13899 l POST THIS CARD NEAR FRONT OFBUILDING
PERMIT NUMBER
• CITY OF CUPERTINO
INSPECTION DIVISION 13099
id4 ti lip JOB INSPECTION RECORD
PERMIT EXPIRATION
p
JOB ADDRESS 10980 MIRAMONTE ROAD UMT# LOT# • C 1
- - PERMIT EXPIRES IF WORK
OWNER MARY BIDEGARY CONTRACTOR' IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECOR 180 DAYS OF PERMIT ISSU-
ANCFOUNDATION !V 7-97 cf B P(90%-% LAST CALL LEDINSPECTION:180 DAFROM
LAST CALLED
UFER , -W t•Yj
PREGUNITE PERMIT VALIDATION
2DAQ u
POUR NOONCRETE UNTIL ABOVE HAS BEEN SIVNED,.
UNDERGROUND /SLAB
PLUMBING - nLue RG{RiN yv 6%110 11160 Mo
ELECTRICAL 70NI ISSUANCE DATE
MECHANICAL �V_,suQ BLDG. ELECT_ PLG.
El El MEL H.
$Gti K,Fv,tZ(LE1ViANlt� El �
' W�l ON -2Z.. B Cl'1`�• 111...���
'DO NOT:POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED' Gdf 5(tl ,! ," I PERMIT T
giORMATIO
WOOD FLOOR VALUATION $/FT.
PLUMBING
MECHANICAL 1�
' ELECTRICAL - p PERM TO
FRAMING J Dvo
INSULATION STORIES TYPE comsrR.
it � , ' ..
OCC.GROUP RES.UNITS
e PLACE'NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED �
1� SQ FL FL00=AREA TOTAL ACREAGE
ROOF
DIAPHRAGM (0 7- -F� C BUILDING USE
_ RE$ IND CON PB O,nx,
"APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ED ❑ ❑ ❑
ASSESSORS PARCEL NO.
RoPrIH r
PLUMBING
GAS TEST TRACT NO. - PARCEL NO.
-. - -��_�'=_I�.
MECHANICAL i
ACC.DATE ACC.FILE N0.
ELECTRICAL ,. � • FINALS CIATE��"�`'.° INSP.
FRAMING SAN #
ZONING ENG.SITE NO,
INSULATION ,�j PLUMBING
GAS
FIRE SPRINK ENERGY T 24
MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEWSIGNED'` HEATING Yo NoY ❑ NE]
LATH-INTERIOR ELECTRICAL. -. FLOODZONE A.L.U.C.,
Y❑ N❑ Y ❑ N❑
LATH-EXTERIOR FIRE DEPT.
SHEETROCK GRADE 'FEE`SUMMARY
`, SHEAR INTERIOR BUILDING '
SHEAR EXTERIOR TEMPORARY APPROVALS BUILDIN -
FIREWALLS ELECTRIC QvL� _ PLAN CHECK
GAS FEE
;NO TAPE OR PLASTER U,NTI,L,ABOVE HAS BEEN SIGNED OCCUPANCY, SEISMIC FEE
OCCUPANCYOF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC
ui ONE WORKING DAY BEFORE REQUIRED INSPECTION.
PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING:
Z — SEE PERMIT FOR EXPIRATION DATE — . MECHANICAL
IMPORTANT! coNST.Tnx
PLEASE READ REVERSE SIDE BEFORE OTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY '
T ELECTRIC SERVICE NOTICE P.G.6 E.COPY /
BUILDING INSPECTOR'S NOTICE ✓
CITY OF CUPERTINO
19
To
You are hereby authorized to Connect electrical service for
Owner or Tenant ' e" r �� A C
At la
No.of Wires Size of Wires Size of Switch
Motor Load Voltage Phase
Hearing Load K.W. Voltage
pwK 'p-0
Ligrr I10_ ew Service Reconnect
No.of Meters Heat I20_Three Wire Mare Service_
No.of Add.Meters Power Three Phase Move Meter
OO • ELECTRICAL INSPECTOR
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT 1 DENTI FICATION PERM T NUMBER
BUILOINcD APPLICATION & PERMIT
ADORES BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
RT c r,4 �a�, 1t 3899
NAME s PLAN CHECK VALIDATION
`f�•^4 NAME
f�DTV. ELECTRIC PERMIT FEE
Mary a- Q PHONE JSZV
;!' NAMERACTOR' y UTLETS-SWITCHES-RECEP 10.00/1.00
LIC.No. LIGHTING FIXTURES 10.00/1.00 -
CONTRACTOR'S Z PPLIANCES-RESIDENTIAL 4.00
ADDRESS
PHONE PANELS 10.00 C) DATE OF APPLICATION
ARCHITECT - PLAN CHECK FEE P.C.NO.
