17477cl
1p 91709;t;
POST THIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO
INSPECTION DIVISION
JOB INSPECTION RECOpg_,,,,
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JOB ADDRESS AQ I `� AVE UNIT# LOT#
OWNERkd) CONTRACTOR —
PERMIT NUMBER
17477
PERMIT EXPIRATION
PERMIT EXPIRES IF WORK
IS NOT STARTED WITHIN
180 DAYS OF PERMIT ISSU.
ANCE OR 180 DAYS FROM
LASTCALLED INSPECTION.
INS E TION DATE INSPECTOR
INSPECTION RECORD
-
FOUNDATION
NOTE:
ALL GRADING AND DRAINAGE SHALL BE INSTALLED
TO COMPLY WITH THE APPROVED PLANS AND CITY OF
CUP ERTINO STANDARDS.
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LIFER
PREGUNITE
PERMIT VALIDATION
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ISSUANCE DATE
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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UNDERGROUND/SLAB
PLUMBING�����y►
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ELECTRICAL
MECHANICAL
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❑
ELEcr. PLc. M of
❑ ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
BUILDING PERMIT
INFORMATION
W
WOOD FLOOR
VALUATION
91FT,.
PLUMBING
MECHANICAL
ELECTRICAL
/d,%� p PERMIT TO
l_� ik
FRAMING
INSULATION
STORIES TYPE CONSTR.
9`/ -}(' ✓
UCC GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF
NOTE: NO FINAL INSP. SHALL BE MADE BEFORE
THE CONSTRUCTION TAX IS PAID
SO 11 rLooR AHeA To*AL ncv[AnE
DIAPHRAGM,
ROOF SHEATHING
tILLI USE
Hcs IND CON Po Du....
El 0 0 1:1
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED
FINALS DATE INSP.
ASSESSORS PAHCE I. NO.
ROUGH
SAN.N
PLUMBING
ELECT. ENERGY
TUBS & SHOWER PAN
PLUMBING ENERGY
nincT NO
PARCEL No
MECHANICAL
MECH.ENERGY
ELECTRICAL
BUILDING ENERGY
ACC DATE
ACC FILE NO
FRAMING
ELECT. FINAL TEST
ZONING
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ENG SITE NO.
INSULATION
PLUMBING
GAS TEST
GAS lea
FIRE SPRINK
Y ❑ N
ENEHGV i.)9
v 0 NC]
MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
HEATING
FLOOD LONE
AL UC
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❑ N❑
EXTERIOR SHEAR
ELECTRICAL RELEASE
INTERIOR SHEAR
FIRE DEPT.
SHEETROCK
GRADE
FEE SUMMARY
EXTERIOR LATH
BUILDING
BUILDING
INTERIOR LATH
TEMPORARY APPROVALS I
SCRATCH COAT
ELECTRIC
PLAN CHECK
F
EE
GAS
SEISMIC FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY
OCCUPANCYOF BUILDING ISNQTPERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505,
P ONE WORKING DAY BEFORE REQUIRED INSPECTION.
O� PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z
-SEE PERMIT FOR EXPIRATION DATE -
ELECTRIC
PLUMBING
MECHANICAL
/ di ��
!/ V
CONST. TAX
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION.
TOTAL
OFFICE COPY
JOB 1802 BLDG. PERMIT #17955
°m APPf ICANT TO FILL IN INFORMATION W LINES - USE BALL POINT PEN ONLY G�
BUILDING PROJECT IDENTIFICATION
APPLICATION & PERMIT
BUILDING - ELECTRICAL- PLUMBING - MECHANICAL
PERMIT NUMBER
.174 77
ROILDINGpp eariani Phase
ADDRESS
20525 Mariani
OWNER'S
NAME
Apple Computer DNE
CITY. ELECTRIC PERMIT FEE
PLAN CHECK VALIDATION
DATE OF APPLICATION _
CONTRACTORS
NAME
Cal -Air, IRC. Lie. ND.137195
UTLETS-SWITCHES -RECEP 10.00/1.00
LIGHTING FIXTURES 10.00/1.00
ADDRESCTORx
A1775 S. 1St St SPHDNE 947-015
PPLIANCES- RESIDENTIAL 4.00
PANELS 10.00
ORARCHITECT
ENGINEER
LIC. NO.
PANELS (OVER 200 AMP), 20.00
PLAN CHECK FEE P.C. NO.
SIGNS TRANS. 3,00
ARCH', OR END.
OO�ZIP
SPECIAL CIRCU IT 5,00
PERMIT VALIDATION
(/� y
EMP. METER OR POLE INS. 20.00^�
APPLICANTS
ADDRESS
1775 S. 1St St. SJ 95112
MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
LICENSED CONTRACTORS DECLARATION
PAD
I herebyaflirm that 1 am licensed under provisions of Chapter 9
ISSUANCE DATE
(commencing with Section 7000) of Division 3 of the Business and
Professions CoyyLLom`1 yy y license is in full Cur ty'�n�J L1 f�•c
I.icenscC�M-Y Lic. Number_13_/ �I Y 5
BLDG.
ELECT.
PLG. [MAECH.
S7•U
Date_ _ 7 Contractor
BUILDING PERMIT
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License
Law for the following reason. (Sec 703 1.5, Business and Professions
Code: Any city or county which requires a permit to construct. cite',
improve, demolish, or repair any structure, prior t0 its issuance, also
requires the appliCamt for such permit to file a signed statement that
he is licensed pursuant to the provisions of the Contractor's License
INFORMATION
IMISC. - RTO ORD
VALUATION $/FT.
