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17409 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER 'CITY OF"'CUPERTINO 17409 INSPECTION DIVISION .JOB INSPECTION RECORD jo L� r /' A M PERMIT EXPIRATION �,E JOB AD DR ESS �.Q'S 1 1 ( `l(�F'� .kye UNIT# _LOT# PERMIT EXPIRES IF WORK i owNER {, ""�j UVB CONTRACTOR S CV .• CV "IS NOT STARTED WITHIN NSPE TION DATE INSPECTOR INS ECTIO RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM NOTE:- LASTCALLED INSPECTION. UFER - - - ALL GRADING.AND DRAINAGE SHALL.BE INSTALLED ' P•REGUNITE . TO.COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION GARAGE SLABS CUPERTINO STANDARDS. _I V " POUR NO CONCRETE UNTIL ABOVE HASaBEEN SIGNED UNDERGROUND /SLAB MAR 307��,- ,, ,,,w JOG::/ tin / cIA Vc PLUMBING t. ELECTRICAL City of Glywww ISSUANCE DATE MECHANICAL - _ BLDG I El.ec i. PLc. MECR. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT 3-/y .a INFORMATION WOOD FLOOR VALUATION siFT. PLUMBING - MECHANICAL OIC ELECTRICAL PERMIT ro • FRAMING - ' INSULATION YP STR' OCC GROUP RES,UN[TS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 50 Gi,FLOOR GFEA TOTAL ACREAGE ' ROOF - NOTE:NO FINAL INSP.SHALL BE MADE BEFORE - - DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATHING '- RES IND LOGON USE Om„, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED, FINALS DATE INSP. ❑ 0 0 ❑ ❑ ROUGH SAN.p ASSESSORS PARCEL NO PLUMBING - - ELECT.ENERGY- ' TRACT NO: PARCEL-NO TUBS&SHOWER PAN - PLUMBING ENERGY MECHANICAL- - MECH.ENERGY ELECTRICAL BUILDING ENERGY - ACC,DATE ACC.FILE NO FRAMING - - ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION PLUMBING GAS TEST GAS - FIRESPRINK ENERGY T24 MECHANICAL' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING NE] NC] EXTERIOR SHEAR. ELECTRICAL RELEASE FLOODZONE AIL UC INTERIOR SHEAR - . FIRE DEPT. Y[D "o Y ❑ No SHEETROCKGRADE FEE SUMMARY EXTERIOR LATH BUILDING ' INTERIOR LATH ,, TEMPORARY APPROVALS BUILDING d.v, SCRATCH COAT ELECTRIC: - PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY 'SEISMIC FEE OCCUPANCY OF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR:'-M ICROFII:M'��--�^”' ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ONEWORKING 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 CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY r BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDI„ e .u'SM /er Re APPLICATION & PERMIT ADDRESS` B �S. // �A ) /� BUILDING -ELECTRICAL-PLUMBING-MECHANICAL ��" 1740 OWNER'S�eNH C/IUq G.H/ C��'�/�u/ PLAN CHECK VALIDATION NAME o � TSCL ,/ ! QTY. ELECTRIC PERMIT FEE CONTRACTOR' IX1 NAME /± 1 'I p{.- OUTLETS-SWITCHES 10.00/1.00 dloiVers% (,O,4TA / C.NOH',0OS LIGHTING FIXTURES 10.00/1.00 CONTE C 0R�o o erg�%Cj J.Iwls' PPLIANCES-RESIDENTIAL 4.00 Ca o StO�'13 p9D PANELS •10.00 DATE OF APPLICATION ARC HITE PLAN CHECK FEE P.C.NO. oR /) /BOG PANELS(OVER 200 AMP) 20.00 ENGINEER / //1 / k4 1 - /F( V LIC.No, SIGNS TRANS, 3.00 ARCH.OR ENGy. .l cl^ CGi/T//RG {)( a SPECIALCIRCUIT 1 ° •' 5.00 PERMIT VALIDATION AOOR!� L] �✓] Je V �q J Ga �C.�o, zIP EMP.METER OR POLE INS. 20.00 -3 V�a L APPLICANT - MOTORS . 'SEE FEE SCH. AOORESS 3IS� Mrr�QYI�B•r'TLV'�' •"rfp p. SERVICE CHANGE 20.00 JQ��Q�IJCL� Wo o LICHNAD CONTRACTORS DECLARATION ¢u I hereby affirm that I am licensed under provisions of Chapter 9 Iplt+w 'ISSUANCE DATE ' ao Z w (commencing with Section 7000)of Division 3 of the Business and G N BLDG. ELECT. PLG. As H a 2 Professions Code d my license is in full for' f ❑ ❑ Ca i= License CI Lic.Number n,ty ly I Date 1% Contractor(✓( wl fA" < m BUILDING PERMIT ¢ ¢ a OWNF.R-BUILDER UECLARAT ¢o a v INFORMATION w ; LL H, I hereby affirm that I are exempt from the Contractor's License MISC.- REFER TO ORD LL o ¢ Law for the fallowing reason.(Sec.7031.5,Buslnessand Professions VALUATION SIFT. _ PERMIT ISSUANCE 10.00' ot Code:Any city or county whichrequiresa permit to construct,alter, �QO ¢ ¢ improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. 