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15425.POST THIS CARD NEAR FRONT OF BUILDING - CITY OF. CUPERTINO ' INSPECTION DIVISION JOB'INSPECTION RECORD ' JOBADDRESS 2'2'3! eSA-Lee --%A2 UNIT#. _LOT# - OWNER LOO ti! C /� CONTRACTOR 'oL �- ��—Q G— I'F.RMIT NUMB LR 15425 PERMIT EXPIRATION 'PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM LAST CALLED INSPECTION. INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION - - NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. UFER - PREGUNITE - PERMIT VALIDATION .. ,- ISSUANCE DAT GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED _ UNDERGROUND/SLAB PLUMBING. ELECTRICAL MECHANICAL - BLDG ELECT, •❑ ❑ _P LO � ❑ ' DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - - BUILDING PERMIT. INFORMATION WOOD FLOOR VALUATION - SIFT. PLUMBING � - MECHANICAL ELECTRICAL - - - PERMIT TO FRAMING INSULATION - STORIES TYPE CONSTR. OCC. GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ' ROOF I NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID SO FT,`I..LR AREA TOTAL ACREAM. ,. DIAPHRAGM ROOF SHEATHING BUILDING USE RES IND CON PB -ORIe, ❑ ❑ Cl ❑ ❑ APPLY. NO ROOFING UNTILABOVE HAS BEEN SIGNED FINALS DATE INSP. ' ROUGH SAN.N A SSESSORSPAHCEL NO PLUMBING - -+ ELECT. ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT NO. PAR CF.L NO MECHANICAL .. MECH.IENERGY ELECTRICAL °•' BUILDING ENERGY ACC DATE ACC, FILE NO FRAMING ELECT. FINAL TEST INSULATION - PLUMBING ZONING ie ENG. SITE NO. GAS TEST - - GAS L MECHANICAL + FIRE SPRINK y'❑_ N ❑ •ENERGY T2E Y I]' IN COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL RELEASE FLDUD ZONE ❑ N❑ ALL U C. I L N❑ INTERIOR SHEAR - FIRE DEPT. SHEETROCK GRADE FEESUMMARY EXTERIOR LATH BUILDING BUILDING INTERIOR LATH TEMPORARY APPR ALS SCRATCH COAT ELECTRIC - PLAN CHECK FEE GAS - NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY. SEISMIC FEE OCCUPANCY OF.BUILDING IS NOT PERMITTED UNTIL BUI_DING FINAL -IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ONE WORKING DAY BEFORE REQUIRED INSPECTION. Z PLEASE GIVE JOB'ADDRESS WHEN PHONING. - SEE PERMIT FOR, -EXPIRATION DATE - ELECTRIC PLUMBING MECHANICAL CONST. TAX .t IMPORTANT!. PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION.' •'TOTAL ' OFFICE COPY . Al D! lnAlslr Tn Gu 1 IM IMFnRMOTInN WITHIN RED LINES - USE BALL POINT PEN ONLY w¢z HOO Q U V yzw a 'w mz oz -D� tiH Q p ¢ 4 w U w 3 0 4 FUj la i f � o ¢ 0 40 O u W m N Fz> or x o or H $ Ll. 3 46 A . -- _----_ - - - - --- JECT IDENTIFICATION P("R - APPLICATION & PERMIT • ELECTRICAL- PLUMBING -MECHANIC A QTY. ELECTRIC PERMIT FEE PERMIT NUMBER__,_;, UMBER _ ,� 15725 PLAN CHECK VALIDATION , :' • - DATE OF APPLICATION. PLAN CHELK FEE P.C. NO. aowoRBUILDING BUILDING GUem�• !//JBUILDING- +�O]F NAME zcCunee PHONE CONTRACTORS NAME AA uc. No(;.l UTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'SPPLIANCES-RESIDENTIAL ..KESS /,¢�'-��(y HEIN ARCHITECT .4.00 PANELS 10.00 PANELS (OVER ER200 AMP) 20.00 OR ENGINEER LIC. NO. SIGNS TRANS. 3.00 ARC H. OR ENG. - ADDRESS znP SPECIAL CIRDLIIT 5.00 PERMIT VALIDATION (A'�r�•'�l-/VI O /a q�a EMP. METER OR POLE INS. 20.00 APPLICANT'S ADDRESS - MOTORS SEE FEE SCH. SERVICE CHANGE 20,00 LICENSED CONTRACTORS DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ISSUANCE DATE ' - BLDG. ELECT. PLG. MECH. Professions Code, redow license is full fu efgey° p �J . Plant'•Class se LieNnmbc r3- [,.l Date�Contractor ❑ . ❑ ❑ BUILDING PERMIT OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from Dm Contractor's License Law for the following rearm.