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15146 POST THIS CARD NEAR FR:ONT,OF BUILDING t PERMIT NUMBER ' 1 , CITY OF CUPERTINO 1514.6 ' -INSPECTION DIVISION JOB INSPECTION RECORD." • $ T 1 c", �--__ •' `� ��}' - PERMIT EXPIRATION' ' JOB ADDRESS I I U:7�. OII v�'• SCJ '� I - UNIT Ik _ _LOT# T`� ~' ' nn. n' PERMIT-EXPIRES IF WORK.. OWNER ` ."e -j '.Ic-:, .`'. CONTRACTOR' , (�f�L IS NOT STARTED WITHIN INSPECTION DATE ' NSPECTOR IN PECTION R CORD 180.DAVS OF PERMIT MU. . ANCE OR :SO DAYS FROM : FOUNDATION- ., NOTE: _ LAST CALLED INSPECTION. . LIFER _ - "r - ALL GRADING AND DRAINAGE'SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PREGUNITE CUPERTINO STANDARDS. '! - •r i . GARAGE SLABS - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED' ' - e� - 'UNDERGROUND /'SLAB "• �.r, DE0131988 PLUMBING - ✓ I i ELECTRICAL " ;4, VI GgQOftIRO ISSUANCE DATE MECHANICAL; - - BLDG. ELECT. PLO. MECH, MIA cg, y5a 00 NOT POUR FLOOR-UNTIL ABOVE HAS BEEN SIGNED Bu LDING PERMIT INFORMATION., • ' - WOOD FLOOR "' - � vnwATloN STET. PLUMBING MECHANICAL 'c — - RMIT To ELECTRICAL - - - .. FRAMING .r ' INSULATION • - - _ _ STORIES TYPE CONSTR. CGHOUP, UNITS , PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ROOF j NOTE'NO FINAL INSP.SHALL BE MADE BEFORE s r coon arca Tor E Ace eacE. DIAPHRAGM - r THE CONSTRUCTION TAX IS PAID " ,.. BUILDING USE 1 ROOF SHEATHING RES IND CON_ PB Go,d: ' APPLY NO ROOFING'UNTIL ABOVE HAS BEEN SIGNED . FINALS •DATE INSP. ASSESSORS PaNC EL t ROUGH sAy.a 147,6 PLUMBING" ..�) ELECT..ENERGY, n.ACI NO PARCEL.NO $HOWER'PAN PLUMBING ENERGY . „ ANICAL - ' �:�.<67: MECR ENERGY - - i ta ].TE 'ACC.FILE NO. ELECTRICAL' ''`.", , .�:Y>:b�. BUILDING ENERGY ll FRAMING', - ELECT.FINAL TEST zoNlNc ENG:SITE No: ; INSULATION ; PLUMBING' .." GASTEST ;� - GAS - - - - FIRESPNINK ENERGY.T.2d' MECHANICAL - - - COVER N WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y .NL Y L NL EXTERIOR SHEAR r ELECTRICAL RELEASE FLOOD zorvc .aL,u,c. INTERIOR*SHEAR FIRE DEPT. Y ❑ NL - Y L rvL SHEETROCK • - 4- - GRADE• FEE SUMMARY EXTERIOR LATH" ' tw BUILDING' INTERIOR'LATH ,. I , TEMPO RARY'APP ROVA LS BUILDING SCRATCH COAT — - AS ELECTRIC - ICG PLAN CHECK q.. r NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY - s F •� OCCUPANCYOF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. - MICROFILM , ARRANGE•FOR INSPECTION BY PHONING 252-4505, ' ELECTRIC F "ONEWORKING DAY. BEFORE.REQUIRED INSPECTION. ,• PLUMBING ri—'. O , •o,,' PLEASE GIVE JOB ADDRESS WHEN-PHONING. ' Z - MECHANICAL .• 'j' SEE PERMIT FOR EXPIRATION DATE- /3,13 IMPORTANT! CONST.TAX • - PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING.FOR FINAL INSPECTION. - OFFICE COPY'. APPLICANT TO FILL-IN INFORMATION WITHIN RED LINES = USE BALL POINT PEN ONLY BU LDING PROJECT IDENTIFICATION - .PERMIT NUMBER . aOo..ING - APPL'ICAT46N & PERMIT q A°GREaa 11679 OLIVE SPRING COURT .15146, BUILDING -.ELECTRICAL-PLUMBING-MECHANICAL R' U ' - PLAN CHECK VALIDATION . NAWhman Son Dev. 415-595-2100 QTY. ELECTRIC PERMIT '; FEE PHONE caoRs NAME OUTLETS-SWITCHES-.RECEP 10.00/1.00 NAME Gregory Group, Inct,G.No B-430097 LIGHTING•FIXTURES 10.00/1,00 CONTRACTORS 220-C Twin Dol hln Dr. APPLIANCES-RESIDENTIAL AOIRWC 94065 415�T 1 t,l-2100 , PANELS , 10.00 DATE OF APPLICATION ARCHIITECT Aram, Bassenian; AIA.