15046 'APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
`BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
pDILDING APPLICATION & PERMIT C O C
/ ODRESS J U
f /UtJfL�LaJ BUILDING- ELECTRICAL-PLUMBING -MECHANICAL
OWNER'S PLAN CHECK VALIDATION
NAME '7Lc�`/ OT1�'. ELECTRIC PERMIT FEE
/♦Y.iO£m Co.m�tlICAIStNE 537
ERACTOR'S C^�u OUTLETS-SWITCHES-RECEP 10,00/1.00
/ O,-7ri/r-li NoILIGHTING FIXTURES 10.00/1.00
ADDRESSTORS S/1..tTst eu4�-+`I c�6- APPLIANCES-RESIDENTIAL 4.00
1l")3 S-vcja e LT PRONE 07,-13 PANELS 10.00 DATE OF APPLICATION
ARCHITECT -OR PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE P.C.NO.
ENGINEER
uc.NO. SIGNS TRANS. 3.00
ADDRESS ENG. SPECIAL CIRCUIT 5.00
/ , PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20,00APPLICAN
-
ADDRESSTs MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
C o LICENSED CONT RACTORS DECLARATION _ `
III u I hereby al'I'inu that I am licensed under pronasions of Chapter Y ISSUANCE DATE
Z N (commencing with Section 7000)of Division 3 of the Itoainess failSW-
1:1
BLDG. ELECT. PLG. MECH.
N z Professions COdt un: RIY(,gena•a in Nand...
force Jab U`U. ❑ �\ ❑ ❑
_Ef�. Lioenso Class " [�> se IN Nwnbcr 5 (a
I- so Uate_5 /�- ContracRill
we. owNEn-uuaur:n me <,'uo �� •,�0 BUILDING PERMIT
D MISC.- RE INFORMATION
u. H I hemby affirm that I um exempt font the Contractor's License VALUATION 5/FT.
_Oa Law for the following reason.(Sec.7031.5,Businessund Professions PERMIT ISSUANCE d0-00 - I - -
Codc Any city or coon is which renuies apencil to cons(NCL idler,
Q 0 improve,demolish,or repair any Sheer Lire,print to its issuance,also ELEC.CONTR. LIC.NO, ELEC. _
G, requires the applicant for such pencil to the a signed slulcnlenl that TOTAL c•'�
W he is licensed pursuant to ting Provisions of the Conln¢loh License
- PERMIT TO
r I Q Law(Chapterand
Po cmnmo C.d with Sect ion 7000)of Division 3 uftho
i c Business Lind Pro fe»ions CoJe1 or That he is exanpl thrnlrum and QTY. PLUMBING PERMIT FEE '
I 1- m the basis for the alleged exvntpliof,Any violation of Section 7031.$ STORIES TYPE CONSTR.
A ; .- by any applicant for a permit objects the applicant toucivilpenalty ALTER-DRAIN -WATER (EA.) 5.00
of nal more than five hunted dollars(5500).1'.
❑ 1•as owner of me popery,err my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES,UNITS
their sole compensation,will do the work,and the suue Wre Is not
intended or offered for sole (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00
Code:The Contractors License Law toes not apply to un owner of
property who huilds or improves thereon,and who does such work F IXTUR ES-PER TRAP 5.00 50,PT,FLOOR AREA TOTALACREAGE
hiona9f or Ihough In,own employees,prove died that such dill
lets arc eat intended aro tiered for sale.ll,howevm,IIIc budding GAS-EA.SYSTEM-11NC.40UTLETS 6.00
nprovement is sod within one year of completion, the owner- GAS-EA.SYSTEM-OVER 4 IEA.) 2.00
der will have the burden of proving that he old not build of int- BUILDING USE
rove for purpou of rale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Dater
❑ 1,as caner of 1110Ppo,erts,mo exdusis'cly cofDactiug with ❑ 1:1 ❑ ❑ ❑
licensed colllralrors to constrict Ale project(See. 7044, business LAWN SPRINKLERS-1 INC 5 VB600 ASSESSORS PARCEL No.
and PolL000ns Code:The Come..tar's Liccnsc Law does col apply V.B. .
to an owner of rrpm, who builds or improves theaun.:unl who LAWN SPRINKLERS-OVER 5(EA.) 1.00
contracts for such projcets with a contrucrmbl licerwO pursuant to SEWER-SANITARY-STORM EA.200tt 110.00
III,C'ontractor's Lmeltie Law. TRACT NO. PARCEL NO.
❑ I um exempt under SEE.-,B.&PL' lin thislesson WATER HEATER W/VENT 6,00
Owner D:°° WATER SYSTEM 5.00 ACC.DATE ACCFLLENO.
WORK E RS'COMPl'NSAT ION DECLARATION WATER TREATING EQUIP. 5.00
1 hereby affirm (Let I have a eertiticmc of corneal to self inwrq
or a cerlifieate of Workers'Compelualion Insurauae,or a certdint ZONING ENG.SITE NO.
ropy thereof(SEE.3800,I.at,C)
Policy No. CampallyTL RJ N J
❑_PfRihet copy is hereby l urnishd. FIRE SPRINK ENERGY T-24
Z� Cert le copy is tiled with the t, inspection division.
O Applicant-A-L�_ __ misc.- REFER TO ORD. Y C] N❑ Y ❑ NC .