7 La = O u requires the applicant for such permit to file a signed statement that 'TOTAL PER TO A w m w he is licensed pursuant to the provisions of the Contractor's License F Z a Law(Chapter 9(commencing with Section 7000)of Division 3 of(he 4 O Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE e ¢ r $ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES -TYPE CONSTR. s ; � by any applicant for a permit Subjects the applicant to a civil penalty ALTER-DRAIN IEA.) 5.00 of not more than five hundred dollars($500).1: ❑ I,as owner of The property,or my employees with wages as BACKFLOW PROTECT.DEVICE 4.00 OCC.GROUP REB.UNITS their sole compensation,will do the work,and the structure is not intended or offered for sale(Sec. 7044, Business and ProfessionsDRAINS-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 int Prove- mendsarenotintendedor offered for sale,ll',however,the building GAS-EA.SYSTEM-1INC.4'OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS EASYSTEM-OVER 4(EA.) 2:00 builder will have the burden of proving(hat he did not build or int - .- BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER30.00 'RES IND CON PB Cuba, ❑ 1,as owner of the property,am CxclusivCly con .Ducting with ❑ ❑ ❑ ❑. ❑ licensed contractors to construct lhu 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 conlructons)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 .TRACT NO. PARCEL NO,- ❑ I am exempt under Sec..,B.&P.C.for[his WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM- 5.00 ACC.DATE ACC.FILE NO. XWORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that 1 have a certificate ofconsent to self-insure, or a certificate of Workers'Compensation Insurance,or a certified ZONING - ENG.SITE NO. copy therogj(Se JSQQ Lab.,.). ��f�� cPullop NOom inn `-- Certified copy is here furnished. - Z Z ❑ Cmlificd y 1F d with Ihy huleclian division. FIRE SPRINK ENERGY T24 Q ApplicanR_I�. QG MISC. REFER TO ORD. y❑ N❑ Y ❑ N❑ I" lr -rn PERMIT ISSUANCE. 10.00 CERTIFICATE Oh EXEMPTION FROM WORKERS' PERMIT ZONE A.L.u.C. LU COMPENSATION INSURANCE PLG.CONTR. LIC.No, PLG, Q. 0 (This section need not be completed If the permit Is for one TOTAL V❑ N C] V [:] N hundred dollars IS 100)or less.) ) O I certify that in the performance of the work for which this per- QTY. MECHANICAL PEFIM1T FEE FEE SUMMARY LL 1- 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. Date Applicant BUILDING (J'0 Is- ALTER OR ADD TO MECH. 5.00 }.rn NOTICE TO APPLICANT: If,after making this Certificam�l'Ex- Z emotion,you should become subject In the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE C.) such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10MC.F.M.) 4.00 -' CONSTRUCTION LENDING,AGENCY AIR HANDLING UNIT(OVER 1000C.F.M.) 6.00 SEISMIC FEE t, I hereby affirm that them is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sea MICROFILM 3097,Civ C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name H EATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC I certify that 1 have read this application and stale that the above VENTILATION FAN (SINGLE) 4,00 information is correct.I agree to comply with all city and county PLUMBING oolimuces and state laws relating to building construction, and - BOILER•COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon Ibe above-mentioned property for inspection purposes, BOILER-COMP(Over t00,000BTO)SEE FEE SCH. MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upsrti o against liabilities,judgments, costs and expenses which CONST.TAX ay i any way ace against said City in consequence of the PERMIT ISSUANCE 10.00 mnti 8 of this pe y �j s �/ /$ MECH.CONT. LIC.NO. TOTAL v/ TOTAL S' to a otic.nt/Contmc or Uat EtckcOPY s March 23 , 1989 Building Department The City of Cupertino 10300 Torre Ave, Cupertino, Ca 95014 Re: Demolition Permit for 10545 Miller Ave, Cupertino Parcel No. 369-16-002-71 Dear Sirs: This letter is served as an application form for demo- lition permit. In the near future, we are going to tear down the old buildings in the above said address. We have subdevided the land into four lots, and we plan to build four single family houses on the land. Please be kindly issue the demolition permit to us so that the construction can be started. Thank you so much. I • Sincerely Yours, By:/ By: Heng Chun Lai ugene Chien-Li ng i Property Owner Property Owner LP .s1 DG. M,aPLGIwiV UEPARiMENf CITY Or CUPERTINO