& Assoc. PANELS (OVER 200 AMP)' 20.00 - PLAN CHECK FEE P.C.NO. - ENGINEER C.NO.C-8395 SIGNS TRANS. 3.00 ARCH.CHENG 2031 Orchard Dr. #100 SPECIAL CIRCUIT 5.00 PERMIT VALIDATION AOOREs$ Santa Ana Hts. CA. Z92707 rEMP.METER OR POLE INS. 20.00 ATs MOTORS SEE FEE SCH. �[�,Tp / //y•(/Q[,LC�JC� ' ADDREra oREss 220-C Twin Dolphin Dr. 94065 SERVICE CHANGE 20.00 ¢O o LICENSED CON'T'RACTORS DIiCLARA'PION ¢v JLu L t) pow Et 1 hereby at]-,. That I am licensed Ruder provisions of Chapter s) _ ISSUANCE DATE ` P rt n (commencing with Section 70001 of Division 3 Of the Business and - BLDG. ELECT. . PLG. MECH. H D z Professions Code, nd my license is in full Ibrc'u d cl'1'ect. i © ®i z o w- License Cluss_� Lia Number D 7_ C, m t w Uatc I Contractor- _ a y fBUILDING PERMIT ¢ ¢ - OWNER-BUILDER DECLn RATION ^� 0'"w MISC.- - REFER.TO ORD INFORMATION w3 y I hereby affirm that I ant C,ce,pt from the Contractor's License .. oa Law for the following reason.(Sec.7031.5.Business and Professions PERMIT ISSUANCE 10.00 VALUATION S/FT.. - Code:Any city or county which requiresa permit toconstrucNalteq 194 540 ¢ Q 2 improve,demolish.or repair uny structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. a -O a, requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO wm he is licensed pursuant to the provisions of the Contractors LicenseSFDU H z a Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe i o . Business and Pnrfessions Code)or that he is exempt Ihcrefrmn and OTY, PLUMBING PERMIT FEE ` ¢ H o the basis for the alleged exeraptiun_Any violation of Section 7031.5 - STORIES TYPE CONSTR. ; w by any applicant for a permit subjects the applicant to a civil penaltyALTER-DRAIN&,VENT-WATER (EA.) '5'.00 of not more titan live hundred dollars(S500).): 2 SNHR ❑ I,as owner of,the property,or my employees will,wages as BACK FLOW PROTECT. DEVICE. -4.00 " Oee.GROUP RES.UNITS iit sole Com pcnsation,will do the work,and the structure is not , mended or offered for sole(Sec. 7044, Business and Professions DRAINS-FLOOR;ROOF,AREA,COND. 5.00 R-3 1 Code:'file Contractor's License Law docs not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SEE FT,FLOOR AREA •TOTAL ACREAGE • merits lare not hrough own Rnphryces, le.If.ed however.[lie imprrvc GAS-EA.SYSTEM-1 6.00 - 3047 Rents are not intended or offered for sale.If,however,the building or Improvement is sold-within one year of completion,file owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or im- RES' IND.BUILDING CON PB Omer . prove for purpose of sale.). - INDUSTRIAL WASTE INTER. 