The URL can be used to link to this page

17703POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD _ �(l�•-�' JOB ADDRESS `� I17,lr' SnT*71>f+- }�W�I�+P �lUN1T# _LOT#T OWNER CONTRACTOR PERMIT NUMBER 17703 PERMIT EXPIRATION ' PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU. ANCE OR 180 DAYS FROM LASTCALLED INSPECTION. INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION 'Mcl NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. UFER &n SqI((�j PREGUNITE PERMIT VALIDATION ' ^ i ISSUANCE DATE GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING ELECTRICAL MECHANICAL Ift of eupeffingBLDG ELECT I PLG. MECH. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR PLUMBING VALUATION 65IM6 SIFT. MECHANICAL ELECTRICAL IERMIT TO " 9w FRAMING INSULATION STORIES 2 TYPE CONSTR - - PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED We�scRvlze-tq-eq OCC GROUP R�3 RES UNITS t ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID $O FT FLOOR AREA 2917 TOTAL ACREAGE' t i LIT' DIAPHRAGM ROOF SHEATHINGI!srBUILDING kc.HES USE IND CON PS 0111 - ❑ ❑ ❑ ❑ APPLY NO ROOFING UNTIL A OVE HAS BEEN SIGNED FINALS DATE INSP. ROUGHASSESSORS TSA PARCEL NO PLUMBING ELECT. ENERGY TUBS &SHOWER PAN PLUMBINGENERGY TRACT NO PARCEL NO MECHANICAL 3 MECK ENERGY ELECTRICAL 31 Q BUILDING ENERGY ncc DATE ACC FILE rvo FRAMING ELECT. FINAL TEST INSULATION PLUMBING - ZONING ENG. SITE NO. GAS TEST GAS MECHANICAL FIRE SPRINK Y ❑ N❑ ENERGY T.24 v ❑ N❑ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL RELEASE FLOODIONE Y ❑ N❑ ALUC � ❑ N❑ INTERIOR SHEAR FIRE DEPT. SHEETROCK 'GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING�� INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT - ELECTRIC PLAN CHECK FEE 62XO GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED occuPANcv SEISMIC FEE t3.42 OCCUPANCYOF BUILDING ISNOTPER MITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. ' MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, o�ONE WORKING DAY BEFORE REQUIRED INSPECTION. Z PLEASE GIVE JOB ADDRESS WHEN PHONING. —SEE PERMIT FOR EXPIRATION DATE — ELECTRIC , •� 70.35 PLUMBING 70.35 MECHANICAL IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. CONST. TAX en, .TOTAL *J,UG•M 09 OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY pUILDING PROJECT IDENTI FICATION APPLICATION & PERMIT BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PERMIT NUMBER -17703 euaolNG ADDRESS G5 Lot 343 OWNER S(�,�,nv.�� fyw,r� NAME "I `-y"I J `�' `^4+, Inc' '.ONE415/595-2100 OTY, ELECTRIC PERMIT FEE PLAN CHECK VALIDPTION DATE OF APPLICATION NAMERADTOGregory Rs gyp, Inc. LIC. No. 8-4X097 OUTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 ADDRESS 220-0 Twin Dolphin Drive PHONE415/595-21 APPLIANCES - RESIDENTIAL 4.00 PANELS 10.00 ARCHITECT OR Bassenian/Lagoni kchiLeCtS ENGINEER LIC uc. No. --6395 PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ADDRESS ENG,2031 VIUbIU Drivef1//100 ' ZIP SPECIALCIRCUIT 5.00 PERMIT VALIDATION '1-A1lM I�k�`I rYsU\I Cyon ISSUANCE DATE EMP. METER OR POLE INS. 20.00 A.PEOP 220-C Twin Dolphin Drive RX, CA 94055 MOTORS SEE FEE SCH. SERVICE CHANGE° E''"� 3.L. 20.00 LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fut. ll force and effec License Class_B Lic. Number_(C�7 DareCmilracmr �. Y t-� ij I�UJ BLDG. ELECT. PLG. MECH. �a aper no. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the inc,, Contractor's License Law for the following reason. (Sec.airesa,Businessandtrct, all,, Code: Any city or county which requiresa permit to construct, ahcp improve, demolish, or repair any structure, prior to its issuance, also requires the applicant pursuant I'or such permit to file a Signed statement that he is licensed rsuant to the provision, of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profcssions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.