PERMIT ISSUANCE 10.00
ELEL. CONTR. LIC. NO.
ELEC.
TOTAL
PERMIT TO
OTV. PLUMBING PERMIT FEE
Law (Chapter 9 Commencing with Section 7000) of Division 3 of the
0slness and Professions Code) or that he is exempt therefrom and
`.
STORIES
TYPE CONSTR.
the basis for [lie alleged exemption. Any violation ol'Section 7031.5
by any applicant for a pemhitsubjects lire applicant loo civil penalty
of not more than five hundred dollars (5500).):
ALTER -DRAIN -WATER IEA.) 5.00
❑ 1, as owner of the property, or my employees with wages as
their sole compensation, will do the work, and the structure is not
BACK F LOW 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 Conlmetur's License Law dues not apply to an owner of
properlywho builds or improves thereon, and who does soon work
himself or through his own employees. provided that such improve-
mentsore not intended oroffered for sale. If, however, the building
FIXTURES - PER TRAP 5.00
SQ FT. FLOOR AREA
TOTAL ACREAGE
GAS - EA. SYSTEM -1 INC.4 OUTLETS 6.00
Or improvement is sold within one year of completion, the owner.
builder will hove the burden of proving that he did nal buil) or im-
prove for purpose of sale).
' ❑ 1, as owner of the property, am ex Elusively contracting with
. ..
GAS - EASYSTEM -OVER 4 (EA) 200
BUILDING USE
RES IND CON PB Omer
❑ ❑ ❑ ❑ ❑
INDUSTRIAL WASTE INTER. 30.00
LAWN SPRINKLERS - 1 INC 5 V.B. 6.00
LAWN SPRINKLERS -OVER 6 (EA.) 1.00
ASSESSORS PARCEL NO.
licensed contractor, to construct the project (Sec. 7044, Business
and Professions Code: The Cuntmctor's License Law does not apply
to un owner of properly who builds or improves thereon, and who
contracts for such projects with a contmcmds) hcenwd pursuant to
the Contractor's License Law,
SEWER -SANITARY -STORM EA. 200ft/10.00
TRACT NO.
PARCEL NO.
WATER HEATER W/VENT 6.00
❑ lam exempt under Sec. ,B.&P.C. for this
reason
Owner - Date
WATER SYSTEM 5.00
ACC. DATE
ACC. FILE NO.
WATER TREATING EQUIP. 5.00
WORK ERS'COMPI;NSA'IION DECLARATION
-
1 hereby infirm that I have a certificate of conscol to sell' -insure.
or a certificate of Workers' Compensation Insurance, or a certified
ZONING
ENG. SITE NO.
coPy thcreulAl Ere. 3800. L.1.C.
Policy No Company ibe ty_MAtual-
❑ Cer .` copy is hcrvby u fished.
�Ce p�,11�/�Y•1�y jyyycd tl d cel
Annl ca
MISC.- REFER TO ORD.
FIRE SPRINK
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ENERGY T 24
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-IIX. _
W -?� �-p 7�-� 7
Cl; 'I'I PIC ,, )F P I / I'K URKIi
PERMIT ISSUANCE 10.00
FLOOOZONE
A.L.U.C.'
COMPENSATIONINSUKANCE
This section need not be completed if the permit is for one
PLG. CONTR. LIC. NO.
PLG,
TOTAL
Y ❑ N
Y ❑ IN[]
DTV MECHANICAL PERMIT FEE
FEE SUMMARY
hundred dollars IS 100) or lc,, )
I certify that in the performance of the work for which this per-
mit is issued. I shall not employ any person in any manner so as to
BUILDING
becnnhn subject to the Wr rken' Compcmeat ion Laws of Cali1'o1a.
Data Applicanl
ALTER OR ADD TO MECH. .00 IF. Do
NOTI.Cn, you should APPLICANT:after to the Worked Compensation
autumn, TO APPLICANT: If, loner making this Certificate o(Ex-
APPLIANCE 5.00
PLAN CHECK
provisions of the Labor Code, you must forthwith comply with
such provisions or, this permit shall he deemed revoked.
FEE
AIR HANDLING UNIT (TO 10,000 C.F.M.1 4.00 ZZ
AIR HANDLING UNIT (OVER 10,000C.F.M.) 6.00
SEISMIC FEE
CONS' I UCTION LEN DI NC AGENCY
EXHAUST HOOD (WITH DUCT) 5.00
MICROFILM
1 hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec.
3097, Civ.C.).
HEATING UNIT (TO 100,000 B.T.U.) 8.00
HEAT[ NG UN I T(OV ER 100,000 B.T.U.) 9.50
ELECTRIC
Lender's Name
Lender's Address
VENTILATION FAN (SIN E) 4.00IV
I certify Hurt l have read this application and state that the above
information is correct. I agree to comply with all city and oounty
ordinances and state laws relating to building construction, anJ
hereby aalluwe representatives of this city to enter upon the
abov mentioned property for inspection purposes.
PLUMBING
BOILER -CO 10 .) 6.00
'
BOILER -COMP (Over 100.000 BTU) SEE FEE SCH.
MECHANICAL
�D
MISC. - REFER TO ORD.
CONST. TAX
( ) agree to s.s Ierunify and keep harmless the City o1'
u lino ug:Iinst Ii' illtie. J al nems, costs and expense which
in any way a cr a sins said Ci y in conuquene of the
i f(,is per it
Signature of Applicant/Contractor Date -
' PERMIT ISSUANCE 10.00
MECH. CONT. LIC. NO.
Cal- Air,
MECH.
TOTAL 1 dD
�'
TOTAL
OFFICE COPY