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16380 POST THIS CARD NEAR FRONT OF BUILDING, PERMIT NUMBER CITY OF CUPERTINO 16300 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION ./ ilOBiADDRESS— � S�R.LNFGl-�/�_ # LOT# _ '454,: .r PERMIT*EXPIRES IF WORK OWNE6 " - CONTRACTOR IS NOT STARTED WITHIN INSPECTION ATE I INSPECTOR INSPECTION ECORD 180 DAYS OF PERMIT ISSU. ANCE OR 180 DAYS•FROM FOUNDATION NOTE: UFER LAST CALLED INSPECTION. ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE - TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION GARAGE SLABS CUPERTINO STANDARDS. •• �_ POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED /7. S.e Jcv>oe' .t/ac of v41 /�- v Z_,�"„_�•_ UNDERGROUND /SLAB PLUMBING ' ELECTRICAL ISSUANCE-DATE MECHANICAL BLDG ELECT,I PI.G. MICR. • . DO NOT POUR FLOOR UNTIL ABOVE HAS-BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION VALUATION S/FT, - PLUMBING - - MECHANICAL ^ ELECTRICAL PERMIT TD FRAMING INSULATION - ,C`� STORIES TYPE coNSTN. OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO.FT.FLOOR AREA TOTAL,.ACHLAGE .,.. DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING use ^ ROOF SHEATHING' Res IND CON Pe 0..,,, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ 0- ❑ ❑ ROUGH SAN.k ASSESSORS PARCEL NO _ PLUMBING ELECT.ENERGY TRACT NO PARCEL NO TUBS 8 SHOWER PAN - - PLUMBING ENERGY - ' MECHANICAL MECH. ENERGY . ELECTRICAL BUILDING ENERGY,- ACC.DATE ACC.FILE NO - FRAMING ELECT:FINAL TEST' ZONING ENG.SITE:NO INSULATION � PLUMBING GAS TEST GAS MECHANICAL FIRESPRINK ENERGY T-2,1' ' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING YD No Y o IN EXTERIOR SHEAR ELECTRICAL RELEASE FLOODZONE ALU,C � INTERIOR SHEAR FIREDEPT. NO YL N SHEETROCK GRADE _ FEE SUMMARY EXTERIOR LATH BUILDING . ( 1' WL kYL;INTERIOR LATH TEMPORARY APPROVALS - N SCRATCH COAT ELECTRIC - PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC zo 411LH� ONE WORKING DAY BEFORE REQUIRED INSPECTION. • PLUMBING O PLEASE GIVE JOB ADDRESS WHEN PHONING. rFZ M - SEE,PERMIT FOR'EXPIRATION DATE - MECHANICAL CONST.TAX IMPORTANT!. PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. - - TOTAL ��- OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY • BUILDING PROJECT 1 DENTI FICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT 3� O AADDRESS U BUILDING - ELECTRICAL-PLUMBING-MECHANICAL 6 OWNER'S PLAN CHECK VALIDATION N,sME _ ^ - DTV. ELECTRIC PERMIT FEE _� 6�-TORS (/ PRONE CONTRgCTOfl' ry E C'B UTLETS-SWITCHES-RECEP 10.00/1.00 c.No 0766 LIGHTING FIXTURES 10.00/1.00 CONTRACTo S I APPLIANCES 4.00 - A RESS O U+ - PRONE PANELS 10.00 DATE OF APPLICATION'.T ARCHIT CT I PLAN CHECK FEE OR PANELS (OVER 200 AMP) 20.00 ENGINEER /n ' SIGNS TRANS. 3.00 goo'Ess Erva. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION IP EMP.-METER OR POLE INS. 20.00 APPLICANT s ADDDRESSDRESSMOTORS SEE FEE SCH. y SERVICE CHANGE 20.00 w 0 o LICENSED CONTRACTORS DECLARATION - 1,1/v .. 1-., I a hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE a2 w ?' (commenting deSection 7000)Of Division 3 01 the Business and BLDG. ELECT: PLG. MECH. r m i Professions Code,,Iynd bccnLi is in(all force and,yf(k i.o u, - License Class_L�'J-Lie Nmnber LU o y F a nate �G-_Contractor - a m s < - BUILDING PERMIT IS a O NIi R-BUI LI71iR DI[ChA RATION 0 o D INFORMATION w ; w w I hereby aUtnn that I am exempt from the Comraztor's Llcenu MISC:- REFER TO ORD u 0 j Law'far the following reason.