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12505POST THIS RD NEAR FRONT OF BUILDING �y/s CII OF CUP ERTINO-} INSPECTION DIVISION JOB INSPECTION RECORD JOB ADDRESS 7715 Seeber.Court „.NPR Jollyman Assoc.II INbrtl:IIUN FOUNDATION UFER •'� PREGUNITE cw...✓a.l. eG POUR NO CONCRETE UI UNDERG PLUMBING ELECTRICAL MECHANICAL , DO NOT POUR FLOOR U WO( PLUMBING MECHANICAL ELECTRICAL LATI LAB ROOF -- ' DIAPHRAGM APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED UNIT# _LOT#-' Brian Kelly INSPECTION RECORI O ELECTRICAL/. FINALS DATE INSP. FRAMING .} SAN * INSULATION 9—/t -k9 PLUMBING Ii o -I, Vr)l 46,4- I I MECHANICAL :Z -)'j -t" COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING LATH -INTERIOR ELECTRICAL LATH -EXTERIOR - FIRE DEPT. SHEETROCK S- GRADE SHEAR INTERIOR BUILDING . y$ SHEAR EXTERIOR TEMPORARY APPROVAI FIREWALLS ELECTRIC GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING w ARRANGE FOR INSPECTION BY PHONING 252-4505, I— ONE WORKING DAY BEFORE REQUIRED INSPECTION. z PLEASE GIVE JOB ADDRESS WHEN PHONING. —SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING'FOR FINALINSPECTION. OFFICE COPY PERMIT NUMBER 12505 PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM +LASTCALLED INSPECTION. /J 2 - 1U07 FOR BUILDING PER INFORMATIC VALUATION = 4 STORIES TYPE CONSTR. (5CC. CH UUP RES. UNITS SO. FI. PLOOR AREA TOTAL ACREAGE HES INDCON PR 06' El,El❑ ❑ ASSES.- GAL { ENG. SITE NO. FIRE SPRINK Y ❑ N ❑ ENERGY T 24 Y ❑ N ❑ FLOOD ZONE Y❑ N❑ ALU. C. Y❑ N❑ h- FEE SUMMARY BUILDING ei" f�...• - PLAN CHECK FEE — SEISMIC FEE IR' MICROFILM - ELECTRIC PLUMBING MECHANICAL CONST. TAX TOTAL - .CANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUI LD1 NG PROJECT I DENT[ FI ON APPLICATION & P IT BUILDING -ELECTRICAL -PLUMBING -MECHANICAL PERMIT NUMBER 1250 BUILDING 'ADDRESS 2-. 7, OWNER'S PLAN CHECK VALIDATION T Z�S-q3r- 10 /ryAN J{f5W PHONE ''Jj't' +1� QTY, ELECTRIC PERMIT FEE DATE OF APPLICATION CONT ACTORS rr�� 22 s'Q.f A%I1 ,P /12yC-- Inc. No. % OUTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS � � k ADDRESS .! / 'E'p 2III/ ,�///' /}-d p/•/✓ JP•( PHONE z�� J / APPLIANCES - RESIDENTIAL 4.00 PANELS 10.00 ARCHITECT OR ENGINEER /q �f eW /1G LIC. NO. (" 8 PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO, ISIGNS TRANS. 3.00 ARCH, OR ENG. % ADDRESS //// p 4 16,, %0 tL ZIP A) 4� A - SPECIAL CIRCUIT 5.00 PERMIT VALIDATION �D_ J - ' EMP. METER OR POLE INS. 20.00 APPucners AD DR MOTORS SEE FEE SCH.v SERVICE CHANGE "20.00 J41rt-'-�� `� �•, JUP4� n LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Sciefion 7000) Of Division 3 of the Business and Professions Code,iy license is in full for Cvy.W�� C s Ln. Number JJ // 'T Date Carload., I T BLD .- MECH. El1:1E)License - OWNER -BUILDER DECLARATION I hereby cire ollo that I am exempt from the Contractor's License Professions Law fonycityowingreason.(h requires a permit to Code: Any city or county which requirese permit to construct, alleq improve, demolish, or repair any slrllCtnfl', prior IO IIS ISSnanLl', BISo requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License(J Law (Chapter 9(commencing with Section 7000) of Division 3 ofthe Business and Professions Code) or that he is exempt therefrom and BUILDING PERMIT INFORMATION MISC.- REFER TO ORD PERMIT ISSUANCE 10.00 VALUATION .4..