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15114POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO PERMIT NUMBER 15114 INSPECTION DIVISION. JOB INSPECTION RECORD I �J �r��f �(/�j,�l �l U� Alli„L �0 PERMIT EXPIRATION JOB ADDRESS U/,���IyT-p# /�{�7_LOT# ..NE. Gr i CONTRACTOR (/I e o U PERMIT EXP ES IF ORK IS NOT STA ' HIN 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM INSP CTI N DATE INSPECTOR I SP CTION RECORD • FOUNDATION NOTE: LEER � ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION. PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CIN OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGESLABS ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED P UNDERGROUND/SLAB p tt� AUG -8 ELECTRIICAL - ISSUANCE DA TE MECHANICAL •^;t N BLDG ELECT PLG, MEC.. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING �- VALUATION SIFT, MECHANICAL ELECTRICAL' v RnnT TD FRAMING INSULATION - STORIES TYPE CONSTR. OCC GROUP NITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE, NO FINAL INSP. SHALL BE MADE BEFORE 5 - �,LOOR AREA TOT ACREAGL DIAPHRAGM THE CONSTRUCTION TAX IS PAID Rift ROOF SHEATHING � BUIunmN USE RES IND CON Pe oM., ❑ ❑ ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGHSAN.k j7ll%% 11 gJ5b j ASSESSORS PARCEL NO PLUMBING ELECT. ENERGY TUBS &SHOWER PAN PLUMBING ENERGY TRACT NO PARceL NO MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY a_ _g Acc. Dnre Acc. FILE NO FRAMING ELECT. FINAL TEST INSULATION PLUMBING_ q 20NING ENG. SITE NO. - GAS TEST GAS I MECHANICALFIRE a,/3 SPRINK Y ❑ N❑ ENERGY T 2A ❑ No COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING `g O EXTERIOR SHEAR ELECTRICAL RELEASE FLOODZONE v ❑ N❑' ALUC. v ❑ N❑ INTERIOR SHEAR - FIRE DEPT. SHEETROCK GRADE - FEE SUMMARY EXTERIOR LATH BUILDING Z- _� BUILDING TEMPORARY.APPROVALS INTERIOR LATHjUNTILABOVE ELECTRIC �,--3 _g SCRATCH COAT,jSIGNED PLAN CHECK FE FEE 5.50 GAS NO TAPE OR PLASTAS BOCCUPANCv I ISEISMIC OCCUPANCY OF BUILDING IS NOT PERMITTED UNTI L BUI LDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 55.50 o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. Z PLEASE GIVE JOB ADDRESS WHEN PHONING. PLUMBING 55.50 MECHANICAL 55.50 - SEE PERMIT FOR EXPIRATION DATE - IMPORTANT! CONST. TAX 288.95 PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL ..ql- -- OFFICE COPY ,,, PLICANT TO FILL IN INFORMATION WITHIN RED LINES- USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION APPLICATION & PERMIT BUILDING - ELECTRICAL -PLUMBING - MECHANICAL .PERMIT NUMBER 151-14 Aeon15G LLot 26 Plapq2A 167I Southshore lOUrt OWNER" Gregory, Group, Inc. & Ahmanson UeV. vH rv' Jt.5-595-2100 OTY' ELECTRIC PERMIT FEE PLAN CHECK VALIDATION AANAAA Una& DATE OF APPLICATION CONTRACTOR NAMGregory Group, Inc. B-430097 LIC. NO. UTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 ADDRESS 220-C Twin Dolphin Dr. Ds A RI4C 94065 PRONE 415-5 APPLIANCES -RESIDENTIAL 4.00 PANELS 10.00 ARCHITECT OR Aram Bassenian, AIA & ENGAgSOCldtes C. NO. C-8395 PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. . ' SIGNS TRANS. 3.00 ARCH. ORENG. ADDRESS 2031 Orchaard Dr. #1 0 Santa Ana Hts. GA. 2707 SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ,.�,�1 _nkI ✓IC� I l.J(� ISSUANCE GATE BfL�DG1. ELECT. PLG. MECH. TEMP. METER OR POLE INS. 20.00 APPLICANT s AE 5 0-C Twin Dolphin Dr. RWC 9406 MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICENSED CONT TACTORS DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cnd,, un my license is in full I'nrcr and elfeat Limnw Class Lic. Number lt3AUG Date_ Contractor_L` _ OWNER -BUILDER DECLn RA ON 1 hereby u(Nnn that 1 are exempt from the Contractor's License Law for the hollowingreasoa(Sec. 7031.5, Businessanll-roiconons Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, print to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed ursuant to lite p provisions the)o f'D¢mts License of Division 3 of the Law (Chapter 9 enCod with Section is exempt Business and