The URL can be used to link to this page

14033 1 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO � INSPECTION DIVISION . 33 JOB INSPECTION RECORD PERMIT EXPIRATION JOBADDRE/SS ��'`�` -s '�/�^-�'� - ZO�ZINIT# ' LOT# // PERMIT EXPIRES IF WORK OWNER CONTRACTOR G - Q IS NOT STARTED WITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION O�Kj_7. ,per( ¢p.tp,gi_ a ANCE OR 180 DAYS FROM ,� -i "• '„ ok �I/ O LASTCALLED INSPECTION. LIFER- QoJ 464D M_' PREGUNITE ct-V-- $ 5 P 0 2 vh (:)Ie— PERMIT VALIDATION :POURAO CONCRETE UNTIL ABOVE HASBEEN SIGNED PAID UNDERGROUND /SLAB Z 9 I9R . PLUMBING - ELECTRICAL Af C,,pftfl%COATE MECHANICAL _ PLG. MEGFFI. ❑ El Q' Q\ J)-O NOT POUR FLOOR UNTIL ABOVE HAS-BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR vALunnoN slFr. PLUMBING MECHANICAL ELECTRICAL PERMIT To FRAMING STORIES TYPE CONSTR. INSULATION OCC.GROUP 'RES.UNITS ACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 50.FT,FLOOR AREA TOTAL ACREAGE ROOF DIAPHRAGM -Be BUILDING USE ' RES IND CON PB Olher aoAPP.LY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED El ❑ 0 1:3 A5545SUHS PARCEL NO, ROUGH 1 7 PLUMBING GAS TEST TRACT Na. PARCEL NO. MECHANICAL ELECTRICAL .FINALS DATE INSP. ACC,'CAT E ACC.FILE NO. FRAMING SAN # / - ZONING` ENG.SITE NO. INSULATION g PLUMBING- , GAS FIRE SPRINK ENERGY T,24 F MECHANICAL O� - v N� v N� COVER NO WORK UNTIL ABOVEHAS BEEN•,SIGNED : HEATING FLOOOZONE A.L.UG LATH-INTERIOR `) ELECTRICAL o_y= LATH-EXTERIOR FIRE DEPT. YE] NE] Y ❑ N❑ SHEETROCK GRADE FEE SUMMARY SHEAR INTERIOR, BUILDINGp�Z AP SHEAR EXTERIOR TEMPORARY APPROVAL BUILDING - "? FIREWALLS ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN;SIGNED; OCCUPANCY SEISMIC FEE F OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM - ARRANGE FOR INSPECTION BY PHONING-252-4505, ELECTRIC ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING + , z� PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL j CALLING FOR FINAL INSPECTION. OFFICE COPY w APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDINGPROJECT IDENTIFICATION PERMIT NUMBER IMILOING - APPLICATION & PERMIT • ADDRESS ILLARD LANE, LOT 11 BUILDING-ELECTRICAL-PLUMBING -MECHANICAL 14033 40 WmN L.2 PLAN CHECK VALIDATION ER5 D DEVELOPMENT QTY. ELECTRIb'PERMIT FEE - CORP. ( 415 DRONE 941-414 1. CONTRACTORS NAME Z-140+5 1j OUTLETS-SWITCHES-RECEP 10.00/1.00 Ild sA1N�F' TIC.NO. LIGHTING FIXTURES 10.00/1.00 C,ONTRACTORsI IR,�'r APPLIANCES-RESIDENTIAL 4.00 / a REa �1i AJ- , ,rq cA1-4141 PANELS 10.00 Q - DATE OF APPLICATION ARCHITECT •• F PANELS(OVER 200 AMP) 20.00 PLAN_NECK FEE P.C.NO. OR ARCHITECT C13629 ENGINEER uc.NO. SIGNS TRANS. 3.00 AD0'Ess EN r"' SPECIAL CIRCUIT 5.00 PERMIT VALIDATION '"LOS GA^105, CA. ZIP 9503 EMP.METER OR POLE INS. 20.00 T'S APPLICANMOTORS SEE FEE SCH. ADDRESS 141FIRST ST. SERVICE CHANGE 20.00 ' -00 LI •D C ORS CAR x p�� <U U I hereby affirm that I am licensed under provisions of Chapter 9 - god1n ISSUANCE DATE ¢i% (commencing with Section 70001 of Division 3 of the Business and BLDG. ELECT. PLG. MECH. H o i Professions Code,and my license is in full r n e c Q ® ^ z 091- Livens Class Lic.Number -CL- I1R_ O m,.. w Date�.�^�.�.��_Corr actor x i J BUILDING PERMIT Le ¢ w a OWNER-BUILDER DECLARATION A O MISC.