�{� $/FT. ELEC. CONTE. LIC. NO. ELEC. TOTAL PERMIT TO / C ,=o tL/ L QTY. PLUMBING PERMIT FEE STORIES Ihebasis for the alleged exemption. Anyviolation of Sectiop7031.5 fora permit subjects S5001.licant toacivil penalty by ot,,.. than Of an mom than five hundred dollaubjects the applicant p% �T/Y�PE•C/ON'STTRR. V /V� ALTER-DRAIN-WATER(EA.) 5.00 ❑ I, as owner of the property, or my employees will, wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himsell or through his own employees, provided that such improve. ments are not intended or offered for Sale. If, however, the building BACK F LOW PROTECT. DEV ICE 4.00 OCC. GROUP �- 3 RES. UNITS / DRAINS -FLOOR, ROOF, AR EA,COND. 5.00 FIXTURES - PER TRAP 5.00 SO, FT. FLOOR AREA /9Q TOTAL ACREAGE GAS - EA. SYSTEM -11 NC.4 OUTLETS 6.00 or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im. prove for purpose of sale.).INDUSTRIAL O 1, as owner of the property, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 (EA.) 2.00 BUILDING USE RES IND CON PB Other ❑ ❑ ❑ ❑ WASTE INTER. 30.00 licensed contractors to construct the project (Sec. 7044, Business and Professions Codc: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 LAWN SPRINKLERS - OVER 5 (EA.) 1.00 ASSESSORS PARCEL NO. rC f0 contracts forsuch projects with a contractorts) licensed pursuant to the Contractors License Law. SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT N0, PARCEL N0. ❑ I:un exempt under Scc. ,B.&I'.C. I'or this WATER HEATER W/VENT 6.00 reason .Dwner Date WATER SYSTEM 5.00 ACC. DATE ACO. FILE NO. WATER TREATING EQUIP. 5.00 WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of eotisent to Sel6insure, or a certificate of Workers' Compe action I arzunce, or//n certified Copy thercy �Oo, Lan.c.) n�aG,ivQ'`tI 1 Policy No. CmnpanY iie' lied Co hereby fur It It ❑ Certife file wit. a Ci pec viam. Applicant _ - ZONING ENO. SITE NO. FIRE SPRINK Y [3N ❑ ENERGY T-24 Y ❑ NE] MISC.- REFER TO ORD. C17RTIFICATE OP E% TION FROM WOR' :RS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. PLC. CONTE. LIC. NO. PLG. TOTAL COMPNNSA ION INSURANCE (This section need not be completed if the permit is for one Y ❑ N ❑, Y ❑ N ❑ hundred dollars (S100) or less.) 1 certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so as to OTY MECHANICAL PERMIT FEE FEE SUMMARY BUILDING%� become subject to the Workers'Compensation Laws of California. Date Applicant 'I'O ALTER OR ADD TO MECH. 5.00 NOTICE APPLICANT: If, after making Ibis Certificate of ISx- enmtion, you Should hecomo Subject to the Worker' CmR1,rnmtuR APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you ovist forthwith comply with such provisions or this permit shall be deemed revoked. FEE AIR HANDLING UNIT (TO 10000C.F.M.) 4.00 AIR HANDLING UNIT(OVER 10=C.EM.) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the 3097 performance Civ.C.nof the work for which this permit is issued (Sec. MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 HEATING UNIT (OVER 100,000 B.T.U.) ELECTRIC Lender's Name Lender's Address 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 ordinances and state laws relating to building construction, and PLUMBING BOILER- COMP 13 H.P. Or 100,000 B.T.U.) 6.00 BOILER -COMP Over 100,000 OTU) SEE FEE SCH. MECHANICAL hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes misc. - REFER TO ORD. CONST. TAX p� (We) agree to save, indemnify and keep harmlesS the City of CupertinLinsy,!t Iiubilitiesli judgmen�,co is and expenses which may inBectu o const s " in conseq )ence the gran[ tla-, / PERMIT ISSUANCE 10.00 MECH. CONT. LIC. NO. MECH. TOTAL - TOTAL 770 `F Signature of At t/Contractor Date OFFICE COPY