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14552 f• POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPFRTINO 14552 INSPECTION DIVISION ' JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 10500 Ridgeview Court UNIT# _LOT#t PERMIT EXPIRES IF WORK OWNER Dl ltal Equipment COY . CONTRACTOR Viking Electric IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD AN DAYS OF PERMIT ISSU- CE OR 180 DAYS FROM FOUNDATION NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PREGUNITE CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED LUNDERGROUND /SLAB v�/ •L— Sw GKA r PLUMBING L'-�' l/ / O ELECTRICAL &I1O/T A ISSUANCE DATE BLDG EL[Ci PLG. MECH MECHANICAL /A5 r�aa9� '� M ❑ ❑ D ❑ - rr T•�� C�f �7'r DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Y —/S"'E�' ��/'y''� `r/e `�� BEILDING INFORMA7 ONT WOOD FLOOR ~4 -Y'!!f VALUATION SIFT. PLUMBING f,I[AVjCG syllir /5'&4& MECHANICALH',t ' //��'F• PERMIT TO ELECTRICAL '��•• r t _ FRAMING p OK _� ! EFTFLOOF TYPE CONSTH. INSULATION P Res UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED �� 50 AIIFA TOTAL ACREAGE ROOF NOTE'NO FINAL INSP.SHALL BE MADE BEFORE —' DI'APHRAGM THE CONSTRUCTION TAX IS PAID auaolNc usE ROOF SHEATHING I[I IND EON PB um.. El El 0 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. nssessoas PARCEL No ROUGH SANA PLUMBING ELECT.ENERGY TRACT NO PARCEL NO TUBS&SHOWER PAN PLUMBING ENERGY MECHANICAL MECR ENERGY . ACC UA_TE ALC FILE NO ELECTRICAL BUILDING ENERGY. FRAMING ELECT.FINAL TEST AI ZONING ENG.SITE NO. INSULATION PLUMBING GAS TEST GAS III / FIRE SPRINK ENERGY TQ4 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑' NE Y ❑ N[] FLOOD/ONE ALUL EXTERIOR SHEAR ELECTRICAL REL ASE INTERIOR SHEAR FIRE DEPT. L, N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING INTERIOR LATH TEMPORARY APPRO LS SCRATCH COAT ELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM /-w- `•L ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. + MECHANICAL SEE PERMIT FOR EXPIRATION DATE — ' *4 CONST.TAX IMPORTANT! 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 BUILDING PROJECT IDENTIFICATION //5� ,PERMIT NUMBER BUILDING APPLICATION & PERMIT 14552 ADDRESS 0600 6 ✓iEw Cil. BUILDING - ELECTRICAL-PLUMBING-MECHANICAL OVl'NER'S PLAN CHECK VALIDATION NAME QTY. ELECTRIC PERMIT FEE 1 r,) E CONTRACTORS UTLETS-SWITCHES-RECEP 10.00/1.00 -, NAMES � `( 16IIJ E /rtl�y.lc.rvo. LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'' APPLIANCES-RESIDENTIAL 4.00 s ADDRESS PANELS 10.00 PATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK7 P.C.NO. OR ENGINEER LIC.No, SIGNS TRANS. 3.00 AARCH.OR DDRESS ENG. SPECIAL CIRCUIT C/&/1A 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 APPLICANTS MOTORS SEE FEE SCH. ADDRESS - SERVICE CHANGE 20.00 '02 LICENSED CONTRACTORS DECLARATION Ix o u I hereby affirm that I am licensed under provisions of Ch.ptc,9 ISSUANCE DATE wa w (commencing with Section-7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. r y z Professions Code nd my license is in full force and ffec,{ Z ❑ © ❑ ❑ Z o m - License Class-(,'-).0-Lic.Number-3](Ip 0 z E Date �� S�-Con tractor 1, - _V BUILDING PERMIT ¢ y ¢ a w ¢ OWNER-BUILDER DECLARATION INFORMATION cola " - MISC.- REFER TO ORD ' wS LL H I hereby intinn that 1 am exempt Gom the Contractor's License u o< Law fof the following reason.