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18048 POST THIS CARD NEAR FRONT OF.BUILDING PERMIT NUMBER CITY OF CUPERTINO 18048 INSPECTION DIVISION JOB INSPECTION RECORD ` (('��/7``'' {///��'��}{��PP PERMIT EXPIRATION • Iu IPI ' Ie`-UNIT# LOT 4t JOBADDRESS Y� _ PERMIT EXPIRES IF WORK OWNER `?eu I m CONTRACTOR 1�r(�LI� IS NOT STARTED WITHIN INSPEC DATE I INSPECTOR INSPWICTION RECORD- - 180 DAYSOFPERMIT ISSU., FOUNDATIONNOTE: . . - ACE OR 180 DAYS FROM UFER " ALL GRADING AND DRAINAGE SHALL BE INSTALLED LAST CAL_OEXF OINSPECTION. PR EGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT-VALIDATION: CUPERTINO STANDARDS. GARAGE SLABS „ - •I' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED B UNDERGROUND /SLAB P-Ai PLUMBING ELECTRICAL J�" +o H m ISSUANCE DATE MECHANICAL /�j��{ B0 ELECr PLG. MECR. ftW rvr ❑ ❑, DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION - WOOD FLOOR vn wATloN siET. PLUMBING MECHANICAL ELECTRICAL PERMIT�;O,.� FRAMING �:s�L INSULATION - STORIES TYPE CONSTR OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 50 FT FLOOR AREA TOTALACREAGE DIAPHRAGM ROOF THE CONSTIRUCTION TAX ISNAL INSP. LPAID BE ADE BEFORE BULLRING USE ROOF SHEATHING IV IND -CON PB GIo.•. I APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. El El l El ROUGH SAN.q ASSESSORS PARCEL NO ' � PLUMBING ELECT.ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT NO PARCEL NO MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY ACC DATE ACC FILE NO FRAMING ELECT,FINAL TEST ZONINGENG.SITE NO. INSULATION PLUMBING GAS TEST GAS E SPRINK ENERGY T 24 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING "� NE] EXTERIOR SHEAR ELECTRICAL RELEASE �L�� ELOOD ZONE A.L u.C. ;I INTERIOR SHEAR FIRE DEPT. E] NQ Y L N SHEETROCK - GRADE FEE SUMMARY �i,I! EXTERIOR LATH - BUILDING 14. INTERIOR LATH TEMPORARY APPROVALS BUILDING ,'•' SCRATCH COAT ELECTRIC PLAN CHECK opT GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE ' OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. 'I"1;7 MICROFILM • ARRANGE FOR INSPECTION,BY PHONING 252-4505, : , ELECTRIC Ir-ELI -ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z° PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.Tax PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY F- APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY BUILDING PROJECT IDENTI FICATION PERMIT NUMBER AAPPLICATION & PERMIT ADDRESS BUR-DING ,., � i os'o r IJi he-V 0 le- AL/Q, BUILDING-ELECTRICAL-PLUMBING -MECHANICAL / 18048 OWNER'S PLAN CHECK VALIDATION NAME • !j_e_ LMr —G/1 M. �R� DTV. ELECTRIC PERMIT FEE VNONE HOME ACTOR - _ UTLETS-SWITCHES-RECEP "/ ur S �� LIC.NO, G �-� LIGHTING FIXTURES 10.00/1.00 ' CONTRACTOR S- ij- // pp LIANCES-RESIDENTIAL ,d ADORE s p 30z Vt/'IGY.1.171'I PY PHONE —�� PANELS 10.00 DATE OF APPLICATION - ARCHITECT PLAN CHECK FEE P.C.'NO, OR PANELS (OVER 200 AMP) 20.00 ENGINEER LIC.NO. ISIGNS TRANS. 3.00 ADDRESS ENG' SPECIALCIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 APPucANrs MOTORS SEE FEE SCH. ADDRESS SERVICE CHAINffA 20.00 o o LICIiNSEU CONTRACTORS DECLARATION lY CJIIO ¢U w I hereby affirm UZI am Ilctnmd under provisions of Chapter 9 , T ISSUANCE DATE r w a liommuncing with Section 70001 nl Division 3 of the Business a J �.r�-"�0 BLDG. ELECT. PLG. MECH. 0 w i Professions Cameand my license is in full force anQ fee ❑ ® ❑ ❑ Z: Ow - License Class Jet? Lic.Number_ S - m r w Dale_/ Contractor ,I �I.�y ��pm a y f, D ""- Q '�v -�%"' BUILDING PERMIT E a w v OWNIERJUILDER DECLARATION INFORMATION toou MISC.