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16640 POST.TH'ISCARD'NEAR FRONT OF BUILDING. ' PERMIT NUMBER CITY-OF :CUPERTINO ; 1664.0 : INSPECTION DIVISION JOB INSPECTION, RECORD PERMIT EXPIRATION EXPIRATION .' T JOB ADDRESS o2 .12,9 ' l4}-�7 UNIT# •-LOT# PERMIT,EXPIRES IF WORK OWNER 7EsnnP, ,�• ' CONTRACTORj �p vlN �4Uf7 IS NOT STARTED WITHIN . INSPECTION DATE' INSPECTOR - INSPECTION'RECORD 180 DAYS OF, PERMIT ISSU. FOUNDATION - ANCE OR 180 DAYS FROM NOTE: " LASTCALLED INSPECTION. LIFER - 'F ',i' - ALL,GRADING,AND DRAINAGE SHALL BEJNSTALLED PREGUNITE� - TO COMPLY WITH THE APPROVED PLANS AND CITY OF PI:HMITVALIDATION- _ CUPERTINO STANDARDS. , GARAGE SLABS - ' +'^ i .•• POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED _ - UNDERGROUND)SLAB',- PLUMBING ELECTRICAL, .> o,q - ^p, ISSUANCE.UAiF G. ELECT ,PLG. MECH, MECHANICAL - �� ' a '"- - fCN© i �y o1 CUP ❑ . D : ❑ , � DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED 'BUILDING PERMIT INFORMATION WOOD FLOOR VALunrloN .PLUMBING q MECHANICAL - .. ELECTRICAL - .L.L."T TO FRAMING , (INSULATION STOT IES TYPE-CQNSTR, h - - OCC GROUP HIS UNITS " . l PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED n ROOF NOTE:NO FINAL INSP:SHALL BE MADE BEFORE S O.FT,FLOOR AHCA TOTAL ACREAGE .� DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING use ROOF SHEATHING Rus :IND CON NB Do— - r APPLY NO-ROOFING-UNl'ICABOVE'HAS'BEENSIGNEO• FINALS 'I MT'.:T^ '� DATE . ' -(NSP:.. o : o ❑ ❑ ❑ .. n55ESBORS SANPARCEL NO. 'ROUGH S ' PLUMBING - ELECT,ENERGY - TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT NO, PARCEL NO. MECHANICAL - MECH.ENERGY ACG.DATE - ACGFILIiNO- •ELECTRICAL - - BUILDING ENERGY , ;FRAMING ELECT.FINAL TEST ' jINSULATION PLUMBING. -� - - ZONING ENG.SITE NO. ,GAS TEST.- GAS } - MECHANICAL. - PIRESPRINK ENERGYTza I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED" HEATING'_ ° ❑ "❑I I ` "❑ : ,EXTERIOR-SHEARFLOODZONIA,L U,C. ELECTRICAL-RELEASE - ANTERIOR-SHEAR - FIRE DEPT. Y❑ "❑ ° ❑ N❑ ISHEETROCK - GRADE FEE SUMMARY ' jEXTER10R,LATH . 'BUILDING INTERIOR LATH - - TEMPORARY APPROVALS - BUILDING '.SCRATCH COATELECTRIC p PLAN CHECK I 1. GAS .. FEE ' .L NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED IOCCUPANCY. , SEISMIC FEE OCCUPANCYOF BUILDING ISNOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BVBUILDING INSPECTOR. MICROFILM- ARRANGE FOR INSPECTION BY-PHONING-252:4505, ELECTRIC :, LU� ONE WORKING DAY BEFORE REQUIRED INSPECTION. r, PLUMBING z PLEASE GIVE JOB ADDRESS WHEN PHONING., :- e a MECHANICAL — SEE.PERIVI_MYOR EXPIRATION DATE =; IMPORTANT! ' ' t CONST.TAX ,; " PLEASE READ"REVERSE SIDE BEFORE ' '.