The URL can be used to link to this page

13818 1. POSTTHIS CARD NEAR FRONT OF BUILDING PFIRMIT NUMBERCITY OF CUPERTINO - INSPECTION DIVISION ' � �818 �JJOBB•`INSPECTION RECORD JOB ADDRESSUNIT#�✓ `� 5�1eN Sro1 g 1.�Y..) LOT# PERMIT EXPIRATION S" E/.��E(��+�,�',� / PERMIT EXPIRES IF WORK OWNER 'LQ`R711ti••T 6 yam^" ' CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSP CTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- y ANCE OR 180 DAYS FROM FOUNDATION "-{� �_ ASTCALLED INSPECTION. UFER PREGUNITE ' PERMIT VALUATION - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PAIS' PLUMBING ELECTRICAL I U ATE MECHANICAL " . a G. MECH. a a: DO NOT POUR FLOOR UNTIL ABO -E HAS BEEN SIGNED - ERMIT INFORMATION WOOD FLOOR VALUATION PLUMBING - MECHANICAL PERMIT TO - ELECTRICAL r - FRAMING STORIES TYPE CONSTH, INS CATION OCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - - ® ROOF SO IT PLOOR AREA TO FAL ACREAGE DIAPHRAGM "BUILD USE RES IND CON PB Uin.• APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED - 13 ❑ El ❑ 11 ASSESSORS PARCEL NO. ROUGH - PLUMBING TRACT NO. PARCEL NO. GAS TEST MECHANICAL ZZ ACC.DATE ACC.FILE NO. ELECTRICAL FINALS DATE INSP. FRAMING •'Z, SAN #IZZ84 5F- ZONING/ ENG.SITE NO. INSULATION PLUMBING GAS _ _ G 1 MECHANICAL 1 FIRE SPRINK ENERGY LP9 _ (� COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING _(`g L Y " Y N[][. FLOODZONE A.L.U.C. LATH-INTERIOR D_Z7 ELECTRICAL. - - ", Y[:] N� Yo N[:]LATH-EXTERIOR FIRE DEPT. . SHEETROCK GRADE / FEESUMMARY SHEAR INTERIOR -�,7--:�a"I ( . 11 BUILDING - 6" `1/1 SHEAR EXTERIOR , 7 �,�: _$ TEMPORARY APPROVALS BUILDING FIREWALLS - ELECTRIC 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 I A0P.NGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC i ! H� ONer'fRKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z O GIVE JOB ADDRESS WHEN PHONING. - �• - SEE PERMIT FOR EXPIRATION DATE — MECHANICAL • CONST.TAX , IMPORTANT! PLEASE READ REVERSE SIDE BEFORE NOTAL Y 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 1 /SSR jn( 'J noiliaci, 1 V V V 1673 Seven Sprin s Drive BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION NAME - QTY. ELECTRIC PERMIT FEE Gre or Groes ' Inc.PHDrb95-2100 CONTRACTORS AME UFLETS-SWITCHES-RECEP 10.00/1.00 - Gregory Group, Inc-U1.ND. 430097/ LIGHTING FIXTURES 10.00/1.00 -30 CONTRACTORS oFs ADDRESS DRRE220 C (Twin Dolphin or. PPLIANCES-RESIDENTIAL 4.00 Redwood City, CA PHONE 595-2100 PANELS 10.00 DATE OF APPLICATION ARCHITECT ram assenlan, . PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ENGIHEER Associates uc.Ho. SIGNS TRANS. 3.00 ADDRESS ENG. O W St sly P1'ace, 1170 PERMIT VALIDATION ARCH OR 1y3 g g �c 9 6 SPECIAL CIRCUIT 5.00 Newport Beac�i, A P 26 O TEMP.METER OR POLE INS. 20.00 PAID ASS ADDREoREss a 220 C Twin Dolphin Dr. MOTORS SEE FEE SCH. Redwood City, CA 94065 SERVICE CHANGE 20.00 C o LICENSED CONTRACTORS DIiCLARATION r,a� a o w I hereby affirm that 1 am licensed under provisions of Chapter 9 I WbATE (c.am racing with Section 7000)of Divisiun 3of the Businessand D PLG. MECH.F3z Professions Code,Bpd my licenm is in full forapod,G[(eZO2 License Clas_D Lic.Number_4.3VUJo BG PERMIT 5 OWNER-BUILDER DECLARATION r!- MATION 00. MISC.- REFER TO ORDw 3 u _ 1 hereby affirm that 1 urn exempt from the COntmclar's License VA 5/FT. F u_ O j Law for the following mason.