14994 'POST THIS CARD NEAR FRONT OF BUILDING
' � � PERMIT NUMtlER 'I
CITY OF CUPERTINO = 14 94
^ INSPECTION DIVISION
JOB INSPECTION RECORD
! PERMIT EXPIRATION
JOB ADDRESS ` �II Imo- -3 UNIT# #
_LOT
/R1 �i PERMIT-EXPIRES IF WORK !
OWNER D l' CONTRACTORL 'IS' NOT STARTED WITHIN '
IN PECTI N DAT INSPECTOR INSPECTION RCO 18U DAYSOFPERMIT ISSU '
• ANCE OR 180 DAYS FROM '
FOUNDATION, - NOTE: I
UFER p ,A ALL-GRADING AND,DRAINAGE SHALL-BE INSTALLED LAST CALLED INSPECTION.
PR EGUNI?E - - TO COMPLY WITH THE APPROVED PLANS AND CITY OF' s7, PLRMIT VALIDATION
CUPERTINO STANDARD$
GARAGESLABS ',- F 'F-�O '3 (•I,S� SN7_EFPS i
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED <?,�,_ISSUANCI.
UNDERGROUND/SLABPLUMBING . Z ELECTRICAL' - DATE
MECHANICAL ' oLDG, eLEc T. PLG. MECN
DO NOT POUR FLOOR UNTIL ABOVE HAS'BEEN SIGNED BUILDING PERMIT
WOOD..FLOOR - - INFORMATION
VALUATION SIFT.
' PLUMBING r � - � � - ,
MECHANICAL%D, - 154,922
-Vf.R M11R TD
•. ELECTRICAL
' FRAMING .
' STORIES TYPE CONSTR.
INSULATION
2
1 - ,J. _ •. , •_ OCC GNOUP RES UNITS r
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED Q--3 1
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE. SO IT.FLOOR AREA -TOTAL ACNFAGL ,
THE�CONSTRUCTION TAX IS PAID
DIAPHRAGM " 2400
J _ .! DCBUILDING use
ROOF SHEATHING r �j - REST IND coN, Po - orr,,.,
APPLY NO ROOFING UNTICABOVE HAS BEEN SIGNED FINALS DATE INSP.• �:' ❑
nsssssoas PARCEL No
ROUGH
PLUMBING m _g� ELECT.ENERGY
.. .
TUBS 8 SHOWER PAN ` PLUMBING ENERGY TRACT'NO, PARCEL NO.
�p�
MECHANICAL'' g=j MECH:ENERGY .' Te ncc.FILL No -
ELECTRICAL' lZ. -10, 06 BUILDING ENERGY
FRAMING " - - 7 ELECT.FINAL TEST ZONING ' ENG.SI TE NO,
INSULATION ' � 6�l PLUMBING - C
r
GAS TEST GAS -
MECHANICAL - PIRESVRINK - ENERGY I7
.. ,/B YE] N❑ _, Y E NI
COVER NO'WORK UNTIL ABOVE HAS BEEN SIGNED HEATING '
EXTERIOR SHEAR og) - ELECTRICAL RELEASE .F1000 ZONE A.L.U.C.
INTERIOR SHEAR ~!tf U-0.5 FIRE DEPT. -
- SHEETROCK (� GRADE ^ FEE SUMMARY
• EXTERIOR LATH - �� BUILDING . .
INTERIOR LATH . �, TEMPORARY'APPROVALS 'BUILDING•
' 'SCRATCH COAT I ELECTRIC,, \ `I PLAN CHECK
. GAS FEE 15.50
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED. OCCUPANCY- SEI �I � 52.00
OCCUPANCY OF BUILDING,ISNOTPERMITTED UNTILBUILDING FINALISSIGNED BYBUILDING INSPECTOR. MICROFILM ' � .
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
c F ONE WORKING DAY BEFORE REQUIRED INSPECTION. .