-''CALL`ING FOR FINAL INSPECTION. .TOTAL OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY_ BUILDING'PROJECT IDENTIFICATION _ -PERMIT NUMBER ^ y �. p ���/✓9'YarJ- '� APPLICATION & PERMIT no ADUREs> 3 ^ 6 4 O '.IZBUILDING -ELECTRICAL-PLUMBING-MECHANICAL y ' OWNER'S- " PLAN CHECK VALIDATION NAME, k+ ` Q OTV. ELECTRIC PERMIT FEE t—< ���` PHONE NANMERAcrons OUTLETS-SWITCHES-RECEP ,10.00/1:00 `7-3✓ro W7i)' Ctl NJ' Li C.No� LIGHTING FIXTURES - 10.00/1.00 r" ^ CONTRACTOR'S , - - APPLIANCES-RESIDENTIAL'. '4.00 y_ - ADDRESS .,fin` '/ _37.i) •�]•� " ' 9)7 A I ���"/M/.r'��EHONSW 3 /o) PANELS 10.00 DATE OF APPLICATION sl on PANELS PANELS (OVER 200 AMP) 20,00 PLANCHECKFEE P.C. ENGINEER„ - ,'. ' See.NO ISIGNS TRANS. 3.00 ARCH,OR ADDRESS ENG , SPECIALCIRCUIT 5,130 ' PERMIT VALIpATION Zip EMP:METER OR POLE INS. '- 28:BB' (j APPLICANTS - MOTORS SEE FEE SCH. ADDRESS _ ' - SERVICE CHANGE t, ' ;20.0013 py o 0 LICENSED CONTRACTORS DECLARATION ,ran L So <u U, I hereby affirm that I am licensed unon der Provisis of Chapter 9' ISSUANCE DATE - N a$ (commencing with Section 7000)of Division 3 of the Businessaod G. , ELECT. PLG. MECH. 0 Professions Code,and m license is in.fill fy,[ce nand e[feyt. L Z 0 f License Ch y Lic.Number15-3$dtc>_� r C - - - 4 w L w v Date_I�� Contractor ., .. \ sc x UILDING PERMIT. - ¢ ¢w OWNER-BUILDER DECLARATION O� e(1n MISC.- REFER TO OR INFORMATION w;LL I- 1 I hereby uffinn That I am exempt from the Cantracmr's License - Q N FLLwj Lawforthe following mason.(Sec.7031.5,BusinessaVALUATION nd Professions PERMIT ISSUANCE — S/FT, „ Code Any city or county which requires a penn,ta conamet,alter. ¢'� InnPr vc,:demolish,or repair any structure,prior to Issuance,also ELEC CONTR. LIC-N0: ELEC. - 0 n. ¢ requires[hc.ipplmanl for such pe mu to file e.ign d stw meat that _ TOTAL w W m 1L he Is licensed pursuant to the Provisions of the Contractors License • `— -� "+PERMITTO, RiQ Law(Chapter 9(conm.encing with Section 7000)of Division 3 of0ie r !�F'/ �•u?CT. s s 0 and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE IS s- m !!.,Inc.he basis for the alleged'exemption.Any violutitun of Sect ion 703 L5 STORIES, TYPE CONSTR. La ; by any applicant for a permit subjects the applicant to a civil penalty' of not more lhon9'ive hundred dollars(8500).):•' ALTER-DRAIN St VENT-WATER (EA.) 5.00 ❑ I,as owner of the property,or my employees with wages of their ode r offered ion,will(S the work;and the and Prof is not BACK FLOW PROTECT.DEVICE. 4,00 - DCC.GROUP RES.UNITS intended or ontract for Luce(Sec. 7044, Business and Profession DRAINS-FLOOR,ROOF,-AREA,COND..5.00 ' Code:'flue who or License Law docs not apply o nm owner of property who builds or improves thereon,and who docs such work FIXTURES,-PER TRAP ' 5.00 SD.FT.FLOOR AREA- TOTAL ACREAGE • himselforthrough his own empinyot sale.Provided that such improv✓ s mems nip rovnot emeintendld proffer ed yearIL however,the building GAS-EA:SYSTEM-1INC.4OUTLETS, 6.00 r• or Iden will is held within one year of clic did completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 builder will have the burden of proving that be did not build or im- 1 '-t BUILDING USE , prove for purpose of sale J. INDUSTRIAL WASTE INTER. .30.00 RES •' IND CON PB 'Other ❑ 1,as owner of the property,am exclusively contracting with - ❑ O El 11 ❑ licensed'contructors 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 docs not apply to an owner of property who huilds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.). '1.00 contracts for such projects with a contmctims)licensed pursuam to SEWER-SANITARY-STORM EA.200ft/10.00 the Coutnctofs Licenae Law. TRACT NO. - PARCEL NO. ❑ l ane exempt under Sec. - B.