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15837 POST:THIS'CARD NEAR FRONT OF BUILDING' Pennur Numaert CITY '0F CUPERTINO 15837 al.. INSPECTION DIVISION ' Y L, JOB INSPECTION.RECORD �J') I" PERMIT EXPIRATION JOB ADDRESS�� �'lS_S -D�� S '�✓N�' G� UNIT# 33 LOT#r� /���nn N'p�y,�O—^ "-�� /�,, PERMIT EXPIRES IF WORK!! OWNER"' CONTRACTOR cAv_t(lce_< Geo4 ISS NOT STARTED WITHIN. '. INSPECTION D TE INSPECTOR INSPECTION RECORD iao Days of PERen1T'Issu:: -ANCE OR 160 DAYS FROM -� - FOUNDATION ,. \- e, ' NOTE: LAST CALLED INSPECTION. 1 UFER ALL GRADING.AND DRAINAGE SHALL BE INSTALLED - - TO COMPLY.WITH THE APPROVED PLANS AND CIN OF PERMIT VALIDATION PREGUNITE CUPERTINO STANDARDS. GARAGE SLABS'" POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED . . - - L. !! - "'`•^- UNDERGROUND /SLAB - J, , PLUMBING • . .. - ELECTRICAL .ISSUANCE DATE MECHANICAL '• .. ,: nLDG, ELEcr, PLG. MecR.r EjPS © t DO DING NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BIN ORMATION_'T" " .•WOOD FLOOR vnwAnoN .SIFT. PLUMBING 0� MECHANICAL - 1ty RmIT TD ELECTRICAL FRAMING STOR IGS, TYPE CONSTR. INSULATION '• - ` 'UCC.GROUP UNITS \ - PLACE-NO SURF LOOR UNTIL ABOVE HAS BEEN SIGNED - - - ` 'Sll.,VT, ,F (1 AREA TOT ACREAGE ' ' ROOF - NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID t SO9S BUILDING USE ROOF SHEATHING REs ` INC. CON PE, .-Or.,, , LJ , APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ' FINALS DATE 'INSP. - •fl � ASSESSORS PARCEL NO. RCUGH SAW# PLUMBING - ,� ELECT.ENERGY TRACT NO. PARCEL.NO WER P , TUBS&SHOAN'••:, 'T-• PLUMBING ENERGY , MECHANICAL _ J' MECH.ENERGY _ .ACC,DATE ACC.FILE NO. - ELECTRICAL.-. - BUILDING ENERGY ' FRAMING : - ELECT.FINACTEST - - zoNlNc ENG.SITE No. • INSULATION ' 3 3 PLUMBING t� LASTEST, ., GAS ' FIRE SPNI NIT ENERGV�T 24, 'g z MECHANICAL ' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING- '' L Y N❑ ❑. N❑; EXTERIOR SHEAR' _ ELECTRICALR FL000 ZONE aL,u,c. _ V� N� a 'V L NO INTERIOR a-?i:8q - FIRE DEPT.'.. ' SHEETROCK GRADE FEESUMMARY EXTERIOR LATH 7... q BUILDING.', ♦ i BUILDING INTERIOR LATH- -�k-$�1 S . TEMPORARY APPROVALS. SCRATCH'COAT < �, , . ELECTRIC . PLAN CHECK FEE ' GAS,NO TAPE_OR PLASTERMNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE_ OCCUPAN CY OF B UILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM \\ { . `ARRANGE FOR INSPECTION BY PHONING 252-4505; ELECTRIC ONE WORKING DAY BEFORE-REQUIRED INSPECTION., PLUMawG " "1 i o� 'PL'EASE•GIVE JOB ADDRESS WHEN'PHONING. - Z '. '• MECHANICAL - SEE PERMIT FOR EXPIRATION DATE- CONST.TAX IMPORTANT! „ 'PLEASE READ REVERSE SIDE BEFORE TOTAL "'CALLING FOR FINAL INSPECTION. - �.�^_•'r ".: OFFICE COPY X179,571 CITY OF CZJPERTINO -CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE QQ�j Date ......9.77�...................... 19DA--- Building Permit No. )_57S::?-� .... 8...... .. Tle Building Located at .... ........ Ownedby ...... . pa I...... ............................................... om p Has Been % For Use As: ............teledt ............................. ................................................................................................................................................. ........................................................................................................................................ ........... ..................................................................... . ............................ ............*....... ............... PD-7 BUILDING UL INSPECTOR APPLICANT TO FILL`IN INFORMATION WITHIN RED LINES - USE BALLPOINT PEN ONLY = yl BU I LOING PROJECT IDENTIFICATION - 'PERMITNUMBER t.� :' GL0ING APPLICATM &iPERMIT. 5v� 1 11654 Oak prng-Court ADDRESS LON 2�3 .Plan 4C Jv gUILDING'=ELECTR(CA L-PLUMBING-MECHANICAL b`I OWNER'S ' Group, Inc'.a PLAN CHECK VALIDATION NAME Gregory. p DTV. ELECTRIC PERMIT FEE Ahmanson :Dev. 4I15-595-2100; ( CONTRACTOR'S , - _ N E UTLETS-SWITCHES-RECEP 10.00/1.00 taregory 'Group,. Inc., 'No'B-43OO97' LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S - Wln 0 In Dr. PPLIANCES-RESIDENTIAL 4.00 - 1 POOR Fs .;g,��-595-,2100 PANELS ' ., 10.00 DATE OF APPLICATION, ' ORRCMITECT ram assenlan, pA(s�soc. PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE `C.NO. ENGINEER/' G-0395 �� '�' LIC.-d• SIGNS TRANS. . � 3.00 '• � - ' ARCH.OR ENG. - ; PERMIT.VALIDATION ADD R S 2031 Orchard Dr'. //lOO SPECIAL CIRCUIT 5.00 I --•-'arta Ana Hts• .CA• ZIP TEMP..METER OR POLE INS. 20.00 APPLICANT'S 1 AOOR' 22D-C Twin, DQlpn' Dr.RWC 940 MOTORS "SEE FEE SCH. hl SERVICE CHANGE 20.00 !- w o zO LICENSED CONT'RACT'ORS D17CLARA'PION geeR Or a o- 1 hereby i fRrm that I am licensed under provisions of Clmpter D ) 1 I+O`a ISSUANCE GATE w (commencing with SCetion 7000)of Division 3 of the Business and ¢ u yl RLOG. ELECT. PLG. MECH. r n v I"ofessiuns Code,aDA.y.license is in'l'ull•(urce bun ffect. i i,n License Chis. bj Lic.Number_43QU47 { y 0cc �0 QMH Dute Contractor _ - ¢ g s - - BUILDING PERMIT ¢ IS w OWNIi R-BUILOER'OIiCLARATION INFORMATION wg LL I- 1 hereby affirm thaLl :un CxennPI bout the Contractor's License MISC.'- '' REFER TO ORD taoa Law mi-the 1'ollawinyreason.(Sec.7031.5.liusincssand Professions, PERMIT ISSUANCE 10.00 VALUATION SIFT. � - Code:Any city orcounty which requires a permit to construct,alter rt ¢ a 0 improve;demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. EL EC. 194,54D o a requires the applicant for such permit to file a signed statement thus - TOTAL PERMIT TO wm lie is licensed pursuant to the provisions of the Contractor's License: - F Z i Law(Chapter 9(commoneing with Section 7000)of Division 3 ofthe SFDU ¢ %in"t;F nd Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE ¢H p the basis for the alleged exemptionf Any violation of Section 703LS STORIES TYPE CONSTR. wrm by any applicant fora permit subjects the applicant to a civil penalty ALTER-DRAIN IEA.( 5.00 i nfnotmore than five hundred dollars($500).): ' 2 5NHR O I,as owner of the property,or.by Cmployeeswith wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure Is not - intended or offered for sale (Sea 7044,Business and Nofessions DRAINS-FLOOR,ROOF;AREA,GOND. 5.00 R-3 1 Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon,and who does such work- z, FIXTURES-PER TRAP 5.00 So.FT.FLOOR AREA TOTAL ACREAGE himself re of rote his owe aeredf u,s,Provided that such ibulmve- 8098 - bents arc not intended or. cm,Id for sale.D',ed that s the building'' GAS-EA:SYSTEM-1.INC.4 OUTLETS 6.00 or improvement is