The URL can be used to link to this page

18078 POST THIS CARD NEAR FRONT OF BUILDING . " PERMIT NUMBIV CITY OF CUPERTINO 18078 ' 'INSPECTION DIVISION ' JOB INSPECTION RECORD. ti • �� ^�� L� � PERMIT EXPIRATION�` .� •*.:+JET JOB ADDRESS UNIT# _LOT# j} 1 / . �/ q f IS NOTIt RED WORK ' OWNER oNTRAcroR � IS NOT STARTED WITHIN INSPECTION _ DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU ANCE OR 180 DAYS FROM FOUNDATION 2 NOTE: "'' LIFER C( ALL GRADING AND'DRAINAGE SHALL BE.INSTALLED ."LAST bALLEDINSPEC710N. PR EGUNITE - TO COMPLY WITH THE APPROVED PLANS AND CITY OF PEHMUT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED / UNDERGROUND /SLAB Al PLUMBING f /r ELECTRICAL - IJ I/ ISSUANCE DATE MECHANICAL A �0 aloes ¢ ECT, PLC. MECH DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED _ • BUILDING PERMIT ` Nlit INFORMATION WOOD FLOOR VALUATION SBFT. PLUMBING MECHANICAL \ ELECTRICAL - /IJlu .t/1,�... •F� PERN'n To 11 FRAMING " AR Vl rulglYBY �'J '"• 'M /a 110.7'. fd INSULATION d _ STORIES. TYPE CONSTR. OCC,GROUP RES UNITS PLACE NO SUBF LOOR UNTIL ABOVE HAS BEEN SIGNED "1• �•A t , SO.f T FI.001V Al EA TOTAL ACREAGE. ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM - - THE CONSTRUCTION TAXIS PAID, a1JILDING USE ROOF SHEATHING RES IND CON Pupii.'d°SI APPLWLNO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS— DATE INSP. 0 - El O 0 0 ASSESSORS PAHCeu ND ROUGH SANA PLUMBING ELECT.ENERGY . ervo. , ri.< TUBS&SHOWER PAN PLUMBING ENERGY n(ACT NO PARCEL LS;w MECHANICAL MECR ENERGY ELECTRICAL ACC.DATE ACC.PENENG ' 'ZBUILDING ENERGY FRAMING ELECT,FINAL TEST ZONING ENG SITE No. INSULATION PLUMBING GAS TEST GAS " • MECHANICAL EIRE SPRINK ENERGY T.24 •COVER NO WOR UNTIL ABOVE HAS BEEN SIGNED HEATING N� IN E] _ FIOOD?ONE - ALUC EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. Y NEI Y I] • NO SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING - INTERIOR LATH - TEMPORARY APPROVALS - BUILDING 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 BUILDIN G FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM - ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. z -.SEE PERMIT FOR EXPIRATION DATE - MECHANICAL �} IMPORTANT! CONST.rnx PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. ^� OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU I LDING PROJECT I DENTIFICATI ON • PERMIT NUMBER - NDNB�. / P APPLICATION & PERMIT 4" //U BUILDING-ELECTRICAL-PLUMBING-MEMECHANICAL It 18078 O78 OWNER'S , PLAN CHECK VALIDATION QTY. ELECTRIC PERMIT FEE ro/%r�-,/r/� s PHONE S5'Y32 t' CONTRACTOR'S NAME OUTLETS-SWITCHES'-RECEP 10.00/1.00 LIC NO. LIGHTING FIXTURES 1000/1.00 �•,� pd ADDRRAcroR's ADDRESS APPLIANCES-RESIDENTIAL 4.00 / PHONE - PANELS 10.00 DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.NO. OR I /1 PANELS (OVER 200 AMPI 20.00 ENGINEER I/ ��//jj� �!'/) LV' We" LICNO SIGNS TRANS. 3.00 ADDRESS ENG. SPECIALCIRCUIT, 5.00 PERMIT VALIDATION AZIP EMP.METER OR POLE INS. 20.00 /f pow&a ADoREssDRESS is MOTORS' SEE FEE SCH. " SERVICE CHANGE 20.00 wo o LIC17NSED CONTRACTORS DECLARATION . a U u . 1 hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE N u (commencing with Section 7000)of Division 3 of the Business and a c BLDG. ELECT PLG. ECH, I'rofessinnsC de nd my license is in fall forog ryt f c. ❑ z O m - License las Lic.,Number o w r Date Cnntraclu _ BUILDING PERMIT M a OWNER-BUILDER RBUILDIiR DECLARATION / o a u INFORMATION K ; N I hereby a11nn diol 1 um exempt from the Contractor's License M ISC.- u o a Law for the following reason.