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18546POST THIS CARD NEAR FRONT OF BUILDING ' CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD JOB ADDRESS G��Ls "'- �p �r UNIT# _LOT# OwrveR corvTRAcroR PERMIT NUMBER 18546 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 NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITYOF CUPERTINO STANDARDS. UFER PREGUNITE vE TIT VALIDATION ,l`ai/i1G� ISSUANCE DATE GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING PAM ELECTRICAL MECHANICAL SE Be, ELECT 1:1 PLG. mcCH El DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED �� BUILDING PERMIT INFORMATION VALUATION SIFT, WOOD FLOOR PLUMBING // -/ V c) MECHANICAL vcurour TO t i91:!/ i.VQIE/�B�N ELECTRICAL FRAMING-i-NT.�iC�i�� S1pRIE$ TYPE CONSTR INSULATION MTAX -GCROUP Z RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE: N BEFORE THE CON 51] IL FLIIUH AHLA TOiAI AGNf AC.F DIAPHRAGM BUILDING USE RES IND CON PB O'. 0 ❑ L ❑ 0 ROOF SHEATHING APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO ROUGH SAN,# PLUMBING ELECT. ENERGY TRACT NO, PARCEL NO TUBS B SHOWER PAN PLUMBING ENERGY MECHANICAL VECH.ENERGY ACC DATE ACG FILE NO ELECTRICAL - BUILDING ENERGY FRAMING ELECT. FINAL TEST ZONING ENG SITE NO. INSULATION PLUMBING GAS TEST GAS FIRE SPRINK JL NE-) ENERGY T 2 Y❑ N1:3 _ MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD /.ONE Y El OF] ALUL Y L NL EXTERIOR SHEAR. ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. FEE SUMMARY SHEETROCK GRADE 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 JOCCUPANCY OCCUPANCY OF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, IL ONE WORKING DAY BEFORE REQUIRED INSPECTION. 00 PLEASE GIVE JOB ADDRESS WHEN PHONING. , Z — SEE PERMIT FOR EXPIRATION DATE — ELEcralc PLUMBING MECHANICAL CONST, TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL �. OFFICE COPY O Z z F O OC - W � d 0 �z UO LL H- w � a A APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION APPLICATION &PERMIT BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PERMIT NUMBER 18546 BUILDING ADDRESS 2 t �t I AV F! OWNER'S PLAN CHECK VALIDATION "AM•A- � i DT ELECTRIC PERMIT FEE /-r q v i PHONE DA TE OF APPLICATION NAM[RAcroRs e C'C'OA LIC. No. %Z. 06KLETS-SWITCHES-RECEP 10.00/1.00 LIG NG FIXTURES 10.00/1.00 rorvrRAcroR'S aoDREss O Albo A PHONE 72-7-4LPANELS APPLIA CES -RESIDENTIAL 4.00 10.00 ARCHITECT OR ENGINEER JAIL LIC. NO. PANELSIOV 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. SIGNS TRANS. _ 3.00 ARCH OR ENG. ADORESZy.2- b� Cf_ zlv SPECIAL CI RCUI 5.00 PERMIT VALIDATION n , �{ i/ �� 0.00 EMP. METER ORP E INS. FOO -0- A Avvucarvrs �1Ai Gut' AODR 55 MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICENSED CON'PRACTORS DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9ISSUANCE (commencing with Section 70001 of Diviuion 3 of the Business and 1'rol'essl.n, ,. I my license is in full fur._��4-i License Class �- Lie . Numher / DuteF Contractor- DATE BLDG ELECT. ❑ PLG. MECH. ❑ BUILDING PERMIT INFORMATION /� OW1NtR-BUILDER DECLARATION I hereby affirm that I em exempt from Ihu Contractor's License Law for the following reason. (Sec. 7031.5, eusinessmdl'rofcssiona Code Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit 10 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 l commencing with Section 7000),,f Division 3 of lire Rosiness and Professions Code) or that he is exempt therefrom and �. MISC. - REFER TO ORD PERMIT ISSUANCE 10.00 VALUATION r ,�s �7t QV 0 $/FT. ELEC. CONTR. LIC. NO. ELEC. TOTAL RMIT TO �, (,i Am/ H� 45111 tV4�1 0 If Q PLUMBING PERMIT FEE STORIES TYPE CONSTR. th e basis for the alleged exemption. Any violation of Sect ion 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars 