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17483POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD � � —2 l ��V-1 c� A JOB ADDRESS _Ve UNIT# LOT# OWNER �_ CONTRACTOR w I c #1820 PERMITNUMIIER - .17483 PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF FERMI! ISSU- ANCE OR 180 DAYS FROM LAST CALLED INSPECTION. INSPECTI DATE INSPECTOR INSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. PALM UFER PREGUNITE - PLRMI7 VAuoATTON ^� Q dl --7-- Z 4•A_NTU�� ISSUANCE DATE GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FEB 0 1J UNDERGROUND/SLAB PLUMBING riI ,.'l",f - ttir4 ELECTRICAL MECHANICAL RLUc ❑ ELECT PLc. M�EC/R ❑ ❑ T DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED I BUILDING PERMIT INFORMATION WOOD FLOOR -VALUATION SIFT. PLUMBING i Ilk MECHANICAL ELECTRICAL PERMIT e_c__ i1., FRAMING INSULATION STORIES PE CONSTR OCC 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 . I SO. FT FLOOR AREA ' TOTAL ACREAGE DIAPHRAGM ROOF SHEATHING BUILDING USE Res IND cory Pe on..• ❑ ❑ ❑ ❑ El APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGH SAN,# ' ASSESSORS PARCEL NO PLUMBING ELECT. ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT NO PARCEL NO MECHANICAL MECH. ENERGY ELECTRICALBUILDING ENERGY ' ACC DATE ACC. FILE NO FRAMING ELECT. FINAL TEST INSULATION PLUMBING ZONING ENG. SITE NO. GAS TEST GAS MECHANICAL PIKE SPOOK ❑ N ENERGY T.aa ` ❑ NO COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR - ELECTRICAL RELEASE FLOOD ZONE: Y 1:1 NEl AL UC v L NO INTERIOR SHEAR FIRE DEPT. SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING INTERIOR LATH TEMPORARY APPROVALS SCRATCH COATELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING ISNOTPERMITTEO UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM LU ARRANGE FOR INSPECTION BY PHONING 252-4505, ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLEASE GIVE JOB ADDRESS WHEN PHONING. Z —SEE PERMIT FOR EXPIRATION DATE — ELECTRIC PLUMBING MECHANICAL !o 6 CONST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL 0''9 OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHBN REb LINES TUSE BALL POINT PEN ONLY #1820 �i OFFICE COPY TERMIT NUMBERILDING BUPROJECT IDENTIFICATION APPLICATION & PERMIT BUILDING - ELECTRICAL- PLUMBING - MECHANICAL'" 17483 7 A Q� I I `F U BDILDING ase ADDRESS 20525 Mariani Avenue OWNER'S NAMEQTY. ' Apple ,HONE ELECTRIC PERMIT FEE PLAN CHECK VALIDATION CONTRACTOR NAME . NAME UTLETS-SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 Cal -Air Inc. LIG.ND 137195 CONTRACTORS DRs 947- ADDRESS PPLIANCES- RESIDENTIAL 4.00 PANELS 10.00 1775 S. 1st Stree# 0155 DATE OF APPLICATION ARCHITECTECK OR ENGINEER LIC. No. PANELS (OVER 200 AMP) 20,00 PLAN CHP.C. NO. FEET SIGNS TRANS. 3.00 AARCH. OR DDRESS ENG SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 20.00 ZIP %J APPLICANTS POOR ESS MOTORS SEE FEE SCH. SERVICE CHANGE _ _ 20.00 1775 S: 1St St. San Jose ,JI1 TO W • A l v JA i_/ LICENSED CONTRACTORS DECLARATION 11 1 11 I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE (conn,mcing with Sselif 7000) of Division 3 of the 11udncss and Pmfessiuns Code, lit tqv hose is in full forC� J�{1, jli•'1 Licy, (]'1, s�r�L/1,�{,_L.� Lie Number l(�.-7�( l� y v { IJJ V BLDG. ❑ ELECT. ❑ PLG. MECH. ❑. Dale L./_V.(-3-V Contractor_`aA=A-i-r Cite pl e`-fr+,irtinfif BUILDING PERMIT OWNER -BUILDER DECLARATION I herchy affirm that I am exempt 031.5 the Conlruct or'S License Law liAnythe ity or econly which e. Tequiresa emit(ocodProfessions Any city or mu rep which struitu•re permit toconstruct, also iCode.mprove, ere, prior to its issuance. also requires, demolish, or repair any permit he is lic ns applicant for SUCK permit tD file a signed ai ase he is licensed pursuant to the provisions of the)ofDiContractor's License INFORMATION MISC.