The URL can be used to link to this page

18596 'POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 18596* . INSPECTION DIVISION JOB INSPECTION RECORD: I / PERMIT EXPIRATION JOB ADDRESS�C.1 20 S - �� L+I^-� IT#:' LOT# C�—n�1 - � PERMIT EXPIRES IF WORK OWNER ' / A�- ��'/ivTS coNrRAcroR Ia �2 Li' �` IS NOT STARTED WITHIN INSPECTION I DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATIONNOTE: ANCE OR 180'DAYS FROM UFER � - ALL GRADING AND DR NAGESHALL BE'INSTALLED LASTCALLEDINSPECTION. PREGUNITE TO COMPLY WITH THE ROVED PLANS AND CITY OF PURMIT VALIDATION CUPERTINO STANDARD . _ GARAGE SLABS - � POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING .; - r,,,� A'u NCE ELECTRICAL - / rE uare MECHANICALBLDG - ELECT, PLC,. MEC.. E] ©• ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED auaowG PEamrc INFORMATION WOOD FLOOR PLUMBING VALUATION SIFT. _ � ' MECHANICAL - nP - ELECTRICAL �•u - PERMIT To FRAMING I "L, Gr •13 INSULATION / STORIES TYPE CONSTR. ' "DCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - - • ROOF - .NOTE:NO FINAL INSP.SHALL BE MADE BEFORE sn.FT FLoon AREA TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING Res IND CON PB our., . APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE ' INSP. ❑ ❑ "0 ❑ ❑ ASS.iSSUT S PARCEL NO ROUGH SAN.q ' PLUMBING ELECT.ENERGY TRACT No. PARCEL.NO TUBS&SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ACC DALE ACC FILE NO. ELECTRICAL BUILDING ENERGY- . FRAMING ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION PLUMBING ' GAS TEST GAS' 'I MECHANICAL FIRE SPRINK ENERGY T-2G. • ` COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N 01 ❑ No EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE . A.L UC, Y[] N� V L ry� INTERIOR SHEAR FIRE DEPT. SHEETROCK - GRADE • FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR 'LATH - TEMPORARY APPROVALS 9BUILDwG -SCRATCH COAT ELECTRIC PLAN CHECK �, - GAS FEE I NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNEDBY,BUILDING INSPECTOR, MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC . `7` S H� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING ' o PLEASE GIVE JOB ADDRESS WHEN PHONING. Z MECHANICAL — SEE PERMIT.FOR EXPFRATION DATE = - 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 BUILDING PROJECT I DENTIFICATI ON, PERMIT NUMBER BUILDING . APPLICATION & PERMIT 18596�E OWNEERR AooBUILDING - ELECTRICAL-PLUMBING-MECHANICAL `9 b i 0 S S, STFI LING R 'S - PLAN CHECK VALIDATION NAME CITY. ELECTRIC PERMIT FEE A EtZ UA Y Sglr✓1-�IONE UTLETS-SWITCHES-RECEP 10.00/1.00 CONTRACTOR mELWKT EIFI/LIC...2% I95nf••f/.� LIGHTING FIXTURES 10.00/1.00 CONTRACTORS - 11MA ADDRE �LT APPLIANCES-RESIDENTIAL 4.00 CONTRAS 6431N vs L H,� sus-1611 PANELS 10.00 DATE OF APPLICATION ogCHITECi - PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.No. ENGINEER uc.No. SIGNS TRANS. 3.00 AARCH DDRESS ENG. SPECIAL CIRCUIT 5.00 - 'PERMIT VALIDATION 21P TEMP.METER OR POLE INS. ,20.00 ` ASNr$ MOTORS SEE FEE SCH. �V oo 1 ADDREDDRESS SERVICE CHANGE 20.00 occo 00. LICENSED CONTRACTORS DECLARATION 9 J9 `(,_/Q • a u I hereby affirm that I am licensed under provisions of Clmpter 9 / '-- /6SUAONCE DATE z"' (commencing with Section 7000)of Division 3 of the Business and Gay BLDG. ELECT. PLG. MECH. r o z Professions Code,and my license is in im force and effect. ED ❑ ❑ o z_o License Class Lic.Number 6861 E t d 3 S T t: Date - Contractor am I - - BUILDING PERMIT' M IS w a OWNER-IIUILDER DECLARATION - o A u INFORMATION ;.LL H I hereby ullirnl that 1 am exempt from the Conlnwtors License MISC.- - �CFMFER TO ORD a. 0< Law for the following reason. 7031.5,Businessand Professions VALUATION $/FT. as H _ PERMIT ISSUANCE dArBO y,p0 Code:Any city or county which structure, permit toconstruct,alter, - Q Q Q improve,deI110I141,OI regal[any ahllet lire,prlU[Ill II61aS1IIl I1CC,also ELEC.CONTR. LIG.NO. ELEC. U -O M requires the applicant for such permit to file a signed statement that TOTAL law es I he is licensed pursuant to the provisions of the Contractor's License PERMITTO HiQ Law.