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14801POST.THIS CARD NEAR.FRONT OF BUILDING -: CITY OF CUPERTINO. INSPECTION DIVISION JOB INSPECTION RECORD JOB ADDRESS /d �/6. J��-"�� I1 UNIT# _LOT# OWNER •E G / "—TG MSC comraAcroR L pU Lam{' PERMIT NUMBER 14801 •II PERMIT'EXPI RATION ,PERMIT EXPIRES IF WORK. IS NOT STARTED WITHIN�I 186 DAYS OF PERMIT ISSU "- ANCE OR 180 DAYS FROMlf LASTCALLED INSPECTION.4; IE INSPECTION DATE INSPECTOR/INSPECTION RECORD FOUNDATION - - NOTE: ALL GRADING AND, DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CURERTINO STANDARDS. UFER PR EGUNITE _ PERMIT VAIJDATION 1•P„�; ,, V44^`y,•. j'� , i - *ISSUANCE DATE GARAGESLABS r POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUN /SLAB, PLUMBING IPA* ELECTRICAL MECHANICAL Pik tByua, ,o ELECT PL c MECH F-1 Or /lr�Le 210 vos 0 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED M� ,y� dt W CdY BUILDING PERMIT INFORMATION WOOD FLOOR VAI:UATION sTPT. I FAL PLUMBING - - .. MECHANICAL ELECTRICAL - a PERMIT ro' EG 11 pR III (Ori0b FRAMING INSULATION - - STORIES IYPECONSTR. .00C GROUP RES. UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID 50. FT, FLOOR AREA TOTAL ACREAGE DIAPHRAGM ROOF SHEATHINGIces BUILDING USE .IND roN PR ❑ 0 El E APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE 'INSP. ROUGH SAN,# ASSESSORS PARCE L NO PLUMBING ELECT. ENERGY TUBS&SHOWER PAN- PLUMBING ENERGY THACI NO. PARCEL NO MECHANICAL MECH.ENERGY ELECTRICAL •' BUILDINGENERGY ACC DATE ACC FILENO FRAMING• ELECT, FINAL TEST INSULATION PLUMBING ZONING , ,ENG. SITE NO. ' GAS TEST -- :�//-8 GAS -"' MECHANICAL- /y FIHe sPRINK ° "� ENERGY ria IN[] COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ^ •� ELECTRICAL RELEASE •F FLOOD ZONE YO' NO ALUC. v❑ N❑,. INTERIOR SHEAR FIRE DEPT, SHEETROCKGRADE - FEE SUMMARY EXTERIOR LATH, BUILDING BUILDING INTERIOR LATH. TEMPORARY APPROVALS., SCRATCH COAT ELECTRIC - PLAN CHECK FEE ' - - GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY .SEISMIC FEE OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. MICROFILM ,ARRANGE FOR INSPECTION BY PHONING -M-4505, �ONE WORKING DAY.'.BEFORE REQUIRED INSPECTION. . O PLEASE.GIVE JOB ADDRESS WHEN PHONING. Z —SEE PERMIT FOR EXPIRATION.DATE - ELECTRIC PLUMBING MECHANICAL coNST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY.-. .0 Z Z P CC T LLI - aa U o LL U Owe >y h = APPLICANT TO FILL IN INFORMATION WITHIN RED LINES- USE BALLPOINT PEN ONLY _I BUIL NGPROJECTIDENTIFICATION APPLICATION &PERMIT, BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PERMITNUMBEH -- 148,01 ADII. wG DDRESS_ - iE'11( S. SieL6IIJ& 2a. OWNER'S NAME � EIGN� �Q(HO�i'� �{ss PHON I 'Td DTV. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION 7 C- 7 y U DATE OF APPLICATION ' CONTRACTORS N -` r �j _may Q a FOCI LIc.NoZ�"d`S ` OUTLETS -SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONOPRACTOR's - AADDD�R'yESS..�/rrf. 1 1 ` (� LLSV YIx-Jy `PHONE 1-vCIW PPLIANCES- RESIDENTIAL 4.00 PANELS 10.00 ARCHITECT OR ENGINEER TIC NO, PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. No. ISIGNS TRANS. 3.00 ADDRESS ENG 5.00 PERMIT VALIDATION PERMITCIRCUIT TEMP. METER OR POLE INS. 20.00 z1', ADDRESS Pucnrvrs MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICENSED CONTRACTORS DECLARATION E/ er-7 , _ I hurehy of@m that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and PICfCasmr, CO an Yy ICCnsC IS In roll fps�L�n I6E r z License Class Lie. Number L `� Fi �% Uatc_�. s Contractor 01 ISSUANCE DATE BLDG. ELECT. PLG. MECH. { f E& i1 fpyJ[L- , OWNER -BUILDER DECLARATION hereby collo that 1 tors exempt from the Contractor's License Professions CodLaw :Orthcfollorcounng twhch re Tires a perminess t to construct, {�DI NG PERMIT ORMATION VALUATION $ ` Sop MISC.