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14264 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 14264 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 10029 OAKLEAF PLACE UNIT# LOT# PERMIT EXPIRES IF WORK OWNER JOSEPH WEISS CONTRACTOR AQUARIUS POOLS IS NOT STARTED WITHIN INSPECTION. DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION ANCE OR 180 DAYS FROM LASTCALLED INSPECTION. UFER PERMIT VALIDATION PREGUNITE - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED PAID UNDERGROUND /SLAB O PLUMBING N 2 1� '19BD� T ELECTRICAL jIssuANCE GATE BLDG. ELECT. OPLG, MECH. MECHANICAL i1� 0 Q 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR ALUATION WS/FT. PLUMBING ). MECHANICAL ELECTRICAL PERMITTO I FRAMING R. 5 HIES TYPE CONST.. INSULATION )CC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED Sp.FT,FLOOfl AREA LOTAL ACREAGE ROOF • DIAPHRAGM BUILDING.USE RES IND CON PR Omar El APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED SE ❑ ASSESSORS PARCEL NO ROUGH PLUMBING TRACT NO. PARCEL NO. GAS TEST MECHANICAL ACC.DATE ACC FILE N0. ELECTRICAL FINALS DA E INSP. FRAMING SAN # ZONING ENG.SITE NO. INSULATION PLUMBING GAS FIRE SPRINK ENERGY T24 MECHANICAL Yo No Y C:] N[] COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ooO ZONE A.L.u.c. LATH—INTERIOR ELECTRICAL LATH—EXTERIOR, FIRE DEPT. v� IN[] v I] NEI SHEETROCK GRADE FEE SUMMARY SHEAR INTERIOR BUILDING BUILDING -i SHEAR EXTERIOR TEMPORARY APPROVALS FIREWALLS ELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM i ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC w ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 0 PLEASE 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. ' OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY . BUIL ING PROJECT IDENTIFICATION APPLICATION & PERMIT PERMIT NUMBER aoo�sB 'NG 14264 s�00 �C BUILDING - ELECTRICAL-PLUMBING-MECHANICAL OwrvER•a PLAN CHECK VALIDATION PHONE ^`� 68,f 7� TY. ELECTRIC PERMIT FEE �• _ /J (� Cool &1AJrOHS OUTLETS-SWITCHES-RECEP 10.00/1,00 NAM qRI uc.NO... °� LIGHTING FIXTURES 10.00/1.00 CONTRALTO ' ew.D y�S"� PPLIANCES-RESIDENTIAL 4.00 ADDRESS ISI y7PHONE PANELS 10.00 r DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE P.C.NO. OR ENGINEER LOC.No. SIGNS TRANS. 3.00 ARCH. Enc' SPECIAL CIRCUIT 5,00 PERMIT VALIDATION ADDRESS zip rrEMP.METER OR POLE INS. 20.00 APPLICANTS sMOTORS SEE FEE SCH. � ADDRESS SERVICE CHANGE 20.00 w o o LICENSE E)CONTRACTOR DECLARATION y X9 7 ¢ u U I hereby affirm that I am licensed under provisions of Chapter 9 Z ISSUANCE DATE vHAi< H (commencing with Section 7000)of Division 3 of the Business and T. PLG. MECH. H viz Professions Code,an my license is in full foreK yPµeveeLtf ry. 0 o m - License C' s 6 Con Number WA `j-t-a 4.b� oz o Dale Contractor LL.w.�r�CCCftIL._ ic u s BUILDING PERMIT ic ¢w OWNER-BUILDER DELLA ATION INFORMATION AOA MISC.- REFER TO ORD w3 ¢H I hereby affirm that I am exempt from the Contractors License VALUATION S/FT. a,0a Law COT the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.000 ty Code:Any city orcounty which requires a permit toconstruct.alteq /� Day i) 2 ¢ < improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC. V V O u requires the applicant for such permit to file a signed statement that TOTAL PEflMIT TO E: m he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe 4 Business and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE f¢ O STORIES TV E CONSTR. ¢ O the basis for the alleged exemption.Any violation of Section 7031.5 A , _ by any applicant for a permit subjects the applicant toacivilpenalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars(4500).): ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.CROUP RES.UNITS their sole compensation,will do the work,and the structure is not intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Low does not apply to an owner of property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 50.