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188230 POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD /o3G6� JOB ADORES BZ U # _LOT# D OWNER �X— CONTRAc � PERMIT NUMBER 1$823 PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN . 180 DAYS OF PERMIT ISSU- OR 180 DAYS FROM LASTCALLED INSPECTION. INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATIONANCE NOT ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY Of CUPERTINO STANDARDS. - UFER PREG UNITE PEH T VALIDATION *IA64L ' �1 r �� ISSA CF. DA t8-.. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING „t U I+'U'� ELECTRICAL MECHANICAL - City of BLDG ❑ ELECT ❑ GLV. MECR ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR W VALUATION $IFT. PLUMBING MECHANICAL ELECTRICAL PERMIT TO /✓X ! /•' FRAMING INSULATION STORIES IYPE CONSTR OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTILABOVEHAS BEEN SIGNED ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID , $(1. IT FLDON AREA IOIAL ACHE4LE DIAPHRAGM ROOF SHEATHING BUILDING USE HES - IND CON PB Oinr ❑ ❑ © ❑ 13 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO ROUGH .SAN.# ' PLUMBING ELECT. ENERGY iHnCI NO PARCEL NO TUBS & 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 SPOINK Y ❑ mL] ENERGY T.'}G ., ❑ N0 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD zorvE Y❑ N� ALUC L vN�] EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING , BUILDING INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRICPLAN CHECK FEE GAS SEISMIC FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY I I OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNEO BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, 11 ONE WORKING DAY BEFORE REQUIRED INSPECTION. Q� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z - -SEE PERMIT FOR EXPIRATION DATE - ELECTRIC PLUMBING ENA IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. OFFICE COPY t a zZ F O ir - W > CL O 7 z 00 LL U ED },tan F Z U AMYL I UAINI IU PILL IIN IIVrUh IV] H11 UIV VVI lf-I I IV MILLI LI IVCD- UJC L51ALL YOIIV 1 YCIV UIVLT BUILDING PROJECT 1 DENTI FICATIONPERMIT NUMBER BUILDING APPLICATION PERMIT r ADDREss44-946P ���T 188'23 GA' U UILDING- ELECTRICAL- PLUMBING - MECHANICAL ��, OWN 'S PLAN CHECK VALIDATION NAME N� L� OTY. ELECTRIC PERMIT FEE co RacTORs OUTLETS-SWITCHES-RECEP 10.00/1.00 Lie LIGHTING FIXTURES 10.00/1.00 co"rRACT/ R� yI�; PPLIANCES- RESIDENTIAL 4.00 o E ✓ ����11 ��I� PH� `r �d� PANELS 10.00 DATE OF APPLICATION ARCHITECT ,Y(J lJ'1N(' PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. OR ENGINEER LIC. No. SIGNS TRANS. 3.00 ARCH, On ENG.PE IITT VALIDATION aooREss SPECIAL CIRCUIT 5.00 - nP EMP. METER OR POLE INS. 20.00 �- APPLICANT S MOTORS SEE FEE SCH. ADDRESS SERVICECHANGE 20.00 LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chu ter ISS ET (cotmnmwing w no 001 of Dfvisfon 3 d BLDG. ELECT. PLG. MECH. c I'mfessioos C � ie 'e is in full (0 1'e License C ass - ie-. Number ❑ L}9 DateP/y Contractor ^ 3 O 1689 J IJO BUILDING PERMIT O ER -B ILDrR DF ,A ATION INFORMATION I hereby affirm that 1 am exempt from the Contractor's License MISC. _ REFER TO ORD Law fertile followingreason. fSec. 7031.5, Business and Professions PERMIT I$ WANCE ue"' 10.00 VALUATION S/FT. Code Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also ELEC CONTR. LIC. NO, ELEC. recmires the applicant for .such permit to file a signed Statement that TOTAL PER MIT TO he is licensed pursuant to the provisions of the Contractor's License f YO�,/r.,// Law (Chapter 9 (commencing with Section 7000) of Division 3 oflhe �//� (�-l•1LV� Business and Professions Code) or that he is exempt therefrom and CITY• PLUMBING PERMIT FEE the basis for lhealleged exemption. Any violation of Section7031.s STORIES TYPE CONSTR. by any applicant for a recant subjects the applicant to a civil penalty ALTER -DRAIN -WATER IEA.) 5.00 of not marc than five Immdred dollars (85001.)'. ❑ I, as owner of the property, or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 their sole compensation, will do the work- and the structure is not OCG GROUP RES. UNITS intended or offered for sale (Sea 7044, Business and Professions DRAINS -FLOOR, ROOF, AREA, COND. 5.00 Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work F IXTURES - PER TRAP 5.00 SO. FT. FLOOR AREA TOTAL ACREAGE himself or through his own employees, provided that such improve - Bents me'lot ininged or offered for sale. If, however, the building GAS - EA. SYSTEM - I INC. 4 OUTLETS 6.00 or improvement is sold within one year of completion, the owner- GAS - EASYSTEM -OVER-4 (EA.) 2.00 -BUILDING USE owner - budder will have the harden o(pmving that h . e did not build or int- RES IND CON PB Other prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ ❑ ❑ ❑ ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct tie piniect (Sec. 7044, Business LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code: Tile 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 conlmetorts) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. ❑ l am exempt under Sec , BAP C. for this WATER HEATER W/VENT 6.00 realOI Owner Date WATER SYSTEM 5.00 ACC. DATE ACC. FILE N0. WORKFRS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that 1 have a certificate of consent to self -insure. ZONING ENG. SITE NO. or a certificate u( Workers' Co saber Insurance, or a certified copy t 1ISv,. 3800, Policy C np ny ❑ min py mr Y shed. ! FIRE SPRINK ENERGY T-24 Cori p is d- t c i y ice yrt Irl' MISC. - REFER TO ORD. APPlfcanl Vv Y ❑ N❑ Y ❑ N❑ CER FICATIi OF I;XbMP1'[ON FROM WO KERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A. L c. COMPENSATION INSURANCE PLG. CONTE. LIC. NO. PLG. V ❑ N ❑ V E] N ❑ (This section need not be completed if the permit is for one TOTAL hundred dollars (3100) or lass.) 1 certify that in the performance of the work far which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY mit is issued, 1 shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California BUILDING nate Applicant ALTER OR ADD TO MECH. 5.00 NOTICE TO APPLICANT: 11, after making this Certificate of Ex- emption, you should become Subject to the Workhs' Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Cede, you must forthwith comply with FEE such provisions or this permit %hall be deemed revoked. AIR HANDLING UNIT (TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER l0=C.F.M.16.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the perk rmance of the work for which this permit is issued (Sec. 3097, Civ.C.). HEATING UNIT (TO 100,000 B.T.U.) 6.00 MICROFILM Lmodcr's Name HEATING UNIT (OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address 1 certify that 1 have read thisipplim..... and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct I agree to comply with all city and county PLUMBING ordinances and slate 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 the BOILER -COMP (0ver100,000 BTUI SEE FEE SCH. MECHANICAL ed above-mentioned property for inspection purposes. W,.n ace to vac, f Ify and keep harmless the Cit of MISC. - REFER TO ORD. gnins ably ms, j gmcnts, costs and nscs. hich CONST. TAX wtetra g' ustidCity nnacePERMIT ISSUANCE 10.00 er.... MECH. CONT. LIC. NO. MECH - �(7 TOTAbo O �J TOTAL nFFIrF rnDV