17565 POST THIS CARD NEAR FRONT OF BUILDING PERMITNUMBER
CITY OF CUPERTINO 17565
INSPECTION DIVISION
JOB INSPECTION RECORD
- PERMIT EXPIRATION
PRuus^-CQ
JOB ADDRESS'– Lo '3l5 UNIT# LOT# e PERMIT EXPIRES IF WORK
• OWNER �-V N�•-�G�� CONTRACTOR , IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD - 180 DAYS OF PERMIT ISSU.
FOUNDATION ANCE OR 180 DAYS FROM
NOTE:
LIFER -� ALL GRADING AND DRAINAGE SHALL BE-INSTALLED LASTCALLED INSPECTION.
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION
CUPERTINO STANDARDS. —c)�n Q
GARAGE SLABS u G-• Y '-
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED -
UNDERGROUND /SLAB
PLUMBING -
ELECTRICAL ISSUANCEDATE
MECHANICAL - BLDG - ELECrPLG. ME.CH
El ' 10 ❑ L❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR - INFORMATION
PLUMBING VALUATION $IFT.
MECHANICAL
ELECTRICAL PERMIT TO
FRAMING
INSULATION - STORIES TYPECONSTR
OCC GROUP BES UNITS
- PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
SO.FT FLOOR AREA TOTAL ACREAGE
ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE '
. DIAPHRAGM - THE CONSTRUCTION TAX IS PAID - .
ROOF SHEATHING - wuulLDGoc usEPB on.••.
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP.
ROUGH SAN.p ASSESSORS PARCEL NO
PLUMBING ELECT.ENERGY
.
TUBS&SHOWER PAN PLUMBING ENERGY TRACT N0PARCEL NO
MECHANICAL MECH.ENERGY
ELECTRICALBUILDING ENERGY ACC DATE ACC.FILE NO
FRAMING ELECT,FINAL TEST
INSULATION PLUMBING ZONING ENG.SITE NO.
GAS TEST GAS
MECHANICAL FIRE SPRINK ENERGY T-24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED• HEATING Y NE] "�
EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONL A.L U C.
INTERIOR SHEAR FIRE DEPT, Y[] "[] Y ❑ "�
SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH BUILDING
INTERIOR LATH TEMPORARY APPROVALS BUILDING
SCRATCH COAT ELECTRIC - PLAN CHECK
GAS, FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTI L BUILDING FINAL IS SIGNED BY BUIEDING INSPECTOR. 'MICROFILM
'ARRANGE FOR INSPECTION BY PHONING 252-4505, F 77' ELECTRIC
�� ONE WORKING DAY BEFORE REQUIRED INSPECTION. S ` PLUMBING
zo PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
IMPORTANT! CONST. TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL N .
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUI LDI NG PROJECT I DENTI FICATION PERMIT NUMBER -
BUILDING APPLICATION & PERMIT 7C �C
aDDRE6$
o3o2S. ru�Ne Tree BUILDING - ELECTRICAL-PLUMBING -MECHANICAL 17565.
J i)
��-
OWNER'S PLAN CHECK VALIDATION
NAME OTY. ELECTRIC PERMIT FEE
yO Nv PHONE
CONTRACTDR'S
NAME / OUTLETS-SWITCHES-RECEP 10.00/1.00 11-045
elry �/� ��C u�No°��i��aA oda LIGHTI NG FIXTURES 10.00/1.00 OiOO
CONTRACTOR'6
ADORE55 (/ / / APPLIANCES-RESIDENTIAL 4.00 JeCO
S1O Lr(a (/x1 PHONE f PANELS - 10.00 DATE OF APPLICATION
OR
ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.L.N0.
ENGINEER
LIC.NO, SIGNS TRANS. 3.00
ADDRESS LNG. PERMIT CIRCUIT 6,00 PERMIT VALIDATION
AZIP EMP.METER OR POLE INS. 20.00 0'0 E Pf
ADDRESS MOTORS SEE FEE SCH. q
SERVICE CHANGE 20.00
o¢ z
FOO LICENSED CONTRACTORS UIiCLARA'fION
< v I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE
H
z w (commencing with Section 7000)of Division 3 of the Business and
w a BLDG. ELECT. PLG. MECH.
r D i Professions Code�pn�A q�Ylicense is in full for a f ❑ ❑ ❑
z 0'An- License Class 7,�?Lic.Number jOr
o H Date Contractor
Q y f J
¢ e,w a OWNER-BUILDER DECLARATION BUILDING PERMIT
MISC.- REFER TO ORD INFORMATION
se ; LL y I hereby affirm thin I am exempt from the Contractor's License VALUATION $/FT.
a. O Q Law for the following reason.(Sec.7031.5,Business and Professions
r -m PERMIT ISSUANCE 10.00
Code:Any city or county which require>a permit toconstnmt.alter, I�
¢ ¢ Q O improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC.
O ¢ requires the applicant for such permit to file a signed statement that ( TOTAL \rn
to m LL he is licensed pursuant to the provisions oldie Contractor's License ERR I `a - vER 0
i Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe 'll.--C24i
f i o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE F
¢ I-$ the basis for the alleged exemplion.Any violation of-Section 7031.5 STORIES TYPE CONSTR.
by any applicant for a permit subjects the applicant toe civil penalty ALTER-DRAIN -WATER (EA.) 5,00
of not more than five hundred dollars(S500).)
❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4,00 OCC.GROUP RES.UNITS
their sole compensation,will do Ilse 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 -
propertywhobuildsorimproves thereon,and who does net,work FIXTURES,PER TRAP 5.00 so.FTFLLOOR AREA ToTALACREAGE
himself or through his own employees,provided that such improve-
mentsarenotintendedorofferedforsole.If,however,the building GAS-EA.SYSTEM-11 NC.4 OUTLETS 6.00
or improvement is sold within one year of completion,the owner. GAS-EASYSTEM-OVER 4 (EA.) 2.00
builder will have the burden of proving that he did not build or im .- BUILDING USE
prove for purpose of sale). IND WASTE INTER. 30.00 RE IND CDN PB Omer
❑ 1,as owner of the property,am exclusively contracting with ❑ ❑ 0 C3
licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO.
and Professions Code:The Contractor's License Law does not apply
to an owner of property who builds or improves thereom and who LAWN SPRINKLERS-OVER 5(EA.) 1.00
contracts for such projects with a contracods)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00
the Contractor's License,Law. TRACT NO, PARCEL NO.
❑ I am exempt under Sec. ,B.81P,C.for this WATER HEATER W/VENT 6.00
reason
Owner Date WATER SYSTEM 5.00 ACC.DATE ACC,FILE NO.
WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
1 herehy affirm that I have a certificate of consent to sell'-insure,
or a certificate of Workers Compensation Insurance,or a certified ZONING ENG.SITE NO.
copy thereof(Sec.3800,Lab.C.).
O o�CeiiZOp� vflt ?�e Fvnd-
Z 2 IDCertified copy is tiled with tileFIRE SPRINK ENERGY T 24 city inspection division. MISC.- REFER TO ORD.
O Applicant- V � N� V � N�
I' y C178r12S Teti OMW PERMIT ISSUANCE 10.00
� - CIiRTI1lCA'I'Ii OF EXEMPTION FROM WORKERS' FLOOD ZONE A.L.U.C.
LU COMPENSATION INSURANCE. PLG.CONTR. LIC.NO. PLG, i
CL Z (This section need not be completed it the permit is for one TOTAL Y N v N�
U O hundred dollars($100)or less.)
I certify that in the performance of the work for which this per. QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL F mil is issued,'I shall not employ any person in any mail.Ile,so aa In
O W become subject to the Workers'Compensation Laws of California.
y Date Applicant ALTER OR ADD TO MECH. 5,00 BUILDING
>_ N NOTICE:'1'0 APPLICANT: If,after making this Certificate of lix-
F Z pulp ion,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK
provisions A the Labor Code, you must forthwith comply with FEE
U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=CF.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE
I hereby affirm that there is a constn¢lion lending agency for EXHAUST HOOD (WITH DUCT) 5.00
the performance of the work for which this permit is issued(Sec, MICROFILM
3097,Civ.C.). HEATING UNIT ITO 100,000 B.T.U.) 8.00
Lender's N
Lender' ame HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC �SsJV
s Address
1 certify that I have read this appliculion and state but the above VENTILATION FAN (SINGLE) 4.00
. Information n cornet.I agree to comply with all oily and county BOILER-COMPQ H.P.Or 100,000 B.T.U.1 6.001PLUMBING
ordinances formatio uis stale laws relating to building canslrandOn, and my
hereby authorize representatives of this city to enter upon the
above-mentioned propertyfor inspection purposes. 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.
upertino 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 of this permit. MECH.CONT. LIC.NO. MECH.
TOTAL TOTAL SS.ISO
Signature of Apphcanl/Contractor Date
OFFICE COPY
STEVEN A. ARNOLD — Civil Engineer, Inc.
1671 THE ALAMEDA,SUITE 305 . SAN JOSE,CALIFORNIA 95126 • TELEPHONE(408)286-9111
24 October 1991
SAA # 58-89
RECE'i 4'ED
Building Inspection I "I
City of Cupertino 1 lyg
10300 Torre Avenue CITY OF wPeRunu�
Cupertino, CA 9.5014 BUILDING DEPT.
Cl;r :. CURER,
' LwioiNG D"r,
Gentle persons:
On the 9th of October 1991, I made an on-site
inspection of the Connell residence, located at 10325
Prunetree Lane, Cupertino, California. The purpose of my
inspection was to make a" recommendation for the revised
support for the wood deck that provides access to the front
door of the residence. I have determined that a pressure-
treated 4x6 girder may be placed between the 2 exterior
piers to provide adequate support for the wood deck at the
front door entry. I have enclosed a sketch depicting an
adequate support for this modification to the deck framing.
Should you have any questions, please feel free to
contact me.
Respectfully subm•tted,
venA. Arnold �R7IFIC TSE EXPIRES
CE22301
SAA:srwr'
:i
s <,. •,.
NO 2^301
cc: Mr. & Mrs. Connell
a.
STRUCTURAL DESIGN . LAND SURVEYING • BUILDING INSPECTION 6
GENERAL CIVIL ENGINEERING SERVICES
CALCUL" ED x _ STEVEN A. ARNOLD JOB No. S
Civil Engineer
CHIP oc " 1671 The Alameda Suite 305 DATE 30 �cf 2/
" SAN JOSE. CALIFORNIA 95126
SIGN ED' m.
RCl�JO �1 PROJECT Al
/1
OF d
/O 32 -T f�run�
CERTIFICATE EXPIRES eie-lr�le-/1in0S4 5
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