14946 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT I DENTI FICATION PERMIT NUMBER
BOILDINGot 19A�PLICA'TION & PERMIT 14946
ADDRESS 1161 Orcha-d Spring Court .y BUILDING -ELECTRICAL-PLUMBING -MECHANICAL
OwNER'S - PLAN CHECK VALIDATION
NAME Gregory Group Inc. & Nuanson' QTY. ELECTRIC PERMIT FEE
• De elopfents 415-595,42100
CONTRACTOR
NAME UTLETS-SWITCHES-RECEP' 10.00/1.00
NAME
Gregory Groups 1nC' Llc.iao. B-430097 LIGHTING FIXTURES 10.00/1.00
CONTSACrORs APPLIANCES-RESIDENTIAL - 4.00 '
ADDRESS 22O C Twin Dolphin Dr. .
���1'� ��Q��I �p� PROry PANELS 10.00 DATE OF APPLICATION
ARJACENGINEER '"•' '^^"""IfYV> AIA & ASSOCIATES PANELS(OVER 200 AMP) 20.00 PLAN CHECK FEE P.O NO:
OR
LIC.No. SIGNS TRANS. 3.00 _
ADDRESS - 2031 OrchaRD Dr. !/100 _ SPECIAL CIRCUIT 00' 5. PERMITvnuonnoN -
- AGGRESS t
IP EMP.METER OR POLE INS. -,20.00
APPLICANT sSa�ta Ana MOTORS •SEE FEE SCH.
ADDRESS
oOREsS 220 C Ywin Dolphin 0
rG SERVICE CHANGE • 20. 0
0 0 o LICENSED CONTRACTORS DECLARATION 1�po 1 0
a I hereby affirm that 1 am licensed under provisions of Chapter 9' - yVV ISSUANCE DATE
w < w (Canmencing with Section 7000)of Division 3 of Ilse Business and BLO ECT. PLG. MECH.
D i Professions Code,and my license is in full force and effect.
Z o m - License Cluas - B-Lic.Numbcr_QQ(yiQ].� - .
Q w Date Conhuctor Q�/7���__
x a ¢ OWNER-BUILDER DECLARAT11 h BUILDING PERMIT
_ Ic u,U - INFORMATION
w3 LL'I- I hereby allirm Ihat I am exempt from the Contractor's License MISC.- REFER TO ORD
u o a Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE - 10_.00 VALUATION a/FT.
� - Code'.Any city or county�whichrequoesapermil loconstruchulter,' O�[C
¢¢ o improve,demolish,or regal!any etnwlure,prior to its i...o ner,also ELEC.CONTE. LIC.NO. ELEC. 1 W s� -.
- D 0 requires the applicant jn such pttmil to fil...amed stat,onnt that - TOTAL PERMIT TO '
w$ he is licensed pursuanPto the provisions of the Contractor's License
aa z i - Law(Chapter 9(commencing with Section 7000)of Division 3 of the .SF1)U _
< Business and lsrofessi(lns Code)or that he is exempt lherdrom and' QTY- PLUMBING PERMIT FEE
Of rs-o the basis for the alleged exemption.Any violation of Section 7031.5 STORIES. TYPE CONSTR. .
La by any applicant fora permit subjectslheapplicanl loacivilpenalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 n��
of not more than fivelsundred dollars(55001.1: 2 51Yf1R
❑ I,as owner of the property,qr my employees wil7n.wages as BACK FLOW PROTECT. DEVICE 4.00
their sole Compensdtime,will do the work,and the Structure is net' OCC.GROUP RES.UNITS
intended or offered for sale (Sec. 7044,,BuYrexs and 1'rofcssions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 R-3 ' 1
Code:The Contractor's License Law does not apply to an owner o1'.
property who builds or improves thereon,and who does such work F IXTUR ES-PER TRAP 5.0050.FT.FLOOR AREA TOTAL ACREAGE .
