15829 POST THIS CARD NEAR FRONT OF.BUILDING. .
- „ ' PERMIT NUMBER'
. . CITY -OF CUPERTINO, 15829
INSPECTION DIVISION-,• r
~ "�
JOB INSPECTION RECORD A'
• - ' 1
OINK
�'1� .PERMIT EXPIRATION
JOB ADDRESS ` �.�Y-1� S��` '�\ UNIT# _LOT#1 '2
� „� �y�"1UP v `-•� .'PERMIT EXPIRES IF WORK'
OWNER .E` , CONTRACTOR ewAo—%v IS NOT.STARTED'WITHIN;_'
IN PECTION DATE' INSPECTOR INSPECTION RECORD 1 180 DAYS OF PERMIT ISSU:-,
FOUNDATION - ,ANCE OR 180 DAYS FROM.
2 E NOTE: '' LAST CALLED INSPECTION.
UFER _Z� �. I ALL GRADING.AND DRAINAGE SHALL BE INSTALLED
TO COMPLY WITH THE APPROVED PLANS AND CITY'OFI PERMTI VALIDATION,.
PREGUNITE 'CUPERTINO STANDARDS. • •:' - "
.7
GARAGE SLABS .
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - ='• .`, -•- -N
',UNDERGROUND /SLAB. - - .%(2%j' 'r•�
PLUMBING
ELECTRICAL y ISSUANCE DATE
MECHANICAL' • SLOG eL.ECT, PLG.- MECH.
'•. DO NOT POU'h FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING vEgM1T
- INFORMATION
WOOD FLOOR
VALUATION
PLUMBING 1 ^ noN5/FL
MECHANICAL 194,540
ELECTRICAL - PERNIIT TO ,.
I
)f
' FRAMING STORIES, TYPE CONSTR„
INSULATION
2 SUNK'
OCC.GROUI_- RES.UNITS
_ PLACE NO.SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - '
' R-3 ' i
(LOOK AHFP • TOTAL ACREAGE
ROOF - ,NOTE:NO FINAL INSP.SHALL BE MADE BEFORE :
,•�„ - DIAPHRAGMTHE CONSTRUCTION TAX IS PAID- 3047 -
BUILDING USE
ROOF SHEATHING HES.' NO. CON PB .Glo.�',
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNEDM
ALS ' DATE' INSP. ❑ '�
nSSE SSORS PARCEL NO,=. `
ROUGH 16�' -PLUMBING o — -d- ✓ NERGY.TUBS&SHOWE rPAN G ENERGYTHna No. PARcep NoMECHANICAL ' ERGY 8098ELECTRICAL . 9 ENERGYAcc,Dore Acc.EILE ryo.FRAMING 3 NAL TEST, ZONING, ENG.SITE NO.
INSULATION - G + if
GAS TEST Z,t GAS 4
FIRE SPRINK "ENERGY T24
MECHANICAL - ,❑ N'O ❑. N❑
COVER NO WORK UNTIL ABOVE HAS BEEN IG ED HEATING '
- FL000'ZONE .AL-UC,
EXTERIOR SHEAR 3 ELECTRICAL RELEASE
INTERIOR SHEAR p'2 8 FIRE DEPT., ' - - �❑` N[j Lam., NQI
SHEETROCK -rib q GRADE ' - . • FEE SUMMARY
EXTERIOR'LATH` BUILDING _ - IC -
INTERIOR LATH =7�q- TEMPORARY APPROVALS
BUILDING '•
ELECTRIC - ^ -• ' _i 1 '
SCRATCH COATPLAN CHECK' - _ FEE '15.510
GAS
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY42.00,` , SEISMIC FE13 65
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR, '
•MICROFILM, -
ARRANGE FOR INSPECTION BY- PHONING 252-4505, ELECTRIC.
} o ONE WORKING.DAY BEFORE REQUIRED 'I.NSPECTION. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING
z .
'MECHANICAL
;= SEE:PERMIT FOR EXPIRATION DATE - r _
CONST.TAX 3
' ' IMPORTANT! �. ^A• o 'a
PLEASE READ REVERSESIDE'BEFORE
CALLING•FOR FINAL INTOTAL. , • ,],, 9..
.,.. SPECTION.
OFFICECOPY /J_��
CITY OFCUPERTINQ
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
Date ...
. ..... ... ....................... Building Permit No. 1.15.9091.