- REFER TO ORD VALUATION----FS/FT. PERMIT ISSUANCE 10.00 ELEC. CONTR. LIC, NO. ELEC. TOTAL PERMIT TO DTV. PLUMBING PERMIT FEE Of Division ani the Law (Chapter 9 ( somans sing with Seeders is exempt Business and Professions Code) or th:n lie is 'STORIES TYPE CONSTR. the i tion of actio 7031.5 for Late alleged exemption. Any violation of.a cion malty by any applicant Cora permit doU.ts S500).licam toacivil penalty any a of not more than five hundred dollars (5500)J: ALTER-DRAIN-WATER(EA.) 5.00 ❑ I, as owner of life property, or nay employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions BACK FLOW PROTECT. DEVICE 4.00 OCC, GROUP RES. UNITS 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 SO. FT. FLOOR AREA TOTAL ACREAGE himself or through Itis own employees, provided that such improve- mentsare not intended oroffered for Sale. If. however, Ole budding GAS - EA. SYSTEM - 1 1 NC. 4 OUTLETS 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 hit -RES Prove l'or purpose of sale.). as owner of Inc property, fen exclusively contracting with licensed contractors to construct the project (See. 7044, Business licensed and Professions Code: I lie Contractor's License Low docs not apply to an owner of property who builds or improves thereon, and who GAS - EA. SYSTEM - OVER 4 (EA.) 2.00 BUILDING USE IND CON PB Other ❑ El 1:11:1 1:1 INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 LAWN SPRINKLERS - OVER 5 (EA.) 1.00 ASSESSORS PARCEL NO. contracts for such projects with a contractods) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. ❑ 1 am exempt under Sec.-. B.&P.C. for this R•axlnl WATER HEATER W/VENT 6.00 Owner Dole WATER SYSTEM 5.00 ACC.DATE ACC. FILE NO. WORK ERS'COMPENSATION DIiCLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a cenificala• ofennsent to wirinsure, or a certificate of Workers' Compensation Insurance- or a certified ZONING ENG. SITE NO. copy wereDWsee.3xoo,Lab.c.�ibertY Mutual PDNo. nY _ FIRE SPRINK y ❑ N❑ ENERGY T 20 y ❑ No 0 Cctlil red copy is ii hereby furnished. 1.�QwL certified copy is filed with Inc city inspection division. AIS at MISC. - REFER TO ORD. WC2-16 -Q2 $F?T CERTIFIC\ O 9 hX.h PI N I' WQRKIiRS' PERMIT ISSUANCE 10.00 FLOOD ZONE A. L. U.L. PLG. CONTR. LIC. NO.PLG. TOTAL COMPENSATION INSURANCI'- CI'his section need nut be completed if fit,, permit is for one Y ❑ N❑ Y ❑ N❑ QTY. MECHANICAL PERMIT FEE FEE SUMMARY hundred dollars IS 100) Or less.) I certify that in the performance of the work for which this per fait is issued. I shall not employ any person in any manner so as to BUILDING become subject to the Workers' Compensation Laws of California. Date ApPlicant N0I'ICF '10 APPLICANT'. 1f, utter Inaking this Cert il'Icutc of Ex. emptioo, you should become subject In the workers' Compensation provisions of the Labor Code, You nest forthwith comply' with such provisionsor this permit shall be deemed revoked. ALTER OR ADD TO MECH. 5.00e, APPLIANCE 5.00 PLAN CHECK FEE AIR HANDLING UNIT (TO 10,000CF.M.) 4.00 AIR HANDLING UNIT (OVER 10MC.F.M.) 6.00 SEISMIC FEE CONSTRUCT ION LENDING AGENCY EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM 1 hereby affirm that there is a construction lending agency for the perl'ornnance of the work for which this permit is issued (Sec. 3097, CIv.C.). HEATING UNIT (TO 100,000 B.T.U.) 8.00 HEATING UN IT (OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Name Lender i Address VENTILATION FAN (SINGLE) 4.00 PLUMBING I certify that I have read alis application cad state that the above information is correct. 1 agree to comply with all city and county ordounces and state haws relating to building cons'I nletioq and herchy authorise representatives of this city to enter upon the above- •nlioned property for inspection purposes. BOILER -OOMP(3 H.P. or 100,000 B.T.U.) 6.00 i BOILER -COMP (Over100,000BTU) SEE FEE SCH. MECHANICAL l O ID MISC. - REFER TO ORD. CONST. TAX (W agree to Save, ind try and keep harmless the City of ape o againn liubiliti j gmem ,costs and expenses which I an wa accnle erg' t said City in nme9uence of he PERMIT ISSUANCE 10.00 •7 H. CONT. LIQ NO. MTOTAL/ D Cal -Air 137195 �D SQ TOTAL Signature of Applicam/Conhacfor c �i OFFICE COPY