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13762 POST THIS CARD NEAR FRONT OF BUILDING PFRMIT NUMBER CITY OF CUPERTINO 13762 INSPECTION DIVISION JOB INSPECTION RECORD �,qy p PERMIT EXPIRATION JOB ADDRESS ��S ,oe✓%uG `-- " UNIT# LOT# �o PERMIT EXPIRES IF WORK OWNER GaYIkiQ Ale CONTRACTOR IS NOT STARTED WITHIN / INSPECTION DATE I INSPECTOR INSPECTION RECORD 1B0DAYS OFPERMIT ISSU- ANCE OR 180 DAYS FROM FOUNDATION ,3-3 -Zm�' 1 4' eXc<Q rn LAST CALLED INSPECTION. UFER PREGUNITE ZY or, 46 (. PERMIT VALIDATION , POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED F'Al UNDERGROUND /SLAB E PLUMBING DEC-# O 1gA/ ELECTRICAL ANCE DATE MECHANICAL_41SLUG. w ECH. r3 ❑ b 0 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR e97000 VALUATION SIFT. PLUMBING .00 MECHANICAL 3 PERMIT TO ELECTRICAL FRAMING INSU TION STORIES TYPECONSTR. OCC GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF sa FT,FLOOR AREA TOTAL ACREAGE DI,<t2HRAGM B111LO USE H[$ IND CON PB OV... APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑ nSSESSORS PARCEL NO. ROUGH PLUMBING -y(- 1 TRACT NO. PARCEL NO GAS TEST MECHANICAL 'i/ ACC DATE ACC.FILE No. ELECTRICAL I ALS DATE INSP. FRAMING SANAE JZ7 77 / �c ZONING ENG.SITE NO. INSULATION - PLUMBING Tis GAS MECHANICAL / - FIRE SPRINK ENERGY T24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ "❑ ❑ "❑ LATH-INTERIOR '�- ELECTRICAL FCC zo.E A.L.U.C. LATH-EXTERIOR _S�' FIRE DEPT. I Y❑ "❑ Y ❑ N❑ SHEETROCK GRADE FEE SUMMARY SHEAR INTERIOR - BUILDING SHEAR EXTERIOR TEMPORARY APPR VALS BUILDING 424.00 FIREWALLS ELECTRIC PLAN CHECK 2755.6 7„ _a GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SE r@Y 6.79 OCCUPANCY OF BUILDING ISNOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR' MICROFILM 1 � ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC 1142-00 dpH ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z 0 PLEASE GIVE JOB ADDRESSWNEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL 51,00 IMPORTANT! CONST,TAXP82.68 PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. 1lt434.071 OFFICE COPV - i J BUILDING INSPECTOR'S OFFICE f� Bldg.Dept. CITY OF CUPERTINO Off Ice Copy R I� XBackflow Device Sanitary Permit No. J LZ.97 (SF 1 ❑ Sewer Connection Plumbing Permit No. Z 7 y 1 Plumbing Final Lot No. JJI 1 � 1 Owner or Tenant rr .Trrn J�j Zll G Ai ` Tract / �'1 H^ Date Connected "' 2-q 19-WDote Final 19 d c� ©" /,/.�/LUMBING INSPECTOR ELECTRIC SERVICE-NOTICE ci jPY BUILDING INSPECTOR'S NOTICE 0 T— j CITY OF CUPERTINO �� ZS 19 i To I You are hereby authorized to Connect electrical service for /+ t Owner or Tenant (�� �' b cam'�fTT r IA No.of Wires Size of Wires Size of Switch i Motor Load Voltage Phase I Heating Load K.W. Voltage / Lighi 110_New Service�Reconnect No,of Meters Heat 120Three Wire More Service_ No.of Add.Meters Power r� Three Phase Move Meter OO • '. ELECTRICAL INSPECTOR CITY,OF,CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date ....... Building Permit No. .. ................... 19... The Building Located at .......C,.r...... Oned by .....Gnk....�- .4031---�.......... ..................................................... Com lete (Altered) Has Bee 4::�(Altered) For Use As: ............................................... ............................................................ ................................................................................. ...I...................................................................................................I................................. .................................................................... ....... . ..... ..... PD-7 BUILDING INSPECTOR APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY - /' BUILDING PRO4E13T IDENTIFICATION PERMIT NUMBER BUILDING LOT 38 PLAN IBR APPLICATION & PERMIT 13762 AD°RE95 1 1552 Morning Spring Court BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNERS PLAN CHECK VALIDATION NAME (415) QTY. ELECTRIC PERMIT FEE GREGORY GROUP, INC. 595-2100 oNE Pu CONTRACTOR NAME bb UTLETS-SWITCHES-RECEP 10.00/1.00 .00 - Same. LIc NoB-430097 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS _ PPLIANCES-RESIDENTIAL 4.00 ADDRES 22�o/]I�/ [CC Twin Dolph i 4 RWC, CA 4065 PHONE PANELS 10.00 DATE OF APPLICATION ARCHITECT ARAM BASSENIAN, AI PAN ELS IOVER 200 AMP) 20,00 PLAN CHECK FEE P.C.NO. 09 ENGINEER & ASSOCIATES LIC.NO. SIGNS TRANS. 3.00 ARD".DRE"`. 