The Building Located at ......
.........................................................
Owned by A------
Has Been For Use As: ..... a.....
i(Altered) ....................................
...... . ........ ...... ................. ..... ---- -------------------------------------------- .... ........................ ---
............... ................................................................. ......................................................
.................................................................................. ..................................... .. ...................
. .. .................. ...........
PD-7 BUILDING INSECTOR
:APPLICANT TO FILL IN INFORMATION WITHIN RED LINES -.USE BALL POINT•PEN ONLY
BU I LDING PROJECT I DENTIFICATION, : . 'PERMIT NUMBER
'D,NG APPLICATION & PERMIT. 5QZQ
ADDRESS Lot // en J U0 JJ
11634 Oak Spring Court BUILDING'-ELECTRICAL-PLUMBING-MECHANICAL d.
OWNER'S j PLAN CHECK VALIDATION
NAME Gregory Group,, Inc. & CITY. ELECTRIC PERMIT FEE
Ahmanson Dev. 4116m595-2100
CONTRACTORS UTLETS-SWITCHES-RECEP 10.00/1.00 -
NAME Gregory -Group, Inc. B-430097
LIc.
NO, LIGHTING FIXTURES - 10.00/1.00
CONTRACTOR - Wln . 0 In r. APPLIANCES-RESIDENTIAL 4.00
"DDRftWC 94065 415 59 5-2100
PHONE PANELS 10.00 DATE OF APPLICATION •.
a FRCHITECT Aram Bassenian ,AIA & Assoc PANELS (OVER 200 AMP) - 20.00 PLANGHECKFEE PC NO.
OR
ENGINEER - - '
O-8395 SIGNS TRANS. 3.00 '
ARCH.ORENG. 2031 C win Dolphin Dr.RW yJ!,1(�ISSPMAL CIRCUIT 5.06 - PERMIT VALIDATION
ADDRESS • M1W PAID
- _ ZIP 9270 EMP.METER OR POLE INS. 20.00 /�•' l••/
. ..
APPLIC
ANT S MOTORS• SEE FEE SCH.
ADDS
E5220-C Twin Dolphin Dr.RWC9406 /
SERVICE CHANGE 20.00 L
w o o LICENSED CONTRACTORS DECLARATION - /( �d _
ty Of CU 0, t'I
<u U 1 hereby affirm that I am licensed under Provisions of Chapter 9 p 1S�U'l1NCE DATE -
y a w (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. I PLG. MECH.
H w z Piofesswn,Code.'an�{,my license is in full Sart .'{p{1,r(f,(Ct,
i C.,, - License Class 15 Lic.Number 436&`9./
o -w Da¢ Comactor
< x f BUILDING PERMIT
Ix re u OWNER-BUILDER DECLARATION •,- - INFORMATION
o - MISC.- REFERTOORD'
-
• w e- y I hereby affirm that I am exempt from the Contractor,License - VALUATION 8/FT.
F a-o j Law f r(tie following - .(S c 7031.5,Busieessmidlr l sons PERMIT'ISSUANCE 10.00 1 f1 A
Col Any city b ounty which reluir .al 1 tt, m,tr ,n Iler - ,194,540
tt Q O improve,demolish,Or rcpdu anY Stmelloe,pr or in its issuance,also ELEC.CONTR. , LIC.NO. ELEC., ''
u- require,the uPphcunt for such Permit to fila a signed statement tial TOTAL PERMIT TO -
he is licensed Pursuant to the provisions of the Contractor'a
Law(Coapler 9(emnmenaing with Section 7000)of Division 3 ofthe - 111
4 Business and 1'rol'essiuns Code)or that he is exempt Theo faun and QTY. PLUMBING PERMIT FEE - SFD WL
fi0
F the basis fur the alleged exemption.Any violation of Section 7031.5 Y STORIES TYPE CONSTR.
