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18035 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 16035 INSPECTION DIVISION p OB INSPECTION RECORD / I / 04 PERM IT EXPIRATION JOB,AD DRESS/ _UNIT#' _LOT# PERMIT EXPIRES IF WORK OWNERCONTRACTOR .IS NOT STARTED WITHIN INSPECTION DA"IFE INSPECTOR INSPECTION) RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR-180 DAYS FROM NOTE: LASTCALLEDINS;ECTION. - UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED ')�,9 PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF FERMI VALIOAT w CUPERTINO STANDARDS. 1 GARAGESLABS ' • 1 1Y POUR NO:CONCRETE UNTIL ABOVE HAS BEEN SIGNED, UNDERGROUND /SLAB 01989 , PLUMBING' J ELECTRICAL ANCE DATE MECHANICAL Cl,: PEO. MC�CR/ . - ElElEl11G DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT 'WOOD FLOOR INFIORMATION PLUMBING VALUATION SIFT. ' MECHANICAL - - ELECTRICAL - PERMn To FRAMING `V AA l.Y INSULATION - - STORIES TYPE CONSTR. OCC GROUP RES,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ' - ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE SO,FT FLOOR AREA TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATHING RES - INpuILo`ON USEPa APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS .DATE.. INSP. ❑ ❑ ❑ ❑ ❑ ROUGH SAN.q tissEssons PARCEL Na 7 " PLUMBING ELECT.ENERGY PTRACT NO PARCEL NO TUBS 8 SHOWER PAN - PLUMBING ENERGY N _ MECHANICAL MECH.ENERGY ELECTRICAL ' ACC.DATE ACC,PILE NO. BUILDING ENERGY - FRAMING ELECT.FINAL TEST NTNG ENG.SITE No. INSULATION PLUMBING GAS TEST - GAS MECHANICAL INK ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ "❑ Y ❑ No EXTERIOR SHEAR ELECTRICAL.RECEASE ' FLOOD ZONE A.L UO INTERIOR SHEARFIRE DEPT. v ❑ n!❑ v ❑ N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH - TEMPORARY R VALS BUILDING ' SCRATCH.COAT- - ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCYSEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUI LOING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING, Z PLEASE GIVE J08 ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL f % N IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL )) / CALLING FOR FINAL INSPECTION. •/' �^` OFFICE COPY ; •yAPIPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING n APPLICATION & PERMIT 18035 BIRCIet BUILDING-ELECTRICAL-PLUMBING-MECHANICAL ' OWNER'S - PLAN CHECK VALIDATION NAME ^ a53-'�3� Q ELECTRIC PERMIT FEE /f- PHONE CONTRAC 's rvA E / TLETS-SWITCHES-RECEP 10.00/1.00 QS Lia NU. �6SZ�b LIGTING FIXTURES 10.00/1.00 CONTRACTOR PPLI CES-RESIDENTIAL 4.00 AODREaS(/11�yr r.� /� /� /I, \(� 1 sstjV",'/ W 1(%l.(�./V 'HONE✓/ f/} SIO PANELS 10.00 DATE OF APPLICATION ARCHITECT�N A 4086 PANELS (O R 200 AMPI 20.00 PLAN CHECK FEE P;C. O. OR NGINEER .No. SIGNS TRANS. 3.00 moo ESR ENG SPECIAL CIRCUIT, 5.00 PERMIT VALIDATION \I zap EMP.METER OR P LE INS. 20.00 �L AvvucANrs AMOTORS SEE FEE SCH. ooREss �,S,j W"Ihl•P/1- `tf SERVICE CHANGE 20.00 �•�U-�� 1989.02 LICIiNSEU CONTRACTORS DIiCLA RATION a Z w 1 hereby affirm that 1 am license(] under provisions of Chapter 9 ISSUANCE DATE a (commencing with Section 7000)of Division 3 of the Business and �LECT. PLG. MECH. H o i 1'rofessioms Cod d y icense is In full farce a Ikl. ❑ ❑ ^ ' z 0 w - License Cla s Lis.Number L _ �/ _0 z -0 Contractor Number .1. H J BUILDING PERMIT rc o w u OWNER-BUILDER DECLARATION INFORMATION X ; LL N Lherehy al'I irm Ib:n I nm exempt from the Gmtmmor's License MISC.- REFER TO ORD HuIJ Law for the fnllowing reason.(Sec.7031.5,Business and Professions •PERMIT ISSUANCE - 10.00 VALUATION $/FT. Code:Any city or county which requires a permit to construct,alter, KIn a 0 improve,demolish,or repair any structure,prior In its issuance,also EC CONTR. LIC.NO. 