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18098 _ POST THIS CARD NEAR FRONT OF BUILDINCti. • .PERMIT NUMBER U CITY 01 CUPERTINO 18098 INSPECTION DIVISION B 1 E TIONN RECORD ; 1 S O ��� `r'cLILciPER-MITkPIRATION JOB ADDRESS_ IT# LOT# / X It 15S - /J �PERMI EXXPIRES IF WORK • OWNER 'C— CONTRACTOR t 'IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR NS CTION RECORD 780 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM NOTE: LAST CALL ED INSPECTION. UFER,07/241 o, ',Z' ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUTO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION GARAGE SLABS ITE CUPERTINO STANDARDS. GARAGE '• POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB t PLUMBING . . 1�J1f�l85 ELECTRICAL S ISSUANCE DATE MECHANICAL - 4DG ELECT PLG. MECR ' i,� �• LTJ . DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR . V VALUATION L - $/FT. PLUMBING •� r MECHANICAL �� �� ELECTRICAL /PyE�RM�T FRAMING STORIES TYPE CONSTH.. INSULATION OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 7 • ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SOFT FLOOR AREA TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID UILDI ON USE ROOF SHEATHING RES INC CON PR on.•. APPLY NO ROOFING UNTIL ABOVE HAS BEEN.SIGNEDFINALS DATE INSP. El 0 ASSESSORS PARCEL NO, ROUGH SAN,N PLUMBING ELECT.ENERGY _ TUBS 8 SHOWER PAN PLUMBING�ENERGY TRACT NO PARCEL NO MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY, ACC DATE ACC FILE NO FRAMING ELECT.FINAL TEST p—/ - INSULATION PLUMBING zorvlNc ENG SITE NO i GAS TEST f{— GAS T MECHANICAL FIRE SPRINK ENERGY T 24 COVER NO WORK UNTIL ABOVE'HAS BEEN SIGNED HEATING "� EXTERIOR SHEAR ELECTRICAL RELEASE p ^ FLOGOZONE ALU C. INTERIOR SHEAR FIRE DEPT. YQ, "� Y ❑ N1:1 SHEETROCK GRADE FEE SUMMARY .EXTERIOR LATH. BUILDING p _ ? INTERIOR.LATH TEMPORARY APPROVALS .BUILDING SCRATCH COAT .r. . ELECTRIC - PLAN CHECK -• GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE ( Z OCCUPANCY OF BUILDING ISNOT PERMITTED UNTILBUILDING FINAL ISSIGNED,BY BUILDING INSPECTOR, MICROFILM' 11 'ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC . ONE:WORKING DAY-BEFORE REQUIRED INSPECTION. PLUMBING MT z° PLEASE GIVE JOB ADDRESS WHEN PHONING. h. - SEE PERMIT FOR EXPIRATION DATE -• MECHANICAL "' r, 1 IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY. APPLICANT TO FILL IN INFORMATION WITHIN REDLINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT 18098 ADDRESS BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S - PLAN CHEQK VALIDATION NAME,i OTY. ELECTRIC PERMIT FEE � / �C PNONF „f CONTRORb NAMES J �IzyQsq _ UTLETS-SWITCHES-RECEP 10.00/1.00 p - G� Uc?C •LLICC.No. , C V LIGHTI NG'FI XTUR ES 10.00/1.00 7 CONTRACT 'S J ADDRESS)J ////��////J��' ,/ /%^ ^- PPLIANCES-RESIDENTIAL 4.00 [71.9fS li+"J� -•*.NE L�C/ PANELS 10.00 DATE OF APPLICATION " ARCHITEC PLAN CHECK FEE P.C.NO. on /��eL's3 /7 PANELS (OVER 200 AMP) 20.00 ENGINES LIC.No. �oOI� SIGNS TRANS. 3.00 ARCH.OR ENG. PERMIT VALIDATION ADD RE)R ',, f� =_J SPECIAL CIRCUIT 5.00 VIPI 1 EMP.METER OR POLE INS. 20.00 APPLICANT,!7���j j��E��f v MOTORS SEE FEE SCH. "j,OC �• 1 11 1 Eta Ev"1 AOOREss c-•f SERVICE CHANGE20.00 .; I 0 O O LICENSED CONTRACTORS DECLARATION ¢u 0 1 hereby affirm that I am licensed under provisions of Chapter 9 - .. 1 uPNCEGATE N 2 u, (commencing with Section 7000)of Division 3 of the Business and - ¢ - L.Q.BLECT. PLG, MECH. F z Professions CnJe d yJcense ism full force' eff - z o - License CJuss Lin.Number 9 m r w Date Y^� �- Contractor .� BUILDING PERMIT ¢ o a st st OWNER-BUILDER DECLARATI N INFORMATION E: ; -1 1 hereby affirm that I am exempt from the Contractor's License MISC..- ' •' REFER TO ORD VALUATION u_.oa Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 Q S/FT. r a Code:Any city or county which requiresa permit loconstruct,alter, - / DOD aw� ELEC.CONTR, - LIG NO. ¢ ¢0o improve,demolish,or repair any structure,prior to its issuance,also - ELEC. n w0¢ requires the applicant for Such permit[o file a signed sl'JlameO[that TOTAL I�• - .PERMITTO m he is licensed pursuant to the provisions or the Contractor's License Law(Chapter 9(commencingwith Section 7000)of Division 3 of the .