155001.1:❑ &VENT -WATER (EA.) 5.00 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is notintended OTECT. DEVICE 4.90 OCC. GROUP RES. UNITS NDRAIN-FLOOR, ROOF, AREA, COND. 5.00�? or offered for sale (See. 7044. Business and Prolessios The Contractor's License Law does riot apply to an owner of who builds or improves thereon, and who does such work _nCode: ISproperty' R TRAP 5.00 SG. ET FLOOR AREA TOTALACREAGE himself or through his own employees, provided that such improvemems are not intended ur offered for sale, If, however, the building M-1 INC.4 OUTLETS 6.00 or ilnprovcmunl is sold within one yea W completion, the owner builder will have the bards[ of proving that he did not buil) or im- prove for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with . . . GAS - EASV$T -OVER 4 (EA) 200 BUILDING USE RES IND CON PB Other El El ❑ 1:1 El IND USTR IAL WAS INTER. 30.00 LAWN SPRINKLERS - INC 5 V.B. 6.00 ASSESSORS PARCEL NO. contractors ro construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to onowner of property who builds or improves thereon, and who LAWN SPRINKLERS - OVV 5 (EA.) 1.00 contats cfor such projects with licensed a contractions) IicenA puuato the Contractor',tsors License Law. SEWER -SANITARY -STORM . 2001t/10.00 TRACT NO. PARCEL NO. ❑ l am exempt under Sec. ,B.ARC. for this reason WATER HEATER W/VENT 6.00 Owner [)ate WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO. WORK Ii RS'COMPENSATION DECLARATION WATER TREATING EQUIP. ' 5.00 1 hereby affirm that I have a certificate ofonsL'at to self -insure, or a certificate of Workers' Competnetion n Trance, or a certified ZONING ENG. SITE NO. copy ihcrcof (Sue. 3800, Lab,CJ. Policy No. C'onopuny - FIRE SPR INK ENERGY T 24 ❑ CYSiitied Copy is hereby fujrs'l ertif 'o Y is 61c with II Y' inxp conn ion. Applic:tnl v ❑ N ❑ v ❑ No, MISC. - REFER TO ORD. 'IFICATF OPIi%I?MPTROM WORKERS' ChR'1. P PERMIT ISSUANCE 10.00 FLOOD ZONE A. L. U.G. PLG. CONTR. LIC. NO, PLG, TOTAL COMPIiNSATION INSURANCE section need not he completed if the permit is for one v❑ NE) Y❑ NEI11h O MECHANICAL PERMIT FEE FEE SUMMARY hundred liars 1S 100) or less.) I certify I in the performance of the work for which this per- mit is issued, all not employ any person in any manner so as lu BUILDING O bccomc suhjem to c Workers Compmaaal ion Laws of California. Date A Tani A TER OR ADD TO MECH. 5.00 NOTICE '1'0 APPLICAh If, after making this Certificate of E.- emption, you should become. ject to toe Workeri Compensation provisions of the Labor Code must forthwith comply with such provisions or this permit slmll be •used revoked. 5.00 PLAN CHECK FEE T (TO 10,00DC.F.M.) 4.00 NHANDG(OVER t0,000GEM.) 6.00 SEISMIC FEEI CONSTRUC'T'ION LENDING AGENCY hereby affirm that there is a construction lending agency 1'or the performance of the wor f hich this permit is issued (Sec. Civ.C. /� � WITH DUCT) 5.00 MICROFILM3097. O 100,000 B.T.U.) 8.00 HEATING UN IT(O R 100,000 B.T.U.)9.50 ELECTRIC Lender's Nnme !-/ Lenders I certif1 h c read this application and state that the above informatirr Ct. I agree to comply with all city and County ordinancert' a laws relating to building construction. and VENTILATION FAN ( GLE) 4.00 PLUMBING BOILER-COMP(3 H.P. or 10b,,000 B.T.U.) 6.00 BUTLER -COMP (Over 100,0008 )SEE FEE SCH. MECHANICAL Iereby uepresenmtives of this city m enter upon the above-nouoperty I'or inspection purpous. ato MISC. - REF TO ORD. (We) a roe ave, indemnify and keep h doss the City of upertino liabilities, juJgmenls, co and expenses which mu in aaccrue againstsaid C' in conseq Ince of the CONST. TAX PERMIT ISSUANCE10.00rat ingocnnit. r �� f a MECH. CONT. LIC. NO. ME , TOTA TOTAL L^r Signa re pelican[/Contractor Date OFFICE COPY