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14932�I POST THIS CARD NEARIS . PERM IT NUMBER I 1 CITY OF OU 14932 i INSPECTION DIV JOB INSPEC'iION REC _ p PERMIT EXPIRATION JOB ADDRESS ��a ��'LL7� r f�Q�"�� GZUNIT# _LOT# PERMIT EXPIRES IF WORK ` OWNER • U CONTRACTOR2t �ll'cl,p IS NOT STARTED WITHIN ' INSPECTION ATE INSPECTOR INSPEC ION RECORD 180 DAYS OF PERMIT ISSU- ANCE OR 180 PAYS FROM FOUNDATION -I - NOTE: LAST CALLEDINSPECTION. LIFER �I �g ALL GRADING AND DRAINAGE SHALL BE INSTALLED ! PREGUNITE - TO COMPLY WITH THE APPROVED PLANS AND CITY OF - PE_HMIT VAI.IUATTON CUPERTINO STANDARDS. •', , '.ti GARAGE SLABS . ' - POUR NO CONCRETE UNTIL ABOVEMAS BEEN SIGNED UNDERGROUND /SLAB . Ot&41 - PLUMBING ELECTRICAL - • ANCE DATE MECHANICAL , B - .LECT PLG, MI:cH DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDwG P MIr INFORMATIONWq, WOOD FLOOR VALUATION SILT. T PLUMBING - ' i MECHANICAL ELECTRICAL PERMIT TO FRAMING _ SMI` INSULATION - STORIES TYPE CONSTR, / ^ ✓ OCC CROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED • ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE $0 FT FLOOR AREA TOTAL AREACE DIAPHRAGM THE CONSTRUCTION TAX IS PAID RUILDING USEr ROOF SHEATHING - $�' - DEC IND CON PB. 011-1 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGH SAN.a ASSESSORS PA RCEL NO PLUMBING ELECT. ENERGY LNACi NO, PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY ' MECHANICAL Z S MECH,ENERGY ELECTRICAL BUILDING ENERGY ACC.DATE ACE.FILE NO 'FRAMING ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION LUID `j PLUMBING _ wf GASTEST �•�,�_��^,( GAS _ _ - FIRE.SPRINK ENERGYT24 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING N[] a_ FLOOD LONE A.L U EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR {0�IIB : uar2 FIRE DEPT. Y ❑ NE] 10 No' SHEETROCK GRADEFEE SUMMARY EXTERIOR LATH" - Yj BUILDING - INTERIOR LATH: -�w ` TEMPORARY APPROVALS . BUILDINGAm m SCRATCH COAT ELECTRIC PLAN CHECK GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEI MIC OCCUPANCYOF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. MICROFILMLU , ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 60,35 0 ONE'WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING An o PLEASE GIVE JOB'ADDRESS WHEN PHONING. z - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL 60 3rh -IMPOPJANT.! CONST.rnx PLEASE READ REVERSE SIDE BEFORE TOTAL �� CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WI USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER ATIffG _tSEV (j� ❑{app ERMIT 14932 OWNERS 16P"AR'91r ee �rl� 8UI DDIN BING-MECHANICAL NAME PLAN CHECK VALIDATION NAME G 0 nSOn QTY• E PERMIT FEE develop( r> R6-� ;z 'na CONTRACTOR'S NAME Gregory Group, OUTLETS-SWITCHES-RECEP 10.00/1.00 reg y p, Inc. C NOB-430097 LIGHTING FIXTURES 10.00/1.00 rorvTRACTORS 220-C Twin rpolphin Dr. APPLIANCES-RESIDENTIAL 4.00 AooREssRWC CA 94065 41 5,r595-2%i5 PANELS 10.00 DATE OF APPLICATION" ARCHITECT Aram Bassenian, AIA & Associa. PANELS (OVER'200 AMP) 20.00 PLAN CHECK FEE P,C.N0, OR ENGINEER uc,No, 0-8395 SIGNS TRANS. 3.00 ARCH ORDDRESS ENL. PERMIT VALIDATION AOORess 2031 �raF1dT'(i Dr //100 SPECIAL CIRCUIT 5.00 San a �, 'up 92707 EMP.METER OR POLE INS. 20.00 APPLIESS ADDRESS 220 C Twin Dolpbin Dr. M MOTORS SEE FEE SCH. 94065 SERVICE CHANGE 20,00 - D Se _ mss"//9�� '02 LICENSED CONTRACTORS DECLARATION a i n 1 hereby affirm that 1 am licensed under provisions of Chapter 9 ANOE DATE .y a H (commencing with Section 700e i of Division 1 of the Business and L T. PLG. MECH. H 0 z Liecose Professions Code,and my license is in full forceand effect z o - License Class__B_Cm Number_ - - ar a w a OWNER-BUILDER DECLA ATIO7C N DING PERMIT 0 A " :t - INFORMATION w ; LL N I hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD H ac o a Law for the following reason.