15139 POST•THIS CARD NEAR FRONT OF BUILDING Rn+IrNunlde;,
CITY .OF CUPERTINO•: 9
-� 513
"'INSPECTION DIVISION
JOB INSPECTION RECORD
llos. •v� c - PERMIT EXPIRATION
JOB ADDRESS VII ice' SL7 t 1 ` UNIT# _LOT# t?63 \
PERMIT EXPIRES IF WORK
OWNER „ G� G-IILC%CA. CONTRACTORGa
IS NOT STARTED WITHIN ,
INSPECTION DATE INSPECTOR INSPECTION RECORD 160 DAYS,OF PERMIT ISSU-
ANCE,OR 180 DAYS FROM
FOUNDATION I•a�j- e NOTE: LAST CALLEDINSPECTION.
UFER - p� - C ALL GRADING AND,DRAINAGE SHALL BE INSTALLED CALLED.
INSPECTION.
Ca TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERnnTVAI.IDATION
CUPERTINO STANDARDS., 1 ' -
GARAGE SLABS'• + _•�-
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - ;, ;+
UNDERGROUND'/SLAB' +I r
PLUMBING
' ELECTRICAL -1 - '1`. h Rr:r.r n - ISSUANCCDATE
MECHANICAL• aLUc CLECT.1 PLG. MecR.
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED _ BUILDING PERMIT_
„• INFORMATION
WOOD FLOOR.
VALUATION 'SIFT.
.. PLUMBING -
MECHANICAL" 1DJ B6Ta
ELECTRICAL
'+ • PERMIT To '
FRAMING;. V i
INSULATION, slora ryPE CONS TR, ..
02.GROUP 51MRUN ITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED -
_„ ' SO.f OH AREA TOTAIACHLACE
ROOFNOTE:NO FINAL INSP.SHALL BE MADE BEFORE
i DIAPHRAGM THE CONSTRUCTION TAX IS PAID ,t
ROOF SHEATHING SR 1, T Hcs IND . CON PB UIQ.,
'
APPLY NO ROOFING.UNTIL ABOVE HAS BEEN SIGNED FINALS ❑ El ❑ El El
��J , DATE INSP. ASSESSORS PAHCEL NO
ROUGH SANA L5g
PLUMBING I?7—t. ELECT.ENERGY 1 •�'3/ �'I
1RACI NO. PARCEL NO
' TUBS BSHOWER PAN,: - PLUMBING ENERGY '
MECHANICAL rlZ cell '• MECH.ENERGY
ACC.DATE ACC.FILE.NO
ELECTRICAL 'n-t,4G BUILDING ENERGY '
" FRAMING- nZ-6f$4- ELECT.FINAL TEST' '
]-ONINf. ENG.SITE NO. .
•INSULATION PLUMBING. '
GAS TEST' - 2, _ GAS' . .
FIRE SPRINK ENERGY T-24
MECHANICAL '
COVER NO WORK UNTIL AB VE HAS BEEN SIGNED HEATING 71_�`
❑U ZONI+❑ 'VNo
FLOOE 'A.L.0 C.
EXTERIOR SHEAR . ELECTRICAL RELEASE ••
INTERIOR SHEAR. FIRE DEPT.'• - `"❑ N❑ . L7 N
SHEETROCK GRADE. FEE SUMMARY
EXTERIOR LATH' 0 BUILDING Act PLAN CHECK
-
INTERIOR.LATH TEMPORARY.APPROVA S BUILDING
;• 'SCRATCH COAT RIC:;ELECTFEE 15.50 , .
GAS
APVEQy
NO TAPE OR PLASTEWUNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - sEI
OCCUPANCVOF,BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505,
ELECTRIC70-35 ,
H ONE WORKING DAY BEFORE REQUIRED INSPECTION. . PLUMBING
0� ` �3".ALEASE GIVE JOB ADDRESS WHEN PHONING. '
z - MECHANICAL
SEE PERMIT FOR EXPIRATION. DATE
IMPORTANT! " • CONST.TAX
PLEASE READ.REVERSE SIDE BEFORE TOTAL 531.U2'•
CALLING FOR FINAL INSPECTION.
