15803-POST THIS CARD NEAR FRONT OF BUILDING
CITY 0 CUPERTING '
INSPECTION DIVISION
JOB INSPECTION RECORD'
• �� `�- "
JOB AD KESS— - UNIT# _LOT#
���..C2Y Qwant --' -•
OWNER N -CONTRACTOR " KyaOVZ` GFiJ. -
PERMIT NUMBER
15803
PERMIT EXPIRATION
-PERMIT EXPIRES IEWORK
IS NOT STARTED WITHIN 1
180 DAYS OF PERMIT ISSU. 1
ANCE•OR 180 DAYS^FROM
LASTCALLED INSPECTION.:
.INSPECTION DATE INSPECTOR
INSPECTION RECOR -
FOUNDATION "' - j -Z �.
NOTE:
ALL GRADING AND DRAINAGE SHALL BE INSTALLED
COMPLY WITH THE APPROVED PLANS AND CITY OF
CUPERTINO STANDARDS. -
••
PREGUNITETO
PEHKUT VALIDATION.
-. • ��., 7
ISSUANCE DATE
_
GARAGESLABS -
POUR NO CONCRETE UNTIL•ABOVE HAS BEEN SIGNED
- UNDERGROUND/SLAB'"
PLUMBING .
�>
ELECTRICAL.',
_
MECHANICAL''--
rG
EISCT,
PLG- - M[c U..
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEDC0je1�1p08UILDwG
0�
PERMIT I
INFORMATION
'. WOOD FLOOR •-
VALDATI,IN
992
sIFT,
PLUMBING
_ _
MECHANICAL
ELECTRICAL' ' -
-
PERMIT To -a
" 'SIR
FRAMING-- -
INSULATION
_ P O(/
'-STORIES
TYPE CONSTR,
•OCC. CROUP
RES. UNITS ,
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED—
ROOF .
NOTE: NO FINAL INSP. SHALL BE MADE BEFORE
THE CONSTRUCTION TAX IS PAID.
SO. f T. FLOOR AI,lA
2400OUI• '
TOTAL ACRI.AGL.
-
DIAPHRAGM - - -.
ROOF SHEATHING-
LDING USE
Res IrvO CON Pe .06...
'❑ •❑ - ❑-
APPLY NO ROOFING UNTIL' ABOVE HAS BEEN SIGNED
FINALS DATE • INSP.,
ASSESSUNSPARCELNG
- '
• - - ROUGH-
SANA
PLUMBING'T D
ELECT. ENERGY
TRACT NO.
PARCEL NO
TUBS,B SHOWER N 3—j=-
'PLUMBING ENERGY,
MECHANICAL 3
MECH:ENERGY'
ACC DATE
ACL FIEF. NO,,
-
ELECTRICAL
'.BUILDING ENERGY -
FRAMING. 3--q--
ELECT. FINAL TEST.
.ZONING
.ENG. SITE NO.
INSULATION , ,ol 49;j At u� �
PLUMBING � L
GAS TEST
GAS.-
FIRE'SPRINK !
v ElN❑
ENERGY T 14
r [3 NO
• G - - " "
MECHANICAL-
COVER NO WORK UNTIL ABOVE HAS BE EN IGNED
HEATING' '.
ELooO ZONE
v ❑ No
• A,L u.c.
' . r ❑• 'N❑;
EXTERIOR SHEAR-.'
ELECTRICAL RELEASE
INTERIOR SHEAR '.' 2 �' -
'FI RE,DEPT. - '.rt
SHEETROCK T, .;. '1 �Lf-7$
GRADE'
FEE SUMMARY
EXTERIOR LATH ':j10-89,
BUILDINGS +
BUILDING
PLAN CHECK •
FEE
SEISMIC FEE
•
C
Wso t
'
INTERIOR LATH 1,�.{\ � rj-
TEMPORARY APP,ROVALS�_
SCRATCH.CCAT i.
ELECTRIC-. "'
t:. ..
GAS' - -
NO TAPE OR PLASTER UNTIL ABOVE•HAS BEEN SIGNED.
OCCUPANCY
OCCUPANCYOF, BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY, BUI LDING INSPECTOR.
MICROFILM
Li ARRANGE FOR INSPECTION BY'PHONING 252-4505,
ONE WOR KING.DAY BEFORE REQUIRED INSPECTION.
ZO�.. PLEASE GIVE JOB ADDRESS,WHEN PHONING.
SEE PERMIT FOR EXPIRATION DATE — ,
I
ELEcraic
PLUMBING.
sECHANIcAL'
;
CONST. TAX
-
IMPORTANT!.. ..
PLEASE . READ- REVERSE;SIDE:BE_FORE ,;
' CALLING FOR'FINAL INSPECTION:
TOTAL r
_
., OFFICE COPY
CITY OF CUPERTINO
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
I �j 1
Date ry.... �. .........................1 19U.\..... '/Building Permit No..1.
