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15817 POST THIS CARD NEAR'FRONT OF+BUILDING U BF.H .•CITY OF 'CUPERTINO 15817 " ! INSPECTION DIVISION ' � " JOB INSPECTION,RECORD 1 ' /. ,+,, .^ -"��•7y� , PERMIT EXPIRATION - JOB ADDRESS_I_IL�OL.yS 'r�UNIT# - 'LOT# 3L�� • - � I ((\ Tk�+'"' \ ✓, PERMIT EXPIRES IF WORK OWNER �IJe/� P Y --/'J NT ACTOR C"j kfyyQpQQ*r y,CLI�.I IS NOT STARTED WITHIN 1 .INSPECTION DATE JINSPECTOR INSPECTION RECORD 18D DAYS OF PERMIT ISSU ' FOUNDATION -,'Z , . - _ ANCE OR 180 DAYS FROM" NOTE: LASTCALLE DINSPECTION. ` LIFER _Z, cl ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE _ . TO COMPLY WITH THE APPROVED PLANSAND CITY OF PCRMITVAUDAnoN - - CUPERTINO STANDARDS. GARAGE SLABS . .r•.. „ :. ° .. , - .. , POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED. -%', �-k GAZPXWE' oNL.F Pc.>5 .. UNDERGROUND,/SLAB f - - .� ,. '.: . \ f.`,.. '.`.. 1: ��,'.::,,• PLUMBING ELECTRICAL', ''��, .ISSUANCE DATE MECHANICAL c�oc ELECT. �Pw.. MLCH. p19 ` GD r DO NOT PO R FLOOR UNTIL ABOVE HAS BEEN SIGNED - . .^R \.�-'� jpl\To BUIL LNGIRMPERMIT WOOD FLOOR .. 'CU N. VALUATION PLUMBING MECHANICAL'. 'ELECTRICAL - ' : PERM TO FRAMING - .+ sr•aTRIE TYPE coN,s rH. INSULATION + OCL. +ROUPNITS -PLACE•NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ' - ROOF NOTE:NO FINAL INSP.SHALBE MADE BEFORE sn.TT.a RARE" roTAL cREACE L' DIAPHRAGM THE CONSTRUCTION TAXIS PAID2617 ^ BUILDING USE ROOF SHEATHING RES' IN CON PR .,0,1 , . APPLY+NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE . INSP. SP . /nssessoHs PARCEL No. .RCUGH c 'SAN.# / 6 �Ip �'=- ol? I . PLUMBING - .g -7:. ENERGY ' MALT NO. PARCEL NO .TUBS&SHOWER PAN - j-2— C•3 PLUMBING ENERGY B098 MECHANICAL - -/ 'f MECH.-ENERGY ELECTRICAL' , ACC.DATE ACC.FILE NO, BUILDING ENERGY 1 FRAMING hAl 6. ELECT.FINAL TEST v ZONING ENG,SITE NO. ' INSULATION `D PLUMBING , • i GAS TEST - '•j„ GAS - b FIRE SPRINK 1 ENERG�T'2. MECHANICAL. v ❑ N� v N�' COVER NO WORK UNTIL ABOVEHAS BEEN SIGNED HEATING EXTERIOR SHEAR — - ELECTRICAL RELEASE FLooD zoNE aL.u.c. INTERIOR SHEAR ' ' - FIRE DEPT. v _ NE] L7 N❑ �_.$ . SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING I - INTERIOR LATH _ Cksp.�q TEMPORARY APPROVALS - BUILDING PLAN CHECK SCRATCH'COAT' an ^ ELECTRIC 15.50 . . GAS , - FEE n NO TAPE OR PLASTER UNTIL ABOVE HASBEEN'SIGNED OCCUPANCY SEISMIC FEerF ' OCCUPANCY OF BUILDING IS NOT PERMITTED UNTI L BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM r ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 7035 - F `ONE WORKING DAY BEFORE REQUIRED INSPECTION.", ,,, PLUMBING O PLEASE GIVE JOB ADDRESS WHEN'PHONING.. Z' '' MECHANICAL- SEE PERMIT FOR R EXPIRATION DATE - CONST.TAXi'f5r • IMPORTANT! PLEASE READ REVERSE SIDE BEFORE TOTAL -. CALLING FOR•FINAL INSPECTION: �1.__.A----1•� OFFICE COPY 5' /b CITY OF CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE rr QQ Date ........... 7�.............. 19-. Building Permit No. i a The Building Located at ...�..1. .44:..o.r k._..s *Al. . .... . ... ....) - Owned by ......0 �g.e.��.�........ ..I tN .... ........................ ........... ................ Com let .. t— iHas Been (Altered) For Use As: ......---.-_-----------...--- --- ........_...................... i ........................_-----._..........................................................--'-----..........._..........