(Sec. 7031.5, Business and Professions INFORMATION MISC. - REFER TO ORD VALUATIO7 SIFT. PERMIT ISSUANCE 10.00 Code: Any city or county which requires a permit to construct, alter,' improve, demolish, or repair any structure, prior to its issuatice, also ELEC. CONTR. LIC. NO. ELEC. requires the applicant for such permit to No it signed statement that he is licensed pursuant to the provision5111 the Contractor's License TOTAL PERMIT TO / Q� Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any viola t ion of Section 7031.5 QTY. PLUMBING PERMIT FEE STORIES TYPE CONSTR. gLTER-DRAIN&VENT-WATER(EA.) 5.00 S ZT by any applicant for a permit subjects the applicant toa civil penalty of not more than five hundred dollars ($500),): BACK F LOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS ❑ I, as .wner of the properly, or my employees with wages as their solacompensation, will d. line work, it file. slrucnve Is not Intended or offered to, sale (Sec. 7044, [lost ne.S:and P ... l'essmas - 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 thereon, and who does such work FIXTURES - PER TRAP 5.00 SO. FT. FLOOR AREA TOTALACREAGE himself or through his own employees, provided that such improve- menlsarenotintendedorofferedforsale. If, however, the building - GAS EA. SYSTEM -1INC. 4 OUTLETS 6,00 or improvement is sold within one year of completion, ilia remer, builder will have the burden of proving that he did not build or Ion- Prove for purpose of sole.): ❑ I, as owner Of the property, am exclusively, contracting with licensed contractors to construct the project (Sec. 7044, Business GAS - EA. SYSTEM -OVER 4 (EA.) 2.00 BUILDING USE HIS IND CON PB Omar ❑ ❑ ❑ ❑ ❑ - INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS- 1 INC 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 thereon. and who LAWN SPRINKLERS - OVER 5 (EA.) 1.00 contracts for such projects with a contractor(s) licensed pursuant t. the Contractor's Licemsa•1-aw. SEWER -SANITARY -STORM EA_.200R/10.00 TRACT NO. PARCEL NO. WATER HEATERW/VENT b'0 6.00 ❑ I am exempt under Sec: ,B.&P. C. lin this reason Owner Data WATER SYSTEM Ly s' %5.00 ACC.OATE ACC. FILE NO, WORKERS'COMPFNSATION DECLARATION WATER TREATING EQUIP,?r1" t' 5.00 - I hereby affirm that I have a certificate of consent to self -insure, cur a certificate of Workers• Compensation Insurance, or a carlitied 4copy Ill umof(Sce. 3800, Lab.C:)y2�� Policy No. Company � r y t�k{`.1N .L Pf1 ZONING ENG. SITE N0. - FIRE SPRINK El N 1:1Y ENERGY T.14 . El NO ❑ Certified ropy is hereby furnished ❑ Carlifie py n filed 01, t ' pterion division. Applicant./d�"Y MISC REFER TO ORD. ' PERMIT ISSUANCE 1000/6- -. • FLOOD TONE A.L.7C. CERTIF ICATIi OF EXEM N PROM WORKERS' PLG. CONTR. LIC. NO. ,PLG. _r�� TOTAL' /S uV (7041:NSATI NINSURANCE CI'hls section need not he completed if the permit is for one Y❑' N❑ Y❑ •N❑ MECHANICAL PERMIT FEE FEE SUMMARY hundreddo11ars(SI00)orlessJ - 1- I certify that in the performance of the work for which this per -QTY. mit is issued, 1 shall not employ any person in any manner so as to Compention Laws of California. become subject to the Workers sa Date Applicant BUILDING ALTER OR ADD TO MECH. 5.00 NOTICE TO APPLICANT: If, after making this Certificate of IEx- Colp(ion, you Should bacone'subject [. the Wnrkers'Connpunsal ion provisions of The Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked - APPLIANCE 5,00 PLAN CHECK FEE AIR HANDLING UNIT (TO 10OMQF:M.) 4.00000 AIR HANDLING UNIT(OVER 1O1C.FM.) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ CA _ HEATING UNIT (TO 100,000 B.T.U.) 8.00 HEATING UNIT (OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Name Lender's Address VENTILATION FAN (SINGLE) 4.00 PLUMBING / Icertify that l have read this application and slate that the above information is correct. I agree to comply with all city and county oNinances and state laws relating to building construction, and - BOILER-COMP(3 H.P. Dr 100,000 B.T.U.) 6.00 BOILER -COMP (Over 100,000BTU)SEE FEESCH. _ MECHANICAL _ hereby authorize representatives of lin is city (.Ionic, upon lire above-cientioned property lot inspection purposes. MISC. - REFER TO ORD. CONST. TAX ' (We) agree to save, indemnify and keep harmless the City of upe,tino against liabilities, judgments, costs and expenses which ay in any way accrue against said City in consequence of"the PERMIT ISSUANCE - 10,00 MECH.CONT. LIC. NO. MECH. TOTAL - " TOTAL rant, ofthisperniit. /iS' ature of ppincanl/Con or Date OFFICE COPY