The Building Located at ... L.. vL -.......01p .- ;E }V;rl.�4.....................
Ownedby ..... ........G .........................................................
Has Been For Use As:......5..4..!.-?-..."..'�T
(Altered) ........................................
................ .......................................................... .........................................................................
..................................................................................................................................................
L..........\..b....t ...........
PD -7 BUILDING IN PECTOR
9
APPLICANT TO`FILL .IN INFORMATION WITHIN RED LINES -1JS.E BALL POINT, PEN ONLY
BUILDING PROJECT,IDENTIFICATION_PERMIT
%AP?L•ICATION&PERMIT '
BUILDING - ELECTRICAL- PLUMBING - MECHANICAL
NUMBER
[Q
J O O�
BUILDING 113
ADDRESS O an - -
11614 -Oak spring,COUrt
OWNER'S
NAME Gregory -Group,, Inc. &
Ahmanson Dev: 4157,595-2100
QTY. ELECTRIC PERMIT - FEE
PLAN CHECK VALIDATION
-
CONTRACTOR - ♦!- -
NAME '"
GregoryTLETS
.Group,..Inc.•.Inc. B-43009
V LIC. No.
'
- SWITCHES;RECEP 10.00/1.00 "
r. LIGHTING FIXTURES 10.00/1.00
CONTRACTOR CTOR'B -
ADDRESS 220-0,. Twin Dolphln Dr.
_4.00
-APPLIANCES'-
PANELS 10.00
• 1.RWC • 94065 4PIZ595-2100
DATE OF APPLICATION
ARCHITECT %
OR Aram.Bassenian, AIA &ASS
ENGINEER •' .( C-8395
No,
C. • PANELS (OVER 200 AMP) 20.00
�` PLANCHECK:FEE P.C. NO.
.. ..
^PERMIT
- SIGNS TRANS. "- 3.00
,1LIC.
ARCH. OR ENG.' -2031.. Orchard ' Dr.#1OO
ADDRESS ard
Santa- Ana 'Hts., CA. 9NO7
SPECIAL CIRCUIT 5.00
VALIDATION
TEMP. METER OR POLE INS. 20100
APPLICANTS
ADDREBB 220-C "Twin, -Dolphin Or.RWC
MOTORS SEE FEE SCH.-
-
SER VICE CHANGE 20.00 A
1A
LICENSI:D CONTRACTORS D[CLARATION'
3 afthe of Business
1hcrcbyng wiit the Iam000) of Divisionand
(canmim , C with Section ]0001 of Division 3 ol'the Business and
I'Rhfesc Cla s- Snd�ny license Li is in full force a
[)I(,- Class o. '- Lie. Numb 4,S,lLUiJ-
Dale � .. Con Uaclor
ANCE DATE
• •
'BL G. ELECT.
.
-' PLG. MECH.
F4 70-1
♦
BUILDING PERMIT
INFORMATION
'OWNER -BUILDER DECLARATION
I bench y affirm that 1'en exempt Gore the Conlrn[loip' License
Law,fiu the following reason. (See. 703 I.S. Business and P,ol'essions
Code: Anycily or County which requires a peon it to Construct, alter,
improve, demolish, or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed Statement that
he is licensed pursuant m the provisions at the Contractor's License11`
Law(ChapleT 9(commencing with Section 7000) of Division 3 oflhe
Business and Professions Code) or that he is exempt therefrom and
-
MISC.- REFER TO ORD
VALUATION
154 922
P
$/FT.
- PERMIT ISSUANCE 10.00
ELEC. CONTR. LIC. NO.
ELEC:
TOTAL
PERMIT TO -
. SRDWL.
QTY. PLUMBING PERMIT FEE 1
STORIES
TYPE CONSTR.
the basis for the alleged exemption. Any violation of Section 7031.$
1
by any applicant for a permit subjects the applicant to a civil penalty
than
o1 not more than five hundred dollars (5500).):
2.
5NHR.
ALTER -DRAIN -WATER IEA.) 5.00
❑ 1, as of the property, or my employees with wages as
their Sale compensation, will do the.work, and fine structure is not
BACKFLOW PROTECT. DEV ICE 4.00
OCC. GROUP
RES. UNITS
DRAINS -FLOOR, ROOF, AREA,COND. 5.00
-
tended or offered for, sale (Sec. 7044, Business and Professions
Code: "I'he Contractor's License Law does not apply to an owner of
properly who builds or improves thereon, and who does such work
himselfor through his own employees, provided that such improve-
menlsaienotintended or offered l- or sale. If, however, the building
R-3
'1
-
FIXTURES- PER TRAP 5.00
SO. FT, FLOOR AREA
-
2400
TOTAL ACREAGE
GAS-EA:SYSTEM-11NC.40UTLETS 6.00
or Improvement is .sold within one year of completion, the owner-
builder will have the burden of proving that he did not build or inn
prove for purpose of sale ,- ` ' ..