--'------........... I I .................................................................................................................................................. ........................................................................................................................a........�...(..................... ' .....�.. ----- ...�.....1...".'......... I PD-7 BUILDING INSPECTOR .oAPPLICANT TO FILL IN INFORMATION WITHIN RED LINES.-;-.0-.E BALLPOINT PEN ONLY BUILDING PROJECT IDENTIFICATION • - _ PERMIT NUMBER `' BULDrG A111" °DRo an APPLICATIONffiPERMJT ¢I 15817 ESE 11644 Oak Spring Court BUILDING.- ELECTRICAL-PLUMBING-MECHANICAL OWNER'$ - ' PLAN CHECK VALIDATION NAME Gregory Group, Inc. Ig . QTY. ELECTRIC PERMIT FE : - Ahmanson Dev. A-116-595-2100 { �•+ CONTRACTORS NAOUTLETS-SWITCHES=RECEP' 10.00/1.00 ME` Gre or . Grou . Inc ICNoB-430097 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'6 2�gOSrSTWin D©CLCphln Dr. PPL IANCES-RESIDENTIAL -4.00 ADDRESS R4 b 41,5m,595-2100 PANELS 10.00 DATE OF APPLICATION -: ARCHITECT Aram Ba Ssenlan,AIpp A SOC PANELS (OVER 200 AMP) 20.00 PLAN GREG KIFEE P.c.NO. OR C439S5 ENGINEER ' LIC.NO. SIGNS TRANS. 3.00 ARCH.OR ENG 22031 Aprch rd Dr:. SPECIAL CIRCUIT '••" :, 5.00 PERMIT VALIDATION A°�di�ta 'Ana HtS: �A. 2757 xIP EMP.METER OR POLE INS. _ 20.00 APPLICANT'S MOTORS ' SEE FEE SCH. '• �,1( A°DRE220-C Twin Dolphin Dr.RWC 940 _ SERVICE CHANGE 20.00 ( �}.�'/ W o LICENSED CONTRACTORS DFCLARATIONcG' IMS^;! l�( •' a u w I hereby affirm that I am licensed under poweioas of Chapter 9 ISSUANCE DATE N a N (commencing with.Secfion 7000)of Division 3 ofdt�h,�e Bu�ssiness anti - @LLpp��❑ ,y1,�®T. PLG. MECH. I-yD Professions Code,and nB.license is in f Lill force ,4, 6607 CRY �I Jelly 1 LUL, ,e o w - License ClassLic.Number `tJ V 7 \W/I IW/I Q zr w Life Qmtractur - Q.y T w�,, OWNIik-BUILDF:k DECLARATIONBUILDING PERMIT -REFER TO ORD' INFORMATION w u m I hereby aflinn that 1 um exempt I'rum the Contraefor's License MISC.- VALUATION $)FT. Law for the following reason.(Sec,7031.5.BusinessmW Professions PERMIT ISSUANCE 10.00 Code Any city or county which requires a permit to construct,alter, 185 865 IF Q Q p Improve,demnl Rh,or repair any structure,prior to its issuance,also ELEQ CONTR. - LIC.ND. ELE0. O u requires the applicant for such permit I.file a signed statement that TOTAL PERMIT TO - wm he i licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe - SFDU ' EE o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT- FEE t - I p the basis lit,the alleged exemption.Any violation ol'Secliun 7031.5 STORIES TYPE CONSTR.- n ;_' byanyajPlicuntforupemitsubjeetsteapplicanttoacivilpenalty ALTER-DRAIN&VENT-WATER (EA.)n5.00 2 . 'SNHR of if( mom than five hundred'doll...(5500).): - - ❑ h as owner of the property,or my employee,ov 1,wages as - BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP' RES.UNITS t heir sole cont pensalion,will do the work,and the structure Is Lou intended or offered for safe (Set. 7044, Business and Prol'essimhs DRAIN$-FLOOR,ROOF,AREA,COND. 5.00 - R-3 .l' , Code The Contractor's License Law docs not apply to an owner of - property who builds of improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 So.FT.FLOOR AREA • TOTAL ACREAGE v himself or through his own enhployces,provided that such improve- mem,are not intended or ffered for sale.If,however,the building GAS-EA.SYSTEM:1'I NC.4 OUTLETS 6.00 '2917 " or improvement is sold within one year of