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14885 POST THdS CARD NEAR FRONT OF BUILDING . PERMIT NUMBER CITY OF CUPERTINO 14$$5 INSPECTION DIVISION JOB INSPECTIONRECORD e PERMIT EXPIRATION JOB ADDRESS 'Ila 7 Qlo Le,s O J'Q UNIT# _LOT# PERMIT EXPIRES IF WORK' OWNER Q CONTRACTOR c�— :- ' IS NOT STARTED WITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD - 180 DAYS OF.,PERMIT ISSU- FOUNDATIONANCE OR 180 DAYS FROM NOTE: - UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLEDLASTCALLED INSPECTION.'' PR EGUNITE TO COMPLY-WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS - - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - - 7" UNDERGROUND /SLAB [J PLUMBING y ^~•Ty'1 �( ELECTRICAL ISSUANCE DATE MECHANICAL 777777-7E MLCH ❑ 1 ❑, I f ❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT ' - INFORMATION PLUMBING WOOD FLOOR - VALUATION SIFT. - MECHANICAL ' ELECTRICAL PERMIT TO FRAMING - A'^8 61— INSULATION'' - STORIES TYPE CONSTR, PAID OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVEH AS BEEN SIGNED JUN 1 198 `-�a ROOF NOTE:NO FINAL INSP.SHALL BE��QQ((��DE g5�p�� so.rr FLaol+nvl;n. -rornL'ncvPAGe DIAPHRAGM THE CONSTRUCTION TAXIS PAIC�iILy OT GUpCI EI 0 - BUILDING USE ROOF SHEATHING Res .IND CON -PB,'SOin,.r APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ 'C ASSE RS PARCEL NO, 'ROUGH SAN.k � - PLUMBING ELECT.ENERGY ' TUBS 8 SHOWER PAN - PLUMBING ENERGY iRACTN PARCEL NO MECHANICAL MECK ENERGY - - � ELECTRICAL BUILDING ENERGY. ACC.DATE ACC.FILE NO FRAMING ELECT.FINAL TEST INSULATION PLUMBING zoNlNc ENG.SITE NO T GAS TEST GAS I -FIRE$PRINK � ENERGY T 24 MECNICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING v NE] Y NE] EXTERIOR SHEAR - ELECTRICAL RELEASE EL000 IDNID A,L U.C. ' INTERIOR SHEAR - FIRE DEPT. v❑ "❑ v ❑ N SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH - BUILDING 1, - INTERIOR LATH TEMPORARY APPROVALS BUILDING• SCRATCH COAT , ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED IOCCUOANCY SEISMIC FEE OCCUPANCY OF,BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR: MICROFILM, ARRANGE FOR INSPECTION.BY PHONING 252-4505, ELECTRIC r , F� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z0 PLEASE GIVE JOB ADDRESS WHEN PHONING. �� — SEE'PERMIT FOR EXPIRATION DATE — MECHANICAL, IMPORTANT! CONST.rnx 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 APPLICATION & PERMIT r PERMIT NUMBER x' BVILOING ADDRESS la SconT �R1 48 8 5 PJ BUILDING -ELECTRICAL-PLUMBING-MECHANICAL 1 .kt NAMER Q�r/ PLAN CHECK VALIDATION yxT PnoNE/{��WJ OTY ELECTRIC PERMIT FEE NCONTRACTORS - ^QQ/I^ OUTLETS-SWITCHES-RECEP 10.00/1.00 _1C:NDCPO(Oe3LIGHTING FIXTURES - 10.00/1.00 ADDRESS DDRESS Rs - APPLIANCES-RESIDENTIAL 4.00 Jq25- 4f A 4 y _ (57(, PHON 1I U PANELS 10.00 DA TE OF APPLICATION ORRCNITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO., ENGINEER Lm.NO. SIGNS TRANS. 3.00 ARCH OR A DORESS ENG.. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 AMOTORS SEE FEE SCH. ADDDRESSDRESS SERVICE CHANGE 20.00 Z 2 F 0 000 LICENSED CONTRACTORS DECLARATION a U,w I hereby affirm that I am licensed under provisions of Chapter 9 .. (commencing with Section 7000)of Division 3 of the Business and ISSUANCE DATE all 4 BLDG. ELECT. PLG. - MECH. H i Professions Co m dy license is in full fo L ❑ ❑ ❑ z o Liccnsc Clnss 4 Lic.Nmnbcr _ 9 y Contractor a wu J OWNER-BUILDER DECLARATION BUILDING PERMIT K ;LL H I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD INFORMATION u_o¢ Law for the following reason ISec.7031.5,Business antl Professions VALUATION $/FT. - g -PERMIT ISSUANCE 10.00 Code:Any city or county which requires a permit to construct,alter, improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. _ ELEC. o re requires the