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17044 +': POST THIS CARD NEAR FRONTOF•BUILID ING p.PERMIT NUMBER ' CITY 'OF: CUPERTINO 17044 INSPECTION DIVISION JOB'INSPECTION RECORD „ PERMIT EXPIRATION JOB ADDRESS o`/ �� /' r•y�&I IAO UNIT# - _SLOT# 7 - • PERMIT.EXPIRES IF WORK , OWNER (,�f-� . CONTRACTOR„��, wL Iqj IS NOT STARTED.WITHIN N P ION - ATE I INSPECTOR INSPECTION RECOREK - 180 DAYS of PERMIT ISSU: FOUNDATION NOTE: ANCE OR 180 DAYS,FROM -LAST CALLED I NSPECTION;' UFERALL GRADING'AND DRAINAGE SHALL BE INSTALLED PR EGUNITE- TO COMPLY "...",..,APPROVED PLANS AND CIN OF PERMIT VALIDATION CUPERTINO STANDAR DS" GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNE 0 d'C I ryl ' 1.' � ,UNDERGROUND /SLAB p + " . �j - f PLUMBING / apt 0 1L Zed ( ' ELECTRICAL. hC.l ISSVANCE UATF MECHANICAL - �� • BLu ` ELEcr. ...PLG. ECH " ' a ' o M❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION . '. WOOD FLOOR PLUMBING VALUATIaN $IFT. .. - > MECHANICAL " . MIT TO ELECTRICAL ' ni � `� •� ' - FRAMING.': STORIES "rYPERCONSTH,- , INSULATION OCC GHOUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED' $O IT.FLOOR AREN TOTAL ALH LAG[ ROOF OTE: FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM HE CONSTRUCTION TAX IS PAID BUILDING USE ROOFSHEATHING - RE$ IND CON PB o"", APPLY NOROOFING:UNTILABOVE HAS:BEEWSIGNED',; " .. ' ;FINALS °`. DATE,'" - INSP. 1:1 ❑ . .1:1 L ' El ASSESSORS PARCEL NO, . '. .- - ROUGH . . :. SAN.N . PLUMBING ' - 'ELECT.ENERGY r - TRACT NO, PARCELNa 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' GASOt ` ' - ^ MECHANICAL EIRE SPRWK E ENERGY T:24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ' HEATING °'D N0: '+ N ' N.0 EXTERIOR SHEAR, ELECTRICAL RELEASE FLOOD ZONE A.L.Uc INTERIOR SHEARFIRE,DEPT. YE]' NL" YL N❑i r` SHEETROCK ' • GRADE •'� FEE SUMMARY EXTERIOR`LATH,' '., BUILDING - kgM' - BUILDING INTERIOR LATH TEMPORARY APP OVALS'{ ; ' .+ SCRATCH COAT r ELECTRIC PLAN.CHECK GAS FEE .a. NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY, SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUI LDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-450511' ELECTRIC a� ONE WORKING'DAY. BEFORE REQUIRED INSPECTION: PLUMeuvc Z PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE'PERM IT FOR EXPIRATION DATE —, MECHANICAL i ,IMPORTANT! CONST:rax PLEASE READ REVERSE'SIDE BEFORE', T,OTAL�' CALLING FOR FINAL INSPECTION. OFFICE COPY APP, .ICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT 1 DENTI FICATION ,PERMIT NUMBER G APPLICATION & PERMIT + n O nDREsS D/v/$S- S7�LL/�� Q„P� BUILOLNG-ELECTRICAL-PLUMBING-MECHANICAL r 44 OWNER'S - PLANCHECKVALIDATION NAME.,[ QTY- ELECTRIC PERMIT FEE C�/ O�C�OF�TJFY� PHONE f7 -yJOr Aft CONTRA TOR'$ NAME OUTLETS-SWITCHES-RECEP 10.00/1.00 .¢//i�77//.4p✓� t LO LIC.No, 99-?lr2 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S /�� APPLIANCES-RESIDENTIAL 4.00 ADDRESS /YJ}(,.{/tYJ4 PHONE9fflT .100 PANELS 10.00 DATE OF APPLICATION ogcHlTEcr PANELS (OYER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ' ENGINEER T �4 �aI�c�.No(f-/, (C SIGNS TRANS. 3.00 ADDRESS ARCHOR ENG., G-0. "OiE,CcE /rvQ' - SPECIAL CIRCUIT 5.00 PERMIT VALIDATION xj - !%17 ZIP + EMP:METER OR P .00 / ' �..H,�, `�•1�s� APPLICANT'S MOTORS ADDRESS S'-1 f�/7rrG�t/,a.Znp ,111+0 CH. SERVICE CHANGE city of cupeftmikoo I/cp /a ano O LICENSED CONTRACTORS DECLARATION a v 1 hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE (commencing with Section 7000)of Division 3 of the Business and < yBLDG. ELECT. PLG. MECH. 0 C z Professions Coda,and my license is in full force and of eel. 2 z o License Class h,[3 Lfc.Number- I t w Dalc Conlracior , : id BUILDING PERMIT X or in 4 in U OWNER-BUILDER DECLARATION INFORMATION X3: 1- 1 hereby affirm that I am exempt from the Contractor's License MISC.- REF RTO ORD H LL m A Law I'or tiro 1'ullowing reason.