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18514G POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD . JOB ADDRESSUNIT# _LOT# OWNER (' CONTHAETCH PERMIT NUMBER 18514 PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU. OR 180 DAYS FROM LASTCALLED INSPECTION. IN TION IDIATE INSPECTOR INSPECTION RECORD FOUNDATIONANCE NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPR(p PPS AND CITY OF CUPERTINO STANDARDS. ��.•��ff UFER. PREGUN ITE PE i RMIT VAL IOATION ,.,. ~ '/• ISSUANCE DATE GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED , 198 UNDERGROUND /SLAB PLUMBING CAI W Q V.• ELECTRICAL MECHANICAL � d COG . ❑ ELECT ❑ PLG. MECR •per ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION SIFT. PLUMBING MECHANICAL ELECTRICAL T o •1"" FRAMING INSULATION STORIES IYPE 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 • SU FT FLOOR nNEA - TOTAL ACREAGE DIAPHRAGM ROOF SHEATHING BUILDING USE RES IND CON Pd Oro., 11 0 El 1:1SP APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO ROUGH SAN.N ' PLUMBING .ELECT. ENERGY TRACTNO PARCEL NO . TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ACC DATE ACC FILE NO ELECTRICAL BUILDING ENERGY FRAMING ELECT. FINAL TEST ZONING ENG SI TE NO. INSULATION PLUMBING GAS TEST GAS FIRE SPRINK Y 0 NEl ENERGY i.i4 Y ❑ N1:1 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD zorve A.L ❑ N❑ EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING INTERIOR LATH � � TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK FEE GAS SEISMIC FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY OCCUPANCY OF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, H ONE WORKING DAY BEFORE REQUIRED INSPECTION. 0� PLEASE GIVE JOB ADDRESS WHEN PHONING. I — SEE PERMIT FOR EXPIRATION DATE — 1 ELECTRIC PLUMBING d D MECHANICAL coNsr.rax IMPORTANT!' PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL ! OQ• OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY ..BUILDING PROJECT IDENTIFICATION APPLICATION &PERMIT BUILDING - ELECTRICAL- PLUMBING -MECHANICAL PERMIT NUMBER - 18514 BUILDING ADDRESS .7 05-15- M OWNER'S PLAN CHECK VALIDATION NAME 4 PPL -e l /' O/y' r •P PHONE OTY. ELECTRIC PERMIT FEE CONTRACTORS NAME /� �-d t0L- 6 LIC. NO. ys ;2 OUTLETS -SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS APPLIANCES - RESIDENTIAL 4.00 ADDRESS /-•� _(- /1/Ze/L PHONE J/ DATE OF APPLICATION PANELS 10,00 ARCHITECT OR ENGINEER ' uc. NO. PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3,00 ARCH. OR ENG.SPECIAL ADDRESS CIRCUIT 5,00 PERMIT VALIDATION TEMP. METER OR POLE INS. 20.00 ZIP Q APPLICANTS ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 ' LICENSED CONTRACTORS DECLARATION �� I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE (commencing with Section 7000) of Division 3 of the Business and Professions Codc, t`rlAAll3lnse is in full forcu� 'qqnd effect. Number eJ'� X.4-�L Liccnsc Clues h: 4 P7 M B G. ❑ ELECT. ❑ PLG. MECH. ❑ / Co Uate-'7�r-/�7-__Contra...., play Q BUILDINGINFORMATION �V. at OWNER-BUILDI:R DECLARATION e Contractor's License I hereby .(lire (hal I am exempt from tire Law for the following myreason, (Sec. 7031.5, BusinessamJ Professions Code: Any city or county which s-quiresa permit Coen issuanL, also improve, demolish, or repair rimctofi prior its issuance, also MISC. - REFER TO ORD VALUATION $/FT. PERMIT ISSUANCE 10.00 ELEC. CONTR. LIG N0. EIEC. n requires the applicant for such permit In file a signed statement that h p he is licensed pursuant m the provisions of the Contract.,', License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and file basis for the alleged exemption. Any violation ol'Section 7031.5 TOTALPERMIT V TO 1 UL DTV. PLUMBING PERMIT FEE STOHIES T PE CONSTR. gLTER-DRAIN-WATER IEA.) 5.00 by any applicant for a pernit.subjects the applicant to a civil penalty of not more than five hundred dollars (55001.): ❑ 1, as owner of the property, or my employees with wages as their sol, compensation, will do the work, and the itnleture 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 Contractor's License Law does not apply to an owner of property who builds or ImprnvCS thereon, and who does such work j FIXTURES - PER TRAP 5.QQ .D 50. FT. FLOOR AREA TOTAL ACREAGE himself or through his own employees, provided that such improve- menu are not intended or offered for sale. If. however, the building GAS-EA.SVSTEM-1 6.00 or improvement is sold within one year of c(mpletion, the owner- builder will have the burden of proving that he did not build ur im- proveforpurposeofsale.). O 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 Omer ❑ ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS -I INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:'I lie 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 a conlractons) licensed pursuant to the Contractors License Law.TRACT SEWER -SAN ITAR V -STORM EA. 200fU10.00 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. WORKERS'CONPFNSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby alfirm that I have a certillcate of consent to sell -insure, or a certificate of Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO. copy thercof(s, 3800, Lab.C.). Policy No. Cnnnpumy- ❑ Certif I py is hereby fm ll ❑ Certi - copy is file) O he city inspection division. APPlicanl FIRE SPRINK N❑ ENERGY T 24 V❑ NCIiRTIPICAT'hit, MISC. - REFER TO ORD. �--- OF IiSIiMP1'ION FRO\7 WORKERS'PERMIT ISSUANCE 10.00 .0ONE ff_] A.L.U.G. PLG. CONTR. UC. NO. T TAL_Ov❑❑❑(This COMPENSAT ION INSURANCE section need not he completed if' the permit is for one N v N QTY. MECHANICAL PERMIT FEE FEE SUMMARY hundred doll... (S 100) or less.( I certify that in the performance of the work for which this Per mit is issued, I shall not employ any person In any Inanner no as to become subject Io the W'orker$Compensation Laws of Colilbmia. Date Applicant BUILDING ALTER OR ADD TO MECH. 5.00 NOTICE TO APPLICANT: IL making aking this Certificate of Ex- emption, you Should become subject m the Workers Com,wa,mion provisions of the Labor Code, you must forthwith comply with such pruvisions or this permit shall be deemed revoked. APPLIANCE 5.00 PLAN CHECK FEE AIR HANDLING UNIT (TO 10=C.F.M.) 4.00 AIR HANDLING UNIT(OVER 10=C.F.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 construction lending agency for the performance ol'the work I'or which this permit is issued (Sce. 3097, Ci, C.). HEATING UNIT (OVER 100,000 B.T.U.) 9.50 ELECTRIC Lender's Name Lenders Address I Certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and VENTILATION FAN (SINGLE) 4.00 PLUMBING / •d d BOILER-COMP(3 H.P. or 100,000 B.T.0-) 6.00 BOILER -COMP (Over 100,000BTU) SEE FEE SCH. MECHANICAL hereby authorize representatives of this city to enter upon the above men 'oned property for inspection Purposes, (We) a to Save, indene ify end keep hamde,s the City of uperY mast liabilities gments, costs and expenses which ay way accrue gai t said City in consequence of the MISC. -' - REFER TO ORD. CONST. TAX PERMIT ISSUANCE 10.00 MECH. CONT. LIG NO.MECH. TOTAL TOTAL O6 ,,ami g fthis pcnml. Sigh ure of plicant/Contra' Dam OFFICE COPY