applicant for such permit to file a signed statement that TGTAL n an m" he is licensed pursuant to the provisions of the Contractor's License - - PERMIT TO H z i Law(Chapter 9(commencing with Section 7000of Division 3 ofthe 4 o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE `'xH Cis ¢ H$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant fora permit subjects tire applicant macivil penalty ALTER-DRAIN& VENT-WATER (EA.) 5.00 of not more than five hundred dollars($500L): O I,as owner the progeny,army my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation, ion,will do the work,and the structure is not intended or offered for sale ISec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 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 50.FT.FLOOR AREA TOTAL ACREAGE unionsl're through his own employees,provided ev such improve- mentsarenotitnendeJorofferaJ for sale.If,however,the building GAS-EA.SVSTEM-11NC.40UTLE Vw or improvement is sold within one year of completion, the owner GAS-EA.SYSTEM-OVER 4(EA.) 2.00 1t9.• builder will have the burden of proving that he did not build or im- BUILDING USE prove for purpose ofsalcJ' INDUSTRIAL WASTE INTER. IJW ORES IND CON PB Other 131,as owner of the properly,am exclusively contradimg with C3 0 ❑ ❑ ❑ licensed contractors to construct the project(See. 7044,Business LAWN SPRINKLERS,-1 INC 5 V.B. .00 ASSE55ORS PARCEL NO. to aProfessions owner of properde ly whohe nbuildsror LicenseLaw thereon.and es not who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contraclons)licensed pursuant to SEWER-SAN EA.200ft 10.00 the Contractors License Law. / �• TRACT NO. PARCEL NO. ❑ lam exempt under Sec ,B.&P.C.lin this reason WATER HEATER W/VENT 6.004 Owner Dale WATER SYSTEM ;.5.00 'sJ ACC.DATE ACC.FILE NO. WORK ERS'COMPENSAT'ION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby infirm that I have a eenifnine of consent to sell=insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy[I h.C.L // _ � Policy Comp ny-�(/11j. O ❑ opy is here ylurmoiled. FIRE SPRINK CNERGYT-24 ` Z Z Certif copy is BI tot the city impectml division. F O Applicant - MISC.- REFER TO ORD, n y N Y ❑ NC] E UANC D: N f,ER' ICATII EXEMPTION FROM WORKERS' PERMIT ISS1890-1.X00 FLOOD ZONE A.L.U,C. W ? COMPHIiNSATION INSURANCE PLG.CONTE. LIC.N0. PLG. CL Z (This section need not he completed if the permit is for one TOTAL Y[J NE] Y[:] N� hundred dollars IS 100)or less,) - U O I certify that in the performance of the work for which this per OTY. MECHANICAL PERMIT FEE FEE SUMMARY W 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 California. d Date- Applicant- BUILDING } W NOTICE TO APPLICANT: If,after making this Certificate of F.x- ALTER OR ADD TO MECH. 5.00 Z emplion;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 deemed evoked, AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIRHANDLING UNIT(OVER 10=C.EM.) 6.00 SEISMIC FEE I 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 ISec. - MICROFILM 3097,Civ.C.L HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name H EATI NG U N IT(OV ER 100,000 B.T.U. 9.50 Lender's Address ELECTRIC 1 certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4,00 o '•s 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 W hereby authorize representatives of this city to enter upon the ,7/}?__ above-mentioned property for inspection purposes. BOI LER-COMP (Own 100,000 BTU)SEE FEE SCH. 'MECHANICAL lS..\r (We) agr ` to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino ain ast liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX in any ay accrue against said City in consequence of the m 'egofthi conit. MECH.CONT. LIC.NO. MECH, / ) Sig re of Applicunl/Conlraotor note TOTAL OFFICE COPY