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16809POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD I . 1 r! / /�_ JOB ADDRESS ( —I ' (% �� LkP VLJ '�_�VNIT# _LOT# ' w' c+ c - 'OWNER O V �V CONTRACTOR J •�! j, ,1 C(i •� PERMIT NUMBER 96809 I PEAM�I7/T�(6XPIRATION - X 1 ` ERMIT' XPIRES IF WORK ; I NOT STARTED WITHIN 80 DAYS OF PERMIT ISSU ANCE OR 180 DAYS'FROM LASTCALLED INSPECTION. INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. LIFER PREGUNITE - ' PERMIT VAI.m ATION LC /'�_�,�• ISSUANCE DarF. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING ELECTRICAL MECHANICALBLDG E ECT 1[\ PLG. ME.CH ❑ ❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ,.. ' BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION, $JET. PLUMBING � -. - MECHANICAL�L.^W ELECTRICAL - PAID }iPERMIT To z -S Il I l6{') C K FRAMING INSULATION - - STORIES TYPE CONS I R. - C411Y Of Cupertino OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS,PAID - s° FT. FLOpR AREA DOTAL ACRE.AGE DIAPHRAGM ROOF SHEATHING BUILDING USE RES IND • CON PB OR — ❑ ❑ ❑ ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGH SAN.# ASSESSORS PARCEL NO PLUMBING ELECT, ENERGY TUBI g SHOWER PAN PLUMBING ENERGY TRACT NO PARCEL NO � 2: MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY ACC DATE ACC. PILE NO FRAMING ELECT. FINAL TEST INSULATION' PLUMBING ZONING ENG, sIrE No. GAS TEST GAS ' • MECHANICAL FIRE SPRINK Y ❑ "❑ ENERGY L]4 ' ° ❑ "❑ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL E FLOOD ZONE. ❑ "❑ . -A.L U. C. Yo No INTERIOR SHEAR - FIRE DEPT. T. SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING 00 INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE } OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM LU ARRANGE FOR INSPECTION BY PHONING 252-4505, H ONE WORKING DAY BEFORE REQUIRED INSPECTION. o PLEASE GIVE JOB ADDRESS WHEN PHONING. : — SEE PERMIT FOR EXPIRATION.DATE — ELECTRIC Z•` PLUMBING MECHANICAL CONST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION.I. TOTAL TJ OFFICE COPY Zz P:O j IL - ao 7z Uo APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROjECT 1 DENTI FICATION APPLICATION & PERMIT BUILDING -ELECTRICAL- PLUMBING -MECHANICAL l PERMIT NUMBER �: 16809 , BUILDING�O 3Cj �� nevi ll� (zt• ADDREss .t1 OWNERS - NAME' - /I' /-e-O v"M Ck ` 4 HONE Z15 -0 DTV. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION CONTRACTORS NAM � OUTLETS-SWITCHES•RECEP 10,00/1.00 LIGHTING FIXTURES 10.00/1.00 q' t�✓LS'C LIc.NO. O .5 . DATE OF APPLICATION CONTRACTORS TORS R� 1130 RebBG CC�, p I Gs^ PHONE z 5 PPLIANCES- RESIDENTIAL 4.00 PANELS 10,00 ARCHITECTPLAN DR 1ZoWA -D BFl-iCNAp ENGINEER ,ww l dol. uc �No.3T PANELS (OVER 200 AMP) - 20.00 CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ARCH. OR ENG. lye SLp�Ntq 'D ADDRESS GG ` ps C ZIP /SOig SPECIAL CIRCUIT, 5.00 TEMP. METER OR POLE INS. 20.00 PERMIT VALIDATION / •� ^�+ i ` 6 ADDRESS ADORPPLICESWra (13o Rebecccaf�C� MOTORS SEE FEE SEH. SERVICE CHANGE ?' 20.00 LICENSED CONTRACTORS DECLARATION -j. T' ` 1 hereby affum that I am licensed under provisions of ch.ptS, 9p (commencing with Section 7000) of Division 3 of the Business and License Co CnA • nJ my license is in full fort • •fit 6 ^ License Class Lic.Number 'T ISSUANCE DATE B G. ELECT. PLG. H. y u ❑ ❑ Date (.'011traetOr DING PERMIT BUILORMATION INFORMATION OWNER -BUILDER DECLA ATION License I hereby utire ollo ,ihul I sial exempt from the Business reason, (Sec.uires a permit tocnstrofeseions Cod (o Any a permit to consu a cealter, Code: Any city or county which structure, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9(commenuingwith Section 7000)olDlvislon3 ofllte Rosiness and Professions Code) or that he is exempt therefrom and MISC.