3990 Westerly Place #170 SPECIALCIRCUIT 5.00 PERMIT VALIDATION ADDREss AA,, zIv EMP.METER OR POLE INS. 20.00 PI'N APPLIDANT 220-C Twin Dolphin Dr. MOTORS SEE FEE SCH. 6.00 ADOflR pEC�O -T' SERVICE CHANGE 20.00 woo LICENSED CONTRACTORS DECLARATION city xf.s{� Qr�,1Iry�p1t llno u u I hereby affirm that I am licensed tinder provisions of Chapter 9 Yly `4'ISYIYRFTCE DATE y rt w (commencing with Section 7000)of Division 3 of the Business and f O i Professions Code,o my license is in full force BLDG. ELECT. PLG. MECH. z o B 680 J_ - License Class Lic.Number m r w Date Contractor R, It F J BUILDING PERMIT ¢ ¢ u OWNER-BUILDER DF:CLA ATION MISC.- REFER TO ORD INFORMATION `< w I hereby affirm that 1 am exempt from the Contractors License VALUATION $/FT. 1a Law for the following reason, 7031.5,Busimessand Professions PERMIT ISSUANCE 10.00 0,00 -' Code.Any city orcounty which requires a permit to Construct,alter, $97,000.00 ¢ at¢ O improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. i -O u requires the applicant for such permit to file a signed statement that TOTAL 142.00 PERMIT TO K$ he is licensed pursuant to the provisions of the Contractor's License q r z i Law(Chapter 9(commencing with Section 7000)of Division 3ofthe (p�,a 1,E/ i c Business and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE ¢ H the basis for the alleged exemption.Any violation or Section 7031.5 STORIES TYPE CONSTR. c ; - by any applicant for a permit subjects the applicant to a civil penalty gLTER-DRAIN -WATER (EA.) 5.00 0?- S� of not more than five hundred dollars($500).): ❑ 1,as owner of the property,or my employees with wages as IBACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not 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 property who builds or improves thereon,and who does such work IFIXTURES-PER TRAP 5.00 55.00 56 FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- ments1 are not intended or offered for sale.If,however,the building 6,0 or improvement is sold within one year of completion, the owner- builder wnery GAS-EA.SYSTEM-OVER 4 IEA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or im- RES IND CON PB Otbe. prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 4 13I,as owner of the property,am exclusively contracting with Zk ❑ ❑ ❑ ❑ 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 Contractors License Law does not apply C to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 (0 6- /'��/ any7 �3 contracts for such projects with a contractor(s)licensed pursuant to p the Contractors License Law, 1 SEWER-SANITARY-STORM EA.200ft/10.00 in or TRACT NO. PARCEL NO. ❑ 1amexempt under Sec. ,B.&P.C.for this 1 WATER HEATERW/VENT 6.00 'j9�1S�- reason Owner Date 1 WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COMPE.NSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(See.3800,Leb.Cd United Pacific Policy No. Company 0 ❑ Certified copy is hereby Lurnistivd. FIRE SPRINK ENERGY T-24 Z Z 0( Certified is Til ith the city inspection division. MISC.- REFER TO ORD. p Applicant Y ❑ N❑ Y ❑ N❑ HyPERMIT ISSUANCE 10.00 FLooO zoNE A.L,D.C. W CERCATS EXEMPTION FROM WORKERS' I Lll >_ COMPENSATION INSURANCE PLG,CONTR. LIQ NO. PLG, CL 0 (This section need not be completed if the permit is for one TOTAL 92.00 V❑ N❑ Y ❑ N❑ D Z hundred dollars(5100)or less.) U O 1 certify that in the performance of the work for which this per- OTV MECHANICAL PERMIT FEE FEE SUMMARY ly mit is issued,I shall not employ any person in any manner so as to 0 become subject to the Workers'Compensation Laws of California. Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 424.00 } ran NOTICE TO APPLICANT: If,after making this Certificate 0f Ex- I... Z Soption,you should become subject to the Workers'Compensation 4 APPLIANCE 5.00 PLAN CHECK 275.60 provisions of the Labor Code, you must forthwith comply with AIR HANDLING UNIT LTO 10 FEE LEnergy 160.00 V such provisions or this permit shall be deemed revoked. ,OOO C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=11C.F.M.) 6.00 SEISMIC FEE 6.79 I hereby affirm that there is a construction lending agency for I EXHAUST HOOD(WITH DUCT) 5.00 the performance skI y1 t ss permit is issuod(Sec. MICROFILM 3097,Civ.CJ. s 4 llle1;u5t� 1 HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name rR Or St /I101 HEATING UNIT(OVER 100,000B.T.U.)9.50 Lender's Addre..D.11W�� V41)h5 ELECTRIC 142.00 I certify that I have read this application and state that the above 2 VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county PLUMBING 92.00 ordinances and state laws relating to building construction, and BOILER-COMP I3 H,P.or100,000B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH, MECHANICAL C�1 00 above-mentioned 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 whichCONST.TAX 282.68 may in any way accrue against mid City in consequence of the PERMIT ISSUANCE 10.00 10.00 gramin 1 erin6. MECH.CONT. LIC.NO. MECH. /SiZ TOTAL 51 .00 TOTAL 1 ,434.07 Signatur Applicant/Contractor Date Ir- 0FFICe COPY