0� PLEASE'GIVE'JOBADDRESSWHENPHONING. PLUMewG
Z = SEE PERMIT FOR EXPIRATION DATE —' MECHANICAL . •90
.�
IMPORTANT! CONST.TAX '
•
PLEASE READ-REVERSE SIDE BEFORE TOTAL
CALLING.FOR FINAL INSPECTION: '
OFFICE COPY
ELECTRIC'SERVICE NOTICE P a'eCOPY V'
BUILDINGINSPECTOR'S NOTICE -
ITY OF'EUPERTINO
To
You ore hereby authorized to Connect electrical service for
Owner or Tenant z +��rh ' 1 mU'4
At -2-"< / /_ 1 /i �o q 0A
✓_
No.of Wires .Size of Wires Size of of Switch a
c�
Morar Load Voltage - Phase
.� Heoring Lood - K.W. Voltage
� light 110_New$ervae Remnneo �
q. No.of Meters
r,t Heol 120_Three Wire More Service
• Three'Phow ^ Move Meter
No.of Add.Meters Power
r• OO • ELECTRICAL INSPECTOR
AP I PLICANT TO FILL IN INFORMATION WITHIN RED,L INES - USt:BALL POINT PEN ONLY..
BUILDING PROJECT IDENTIFICATION PERMITNUMBER
BUILDING s.11709 -01 i Ve APPLkCATI.ON & PERMIT
ADDRESS Spring Court BUILDINGi- ELECTR ICAL�PLUMB.ING-MECHANICAL 10 9 4'
0 PLAN CHECK VALIDATION
,O*rleglorLy Group, Inc. &
OTY. ELECTRICPERMIT FEE
Ahmanson Dev. 4L5,qp595�2I'00
CONTRACTORS OUTLETS-SWITCHES-RECEP. 10.00/1.00
N ANE
Gregory Group, Inc,,I.N,.B-430097' LIGHTING FIXTURES 10.00/1.00
CONTRACTOR S hin Dr. APPLIANCES-RESIDENTIAL 4.00
ADDRI& 2 Twin DOI
4? -595-2100
C NO PHOU PANELS 10.00 DATE OF APPLICATION
E
ARCHITECT Aram Bassenian, AIA & Asso'.
OR PANELS (OVER 200 AMP) 20.00 PLAN CHEC I K I F.E PC,NO.
ENGINEER LIC No C-8395 SIGNS TRANS. 3.00,
Gs� 931 SPECIALCIRCUIT PERMIT VALIDATION
A E 5.00
Santa Ana Hts. CA- 92707, TEMP.METER OR POLE INS. 20.00
A'PUCANT S 94065
ADDRESS MOTORS- SEE FEE SCH.
X Z. 220-C Twin Dolphin Dr. RWC SERVICE CHANGE 20.00 9196
0 0 LICENSED CONTRACTORS DECLARATION
I twoby ff,,m ],at I an licensed trade,pm,isi is.1'Cluiple,9
z w DEG 1 3-'= ISSUANCE DATE
(cornmencing with Section 7000)of"Division 3 of the Business and BLDG. ELECT PLO. MECH.
�3 pule,,on,Code, By 'enw is in fail fur -and Iicqt. I
c �`m Number' 13 FA D9
z �0�2 Li,DmRc Class city Ot C NA
0 0 Cmntricto,- I
uperti
BUILDING PERMIT
EE OWNEIR-RUILDER DFCLARA rION
W� REFER TO ORD INFORMATION
hereby cIffi.... that I am csC,,,,t I...iC tire CmnU;,CI.r',Liocroc S/FT.
a, a-v, Law for tire following....CIL(sec.7031.5,B.smessmad 11...hellion, PERMIT ISSUANCE 10.00
0 4
0 Codc�Any city orcommy which recluires a permit to construct,alter,
improve,demolish,or repair any structure, it, suar,,c,.1... ELEC.CONTR_ L!C.NO- ITE.LEC
0 T�L
0 a, requires the applicant forsuch permit to file a signed statement that
PERMIT TO
I . he is licensed pursuant to tire provisions of tire Contractoil's License
Law(Chapter 9(......inencin,with Sec,t ion 7000).1 Di,Di....3 of it,, SFDU
lluxinvs�and Professions C.dc)'.r that he is exempt therefrom and PLUMBING PERMIT FEE
QTYT STORIES TYPE CONSTR.
the basis for the alleged exemption.Any violation ofSection 7031.5
I ALTER;DRAIN& VENT-WATER (EA.) 5.00 2 5WR
by any applicanit No a permit subicels the applicant too civil pe"I'llY
of not mom than live hundmd dollars($5000.).