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- GAS-EA.SVSTEM-11NC.40UTLET$ 6.00 ments are nut intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA,) 2.00 BUILDMG USE builder will have the burden of proving that he did not build or tm- RES IND CON PS Omer prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ 1,as owner of the property,am exclusively contracting with licensed contractors to construct the 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 builds or improves thereon.and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contractogs)licensed pursuant to SEWER-SANITARY-STORM EA.200f1/10.00 TRACT NO. PARCEL NO. the Contractor's License Law. ❑ l am exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO, WORKF.RS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that 1 have a certificate of consent to self-insure, ZONING ENG.SITE NO. or a certificate of Workers'Com) a tion Insuranc ora Certified copy[hereo((Si oD V.C� Policy N of pany ,,,`�•`-_�T-yJr - Q ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T$4 Z Z ,SQ CmIified opy ' filed th t' c'ry inspeclion division. MISC.- REFER TO ORD. y � NE] �yN� Lr OApplicant- • CERTIFI ATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 / - FLOOD ZONE A.L.U.C. Ltd > COMPENSATION INSURANCE PLG.CONTE, LIC.NO. PLO TQ IL nTOAL - Q (This section need not he completed if the permit is for one Y E] N Y N ::) Z hundred dollars($100)or less.) L) O I certify that in the performance of the work for which this per- QTY MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued,I shall not employ any person in any manner so as to O W become subject to the Worker,'Compensation Laws of California. BUILDING Date Applicant ALTER OR ADD TO MECH. 5.00 CQ } ti NOTICE TO APPLICANT''. If,after making this Certificate of Ex. 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 FEE U such provisions or this perrdit shall be deemed revoked AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT 10MC.F.M.) 6.00 SEISMIC FEE p� I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,CN.C.). - HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UN IT OVER 100,000 B.T.U.)9.50 ELECTRIC L3 Lender's Address I certify[hat I have read this application 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 state laws relating to building construction, and BOILER-OOMP(3H.P.Or 100,000B.T.U.) 6.00 hereby authorize repreasn[atives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEESCH. MECHANICAL above-mentioned property for inspection purposes. _ (We) agree to cvc, indemnify and keep harmless the City of MISC.- REFER TO ORD.is Cupertino against liabilities,judgments, costs and expenses which CONST.TAX may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 4 granting of perm . MECH.CONT. LIC.NO. MECH. TOT"` a �-= TOTAL p Signa[ a of Applicant/Contrac r Date OFFICE COPY POST THIS CARD NEAR FRONT OF BUILDING \ CITY OF CUPERTINO RN,ITNUMRER \' INSPECTION DIVISION JOB INSPECTION RECORD I � IT EXPIRATION �I JOB ADDRESS - ''< '"' - UNIT# LOT# PERMIT EXPIRES IF WORK OWNER (-3 CONTRACTOR 41; •;.p, , 'F�-,.�_. I IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM LASTCALLED INSPECTION. UFER PERMIT VALIDATION PREGUNITE POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ; D UNDERGROUND /SLAB jq PLUMBING EL'S (� 19 ISSUANCE DATE ELECTRICAL ���0 • BLDG. ELECT. PLG, MEC.. MECHANICAL Ik,N'f i� �,f ca ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIG .'ED BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION SIFT. PLUMBING , MECHANICAL PERMIT TO ELECTRICAL FRAMING '. tCdif STORIES TYPE CONSTR. INSULATION •:�p#f.M „I OCG GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED "t SO.FT.FLOOR AREA TOTAL ACREAGE ... - ROOF {' . DIAPHRAGM } UUILO USE AES No CON ON PB Olnrr APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNE•D'7 -; ❑ ❑ C3 1:1 ED ASSESSORS PARCEL NO. ROUGH PLUMBING 1 TRACT NO. PARCEL NO. GAS TEST •�J^ MECHANICAL ACC.DATE ACG FILE NO, ELECTRICAL FINALS DATE INSP. FRAMING SANS ZONING ENG.SITE NO. INSULATION PLUMBING 0 GAS 0Ljr - GIRE SPRINK ENEflGY TZA MECHANIC "•;'gl"`x` r❑ "❑ v El "❑ A OVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOO20NE A.L.U.C. L T -INTERIOR i ELECTRICAL p(,• LATH-EXTERIOR "� FIRE DEPT. '•1 'Ii ' rI� N❑ Y �] NE] SHEETROCK f GRADE ' F FEE SUMMARY SHEAR INTERIOR BUILDING ✓ SHEAR EXTERIOR TE P,ORARY APPROVALS BUILDING FIREWALLS ELECTRIC +u4. d'.£t5. ...t d PLAN CHECK 1GAS -".f)r,'t�" :i(a..ti-,' I Iia FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED I OCCUPANCY.,'7x-1P:i.S', SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY 'ILPING*kySPECTOR. MICROFILM LU ARRANGE FOR INSPECTION BY PHONING 252-4505 ELECTRIC F– ONE WORKING DAY BEFORE REQUIRED INSPECTION '� ,tPLUMBING: . O� PLEASE GIVE JOB ADDRESS WHEN PH NTNG r�r a is �! Z '' .i.I �•I; "J MECHANICAL — SEE PERMIT FOR EXPIRATIO DATE M. ... CONST.TAX �,N.TL Twp `sicse::EiE 0!' s, TOTAL 101.