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13750 POST THIS CARD NEAR FRONT OF BUILDING ` PERMITNDMRER CITY OF CUPERTINO . INSPECTION DIVISION + 50 JOB INSPECTION RECORD — PERMIT EXPIRATION NIT# LOT# JOB ADDRE / UPERMIT EXPIRES IF WORK OWNER �iL-CONTRACTOR IS NOT STARTED WITHIN INSPECTIOW DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATIONANCE OR 180 DAYS FROM LASTCALLED INSPECTION. UFER PREGUNITE O PERMIT VALIDMZ N PAID POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED , I UNDERGROUND /SLAB E Elc?m I �� J PLUMBING .� ELECTRICAL V A v at womoDATE MECHANICAL BLDG. ELECT. PLG. MECH. • ' ❑ ❑ ❑ ❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION SIFT. PLUMBING ID $123*000.0 MECHANICAL ELECTRICAL vERMIr rD FRAMING STORIES TYPE CONSTR. INSULATION I* OCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ? / O,FT FLOOR AREA TOTAL ACREAGE • ROOF DIAPHRAGM BUILDING USE HF:S IND CON PR OJmr APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑ ASSESSORS PARCEL NO. ROUGH PLUMBING GAS TEST TRACT NO. PARCEL NO. / MECHANICAL ELECTRICAL - FINALS DATE I SP. ACC.DATE ACC FILE NO. FRAMING IZONING ENG.SITE No. INSULATION PLUMBING GAS MECHANICAL FIRE SPRINK ENERGY T44 COVER NO WORK UNTIL ABOVE'HAS BEEN SIGNED HEATING ❑ N ❑ N❑ LATH-INTERIOR ELECTRICAL FLOOD ZONE A.L.uc. LATH-EXTERIOR FIRE DEPT. Y❑ No Y ❑ N❑ SHEETROCK GRADE FEESUMMARY SHEAR INTERIOR ,. •-S BUILDING SHEAR EXTERIOR -a q TEMPORARY APPROVALS BUILDING 490.60 FIREWALLS ELECTRIC FEE /EH&KY -�p GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTORY MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC . H ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 97.00 0� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL 55000 IMPORTANT! CONST.TAX 282.68 PLEASE READ REVERSE SIDE BEFORE TOTAL 1,571.1 CALLING FOR FINAL INSPECTION. OFFICE COPV ELECTRIC SERVICE NOTICE P.G.b E.COPY BUILDING INSPECTOR'S NOTICE CITY OF.CUPERTINO 41 I 19 I To You are hereb uthorized to Connect I ci icol service for CfOwner or Tenant Oki A, 1151 ,r No.of Wires Si I Wires Size of Switch ` Motor Load Voltage Phase Healing Load K.W. Voltage + � light I10_New Service__ Reconnect- No. No.of Meters Heel 120Three Wlre More Service No.of Add.Meters power Three Phase Move Meier Qw ELECTRICAL INSPECTOR APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY ! BUILDING PROJECT IDENTIFICATION PERMITNUMBER LOT ## 43 PLAN 3A APPLICATION & PERMIT 13750 BDILDING AOORESS 11573 Morning BUILDING -ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION "AME 5 QTY. ELECTRIC PERMIT FEE GREGORY GROUP INC. PHDNE CONTRACTORS NAME gg OUTLETS-SWITCHES-RECEP 10.00/1.00 99.0 ' SAME LIC.B-430097 NO. 21 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS PPLIANCES-RESIDENTIAL 4.00 RWC,DCA. 940HO C Tw4n15DO1ph g5�FLI00 PANELS 10.00 10.0 DATE OF APPLICATION ARCHITECT ARAM BASSENIAN AIA PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. OR ENGINEER & ASSOCIATESSec No. SIGNS TRANS. 3.00 ARCH.DRENG. 