The URL can be used to link to this page

13531 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER ' r CITY OF CUPERTINO 13531 INSPECTION DIVISION , JOB INSPECTION RECORD I PERMIT EXPIRATION JOB ADDRESS 11621 SEVEN SPRINGS �� UNIT# LOT# 23 PERMIT EXPIRES IF WORK OWNER GREGORY GROUP _ CONTRACTOR GREGORY GROUP IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION %) ANCE OR 180 DAYS FROM UFER _ LASTCALLED INSPECTION. PREGUNITE PERMIT VALIDATION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING - jay. ] Ao ELECTRICAL ISSUANCE DATE MECHANICAL BLDG• ELECT. PLG. MECH. 0 0 . oA o, DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR � � � VALunnon SIFT. PLUMBING MECHANICAL ELECTRICAL PERauT ro FRAMING '' /l J vu STORIES- TYPE CONSTR. INS LATION K �^ OCC,GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF SO.FT.FLOOR AREA TOTAL ACREAGE N DIAPHRAGM' ^J OWLU USE , RESIND CON YB 0,1 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED E ❑ - ❑ ❑ ROUGH A SSESSORS PARCEL NO. PLUMBING GAS TEST TRACT NO. PARCEL NO. MECHANICAL ELECTRICAL .22 .E FINALS *DATEINSP. A.cc.DATE ACC.FILE No. FRAMING- - _g SAN # -• 'INSULATION PLUMBING ZONING ENG,SITE NO. ' GAS .AK049 V" ,j9. MECHANICALPIRE SPRINK ENERcr T.2a COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING r "� r ❑ N❑FLOOD ZONE A.L.Uc. LATH-INTERIOR ELECTRICAL LATH-EXTERIOR 'rJ ( FIRE DEPT. Y.❑ "❑ r ❑ N❑ SHEETROCKGRADE FEE SUMMARY SHEAR INTERIOR 'H I 6, -Z _ BUILDING - j, BUILDING ' SHEAR EXTERIOR Z.T' /VHiL ' 3-23- C TEMPORARY APPROVALS FIREWALLS ELECTRIC 1 FEEN CHECK j 7 GAS 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 F� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING O PLEASE GIVE JOB ADDRESS WHEN.PHONING. _ Z MECHANICAL — SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! coNST.TAX PLEASE READ REVERSE SIDE BEFORE . TOTAL - CALLING FOR FINAL INSPECTION. �- OFFICE COPY "AItPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUIL NG PROJECT IDENTIFICATION PERMIT NUMBER BUILDING' APPLICATION & PERMIT - P 1(pAADDYESS -�� 13531 1 /6�/ SVte+1� BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION NAME Gregory Group, Inc. OTY. ELECTRIC PERMIT FEE PHONE 595-2100 I ANTPAcroFs UTLETS-SWITCHES-RECEP 10.00/1.00 112. NAME Gregory Group, Inc. UC.N,. 430097 LIGHTING FIXTURES 10.00/1.00 AUR CONTRACTOR OE .; PPLIANCES-RESIDENTIAL 4.00 �2 CONTRA X120 Twin Dolphin Dr. "C" FHO _ PANELS 10.00 DA TE OF APPLICATION APOHITRCT OR Aram Bassenian, A.I.A. PANELS (OVER 200 AMPI 20.00 PLAN CHECK FEE ENGINEER. I & Associates I.E.No. SIGNS TRANS. 3.00 nDDREss ENO' 3990 westerly Pl. , #170 SPECIAL CIRCUIT 5.60 PERMIT VALIDATION zm EMP.METER OR POLE INS. 20.00 _ AoonissTs 2211 in Dolphin DR. , "C" MOTORS - SEE FEE SCH.REAWrond �n City, SERVICE CHANGE 20.00 w o o LICENSED CON]RACfORS DECLARATION Qv I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE n a ca (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT.- -PLG. MECH. Pjecrocom Code,anJ m license is in full for c a J c(f t. z o _ - License Cla Lic.Number 0 (� H z O z Dale-�_/ry.�$/if�7-Contractor_ a y f -/ /% �' BUILDING PERMIT n OWNER-BUILDER UECIA TION INFORMATION X so I hereby affirm that I am exempt from the Comranor's Licctue MISC.- 'REFER TO ORD VALUATION S/FT. LLoa Law for the following reawo.(Sec.703 1.5,Businessana Profcvi71 PERMIT ISSUANCE 10.00 � - Code:Any city or county which reyuiresa pemlit toconstrud•alter, 2 Z Q improve,demolish,or repair any structure;prior to its issuance.also ELEC.CONTR. LIC.NO. ELEC. / ca ADLL requires the applicant for such permit to file a signed statement that TOTAL,76 PERMIT TO ,w 9 he is licensed purowat to the provisions of the Contractor's License �� ,./L i Lay.