30.00 O I,as owner of the property,am exclusively contracting with ® ❑ ❑ ❑ ❑ hems@I 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 • 34 6- 9- 11,3 Zy 33 contracts for such projects with a cortmilor(s)licensed pursuant to the Contractors License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCELNO. ❑ Tum exempt under Soil ,B.&P.C.for Ods' WATER HEATER W/VENT1, 6.00 , reason 8098. ^ Ownvr Date WATER SYSTEM 5.00 ACC.DATE - ACC.FILE NO. WORK ERS'COM PGNSA'I DON DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to self-ilisure, ZONING :ENG.SITE NO. or a certificate of Workers Compensation insurance,or a cerilictl _ copy thereof(Set.3800,L.b C')United PeCIFIC Policy No. Conommy O �t Curt died ropy is hereby to shed - - FIRE SPRINK ' ENERGY T-24. Z 2 At C tll'ied sup le I til city InspcUut drvrslon' MISC- - REFER TO ORD. Y ❑ N❑ Y ❑ :N O Applicant- Fy ` PERMIT ISSUANCE . 10.00 FL000 zoNE A.L.u.c. - CLRTIFICAI ,OF EXEMPTION 17ROM WORKI.RS' ,. LU > COMPENSWION INSURANCE:. PLG.CONTR. LIC.ND. PLG, - ' V N CL o This wdidn need not be completed if file permit is for bill _ TOTAL ❑ N❑ Y ❑ , ❑ =) Z hundred doll...(SI 00)or less.) U O 1 certify that in the perl'onnunce of the work for which 0i11 pro- OTY. ' MECHANICAL PERMIT FEE FEE SUMMARY LL H unit is issued,I shall not enmloy:my person in any manner so as to U bele..subject w the Workers Compemation Caws of California. O w Dae ApplicantBUILDING ALTER OR ADD TO MECH. 5.00 972.00 } W NOTICE '10 APPLICANT': II',eller making This Certificate of lis. F ? emptiun,you should become subject to the Workers'Compensation APPLIANCE - 5.00 PLAN{CHECKK- d-,88 :pj(� provisions of the Labor Code, you must forthwith comply will FEE ener 6 00 U such provisions or this permit shall be deemed revoked. - AIR HANDLING UNIT(TO.10)OODGF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 13.65 I hereby affirm that there is,a construction Icndiig agency for EXHAUST HOOD (WITH DUCT) 5.00 , the performance of the work for which this permit is issued(Sec. MICROFILM 3097,CieC.). Se urity Pacific HEATING UNIT(TO 100,000 B.T.U.1 - 8.00 Lender's Name-�'�E Qm/b1"7aT,�a_delr�4h f�1_�. HEATING UNIT(OVER 100,000 B.T.U.)H.50 ELECTRIC - 7',3,1'3 information or r s Address Correct. I ree o c 1 eitly that l lr ad r f tr and stat fhltirabove VENTILATION FAN (SINGLE) 4.00 ordinances isstI agree to ono b ill '11 mti county PLUMBING 73.13 . ordinances and state lows relectng to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 locrelty aritliori,o, r I sentuN f th¢ city U) varier upon the BOILER-COMP (Over 100.000 BTU)SEE FEE SCH. / MECHANICAL .. 73.1'.3 ` above-mentioned property,for Inspection purposes. q (We) agree to save, indemnify and keep harnilcs the City of MISC.- - REFER TO ORD. /7•Q7 Cupertino against liabilities,judgments, costs and expenses which CONST.TAX �pp�pL may in any w.yr utero, against aid City in amsecpn mce of the PERMIT ISSUANCE - 10.00 ranting of hi p n 1. -�Z-I MECH.CONT. LIC.NO: MECH. '1 TOTAL TOTAL Signature u A illicant/Contractor )ate e r J OFFICE COPY c///