(Sec 7031.5,Businessland Professions PERMIT ISSUANCE 10.00 _ VALUATION 5/FT. w -1 Code:All or county whichri•9uiresapermitmconstruct,.Iter. le ¢ aa Q 0 improve,demolish,or mom.any structure.prior mils issuance,also ELE .CONTE. LIC.NO. ELEC. (/My O LL lCQ nlleS the upphCJnt For inch permit IV file a SIgOCd 5(atl'mCllt that ; 9 TOTAL /�` PERMIT TO a w m he is licensed pursuant to the provisions of the Conrracmr's License FZ Law 9(,om..Parmgwilh Seed ofDivision 3of the Business ant] professions Code)or that he is exempt therefnnn and QTY. PLUMBING PERMIT FEE Q ¢ H 0 the basis for the titlegetl exemption.Any iiolalin,of Section 7031.5 1 STORIES TYPE CONSTR. .w by any applicant lbr a permit subjects the applicant to a civil penalty ALTER-DRAIN& VENT-WATER (EA.) 5.00 of not mora than five hundred dollars(5500iF ❑ I,as owner of the property,or my employees•with wages as BACK FLOW PROTECT.DEVICE 4,00 OCC.GROUP RES.UNITS their sole compensation,will do the work.and the structure is not intended lar offered for sale (Sec. 7044. Business and Pmfewions 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 Ihercon,and who does such work FIXTURES-PER TRAP - 5.00 SG.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employces,provided that such improve mmnts are not intended uroffered fursWc.IL however,the building GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is sold within enc year of completion,the owner- GAS-EASYSTEM-OVER 4 IEA) 200 BUILDING USE builder will have the burden of proving that h . . . e did not build or im' RES IND CON PB Omer prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ 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 Contractors License Law docs not 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 mntmemgs)licensed pursuant to the Contractors License Law, SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ I:un c,mnlpt order SCc. ,11.&P.C.fur this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACO.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent m self-insure, or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy IImmol'(See 38 0,Lab.CJ� Policy N. -)'- Jonlpany- 1,AA-1001 O ❑ Ccr dict copy ry hereby It...II,Iod. FIRESPRINK ENERGY T-24 Z Z ❑ Ccrlific�(y,�Lpfdcd will Ily inspection division. MISC.- REFER TO ORD. y N Y N CC Cl:R'I 111:1 CITE OF E X Fitt PTrION F RO M WORK 1:RS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. LU COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. Y❑ IN[] Y❑ NE] O (Phis section need not be completed if the permit is for one TOTAL D Z hundred dollars IS 100)or less.) V O 1 certify that in the petli>nna Ire of Ills work to,which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL F mit is issued, I shall not employ any Person m any nmuumr vl as to V become subject to the Workers'Cunlpensul ion Laws of California. BUILDING i Date Applicant ALTER OR ADD TO MECH. 5.00 } m NOTICE TO APPLICANT: If,after making this Certificate of Ex- F ? enlptfon,you should become subject to the Workers'Compcnsaliun APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE CJ such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10)"CF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE I hereby affirm that there is it construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 1 ' the performance of the work for which this permit is issued(Sec. MICROFILM 3097•Civ C.). HEATING UNIT(TO 100,000 B.T.U.) 6.00 Lender's Nm. Add HEAT[NG U N IT(OV ER 100,000 B.T.U.)9.50 Addre Lender's ss ELECTRIC _ ! I certify that 1 have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct, 1 agree to comply with all city and county PLUMBING 0,000 B.T.U.) 6.00 ordinances ad stale laws neletiag to building construction, and - BOILER-COMP(3H.P.or 10 hereby authmi/e representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL above-nmationed property for inspection purposes. li (We) agree to save, indemnify and keep harndcss the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which pERM1T ISSUANCE 10.00 CONST.TAX lay in any way accrue against said City in conuquence of the ounpiti,pi this PC...I,,. MECH.CONT. LIC.NO. MECH. TOTAL TOTAL Si are of Applicant/Contrctor I Dae t OFFICE COPY