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17962 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 17962 INSPECTION DIVISION _ JOB INSPECTION RECORD d 7 PERMIT EXPIRATION JOB ADDRESS 7 G UNIT# _LOT# PERMIT EXPIRES IF WORK OWNER CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU FOUNDATIONANCE OR 180 DAYS FROM NOTE: �ll�� nn LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTA. I? - c� PR EG UNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF - PCIAv T+VALIOATION CUPERTINO STANDARDS. SEP 89 +' GARAGESLABS uM v 1 . A' � POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED •� ^i �F_. �' j•! !^�1 . UNDERGROUND /SLAB 1 PLUMBING - ELECTRICAL ISSUANCE DATE MECHANICAL SLOG ELECT PLG. MBCH ❑ El ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION SIFT. PLUMBING MECHANICAL P[RnilT iU ELECTRICAL FRAMING - I II 11 '! it E 1 STORIES rvvc NsrR. INSULATION OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED $[),FT V'I.DCIR gRPn iOiAL ACIILA(iE ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE W-i DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING - RES IND CON PB Ow•• APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO ROUGH SAN.0 PLUMBING ELECT.ENERGY ulnrr NO PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY - ACC DATE ACC FILE NO ELECTRICAL BUILDING ENERGY FRAMING ELECT.FINAL TEST ZONING ENG,SITE NO. INSULATION PLUMBING GAS TEST GAS FIRE SPRINK ENERGY T']G MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING v N v N� FLOOD ZONE A L U C EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. v� N� L rv❑ SHEETROCK GRADE - FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRICPLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY sElsMlc FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC LU ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLuMeING 0 0 PLEASE GIVE JOB ADDRESS WHEN PHONING. Z — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. / OFFICE COPY 'AYYLICANT TO FILL IN INFORMATION WITHIN RED LINES- USE BALL POINT PEN ONLY , BUILDING PROJECT IDENTIFICATION .PERMIT NUMBER BI,IemNG APPLICATION & PERMIT r� F� ADDRESS I (, O J&4e BUILDING - ELECTRICAL-PLUMBING-MECHANICAL „„ OWNER'5 °\I`-"�J PLAN CHECK VALIDATION NAME QTY. ELECTRIC PERMIT FEE L 6j PRa . corvrnncroRs UTLETS-SWITCHES-RECEP 70.00/1.00 N4M � Ic.na�o ILIGHTING FIXTURES 10.00/1.00 CONTRACTOR'SPPLIANCES-RESIDENTIAL 4.00 ADDRESS PHON PANELS 10.00 DATE OF APPLICATION ARCITECT PANELS IOVER 200 AMP) 20,00 PLAN CHECK FEE P.C.NO. as ENGINEER uc.No. SIGNS TRANS. 3.00 ARCH.OR ENG, SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ADDRESS ZIP EMP.METER OR POLE INS. 20.00 I AWDRUCO APPLICANTS MOTORS ADDRESS SEE FEE SC A J PI 1 SERVICE CHANGE 20.00 C• O I G� 09 LICENSED CONTRACTORS DECLARATION u U I hereby uffinn that I am licensed mater p,ovisiuus of Chapter 9 ISSUANCE DATE wQ H (commencing with Section 7000)of Division 3 0l the Rosiness and •4r d nr•..a. ,H LDG. ELECT, PLG. MECH. H w z Professions Code,and�my}icer Li is in f all ❑ ❑ ❑ z Om - License Class l3__-L�Con Number g H w Uatc L •'�" Contractor- BUILDING ¢ Y J ¢ � w ¢ OWNIi R-HUILDER DECLARATION BUILDING PERMIT o ua " MISC.- REFER TO ORD INFORMATION Z 3 LL N I hereby affirm that I am exempt Four the Contractor's License uu. Law for the following reason. 7031.5,Business and Professions PERMIT ISSUANCE 10.00 VALUATION S/FT. � - 0 Code:Anycily orcuuly which reyuiresa permit to construct,alter. K¢o improve,demolish,or repair any structure,prior to its issuance also ELEC.CONFER. LIC.NO. ELEC. -O u requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO X he is licensed pursuant to the provisions of the Contractor's License H z i Law(Chapter9(commencing w ith Section 7000)of Division 3 of the F�1 ��I ' - ¢ Business and Professions Code)or that he is exempt therefrom and OTV. PLUMBING PERMIT FEE V 1�1 ¢ Ho the basis for the alleged exemption.Any violation ofSection 7031.