sold within one.year of completion,the owner. GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE { builder will have the,burden of-proving,that he did not build or ire- Ir Prove for purpose ofsale.l' INDUSTRIAL WASTE INTER. " 30.00 RES IND .CON Pe ..Other ❑ 1,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ 1 bcc.,ed mmmctm,-Io construct III, profact(Sec. 7044,Business LAWN SPRINKLERS-.1 INC 5 V.B. 6.00 Assessoas PARCEL No. and Professions Code i The Contractor's License Law dues not apply - to an owner of property who builds or improves thereon.and who LAWN SPRINKLERS.-OVER 5(EA.)' 1.00 ' contracts for such rvi e Law.cwith a cnntractrz(3)licensed pursuuN to the Contractor's LicecensSEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO, l ❑ IumexemPtunder Sec:* .B.&P.C.for this - WATER HEATER W/VENT 6.00 8098 reason Owner Date WATER SYSTEM - - 5.00 ACC.DATE ACC.FILE NO. .I WORKERS'COMPENSA1 ION DECLARATION WATER TREATING EQUIP. 5.00 I, thereby at tli allhave a certificateol'convert to self-imum, ZONING ENG.SITE NO. or a certificate of Workers Compensation Insurance,or a certified copy thereof(Sec:3800,Lab.C.). ', United Pacific _ Policy No: Company - J] Certified copy'is hereby'famished. . FIRE SPRINK - ENERGY T-24 z Z fj Certificd'�mpy is,fled with the city inspection division. O Applicant. a MISC.- REFER TO ORD: Y ❑., IN E] Y ❑ N❑ cc PERMIT ISSUANCE 10.00 FLOOD ZONE A.LU.C. �� .., CIiRTIPICCOf PE,IiAIION'INS PROMWORKIiRS' . W > - u' COMI'IiNSATION INSURANCE ' PLG.CONTR. I LIC.NO. PLG. d O (This'section need not-be completed if the permit is for one TOTAL YC] N❑ Y ❑ N❑ 0 Z hundred dollars($100)nr less.) - ' - _ U O 1 certify that iglhe perlilrmance,of the work for which this par. OTY. MECHANICAL PERMIT FEE FEE SUMMARY - LL H mit is issued-I shall net crnploy'uny person in anybannersoas to U become subject to the Workers Compeinsatian Laws of CuI if.mia. O.w Date Ar,Bcant BUILDING 0. 11 ALTER OR ADD TO MECH. .',5.00 972.00 }.w NOl'ICE '1'0 APPLICANT: If,after making this Certificate of"nix- 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 5 U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TOFEE'10=C.F.M.) 4.00 Ener '/ CONS'I'kUCI'ION LENDING AGENCY. - AIR HANDLING UNIT 10SMC.EM.) 6.00 SEISMIC FEE 13. 65 I hereby affirm that there is a construction IuiJing agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance.al the work for which this permit is,issued(Sec. MICROFILM r 3097,Civ,Cl. S�Cu r t Pe Clf.c� HEATING,UNIT(TO 100,000 B.T.U.) ''8.00 Lender's NamAddTs- ra caaero-4th-f-IT HEATI NG UN IT(OV ER 100,060 B.T.U.)9.50 ELECTRIC' 73.13 Lender'sAJAnss- 1 certify that I havY lead TnaZ'appM:ation and slate mm thu above VENTILATION FANISING LE) 4.00 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 73.13 hereby ar Ihori,F'D,pD,Scmmiv,s of this city to enter upon the BOILER-COMP (Over100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. 7q 1 '4 (We) agree to save, indemnify and keep harmless the,City'at MISC.- REFER TO ORD. i 'uPCrtlnV against liabilities,judgments, casts and,expenses which PERMIT ISSUANCE 10.00 CONST.TAX ay in an�?��c gainst said City in consequence of theed b, 1 MECH.CONT. LIC.NO. MECH. OTALTOTAL' ttractor - Dale OFFICE COPY S7YAfY