[_\./I Wl O-4 4 D Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE VV W Vx'� is I-$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. a. ; - by any applicant for a permit subjects the applicant toa civil penalty of not more than five hundred dollars(S500),): ALTER-DRAIN&VENT-WATER IEA.) 5.00 ❑ I,as owner of she property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 their sole Compensation,will do the work,and the 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:The Contractor's License Law does not apply 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. mems are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-11 NC.4 OUTLETS 6.00 or improvement is Sold within one year of completion,the owner-. GAS-EA.SYSTEM-OVER 4(EA'.)' 2.00 WILDING USE builder will have the burden of proving that he did not build or im- prove - - RES IND CON PR Omer 1.as ofor wnerose ofot the). INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ ❑ ❑ - ❑ d as owner of to construct he exclusively contracting with licensed contractors Core: 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 dons not apply toan owner of property who builds trimproves thereon,and who LAWN.SPR INKLERS-OVER 5(EA.) 1.00 contracts for such projects with a canlmcmr(sl licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 His Contractor's License Law. TRACT NO. -PARCEL NO. ❑ lam exempt under Sec..,B.&P.C.I'or this WATER HEATER W/VENT- 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.GATE ACC.FILE NO. WORK ERS'COMPENSA'I'ION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate ofconsent to setfinsnre' ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,ora cerlifiCA copy thereaf(Sec.3800,Lab.CJ. //�j'�.�S�DA� Policy No. Company _ - O ❑ Cetlifiedcopyisherebyfurnished. FIRE SPRINK ENERGY T-P4 Z Z Certified copy Jed with the city�speaion division. MISC._ REFER TO ORD. O PPIi ni _ V❑ N❑ V ❑ N❑ ~ H daCS PERMIT ISSUANCE - 10.00 Ir - CIiRTI 14CATli OF EXEMPTION FROM WORK ERS' • FLOOD ZONE A.L,U.L. LUQCOMPENSATION INSURANCE PILO.CONTR. LIC.NO. TOTAL 110•� v❑ N❑ Y ❑ NE](This seclion need not be Completed if the permit is for one :D Z hundred dollars(5100)or less.) - U O 1 certify that in the performance of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued,I shall not employ any person in any manner sa Bs to O w become subject to the Workeri Compensation Laws of Cahlornia. Date ' Applicant BUILDING 7 !!U a ALTER OR ADD TO MECH. 5.00 �/ f } N NOTICE TO APPLIshould become f,aftsubject making this rs'Compeate sa Ex- I-.. 2 provision you should become e, you to the Workers'Compensation with qpp LIANCE 5.00 PLAN CHECK provisions nl' the INS permit you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked. Alfl HANDLING UNIT(TO 10,00011F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT IQOWQRM.) 6.00 SEISMIC FEE �Z I hereby affirm that (here 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(TO 100,000 B.T.U.) 8.00 Lender's Name HEATI NG UNIT ER 100,000 B.T.U.)9.50 o I� Lender's Address ELECTRIC I certify that 1 have read this application and slate that the above 'VENTILATION FAN (SINGLE) 4.00 . information is correct.,1,agree to comply with all city and county BOILER H.P. lOO,000 B.T.U.)i 6.00 PLUMBING ,d0 ordinances and state laws relating to building construction, and M�ABY hereby authorize representatives ec this city to enter upon the BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL Lx�l W above-mentioned propertyforinsp of thi purposes.ts. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. K ' against liabilities„)'dgments, costs and expenses which - CONST.TAX y way accrue ,ago st said City in consequence of the PERMIT ISSUANCE - 10.00 law thisp / / MECH.CONT. LIC.NO. MECH. � 77L. l:�; -,;?(f ( � TOTAL ©� TOTAL �Q Ignature of plicae[ ontraetor Date l e OFFICE COPY