(Sec.7031.5,Business and Professions - - VAw ATION $/FT. w PERMIT ISSUANCE 10.00 Code:Any City or county which munirese penal(Reconstruct,alter, CCpp //y�Fy)r�� Q'to o p improve,demolish,or repair any structure,prior to its'issuance,also ELEC.CONTE. LIC.NO. ELEC. 1JJ,lAN u requires the applicant for such permit to file a signed statanent that TOTAL u w 2m m he is licensed pursuant to the provisions of the ConPERMIT TO truclor's License ' Fz > Law(Chapter9(commencing with Section 70000of Division3ofthe -SEOUL i o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE X r the basis for the alleged exemption.Any violation.1 Section 7031.5 .w byany applicant for a permit subjects the applicant macivil penalty STORIES TYPE CONSTR. of not more than five hundred dollars(S500.T ALTER-DRAIN&VENT-WATER (EA.) 5,00 2" 5NHR ❑ 1,as owner of the property,of my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 their sole compensation,will do the work,and the structure is not OCC.GROUP RES.UNITS 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 R-3 I property whe build,RE imp.OYES thereon,and who loci ouch work FIXTURES,PER TRAP 5.00 SD.FT.FLOOR AREA TOTAL ACREAGE himself'or through his own employees,provided that such improve- mentsarenotimendedorofferedfursale.If,however,the building GAS-EA.SYSTEM-IINC.4 OUTLETS-6.00 1934 or improvement is sold within one,year of completion,the owne builder will have the burden efproving that he did not build or irer- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 EEE§§§ allILDING USE prove lot purpose of sole.). INDUSTRIALWASTE INTER. 30.00 RR IND CON O Other ❑ Las owner of the property,um exclusively contracting with - IQ' 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 C,mUaclor's License Law does net apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contuteRM s)licensed Pursuant to _ the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under Sec. ,8..1.P.C.tirr Ibis f WATER HEATER W/VENT 6.00 Owner weer .[)at, 6067 nte ' WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKIiRS'COMPI:NSA'I ION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby mrinu fort I have a certificate of consent to sell-insure, or a certificate of Workers'Compensation Insurance,or a certified 20NING ENG.SITE NO. copy thereof(Set.3800 Lab C) Policy No. Compmry_Unl_te1_ Paci-fiC- Q ❑ Certified copy is hereby furnished. Z Z )D( Certified copy t the city inspection division. FIRE SPRINK ENERGY T24 p0 Applicant MISC.- REFER TO ORD. Y N v 0 N[D � y CER'I'1FICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10,00FLOOD ZONE A,L.u.C. LU > COMPENSATION INSURANCE PLG.CONTE. LIC.NO. 'PLG. �.0 This stelldn need not he Completed if the penult is for one TOTAL Y❑ N Y 0N L0 Z hundred dollars(SIOD)orless.) ) 0 1 certify that in the performance of the work for which this per- GTY MECHANICAL PERMIT FEE FEE SUMMARY LL U mit is issued,I shall not employ any person in any manner so as to O W become subject to the Workers'Com Dense t ion Laws of California. IS. Date Applicant ALTER OR ADD TO MECH, 5.00 BUILDING 825.00 } w NOTICE 70 APPLICAN'P: If,after making this Certificate of Ex- Z eruption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK 15.50 provisions of the Labor Code, you most forthwith comply with U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=CF.M.) 4.00 FEE e/)e CONSTRUCTION Ll'NDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 10.71 I hereby affirm Unit 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,Civ.C.). . Security Pacific HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lenders Name 60.35 Lender's Addms �tf,T-f1T= HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC I certify that ave u I Oicntion and state that the above VENTILATION FAN (SINGLE) 4,00 information is correct I agree to comply with all city and county PLUMBING . 6D.35 ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B,T.U.) 6.00 hereby authorize representatives ec this city to enter upon the BOI LER-COMP (Over 100,000 BTUI SEE FEE SCM. 60.35 above-mentioned property for inspection purposes. MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which CONST.TAX ay in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 288.24 Ii amingofthis permit ECH.CONT, LIC.NO. MECH..� TOTALTOTAL 1382.50 gnature of Ap po ractor Dat OFFICE COPY