3990 Westerly Place #170 SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ADDRESS ZIP09r90 FEMP.METER OR POLE INS. 20.00 APPLICANT'S 220 C Twin Dolphin Dr. MOTORS SEE FEE scH. 7 A ADDRESS RW SERVICE CHANGE 20.00 woo LICENSED CONTRACTORS DECLARATION a v I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE G a h (commencing with Section 7000)of Division 3 of the Business and Blp-cy� }„RFT. PL❑G. MECH. F 0 z Professions Code,a d my license is in full force and effect. t 6 5L11JiJ G 0 o License Class Lic.Number- . Date Contractor Y f BUILDING PERMIT o: w tai OWNER-BUILDER DECLAR ION INFORMATION y 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD VALUATION $/FT. FUNg Law forthe following mason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 Code:Any city or county which requires permit foconstruct,alter' $123 000.0 a' sr G improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. s au o x requires the applicant for such permit to file a signed statement that TOTAL 1 59.OO P�ytIT TO X.9 a- he is licensed pursuant to the provisions of the Contractor's License �� ) I o iii Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe /C.J a: Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE f C the basis for the alleged exemption.Any violation of5ection 7031.5 STORIES TYPE CONSTR. C. by any applicant for a permit subjects the applicant toacivil penally DRAIN&VENT•WATER IEA.) 5.00 Of not more than five hundred dollars($500),): ALTER- ❑ 1,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 / intended or offered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA.COND. 5.00 2'3 Code;The Contractor's License Law does not apply so an owner of property who builds or improves thereon,and who does such work 12 F IXTUR ES-PER TRAP 5.00 60.0 SM FT.FLOOR AREA TOTAL ACREAGE • mems are notthrugh intends own employees, le.If,ed however, r,t h improve.doing 1 GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 .0 mems are not intended or offered for sale.If,however,the building or improvement is Sold within one year of completion,the owner- GAS-EA.SYSTEM•OVER 4 IEA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or am- E IND CON PB Omar prove for purpose of sale.). INDUSTRIAL WASTE INTER30,00 12 .I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ 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.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 kz contracts for such projects with a contractors)licensed pursuant to the Contractor's License Law. ❑ lam exempt ] SEWER-SAN V•STORM EA.200ft/10.00 10,0 TRACT yNO. PARCEL NO. pt under Sec. ,BAP.C.for this WATER HEATER W/VENT 6.00 / /� reason Owner Date 1 WATER SYSTEM 5.00 5.00 ACC,DATE ACC.FILE N0, WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I 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(Sec.3800,Lab.C.). United Pacific12307- Policy No. Company O ❑ Certified copy is hereby furnished. I FIRE SPRINK ENERGY T34 _z Z XI Certified co i filed w' he mty inspection division. ~ yy, MISC.- REFER TO ORD. O APPlicant�l Y ❑ N❑ V (] IN m !/ PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.Is.C. ds- CERTI FIC TE OF EXEMPTION FROM WORKERS' 10.0 W COMPENSATION INSURANCEPLG.CONTH. LIC.NO, PLG, 1 0 (This Section need not be completed if the permit is for one TOTAL 97.00 Y❑ N❑ Y❑ N❑ D Z hundred dollars(S 100)or less.) U O 1 Certify that in the performance of the work for which this per, DTV. MECHANICAL PERMIT FEE FEE SUMMARY LL`F mil is issued,1 shall not employ any person in any manner so as to O W become subject to the Workers'Compensation Laws of California. C_ Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 490.50 0 NOTICE TO APPLICANT: If,after making this Certificate of Ex- emption,you should become subject to the Workers Compensation 4 APPLIANCE 5.00 Z0,O PLAN CHECK 3]g:63 provisions of the Labor Code, you must fortlswish comply with 160 00 U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO IO,000GF.M.) 4.00 FEE/Ener CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10p00C.F.M.) 6.00 SEISMIC FEE 6.19 1 hereby affirm shat there is a construction lending agency for 1 EXHAUST HOOD(WITH DUCT) 5.00 the performance of it,.work for which this permit is issued(Sec. MICROFILM 3097,Civ,C.). HEATING UNIT ITO 100,000 B.T.U.) 8.00 Lender's Name ��f{�� HEATI NG UNIT(OVER 100,000 B.T.U.)9.50 159.00 Lender's Addm ff a-U a ELECTRIC I certify that I Jd WOO slate that the above 3 VENTILATION FAN (SINGLE) 4.00 12.0 information is correct. I agree to comply with all city and county PLUMBING 97.00 ordinances and stale laws relating to building construction, and 80ILER`03NIP(3H.P.0r100,000B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOI LER-COMP (Over 100,000 BTU)SEE FEE SCM. MECHANICAL 55.00 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 which PERMIT ISSUANCE 10.00 o.0( CONST.TAX 262.66 may in any way accrue against said City in consequence of the grenOng oft pe I. MECH.CONT. LIC.NO. MECH. TOTAL 55.00 TOTAL 11571 .16 Signatu p Inanr/Co tractor e 0FFICE COPY I...... I'll, 111,111111mill K. 0 2`1Ill ......", JOB A6,014" 7yIS wNrA NIS #ON FOUNDATION DATE CONTRACT.4 v 14 w 1 "q, LIFER INSPE rna SP 10 Eco CAVI POUR Nll CON :l P-NI 140 0- LASTCALL EDINSPft E ... .. . 7E UNTIL ABOVE AS BEEN SIGNED 'TO I,. PLUM13ING SLAB ELECTRICAL PAID MECHANICAL DEC 0 19 DO NOT POUci� R UNTIL BOVE HAS BEEN SIGNED C I PLUMBING OD FLOOR ot�r,, 4 FLOO PLG. MIER MECHANICAL ❑ 0 ELECTRICAL BUILDING PERMIT INFO FRAMING RMATION -v LOA 'NSU ATIO 0 IF I 4G� 1�t�4 ( I:T I'I."-p PE"011 TET OOR PLACE No q IS ipgIES UNTIL ABOVE HAS— T"t DIAPHRAGM ROOF BEENS, NEI) �Ilcc GRUUp RES UNITS APPLY NO PLUMBING ROOFING UNTIL ABOVE HAS BEEN SO IT "-0-ARTA TOTAI ACRE AGE ROUGH SIGNED GAS TEST FIT, EUILL)IN(; -E 'No Co o ON PIT SSES CHANICAL A o"", E-ECTRICAL OR CEL N, FRAMING IgACI NU INSULATION I ARCEL—N ALS - # Oz DATE INSP. —Io UAIIACC F,, UMBIN 'All Nu CDVE NO wonK UNTIL GAS LATH—INTERIOR A TEII GVIIA " �C HANICAL ENE;. BEENSIGNEDN, HEATING SHEETROCK ELECTRICAL FIRE IIIINI E"E"I I T 11 INTERIOR 0 No SHEAR CPT. NO "HEAR EX7C FLOOR RIC), GRADE A L u C FIREWALLS BUILDING t YO—NO IN TEAiPO FEE SUMMARY ER No TAPE 0 p L kSy ELECTRIC AllOVALS BUILDING U.: 8 U I UNTIL ABOVE HAS BEEN S1 GAS LOING ISN PE PLAN q I PERMITTED BUILDING FE y !!IIF�! cl 11 NTIL BUILDING FINAL IS SI GIN ED SEISM lC FEE 'I jE FOR INSPECTION By BUILDING INSPECTOR. i I MICROFILM ONE WORKING DAY BEF 13Y PHONING 252-4505 PLEASE GIVE PRE REOUIRED I JOB ADDRESS WHEN PHO NSPECT,6, OT� i ELECIF31C — SEEP ERMIT FOR EXPIRATION DATE PLUMBING PLEASE RE'MPORTANT! MECHANICAL CALLING AD REVERSE FOR FINAL SIDE 13C FORE CONsT. TAX INSPECTION I APPLICAr47-S X-i POS TINGICapy TOTAL' it,