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18338 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 18338 INSPECTION DIVISION . . , JOB INSPECTION RECORD' PERMIT EXPIRATION JOB ADDRESS�SS.L_�q( S'cQ'�1e-1 =br UNIT# _LOT# PERMIT EXPIRES IF WORK -OWNER —I S)'2_.. CONTRACTOR ( IS NOT STARTED WITHIN INSPECTIONDATE INSPECTOR INSPECTION RECORD 1BU DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. UFER ALL GRADING-AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS _ - . PAID POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ... ! Z., � UNDERGROUND /SLAB _ JAN -1'21990 ,,{{ PLUMBING ELECTRICAL - CIrJ Of rRDP,►rlOn / ISSUANCE DATE '�•d� MECHANICAL . ,. - BLDG ELEcr., PLG, MECH� 00 NOT POUR FLOOR UNTIL ABOVE HAS BEENSIGNEDBUILDING PERMIT WOOD FLOORINFORMATION �+ VALUATION SIFT, PLUMBING MECHANICAL . ELECTRICAL - PERMIT TD FRAMING - - t INSULATION - _ _ ES TVTECONSTR. OCC GROUP RES UNITS ` PLACE NO SU.BFLOOR UNTIL ABOVE HAS BEEN SIGNED $D ET,ILOOR AREA TOTAL ACREAGE ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID Rw LolNc use ROOF SHEATHING Res IND CON PB CII,,., 'APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ 1:) ❑ ROUGH SAN.H ASSESSORS PARCF,L NO ' PLUMBING ELECT.ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT NO. PARCEL NO MECHANICAL - - MECH.ENERGY. • ELECTRICAL BUILDING ENERGY ACC DATE ACC FILE NO FRAMING - ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION PLUMBING GAS TEST GAS EIRE SHRINK ENERGY T 24 MECHANICAL . N❑ " Y ❑ No COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - , F . . EXTERIOR SHEAR � � - ELECTRICAL RELEASE LOOD ZONE AL UC. INTERIOR SHEAR FIRE DEPT. - Y❑ "�+ Y L "❑ 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 OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING.252-4505, ELECTRIC 0� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN-PHONING. — SEE'PERMIT FOR EXPIRATION DATE — MECHANICAL IMPORTANT! coN'sr.rnx PLEASE READ REVERSESIDEBEFORE TOTAL ��•� CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BYI LDI NG PROJECT I DENTI FICATION .PERMIT NUMBER APPLICATION & PERMIT BUILDINGEll BUILDING -ELECTRICAL-PLUMBING-MECHANICAL 18338 OwNER'E �--7 PLAN CHECK VALIDATION ry(biLO& e2✓ /-50�� O ELECTRIC PERMIT FEE `PHONE CONTRACTORS �a .�j�'-!Ob LETS•SWITCHES-RECEP 70.00/1.00 f�aS uc.No [PANELS INGFIXTURES 10.00/1.00 CONTRACTO/R//'jj�� /y� �('' LIA ES-RESIDENTIAL 4.00 ADDRESS x.N a Wt VL-`PN N73 6SA4 N /t r ONE ELS 10.06 PATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.N0. m OR (OV 200 AMP) 20.00 ARCHITERENGINE LIC.NO. NS TRANS. 3.00ARCH.OR ENG. ',PERMIT VALIDATIONADDRESS CIAL CIRCUIT 5.00 , ZIP TEMP.METER OR POL INS. '20.00 / Z APPLICANTS MOTORS SEE FEE SCH. APpDRE55 n ,� , - D /5✓� W„/hl�(�L�/ • SERVICE CHANGE r 20.00 rCL oo o LICENSED iD CONTRACTORS DECLARATION <i w I hereby affirm that I'am licensed under provisions of Chapter 9 -owuld ISSUANCE DATE (commencing with Section 7000)of Division 3 of Shut Susinvss pod BLDG. ELECT. PLG:a SCH. y i Pmressions Cod- a license is in full force e I/O I/:J 'TI't I'm o Limnse Class_ Lic.Number y H W Ilalch Conlructor a m (� BUILDING PERMIT ¢ ¢ w¢ OWN:R-BUILDER DECLARATION A o a " INFORMATION w g ¢ H 1 hereby affirm that I am exempt from the Contractor's License MISC.