0 1.as owner of tire property,or,my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS
their sole coCiperisation,will do the work,and the oU,Imc is riot
intended or offered far sale (Sce, 7044, Rosin... and professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 .'R-3
Code:The Contractor's License Law does not apply to an owner of
property who builds or improves themon.and who does such work FIXTURES.'PER TRAPr 5.00 SQ:FT.FLOOR AREA TOTALACREAGE
himself or through his own employees.provided that such improve.
ments are not intended or offered for sale.11,however,the building GAS-EA.SYSTEM-1 INC.40UTLETS 6.00 2400
or noloolement is sold withiii ore year of conibletion, (lie owner-
GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE
builder will have tire burden ofmoving that lie did not build or mi- RES IND CON PB Other
prove for purpose of sale.). I ? INDUSTRIAL WASTE INTER. 30.00
LI I,as Owner of the property,am exclusively Contracting with X El . El,, 1:1 0
licensed contractors to construct the project(Sec. 7044,business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO.
and professions Code.'I lie Contractor's License Law does riot apply
I.,mi owner of roperty%no builds or improves themon.aCd who LAWN SPRINKLERS-OVER 5(EA.) 1.00 3� 6- IF-3/ 11"241-2d
ON Uracx for suell projects with a contoIctoor)licensed pursuant to.
the Coirtractor', Law. TRACT NO, FARCE
SEWER-SAN ITARY-STORM EA.200ft/l 0.00 LNO�
C] a tit exempt Under Sec,_- ILAP.C.lor this WATER HEATER WIVENT 6.00
teas,
Ownc� D'o, WATER SYSTEM 5.00 ACC.DATE,, ACC.FI.LE N6_
WORK I;RS'COMPFNSA1[ON DECLARATION WATER TREATING EOUIP. 5.00
I hereby.0fin" that I have a...lilw,tc ofe"Clent to ZONING ENG.SITE NO.
or.'e'lificitte of Worker,'C...rpensatiorr I or a eertili.1
copy them.f(SI,c.3800,Lab.C.LUnited �acific
policy No W Com',LY-_
0 Certified copy I%hereby furnished. FIRE SPRINK ENERGY T-24
Z Z C,,nifmd led with the city in"Iection divisimL
At�Ificmnl MISC.- REFER TO ORD. .�Y NE] y C] IN E]
i2 CER71FICATI"OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE .10.00 FLOOD ZONE A.L.U.C.
LU CO�PFNSWION INSURANCE PI_G.0.ONTR� LIC.NO. PLG Y E] IN D Y [:]' NC]
0- 0 CI his Section need riot Im competed if tire m....it I, for one TOTAL
Z lor...Ded d.laox 1$100)or .0
0 1 certify that an the lierforinance of (lie work for which this per, FEE SUMMARY
U� P mit is issued,I shall not employ any person tit any manner so as to OTY. MECHANICAL PERMIT FEE
0 U, ITcoine subject to the Wotke�,'Con"C"'mik)"[,a.,ofCalitornia. ' ILDING
ED BU
Q. Datc-Applican ALTER OR ADDTOMECH. 5.00 832.0
in NOTICE TO APPLICANT: If,after making this Certificate of Ex-
e1notiOn,YOU x1lotild.thecurn,sobject to the Worker%'Conipensdai'm APPLIANCE 5.00 PLAIN CHECK lb.5(
rothwith comply will
AN CHECK
r
pfoisimis of the Labor Code. you must I
such'provisions or this permit shall be decined revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4wOO E lene 62.(X
S M
CONSTRUCTION LFNDING AGENCY AIR HANDLING UNIT(OVER 10PWC.F.M.) 6.00 SEISMIC FEE 10.8E
..1 hereby fF...I Out there is S constriction co r ding agency I or EXHAUST HOOD(WITH DUCT) 5.00 M I C 0 1 LM
tire crfonnan,D, of 11�work 51w),ph'thitpennit i...ijif(Sce. MICROFILM
3097.CN.C.). I aci ic HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lendcr',Naum____0 r.
