The URL can be used to link to this page

18786 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER A- CITY OF CUPERTINO 8786 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS_ / ( I / eL_AJ? "Z UNIT# LOT# 1J^' PERMIT EXPIRES IF WORK OWNER CONTRACTOR `�T l�pv IS �T1 S7ATElY V'//THIN INSPECTION DATE INSPECTOR INSPEC - N RECORD 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF VERMIT VALIDATION CUPERTINO STANDARDS. 1 11 GARAGE SLABS �✓ ^ ca n�c-� 1 POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED �1 UNDERGROUND /SLAB T/ 4 PLUMBING / -19 11?L/ ELECTRICAL ISSUANCE DATE MECHANICAL HLur, ELECT I PLG. MECH DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WINFORMATION WOOD FLOOR VALUATION SIFT. PLUMBING MECHANICAL VEHMII O ELECTRICAL FRAMING SICHISS �T PE CONSTR INSULATION •` '• Occ.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 5p IT {'1.0(111 Al1EA TOTAL ACREAGE ,i ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING US[ ROOF SHEATHING RES IND CON Pe Ow.•. APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. E) El F-1 E) ❑ ASSESSORS PARCEL NO ROUGH SAN.N PLUMBING ELECT.ENERGY TRACT NO PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ACC DATE ACC FILE rv0 ELECTRICAL - BUILDING ENERGY FRAMING ELECT.FINAL TEST ZONING ENG SITE NO, INSULATION PLUMBING GAS TEST GAS FIRE SPRINK ENERGY L?G MECHANICAL , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING v n� N� EXTERIOR SHEAR ELECTRICAL RELEASE FLOODZONE AL1 INTERIOR SHEAR FIRE DEPT. E N0 YL, rv❑ SHEETROCK GRADE F I I U. FEE SUMMARY EXTERIOR LATH BUILDING BUILDING I INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 1J ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 0� PLEASE GIVE JOB ADDRESS WHEN PHONING. .Z MECHANICAL Gf - SEE PERMIT FOR EXPIRATION DATE - , . IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL Oo CALLING FOR FINAL INSPECTION. OFFICE COPY fa .I APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION .PERMIT NUMBER mDILDIMG APPLICATION & PERMIT +' e�O ADDRESS / o BUILDING -ELECTRICAL-PLUMBING-MECHANICAL l PLAN CHECK VALIDATION AME QTY. ELECTRIC PERMIT FEE PIPoNE NTRACTOSS UTLETS-SWITCHES-RECEP 10.00/1.00 NA E \ \1 inQXLIC.roa5g540 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S PPLIANCES-RESIDENTIAL 4.00 I Y ADDRESS 3g1�t- PHONEArc) PANELS 10.00 DATE OF APPLICATION ARCHITECT FW --r7�CE PANELS (OVER 200 AMPI 20.00 PLAN CHECK FEE P.C.NO, OR 1 n V W ENGINEER Llc.NO. SIGNS TRANS. 3.00 ARC H.OR ENG, SPECIAL CIRCUIT 5,00 PERMIT VALIDATION t ADDRESS 1 21P EMP.METER OR POLE INS. 20.00 nvef_< 1 APPLI MOTORS SEE FEE SCH. ADDRESS SERVICE CHANGE 20.00 woo LICENSED CONTRACTORS'DECLARATION /o179 r$y G U w I hereby aflinn that I am licensed under provisions of Chapter 9 ISSUANCE DATE v,< w (Commencing w 1h Seclion 7000)of Division 3.1 the Business end BLDG. ELECT. PLG. MECH F N z Professions C cense is in full fo z o m - Licens•CIa a Lic.Numb• ❑ ❑ ❑ 2 v,E w Date. - Contractor w ¢ OWNER-BUIL DER DECLAR O. `ZF BUILDING PERMIT a o d D MISC.- REFER TO ORD INFORMATION m3 u N 1 hereby aflinn that 1 am exempt from the Contractor's License LLoa Law for the following reason.