(Chapter 9(commencing with Section 7000)of Division 3 oflhe VV i o Busines and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE H the.basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. is. by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN VENT-WATER of not more than rise hundred dollars(5500),): (EA.) 5.00 ❑ 1,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 do the work,and the structure is not /J intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA4 ,COND. 5.00 sJ~ -3 Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who docs such work 13 FIXTURES-PER TRAP 5.00 . - SO,FT.FLOOR AREA TOTAL ACREAGE m himself or through his own eploym,provided that well improve- emsee / O ms not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or improvement is sold within one year or completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE builder will have the burden of proving that he did hilt build or im. RES IND CON . PB Omar prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ I,as owner of the property,am exclusively eomrazting with licensed contractors to conswct the project(Sec.7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. '6.00ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law does not apply 49 to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 MAI 1.00 contracts torsuch projects with a contractolls)licmised pursuant to the Contractor's License law. _ SEWER-SANITARY-STORM EA.200ft/10.00 /Q � TRACT NO. PARCEL NO. 0 I am exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 16.00 7/ 9 reason Owner Dale WATER SYSTEM . ' - 5.00 ACC,DATE ACG FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP: 5_.00 I hereby al Gro that I have a certificate of consent to self-insure' ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,LohL S' lblicy Nn. CompanDnited Pac fad/Rel O ❑ Certified copy is hereby ftirrrinhed. FIRE SPRINK ENERGY T 24 FZica�� sause �tifeJ v IiYJp the city inspection division. 0 AP70 MISC.- REFER TO ORD. _ Y N y 'N[] CC T CERTIFI ATF.OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. W > COMPENSATION INSURANCE PLG.CONTR. ❑C.NO. PLG. // y Y N Y N EI CL 0 (This section need not be completed if the permit i for one TOTAL �l 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 LL F mit is issued,I shall not employ any person in any manner w as to OW become subject to the Workers Compensation Lows of California. D- Oatc ApPllcant ALTER OR ADD TO MECH. 5.00 BUILDING } to NOTICE TO APPLICANT: If.after making this Certificate of Ex- F. ? emption,you should become subject to the Workers'Compcnsatiun APPLIANCE 5.00PLAN CHECK 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 10=C.F.M) 4.00 CONSTRUCTION LENDING AGENCY AIRHANDLING UNff(OVER 10=C.F.M.) 6.00 SEISMIC FEE /D All I hereby afff m 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(Sec. HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM 3097.Ci,.C.). Securit Pacific Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 174_ Lender's Address .,�'z+ I certify information that correct. readthisapplication and allstatec tyat the above VENTILATION FAN (SINGLE) 4,00 information n estate.1 agree to comply with all city and county PLUMBING ordinances and state laws relating In building construction, and BOILHi-COfvP(3 H.P.Or 100,0008.T.U.) 6.00 hereby mentioned roperty for iris of this city es enter upon theuWve BOILER-COMP(Oxer 100.000 BTU)SEE FEE SCH. MECHANICAL �S hereby a.tio ri, prepne. for inspection purpose•.. it (We) agree to save, Indemnify and keep hamlcsv the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expcnscs which PERMIT ISSUANCE 10.00 CONST.TAXI A In ay in any way accrue against said City in consequence of the O granting of tllls p[ MECH.CONT. LIC.NO. MECH. B/ TOTAL TOTAL Signe of pplica 1Contractradormr air, OFFICE COPY 119 7