N CERTI FICATli 01 lSII11P7'ION'IsROMN'ORKI!RS' PERMIT ISSUANCE 10A0 FLOOD ZONE A.L.U.C.
COMPIiNSATION INSURANCE PLC.CONTR. LIC.NO. PLG.
(This action nee.( not be compldd ii the Permit is for nor TOTAL Y❑ NE] Y ❑ N❑
Z hWldreddalWrs(S1001onlen.)
Q 1 eerily Ihal in the performance of the work for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY
F mit is issued,I Shall nor eaplo, ,I,• person in any manner so us In
GO ""'n'"I to till Wodcri Cmnpcnsetian Lawsof Cahforld:e
IS. Uma Applicant ALTER OR ADD TO MECH. 5.00 BUILDING
Co NOTICIi TO AI'I'LIC'AN'I': II',arcr nreking this Cerl Sicate of l:x. -
Z_ enlption,you should b.aonmsubjen as it,,Workers'Congsens-nion JAPPLIANCE 5.00 PLAN CHECK
provisions al' the Labor Code, you foist fort hwfih comply with FEE
such provisions or this penim shall be deemed revoked. AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00
CONSTRUCTION LENDING AGFNCY AIR HANDLING UNIT(OVER 10000GRM.) 6.00 SEISMIC FEE
I hereby affirm rat there is a construction lending agency lin EXHAUST HOOD (WITH DUCT) 5.00
the periormunec of file work for which this peri,( is issued(See. MICROFILM
3097,Civ.('.). HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender,Name
Lender,Address HEATIN GUN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC
I certify that I have read this application and sine that the above VENTILATION FAN (SINGLE) 4.00
inlormalion is correct. I agree to comply with all city and county BOILER-COMP 13 H.P.or 100,000 B.T.U.) 6.00 PLUMBING
mances and stale laws relating to bantling construction, and
c- enthorim representati
ves of this Lily to cNvr upon the BOILEF1 OMP (OVar 100,000 BTU)SEE FEE SCH. MECHANICAL
e-m authored property far sp 1 this
purposes.
(We) agree to save, indenmlfy and keep Imnnless the Cite of MISC.- REFER TO ORD.
upertino against Ii abilities,judpnlnnn, costs Lind IN..mass which PERMIT ISSUANCE 10.00 CONST.TAX
I
ay in any way accrue against said City in Lonsequence of the
\ r
In •of lho perlmI.�Q MECH.CONT. LIC.NO. MECH,
TOTAL TOTAL
- $igllalure of Appli I Cuntracwr Daly
OFFICE COPY
POST THIS CARD NEAR FRONT OF BUILDING
PERMIT NUMBER
CITY OF CUPERTINO 15046
INSPECTION DIVISION
JOBANSPECTION RECORD
PERMIT EXPIRATION
JOBADDRESS . 10400' R1dgeVleW Court UNIT# - _LOT# T
PERMIT EXPIRES IF WORK ?
OWNER Tandem Computers CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR '.INSPECTION RECORD 180 DAYS OF PERMIT ISSU.
FOUNDATION . - ANCE OR 180 DAYS FROM
NOTE:
UFER ALL GRADING AND-DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION.
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CIN OF PERnuT vnLlDn AGN
CUPERTINO STANDARDS.
GARAGE SLABS • '
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND ISL:AB
PLUMBING
ELECTRICAL - - ISSLANCE DATE
. MECHANICAL BLDG ELECT I PLO MECR
❑ [. ❑ ❑ ,
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED _ BUILDING PERMIT
+: INkORMATION
WOOD FLOOR '
.DATION
PLUMBING
MECHANICAL "
ELECTRICAL PERMIT Ta - -
Ca:t
FRAMING er
INSULATION ipCc-,P r OCO&A F lak~
STORIES TYPE CONSTR.
. DCC 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 . ,
DIAPHRAGM -THE CONSTRUCTION TAXIS PAID
ROOFSHEATHING - RES IND CON usLPR O
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALSDATE INSP. ❑ El 1:1 El El
ASSESSORS PARCEL NO,
ROUGH SANA
PLUMBING ELECT.ENERGY
TRACT NO. PARCEL NO.
TUBS&SHOWER PAN PLUMBING ENERGY
MECHANICAL MECH.ENERGY '
. " ELECTRICAL ' BUILDING ENERGY - -ACC. DATE ACC.FILE NO
FRAMING ELECT.FINAL TEST
INSULATION ZONING ENG.SITE NO.
- PLUMBING
GAS TEST GAS
MECHANICAL FIRE SPRINK ENERGY T.24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N Y E N�
'
EXTERIOR SHEAR - ELECTRICAL RELEASE •'u. FLOOD ZONE A.L U.C.
INTERIOR SHEAR FIRE DEPT. Y❑ NE:l y ❑ N
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 JOCCUPANCY SEISMIC FEE ,
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM
w ARRANGE FOR INSPECTION BY PHONING 252=4505, ELECTRIC j�h "CV
I.- ONEWOR KING DAY BEFORE,REQUIRED INSPECTION. PLUMBING
O PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z MECHANICAL
— SEE PERMIT FOR EXPIRATION DATE —
IMPORTANV coNST..TAz
PLEASE READ REVERSE SIDE BEFORE TOTAL.
CALLING FOR FINAL INSPECTION.
OFFICE COPY