The URL can be used to link to this page

15507 POST THIS CARD NEAR FRONT OF BUILDING - I'EIi MIT NUMBER CITY OF CUPERTINO 15507 INSPECTION DIVISION . JOB INSPECTION RECORD J� l I7/ PERMIT EXPIRATION JOB ADDRESS 1 1101 E I'-1�1' b'� `T UNIT# _LOT# L/��1(�'� //.,..��y��\\''((''�� j? M C. PERMIT EXPIRES IF WORK OWNER t;c 5vq I I / 11 E- CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PR EG UNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO ANDARDS. . GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING P - ELECTRICAL ISSUANCE DATE MECHANICAL ELEcr PLG. n+ecR DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED yL1 o BUILDING PERMIT WOOD FLOOR AINFORMATION VALUATION SIFT. PLUMBING MECHANICAL PERMIT TO ELECTRICAL 1 FRAMING - ' INSULATION sroRlEs TYPE colvsn+ OCC GHDUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO.FT FLOOR PREA IOiAL PCN[PGL ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING' Res IND CON PB OR APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO ROUGH SAN.N PLUMBING —,h-d'f' ELECT.ENERGY iRnCl NO PARCEL NO TUBS&SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ELECTRICAL —,0-rr BUILDING ENERGY Acc once ncc FILe No FRAMING _ /� ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION PLUMBING GAS TEST GAS FIRE$PRINK ENERGY r.1a MECHANICAL v ❑ ❑ N[] ` COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD 2ONfi n L V C ' EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. Y ❑ Nv ❑ No SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING I +,� BUILDING INTERIOR LATH TEMPOR S'1 -(j, $ ' SCRATCH COAT _ ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE I OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNEDBY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC \ I- ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING OZ PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST. TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY - BUILDING PROJECT IDENTIFICATION PERMIT NUMBER Y BUILDING APPLICATION & PERMIT 15507 ADORE r BUILDING -ELECTRICAL-PLUMBING-MECHANICAL OWNER'S / PLAN CHECK VALIDATION QTV. ELECTRIC PERMIT FEE A I�r/ rS // PRONE 7 CONTRACTORS el UTLETS-SWITCHES-RECEP 10.00/1.00 NAME LIC.No. LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S APPLIANCES-RESIDENTIAL 4.00 ADDRESS PRONE PANELS 10.00 DATE OF APPLICATIOM ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE D.C.NO. O OR ENGINEER LIC.NO. ISIGNS TRANS. 3.00 ADON'E5R ENG' SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP EMP.METER OR POLE INS. 20.00 APPLICANT$ MOTORS SEE FEE SCH ADDRESS 00RE55 w, SERVICE CHANGE 20.00 Woo LICENSED CONTRACTORS DECLARATION GW 1 �Ir a u w 1 hereby affirm that I am licensed under provisions of Chapter 9 1�SSUANCE GATE n a , (connnencmg with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. r h y I'rrf'cssionsCode,and my license is in full force unit effect. 0 ❑ z o License Class Lie.Number o r w Uutc Contmcmr y E CI BUILDING PERMIT w OWNER-BUILDER DECLARATION u o e. MISC.- REFER TO ORD INFORMATION w LL H I "'achy affirm that I am exempt from the Conlraaor,License LL o Q Law for the following Cason.(Sea 7031.5.Business and Professions PERMIT ISSUANCE .49.00 VALUATION $/FT. E - -a Code Any city or county which requiresa permit toconstruct.alter. �" /SDI -a G demolish, r ry srucure,pr T improve, or any to its issuance,also ELEC.CONTE. LIC.NO. ELEC. O o• requires Ore applicant for such permit to file a signed statement that TOTAL /(J PERMIT TO n w m" he is licensed pursuant to the provisions of the Contractors License /x rii Law(Chapter 9(commencing with Section 7000)ofl)ivision 3 oflhe E�`t OdEL 7 a Business and Professions Code)or that he is exempt therefrom and QTV. PLUMBING PERMIT FEE ¢ moo the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. e'; m by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars($500).1: ❑ 1,as owner of the property,or my employees with wages as BACK F LOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not intended or offered for sale(Sea 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law docs not.g)ply 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 his own employees,provided that such improve IF - o meals are not intended or offered for one.D',howevet,the building GAS-EA.SYSTEM-1 INCA OUTLETS 6.00 "'improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or ice- REB IND CON Pe Omer prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ 1,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Pmfcssions Code:The Contractor's License Law does not apply ' to an owner of properly who builds or improves thereon,and whoLWR-AWN SNIPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contractods)licensed pursuant to the Contractor's License Law. SEESATAR V-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ furl exe ptunder Sea ,BAP.C.fa this WATER HEATER WIVENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO, WORKERSCOMPENSATION I)ECLARA'F1ON WATER TREATING EQUIP. 5.00 I hereby affirm that 1 have a certificate of caneent to'ell-inmre' ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy Ihmcof(Sec.3800,Lab.C.). Policy No, Company O ❑ Certified copy is hereby Tarnished. FIRE SPRINK ENERGY T 24 Z Z ❑ Certified copy is tiled with the city inspection division. O Applicant MISC.- REFER TO ORD. Y ❑ N❑ Y [3 N❑ w Cl:R'I FICATE OP 1:XEM P1 ION FROM WORKERS' PERMIT ISSUANCE -10.60 - FLOOD ZONE A.L.U.C. Lid Q COMPENSATION INSURANCE PLG.CONTE. - LIC.NO. PLG, �- F] ❑ ❑ ❑ CI his section need not be completed if the pennit is for one TOTAL V N Y N 0 Z hundred dollars IS 100)or lest.) U O 1 certify that in the performance of the work for which this For- FEE FEE SUMMARY U_ I- mit is issued,I shall not employ any person in any manner so as to U hecomo subject to the Worken'Compensation Laws of California. 0- Dara Applicant ALTER OR ADD TO MECH. 5.00 BUILDING } to NO[WE *1'0 APPLICANT. IC atter Suakin,this Certificate I,] fix- F Z emption,you should become subject In the Worken Compensation APPLIANCE - 5.00 PLAN CHECK pruwi.sicns of the Labor Code, You tier forthwith Comply with FEE U Sudr provisions or this permit slwll be decnmd revoked. AIR HANDLING UNIT(TO 10SMC.F.M.) 4,00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10Af1DC.F.M.) 6.00 SEISMIC FEE PS� I hereby affirm that there is a nmrstrudloo Icoling agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Seo. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Address HEATING UNIT(OV ER 100,000 B.T.U.)9.50 ELECTRIC (� I certify that 1 have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is rotted. I agree to comply with all city and county PLUMBING ordinances and site laws relating to building construction, and BOILER-COMP I3 H.P.or 100,000 B.T.U.1 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP Over 100.000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of misc.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which CONST.TAX may m an way aceme against said City in consequence of the PERMIT ISSUANCE 10.00 rantia, this permit MECH.CONT. LIC.NO. MECH. \ / �� py� �� /� TOTAL TOTAL �� 'C Signature of pplaicant/Co note or OFFICE COPY