- REFER TO ORD PERMIT ISSUANCE 10.00 �- ELEC. CONTR. LIC. NO. ELEC. TOTAL OTY. PLUMBING PERMIT FEE improe,donoyorcountywhinystructurepriortoitsr,trud,alter, to fie a prior n its issuance, also improve, heapplic nt Sarah tory permit requires the applicant for such permit to file i signed statement that he is licensed pursuant to the provisions of the Contractor's Licence Law(Chapter 9(commencing with Section 70001of Division 3 offlic Business and Professions Code) or that he is exempt therefrom and V1 I PERMIT T Q _ C ` d4atl M ftif&9 8 the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant far a permit subjects the applicant to a civil penally of not more than five hundred dollars fS500).): STORIES TYPE CONSTR. ALTER -DRAIN & VENT -WATER (EA.) 5.00 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and'd a structure is not BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS-FLOORROOFAREA, GOND. 5.00 , , - intended or offered for Sale (Sec. 7044, Business and Professions Code: Th e Contractor's License Law docs not apply to an owner of ' FIXTURES - PER TRAP 5.00 GAS - EA. SYSTEM -1 INC.4 OUTLETS 6.00 SO. FT. FLOOR AREA TOTAL ACREAGE property who builds or improves thereon, and who does such work himself or through his own employees. provided that such improve- mentsarenotintendedorofferedforsale. If, 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 saleJ' ❑ I, as owner of the property, am exclusively contra c ling with GAS - EA. SYSTEM - OVER 4 (EA.) 2.00 BUILDING USE RES IND CON PB Omar 0 ❑ ❑ ❑ INDUSTRIAL WASTE INTER3000 . . licensed contractors to construct the project (Sec. 7044, Business 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 - 1 INC 5 V.B. 6.00 - LAWN SPRINKLERS -OVER 5 (EA.) '1.00 ASSESSORS PARCEL NO. contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law, ❑ I am exempt under Sec,-, BAP C. for this mason SEWER-SANITARY-STORMEA.200ft/10.00 TRACT NO, PARCEL NO. WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM 1 5.00 ACC. DATE ACC. FILE NO, WATER TREATING EQUIP. 5.00 - WORK E;RS'COMPENSATION DECLARATION I Ihereby affirm that 1 have a certificate of nnsent to self -insure. or a certificate of Workers' Compensation Insurance, un cert,tied copy th Policy 474&~0_4 ft�,tg ZONING ENG. SITE NO. 30 - ❑ Certified copy is hereby furnished. ❑ Certifed copy is filed with the city inspection division. Applicant FIRE SPRINK N � Y L)=ZONE ENERGY Tin Y � IN MISC. •'R REFER TO ORD. CERTIFICATE 01' EXEMPT ION FROM WORKS RS' COAIPENSA'I'ION INSURANCE - (This section need not be completed if the permit is for one PERMIT ISSUANCE 10.00 d A.L.II.C. V ❑ N PLG. CONTR. LIC. NO. pLG. TOTAL hundred dollars ($ 100) no less I 1 certify that in the performance ol'the work for which this pts- ITT is issued, I shall not employ any person in any manner so as to OTY. MECHANICAL PERMIT 'FEE FEE SUMMARY BUILDING become subject 10 tire�orkere' Compensation Laws of California. Date A licam ALTER OR ADD TO MECH. 5.00 NOTICE 'f0 APPLICANT: If, after making this Certificate of Ex- APPLIANCE 5.00 AIR HANDLING UNIT ITO 1g000C.F.M.) 4.00 PLAN CHECK FEE enhption, you Should become subject to the Wnrkers'Contpensation provisions of the Labor Code, you must forthwith comply with such provisions Or this permit shall be deemed revoked AIRHANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending'agency It,, EXHAUST HOOD (WITH DUCT) 5,00 the performance of the work for which this permit it iswed (Sec. Lend, MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 s Nain Lender's Name Lender's Address HEATING UNIT (OVER 100,000 B.T.U.)9.50 ELECTRIC 6T2 .�� VENTILATION FAN (SINGLE) 4.00 I certify that I have read this application andstutu that tie above information is correct. I agree to comply with all city and countyBOILER-COMP13 ordinances and state laws relating to building construction, and PLUMBING- �C L H.P. or 100,000 B.T.U.) 6.00 - hereby authorize hereby authorize representatives ins of this dtytto enter upon theabove property for Inspection pudyo to.' BOILER -COMP (Over 100,000 BTU) SEEFEE SCH. MECHANICAL l� -� MISC. - REFER TO ORD. (W agree to save, indemnify and keep harmless the City of upe tin against liabi'-judgms, costs and. expenses which ay n y w y acct a cost 'id City in consequence Of the CONST. TAX PERMIT ISSUANCE 10.00 V rant g ermil �t J] '.�-$'88 MECH. CONT. LIC. NO. MECH. TOTAL d�-4D TOTAL 6Z Signa are rApplicant/Gaol clot. IUate OFFICE COPY