OFFICE COPY
PIRI.PLICANT TO FILL IN INFORMATION WITHIN RED LINES -'USE BALL POINT PEN ONLY, .-
.BUI LDI NG PROJECT I DENTI FICATI ON - - PERMIT NUMBER, '
R.ILOING APPLICATION $f PERMIT .
AOOREss 11687. OLIVE SPRING 'COURT - BUILDING - ELECTRICAL-PLUMBING-MECHANICAL
E • • PLAN CHECK VALIDATION
rvAMF Greg Ory GroupInc. & QTY. ELECTRIC PERMIT FEE
Ahmanson Dev. m"5-595-2100
••I CONTRACTOR'S r
NAM .T OUTLETS-SWITCHES-RECEP 10.00/1.00
�regory Group-, inc*ICrs•B-430097LIGHTING FIXTURES 10.00/1.00
CONTRACTORS C TWln DOlpphln Dr. APPLIANCES,,RESIDENTIAL 4.00
ADDPF,S�C 415»b95-2100 PANELS ' ' IO.00 " DATE OF APPLICATIONe
ARCHITECT PLAN CHECK FEE P.C.NO.
OR. Aram Bassenian, AIA:&t PANELS,(OVER 200 AMP) 20,00
ENOIAr§EgOC Tates LIC.NDC-8395 SIGNS TRANS. 3.00
ARCH OR ENG ��11 PERMIT VALIDATION
ADD E55 /RQ3 t�rE�ard Dr.JM9 00
SPECIAL CIRCUIT 5.
Santa pr'd ZIP^ EMP.METER OR POLE INS. 20.00
APPLWANTSE _- -yijin '.D61^ph3_n. DI_.�.' MOTORS SEE FEE SCH. }' ^
ADDRESS
. XK&KTX&X' RWC 94065 SERVICE CHANGE' 20.00
0 npq
0 o LICE:NSI:U CON'I'RAC'fORS UIiChARA'I'ION +- _
G
U w I hereby affirm that 1 am licensed under provisions o'Chapter 9 t - ISSUANCE DATE
(commencing with Section 7000),)f Division 3 of the Business and _ - BLDG. ELECT. PLG. • MECH.
wi Professions Code.'myoy license is in full foreNN �c{ - )a'h
z o m - License Cldss 6D Lic.Number-4. `11 p
O ZH W 1)llle _ Contract,
• •,'4 .1 .l.'
a x E J - ' - BUILDING PERMIT
¢ ¢ w a OWNER-BUILDER DECLARA'T'ION = INFORMATION
•1 hereby afOnm that I .,if exempt from the Contractor's License MISC.- REFER TO ORD
.. o ¢ Law for the following reason.(See.7031.5.Business and Professions PERMIT ISSUANCE ,70.00 VALUATION S/FT.
r � Code:Any city or commy which re,luiresa permit to construct,alter,
¢ 1B5 B65
¢ 3 o improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIG NO s - f .
ELEC.