himself re Through his own employees.provided that such implode
himself c not through
his or own
provided
that s the building GAS-EA.SV STEM-1 INC.40UTLETSs 6.00 2334
or improvement is sold within one year of completion,the owner- GAS-EASYSTEM-OVER 4(EA.) 200 BUILDING USE
builder will h .ave the burden of proving that he did riot build.or im- . RIND CON PB Omer
prove for purpose of sale:). INDUSTRIAL WAS. 30.00 ES ES
' ❑ I,as owner of the pro Perty,am CxduiivelY commeting with 1p1 ❑ ❑ ❑ ❑
licensed contractors to constrict the project(See'7044,Businucs LAWN SPRINKLERS- 1 INC 5 V.B. - 6.00 ASSESSORS PARCEL NO.
and Professions Code:The Contmclor' 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 willi a contractods)licensed pursuant to
the Contractors License Law. - SEWER-SANITARY-STORM EA.2001t/10.00 TRACT NO. PARCEL NO.
.0 Iurnexemptunb,,Sec. ,B.&KC.]orOds WATER HEATER 6.00 8067
reason
Owner _ - Dile WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO,
WORKERS'c6mPENSA'IION DBCLARA'I ION WATER TREATING EQUIP. 5.00
1 hereby alfnm that I have a icHifiedc ul consent to sell-insure, . ZONING ENG.SITE NO.
or a certificate of Workeri Compensation Insurance,or a certified
copy thereof(See.3800,Lab C.). United Pacific
Policy No. -Company
O ❑ Certified copy is hereby furnished. . FIRE SPRINK ENERGY T-24
Z Z 'sl✓�I Cert ilitJ c with the city inspection Division. MISC.- REFER TO ORD. - ❑ ❑ ❑ ❑
O A cel_ v N Y N
L6 Clik'I'I PIC 1:OF EXEMPTION PROM WORK 1:RS' PERMIT ISSUANCE' 10.00 FLOOOZONE A.L.U.C.
Lu >_ C041-.NSA1'ION INSURANCE PLG.CONTE. LIC.No. PLG.
CL Q (This section need not be completed.if lire permit is for one TOTAL - V❑ N❑ Y ❑ -NE]
0 Z hundreddollars(5100)o1 less.) i
U O I certify that in the performance of-the work.for which this pe, OTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL l- mit is issued,I shall not employ any person in any manner so as to
U been me subject to the Workers'Compensation Laws of California.
O w '
Dal Applicant' F - BUILDING
a - ALTER OR ADD TOMECH. 5.00 940.50
-} w N prion,ICE TO should ANTWren IL after making this rs'C nil c o1'Ex-
emption,
SS-
em vision you should become subject to the Workers'Ccomply with APPLIANCE 5.00 PLAN CHECK 15.50
such tuns io the Labor Code, you most forthwith comply with FEE
U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10AODOF.M.) 4.00 �8f)e
00
CONSTRUCTION LENDING AGENCY - AIR HANDLING UNIT(OVER 10=C.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 ncrfornian" of t�L k fi rr WIp'h lbiF 'rfnit is issued(Sec. - MICROFILM ,
3097,C'iv,C.). Jecurlty YaCll�C' HEATING UNIT(TO 100,000 B.T.U.I.'5.00
Lender's Name -4thflr HEATING UNIT IO VER 100,000 B.T.U.)9.50
Lender's Address� '_ _t ELECTRIC r 70.35
1 certify that I have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00
information is correct I agree to comply with all oily and county PLUMBING 70.35
ordinances and slate laws relating tobuilding construction, and BOILER-CCNv1P(3 H.P.or 100,0008.T.U:1 6.00
hereby authmin representatives of this city to enter upon the BOILER-COMP lover 100,000 BTU)SEE FEES CH. MECHANICAL
above-mentioned property for inspection purposes. 70.35
(We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD.
uperlino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX+
may in any way accrue against said City in consequence of the
ranting O(t permit ,' - / _ MECH,CONT. LIC.NO. MECH. )
TOTAL 1530.31
Signature pplicant/Contractor. Dat '
OFFICE COPY'
POST.THIS CARD NEAR'FRONT OF BUILDING
PE
•CITY -OF CUPERTII\i0 HMITNUMBQEH/�.(;
"^~ INSPECTION DIVISION 14946
JOB INSPEC'riON'RECORD
JOB ADDRESI,N # LO PERMIT EXPIRATION .