(Sec.7031.5,Booncssand Professions PERMIT ISSUANCE 10.00. VALUATION $/FT. my Code:Any city or county which requiiesapermif loconstrucl,alter, - /Orq ,ft 2 K Q�, improve,demolish,or repair any Structure,prior to its issuance,also ELEC.CONTR. LIC.NO. - ELEC. � D 9 6 y w m 6 _ requires the applicant for such permit to file a Signed statement that TOTAL PERMIT TO he is licensed pursuant to the provisions of the Contractor's License _ H z Law(Chuptef.9(commencing with Section 7000)of Division 3 oflhe I E Y 4 Business and(Professions Code)or that he is exenhpt therefrom and QTY. PLUMBING PERMIT FEE Y' In H S the basis for the alleged exemption.Any violation ofSection 7031.5 STORIES TYPEICONSTR. d99 by any appli'antfor a permit subjects the applicant too civil penally ALTER-DRAIN -WATER IEA,) 5.00 of not morethan live hundred dollars($500).): - .. ❑ h,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 their sole compensation,will do the work,and the structure is not OCC.GROUP RES.UNITS intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself re of into his own employers,provided that such impnrvo menton not intended oroffered for s'al however.schen.....ng GAS'-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or improvement is sold withinone year of completion,the owner- GAS-EA:SYSTEM-OVER 4 (EA.) 2.00 builder will have the burden Of proving that he did not build or im- BUILDING USE prove for purpose ofsalc.)' Own ,Cl IND CON PS O , O INDUSTRIAL WASTE INTER. 30.00 I,as owner of the property,am exclusively cont roc ling with - ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law does nut apply P to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 m contracts for such projects with a correctu(s)licensed pursuent.to SEWER-SANITARY-STORM EA.200ft/10.00 The Conlmctofs License Law. TRACT NO. PARCEL NO. V Cl Iumexemptunder Sec ,B.&BC.for this WATER HEATER W/VENT 6.00 reason V Owner Daae WATER SYSTEM ,5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATIONWgTER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate ofcouscal le self in sum, - ZONING 0 or a cerlifc,re,of Workers'Compensation Insurance,or a certified ENG.SITE NO. copy thrived(Sce.3800,Lab.C.I A.ETNA Company 0 ❑ Certified copy is hereby furnished.' ' ❑ Certified 0 y is (led ill t trymY m (vision. - FIRE$PRINK ENERGY T-24 zZ _2rU �rC MISC.- REFER TO ORD. O APplicanl - - Y ❑ N❑ Y ❑ N❑ ~ rn -�- PERMIT ISSUANCE 10.00 - CIi R'I'IFICATE OF EXEMPTION PROM WORKERS' FLOOD ZONE A.L.U.D. LU COMPENSATION INSURANCE PLG.CONTR. LIC.NO, PLG, 1 0 ('Phis section need not'be completed, it the permit is for ane TOTAL Y❑ N❑ Y❑ N❑ Z hundred dollars($100)or less.) U 01 certify that in the performance of the work for which ibis per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL,I- mit is issued,I shall not employ any person in any manner so as to O W beconm subjiiet to the Workers'Compensation Lows of California. - n Date Applicant ALTER OR ADD'TO MECH. 5.00 BUILDING } m NO'1'ICF TO APPLICANT: If,after making this Certificate of Fe. 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 such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=CF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(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 performance of the work for which this permit is issued(Sec. MICROFILM 3897,Civ.C.L HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's No. HEATI NG UN IT 100,000 B.T.U.)9.50 Lender's'Address ELECTRIC I certify that I have read this application and state that the ubove VENTILATION FAN (SINGLE) 4.00 infnrmction is correct. 