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14738 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER '. ' CITY' OF CUPERTINO ?38 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 10124 RANDY LANE .UNIT# - LOT# PERMIT EXPIRES IF WORK OWNER NAPPO CONTE CTOR FRED qMITH TERMITE IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION_ RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION ` ANCE OR 180 DAYS FROM - NOTE: LASTCALLED INSPECTION-' UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIUAnON CUPERTINO STANDARDS. GARAGE SLABS - POUR-NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED -II- YN rV• o UNDERGROUND /SLAB4t, PLUMBINGELECTRICAL ' `ISSUANCE.UATEMECHANICAL - (;. ELTPM�DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED n�UNORMATIONTWOOD FLOOR ` VALUATION SIFT. - PLUMBING q Ate} r MF.CHANICAL' - � � _ ,4" + V v• I ELECTRICAL PERMIT To FRAMING INSULATION - STORIES .TYPE CONSTR. OCC,GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO.FT.FLOOR AREA TOTAL ACREAGE .. ROOF - NOTE:NO FINAL INSP.SHALL BE MADE BEFORE 1 DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATHINGRES- IND ILOcON USEPB o'l- APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ •❑ ❑ ❑ ❑ ROUGH- SAN.q ASS ESSORS PARCEL NO. � - PLUMBING ' ELECT:ENERGY TRACT NO. PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL 'MECH.ENERGY - ELECTRICALACC.DATE ACC.FILE NO. BUILDING ENERGY FRAMING' ELECT,FINAL TEST ' INSULATION PLUMBINGroNiNc ENG SITE NO. I GAS TEST GAS MECHANICAL FIRESPRINK ENERGY T.]< -� COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y N.❑ ` ❑ N❑` EXTERIO, SHEAR FLOODZONE A.L UC. R ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. Yo NL] Y ❑ N❑ SHEETROCK - _� _ 8 GRADE FEE SUMMARY EXTERIOR LATH IBUILDING ' - INTERIOR LATH TEMPORARY APPROVALS BUILDwG ; SCRATCH COAT ELECTRIC. PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY - SEISMIC FEE .. _•� OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. MICROFILM > ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 1-- ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING�. ZPLEASE GIVE JOB ADDRESS WHEN PHONING. . — SEE PERMIT FOR EXPIRATION•DATE — MECHANICAL IMPORTANT! coNsr.rax 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 BUI LDI NG PROJECT I DENTI FICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT .AM]RESS /J&thy BUILDING - ELECTRICAL-PLUMBING-MECHANICAL 1478'8 • OWNER'S PLAN CHECK VALIDATION - 7 -7 .T- -7 ' QTY. ELECTRIC PERMIT FEE k?O . elsoNp(...� :s�7 N AMpRAcaoRs OUTLETS-SWITCHES-RECEP 10.00/1.00 / Lm.ND.S7S3 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S 'r APPLIANCES 4.00 �DHEESS ✓a0. olro PRONE 'kS_ 70->87 PANELS 10.00 DATE OF APPLICATION - OR PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE P.C.N . ENGINEER LIC.No. SIGNS TRANS. 3.00 ADDRESS ENG. SPECIAL CIRCUIT 5,00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 APPLICANT'S MOTORS SEE FEE SCH. n^ , ADDRESS SERVICE CHANGE 20.00 0 2 Z. Foo LICENSIiD CON'I'RACI'ORS DECLARATION ¢u w 1 hereby affirm that I an licensed under provisions of Chapter 9 ISSUANCE DATE y a (commencing with Section 7000)of Division 3 of the Business and H N i Professions Cc c I and my license is in full force an effect. BLDG. ELECT. PLG. MECH. 2 0 m - License los Lic.Num we - El El 1:1 4 0 Datc Contractor r _ - ¢ m it ¢ OWNER-BUILDER DECLA RA710Nr CaC all- �fL3 INFORMATION PERMIT o a D ` INFORMATION w ; LL I- I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO O H LL O j Law for tire following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE - 10 y�(\�ATION __j/FT. f Cade:Any city orcointy whichrequiresa permitloconslrucgnitn, d i Hj 2 rt er O improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC.. p}}ssf� a D¢ requires the applicant for such permit to file a signed statement that TOTAL C4] X he is licensed pursuant to the provisions of the Contractors License PERMIT O H z ¢ Law(Chaptei'9(commencing.dif Section 7000)al'Division 3 ofthe a��Q 4 c Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE eI I- m the basis for the alleged exemption.Any violation o(Section 7031.5 -STORIES TYPE CONSTR. n 3 _ by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500t): ALTER-DRAIN&VENT-WATERIEA.) 