11442 RIM/%
'!Rft�,AMP
r
No.
(IT
� iiftt# � (� rf�tnr 1
4�1
of Tupprtino
lNuisia"
This certificate issued pursuant to the requirements of Section 307 of the
Uniform Building Code certifying that at the time of issuance this structure HIM
in compliance with the various ordinances of the city regulating building
construction or use. For the following:
Use Classification OFFICES Bldg. Permit No. 11442
-2 '1�pe Construction
Group B II FR Use Zone P(RES/COMM/OFF/IND/HOTEL)
Owner of Building MULFORD (TENANT) Address 20300 STEVENS CREEK BLVD.
20300 STEVENS CREEK BLVD. CUPERTINO, CALIF. 95014
Building Address Locality
Val By: JOE ANTONUCCI
Date: AUGUST 26, 1986
-`'«,t- Building Official
POST IN A CONSPICUOUS PLACE gJ
;n
. .. ...... Pt .... WX"
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BU LDI NG PROJECT I DENTI FICATI ONPERMIT NUMBER
DDILDING APPLICATION & PERMIT 11442
ADDRESS
BUILDING-ELECTRICAL-PLUMBING -MECHANICAL
i -
OWNER 5 PLANCIIECK• ALIUPTJON
NAME '`\ 11 � 1 W+VVfOVi.L� Q Y, ELECTRIC PERMIT _ FEE ��� �
d;
PHONE
mME Acrons OUTLETS-SWITCHES-RECEP 10.00/1.00
!•' R�V' LIC.No S 2 1 LIGHTING FIXTURES 10.00/1.00
C-onrR CTOR'S l1CPP LIANCES-RESIDENTIAL 4.00
.,
ADDRESS /�1�1[�'' /
'10`1400- MAs 1 ` YHONE 1, -QST PANELS 10.00 DATE OF APPLICATION
ARCHITECT PANELS (OVER 200 AMP) 20.00 PLANCHECK FEE P.C.NO.
OR
ENGINEER
LIc.ND. 'L SIGNS TRANS. 3.00
ARE oR ENO' SPECIAL CIRCUIT 5,00 PERMIT VALIDATION
_ ADDRESS
p•QAflk vetJLC C `, ZIP EMP. METER OR POLE INS. 20.00
APPLICANTS MOTORS SEE FEE SCH.
ADDRESS
SERVICE CHANGE 20.00
aOF+
00 LICENSED CONT'RACfORS DECLARATION
Oz 1 hereby affirm that 1.,it licensed under provisions of Chapter 9 ISSUANCE DATE
2 w (commencmg with Seclien 7000)of Division 3 Of the Business and BL FLEE PLG. MEC 1.
rH'N i Professions Cod l Id my license is in lull force. cf ❑
C O,_o License Class _Lie.Number- -]']1_
F„,r; Date�q�.i-s-s�-Contractor
J 's �1a -e����p� ; BU DING PERMIT
a w < OWNER-BUILDER DECLARATION , �•
E'. o 4 u MISC.- REFER TO ORD ' INFORMATION
w ; ,�a I hereby affirm that I am exempt from tile Contractor's License VALUATION $/FT.
uoa Law for the following reason.(Sec.7031.5,Businessund Professions PERMIT ISSUANCE 10.00 'Q i
n✓• Code:Any city or county which requires permit IO consvucL Ater, �I-
F
improve.demolish,or repair an structure,prior to its Rinance,also ELEC.CONTH. LIC.NO.
a D p p y ELEC.
p
0, requires the applicant Iof such permit to File a signed fmlunic 11 that TOTAL J PERMIT TO
W m he is licensed pursuant to the provisions of the Contractor's License _
rzi
Law(Chapter 9(cotmuencing with Section 7000)ot'Division 3oflhe x
a Business and PrOfeSnmS Code)or that hrte is exempt Ihm ctefroand QTY. .PLUMBING PERMIT.,-
FEE.