$ by any applicant for a permit subjects the applicant toa civil penalty of not more than five hundred dollars(5500y) ❑ I, as owner of [lie property, or my employees with wages as their sole compensation, will Jo the work, and the structure is not immndcd or offered for sale (Sec. 7044, Business and Profcssions Code: The Contractor's License Law docs not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided that such improve- mentsaye not intended or offered for sale. If, however, the budding or improvement is sold within one year of completion, the owne builder will have the burden of proving that he did not build or inti, prove for purpose of sale.). ❑ I, as owner of ' the property, am exclusively contracting with licensed contractors to construct the projeel (Sec. 7044, BusinessDO and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects wilh a contractor(%) licensed pursuant toL. the Contractor's License Law, ❑ um exempt under Sec. ,B.&P. C. ibr this reason BUILDING PERMIT INFORMATION MISC.- REFER TO ORD PERMIT ISSUANCE 10.00 VALUATION OC OG 165,865 $/FT. ELEC. CONTR. LIC. NO. ELEC. TOTAL PERMIT TO 9W OTY. PLUMBING PERMIT FEE ALTER -DRAIN & VENT -WATER (EA.) 5.00 STORIES 2 TYPE CONSTR. 5NR BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP R-3 RES. UNITS 1 DRAINS -FLOOR, ROOF, AREA, COND. 5.00 FIXTURES - PER TRAP 5,00 SO. FT. FLOOR AREA 2(.117 TOTAL ACREAGE I ' U GAS-EA.SYSTEM-11NC.40UTLETS 6.00 GAS - EA. SYSTEM -OVER 4 (EA.) 2.00 BUILD( As USE RES IND CON PB Other El El ED El INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 ASSESSORS NO.• - �h LAWN SPRINKLERS - OVER 5 (EA.) 1.00 SEWER -SANITARY -STORM EA. 200ft/10.00 raneT No. 8096 PARCEL No. WATER WATER HEATER W/VENT 6.00 Owner Dat, WATER SYSTEM 5.00 wORKERs'COMPIiNSnTIOK DECLARATION I hereby affirm that I have a certificate ofconsent to ,If rout. or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. .1800 Lab .C.I Policy No. Company-United_Paci%c ❑ Certified copy is hereby funlish,d. II(y Certified i/i' fled with the ci inspection division. Ai 1 am_ ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. 5.00 ZONING ENG. SITE NO. MISC, - REFER TO ORD. FIRE SPRINK Y i I N ❑ ENERGY T�2< Y [3 IN _ :ERTIF C/rTIi OP .h 3MPTION FROM WORKERS' COMPENSATION INSURANCE 1'I'his section need not he completed if the permit is for one hundred dollars IS 100) or less.) I certify that in the performance of the work for which this per- mil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Dam Applicant NO"1'ICIi '1'O API'LAppli: Ili alter making this Certificate of lix- emption, you should become subject to the Workers' Compensation prvisions oif the Labor Code, you must forthith wcomply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097, Civ.C.). Lender's Nam, Lender's Address Icertily❑hatlhave read this application and state that the above information is correct. 1 agree to comply with all city and county oRlinonccs and late law%rclming In building construction, and hereby authoriec representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of against liabilities, judgments, costs and expenses which my iany way accruo against sail City in consequence of the permlf'�� -i/�s/-l�-/' �/ /�-�-�. R -2 PERMIT ISSUANCE 10.00 FLOOD ZONE Y E] N A.L. U.C. Y EJ NEI PLO CONTELIC. NO. PLG. TOTAL OTY MECHANICAL PERMIT FEE FEE SUMMARY BUILDING 5D ALTER OR ADD TO MECH. 5,00 APPLIANCE 5.00 PLAN CHECK FEE 15.50 AIR HANDLING UNIT (TO 10=QF.M.) 4,00 AIR HANDLING UNIT (OVER 10p00C.F.M.) 6.00 SEISMIC FEE 13.02 EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM HEATING UNIT (TO 1MF .U.) 8.00 HEATING UNIT (OVE. T. U. 19.50 ELECTRIC 70.35 VENTILATIGN FAN (4.00 BOILER- COMP(3 H.P, oT.U.) 6.00 PLUMBING 70.35 BOILER -COMP LER-COMP (Over 10EE FEE SCH. 70 35 MISC. - TO ORD.Cupertino CONST. TAX 3�rntiggof'his .02 PERMIT ISSUANCE10.00 MECH. CONT. LIC. MECH TOTAL TOTAL 1544.09 , Signature of Applicant/Contractor Dam OFFICE COPY