HEATING UNIT(OVER 100,OOOB.T.U.)9.50 :L CT 1c 60.9C
ELECTRIC ,
Lender's Addre,,A��_
I certify that I have read this application and State that tire above VENTILATION FAN (SINGLE) 4.00
inlorroation is Correct. I DID"to comply with all city and cotrity PLUMBING 60.90
,e a dinances and state laws relating to building construction. and BOILER-COMP(3 H.P.or 100,000B.T.U.) 6.00
hereby anthorive representatives of this city to.enter upon flit BOILER-COMP (Over 100,000STU)SEE.E FEE SCH. MECHANICAL 60.9
above-rimmioned property for inspection pu,rposes. REFER TO ORD:
01 agree to save, indemnify and keep harmless the City of MISC4- s
Cupertino against liabilities,judgments, costs and esp Tries which -, CO NST.TAX -
PERMIT ISSUANCE 10.00
may in By wayWt said City in consequence of the I
granting of this pe MECH.CONT. LIC.NO.
TOTAL
.,IMEC I A, TOTAL
Signature of'Applitaml/Coutnictor, Date
OFF ICE COPY
NUMIIL 11
14994
• PERMIT EXPIRATION
_( (
� l
1_.7-
_._UNIT/j: _LOT.iI'zl�— PERMIT EXPIRES IF WORK
1 ., �`: ��:/ , %1 ( - I_I. IS NOT STARTED WITHIN
OINNLH �'f- C;r_.L CONnlncnm V... -C, � - I•.l.'L1
SSU-
INSPECTION ANCE DATE INSPECTOR INSPECTION RECORD \BD of PERMIT IOOR H 180 DAYS FROM
FOUNDATION NOTE: LASTCALLED INSPECTION.
UFER Q ALL GRADING AND DRAINAGE SHALL BE INSTALLED
TO COMPLY WITH THE APPROVED PLANS AND CITY OF (11 IM'I Vn1.11 1A 1.I1N
PREGUNITE CUPERTINO STANDAR rD�S..
GARAGE SLABS 0 _ TI 1cT \-5 _
_POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Q
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL _ I"Q PLG,
BI Cupertino usunrvcl u
I1LUG ELICIT MI CII
MECHANICAL
1.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT
+:• INFORMATION
PLUMBING
WOOD FLOOR VAI_.AIlON SIFT.
C4.922
MECHANICAL rulMn ni
ELECTRICAL qf;l
FRAMING Snmlla TYPE CONSIN.
INSULATION z 5ti
ucc.cnOOr HIES OwTS
R-3 i I
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED y,, ,T,,LO„H A,¢n TOTAL ACMA(A
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE ,
4PHRAGM
THE CONSTRUCTION TAX IS PAID
uuIEPINn use
OOF SHEATHING �y'Lj0 qq_ OdU_yC7 HU; INP CON PH 0-,., '
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED I FINALS DATE ' INSP. '
ASSLS5111151'AHCf L NO,.
ROUGH ISAN.1 !� r
PLUMBING f+f� �- /�" ELECT.ENERGY IIIAC�(I NO„ PAIICLL NO
TUBS 8 SHOWER PAN PLUMBING ENERGY - Mi
MECHANICAL MECH.ENERGY - .alit ACC PILENO
',wo;
ELECTRICAL L{, �a'� BUILDING ENERGY - -
RAMING ELECT,FINAL TEST - TONIN(; CNG,511 NO.
INSULATION •, , �. Ga �`1 PLUMBING
GAS TEST GAS
IIIIE$PIIINK
.5���- SI o—� .•1.2'�zte •J• MECHANICAL aYE] N[] r ❑ No
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING 0 n.00u]uNt A.I.Pc
EXTERIOR SHEAR ELECTRICAL RELEASE 4jD O v rv� v ❑ N❑ I
INTERIOR SHEAR QJ7 FIRE DEPT,
SHEETROCK GRADE " :FEE SUMMARY
EXTERIOR LATH BUILDING BUILDING
INTERIOR LATH TEMPORARY APPROVALS
ELECTRIC PLAN CHECK
SCRATCH COAT - - l FEE 15.5(a
GAS
NO TAPE OR PIASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEI-9ISLf'TWV 62.
OCCUPANCY OF BUILDING 15 NOT PERMIT TED UN'1I L BUILDING F INAL IS SIGNED BY BUI LDING INSPECTOR. MICROFILM a•�'"
ELECTRIC
w ARRANGE FOR INSPECTION BY PHONING 252-4505, 50
F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING. tfECHANICAL •TTI\
- SEE PERMIT FOR EXPIRATION DATE - 60
CONST.TAX ,
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE TOTAL 3.
CALLING FOR FINAL INSPECTION. -
1
APPLICANTS POSTING COPY