I, as owner of fit, property, ant exclusively ci cting with
El 1,
GAS - EA. SYSTEM -OVER 4 IEA.) 2.00
BUILDING uSE -
ther
R S I❑ ❑N PB E]O ❑
- INDUSTRIAL WASTE INTER. 30.00
LAWN SPRINKLERS - 1 INC 5 V.B. 6.00
- LAWN SPRINKLERS- OVER 5 (EA.) 1.00
ASSESSORS PARCEL NO.
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code: The Contractors License Law does not apply�S-
to an owner of property, who builds or improves thereon, and who
contracts for such projects with a canlractor(s) licensed, latomiu to
the CORraetOri License Law. -•
SEWER -SANITARY -STORM EA. 200ft/10.00
TRACT NO:
PARCEL NO.
❑ l am exempt under Sec. .B.&P.C. for this
WATER HEATER W/VENT 6.00
8098
rea5011
Owner. Due
WATER SYSTEM 5.00
ACC. DATE
ACC. FILE NO.
WORKERS -COMPENSATION DECLARATION
WATER TREATING EQUIP. 5.00
I hereby affirm that I have a eenifiente ofconsent to self -insure.'
or a certificate of Workers' Compensation Insurance. or a certified
-
ZONING
ENG. SITE NO.
copy Ifrond! (Sec. 3800. Lab C.1.
Policy No. Company-United=Paci.fi.c-
FIRE SPRINK
` Y ' N
❑ ❑
ENERGYT-24
V N
❑ ❑
O Cmlilicd copy is hereby famished.
A.f'.LrLCehif icd ropy'is 'Bled with the city inspectimh division.
f��99i1
REFER TO ORD.
• CIi R'rIFICAIT OF F"XEMPFION PROM WORKERS'
PERMIT ISSUANCE 10.00
FLOOD ZONE.
A. L.0 C.
PLG CONTR._ LIC. N0. ' I,
-
'PLG.
TOTALV
- COMPENSATION INSURANCE
" (Phis section need not be Completed it the pennil is I'or one
❑ N ❑
Y ❑ - N ❑
QTY. MECHANICAL PERMIT FEE
FEE SUMMARY
-
hu certifyperformance
I'certify that in the performance of the work far Iuchume this per-
thatin the
not is issuedI shall not employ any person in any runmmerr to
BUILDING
832 00
ct m the Workers' Campens-ation Laws of California.s
become subject
I -
Date APPLICANT:
N01 ICE TO APPLICANT: If, afar making this rs ompe sa Ex -
eruption, you should become subject to the Workers' Compensation
provisions io for this pe Code, you .must forthwith comply with
such prewisinns or this permit shall M1c deemed revoked.
ALTER OR ADD TO MECH. 5.00
APPLIANCE 5.00
AIR HANDLING UNIT (TO 10,000GF.M.) 4.00
PLAN CHECK
FEE/energy
9Y
, 62.00
AIR HANDLING UNIT (OVER 10=C.F.M.) 6.00
SEISMIC FEE
10.85
CONSTRUCTION LEFDING AGENCY
I hereby uflirmGthat Imre. is a rc1�instruction lending agency for
the performance Jethe . walkCUrl iy"Nalc fHas plrCil is issued(Sac.
10x)7, Civ o T
EXHAUST HOOD (WITH DUCT) 5.00
MICROFILM
- HEATING UNIT (TO 100,000 B.T.U.) 8.00
HEATI NG UNIT (OVER 100,000 B.T.U.)9.50
ELECTRIC
60.90
mn
Lcndcr, Name-4�'1-f-11"�
Lender's Address - - f
grq
ax mrtify that I have road this upplicBNon and state that tm uhov
%i
informationis correct. I agree to comply Whit do city and anmty
ordinetiees and sate laws relating to building construction, and
VENTILATION FAN (SINGLE) 4.00
PLUMBING
60.90
BOILER-COMP(3 H. P. or 100,0008.T.U.) 6.00
7BOILER-COMP (Over 100,000 BTU) SEE FEE SCH.
MECHANICAL
60.90
hereby authorize representatives of this citydo enter upon the
ahose.mentioned property for inspection Purposes.
misc. - REFER TO ORD.
(We) agree to save, indemnify and keep harmless the City of
upertino against liabilities, judgments, costs and expenses which
Tay in any way a rue against said City in mnsequcnce of the
ranting Of this fG.Tt t -
CONST. TAX
PERMIT ISSUANCE - 10.00
'
MECH.CONT. LIC. NO.
MECH.
!/
r -
TOTAL
TOTAL
Signature cant/Conactor Date
tr
OFFICE COPY