5.00 ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 their sole compensation,will do tire 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 - property who builds or improves thereon,and who does such work FIXTURES, PER TRAP 5.00 SO,FT.FLOOR AREA TOTAL ACREAGE • himself or through his own employees,provided that such improve- ments are not intended or offered lot sale.Il',however,lire building GAS-EA.SYSTEM-1 INC.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 h - . - . e did not build Or im- BUILDING USE prove for purp.w ofalc.). RES , IND CON PB Other LI 1,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. - 30.00 ❑ ❑ ❑ ❑ ❑ 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 thereon,and who LAWN SPRINKLERS-OVER 5 IEA.) 1.00 contracts for such projects with a contractons)licensed pursuant to - theContractor'sLicenseLaw. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO, ❑ I:Ilnexemplunder Sec. ,B.&P.C.tinlhis WATER HEATER W/VENT - reason 6.00 Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK Ii RS'COMPENSATON DECLARATION WATER TREATING EQUIP. 5.00 - I hereby affirm that I have a certificate ofennsent to self-insure, or a certificate of Workers Compensation Insurance,or a certified ZONING ENG.SITE NO, copy there,LScc.3800,Lab .]],,�� Policy No .0 -Company 0 ❑ Certified copy is hereby furnished. FIRE BPRINK ENERGY TZ4 Cert"��I� n ixfled�W lir t`he "sty �u etion Jivisiam Y ❑ N❑ v ❑ N❑ Fp n icanl.t( .yr1,11tt/u[!{((L-ZOpgKI2�- MISC.- - REFER TO ORD. a: to C17RTIFICATE 01'LXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. LU COMVFNSATION INSURANCE PLG.CONTR. - LIC.N0. PLG. Z I"Phis section need not he completed if the permit is I'or one TOTAL Y❑ N❑ v ❑ N C3 Imm red dollars 1 S 10(1 or less.) U O 1 certify that in ate pe,lbrmunce of the work for which this per QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL t- mil is issued,1 shall not Cmploy any person in any Inanner so as to become subject to the Workers'Compensation Laws of Calilinnia. 0 ED 0. Date Applicant ALTER OR ADD TO MECH, 5.00l BUILDING a�sf } W NO'I'IC17 '10 APPLICANT: 11,at ler making Ihis'Certlflcate of Ex- ? emption,you should become subject to the Workers Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE U such provisions or this permit shall he deemed revoked. - AIR HANDLING UNIT(TO 10MOC.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE I hereby uffirei that Imre is it construction lending agency for EXHAUST HOOD(WITH DUCT) _5.00 the performance of the work I'or which this permit Is issued(See, MICROFILM 3097,Civ.CJ. HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lenders Nome Lender's Address HEATI NG UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC I certify OR,1 have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and countyPLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.Dr 10Q000 B.T.U.) 6.00 hereby undone C representatives of this city to enter upon the BOILER-COMP IOvar 100,000 BTU)SEE FEE SCH. MECHANICAL hereby aullorm property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which faPERMIT ISSUANCE 10.00 CONST.TAX y in any way accrue against and City in consequence of tire 'ranting of this permit. MECH.CONT. LIC.NO. MECH. 3 TOTAL TOTAL Signature of Applicant/Contractor )ate ' OFFICE COPY