The URL can be used to link to this page

16706 POST THIS CARD NEAR FRONT OF BUILDING - .PERMIT NUMBER CITY OF CUPERTINO 16706 PNSPECTION DIVISION ' < ? JOB INSPECTION RECORD i .;.. / /�— f PERMIT EXPIRATION JOB ADDRESS—lD2'"`0 ale UNIT#• _LOT# PERMIT EXPIRES IF WORK ' OWNER C V`� CONTRACTOR 1,. •P_ IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORIO 180 DAYS OF PERMIT ISSU- FOUNDATION" a ANCE OR 180 DAYS FROM NOTE: ,UFER ALL GRADING IN AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION. O COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALi DATION PREGUNITE 1 UPERTINO STANDARDS. GARAGE SLABS PAID R �� 1 •+ POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB }byµ y PLUMBING - `\ + Y+ .i rd.'•"Y.i`•.,:..�./( ELECTRICAL' city ot CuRaft - ISSUANCE DATE MECHANICAL 11 n� C �.r uc ELECT Pf:G. MEC.. .G 1 •o l LTJ ❑ ❑ El DO NOT POUR FLOOR UNTIL ABOVE HA BEEN SIGNXD BUILDING PERMIT INFORMATION WOOD FLOOR I VALUATION slFr. PLUMBING MECHANICAL V. 1 ELECTRICAL PER+Mfr ro . FRAMING. I .� + S1 INSULATION 1 STORIES TVPECCNSTR I rI IXV W� A�Ai .QgOy •GOOr O� OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS E NAIE -03' 9--20 —ay ROI NOTE'NO FINAL INSP.SHALL BE MADE BEFORE sn F- FLOOR AREA TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID J 9UILDI S+: USE ROOF SHEATHING � Res IND CON PS O.o.•, APPLY NO ROOFING UNTIL ABOVE HAS BEEN IGNE FINALS DATE INSP. F-1 E' El 1:1 11.. ASSESSORS PARCEL NO ROUGH SAN.# PLUMBING, ELECT.ENERGY TRACT NO. PARCEL NO - TUBS 8 SHOWER PAN I PLUMBING ENERGY, MECHANICAL MECR ENERGY ACC DATE ACC.FILE.NO ELECTRICAL 'BUILDING ENERGY 'r FRAMING' - ELECT.FINAL TEST Z0 i ENG.SITE N0. INSULATION - PLUMBING , GAS TEST, GAS , EIRE.SPAINK ENERGY T 24 MECHANICAL - Y [D NEJ Y ❑ .N[:] COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING C. EXTERIOR SHEAR ELECTRICAL ELOUOZONC A.L.0 RELEASE - • INTERIOR SHEAR FIRE DEPT.' Y❑ ,No Y ❑ N❑• SHEETROCK GRADE - ' FEE SUMMARY EXTERIOR LATH BUILDING- , INTERIOR''LATH .' TEMPORARY APPROVALS BUILDING I _� SCRATCH COAT ELECTRIC - PLAN CHECK IE, GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY I I ISEISMIC FEE Q.d OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR, MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-45051 ELECTRIC F� ONE WORKING'DAY BEFORE REQUIRED INSPECTION. p��} o" . PLEASE GIVE JOB ADDRESS WHEN PHONINGPLUMBING .'Z MECHANICAL - SEE PERMIT FOR EXPIRATION DATE - IMPORTANT! CONST.TAX* PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR-FINAL INSPECTION. i !' OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES.- USE BALL POINT PEN ONLY B41 LDING PROJECT IDENTIFICATION - :PERMIT NUMBER BUILDINGn APPLICATION & PERMIT 1 16706 AODREss I04�V 71 X71 W� IKJ F�.�1 BUILDINGELECTRICAL-PLUMBING-MECHANICAL .. Gi - OWNER'S ' 1 - PLAN'CHECK VALIDATION NAME �Y// ( 4U QTY. ELECTRIC PERMIT FEE 11--8-1 PHONE LONT TOR'B 27 7 �� ♦i NAME e�/�/ � LIGHTING -SWITCHES-RECEP 10.00/1.00 LI N LIGHTING FIXTURES 10.00/1.00 o RACT095 707. 5-97 APPLIANCES-RESIDENTIAL 4.00 ORE s '2 PANELS 10.00 DATE OF APPLICATION ARCHI ECT PLAN CHECK FEE P.C.NO. OR 1 {Mi PANELS (OVER 200 AMP) 20:00 ENGINEER Y No C144 SIGNS TRANS. 3.00 ADDRESSENG. ^G�1 �1 PERMIT VALIDATION ADDRESS K7GJY SPECIAL CIRCUIT 5.00 �1 EMP.METER OR POLE INS. 20.00 APPLICANT'S MOTORS SEE FEE SCH. ADDRESS 27 4� � SERVICE CHANGE 20.00 F 09 LICENSED CONTRACTORS DECLARATION a v PA w I hereby affirm that I am licensed under provisions of Chapter 9 ' ISSUANCE DATE" (commencing with Section 70007 of Division 3 of the Business and rn a y a BOG. ELECT. PLG. MECH.z Professions Code,and my license is in full force and effect. ❑ ❑ O o i m W License Class Lia Number I Date Contractor a m f 0 i U OWNER-BUILDER DECLARATION BUILDING PERMIT MISC.- p INFORMATION w ; w w ,I hereby uffirin that I am exempt from Dle Contractor's License LL O a Law for the following reason.