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16126POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD JOB ADDRESS ' V ` O F `^' "'� `''� % n _UNITA_ LOT #S' OWNER 5 �, CONTRACTOR (,(�j/lijU/Jli/U.`V1X PERMIT NUMBER 16126 PERMIT EXPIRATION PERMIT S NOT STARTED WT HIIN 180 DAYS OF PERMIT ISSU. ANCE OR 180.DAYS FROM LASTCALLED INSPECTION. INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITU OF CUPERTINO STANDARDS. UFER PREGUNITE I'PHm11T VALIDATION _ c Ja i 4 c_ •—} 1 ISSUANCE DATE GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED^ PAID UNDERGROUND/SLAB PLUMBING UG 10 1998 ELECTRICAL MECHANICAL City'of Cupe .e + ELECT E) PLC. mea+ 1:1❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED B PERMIT INFORMATION INFORM W OD FLOOR PLUMBING .y vALun TION SIFT. MECHANICAL ELECTRICAL - PEH M1111 i0 t- fly ilii FRAMING INSULATION STDRIES IY PE CONSTR 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 50 1i FLOOR PRI''.n , iOinL ACR EGCf DIAPHRAGM ROOF SHEATHING BUILDING. USE HIs IND CUN PR um.. ❑ El APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO SAN.N PLUMBING ELECT. ENERGY IHACi NO PARCEL NO TUBS & SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ncc Ohre ncc. Fn.e No ELECTRICAL BUILDING ENERGY �'— ��'b" FRAMING ELECT.FINALTEST ZONING ENG. SITE NO. INSULATION -I - PLUMBING GAS TEST GAS FIRE $PRINK „C N ENERGY i 24 ' ❑ No MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD ZONE Y[] NE] A L U C. I ❑ NEI EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. FEE SUMMARY SHEETROCK- ,S8 C GRADE EXTERIOR LATH BUILDING - BUILDING 3,UU INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC FEE PLAN CHECK GAS SEISMIC FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY I I OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUI LOING INSPECTOR. MICROFILM ELI ARRANGE FOR INSPECTION BY PHONING 252-4505, ONE WORKING DAY BEFORE REQUIRED INSPECTION. O� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z —SEE PERMIT FOR EXPIRATION DATE — ELECTRIC PLUMBING MECHANICAL CONST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL - - OFFICE COPY - APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT 1 DENTI FICATI ON APPLICATION & PERMIT ILDING - ELECTRICAL - PLUMBING -MECHANICAL PERMIT NUMBER 16126 BUILDING ADDRESS O p ' OWNER'S NAME PRory72 TV. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION CONITacTORs NA E A /ten!'-/` UTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 C✓q/�/J T.i DTORS AOnEss �5"'�a b.Q PPLIANCES- RESIDENTIAL 4.00 PANELS 10.00 JIDADDRESS DATE OF APPLICATION ARCHITECT OR ENGINEER LIC. NO, PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 Aooa Ess ENG . ZIP SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ljrl �`� ��`�µ EMP. METER OR POLE INS. 20.00AI-iiVt APDRESS r$ ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICENSED CONTRACTORS DLCLARA'I'ION 1 hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE (commencing w Sectio 7000) of Division . I r us ss and Professions Cmdet 1d iftYwense is in full ft f License Cl's_"!'� Lic. Nmober Dale�(e;✓�_ennlmetnr •���'' AUG I BLD ELECT. ❑ PLG. MECH. ❑ ❑ Cjtr' of BUILDING L OWNFR-BUILDER DECLAARRATION I hereby affirm That I am exempt from the Contractor's License Law I: Athefollowingreason(Sec.7iresa Businessand Professions mconsuanc alter. Cnpr Any city or county which structure. mPruve, demolish, or repair any etructure.prior to its issuance. also tru tune. prior t INFORMATION INFORMATION ER I MISC.- REFER TO OR VALUATION Qt f U $/FT. PERMIT ISSUANCE 10.00 ELEC. CONTR. LIC. NO.. ELEC. squires the applicant I'., such pen. if to file a signed statement that pursuant to the provisions of tire Convectors License Leis (Chapter f 7 of the Busi (Chapter 9 (commencing with Section 7000).E t therefrom Business Professions Code) or that he is therefrom and TOTAL PERMIT TO <� J DTV. PLUMBING PERMIT FEE STORIES TYPE CONSTR. for tion of the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not mor, than five hundred dollars ( $5001.): ALTER -DRAIN & VENT -WATER (EA.) 