1 agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-00NIP(3 H.P.Of 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the above-minlioned property for inspection purposes: BOILER-COMP(Over 100,000 BTU(SEE FEE SCH. MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX an in any way accrue against said City in cons uenee of the ranting of flus Penni L MECH.CONT. LIC.NO. MECH. - ��G-� TOTAL TOTAL Signature of A pplican t/Con l rector Date ` OFFICE COPY S POST THIS CARD NEAR FRONT OF BUILDING "IUNIH NLIWIEH• CITY OF CUPERTINO zi INSPECTION DIVISION 17044 044 JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS UNIT# _LOTi1—_ PERMIT EXPIRES IF WORN uwN111 I I A CO Th CIORIS NOT STARTED WITHIN E JOXTE INSPECTOR (NSOCCT16WR C R 180 DAYS OF PERMIT ISSU. --ANCE OR 180 DAYS FROM FOUNDATION NOTE: LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF Ili Rev I VAI HIAI ON PREGUNITE CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING ELECTRICALSunNci I:ATP MECHANICAL City UpC( IIID uLu1. ILU.I vL<-,. mt GH DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FI-OOR VAIIIAIRn: S/FT PLUMBING ':Zi - MECHANICAL U V'i Iu ELECTRICAL I FRAMING T sill".,; fYPF CONSTH. INSULATION UCC GHOUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO l 'Iot,n AIN A unnL ALlunct ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID IWIL DIW USE 1 ROOF SHEATHING , nTs IND CON Po 0'. APPLY NO ROOFING UNTIL ABOVE HM BEEN SIGNED FINALS DATE INSP. ❑ 0 El 0 0 ASSESSORS PAHCE L NO. ROUGH SANA PLUMBING - ELECT.ENERGY nlnc*NO Pnnr.[L NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ' ACC DATE ACC.FILE NO ELECTRICAL _ p - BUILDING ENERGY FRAMING ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION PLUMBING GAS TEST - GAS ` FIRE SPRINK EY [:] T.1 MECHANICAL Y ❑ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ N❑ a ❑ N tLuuu mNL n.L.0 c. i EXTERIOR SHEAR ELECTRICAL RELEASE �q INTERIOR SHEAR I FIRE DEPT. Y❑ N� Y L7 N❑ SHEETROCK GRADE 2 �}U - FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH ' TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE t NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM Tw ARRANGE FOR INSPECTION BY PHONING 252-4505, °' ELECTRIC OONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING, 0 Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION DATE — i'1 MECHANICAL CONST.TAX IMPORTANT! � I a I � x. rTa�t,+I,i�'��`' VL"R5E SIDE BEFORE .IITOTAL'EAU RE CALLING FOR FINAL INSPECTION. APPLICANTSPOSTING COPY POST THIS CARD NEAR FRONT OF BUILDING PEI N1IT NUMBER" CITY OF CUPERTINO INSPECTION DIVISION 1 �(�V�� JOB INSPECTION RECORD / UNIT 9 ADDRESSPERMIT EXPIRATION _�d� S /J— — ^ /// ' � t} _LOT# PERMIT EXPIRES IF WORK uwNErl CO rnnclora IS NOT STARTED WITHIN _ E 10E INSPECTOR NS ECTI R 180 DAYS OF PERMIT ISSU ANCE OR 100 DAYS FROM FOUNDATION NOTE: LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE. TO COMPLY WITH THE APPROVED PLANS AND CITY OF I`I RNIII VAIJOATTUN CUPERTINO TANDARDS, GARAGE SLABS 0j'irWA V40 ,NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING ELECTRICAL ISSUANCEun TT: MECHANICAL wily ur buvellillD Ilurz; El.r.r.l PLr._ Ml cn All of 0, {d ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALIIn 11fIN SIFT. PI_UMRING MECHANICAL ELECTRICAL EEI+NnI ro FRAMING 11 SInInIS vrCCONSTR INSULATION occ crrour NES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ,Sfl r T 11 1)111 AIIFN iIIIAL ACIIIAIA ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE I DIAPHRAGM I HE CONSTRUCTION TAX IS PAID BUILOING USE ' OF SHEAT HIND mas 'NO CON Fe on.., APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. El ❑ ❑ El ❑ ' ASSESSORS PARCE L NU. HOUGH SAN.0 PLUMBING ELECT.ENERGY IRACI NO I'ARCI L NO 1 TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ACC UAIE' ACC FILE NO ELECTRICAL BUILDING ENERGY FRAMING ELECT.FINAL T EST IONINII ENG SAE NO. INSULATION PLUMBING GAS TEST GAS FIRE$PriINK ENEH(i\'i 14 ' MECHANICAL Ej NEI \ ❑ NC COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL RELEASE ILOOD ION[ n-L-,1< INTERIOR SHEAR FIREDEPT. - 0 ❑ IN ❑ No D SHEETROCK GRAE FEE SUMMARY EXTERIOR LCITI BUILDING INTERIOR LATH TEMPO RARYAPPRO ALS BUILDING SCRATCH(;()AIELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED 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. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL'• CALLING FOR FINAL INSPECTION. APPLICANTS POSTING COPY