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14714 POST THIS CARD NEAR FRONT OF BUILID INGERMIT N'UMBER CITY OF CUPERTINO 14714 INSPECTION DIVISION JOB INSPECTION RECORD . PERMIT EXPIRATION JOB ADDRESS 10280 PHARLAP UNIT# _LOT# PERMIT EXPIRES IF WORK ' OWNER LEONARDIS CONTRACTOR SURE ELECTRIC IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION - ANCE OR 168 DAYS FROM .. NOTE: LASTCALLED INSPECTION. . UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PR EGUNITE - TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED _ _ UNDERGROUND /SLAB PLUMBING - ^�'-� •C ✓b ELECTRICAL - ISSUANCE DATE MECHANICAL BLDG ELFCT I PLG. MECH pNJ9 C! © ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT CT 1 FORMATION Er. WOOD FLOOR sl PLUMBING QQ� ATION ` MECHANICAL '" ELECTRICAL - PERMIT To fa L 7- FRAMING FRAMING INSULATION - STORIES TYPE CONSTR OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED . ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO.FT FLOORAREA .TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID. BUILDING USE ROOF SHEATHING RES IND CON PB 0"'. APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑, ❑ ❑ Q ROUGH SAN.q ASSESSORS PAHCEL NO. PLUMBING ELECT.ENERGY TRACT NO PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL' MECH.ENERGY ELECTRICAL , ACC,DATE ACC PILE NO ' BUILDING ENERGY FRAMING ELECT.FINAL TEST ZONING, ENG,SITE.NO. 'INSULATION, PLUMBING - - GAS TEST GAS FIRE SPR[NK ENERGY T.]4 MECHANICAL YE]- No 10 NEI COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL RE FLOOD ZONE A.L U c. INTERIOR SHEAR FIRE DEPT. Y❑ NE] Y ❑ NF] SHEETROCK GRADE FEESUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPO But�nlNc SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR, MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC � ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. i — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL 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 I LDINGPROJECT IDENTIFICATION - PERMIT NUMBER BUILDING. APPLICATION & PERMIT 1 A r� n ADDRESS 1 10260 V BUILDING -ELECTRICAL-PLUMBING-MECHANICAL . 14 I 4 OWNER'S PLAN CHECK VALIDATION NAME QTY. ELECTRIC PERMIT FEE �V.t/9rQl�If PHONE CONTRACTORS ry NAMEOUTLETS-SWITCHES-RECEP 10,00/1.00 o --' t✓Yf C:P�o CPOf uc.NO, ,LIGHTING FIXTURES 10.00/1.00 1 AODREAs ions APPLIANCES-RESIDENTIAL 4.00 - 1/67 CL A{y4 PHONE 'j4 PANELS 10.00 DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. OR ENGINEER LIC. O. ISIGNS TRANS. 3.00 I - ADDRReOR ssENG' SPECIALCIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. .20.00 Ars ADDRESS MOTORS SEE FEE'SCH. ^ /1 DRE55 ,�ooM qL W / / • tJC (�apSERVICE '20.00. �j1G/00 o o LICENSED CONTRACTORS DECLARATION a U I hereby affirm that I am licensed under provisions of Chapter 9 _ � ISSUANCE DATE vv,a"' (commencing with Section 7000)of Division 3 of the Business and .s BLDG. ELECT. PLG. MECH. H N z Professions Co s, nd my license is in full for' a effe ❑ ❑ ❑ Zo 0 m Licen' ss Lia Nmnbar 1241 F y H Uate Contractor F BUILDING PERMIT ¢ 0 w u OWNER-BUILDER DECLARATION INFORMATION w ;w w I hereby affirm that I am exempt train the Contractor's License MISC-- , '% ER TO ORD u0¢ Law far the following mason, 703LS,Business Professions VALUATION $/FT. r - g PERMIT ISSUANCE 10.00 Id _ Code:Any city or county which requires a permit to construct,alter, ¢ ¢¢ 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.N0. ELEC. Cl I requires the applicant for such permit to file a signed Statement that �q TOTAL o. w S he is licensed pursuant to the provisions of the Contractor's License V -b� O p /- PERM 0 H Z ¢ Law(Chaper 9(commencing with Sedion 7000)of Division 3 ofthe eL�G 4 o Business and professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE M F$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects ilia applicant ton civil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(85001.): ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES.urvtTS their sole compensation,will do ilia work,and ilia 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 Law does not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00• SQ.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- marts are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-11 NC.4 OUTLETS ,6.00 or improvement is sold within one year of completion,the owner builder will have the burden of proving that he did not build or Ira- GAS-EA.SYSTEM-OVER 4 (EA.) 2,00 BUILDING USE prove for purpose ofsala). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Omar ' ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ 13 ❑ licwued contractors to construct the project(Sec. 7044,Business LAWN SPR INKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractors 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 witll a contrachms)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA,200ft/10.00 TRACT NO. PARCEL NO. ❑ I um exempt under Sec. ,B.&P.C.for this reason WATER HEATER W/VENT 6.00 Owner Dare WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that 1 have a certificate ofconsent to self-insure. or a certificate of Workers'Compensation Insur ace,or a certified ZONING ENG.SITE NO. copy O,ereol(Saa.3800,Lah.C.).wEf.�-- K�.t Policy No. Company O C3Ccrlibial copy is hereby furnished. FIRE SPRINK ENERGYTYa - Z Z '❑ Certified copy is filed with (lie city inspection division. - FO Applicant MISC- REFER TO ORD: Y [:] NE] Y0 IN fl T CERTIFICATE OF EXEMPTION PROM WORKERS' - PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. LU > COMPENSATION INSURANCE: PLO.CONTR. uc.NO. PLG. CL Z (This section need not be completed if the permit is for one TOTAL Y❑ IN Y [3 IN hundred dollars IS 100)or less.) U O 1 certify that in the performance of the work for which this per. QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL U mit is issued.I shall not employ any person in any manner So as to become subject to the Workers Compensation Laws of Cafifomia. U.1 Data Applicant BUILDING �- m NO]ICI: TO APPLICANT: If,after making this Ce rtificale of Ex- gLTER OR ADD TO MECH. 5,00 Z craftier,you should become subject to the Workers'Compensation gppLIANCE 5.00 PLAN CHECK Provisions of the Labor Code, you must fortlrwith comply with - FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10MOCF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER I0MC.F.M.) 6.00 SEISMIC FEE. I hereby affirm that there is a construction lending agency I'or EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C:). HEATING UNIT(TO 100,000 B.T.U.) 'S.00 Lender's Name HEATING UN ER 100,000 B.T.U.)9.50 �r0 = Lender's Address ELECTRIC I C 1 certify that 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-COW 13 H.P.or 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP (0.,100,0008TU)SEE FEE SCM. MECHANICAL above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Copier.ORD against liabilities,judgments, costs mattes,enses which 10 PERMIT ISSUANCE .00 CONST.TAX cry In any way accrue against said City in callequence of the sing of is per iL MECH.CONT. LIC.NO. MECH, 3G TOTAL TOTAL \ higniftlIm of Applicant/Contractor Date VX\ OFFICE COPY