e_ by any applicant for a permit subjects the applicant toa civil penalty ALTER-DRAIN& VENT-WATER (EA.).5.00 '
o(Set more than five hundred dollars 05001): - 2 5NHR
'❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE - 4.00
their sole coin Sensation,will do the work,and the structure is not DCC.GROUP REB.UNITS
intended ur offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 R-3 1'
Code:The Contractor's License Law does not apply to an owner of
property who builds or intthereon,and who docs such work FIXTURES-PER TRAP '
5.00 SO.FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve--
men"
mprovemenu are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-I1NC.4 OUTLETS-6.00 3047
or improvement is sold within one year of completion, the owner- GAS-EA.SYSTEM-OVER 4 (EA.1' 2.00 BUILDING USE
builder will have the burden of proving that he did net build or im
prove for purpose cf,.Ie.I. INDUSTRIAL WASTE INTER30:00 IR(ppE
IAJ1S1 m
IND CON PB Oar
Q 1,as owner of the property,am exclusively contracting .cling with ❑ ❑ . ❑ ❑
licensed contractors to construct the Project(Sec. 7044,Business LAWN'SPR INKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL No.
and Professions C il : The Contractor's License cense Law does eul apply
to an ownerd prop rly'who build'or improves th r m and who 1LAWN SPRINKLERS-OVER 5(EA.) - 1.00
contracts t r such rtj el with v ontrl torts)licensed Pt rsuunt to
the eomraeturs License Law. - SEWER-SANITARY-STORM EA.200ft/10.00 . TRACT No., -PARCELNO. -
•. r ❑ "1 an,exempt under Sec. T&P..C.for this - WATER HEATER W/VENT' • . 6.00 8098
Ie'Jxllll
Owner Date WATER SYSTEM 5.00 -ACCDATE ACC.FILE NO.
WORKERS'COMPENSA[ION DECLARATION WATER TREATING EQUIP. 5.00 - -
1 hereby affirm that Those,.certificate of consent to sel Ginsure' ZONING ENG.SITE NO.
or a cerlil icale.uf Workers'Compensation Insurance, , crtificd
copy thetcnf(See.3800,Lab.C.). United Pacific ' •- •
Policy No. - Company ,
0 [] Certified copy is hereby furnished. FIRE SPRINK ENERGY T 24
Z Z NT Certified copy is.filed with the city inspection division. MISC.- REFER TO ORD.
ApPlicanl - Y ❑ NO Y❑ NO
M C17R'I IFICATE 01:EXEMPTION FROM WORKERS, PERMIT ISSUANCE 10.00 FLOODZONE A.L.U.C.
W'> COMPENSATIONINSURANCE PLG.CONTR. LIC.NO. PLG.-
CL,O ffhk s, ion need notbe coin Pleted it the permit is osr one TOTAL Y❑ N❑ Y❑ N❑
ZZ hundred dollars 18100)or less.) - -
U O I certify teal,in the Performance oi'thc work ho which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
.LL P Inil is issacal:I shmll not Ont Ploy any person in any manner V,as to
- -
U become subject to the Warkers'Compensanon Laws of California. 972.00
0-w Dote Applicant ' - - BUILDING
a ALTER OR ADD TO MECH. 5.00
} N NO..tio-; TO APPLICANT' If atter making this rs'C iulic ul iEs-
c lnpliion'on should becomee, yo mule Wrthwil'Complywon - APPLIANCE 6.00 PLAN CHECK, 15.50
provisions io the Labor Code, you must forthwke conq,ly'wlth FEE /energy 62.00
' "U such pmvisi6ns ur this Permit shall be deemed revoked. - AIR HANDLING UNIT(TO 1Op60GF.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10OMC.F.M.) 6.00 SEISMIC FEE . .13.65
1 hereby affirm thal there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00
[tie-perfonnance'of the work for which this Permit is issued(Sec - MICROFILM
3097.Civ.C.). Security Pacific HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name--T�--��� rq HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 73.13
Lender's Addreas�Efl,V rt �-�. t.-- -r
I certily flat I have read This apps ratio 1 u that ole above VENTILATION FAN (SINGLE) 4.00 73. 13
information is correct: I agree to comply with all city and county PLUMBING
ordinances'and state laws relating to building construction, and BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00
hereby auulorizc representatives of this city-to.enter upon the BOILER-COMP lover o- 100,000 BTU)SEE FEE SCH. MECHANICAL 73.13.
abovnlsntioned property for inspection purposes.
,(We) agree to save, indemnify and keep harmless the City of MISC. REFER TO ORD.
1 alwatino against liabilities,judgments, costs and expenses which CONST..
may in any wayeR yE( id City in,consequence of the PERMIT ISSUANCE 10.00
•runting'ol thio' c MECH.CONT. _ LIC NO, MECH. 1
TOTAL TOTAL
Signature of cant/Contractor Date 1
OFFICE COPY I�7