D ¢ retluires the applicant for such permit to file a signed Statement that TOTAL PERMIT TO t '
u w m he is licensed pursuant to the provisions at tire Coroactor's License
Hzi Law(Chapter 9(commencingwithSection 7000)ofDivision 3ofthe SFDU
- ¢ Business and Professions Code)or that he is exempt therefrom and QTY- PLUMBING PERMIT, FEE 1
¢F O • the basis for lire alleged exemption.Any violation of Section 7031.5. STORIES J TYPE CONSTR'
a by any applicant for a pemhit subjects the applicant to a civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 2 rjNF{R
of not mor,than five hundred dollars($500).):
❑ I,as owner of the'property,or my employees with 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 I'or 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 improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA . TOTAL ACREAGE
•� himself'or through his own,mployccs,provided that such improve- --
mentsarenotintendedorofferedforsale.IL however,the building GAS-EA.SYSTEM=IINC.40UTLETS 6.00 2917
or impr.venh<nt is sold within one year of completion, the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE
builder will have the buNcn of proving that he did not build or in,- - - 'RES IND CON Pe -Omer
prove for purpose of sale.). r INDUSTRIAL WASTE INTER. 30.00 IVI
- . ❑ 1,as owner of the property,am cxchnioE,contracting wihh % ❑ ❑ ❑ ❑
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 �p
to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS'-OVER 5(EA.) 1.00 34 �- 9-_3 3 J-�33
contracts for Such projects with a conlracmts)licensed pursuant to
the Cmamctor's License law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL No.
❑ I am exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 8098
reason
owner - nam WATER SYSTEM - 5.00 ACC.DATE ACC.FILE N0.
WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have d certificate of consent to scl--insure, ZONING, ENG.SITE NO.
or a certificate of Workers'Compensation Insurance,or a certified
copy Were.Il S,,.39001 Lab.C.L United Pacific '
Policy No, Company
O ❑ Certified copy is hereby furnished.a FIRE SPRINK ENERGY T.24
�( Certified copy,y� ed Illithe city inspection division.
Z p AFplicant_K (�V� MISC.- ,REFER TO ORD. v ❑ N❑ Y ❑ N❑
F- w • / • PERMIT ISSUANCE -10.00 FLOOD ZONE A.L.u.c.
CL CE RTI FICA'1'1:OF I!xi:wr ION 17ROM WORK17 RS' - ,
LUCOh1PENSATION INSURANCE PLG.CONTR. LIC.NO. PLG.
CL ❑ (This sector need not be completed it the lentil is for one TOTAL Y❑ N❑ Y❑ N❑
Z) Z hundred dollars IS 100)or IesSJ
O O 1 certify that in the performance of the work for which this.per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL H mit is issued,1 shall not employ any person in any manner so as to
U become subject to the Workers'Compensation Laws of California.
O w D lc Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 940.50
} y NOTICE: TO APPLICANT: If,after..haling this Certil ieate of fix- .
F ? mnption,you should become subject to the Worker:Compensation - APPLIANCE - 5.00 PLAN CHECK 15.50
provisions of the Labor Code, you nuhSt forthwith cunhpty with FEE
U such provisions.,this permit shall be,,deemed revoked. AIR HANDLING'UNIT.(TO 10=C.F.NL) 4.00
•cONs'fRucT10N LENDING AGENCY
AIR HANDLING UNIT(OVER 10MC.F.M.).6.00 SEISMIC FEE • 13.02
I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) ' 5.00
the p rhi n,inct, of the work for which this per it is issued(Sce. MICROFILM'
1097,Civ.C.h Security Pacific.. . 1 HEATING UNIT(TO 100,000 B.T.U.) ,8.00 Lender',Nddc-- 1 HEATING UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC 70.35
Lender's AJdres's 1 E-mbaroader I
I certify that I have read this application and stns,that the above VENTILATION FAN (SINGLE) 4.00
infornimion is correct. I agree to conhp ly,willh all city and county - R PLUMBING 70.35
ordinances and Slate laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00
hereby authorize representatives OIL this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH: MECHANICAL
above-mentioned property for inspection purposes. 70.35
(we) agree to save, indemnify and keep harmless the City of MISC.- ' REFER TO ORD.
'upeetino against IiahililiLs;judgments, costs and expenses which CONST:TAX
Bay in any way accrue against said City in co en a of the PERMIT ISSUANCE 110.00
ranting of this permit. ✓ f MECH.CONT. LID.NO. MECH.
/l� /. ( O -
TOTAL TOTAL r
Signature ofac[or Y Date/,
'OFFICE COPY