- REFER TO ORD INFORMATION w ; y I hereby affirm that I am exempt from the Contractor's License u.0g Law for the following mason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 Q / VALUATION S/FT. Byrn Code:Any city orcounty whichrequiresa permit to construct,alter, 2 a Q p improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. i E O, requires the applicant for such permit to file a signed statement that TOTAL E PERMIT TO w 9 w he is licensed pursuant to the provisions of the Contractor's License // Fi> Law(Chapter 9(commencingwilh Section 7000)ofDivision3o(the Cp /4 ./ //L 4 o Business and Professions Code)or that he is exempt therefrom and OTV, PLUMBING PERMIT FEE ¢ H $ the basis forthealloged exemption.Any violation of$eclion7031.5 ""+`�a STORIES TYPE CONSTR: sg by any applicant for a permit subjects the applicant me civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 C.k r'/'/ of not more than five hundred dollars(5500).): &7 1146+_. ❑ [,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 occ.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not q / intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 K- 3 Code:The Contractor's License Law does not apply to an owner of himself or through builds his improves employees. es.provid who does at such improve- work FIXTURES-PER TRAP 5,00 7S _ SO,FT.FLOOR AREA TOTAL ACREAGE himself re through his own employees.provided that such improve- mems are not intended or offered for sale.If,however,the building GAS-EA.SVSTEM-11NC.40UTLET$ 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 IEA.1 2.00 builder will have the burden of proving that he did not build or im- "BUILD NG USE prove for purpose of sale.).. INDUSTRIAL WASTE INTER3000 IRI--EE�S IND CON PB Omer El 1,as owner of the property,am exclusively conlracling with . . Pte. ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORSPARCEL 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 �"�b-C�.Sli-CL contracts for such projects with a contractors)licensed pursuant to S SEWERANITARY-STORM EA. /200ft 10.00 the Contractor's License Law. O TRACT NO. PARCEL NO. C1 am exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 8.00 anon Owner Uare WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKF-RS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate ol'Consent to sell=insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy thereof(See.3800,Lab.C.L Policy No. Company - 0 ❑ Certified copy is hereby furnished. FIRESPRINK ENERGY T-24 Z 2 Certified copy is ,ith the cit inspection division. MISC.- REFER TO ORD. ❑ ❑ ❑ ❑ Q A Plicanl_ V N V N Xy CERTIFICATE OP EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 - FLOOD ZONE .A.L.U.c. LU > COMPENSATION INSURANCE PLG.CONTR. UC.NO. PLG. CL 0 '(This section need not be completed if the permit is for one TOTAL .2'0 Y❑ N❑ Y❑ N❑ hundred dollars 1$100)or less,) U O 1 certify that in the performance of the 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'Compensation Laws of California. y Date ApplicantBUILDING ALTER OR ADD TO MECH. 5.00 } W NOTICE TO APPLICANT: If,after making this Certificate of Ex- 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 U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10000C.FM.) 6.00 SEISMIC FEE •1 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.). �A1'IL � HEATING UNIT(TO 100,000 B.T.U.) 8.00 i Lender's Naml`,Jy'-�-TIwo HEATING UNIT(OVER 100,000B.T.U.)9.50 ELECTRIC Lender's Address . I certify that I have read this application and state that the above 15 VENTILATION FAN (SINGLE) 4.04,20- information .0 dinformation is correct. 1 agree to comply with all city and county PLUMBING �f ordinances and state laws relating to building construction, and ` BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 ��IX hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. BOILER-COMP (Over 100,000 BTU)BEE FEE SCH. MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO.ORD.. c Cupertino against liabilities,judgments, costs granting and expenses which PERMIT ISSUANCE 10.00 �� CONST.TAX r�OS may in any wayaccrueagainst said City in consequence of the grantng of MECH.CONT. LIC.NO. MECH. �,�_� TOTAL �2 TOTAL �3 Si re of Applicant/Contractor Uate OFFICE COPY ��