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 FLOW 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 improves thereon, anti who does such work F IXTUR ES - PER TRAP 5.00 SO. FT. FLOOR AREA TOTAL ACREAGE himself or through his own engrloyucs, provided that such improve- mentserenotintendedorofferedforsale. ll', however, the building GAS - EA. SYSTEM -11 NC. 4 OUTLETS 6.00 or fn, proveme I is sold within one year of completion, the owner- builder will have tire burden of proving (hal h e did not build or im- prove for purpose of sale.). ❑ I, as owner of the property, Lm exclusively contracting with . .. GAS - EASYSTEM -OVER 4 (EA.) 200 BUILDING USE RES IND CON PB Omer ❑ ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS -J INC 5 V.B. 6.00 LAWN SPRINKLERS - OVER 5 IEA.) 1.00 ASSESSORS PARCEL NO. licensed contractors to construct the project (Sec. 7044, business and Professions Code: I'he Conductor's License Law does nut apply to an owner of property who builds or improves thereon. and who contracts for such projects with a contractorts) licensed pursuant to the Contractors License Law. SEWER-SANITAR V -STORM EA. 200Ft/10.00 TRACT NO. PARCEL NO. WATER HEATER W/VENT 6.00 ❑ l am exempt under Sec.-. B.&P.C. for this n•Lson Owner Dale WATER SYSTEM 5.00 ACC. GATE ACC. FILE NO. WATER TREATING EQUIP. 5.00 WORK ERS'COMPFNSA'I' ION DECLARATION ' 1 hereby affirm I a 1 It Olifieare of cousenl to self -insure, ora �M/ ,pcnsalion U urmc, or crti" J r Lou I L. ). ZONING ENG. SITE NO. Pn1iDF ompany _ pp Certified copy is hereby furnished.FIRE SPRINK ENERGY T-24 !Q_,eemfied copy is filed with ore city inspection division. Applicant Y ❑ N❑ v ❑ N❑ MISC.- REFER TO ORD. PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. CERTIFICATE OF FXEMPFION 17ROM WORKERS' PLG, CONTE. LIC. NO. PLG. TOTAL COMPIiNSAI']ON INSURANCE ('Phis Section need not be completed if the Permit is liar one v❑ N❑ Y❑ N❑ DTV. MECHANICAL PERMIT FEE FEE SUMMARY hundred dollars(S I OO) or less.) I certify that in ate performance of the work for which this per- mit is issued. 1 shall not employ any person in any roamer so as to BUILDING (� become subject to tic Workers' Compensation Laws of California. Late Applicant ALTER OR ADD TO MECH. 5.00 NOTICE TO APPLICANT: It, Lifer making Ihis Certificate of Ex- emption, you should become subject to the Workeri Compensation APPLIANCE 5.00 PLAN CHECK' provisions of the Labor Code, you amst forthwith comply with such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT (TO 10,000C.F.M.) 4.00 FEE U. AIR HANDLING UNIT (OVER I0,000C.F.M.) 6.00 M ICFEE , CONSTRUCTION LENDING nGIiNCy EXHAUST HOOD (WITH DUCT) 5.00 OFILM 1 hereby affirm that there is a construction lending agency for the performance of ole work Im which this permit is issued (Sec. 7097, Civ.C.). HEATING UNIT ITR 100,000 B.T.U.) 8.00 HEATING UNIT (OVER 100,000 B.T.U.) 9.50 tELECTRIC Lender's Name Leneri Address VENTILATION FAN (SINGLE) 4.00 I e,rIfy that I have read Ihis application and stte Ihm the above information fs correct. 1 agree to comply with all city and county and state laws relating to building consatoneandhereby gO1LER-COMP13 H.P. or 100,000 B.T.U.) 6.00MBINGordinances BOILER -COMP (Over 100,000STU)SEE FEESCH. HANICAL authorize representatives of this city to upon the above -menti. ed property for inspection purposes MISC. - REFER TO ORD. (We) agr to save, indemnify d keep It mlo. the City of upertino mina liabilities, jud- ats, cost and penses which o way are a aga' said Cil n - sequence of the CONST. TAX PERMIT ISSUANCE 10.00 CONT. LIC. NO. MECH. on u fth¢CH. zlzolkl t o p icint/ omract D e TOTAL TOTAL OFFICE COPY