'ELEC. °u requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO 6 d he is licensed pursuant to the provisions of the Contractors License ,A �/1/, Hz > Law(Chapter 9(commencing with Section 7000)of Division 3 ofelo �� NIL-�"L a Business and Proflm essG Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE $ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. . ate _ by any applicant for a permit subjects the applicant to acivil penalty ALT"-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars($500)J: ❑ I,as owner of the property,or my employees with wages as BACK NOW PROTECT.DEVICE 4.00 OCC,GROUP RES.UNITS their sole compensation,will do the work,and the Structure is not intended or offered ]'ar sale (Sec. 7044, Business and professions DRAINS- R,ROOF,AREA,COND. 5.00 Code: The Contractor's License Law does not apply to an owner of • property who bulls or improves thereon,and who does such work FIXTURES R TRAP 5.00 SQ FT.FLOOR AREA TOTALACREAGE himself or through his own employees,provided that suet,improve- Rents mprovr GAS-EA.SVST -11NC.40UTLET$ 6.00 Rents are not intended or offered]'or sale It,however,file building Or improvement is sold within one year of completion, the owner- GAS-EA.SVSTE -OVER 4 (EA.) 2.00 BUILDING USE boiler will have the burden of proving that he did not build or int RES IND CON PB Orhxr prove for purpose of sale)." INDUSTRIAL WASTNTER. 30.00 ❑ I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 C 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 Ihereon,:md who LAWN SPRINKLERS-OVN 5(EA.) 1.00 contracts for such projects with a contractor(s)licensed pursuant to SEWER-SANITARY-STORM .200ft/10.00 the Contractors License Law. TRACT NO. PARCEL NO. ❑ Iamexempt un der Sec. ,B.&P.C.for this WATER HEATER W/VENT - 6.00 on Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. .00 I hereby affirm that I have a certificate of consent fo self-insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a cert led co Py til coaal�'' Sp�Luh.C.hS i h 1/�•A r Policy NcR'r� �'T ormny�� - 0 0 Certified copy is luereby furnisl,Fd. FIRE SPRINK - ENERGY T R4 Z 2 FK Certified copy file with Writ sEec[im, division. F O Apphcant�7-��n / -�-%j MISC.- REFER TO ORD. v N v ❑ N[ = y CERTIFICATE OF EXEMI'1'ION FROM WO KEN RS' PERMIT ISSUANCE 10,00 FLOOD ZONE A.L.U.C: LU > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. CL Z f li'm section need not he completed if the permil is for One TOTAL Y C] Is�' Y 11 N El hundred dollars IS 100)or less.) U O 1'certify that in the performance of the work for which this per- CITY MECHANICAL PERMIT FEE FEE SUMMARY (,L P- mit is issued.I shall not employ any person in any manner so as to O w became subject to the Workers'Compensation Laws of California. CL Data Applicant ALTER OR ADD TO MECH. 5.00 BUILDING } (C NOlIC17 1'0 APPLICANT: If,after making this Certificate of Ex- ? CU1Pfion,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 be deem00 ed revoked. AIR HANDLING UNIT(TO 1Q0CF.M.) 4.00 CONSTRUCT ION LENDING,AGENCY - AIR HANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIC FEE 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Cie CA HEATING UNIT(TO 100,000 B.T.U.) Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC .I cmlify that l have read this appliemtlon and state that 1111 above VENTILATION FAN (SINGLE) 4.00 information is correct.I agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00 hereby authorize representatives for of tpurposes. ntm,tellies inspection this city fo'eer upon the above-mentioned prBOI LER-COMP (Os100,000 BTU)SEE FEE SCH. MECHANICAL. •Q property il VO agree to save, indemnify and keep harmless IIIc City of MISC.- REFER TO ORD. all Cu(pertino against liabilities,judgments, costs and expenses which J.pERMIT ISSUANCE CONST.TAX • may in a y way accrue against said City in can equenc• of the Z •DO rami g lis permil i - .. ( /�.. MECH.CONT. - LIC.NO. MECH. / T°T TOTAL 9v �s Sl r (Applicant/Contractor (hate Y` v OFFICE C6PY