+ - - PERMIT EXPIRES IF WORK
owmeH CONTRACTOR IS NOT STARTED'WITHIN
INSPE N DA E INSPECTOR P ION RECORD 180 DAYS OF PERMIT ISSU- .
•• FOUNDATION Cr, 8 - NOTE: LANCE OR 180 DAYS FROM
'
LIFER (p' - ALL GRADING AND DRAINAGE.SHALL BE INSTALLED -LASTCALLED INSPECTION.
PREGUNI.E - TO COMPLY WITH THE APPROVED PLANS AND CITY OF nE+mn vn Lluzi,3,
A GARAGE SLABS. - CUPERTINO,STANDARDS.'
POUR NO CONCRETE UNTIL ABOVE HAS BE EN SIGNED i - r �,.' .• 1... L^ 'i
` - .- UNDERGROUND /SLAB
PLUMBING - -
ELECTRICAL - -
O ISSUANCE DATE
MECHANICAL - BLDG, LLCr. PLC. MECH.
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED j ' - BING PERMIT
WOOD FLOOR , +. �M1KORMATION
PLUMBING' - •, _ VALUATION SIFT,
MECHANICAL.i r•' - - j�' 5 .)
' ELECTRICAL - rtRMrt To
FRAMING -
INSULATION snnals rvPE co"sna.
OCC GHUUP RES,UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED • R-3 j
ROOF . - NOTE:NO FINAL INSP.SHALL'BE MADE BEFORE so Fa noon AHLA roTAL AcnLAr•E
DIAPHRAGM •• THE.CONSTRUCTION TAXIS PAID
ROOF SHEATHING �'j, '` - RES INTI ILDCNDN us[re _
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALSDATE INSP. 0 El . ❑ ❑ El
.
ROU GHnssessoRs rAI+cEL No
SAN.N yG , O -
PLUMBING _ I ELECT.ENERGY
• TUBS 8 SHOWER PAN' PLUMBING ENERGY _ TRAcr No. PARCEL No,
MECHANICAL 66^ � S MECH.'ENERGY8M7.,
ELECTRICAL' �O- '' BUILDING ENERGY Acc.DATE ACC.FILE NO. I '
FRAMING ' ,. 1J"SS • - ELECT.FINAL TEST
INSULATION Qer Correu tE c).- PLUMBING - $ON1NE ENG.sITe No. •+
GAS TEST ' GAS
--FIRE- ee sPHlNn ENERGY T 2
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ' ❑ ^'❑ ❑
' ❑ "
EXTERIOR SHEAR..- —31•- ELECTRICAL RELEASE /, FL000zON, AL D.C..
INTERIORS EAR g+'J -�7j$ FIRE DEPT.' v❑ "❑ ° ❑ ."❑
.. SHEETROCK ' GRADE FEE SUMMARY
EXTERIOR LATH' BUILDING
INTERIOR LATH TEMPORARY APPROVALS BUILDING
om CA
SCRATCH COAT ELECTRIC ' PLAN CHECK
FEEjS.JQ
' - GAS •.
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY, - SEISMIC fEE , A•
OCCUPANCV:OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR'.
02
MICROFILM '
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
lboo ONE WORKING DAY BEFORE' REQUIRED'INSPECTION. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR. EXPIRATION'DATE - MECHANICAL
x
` IMPORTANT!
CONST.TAX
PLEASE READ REVERSE SIDE BEFORE
• ' CALLING-FOR FINAL INSPECTION. - TOTAL :1530.31 .
OFFICE COPY