��syI N-tily•L1 wityJ�,lhyy y��I Y'� iupep�op�lry our.
ApplicasR(a[�$IGlJ7��Lli�'>QlL'�/II[v MISC.- REFER TO ORD. YO NO YO NO
~ ON // PERMIT ISSUANCE
Cr CIiR'1'IPICATIi OFEXEMIN INS PROM WORKERS' 10.00 FLOOD ZONE A.L.u.C.
W > COkIP1iNSA'I'ION INSURANCE PLG.CONTR. LIC.NO. PLG.
CL0 (This section need glut be c oMfuled'if Ile permit is for core TOTAL Y 0 N� Y 0 N�
$..1 O hundred dollars IS 100)or less.)
I certify that h Bre performancerahayan at Ila wink for which this per. OTY MECHANICAL PERMIT FEE FEE SUMMARY
0 U mil is issued,1 shall lite
employ any person in any of California as ID
0 W become subject to the Workers'Compensation Laws of Calor .
M. Dal\ Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 3IT
} N NOTICE TO APPLICANT: If,.flee making(Iris Cuunnate of Iia- o
F- Z emPfioo,you Should become subject w the Workeri C'umpensution APPLIANCE 5.00 PLAN CHECK
I,, visions of the Lubar Code, you must iorlbwill comply will FEE
V such Provisions-1 this permit shall be dcensed revoked. AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00
CONSTRUCfION LENDING AGENCY M
LING UNIT(OVER l0,000C.F.M.) 6.00 SEISMIC FEE 9
1 hereby affirm Ulm there is a construction lending agency forT HOOD(WITH DUCT) 5.00
the performance of tle work for which this permit is issued(Sec.
3087,Civ.C.l. UNIT ITO 100,000 B.T.U.) 8.00 MICROFILM
Lender's Name
Lcmlers Address UNIT(O VER 100,000 B.T.U.)9.50 ELECTRIC
IL'efllly ))tall haVl'rfaJ fhlYappheatWn allJ state that the aboveTION FAN (SINGLE) 4.00
infornsalion is correct.1 agree m comply will,all oily and countyPLUMBING
-11ilLnces and state laws relating to building ronslr¢li.n, andOMP(3 H.P.Or 100,0008.T.U.) 6.00hereby aullnrizc representatives Wl' this city to chief .pun teub.ve-mentioned property for inspections purposes. OMP Mss,100,000 BTUI SEE FEE SCH. MECHANICAL
(We) agree to save, ilWenunly and keep larnlcs, the City.1REFER TO ORD.
Cupertino against liabilities,judgments, costs and crpenus whichCONST.TAX
1 in any wccrue ay aagainst sai City in consequence of the PERMIT ISSUANCE 10.00
ant, I i'Permis !, MECH.CONT. LIC.NO. MECH.
/
TOTAL TOTAL 3 sa y7
( ' IDR•u r hp IC`IIIICaIIIIULI.I UJ11
OFFICE COPY