completion, the'owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE _ builder will have lire burden of liroving ohm he diA not huild or int= -11 RES '-IND CON PB Orhar prove for purpose ofsale.). INDUSTRIAL WASTE INTER.' -.30.00 a 1 ❑ I,as owner of the property,am exclusively contracting with - ❑ .. ❑ ❑ ❑ licensed contractors 10 construct lire 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 huilds or improves thereon;and who a LAWN SPRINKLERS:OVER 5 (EA.) t 1.00 3{p 6-- 4 -� contracts for such projects with a contractors)licensed pursuant to lire Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 - TRACT NO. PARCEL NO. ❑ lam exempt under sec. .B.&P.C.I'ur tllis WATER HEATER W/VENT 6.00 8098 ' reason Owner -Date WATER SYSTEM - 5.00 ACC.DATE ACC.FILENO. WORK ERS'COM PENSA'RON DECLARATION - WATERTREATING EQUIP. 5.00 ' 1 hereby affirm that I have u curtificate of consent to sell-insure, - ZONING ENG.SITE NO. or a certificate of Worker.'Compensation Insurance,or a certified copy the,eot(Sec.3800,Lab.'United Pacific:", Policy No. Company O ❑ Certified copy is hereby furnished. RE SPRINK ENERGY T 24 Z'2 kY Certified copy is tiled with.lire city inspection division. MISC.- 'REFER TO ORD. v❑ N.❑ v ❑. NQ O Applicant + - F" PERMIT ISSUANCE. 10.00 - FLooD zoNE A.L.u.c. - CISRTI PICA'1'F OP IiXIiMPPIGN PROM WOkKIIk S' W CO,41;NSATION INSURANCE r PLG.CONTR. LIC.NO. " 'PLG. Y❑ N❑ Y ❑ N❑ 11 O This scaLin need not.be completed if lire permit is for (life _ TOTAL Z hundred d.Iii 5100)or less.) :• - - U.O 1 certify that in the performance of the work for which lhis,per- OTV. MECHANICAL PERMIT FEE FEE SUMMARY ' U_ P n,it is issued,I shall mol employ any person in my manner so as to - O W become subject to fire Workers'Compensation Laws of California. . BUILDING Date APPlicant ALTER OR'ADD TO MECH. 5.00 940.50 } N NOVICE TO APPLICANT: If, He,making this Certificate of Ex- ♦- Z upti.m.you slmuld become subject to the Workeri Compensation APPLIANCE 5.00 PLAN CHECK : 15.50 pro ons Of the Labor Code, you must forthwith comply with FEE U z such provisions or this permit shall be decried revoked:' AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 �. /energy 62-oni CONSTRUCTION LENDING ACENCY - AIR HANDLING UNIT(OVER 110MC.F.M.) 6.00 SEISMIC FEE 13.02 1 hereby affirm that there is a construction funding agency for EXHAUST HOOD (WITH DUCT) 5.00 "I file pertormmtice of fire work for which this permit is issued(Sec. MICROFILM' ' 3097.Cie.C.). Security 'Pacific HEATING UNIT(TO 100,000'B.T.U.) 8.00 Lcnduri Nunn r1 HEATING UNIT(OVER 100,000 B.T.U.)9.50 '- ELECTRIC • 7035 Lerde,;Address_1-Emhar-cad yI.oaa^sj[}}yy f-1-r-. j I certify flint I have road this aPPlicatiStantf1t.11S�h�the abose VENTILATION FAN (SINGLE) 4.00 nfonnation is correct. 1 agree to eonhply with all city and county PLUMBING 70.35 ordinances and stale laws relating to building construction, and BOILER-COMP I3 H.P.Or 100,0008.T.U.) 6.00 hereby authuric representnfives of this city to enter upon theBOILER-COMPI SEE FEE SCH. MECHANICAL .IOver 100,000 BTU .bove-mentioned Property for inspection purposes. - [' OVe) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. .' -A( uQeriito against liabilities,judgments, costs and expenses which CONST.TAX may in anyPERMIT ISSUANCE 10.00 way ag Inst said City in consequence of the - '•, rantingoffhi er MECH.CONT. LIC.NO. - TOTAL - - TOTAL 1 Signature of icgnf/Contractor Date OFFICE COPY ���