$ STORIES TYPENBTR. aim by any applicant for a permit subjects lire applicant loo civil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(S500T): D I,as owner of the property,or my employees with wages as BACK F LOW PROTECT.DEV ICE 4.00 DCC.GROUP RES.UNITS their sole compensation,will do Ila work,and the structure is not in cried or offcrod for sale(Sac 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law dues not apply to an owner of property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 so.FT.FLOOR AREA TOTALACREAGE pitself or through his own employees,provided that such improve. ! ents are not intended or offered for sale.If,however,the budding GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 r improvement is v)]d within one year of completion,the owner- GAS-EASYSTEM-OVER 4 IEA) 200 BUILDING USE builder will have the burden of proving that he It,] ,of build or int . . . RES IND CON Pe Other prove for purpose of sulcJ. INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ El ❑ 1:10 I,as owner o1'the property,am exclusively contracting with Mnsed contractors to construct the project(See 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO, Professions Code:The Contractor's License Law docs 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 u amtractods)licensed puauant In the Contractor's license Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ tum exempt under Scc. ,H.&P.C.for thls WATER HEATER W/VENT -eg CJ(7 reason Owner [)are WATER SYSTEM 5.00 ACC.OATE ACC.FILE NO. WORK ERS'COMPF-NSA'I'ION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby uffinn I'm n I hoe a ccudieme 111 currant to sell-innlrt, ZONING ENG.SITE NO. or a certificate o1'Workers' lonrpensu{{{n r inSpr'nce,-,it eetlified cup ll pr�rp( OQ Lab .). n//' Poll M4A� colnpan _'(�Y�W Q ❑ CvalW py is hereby Lrmshed. FIRE SPAIN K ENERGY T 24 Z Z Certifie py 1r d ilh the city inspection division. MISC.- REFER TO ORD. ' ant V❑ N❑ Y ❑ N❑ FN PERMIT ISSUANCE .00 fa FLOOD ZONE A.L.U.C. CFR'I'I I A'I'E 017 FXF.MPI'K N FROM WORKERS' ' CL OCOMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. zOv V❑ NEI V C:] N❑ (This section ,evil not be completed if the pennrt is for one TOTAL Z hundred dollurs(S 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 I- mil is Muco I shall not employ anInm y person in any mer so as to O W hc,muc ulb c,t to lire Workers'Conrpnrsmion Lows at California. BUILDING a Date Applicant ALTER OR ADD TO MECH. 5.00 } m NOIICB TO AI'I'LICAN'1': If,alcor making this Certificate of lix- F Z 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 CONSI'RucriON LENDING AGENCY AIR HANDLING UNIT(OVER 10p000.F.M.) 6.00 SEISMIC FEE I hereby affirm that (hare 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-CJ. HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC Lender Address I evilly that I have read this application and statethat the above VENTI LATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county gQILER-OCMAP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING Yen ordinances and stale laws relating to building cunslraction. and hereby authorize representatives .1 this city to enter upon the BAILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL above.menlione property for inspection purposes. _ (We) agree Ie save, indemnify and keep Iwnnle,s the City u1 MISC.- REFER TO ORD. upertioo aguinsl liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX in any way cerue against said City in consequence of lire tap gof this per lit. MECH.CONT. LIC.NO. MECH. o TOTAL TOTAL Si ata e I Applicant/Contractor Date OFFICE COPY