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13587 POST T CARD NEAR FRONT OF BUILDING Pi RMIi NUMBER C OF CUPERTINO 13587 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 20400 MARIANI AVE UNIT# LOT# PERMIT EXPIRES IF WORK OWNER SYVA CO CONTRACTOR CON TEMP MECH I IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM FOUNDATION LASTCALLED INSPECTION. UFER PERMIT VALIDATION PREGUNITE POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING 1.��Z ELECTRICAL Iss ATe ' dLDC. ELECT, PLG. MECHANICAL ❑ ❑ O ,. 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION $/FT. PLUMBING MECHANICAL MIT To ELECTRICAL FRAMING STORIES TY ECONSTR. INSULATION OCC,GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO,FT.FLOOR AREA TOTAL ACREAGE ROOF hGASTFST BUILDING USE RLS IND CON PB O'nw ROOFING UNTIL ABOVE HAS BEEN SIGNED � El ❑ El 11 ASSESSORS PARCEL NO. ROUGH 7 TRACT NO. PARCEL NO, L ACC.DATE ACC.FILE NO. 'i ELECTRICAL FINALS DATE INSP. 1 FRAMING SAN # ZONING ENG.SITE NO. INSULATION PLUMBING GAS FINE SPRINK ENERGY T 24 MECHANICAL v N❑ v N� COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD ZONE A.LU.C. LATH—INTERIOR ELECTRICAL — LATH—EXTERIOR FIRE DEPT, v N� Y ❑ N❑ ..� SHEETROCK GRADE FEESUMMARY SHEAR INTERIOR BUILDING BUILDING SH EAR EXTERIOR TEMPORARY APPROVALS FIREWALLS ELECTRIC PLAN CHECK FEE y GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE f OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC �� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 0 PLEASE GIVE JOB ADDRESS WHEN PHONING. Z MECHANICAL 1., - SEE PERMIT FOR EXPIRATION DATE - 1 IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. I OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - U^'- BALL POINT PEN ONLY v BUI LDI NG PROJECT I DENT TION PERMIT NUMBER X BUILDING APPLICATION & RMIT 13587 ADORE55 rye C)'",OD 1 r IA FN.1 1 BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION NAME QTY. ELECTRIC PERMIT FEE v.00E CONTRACTOR OUTLETS-SWITCHES-RECEP 10.00/1.00 /- NAME CMIA l"EM LIC.ND. 485Cf,0 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS APPLIANCES-RESIDENTIAL 4.00 ADDRESS pp D N'(pCm.p PHONE S9- PANELS 10.00 DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO, OR ENGINEER LIC.NO SIGNS TRANS. 3.00 ARCH.OR ENG. SOD PERMIT VALIDATION AOORESs SPECIAL CIRCUIT , ziv TEMP.METER OR POLE INS. 20.00 APPLICANT'S MOTORS SEE FEE SCH. ADDRESS SERVICE CHANGE 20.00 ` L/ 0 0 o LICENSED CONTRACTORS DECLARATION < U I hereby affirm that 1 am licensed under provisions of Chapter 9 ISSUANCE DATE H< vi (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. H w% Professions Co In license is in full fore y re I. ❑ ❑ ❑ o w La License la - Lic.Numb o z H�/ Date Lic N clo a x 5 d BUILDING PERMIT ¢ ¢ w u OWNER-BUILDER DECLARATION INFORMATION wi u 1- I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD HLLo J Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 VALUATION $/FT. N'A Code:Any city orcounty which requires a permit toconstruct,ulter, pQ Q Q Improve,demolish,or repair any structure,prior to Its issuance,also ELEC.CONTR. LIC.NO. ELEC. DLL requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO K $ he is licensed pursuant to the provisions of the Contractor's License / i /��'y,✓/� r• z a Law(Clupter9(commenciog with Section 7000)of Division 3 of the (� 4 o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE ¢ H o the basis for the alleged exemption.Any violation of Section 7031.5 the TYPE CONSTR.-- by ONSTR.by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars($500).1: O h as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 their sole 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,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 TRAP 5.00 50.Sar.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- ments are not intended or offered for sale.If,however.the building GAS-EA.SYSTEM-1 INC.4OUTLETS 6.00 or improvement is sold within one year of completion,the owner. GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 Bu LDING USE builder will have the burden of proving that he did not build or im- RES IND CON PB Omer prove for purpose ofsale.). INDUSTRIAL WASTE INTER. 30.00 ❑ I,as owner of the property,am exclusively contracting with 0 0 El El 11 licensed contractors to construct the project(Sec 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORSPARCEL NO. and Professions Code:The Contractor's License Law docs 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 n contractoHs)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. the Contractor's License Law. ❑ taco exempt colder Sec. ,B.&P.C.fur this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM - 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I herebyaffirm that I have a certificate ofccnsent to wthinnve. ZONING or a certificate of Workers'Compensation Insurance,or a certified ENG.SITE NO. ` copy thereof(Sce.3900,Lab. Y Policy No. Compan eopnshedO ❑ Certifedy . FIRE SPRINK ENERGY T 24 Z Ap❑plicant Cert ifi o y isf leA w' th city,jr)snection division. MISC.- REFER TO ORD. Yo No v [:] N� -6 :L Fro PERMIT ISSUANCE 10.00 FLOODZONE A.L.U.C. ir - CER'TIFICAT'E OF EXEMPTION FROM WORKERS' LU > C041:NSATION INSURANCE PLG.CONTR. sec.NO. PLG. C O (This section need not be completed if the permit is for one TOTAL v El N[] Y❑ NE] Z) 2 hundred dolhux IS 100)or less.) L) O 1 certify that in the performance:of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LLF mit is issued,1 shall not employ any person in any manner so as to LL W become subject to the Workers'Compensation Laws of California. Date Applicant BUILDING a ALTER OR ADD TO MECH. 5.00 } N NO'Tich.TO A1113LICAN'I': If,after making this Cerliticate of IN- FZ caption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you most forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=CF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITHIDUCT) 5.00 the performance of the work for which this permit is issued(Sec. HEATING UNIT(TOEI 00,000 B.T.U.) 8.00 MICROFILM 3097,Civ.CJ. Lender's Name HEATING UNIT(OVER 100,000 B.T.U.19.50 ELECTRIC Lender's Address I certify that I have read this application and state that the above VENTILATION FANI(SINGLE) ,,n 4.00 information is correct. I agree to comply with all city and countyBOILER-COMP(3 H.P.Or 100,000 BiT.U.) 6.00 PLUMBING ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the BOILER-COMP(Overlf00,000BTU1 SEE FEE SCH. MECHANICAL OL above-mentioned property for inspection purposes. (We) agree to Save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which rp CONST.TAX may in a y way accrue gainst said City in consequence of the PERMIT ISSUANCE H. Q .� gr mi fthis linil. MECH.CONT. LIC.NO. MECH. TOTALTOTAL ignmure of Appl' dot/Contractor IJatc ��-� OFFICE COPY