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9231 POST THIS CARD NEAR FRONT OF BUILDING PFHMIT NUMBER CITY OF• CUPERTINO INSPECTION•DIVISION 9231 JOB INSPECTION RECORD rAp - ,. PERMIT EXPIRA'PONV, 10400 RIDGEVIEW CT UNIT# `LOT# v • M - JOB ADDRESS _ PERMIT EXPIRES 1 WIORK OWNER TANDEM COMPUTER • CONTRACTOR DEBRITE PLUMBING IS NOT STARTED THIN INSPECTION DATE INSPECTOR 'INSPECTION RECORD ' IOU DAYS OF PERMIT ISSU. FOUNDATION ' _ _ , ANCE OR,�80 DAYS FROM LAST CALLED INSPECTION. LIFER .,i •+ ' PREGUNITE- PERMIT VALIDATION, I POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SL'AB - .\ 1"' /�,•• r ,P},'I''�WL^�'' t PLUMBING ELECTRICAL _ ,�r \��F;. IssUTA E`,ATE 9EDG1' ELECT. PLG. MECH. MECHANICAL v` i`❑ ❑ ` ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT . INFORMATION WOOD FLOOR 77= PLUMBING MECHANICAL - PERMIT TO ELECTRICAL FRAMING - E - s;oRIEs TYPEcONSTR. INSULATION OCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED _SO T.FLOOR AREA � TOTALACREAGE ROOF - DIAPHRAGM BUILDING USE - RES IND CON PB Other El'APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ASSESSORS FARCE L NO. • . ROUGH - - - PLUMBING TRACT NO. PARCEL NO. GAS TEST I MECHANICAL ACC DATE ACC.FILE NO. ELECTRICAL .. FINALS DATE INSP. FRAMING SAN 0 ZONING ENG.SITE NO. INSULATION PLUMBING GAS FIRE SPRINK - ENERGY T.24 , MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ONE] Y ❑ NE] LATH—INTERIOR, ELECTRICAL PLOODZONE AL.U.C. LATH—EXTERIOR FIRE DEPT. Y1 N0 Yo NO SHEETROCK GRADE - FEE SUMMARY SHEAR INTERIOR BUILDING _ . SHEAR EXTERIOR TEMPORARY APPROVALS ' BUILDING FIREWALLS ELECTRIC ..PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED B Y BUILDING INSPECTOR. ,MICROFILM I ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F ONE WORKING DAY BEFORE REQUIRED INSPECTION: PLUMBING O� PLEASE GIVE JOB ADDRESS WHEN PHONING.. Z - SEE PERMIT FOR EXPIRATION DATE MECHANICAL IMPORTANT'! CONST.TAX 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 • `-s"UI LDI NG PROJECT,I DENTI FICATI ON PERMIT NUMBER ruILDING APPLICATION & PERMIT ' ADDRESS - �10 ��. ✓��, ,� BUILDING —ELECTRICAL—PLUMBING—MECHANICAL / 9231 1 OWNER'S PLAN CHECK VALIDATION NAME OTV. ELECTRIC PERMIT FEE • NE c TRACTOR NAM 'S G 3C OUTLETS-SWITCHES-RECEP 10.00/1.00 Z(f ®d LIGHTING FIXTURES 10.00/1.00 nool ess rolls /44944`-0�j PPLIANCES-RESIDENTIAL 4.00 Jr l PANELS IO.00 DATE OF APPLICATION ARCHITECT - PLAN CHECK FEE P,C.NO. OR PANELS (OVER 200 AMP) 20.00 I ENGINEER LIC.NO. SIGNS TRANS. 3.00 ARCR.OR ENG. —PERMIT-VALIDATION ADOR ESS SPECIALCIRCUIT v .5,00 f l � 1 ZIP TEMP.METER OR POLE INS. 20.00 "` p Ul f APPLICANT'S (� ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE � 20.00 o I0 IBISF CI I , 02 LICLICENSED CONTRACTORS DECLARATION TEMP.POLE 30.00 J�1 �cPhdilliE ;j, o U 1 hereby afm CITY ISSj�, fi on that I ulicensed under provisions of Chapter 9 N P/I• n110Yn•. w, a (commencing will,Section 70001 of Division 3 of the Business and DANCE OATEIn. D i Professions Code,,andel elhyy license is in full force and !feet BLDG. ELECT. PLG. MECH. Zo 0 m o License Class_'36 Lic. Dinh r- w Datc_�p—p.A� Cool racier It E M a w a OWNER-BUILDER DF-CLA ATION BUILDING PERMIT a U MISC.— REFER TO ORD INFORMATION it Le ;LL N I hereby aflinn that I nm exempt from the Contractor's License h H L Low for the following reuvn.