OR PANELS (OVER 200 AMP) 20.00
7` ENGINEER
•. .SChL&i0lM LIC.NO. SIGNS TRANS, 3.00'
ARCH.OR ENG. , PERMIT VALIDATION
AooREss _ShToSPECIAL CIRCUIT' 5.00 w ,
C vz 4•�. zIP EMP.METER OR POLE INS. 20.00 aa -
APPLICANTS MOTORS - SEE FEE SCH. '3 -
. AooREss /
$3 G S'.Jam. .9S SERVICE CHANGE 20.00x '
wD N CJ
F o LICENSED CONTRACTORS DECLARATION
/
< u in w I hereby affirrn that 1 am licensed under provisions of Chapter 9 ,.�pntt ISSUANCE DATE
n Q (commencing with Section 7000)of Division 3 of the Business and , t s BLDG. ELECT. PLG. MECH.
r i Professions Code,and my license is in full force and effect
o 0 91 D License ClassLia Number
Date Contractor
a Y f BUILDING PERMIT
¢ Q OWNER-BUILDER DECLARATION INFORMATION
X;e s- 1 hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD
w a. o� Low for the followingreoson.(Sec.7031.5,Businessond Professions PERMIT ISSUANCE 10.00 Q VALUATION $/FT.
y�� Code:Any city or county which requires a permit to construct,alter, ��sf
2 Z ¢O improve,demolish,or repair any structure,prior l0 its issuance,also ELEC.CONTR. LIC.NO. ELEC.
' wO u requires the applicant for such permit to file a signed statement that TOTAL - PERMIT TO
he Is licensed pursuant to the provisions of the Contractor's License � r I I
rZ>w Law(Chapter9(commencingwithSeation7000)ofDivision3ofthe - S FD wL-
¢ Business and Professions Code)or that he is exempt therefrom and OTY, PLUMBING PERMIT FEE
¢ss- the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
ew. 3� by any applicant fora permit subjects the applicant to a civil penalty
Of not more than five hundred dollars(5500).) gLTER-DRAIN&VENT-WATER (EA.) 5.00 ��
: �.
Cl 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 . '- OCg.G=0u1P RE UNITS
their sole compensation,will do the work,and the,structure is not - f,�J\ J
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
properly who builds or improves thereon,and who does such work F IXTUR ES-PER TRAP 6.00
I Z Q ^ 50.FT.FLOOR AREA TOTAL ACREAGE
himself re through his own employees,provided that such improve- 6
rents improvemenot nt
or withinoffered
onefor sale.
year
If,
complhowever,tiontiro building GAS-EA.SVSTEM-11NC.40UTLETS 6.00 d3
or improvement is sold within one year oft he did
the owner
builder will have the burden of proving that he did not build or im- IGAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE
°�R) prove 1,as owner
of sale.). INDUSTRIAL WASTE INTER, 30.00 RES IND CON PB Omer
O ,as owner of the property,he exclusively contracting with ❑ ❑ ❑ ❑
licensed contractors to construct the project(Sec. does r Business LAWN SPRINKLERS- 1 INC 5 V.B. 8.00 ASSESSORS PARCEL N0.
and Professions Code:The Contractor's
or icenseimprov s therees not apply
to an owner of properly who builds tr improves thereon,and who LAWN SPR INKLER$-OVER 5(EA.) 1.00
the Cont for such projects with a conlractor(s)licensed pursuant to SEWER-SANITARY-STORM EA-200ft/10.00
the Contractor's License Law. TRACT N0. PARCEL N0.
❑ I am exempt under Sec.-,B.&P.C.for this WATER HEATER W/VENT 6100
reason - • .xil .:s
Owner Date : '1' d -
WATER SYSTEM 5.00 ACC.GATE ACC.FILE NO.
WORKG 5'COMPIiNSATIO E RATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate of consent to sell'.insurc, ZONING
or a certificate of Workers'Compensation Insurance,Or a Certified' ENG.517E NO.
copy thereof(See.3800,Lab.CJ. - S r
Policy Nc. Company
Q ❑ Certified copy Is hereby furnished. FIRE SPRINK ENERGY T-24
Z Z O Certified copy is riled with the city inspection division. MISC.- REFER TO ORD.
O Applicant Y ❑ N❑ Y ❑ N❑
~ w PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C.