(Sec.7031.5,tlusiness and professions PERMIT ISSUANCE 10.00 �7 Code:Any cityormunty which requiresu perrnit toconstmct.alter, / d QR< improve,demolish,or repair any structure,prior to its issuanne,also ELEC.CONTE. LIC.NO. ELEC. d -O u requires the applicant for such permit to file a signed statement that - - TOTAL / y PERMIT TO whe is licensed personal to the provisions of the Contractor's License F i i Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe a Business and Rofesions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE sz0 ¢ H $ the basis for the alleged exemption.Any violation of ScCtion 7031.5 STORIES TYPE CONSTR. i ; - by any applicant fora permit subjects the applicant toacivilpenalty ALTER-DflA1N&VENT-WATER (EA.) 5.00 ,�jl��it� of not more than Five hundred dollars(5500).): ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 their sole compensation,will do the work,and the structure a not OCC.GROUP RES.UNITS intended or offered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,CON D: 5.00 -3 Code:The Contractor's License Law docs not apply to An owner of property who builds or improve thereon,and who does such work' FIXTURES-PER TRAP 5.00 $2 FT,FLOOR AREA TOTAL ACREAGE ® himself m through his own employees,provided that such improve. mmselfo not intended oroff empl eesalc.lf,ed that however,the building GAS-EA.SYSTEM-1INC.4OUTLETS 8.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or im- RES Irv0 CON PB Omer prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 1r�,pp ❑ 1,as owner of the property,xmmxClusively contracting with Er, ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractors License Law docs not apply / to an owner of properly who builds or improves thereon,and who LAWN SPR IN KLERS-OVER 5 (EA.) 1.00 3 �.�- �-3 d).T,3_3 Contracts for such projects with a contractorls)licenmd pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 0 TRACT NO. PARCEL NO. ❑ lam exempt under Sec ,B.&P.C.for this WATER HEATERW/VENT 6.00 79�',r on Oancr Date WATER SYSTEM 5,00 ACC.OATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP, 5.00 I hereby affirm that 1 have a certificate of consent to self-insure, ZONING or a certificate of Workers'Compensation Insurance,or a certified ENG.SITE NO. copy thereof(See 3800,Lab C. . Policy No. Com puny lLn.i_ted__PacMc/Re ❑ Certified copy is eb furnished. FIRE SPRINK ENERGY T-24 Z_ Z ❑ Certified c the city inspersion division. MISC.- REFER TO ORD. O Applicant V ❑ N❑ V ❑ No FLo PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.u.c. CERTIFI E OF EXEMPTION FROM WORKERS' �� L COMPENSATION INSURANCE PLG.CONTE. ❑c.No. PLG. ' v❑ N❑ - v ❑ ry❑ � Z (This section need not be completed if the permit i for one TOTAL hundred dollars IS 100)or less.) U O I certify that in the performance of the work far which this per. OTY MECHANICAL PERMIT FEE FEE SUMMARY L F mit is ioned,I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of Californu. a U d Dmc Applicant5.00 BUILDING (J ALTER OR ADD TO MECH. S } W NOTICE TO APPLICANT: If,after making this Certificate of Ea- H ? emption,you should become subject to the Worker'Compensation APPLIANCE 5.00 PLAN CHECK r provisions of the labor Code, you most forthwith Comply with FEE �J `j'; U such provisions or this permit shall he deemed revoked. AIR HANDLING UNIT(TO 10XDC.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER I1DOODGEM.) 6.00 SEISMIC FEE Q O� 1 hereby affirm that there is a construction lending agency far EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). t I HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name-yheGUF_rjta 0-sco., -� HEATING UNIT 100,000 B.T.U.)9.50 Lenders Address- aA-f- anG1SC0. - A ELECTRIC �-v I certify that I have read this application and state that Ile 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 cunstmetion, and BOILER-COW(3 H.Rcr 100,000 B.T.U.) 6.00 hereby authooze representatives of this city to enter upon the BOILER-COMP Other 100,000 BTU)SEE FEE SCH. MECHANICAL / so Bove-mentioned property for inspection purpose, (We) agree to save, indemnify and keep hamulm the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which CONST.TAX may in any way accrue ainst Said City in consequence of the PERMIT ISSUANCE 10.00 )0 granting of lh n MECH.CONT. LIC.NO. TOTAL z/o� TOTAL Slgnetn plicant/Contractor m OFFICE COPY