. 7 1-)k s�fi
le r y$ the basis for the alleged exemption.Anviolation of Section 7031.5 - STORIES TYPE CONSTR.
d ; by any applicant fora permit subjects the applicant to a civil penally ALTER-DRAIN -WATER IEA.) 5.00
of not more than five hundred dollars 1$500).):
-❑ I,as owner of the property,or my employees wilh wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS
their sole compensation,will do the work,and the S rueturc is not
intended or offered for sale(Sec 7044, Bothell and professions DRAINS-FLOOR,ROOF,AREA,GOND. 5.00
Code:The Contractor's License Law dues not apply to an owner of
property who builds or improves thereon,riot w11D does boat work FIXTUR ES-PER TRAP 5.00 SD.FT.FLOOR AREA TOTAL ACREAGE
;• himself or through his own employees,provided that such in prove
ments are not intended or offered for Sala.Il',however,the budding GAS-EA.SYSTEM-1 1 NC.4 OUTLETS 6.00
or improvement is sold within one year of cuntpletion, the owner GAS-EA.SYSTEM-OVER 4 IEA.) 2.00 BUILDING USE
builder will have the holden of proving Ihal he did nut build or ul RES NO C N PB Other
prove for purpose ol'sule.). INDUSTRIAL WASTE INTER. 30.00
❑ 1,as owner of the property,will exclusively contracting with E] ❑ ❑ ❑
licensed contractors IG construct the project(Sea 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSOR PARCEL NO.
and Professions Code:The Conlmcl ors License Law dues nut apply
to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00
contracts forsuch projects with a conlractons)licensed pursuant to SEWER-SANITARY-STORM EA.200fT/10.00
the Cori License Law. TRACT NO. VARCEL NO.
❑ I ant exempt under See ,B.&P.C.lin this WATER HEATER W/VENT 6.00
reason
Owner Date WATER SYSTEM 5.00 ACC.DATE ACG FILE NO.
W'ORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
1 hereby ARID, that I have a cersuicutc OI'aofucN lO u•11-inalre' ZONING ENG.SITE NO.
or a certificate of Workers'Conmeowtiun Insurance,or a certified
copy thereof(Sec.3800,Lab.C.).
Policy No. Company
O ❑ Certified copy is hereby furnished FIRE SPRINK ENERGY T24
Z Z fj6Certified Copy is Filed with the city inspection division. MISC.- REFER TO ORD. Y N Y N
Q� ❑ ❑ ❑ ❑
CC � PERMIT ISSUANCE 10.00
' CCm Q Applicant- CERTIFICATE 017 EXEMPTION FROM WORKERS FLOOD ZONE A.L.U.C.
L COMPENSATION INSURANCE PLG.CONTH. LIC.NO. PLG.
CL 0 (This section need net he completed if the permit is for one TOTL Y El NO V❑ N❑
hundred dollars l S 1001 or less.) -
U 0 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT ` . FEE FEE SUMMARY
LL I- mit is issued,I shall not employ any person in any manner xt as to
O W becomesubject to tic Workers'Compensation Laws of Culitornia. e
a Date Applicant Z ALTER OR ADD TO MECH. 5.001/d -� BUILDING
} W NOTICE TO APPLICANT: If,alter making this Cenificule of fix-
? emption,you should become subject to the Workeri Compensation APPLIANCE 5.00 PLAN CHECK
provisions of the Labor Code, you must forthwith comply with FEE
U such provisions or this pennil shall be deemed revoked. AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=1C.F.M.) 6.00 SEISMIC FEE 3 �
1 hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00
the 3097 performance of the work for which this permit is issued(Sec. HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM
Lender's Name HEATI NG UNIT(OVER 100,000 B.T.U.)9.50 /z
Lender's Address ELECTRIC a`i
I certify that l have read this application and state that Lite above VENTILATION FAN (SINGLE) 4.00
information is correct. I agree to comply with all city and county PLUMBING
ordinances and state Jews relating to building construction, and BOILER-COMP 13 H.P.or 100,000 B.T.U.) 6.00
hereby authorise representatives of this city tO enter open the BOILER-COMP (Over 100,000 BTU(SEE FEE SCH. MECHANICAL 11
above-mentioned property for inspection purpuus. rZo
(We) agree to use, indemnify and keep harn0css tie City ul MISC.- REFER TO ORD.
Cupertino against Babilitiv,,judgments, frosts and experoes which PERMIT ISSUANCE 10.00 O CONST.TAX
may in any wa accrue against Said City in consequence of the iy
gran I p mG. MECH.CONT. LIC.NO. MU
' x-11-&rC OTAL TOTAL ��
Signature o'ApplicmLLjCenlractor Mute
OFFICE COPY
POST THIS CARD NEAR FRONT OF BUILDING
' rFHMIr NUMBER
CITY OF CUPERTINO 11442
INSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
JOB ADDRESS - UNIT# LOT#)
PERMIT EXPIRES IF WORK
OWNER eorvrmccraR IS NOT STARTED WITHIN
INSPECTION I DATE I INSPECTORI INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
FOUNDATION
- �' a1<, LASTCALLED INSPECTION,
UFER
PERMIT VALIDATION
PREGUNITE
;.POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL IssU CP DATE
BL G. EL PLG. ME'
MECHANICAL
DO NOTPOUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUI TNG PERMIT
INFORMATION
WOOD FLOOR VALUAfION $iFT.