&RC.for this' WATER HEATER W/VENT -16.00 ' mason Owner - Date WATER SYSTEM -'.5.00 ACG DATE .ACC.FILE NO. WORK ERS'COMPENSA'rION D17CLARATION NIATER'TREATING EQUIP, x.5.00 _ 'I hereby affi6n that I have a certificate of consent to self-insure. .. _ or a certificate of Workers'Compensation Insurance,or a certified; ZONINGS .ENG.SITE N0. - A copy themol(Sec.3HOQ Lnb.C.I - Policy No. Coon'. 0. ❑ Certified copy is horebyfurnished. _ •' FIRE SPRINK ,• ENERGY TYA Z z ❑- Cent 1 is 11cd wi th�y�t inspection division. - O Applicant //S/ l MISC.- REFER TO ORD. ` v ry v ❑ No ~ FROM - PERMIT ISSUANCE 10.00 O: Cli 'fIPICATF:ONSAVIONIONWORKIiRS" FLOOD ZONE ; A.L.U.C. ' W > •. COMPIiNSA'I'ION INSURANCIi I PLG.CONTR. _ .LIC.NO. PLG.. CL 0 (This Section need not be completed if the permit is for one TOTAL - "v�' N� V [:] N� Z hundred dollars IS 100)of Its,.) - U O . I certify that in the performance of the work foi which this per- OTY MECHANICAL PERMIT' FEE I•FEE SUMMARY .' -LL' I- mit is issued, I shall not employ;ay person in any manner so as to. O W become subject to the Workers'Compensation Laws of Calirornia. - d Date ApplicantBUILDING } y Nonce TO If,aver Snaking this Certificate of Ex- ALTER OR ADD TO'MECH. 5.00 - Z emption.,you Should hecome subject to the Workers'Compensation APPLIANCE 5.00 •PLAN CHECK P rovisions of the labor Code, you most forthwith comply with FEE U such provisions or Ibis permit shall ho Acemal evoked. AIR HANDLING UNIT(TO 10MC.F:M,) 4,00 CON:;TRUCI'ION L17NDING AGENCY' AIR HANDLING UNIT(OVER 10=C.EM.) 6.00 SEISMIC FEE f' [-hereby affirm that there is a construction lending agency.for EXHAUST HOOD(WITH DUCT)' 5.00 y the performance ol',the.work for which this peunit is issued(Sec. - MICROFILM- - 3097,Civ.C.). " HEATING UNIT(TO 100,000 B.T.U.)- 6.00 Lender's Name H EATI N G UN ITi(O V ER 100,000 B.T.U.)9.50 � Lender's Names ELECTRIC I c,rtily that l have read this applicmion and state that like uhove -VENTILATION FAN (SINGLE) 4.00 . information is correct. I agree to comply with ell city and county• PLUMBING ordinances and stale laws relating to building construction, and BOILER-COMP H.P.or,100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the ,,BOILER-COMP (Over.100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property for Inspection purposes (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. - Cupertino against liabilities,judgments;costs and expenses which PERMIT ISSUANCE L , 10.00 - CONST.TAX m ay•in ny way accrue against said,City in consequence of the - " rz tin f this en'It - MECH.CONT. LIC.NO. MECH. - TOTAU TOTAL more of ApmunnElfontracroor Datc - OFFICE COPY