- � FER TO ORD Law VALUATION $/FT. Hula Code!Aihetlyowingreywliiliru 7031.S,Bosincssand Professions PERMIT ISSUANCE 10.00 - Cnpro Any city or county which Structur e p riot t o is issuance,also w ELEC.CONTR, LIC.NO. a E ¢o improve,demolish,or for such any permit to f,prior n its issuance,also ELEC. p�¢ ler ai its the applicant for such permit ns file a signed smiemem that TOTAL A. Wptm lie ISChapte 9(commencing compursuant en the with Secti Of the Contractor's on 3 License fthPERMIT TO Hit Law(ChapterProfessions Cngwitr Section is exempt therefo and a Business and Professions Code)or that be is exempt therefrom and QTY. PLUMBING PERMIT FEE G ¢ ro theny aforpli the n ora ermitsubjetsthon.Any eaplicnt to action 705L5 TO E9 TYPE CONSTR. aim by any applicant lora permit subjects the applicant macivil penalty NGAS-EA.SY &VENT-WATER IEA.) 5.00 of not more than five hundred dollars(85001.1: - - ❑ 1,as owner of the property,or my employees with wages as ROTECT.DEVICE - 4.00 OCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure is no[ intended or offered for sale(See..7044, Business and Professions R,ROOF,AREA,CON D. 5.00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who docs such work R TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE ^� Reins are re through his own employees.provided that such Offered for provided thathowever,lhebuildingaproe- EM-11NC.4OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYS M-OVER 4 (EA.) 2.00 builder will have the burden of proving that he did not build or int- BUILDING USE prove for purpose of sale.): INDUSTR IAL WA SINTER. 30,00 RES IND CON PB ocher ❑ I,as owner of the properly,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct Rte project(Sec. 7044,Business j LAWN SPRINKLERS 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Cole:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-6YER 5(EA.) 1.00 contracts for such projects with a contractors)licensed pursuant to SEWER-SANITAR V-STOR EA.200ftI10.00 the Contractor's License Law. TRACT NO. PARCEL NO. Cl, I am exempt trade,Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 reaso Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COMPHNSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to selGinsura, or a certificate of Workerj'Coin motion Imorunce,or u c`rYfic{� ZONING ENG.SITE NO. copy thea 0,j�eb.0 / Na-�' X Policy N'=jone b 0 �] Certified copy is hereby famish d. FIRESPRINK ENERGY T 24 Z 2 ,(J Cert ifi•d B is fie with Ile city inspection division. F-' O Appliamt MISC.- REFER TO ORD. Y ❑ N❑ Y ❑ N❑ h CENT'IFICAT F OF EXBMPI]ON P )M WORKERS' PERMIT ISSUANCE 10,00 FLOOD ZONE -A.L.U.C. LU > COMPENSATION INSURANCE PLG.CONTH. LIC.NO, PLG. CL O 1'1'his section need not be completed if the permit is for one TOTAL Y❑ N❑ y❑ N❑ D Z hundred dollars($100)or less.) 0 O 1 Certify that in the perfoununce of tire work far which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY UL I- mit is issued,I shall not employ any,person in any manner so as to O W become subject to the Workers'Compensation Laws of Calitornia. BUILDING CL Date Applicant ALTER OR ADD TO MECH. - 5.00 } US NOTICE TO APPLICANT: If.after making His Certificate of Ex- Z emption,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 permil du ll be decnwd revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER IO,000GFM.) 6.00 SEISMIC FEE I hereby affirn that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work]or which this permit is issued(Sea MICROFILM Ban,Civ.C.). (T HEATING UNIT O 100,000 B.T.U.) 'OD Lender's Name H EATI NG LIN IT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC I certify that 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 PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00 hereby enti orid representatives for ins inspection this city es toter upon the BOILER-COMP(Over 100,000 BTU)SEE FEE BCH. MECHANICAL, ab (J(J above-mentioned property for inspection pugn>scs. (we) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, Costs and expenses which _PERMIT ISSUANCE Tg.Op CONST.TAX may in any way accrue against said City in corse uenc of the z' ru tli0 his permit' MECH.CONT, LIC.NO. I MECH. TDA TOTAL al Sikisiture of Applicant/Contractor Date OFFICE C ihOY