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12507 A POST THISCARD NEAR FRONT OF BUILDING PFRNIIT NUMBER CITY OF CUPERTINO 1.2507 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOBADDRESS 7731 Seeber Court UNIT#• _LOT# PERMIT EXPIRES IF WORK OWNER Joll man Assoc.II CONTRACTOR Rrinn fCplly IS NOT STARTED WITHIN INSPECTION QATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM LAST CALLED INSPECTION. UFER 'PREGUNITE PERMIT VALIDATION w�( _ Fr7 PAID POUR NO CONCRETE NTIL ABOVE HAS BEEWSIGNED tl.�� , UNDERGROUND /SLAB NN 2 PLUMBING Y�1'/p1 �► � ELECTRICALGy{I b �, '•S A f ECI Ino MECHANICAL BLDG. ELECT. I PLG. MECH. ❑ ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR - INFORMATION PLUMBING VALUATION $/FT. _ ME -t CHANICAL - ELECTRICAL -pluR"il rO,L FRAMING ,y INSULATION sT RIES TYPE CONSTR. • � OCC.GROUP RFS./UNIT$ PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED t� ROOF SO.FT,FLOOR AREA TOTAL ACREPGE 11 DIAPHRAGM r '.1 auILO ON USE APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED n IO ON O O .ASSESSORS PARCEL N0. ROUGH —�� _ 10 PLUMBING 2L _3101,- GAS TEST DK TR ACT NO. PARCEL NO. MECHANICAL _ p,. - ' ELECTRICAL o- - FINALS ___DATE_7 INSP. ^cc,GATE Acc.FILE No. FRAMING SAN # ZONING ENG.SITE NO. INSULATION PLUMBING � . '0 L GAS - MECHANICAL FIRE SPRINK ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ "❑ [-] "❑ LATH-INTERIOR ELECTRICAL / - FLOIOOZONE A.L.U.C. LATH-EXTERIORFIRE DEPT. v❑ ' N❑ Y [-] No ' SHEETROCK GRADE - FEE SUMMARY SHEAR INTERIOR - BUILDING / SHEAR EXTERIOR TEMPORARY APPROVALS 'BUILDING U -FIREWALLS ELECTRIC -- S� 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 IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC �• I11J ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 10� PLEASE GIVE JOB ADDRESS WHEN.PHONING. Z MECHANICAL — SEE.PERMIT FOR EXPIRATION DATE — IMPORTANTI 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 PERMIT NUMBER _. . APPLICATION & PERMIT BUILDING r ADDREES' �C - o�t7- 67� . 12507 7 BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OW us PLAN CHECK VALIDATION '10N TY. ELECTRIC PERMIT FEE S/�/x� ggaC PHONE-"7J 2_'S� DNTR CTDRs UTLETS-SWITCHES-RECEP 10.00/1.00 /N�✓ // 1/1- LI C.NO.37941 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS APPLIANCES-RESIDENTIAL 4.00 AD�Dfl9E,5/5 y a(h („pr/�/I��q�N d"KLHONE e?SU-'S9 PANELS 10.06 DATE OF APPLICATION ARCHITECT - PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.N0. NcINEE C. � /Z S LI IGNS TRANS. 3.00 tSJ /Nf N ND ARCu.OR ErvG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ADDREss S RSC'eat zIptFR2J TEMP.METER OR POLE INS. 20.00 PAID APPOCANT'S MOTORS SEE FEE SCH. ADDREss /3yvU`Q/ SERVICE CHANGE 20.00, o o LICIiNSEU CONTRACTORS DECLARATION ¢U I hereby affirm that I am licensed under provisions of Chapmr9 Nay (commencing wn ection 7000)of Division 3 of the Business and - BLDG. 'ECT. 'PLG. MECH. H o m (emm enc Code y license is in full far a0 e ❑ ❑ ❑ ' 0. - License Cla. Lie.Number o y H e Date Contractor ¢ y a BUILDING PERMIT ¢ is w u OWNER-BUILDER DECLARATION INFORMATION E ;' r 1 hereby affirm thio I am exempt from the Contractor's License MISC.- REFER TO ORD u om VALUATION $/FT. ¢ Law for the following reason.(Sec 7031.5,Business and Professions PERMIT ISSUANCE 10.00 ,4 Code:Any city.,county which requiresa permit to construct,alter, /( G' Q Q Q Q improve,demolish,or repair any structure,prior to its issuance,also ELED.CONTR, LIC.NO. ELEC. LC / sc -0 u requires the applicant for such permit to file a signed statement that TOTAL nr PERMIT TO K $ he is licensed pursuant to the provisions of the Contractor's License U!