(Sec.7031.5,liuslnesSand Professions PERMIT ISSUANCE 10.00 VALUATION $/FT, ,A> Code:Any city orcounty which requires a formif roconstn¢L alleq EE M¢ p Improve,demolish,Or repair any structure,Por 10 Its Issuance,BI50 ELEC.CONTR. LIC.NO. ELEC. LL requires the applicant for such permit t0 file a signed statement that TOTAL n w m be is licensed pursuant to the provisions of the Contractor's License PERMIT TO H z a Law(Chapter 9fcommencing with Section 7000)of Division 3 of t Im f 4 O Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE .aZ r $ the basis for the alleged exemption.Any violation of Section 7031.5 MRIES PE CONSTR, by any applicant for a permit subjects the applicant to a civil Penally ALTER-DRAIN (EA.) 5.00 S% - of not more than five hundred dollars($500).): ❑ I,as owner of the properly,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP their sole compensation,will do the work,and the structure is not intended or offered for sale (See. 7044, Business and Professions DRAINS LOOR OOF,AREA OND. RES.UNITS 5.00 Code:The Commelor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00SG.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- memsarenotintendedorofferedforsole.l f,however,the building GAS-EA.SYSTEM-11NC4)DUTLETS 6.00 Oa or improvement is Sold within one year of completion,the owner- builder will have the burden of proving that he did not build or im- IGAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE prove for purpose of sale.!. RES IND CON PB OtM1er ❑ 1,as owner of the property,Ian excl ively contracting with INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the pro' ct(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:'1'm Contractor s L' ease Law does not apply to an owner of property who builds or mproves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 COn ems for such projects with a cont ctorfs)licensed pursuant to the Contractor's license Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCELNO. ❑ I am exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 F reason Owner Dale WATER SYSTEM 5.00 ACC.DATE ACC,FILE NO, WORK F-RS'COMP NSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate ofconsent to self-insure, or a certificate of Workers'Compensation Insurance,or a cerlified ZONING ENG.SITE NO. copy thereof(Sec.3800,Lab.C.). Policy N^S /O Company_/�'AL/H'iL ze H-P O ❑ Certified copy is hereby fur FIRE SPRINK ENERGY T34 Z'2 Certified py i filed with he city In p eNnn division. � O App hint . MISC.- REFER TO ORD. v❑ N❑ v ❑ N❑ ccy Cf-R FICATEOF .XF-MI'TION PROM WORKERS' PERMIT ISSUANCE 1Q00�pJ�0coFLOOD ZONE A.L.U.C. LU > (This section need COMmolt SAbeTcompION lleed if hefpermit is for one PLG.CONal 72rTR. LIC.NO. TOTAL -ft,* YC]Y❑ N❑ Y ❑ N aQ Q hundred dollars IS 100)or less.) 1 certify that in the performance of the work for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY .LL U not is Issued, I shall not employ any person in any manner au as to become subject to the Workers'Compensation Laws of California. O a Dale Applicant BUILDING >- N NOTICE TO APPLICANT: If aft making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 2 emplion,you should become sub' ct to he Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code you must lorthwilh comply with FEE U Such provisions or this permit all he deemcA revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUC ON LENDING AGENCY AIR HANDLING UNIT(OVER l0,000GRM.) 6A0 SEISMIC FEE 1 hereby affirm that ere is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of th work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lenders Name Lender's Address HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC I certify (hut I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 • information is correct. I agree to comply with all city and county ordinances and state lows relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.)' 6.00 PLUMBING r�o hereby authorize representatives of this city to enter upon the BAILER-COMP(Over 100,000 BTU)SEE FEE SCM. abovo-mentioned property for inspection purposes. MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertiagainst liabilities,judgments, costs and expenses which CONST.TAX may ino n any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 granting of this it MECH.CONT. LIC.NO. MECH. �c �� TOTAL TOTAL J� �' Ig re o Appli [/Contactor Dae / OFFICE COPY