heProfession,allegdCode) or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031,5 by any applicant fora permit subjects the applicant toacivil paudty ictally of not more than fohrpdonors(5500).): ❑ Lf as owner of theeproperty, or my employees with wage as their sole compensation,. wwill do the ork, and the structure is not intended or u11'e,ed for sale (Sec. 7044. Business and Professions Code: 'rhe Contractor's License Law does 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- mentsarenotintendedoroffeted Roselle. IC however, the building or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or im- prove for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with contractors In construct the project (Sce. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves Ihercon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law. ❑ lam exempt under Sea ,B.&I'.C. fir this son PMD 9 19000 MISC. - BUILDING PERMIT INFORMATION PERMIT ISSUANCE 10.00 VALUATION 138,306 ELEC. CONTR, LIC. NQ FLEC TOTAL PERMIT TO S F D U OTV. PLUMBING PERMIT FEE ALTER -DRAIN & VENT -WATER (EA.) 5.00 STORIES 2 TYPE CONSTR. 5NHR BACK FLOW PROTECTDEVICE 400 . OCC. GROUP R-3 RES. UNITS 1 DRAINS -FLOOR, ROOF, AREA, COND. 5.00 FIXTURES - PER TRAP 5.00so. GAS- EA.SYSTEM-I INC.4 OUTLETS 6.00 GAS - EA. SYSTEM -OVER 4 IEA.) 2.00 F REA 72191- TOTAL ACREAGE BUILDING USE RES IND CON PB Omer ® E) ❑ 13 El INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. LAWN SPRINKLERS - OVER 5 (EA.) 1.00 SEWER -SANITARY -STORM EA, 2001t/10.00 TRACT NO. PARCEL NO. WATER HEATER W/VENT 6.00 Owner Dat, WATER SYSTEM 5.00 woRKF:RS'coMPliNsn970N DECLARATION 1 hereby affirm that I have a certificate of Consent to self -insure, or a certificate of Workers' Compensation Insurance, or a Certified copy thereof tsee. 3„oo. Lab.c.). United Pacific I'ON Company ACC. DATE ACC FILE N0. WATER TREATING EQUIP. 5.00 ZONING ENG. SITE NO. n ified copy is hereby funiishcd. Certified rx antlificJ 0py file si(II inspection division. Applicant- MISC.- REFER TO ORD. FIRE SPgINK Y❑ N❑ ENERGY TY4 Y❑ N❑ CERTIFICA71i OF EXEMPTION FROM WORKIiRS'NCE COMPENSATION INSURANCE (Tile, scctiiin need not be completed if Lhc pcnnil ix for ofteTOTAL hundred dollars ( S 100) or less) I certify that in tile performance of the work for which this per- mit is ued, I shall nut emloy any penin m any manner so as Iobecomes subject to the W'orkeriCompensation Laws ofCalifornia. Dam Applicant 10.00 FLOOD ZONE V ❑ N❑ A. L. U.C. V ❑ ry❑ t.TRLIC. NO. PLG. HANICAL PERMIT FEE FEE SUMMARY' BUILDING ]]6,00 D TO MECH. 5.00 M1'OTICIi 'I'O APPLICANTS. If, alter making this Certificate of lix- emption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply will,15.50 such provisions or this pcnnil shall be deemed revoked. CONSTRUCT ION LENDING AGENCY I hereby affinu that there is a construction lending agency for the performance of the work for which this coon is issued (Sec. 3097, nder's am. Security PacifPic Lender's Namc---1��� Lender's Address .j�`'��j"��p_�Q_,hl-rte I certify thin l have JJreffad 0lnapphca undsmtcthat theahove inlbrmation is Correct. I agree In comply with all city and county55.50 ordinances and state laws relating to building construction, and hereby authorise representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless tluc City of upe,lino against liabilities, judgmenls, vests and expenses which mayCONST. �in any way acme against Said City in consequence of the 4ianling Of 1 'C'en't. Ilrr -� APPLIANCE 5.00 PLAN CHECK FEEEnergy 62.00 AIR HANDLING UNIT (TO 10=C.F.M.) 4.00 AIR HANDLING UNIT (OVER 10MOC.F.M.) 6.00 SEISMIC FEE 9.73 EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM ELECTRIC 55.50 HEATING UNIT (TO 100,000 B.T.U.) 8.00 HEATING UNIT(OVER 100,000B.T.U.)9.50 VENTILATION FAN (SINGLE) 4.00 BOILER-CCAV(3H.P.Or100,0008.T.U.) 6.00 PLUMBING BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL 55.50 MISC. - REFER TO ORD. PERMIT ISSUANCE 10.00 TAX 288.95 MECH. CONT. LIC. NO. MECH. TOTAL TOTAL 1 318.68 , taG Signarc pplica Co actor Date OFFICE COPY