The URL can be used to link to this page

18171G POST THIS CARD NEAR FRONT OF BUILDING • CITY OF CUPERTINO, INSPECTION DIVISION' JOB INSPECTION RECD� D q ��p / /� JOB ADDRESS -Jdf Ll i `d �-(!i ied44 tV")bN1T# _LOT# ��II �I /� OWNER L n -LA- CONTRACTOR V'� N� //e. V, PERMIT NUMBER 18171 " PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU. ANCE OR 180 DAYS FROM LASTCALLED INSPECTION. INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLEDa- TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. PAID Ai UFER PREGUNITE PIJIMIT vALIOATION t C ;L b RS J A� 0 k u (Cl( ISSUANCE DATE GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ,Jltl iu C) ,1989 _ UNDERGROUND/SLAB PLUMBING City of Cupertino ELECTRICAL MECHANICAL BLoc ❑ ELECT PLc. MecH ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR - vALUATION SIFT, o PLUMBING MECHANICAL ELECTRICAL t7 jMPERNUT Yn EC� FRAMING ST olnes TYIE corvsr R. INSULATION / •OCC GHOUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SN FT FLO011 All EA TOTAL ACNF.AGL ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID DIAPHRAGM BUILDING USE HES IND CON PB O"... ROOF SHEATHING APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSDNS PARCEL NO ROUGH SANJI PLUMBING ELECT. ENERGY TRACT NO PARCEL NO TUBS & SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ACC DATE ACC FILE NO ELECTRICAL BUILDING ENERGY FRAMING ELECT. FINAL TEST ZONING ENG. SITE NO. INSULATION - PLUMBING GAS TEST GAS FIRE SPHINK Y I] N� ENERGY T ]J v ❑ IN MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLoou rorvE Y ❑ No nLuc IL N❑ EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. FEE SUMMARY SHEETROCK GRADE EXTERIOR LATH BUILDING BUILDING INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC Z� PLAN CHECK FEE GAS SEISMIC FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BYBUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ` ONE WORKING DAY BEFORE REQUIRED INSPECTION. O� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z -SEE PERMIT FOR EXPIRATION DATE - ELECTRIC PLUMBING MECHANICAL CONST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY Location / �1 Subject, Approve/4 FINAL GRADE ROUTE "—Ip File No Date G P O Zz N L IL O Z)Z UO LL 00 H APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT I DENTI FICATO APPLICATFON & PERMITgLBUILDING - ELECTRICAL- PLUMBING_MECHANICAL PERMIT NUMBER 18171 WIDIN (J OWN,. S NAME V PNON CITY. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION c R NAME NAME OUTLETS -SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 t J t6 tj a6e gp CONTRAcoms ADOREss APPLIANCES - RESIDENTIAL 4.00 PANELS 1000 Q vHOrvEa`�-E��SL�J DATE OF APPLICATION ARCHITECT OR O ENGINEER uc.No. PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO, SIGNS TRANS. 3.00 ARCH. OR ENG. ADDRESS ZIP SPECIAL CIRCUIT $,QQ PERMIT VALIDATION TEMP. METER OR POLE INS. 20.00 /a OLD APPLICANTS ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE FwD 20.00 J^ / ` • ` r � N C � LICENSED CONTRACTORS DECLARATION �� r^ 1 hereby affirm that I am IiCenxd trader provisions of CImptc, 9 (commencing with Section 7000) of Division 3o1'the Business and Professions Code, and my license is in full force and effect. License Class Lie. Number. Date Contractor ISSUANCE DATE •� r . BLDG. ❑E] ELECT. I PLO. MECH. ❑ City of Cupertino BUILDING PERMIT OWNFR-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law ing (Sce. .5.Business and INFORMATION MISC. - REFER TO ORD PERMIT ISSUANCE 10.00 1.�.U� VALUATION $/FT. ountyreason. tProfessions Any city or county which structure permit tots i stR¢t.aaeq Code: Any cityecture improve, also improve,demolish, or repair anystructure,to _ ELEC. CONTR. LIC. NO. ELEC. '1 00 tipriortoitsissuance, requires the applicant for such permit to tilt a signed statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and TOTAL � X. PERMIT TO ^yam QTY. PLUMBING PERMIT FEE STORIES f TYPE CONSTR. the hasis for the alleged exemption. Any violation of Section 7031.$ 1 by any applicant for a permit subjects the applicant Loa civil penalty of not more than five hundred dollars(S500).): ALTER -DRAIN & VENT -WATER (EA.) 5.00 ❑ I, as owner of tire property, or cry employees with wages as their sole compensation, will do the work. and the structure is not BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 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 FIXTURES - PER TRAP 5.00 SO. FT. FLOOR AREA TOTALACREAGE himselfor through his own employees, provided that such improve- mentsarenmintundedorofferedforsale. If, however, the building GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im- prove titer purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business GAS - EA. SYSTEM - OVER 4 (EA.) 2.00 BUILDING USE RES IND CON PB ower ❑ ❑ ❑ ❑ ❑ INDUSTRIALWASTE INTER. 30.00 LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code: The Contractor'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 contracts for such projects with o commetcaus) licensed pursuant to the Contractors License Law. SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. O lam exempt under Sea .B.&P.C. Int this ream, WATER HEATER W/VENT 6.00 Owncr Date WATER SYSTEM 5.00 ACC. DATE ACG FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 hereby affirm that I have a certificate of consent to sell'-inmre. or a certificate of Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO. Copy thereof (Sec. 3800, Lab.C.). Policy No. Company FIRE SPRINK ENERGY T 24 p edified copy is hereby l'umiahed. d'd/('ertificJ try ed h the try inspection division. Applican -e /7 49 -" Y ❑ N❑ Y ❑ N❑ MISC. - REFER TO ORD. � CERTIFICAI'EOFEXENIRTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD 20NE A. L.U.C. PLG. CONTR. LIC. N0. PLG. TOTAL COMPENSATION INSURANCE 1'fhis section need not be completed it till permit is RIr one Y ❑ N ❑ Y ❑ N ❑ CITY. MECHANICAL PERMIT FEE FEE SUMMARY hundred dollar, IS 100) or less.) 1 certify that in the performance of the work for which this per- mil is issued, I shall not employ any person in any manner m as to BUILDING become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: IL after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 PLAN CHECK emption, you should become subject to the Workers Compensation provisions (it the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked AIR HANDLING UNIT (TO 10,00DC.F.M.) 4.00 FEE AIR HANDLING UNIT (OVER 101000C.P.M.) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY EXHAUST HOOD (WITH DUCT) 5.00 HEATING UNIT (TO 100,000 B.T.U.) 8.00 MICROFILM I hereby affirm that there is a construe' ion lending agency for the performance of the work for which this pernih is issued (Sec. 3097. Civ.C.l. HEATING UN IT (OVER 100,000 B.T.U.) 9.50 ELECTRIC (� Lcedcrt Name Lerder's Address VENTILATION FAN (SINGLE) 4.00 PLUMBING I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and BOILER - COMP (3 H.P. or 100,000 B.T.U.) 6.00 BOILER -COMP (Own 100,BOOBTU)SEE FEESCH. MECHANICAL hereby aullimm representatives of this city to enter upon the above-mentioned property for inspection purposes, MISC. - REFER TO ORD. (We) agree to save, indemnify and keep harmless the City of upertmo against liabilities, judgments, costs and expenses which may in any way accrue against Said City in consequence of the CONST. TAX PERMIT ISSUANCE 10.00 MECH. CONT. LIC. NO. MECH. antingofthi' permit. TOTAL TOTAL Si ,lure ol Applicantg7ontractor Date OFFICE COPY