(Sec.7031,5.Businessand Professions PERMIT ISSUANCE 10.00 VALUATION Fw Cade.Anycity orcounty which requires a permit m construct,alter, �) D m AP¢ O improve,demolish,or repair any structure,prior to its issuance,Also ELEC.CONTE.is LIC.NO. ELEC. f // ca o a . rehires the applicant for such permit to fil...igned statement that - TOTAL • r PERMIT TO \. K $ he is licensed pursuant to the provisions of the Contractor's License -- rzQ Law(Chapter9(conunencing with Section 7000)of Division 3 yt the P _. I i C• Business and Professions Code)or that he is exempt 0terefrom and CI - PLUMBING PERMIT FEE IN- Vl IF H m the basis for the alleged exemption.Any violation of$ection 7031.5 STORIES TYPE CONSTR. a ; - by any applicant for a permit subjects the applicant civil penalty TER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(5500).): ❑ 1,as owner of the properly,or my employees with wages as BA FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their Sole compensation,will do the work,and the structure is not Intended or offered for sole (Sec. 7044, Business and I'rofcVacros DRAI -FLOOR,ROOF,AREA,COND. 5,00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work F IXTUR -PER TRAP 5.00 5O.FT.RLooR A A T,EITAL ACREAGE 1 himself or through his own employees,provided that such improve- q� ments are not intended or offered for sale.If,however,the building GAS-EA.S TEM-11NC.4 OUTLETS 6.00 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- GAS-EA.SVS M•OVER 4 (EA.) 2.00 BUILDING USE Prove fur purpasc of sulcJ. - INDUSTRIAL WA EINTER. 30.00 RES' IND CON ' PB Omer ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Business , LAWN SPRINKLERS Nst INC 5 V.B. 6.00 ASSESSORS PARCEL NO. - and Professions Code:I lie Contractor's License Law dues not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-MR 5(EA.) 1.00 contracts fersuch projectswilh acommctor(s)licensed Pursuant to SEWER-SANITARYV-STOR A.200ft/10.00 the Con Rector's License Law. TRACT NO. PARCEL N0, U I am exempt otdir Sea ,B.&P.C.for this WATER HEATERW/VENT 6.00 reaso7 Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO, WORK BRS'COMPENSAT10N DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that 1 have a certificate of consent to self-insure, or a certificate of Workers'Coope Al In'uranm,or a cenifi d ZONING ENG.SITE NO. wpy there f f 0,Lab.C. , Policy Nq company o Hereby t _ ❑ Certified 'np is hereby furn6hui' FIRE SPRINK ENERGY T2 Z Z ❑ Certified ya is file th the city i speetion division. O Applicant �C MISC.- REFER TO ORD. Y❑ N❑ v ❑ N❑ ~ ✓+ J �-� PERMIT ISSUANCE 10.00 • cc: - CERTIFICATE OF F-XI:MPTION FROM WORKERS' FLOODZONE A.L.U.C. L COAtI'ENSATION INSURANCE PLG.CONTE. LIC.NO. PLG, CL O (This weriou need not he completed it the permit is for one TOTAL Y❑ N❑ Y❑ N❑ ::) Z hundred dollars IS 100)or less.) U O I-certify that in the performance of the work for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY .LL 1- mit is issued, I shall not employ any person in any manner So as to O () become subject to the Workers'Compensation Laws of California. CL Date Applicant BUILDING 7 Bd �- m NOTICE TO APPLICANT: If,after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 J S ~ Z caption,you should became subject to the Workers'Conrpcusation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE V such provisions or this permit shall be deemed revoked AIR HANDLING UNIT(TO 10)00DC.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 100WC.RM.) 6.00 SEISMIC FEE 6 1 hereby affirm 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: MICROFILM 3097,Civ.CJ. HEATING UNIT(TO 100,000 B.T.U.) .00 Lender's Name _ HEATI NG UN IT EA 100,000 B.T.U.)9.50 Lender's Address ELECTRIC I certify that 1 have read this application And state that the above VENTILATION FAN (SINGLE) 4.00 information is correct, 1 agree to comply with all city and county BOILER-CC1MP(3 H.P,or 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws relating o building construction, and hereby authorize representatives t of this city o purposes.enter upon the above-mentioned property for insp ofthis BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL r� (We) agree to save, indemnify and keep harmless the City of misc.- REFER TO ORD upertino against liabilities,judgments, costs and expens which PERMIT ISSUANCE 10.00 CONST.TAX may in any way accrue against Said City in con yue a of the rinting fthis p¢rtnil. MECH.CONT. LIC.NO. MECH. TOTALS / TOTAL ' .� Signal of Applicant/ ontractor Da ' d OFFICE COPY