(Sec.7031.5.Business and Professions PERMIT ISSUANCE 10.00 VALUATION S/FT. � - Coda,Any city or county which requiresa perm iCmconstrlcgahcr, ES rt¢ 2 improve,demolish,or repair any structure,prior to its issuance',also ELEC.CONTE. LIC,NO. ELEC. - urequires the applicant for such permit to file a signed statement that TOTAL PERMIT wm he is licenced pursuant to the provisions of the Comructor's License Fri Law(Chapter 9(commencing with Section 7000)of Division3 of the - 4 Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE G '¢ ro tat basis]or(h,allcg,d,xcmptien.Any violation of Section 7031.5 STORIES TYPECONSTR. a ; E by any applicant for a permit Subjects the applicant too civil penalty ALTER-DRAIN -WATER IEA.) 5.00 of not more than five hundred dollars(5500).): 0 1,as owner of fire property,or my employees with wages as BACK F LOW PROTECT. DEV ICE 4.00 their cote compensation,will do tie work,and Elie structure is not OCC.GROUP RES.UNITS intended or offered for sale (Sec. 7044. Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:'rhe Contractors License Law does not apply to nn 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. mints are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or 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 im- REB IND CON PB Omar prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ I,as owner of the property,anh 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 Professions Code:The 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 contractorts)licensed pursuant t0 SEWER-SANITARY-STORM EA.200ft/10.00 Elie Contractors License Law. TRACT NO. PARCEL NO. D lam exempt un der Sec ,B.&P.C.for Ibis WATER HEATER W/VENT 6.00 reason owner Dat, WATER SYSTEM 5.00 ACC.DATE ACG FILE NO. WORKERS'COAIPBNSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to self-insure, ZONING ENG.SITE NO. or a certificate of Workers Cum Rmtion Insurun a certified copy tire,,eo` ,� 88Qj0ie.{� l,.C. Policy Nr1,A11'f l7fuu�riny ypbr1 0 p/Cert1K copy is hereby.I omid,ed. FIRE SPRINK ENERGY T 24 Z 2 M Cer f. or is yyC inspection Division. O Applicant MISC. 11cT MISC.- REFER TO ORD. Y ❑ N❑ Y ❑ N❑ i y CIi RTIPICA'I1 01:EXEMPTION 17RONI WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZOrvE A.L.U.C. W 7 CONI'IiNSATIONINSURANCIi PLG.CONTR. LIC.NO. PLG. CL ❑ 1'I his section Reed not be completed if the permit is for one - TOTAL Y❑ N❑ Y [:] N❑ D 2 hundred dollar,IS 100)or less.) - L) O 1 certify that in the perfornwnce of me work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL f- mit is issued.I shall not employ any person in any manner so as to U become subject to the Workers Conhpensation Laws of California. lid Dat° Alhpllcam ALTER OR ADD TO MECH. 5.00 BUILDING ),- W NOTICE TO APPLICANT': It.after..nuking this Certificate of lix- f" ? emption,you should become subject to the Workers Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE V such provisions or this permit shall he deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10100DO.RM.) 6.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT ITO 100,000 B.T.U.) 8.00 Lenders Name Lenders AddHEATI NG UN IT(OV ER 100,000 B.T.U.)9.50 ELECTRIC ress Icertily that l have read thisapph,stimn end sfar,that the above VENTILATION FAN (SINGLE) 4.00 ~ information is correct. 1 agree to comply with all city and county BOILER-COMPI3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING -ordinances and state laws relating to building construction, and hereby uuthoriee representatives of this city to enter upon the BOILER-COMP (Over t00d000 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 jXCP uperti..o aguinst liabilities,judgments. costs and expenses which CONST.TAX may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 SM n (this permit MECH.CONT. LIC.NO. MECH. I I D A784,VOL TOTAL l TOTAL a Igo t reof Applicant/Contr ctor ate v3 OFFICE COPY