(Sec.7031.5,Business and ProfessionsPERMIT ISSUANCE 10.00 VALUATION $/FT. ww� Code:Any city or county which requires a permit to construct,alter, ELEC.CONTR. LIC:NO. a o improve demolish,or repair any strud ere,prior to Its issuance,also 'LEC. , a wO LL requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO m he is licensed pursuant to the provisions of the Contractor's License r z rhe 9(commencing with Section 7000)of Division 3 ofthc ' 4 o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE I NMV, VE AD M H $ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. �cu3 by any applicanll'ora permit subjects the applicant to a civil penally ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(4500).1:, ❑ I,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 - REB.UNITS intended or offered for sale (Sec. 7044, Business and ProfessionsDRAINS-FLOOR,ROOF,AR EA, D. 5.00 Code:The Contractor's License Law does not apply to an Owner of - property who builds or improves thereon,air(]who docs such work FIXTURES-PER TRAP ? 5.00 50.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- ments are not intended Or offered fnr sale.It,however,tire GAS-EA.SV$TEM- e building - r or improvement is sold within one year of completion,the owner. ( r} builder will have the burden of proving that h,did not build or int- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE prove for purpose of saleT. INDUSTRIAL WASTE INTER3000 RES IND CON - PS Omar ❑ 1,as owner of the properly,am exclusively contracting with . . ❑ ❑ ❑ ❑ ❑ licensed contractors 10 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 not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 con tons for L License with a Cellllaetnf(ti)LC2nSCd pursuant In SEWER-SANITARY-STORM EA.200ft/10.00 the ]a...Contractor's License Law. TRACT NO. - PARCEL NO. ❑ tato exempt under Sec.-,BAII.C.for Ibis WATER HEATER W/VENT 6.00 reason owner Date WATER SYSTEM - 5.00 ACC.DATE ACC.FILE NO, WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I herchy affirm that I have a cerlificate ol'covscnl to self-insure, ZONING 'ENG.SITE NO. or certificate of Workers'Compensation Insurance,or a certified' copy thereof(Sec.3800,Lah.C.). - - 0P olicy No. Company Z .. O Certified copy is hereby furnished. FIRE SPANK ENERGY T-24 Z_ Z CertificA m ix fit��',dt1 with the city inspection division. - O Applicant /�'��/�y=15 MISC.- REFER TO ORD. Y � N� Y � N� CC rn r j� PERMIT ISSUANCE 10.00 � - CERTIFICATE OF F.X IiMPTION FROM WORKERS' FLOOD ZONE A.L.u.L. LLI > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. Y 1CL N v :) Q 1"this section need not be completed if the permit is for One TOTAL N Z hundred dollars IS 100)or less.) U O 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL F- mit is issued,I shall not employ any person in any manncrso as to U become subject b the Workers'Compensation Laws of Caldmnia. W Dat, ° Applicant BUILDING 1 } rn NOTICE TO APPLICANT: If,after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 .--. F ? entption,you should become subject to the Worker Compensation APPLIANCE 5.00 PLAN CHECK provisions of [I ,Labor Cure, you mint forthwith comply with FEE U such provisions d this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=CF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.R � M.) 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 pennit is issued(Sec. MICROFILM .� 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Address HEATI NG UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC I certify that I have read this application and stave that tireTI above 'VENLATION FAN (SINGLE) 4.00 information is correct.I agree to comply with all city and county BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws relating to building construction, and hereby authorize representatives of this city to anter upon the above-mentioned property for inspection purposes. BOILER-COMP (Over 100,000 BTU)BEE FEE 6CN. MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which CONST.TAX may in any way accrue against said City in wnsequ ce of the PERMIT ISSUANCE 10.00 ranting of s rmiL� ' MECH.CONT. LIC.NO. MECH. TOTAL TOTAL Signature of App leant/Contruc[Or Dat �� 1 OFFICE COPY