(Sec.70315,Businessand Professions VA ION S/FT. - PERMIT-ISSUANCE 10.00 Code:Any city or county which requires a permit to constmel,alter, Qimprove,dem Olish,or repair any structure.Prior In its issuance,also ELEC.CONTR. LIC.NO. ELEC. O , rtyuims the applicant for such pennil 10 file a signed statement that - TOTAL IT TO u w m he is licensed pursuant to the Provisions of the Contractor's License •` 'e Hsi Law(Chapter 9(commencing with Sect ion 7000)of Division 3 al'the LL a Business and Professions Code)or that he is exempt theretron and GTY. _ PLUMBING PERMIT FEE ��• w'& r the basis for the alleged exemption.Any violation ofSection 7031,5 STORIES TYPE CONSTR. w. by any applicant fur a permit subjects the applicant Ina civil Penalty ALTER-DRAIN -WATER IEA.15.00 of not mom than rive hundred dollars($500)J) ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT.'DEVICE 4.00 OCC.GROUP RES.UNITS their Sale com pensution,will do the work,and the stmcture is not intended ser offered for sale (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 property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 Sa FT.FLOOR AREA TOTAL ACREAGE himself or not hrough ownemred fors, lo,If, ever,the improve- GAS-EA.SYSTEM-1 6.00 mems are not intended or nRcmd for mia.If,ed that s the bei Wing or m rrOvcment is Sold within one year of completion,the Owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 builder will have the burden Of proving that he did not build or im- BUILDING USE prove for purpose of sale J. - RES IND CON PB Onher ❑, I,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 El 1:1 ❑ - licensed contractors to construct the project IS,,. 7044,Rosiness LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law does not apply man owner of property who builds or improves thenen,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a coutrxetorts)licensed pursuant to - theContractorsLicenseLaw. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. . PARCEL NO. ❑ Ison exempt under Sec. ,H.&P.C.lot this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. W'ORKFRS'COMPI?NSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm Thai 1 have a certificate of comm to self-insure. ZONING or a certificate of Workers' C.).J , Zion l9 or a certifx• ENG.SITE NO. copy thereof(See.3800,fab,CJ. _ - I'nlicyNo. Company�d. - Z ❑ Certified copy is hereby l Will cJ. FIRESPRINK ENERGY T-]4 Z Z ppl certified copy is filed Will y inspection division. MISC.- REFER TO ORD. F O APPlicunl��Ty� �cJ v ❑ N❑ V ❑ N❑ CHR'I'lFICA'1 EOF 1. :M T ON I R WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.u.a• I LU > COMPENSATION INSURANCE PLG.CONTE. LIC.NO. PLG. 1 I-This section need not be, completed if the permit is for one TOTAL Y❑ N❑ Y❑ N❑ 2 hundred dollars($100)or less.) U O 1 certify that in the perlonnuuce of the work for which this per DTV. MECHANICAL PERMIT FEE FEE SUMMARY LL I- mit is issued,I shall not employ any person in any manner so as to Ow. becouresubject to the Worken'Compensation Laws of California. Date A 1'c ut BUILDING 3 } W NOTICE'10 APPLICANT: If,after nl.king this Cerlificme of Ex- ALTER OR ADD TO MECH. 5.00 `- F Z emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the labor Code. you must forthwith comply with FEE U wch provisions Or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSRUCt'ION LFNDING AGENCY AIR HANDLING LINT(OVER 10=C.EM.) 6.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the perfomnance of the work for which this permit is issued(Sec. MICROFILM 3097,Cis C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Nume HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC 1 certify that I have read this application and stale that the above VENTILATION FAN (SINGLE) - 4.00 informalino 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 authorizerepresentatives of this city t0 enter up above mentioned properly for inspection purposes. on the BOILER-COMP (Ove 100,000 BTU)SEE FEE SCH. MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. uPer(ino against liabilities,judgments, costs and oxpenxs which PERMIT ISSUANCE 70.00 CONST.TAX may in,any way accrue against said City in c0nxquence of the of this MECH.CONT. LIC.N0. MECH. b95z/� OTAL TOTAL (a� igna[ Applicant/C tractor Lot l( 1 OFFICE COPY P /7u``-