- REFER PERMIT ISSUANCE 1 'tire ELEC. CONTR. LIC. NO. h?MIeAN'� SOi 7 TOTAL 2�) V CITY. PLUMBING PERMIT FEE VALUATION $/FTLaw. PERMIT -TO the basis for the allege) exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not mom than five hundred dollars ($500),): STORIES TYPE CONSTR. ALTER -DRAIN -WATER (EA.) 5.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of FIXTURES - PER TRAP 5.00. GAS-EA.SYSTEM-I1NC.40UTLETS 6.00 SO. FT. FLOOR AREA TOTALACREAGE property who builds or improves thereon, and who docs such work himself or through his own employees, provided that such improve- mentsarenotintendedor offered for sale. If, however, the building or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im- Prove for purpose of sale.). ❑ I, as owner of lirm e pperty,.aln exclusively contracting with GAS - EA. SYSTEM - OVER 4 (EA.) 2.00 BUILDING USE RES IND CON PB Core; ❑ ❑ ❑ ❑ ❑ WASTE INTER. 30.00 licensed contractors to construct the project (Sec. 7044, bodiless and Professions Code: The Contractor's License Law does not apply m an owner of property who builds or improves thereon, and who LAWN SPRINKLERS- 1 INC 5 V.B. . 6.00 LAWN SPRINKLERS - OVER 5 (EA.) 1.00 ASSESSORS PARCEL N0. contracts far such projects with a contractor(s) licensed pursuant to lite Contractor's License Law. O 1 and exempt under Sec. , BAP.C. hu this Person SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO, WATER HEATER W/VENT 6.00 Owner Dam WATER SYSTEM5.00 ACC. DATE ACC. FILE NO. WORKERS'COMPENSA'I' ION DECLARATION WATER TR EATING EDU 5.00 I hereby affirm that I have a certificate of consent to sell' -insure. or a certificate of Workers' Compensation Insurance, or a certified - ZONING ENG. SITE N0. `JWWW copy thereof (Sec. 3800, Lub.C.). Policy No. Company _ ❑ CetliBed Copy Is hereby fu rished' ❑ Certified copy Is tiled with the clly inspection diki'li n. Applicant MISC. - E RD. FIRE SPRINK Y ❑ N❑ ENERGY T-24 Y ❑ N❑ CERTIFICATE OF EXEMPT' ION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. COMPENSATION INSURANCE (This welt....need not be completed if the permit is for one PLG. CONTR. - LIC. NO. _ PLC. TOTAL Y ❑ No Y ❑ IN honored dollars IS 1001H, less.) - 1 certify that in the performance of the work for which this per- mit is issue I shall not employ ny arson in n nncr Ott ns In beton Ic Workers' C ml srlia S Fxf' li'su. Dutc Applicam g NOTICE 'I APPLICANT': If, ter making this Ccrtificatu of OTY. MECHANICAL PERMIT FEE . FEE SUMMARY BUILDING OV ALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 AIR HANDLING UNIT (TO 10=C.F.M.) 4.00 PLAN CHECK FEE o `r empiton, you should hecome s jecl to the Workers' Compensation provisions or the Labor Code, you mull foNhwilh comply with such provisions or this permit shall he deemed revoked. AIR HANDLING UNIT (OVER 10=11EM.) 6.00 SEISMIC FEE ' SO CONSTRUCT ION LENDING AGENCY I hereby affirm Thal there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 lire performance of the work for which this permit is issued (Sec. 3097, Cw.C.). MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 Lender's Nanta Lender's Address - HEATING UNIT (OVER 100,000 B.T.U.) ELECTRIC /ZF r6 VENTILATION FAN (SINGLE) 4.00 1 certify that I have read this application and slate that the above information is correct. I agree to comply with all city and County ordinances and state laws relating to building construction, and hereby out ho.lre representatives of this city, to enter upon the above-mentioned property for inspection purposes. PLUMBING BOILER- COW (3 H.P. or 100,000 B.T.U.) 6.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL (We) agree to Save, indemnify and keep harmless the City of MISC. - REFER TO ORD. upert o ago'plat liabilities,juJgl encs, costs and expenses which may in any y accrue aa' aid C' -of the rand of tl i' creel[. PERMIT ISSUANCE 10.00 CONST. TAX H. CONT. LIC. NO. MECH. fA TOTAL v TOTAL 72e Sign ore of Applida t/Commctor Uale OFFICE COPY'