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14951 POST-THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER b, CITY OF CUPERTINO INSPECTION DIVISION 14951 _ A JOB INSPECTION RECORD _ PERMIT EXPIRATION JOB ADDRESS-&l O 2) �" �� ���5 UNIT# LOT //'' PERMIT .EXPIRES IF WORK OWNER �Op Q CONTRACTOR f � IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPEICTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION - ANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. UFER �.x.11- ALL GRADING AND DRAINAGE SHALL BE INSTALLED' '- PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROU D /SLAB PLUMBING ELECTRICAL I - �. l isSUANCE DATE MECHANICAL BLDG ELECT PLG. MEC., 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR t P INFORMATION VALUATION , SIFT. PLUMBING - •- ; MECHANICAL ;JUN T - ELECTRICAL EHP11i rG ;,� FRAMING City Ot CUDertiVW ^-` StORIES TYPE CONSTR. INSULATION OCC GROUP RES UNITS Ir .PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - - ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE so. t FLOOR ARCA TOTAL ACREAGE DIAPHRAGMTHE CONSTRUCTION TAX IS PAID null.Dl 1 NO USI,SHEATHING -LR �•�� - •� RES IND CON PB ulna APPLY NO ROOFING UNTIL ABOVE HASBEEN SIGNED FINALS DATE .INSP: © ❑ L . D a?;•^❑'`' ROUGH - SAN.# pssessa+s PARcecno;ry�.,a,��, PLUMBING j -r7c. o- - ELECT.ENERGY _ •y" ' TUBS B SHOWEPLUMBING'ENERGY TRACI No. , PARCEL No. MECHANICAL MECH. ENERGY - 7• - ELECTRICAL BUILDING ENERGY - _ ACC.DATE I• ACC.FILE NO _ a. FRAMING - ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION _ - PLUMBING GAS TEST Z,S_ GAS Jd •Q• FIFE SPRINK ENERGY T92a MECHANICAL' - - 'N COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING v L . Ej NE] - EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE AIDC. INTERIOR SHEAR 10^ -8$ FIRE DEPT. v N� v.L N❑' SHEETROCK _ GRADE FEE SUMMARY EXTERIOR LATH' - _ -C c BUILDING. ck INTERIOR LATH TEMPORARY APPROVALS BUILDING ' SCRATCH COAT y ..s' ELECTRIC - - - PLAN CHECK GAS .. FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SETS OCCUPANCYOF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ' 0.35' 0� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMewG M35 Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. - - - OFFICE COPY CITY OF C-UPER'nNO CERTIFICATE OF COMPLETION tt BUILDING INSPECTOR'S OFFICE p yp Date . ... ..... .......//....//.. 191.1.... Buildings Permit No. L.71..{.. ..- The Building Located at ..J.1..-1J6.-'-_:.:.J.��(�1���(..L1...�„151.�..(."Sk �Q....... Ownedby ._..�22 j3.c y..... W .............................................................. Has Been Completed For Use As: ... �V.J (A tere . ..... .............................................................. ...._......................................-....................---....... .................................................................... ..........................................................................................................................................:....... ............ ..................................._.......................,..................`.................................................... WDAA......... ...............WS-1........ PD-7 BUILDING INSPECTOR APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION APPLICATION & PERMIT PERMIT NUMBER BUILDING 11602 Seven rings Drive 14951 � • ADDRESS IJLIC JC I� Lot 135 Plan BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OwNER'5 (�.�,,,�,,� PLAN CHECK VALIDATION NAME ur�I) Group, Inc. & AI7(lan$On CITY. ELECTRIC PERMIT FEE 44,5-595-2100 Devel CONTRACTORS OUTLETS-SWITCHES-RECEP 10'.00/1.00 GregT-y Groups IrK.No 643C097 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS220 C Win Dolphin Dr. U APPLIANCES-RESIDENTIAL . 4.00 ADDRESS CA. 94065 41 PANELS 10.00 DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.'NO. ORARMARAM BASSENIAN, AIA & ASST. PANELS (OVER 200 AMP) 20.00 /�� Llc.No. C SIGNS TRANS. 3.00, ADDRESS ARCH CH ENG. 2031 VI LI�rd M. )`100 SPECIAL CIRCUIT ,5,00 PERMIT VALIDATION . Santa Ara � CA. 92707 W zIP EMP. METER OR POLE INS. 20.00 APPLICANTS MOTORS SEE FEE SCH. ADDREaS 220 C Twin Dolphin Dr. RkC 17C �a-c,•-�-rti _. CA 94065 SERVICE CHANGE 20.00 woo LICENSED CONERACTORS DECLARATION 0 a i U I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE yah (commencing wish Section 7000)of Division 3 of the Business and BLDG- ELECT. PLG. MECH. r N Z Professions Code,8{µI my license is in full force' ccJJ o i m License Class_tl_Lie.Number / / w H Ddle Contractor JUN r - ry ¢ a a OWNER-BUILDER DECLA TION + BUILDING PERMIT R w I hereby affirm that I am exempt from She Con tractor's License MISC.- REFER TO ORD INFORMATION LL O j Law for the following reason.