-'Y..1 wL Law(Chapter 9(commencingwith Section 7000)of Dwislon3 ofthe s 4 0 Business and I'lofesslons Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE X I- the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. i by any applicant fora permit subjectsthe$500).licam toacivil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred property, dollars(my employees r ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will(S the work,and the structure is not ^ _ intended or offered is sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA, D. 5.00 k/ / Cade:The h Contractor's or Licensc haw docs not apply to an owner of property who builds or impravesthereon,vided tadoessuch work FIXTURES-PER TRAP 5.00 ED.FT.FLOOR AREA 'TOTAL ACREAGE himself re through his own employees,provided that such improve- nouts building or roprrennent isn�ld or within ronefor yeiale.if,hnweveq[he bowner. GAS-EA.SYSTEM-11NC.4OUTLETS 6.00 -2760 or lder will is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 f builder will hove the burden of proving that he did nal build or im- BUILDING USE prove for purpose,of sale.). INDUSTRIAL WASTE INTER. 30.00 RES ,IND CON ' PB Other ❑ 1,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORSPARCELNO. and Professions Code:The Contractors License Low does nor 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 conlracmr(s)licensed pursuant to SEWER-SANITARY-STORM EA,200ft/10.00 the Contractors License Law. TRACT NO. PARCEL NO, ❑ l am exempt under Sec.-,B,&P.C.for this WATER HEATER W/VENT 6.00 reason .Owner Date WATER SYSTEM 5.00 ACC.DATE ACC,FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certifiwteofconscat loself-insure, ZONING or a certificate of Workers'Compo anon Insurance,or.i certified ry ENG.SITE NO. copy them%fd e HBOabC.L9�',PolicyNo _.. . P yd yF'❑ Cere Is hereby faro' J. FIRE SPRINK ENERGY T-24 z Z-{. ❑ Ceo 's Blcs� wltl the 'n on livision. MISC.- REFER TO ORD. O APP`c`m1 - V ❑ N❑ V ❑ N❑ F- m PERMIT ISSUANCE 10.00 CE - CERTIFICATE OF : IFROM W KERS' FLOOD ZONE AL.U.C. W � COhIPENSATION ION INSURANCE PLG.CONTR. LIC.NO. PLG. CL 0 (P his section need not he completed if the permit is for one TOTAL Y[:] N❑ Y E] N❑ hundred dollars(51001 or less.) U O 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL F mil is issued. I shall not employ any person in any manner so as to U w become,subjecl to the Workers'Compensation Laws of California. Data Applicant BUILDING } n ALTER OR ADD TO MECH. 5.00 NOTICE TO APPLICANT: If,after making this Certificate sa Ex- F -v em vision you should become Co e, you m the Workers'Ccomply withtion APPLIANCE 6.00 PLAN CHECK provisions io the Labor Code, you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO t0,000C.F.M.) 4.00 CON ST RUCTION LENDING AGENCY AIR HANDLING UNIT(OVER IO,WOC.RM.) 6.00 SEISMIC FEE U I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 31097 eCivrC.)n<e of the work for which this permit is issued(Sec. HEATINGUNIT(TO 100,000 B.T.U.) 8.00 MICROFILM Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9,50 Lrndar's Address ELECTRIC I certify that I have read this application and stale 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 authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. BOILER-COMP (Over 100,000 BTU)SEE FEE$CH. MECHANICAL (we) agree o save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino a wast liabilities,judgments, costs :Ind expenses rbich CONST.TAX 9 may in way accrue, nsI said Cit 1 sequen a of a PERMIT ISSUANCE 10.00 J granli o this pennil. MECH.CONT. LIC.NO. MECH. �J TOTAL TOTAL natureof Applica ontractor Date OFFICE COPY