PLUMBING
MECHANICAL PERMIT T
ELECTRICAL
FRAMING
STORIES TYPE C STP.
INSULATION
OCC.CROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
$O,FT FLOOR AREA TOTAL ACREAGE
ROOF
�`-- IAPHRAGM Bw LDING USE
RES IND CDN PB Orae,
"r APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑'
ASSESSORS PARCEL NO.
ROUGH
PLUMBING
TRACT NO PARCEL NO.
GAS TEST
MECHANICAL
ACC.DATE ACC.FILE NO.
ELECTRICAL LUI - FINALS .' DATE INSP.
FRAMING J - C SAN 40 ZONING ENG.SITE NO.
INSULATION PLUMBING
GAS
FIRE SPRINK ENERGY T 74
MECHANICAL ne, YC] N❑ Y ❑ N[]
v;a- COVER'NO WORK UNTIL ABOVE.HAS.BEEN SIGNED HEATING
PL000 zorvE aL.U.C.
LATH—INTERIOR ELECTRICAL
LATH—EXTERIOR FIRE DEPT. .� v N� Y ❑ N❑
SHEETROCK GRADE FEE SUMMARY
SHEAR INTERIOR BUILDING -
SHEAR EXTERIOR TEMPORARY APPROVALS BUILDING
FIREWALLS ELECTRIC PLAN CHECK
FEE
GAS
NO.TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTILBUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
ONE WORKING DAY BEFORE REQUIRED INSPECTION.
�� PLEASE GIVE JOB ADDRESS WHEN PHONING. PLUMBING
Z - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
IMPORTANTI CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY
POST THIS CARD NEAR FRONT OF BUILDING
PFRMIT NUMBER
CITY .OF CUPERTINO 11442
•INSPECTION DIVISION '
JOB INSPECTION RECORD _
PERMIT EXPIRATION
JOB ADDRESS v� _ UNIT# LOT It
l I/ PERMIT EXPIRES IF WORK'
OWNER _eevrrpwcTor IS NOT'STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTIO RECORD 180 DAYS OF PERMIT ISSU-
ANCE OR 180'DAVS FROM
FOUNDATION /J" /q. '�- LASTCALLED INSPECTION.
LIFER D
PR EGUNITE PERMIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB -
PLUMBING ' -
ELECTRICAL ISSUANCE DATE
MECHANICAL BL EL PLG. I M
EVd
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED I BUiUbiNG PERMIT
- INFORMATION
WOOD FLOOR
VALUATION SIFT.
PLUMBING
MECHANICAL
PERMIT T
ELECTRICAL -
FRAMING
INSULATION STORIES TYPEC STR.
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
• ROOF SO FT.FLOOR AREA ,TDTALACREAGE
DIAPHRAGM
- eulLmNc usE
•' - - REs INDtoll .PR Ome,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED _- �� ❑ ❑
_ ASSESSORS PARCEL NO.
ROUGH
PLUMBING
GAS TEST TRACT NO. PARCEL NO.
1
MECHANICAL - -
-ACC.GATEFILENO.
ELECTRICAL FINALS DATE INSP.
FRAMING SAN #
ZONING ENG.SITE NO.
INSULATION 00 PLUMBING
GAS
MECHANICAL _ •BOJ FIRE SPRINK ENERGY T 24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING V "� ❑ N[]
FLOOD ZONE AL.U.C,
LATH-INTERIOR ELECTRICAL v� N[] Y I] ,N❑
LATH—EXTERIOR FIRE DEPT, i�
SHEETROCK - GRADE FEE SUMMARY
SHEAR INTERIOR BUILDING BUILDING
SHEAR EXTERIOR TEMPORARY APPROVALS
FIREWALLS - ELECTRIC - PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM
1 ..
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC r
• o� ONE WORKING DAY'BEFORE REQUIRED INSPECTION. PLUMBING
Z 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.
OFFICECOPY