(Sec 7031.5,Business and Professions ALUATION d/FT. - PERMIT ISSUANCE 10. h0 Code:Any my or county which requireoL sa permit tocnslrucalter. 1� ¢ ar a improve,demolish,or repair any structure,prior to its issuance.also ELEC.CONTR. LIC.NO. ELEC. .O ¢ requires the applicant for such permit to file a signed statement that TOTAL - ,000 w $ m he is licensed pursuant to the provisions of the Contractor's License PERMIT TO Hz Law(Chapter 9(commencing with Section 7000)of Division 3 Effie Y i a Business and Professions Code)or that he is exempt therefrom and CITY. . PLUMBING PERMIT FEE SFDU ¢ H the basis for the alleged excnmption.Any violation of Section 703 LS STORIES TYPE CONSTR. by any applicant for a permit objects the applicant to a civil penalty gLTER-DRAIN -WATER (EA.)of not more than fisc hundred dollars 65007.1: 'L ' ❑ I,as owner of the property,or my employees with wages az Eff BACKFLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will do the work.and the structure is not intended or offered for vie (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 1 Code:The Contractor's License Law does not apply to an owner of R-3 property who builds or improves thereon,and who does such work FIXTURE$-PER TRAP 5.00 So,FT,FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- ( Forms are,not intended or offered for sale If,however.the building GAS-EA.SYSTEM-11NC.40UTLETS 6.00 2 improvement is suld within one year of completion, the owner- GA$-EA.SYSTEM. 4 (EA.) 2.00 builder will have the burden of proving that he did not build or ice- BUILDING USE Il prove for purpose of sale.). 00 30, RES IND CON PB Osnar ❑ 1,as owner of the properly,am cxchnivcly c-oFf.cting with INDUSTRIAL WASTE INTER. A ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.8. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law does not apply , o an owner of property who builds or improves thereon,and who - LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contract.0S)licensed pursuant to the Contractor's License Law. _ SEWER-SANITARY-STORM EA.200ft/10.00 TRACTNO. PARCEL NO. ❑ lam exempt under Sec ,B.RP.C.(or this WATER HEATER W/VENT 6.007 reason Owner Date WATER SYSTEM 5.00 ACG DATE ACO.FILE NO. WORRERS'COMPCN'SATION DECLARATION WATER TREATING EQUIP. . 5.00 I hereby infirm that I have o celtifil,te of'o..Ft mo i,If-insure. or a certificate of Workers'Compensation hISLmdnee,a certified ZONING ENG.SITE NO. copy thereof(Sec.3800,Lab.C.),United Pacific Policy No. Company - 0 ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T-24 Z Z )A.Cerlified a ed with the city inspection division. F-' O Applicant MISC.- REFER TO ORD. Y❑ N❑ Y ❑ N❑ CC T CERTI ATIi OP EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.UL. UJ > COMPENSATION INSURANCE PLG.CONTR. LIC.NO, PLG CLZ (This section need nm be completed if the permit is for ane TOTAL Y❑ N❑ Y [:] NF]hundred dollars(S 1001 or less.) U O 1 certify that in the peri ormm�cc of the wnrk for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY LL U Inil is issued,I shall not employ any pe,o)n in any nmanne,so as to become subject to the Workers'Compensation Laws A California. 0 so y Datc Applicata ALTER OR ADD TO MECH. 5,00 BUILDING 940.50 } sen NOTICE TO APPLICANT: IL after making this Certif..he of Ex- ? emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK 15.50 provisions of the Labor Code, you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10000C.F.M.) 4.00 CONST'RUCT'ION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 $EI$MIC FEE I hereby affirm that Imre is a construction lending agency for EXHAUST HOOD IW ITH DUCT) 5.00 11 n9 the pesfonnance of ��p �y�I��Eh�yµ.permit is l.aucd(Sec. MICROFILM ' 3097,Civ.C.). �18t&ftywpk!iT1C I HEATING UNIT(TO 100,000 B.T.U.) 8.DO Lender's Na me �R� d@717" -fir. HEATING UNIT 100,000 B.T.U.)9.50 Lender's ndere _){X. ELECTRIC 70.35 1 certify the have read t' app icalion anJ state thw the above VENTILATION FAN (SINGLE) 4.00 ordinances n correct. I agree to comply with all city and sou lnY PLUMBING 70.35 ordinances and orae laws relating to building contraction, and BOILER-CONP 13 H.P,or 100,000 B.T.U.1 6.00 herby authorize regrew for ins inspection the city ran enter upon the BOILER-COMP Over 100,000 BTU)SEE FEE SCH. MECHANICAL hereby above-mentioned propertyftiv. of purposes. (We) agree to eve, indemnify and k70 15 eep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, cost '.Ed expenses which CONST.TAX may in any way accrue against said City in conseyacnee of the PERMIT ISSUANCE 10.00 dniingofthis mit MECH.CONT.. LIC.NO, MECH. 7� TOTAL TOTAL shat afareE phcanuGEmtraDmr 1530.31 OFFICE COPY