(Chapter 9(conuneacingwith Section 7000)ol'Divislun 3 ofthe . 4 D Business and Professions Code)or that.he is exempt therefrom and DTV. PLUMBING PERMIT FEE It 1_ $ thebasis.for the alleged exemption.Any violation ofSection 7031.5 STORIES TYPE CONSTR. aE - by any applicant lora permit subjects lheapplicam toacivil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars(5500).): ❑ I,as owner of the property,or my employees with wages as BACK 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 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 does such work FIXTURES-PER TRAP 5.00 50.PT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve. mentsare7u intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1INC.4 OUTLETS 6.00 or improvement is sold within one 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 of im-. BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER3000 RES IND CON PB Omer Cl . . I,as owner of the property,am exclusively contracting with 1:1 El El ❑ Ellicensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Cede:*1 he Contractors License Law does nofapply to an owner of property who builds or improves Ihcreon.and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 contracts for such projects with a contraclor(s)licensed pursuant to SEWER-SANITARY-STORM EA.200f[/10.00 the Conductor's License Law. ,TRACT NO. PARCEL NO. '❑ lam exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner _ [)at, WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. • WORK E RS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that Phase o cerlifiente of consent to sclf-mnov. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE N0. ra copy thereof(See,3800,Lab C.).' Policy No. Company Q ❑ Certified copy is hereby furnished - FIRE SPRINK ENERGY T 24 Z Z 1}f. � Cer- U t`T�Ih spection divisio . O Applican MISC.- REFER TO ORD. Y ❑ N❑ Y ❑ N❑ Ir w CER'IIFICATF.OF EX17MPTION FROM WORKERS'. PERMIT ISSUANCE 10.00 FLOODZONE A.L.U.C. LL > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG, CL O ('This section need not be completed if the permit is for one TOTAL Y❑ N❑ Y ❑ N❑ Z hundred dollars(8100)or Icss.) - U O 1 certify that in the performance al'the work for which this per- OTV. MECHANICAL PERMIT FEE FEE SUMMARY LL F mit is issued.I shall not employ any person in any manner so us to O W become subject to the Workers'Compensation Laws of California. d Datc Applicant ALTER OR ADD TO MECH. 5.00 BUILDING } In NOTICE 'f0 APPLICANT: If,after making this Certificate of lis- F" - elnfoun,you should become'Subject to the Worker,'ComprmrIioa •ARPLIANCIi,,..,,....«.x.w' 5.00 PLAN CHECK '75n provisions of lire Labor Code, you most forthwith comply with - FEE U such provisions or this permit shall be deemed revoked AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING ACE NCY AIR HANDLING UNIT(OVER 10A00C.F.M.) 6.00 - SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 6.00 r the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING'UNIT(OVER 100,000 B.T.U.19.50 i'• b Lender's Address ELECTRIC I certify that l have read this application and state that.tire above VENTILATION FAN (SINGLE) 4.00 intbnnation is correct. I agree to comply with all city and county - PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby authenticf representatives othis city to enter upon.the above-mentioned properly forinsp of ion 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. .Petro. against liabilities,judgments, coals and expenses which- PERMIT-ISSUANCE 10.00 CONST.TAX nay n ny way al cone against said City in consequence of lire 5 Go f lisperrmit. MECH.CONT. LIC.NO. MECH. � TOTAL TOTAL 'f Slgntrurec Applicant/Contractor Uate /Gr OFFICE COPY