- REFER TO ORD ; y I hereby affirm that 1 am exempt from the Contractor's License uo¢ Law for the following reason(Sec.7071.5,Business Professions PERMIT ISSUANCE �B.BO (� VALUATION S/FT. E m w Code:An cit or count Any y countywhich any structure permit roconstruct, uance, iso ELEC.CONTH. LIG NO. a, ¢ a improve,demolish,or repair any structure,prior to its issuance,also ELEC. D LL requires lite applicant for such permit to file a signed statement that TOTAL l PERMIT TO whe is licensed pursuant to the provisions of the Contractors License H z i Law(Chapter 9(commencing with Suction 70001 of Division 3 alllte �i�G � l P z o Business and Professions Code)or that he is exempt therefrom and CITY. PLUMBING PERMIT FEE the basis fur the alleged ex em pl ion.Any violation co Section 7031.5 STORIES TYPE CONSTR. c ; � by any applicant for a permit subjects the applicant to a civil penalty gLTER-DRAIN&VENT-WATER IEA.) 5.00 of not mare than five hundred dollars 15500).1: ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00OCCGROUP REB.UNITS their sole compensation,will do the work,and the 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 5.06 SO.FT.FLOOR AREA TOTAL ACREAGE • himself or through his own employees,provided that such improve- I mems are not intended or offered for salt If,however,the building GAS-EA.SYSTEM-l1NC.40UTLETS 6.00 or improvement is sold within one year completion,the ownerGAS EASYSTEM-OVER 4(EA) 200 BUILDING USE builder will have the burden of proving that he did not build or im. - . . . RES IND CON PB Othe, prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ 1.d as owner of the property,am exclusively .7044, Eng with ❑ ❑ ❑ ❑ licensed inion,Cod : ce Contractlieor's project(Sec.7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 —ASSESSORS PARCEL NO. and Professions Code:The who License Law does not apply to tr owner of property who builds tr improves thereon,and who LAWN SPRINKLERS-OVER 6(EA.) 1.00 contmosfor such cenprojects with ucon trucmr(s)licensed Pursuant to SEWER-$AN ITAR Y-STORM EA.200ft/10.00 the Conlmctor's License Law. TRACT NO. PARCEL NO. ❑ lam exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owut��kryyy Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP, 5.00 I e by affirm that l have acertificate ufelosent toself-insure, ZONING or a certificate of Workers'Compensation Insurance,or a certified ENG.SITE NO. copy thereof(See.3800,Lab.CJ. Policy No. Company O ❑ f,1[ified copy is thereby M FIRE SPRINK ENERGY T24 Z Z ❑ Ce t Ielfco'py�Is Filed edi lite city Inspection division. O Apply", MISC.- I' REFER TO ORD. v ❑ N❑ v ❑ N❑ W W CERTIFICATE 017 EXEMP110N PROM WORKERS' PERMIT ISSUANCE 10,00 FLOOD ZONE A.L.U,C. LU > COMPENSATION INSURANCE. PLG.CONTR. LIC.NO, PLG. CL Z( 'this section need not be completed if the permit is for one TOTAL Y❑ N❑ Y[:] N❑ hundred dollars($100)or Itss.) V O 1 certify that in Lite performance of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL I- mit is issued,I shall not employ any person in any manner so as to O W become(obj_ec�t,t�tji Workers'Compyy99sulion L,'w o Cali'Oro y Date- PEL pplicaut_ l__ _ ALTER OR ADD TO MECH. 5.00 BUILDING } rn NOTICr:TO APPL////111ICANT: If,after king t/Ae Cer ¢ate of .x- F ? emption,you should become subject«�the W urs'CompensationgpPLIANCE PLAN CHECK provisions of the Labor Code, you muss forthwith comply with FEE U such provisions or this permit shall be doubled revoked. AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00 CONSTR UC'rION LENDING AGFNCY AIR HANDLING UNIT(OVER 10, 000.RM.) 6.00 SEISMIC FEE 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM' 3097,0,C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC ,50 I certify that 1 have read this application and slate lull 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-COMPI3H,P.or100,000B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. BOILER-COMP IOver LDD,DDD BTU)SEE FEE se H. -MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. art against liabilities,judgments, costs and expenses which PERMIT ISSUANCE •-jB,Bg CONST.TAX may in any way accrue against said City In consequence of the Starting of this permit MECH.CONT. LIC.NO. MECH. Cj/tvU, TOTAL TOTAL g lure I Applican onliact Date OFFICE COPY