Lu - CIiRI'1 PICCOIIPE SATIOTINS FROM WORKERS' D
Ula Or COMPENSATION INSURANCE PLG.CONTR. LIC.NO. TOTAL �O Y❑ N❑ Y❑ N❑
Z hundred
section need not be completed if the permit is For one
hu1 cert dollars($100)pe form
LL O I certify that h the performance Of the work for which this per. OTY. MECHANICAL PERMIT FEE FEE SUMMARY
' 0 U mit is issued,I shall not employ any person in any manner or as to
' become subject to IIIe Workers'Compensation Laws Of California. 60
i Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 3 .�
} N NOTICE TO APPLICANT: If,after making this Certificate of 1!x- -
F.,Z emption,you should become subject to the Workers'Com pensation ` qpp LIANCE. 5.00 PLAN CHECK
provisions of the Labor Code, you must forthwith comply will, FEE
V such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10)000C,F.M.) 4,00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F,M.)'6.00 SEISMIC FEE
•' I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT)'' . 6.00 ��
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 HEATING UNIT 100,000 B,T.U.19,60 ELECTRIC BO
Lender's Address
p>r �6 Icertify that l have read this application and state that the a hove VENTILATION FAN (SINGLE) 4.00
information is correct. I agree to comply with all city and coumy PLUMBING
L ' ordinances and state laws relating to building construction, and BOILER H.P. r 100,0008.T.U.) 6.00 Q
P~
,yA yl+ hereby authorize representatives ec this city to enter upon the BOI LER-COMP (Over 100,000 BTU)SEE FEE SCH, MECHANICAL p�3
F
hereby
authorize
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 10.001/0 - CONST.TAX (y
may in any way accrue against said City in consequence of the PERMIT ISSUANCE O '�
granting of this peon MECH.CONT. LIC.NO. MECH.
tgnelure of plc t/GODlrael0 are TOTAL ' ') 1 Oe TOTAL "p3 / �f
OFFtCECOPY - OlJ
CIVIL & CONSTRUCTION LIETTIEM QO (F TRUMUML
CONSULTANTS,
Drive-
1376 IV Tt
SAN JOSE, CALIFORNIA 95129 DATE oe No.
• g;//2 ¢190 88059 89124
ATTENTION
nE:
To dui/d IhSu.� Dept 10Fk0 1721;arnt%,?jAe
2/-1T4 / IC ��p�-{�r�o o G
ct
6C�Pe4-1-7✓l6 f CA• 9'S'Cbl� RECEIVED.
APR U .i logn
_ WE ARE SENDING YOU X Attached ❑ Under separate cover via the follovfr u %fWjPERTIND
6 ILDING DEPT.
❑ Shop drawings ❑ Prints ❑' Plans ❑ Samples ❑ Specifications
Copy of.letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION II
!fid
THESE ARE TRANSMITTED as checked below:
0 For approval ❑ Approved as submitted ❑ Resubmit copies for approval
For your use ❑ Approved as noted ❑ Submit copies for distribution
/
T�As requested ❑ Returned for corrections ❑ Return corrected prints
❑`For review and comment ❑�
❑ FOR BIDS DUE - 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
r
COPY TO1217 V/Q //O J`
SIGNE :
vgWlltl2W ®Im,Gem,Wa 014% Of enclosures are not as noted. kindly notify uta once.
I
s
,I.A.
CIVIL & CONSTRUCTION CONSULTANTS, INC.
1376 NORTH FOURTH STREET
.X4 SAN JOSE (408) A37-1858 CALIFORNIA 95112
v,.
CLIFFORD C.BECK,R.C.E. -
' January 12, 1990 KENNETH NELSON,R.C.E.
•i -Job No. 89124-1
KN-90-8
Mr. Joe Arena
X� 15119 Union Avenue
San Jose, CA 95124
Subject: Inspection of residence at 10980 Miramonte Rd. ,
Cupertino, Ca.
X5'4 Dear Mr. Arena:
At your request, an inspection of the subject residence was
Jr"'; made by the undersigned. The inspection was made on May 16, 1989
f1 to visually examine the structure and relate to any visible
problems.
r
y:
The partial two story, split level, wood framed residence
+! � with asphalt shingle roof, stucco exterior finish and attached
ff , two car garage is in a partially completed condition. The
framing has been completed and the main structural framing was
A. inspected.
Asa
My inspection verified that the construction, in general,
was in accordance with the approved construction drawings.
If there are any questions regarding the subject, please
contact my office.
very truly yours, B� ESSI �
L jHIveF
Ke neth Nelson 2 �sli
Registered Civil Engineer No. 22023
KN/ rn C %'I-
in leaure
ineleaure' qTf OF CA�1�`�
c;