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11443 L W No. 689 orf�s t4T %Vrrftf iratr of V"Orrupaury "�/j 3 Titg of Tupprtina vision I This certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that.at the time of issuance this structure WW 4. " YET L F. in compliance with the various ordinances of the city regulating building construction or use. For the following: rl Use Classification OFFICES Bldg. Permit No. 11443 B -2 11 FR P(RES/COMM/OFF/IND/HOTEL) 4 Group Type Construction Use Zone sI Owner of Building EL DORADO (TENANT) Address 20300 STEVENS CREEK BLVD. 20300STEVENS CREEK BLVD. CUPERTINO, CALIF. 95014 Building Address Locality 0- JOE ANTONUCCI By: AUGUST 26, 1986 k Date: Bk'lding Official POST IN A CONSPICUOUS PLACE mIzowq 4W2 Tc 'APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT ADDRESS a1'Jd4 BUILDING - ELECTRICAL-PLUMBING-MECHANICAL 11443 .I „ '_ �� 115 OWNER'S r,/ }�`P`,s +E��.n..� , PLAN CHEC VALIDATION NAME 1 1Tr 1th41; L Y >A+a.r��' " .. Coe 1 N DTV. _ ELECTRIC�PERMIT;`-,' ' FEE' PHONE CONTRACTOR'S G 3 NAME. L.$ OUTLETS-SWITCHES-RECEP 10.00/1.00 )7' 30 -- I �`Q LIC.Na. qS LIGHTING FIXTURES10.00/1.00 CONTRACTOR'S ADDREss APPLIANCES-RESIDENTIAL 4.00 Q IQdoNE ,O PANELS 10.00 DATE OF APPLICATION 0ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ENGINEER ' LIC.NO, SIGNS SIGNS TRANS. 3,00 - ARCH.ORENG. PERMIT VALID TION 1 ADDRESS ISPECIAL CIRCUIT 5,00 .0 O-n (s,a EMP.METER OR POLE INS. 20.00 / AADDRESS PPLICANT'S MOTORS SEE FEE SCH. \{ 11 h SERVICE CHANGE 20.00 woo LICENSED CONTRACTORS DECLARATION rt u w I hereby aflinn that I on licensed under provisions of Clapnx 9 ISSUANCE DATE u, a (cmumemmNg will Section 7000)of Division 3 of the Braine»oral F H i Professions Code,a d my license Is ill full force and of ac1. BL ELEC PLG. MECH._ z o : License Class _Lie,Number 4 N f w Dale _ Convacror _ -�� �l�faIILO BUILDING PERMIT I, ¢ m a OWNERBU LDIiR UECLA IiA'I'I .rv,'x ' O' er MISC.- REFER TO ORD INFORMATION' W 3 r 1 hereby affirm that 1 am exempt from the Contractor's License VALUATION w o a' Law for the followi,, pawn.(Sec.70315,Uusin ass and ',or ss, ,, 10.00 n L - g PERMIT ISSUANCE wA Code:Any city or county which retluire>a permit tocomtnml,ulleq U ,tJ Vp-� a, a Q 0O Improve,demolish,m repair any structure,prior to its issuance,also ELEC CONTR. LIC.NO. ELEC. /t i w m u requires the applicant for web Permit to file a signed statement that TOTAL PER(IT he is licensed pursuant to the provisions of rbc Conlrectur's License r2i Law(Chapter 9(emin eHeing Willi Section 7000)of Division 3 of the - "" 1 4 o Business and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT: FEE ¢ $ the basis for the alleged axetil prion.Any violation of Section 7031.5 - - TORIES YP CONSTR. a 3 .- by anY aPPlicam fur a pemlit udtjccis the applicam lu a civil penalty " of not more than five bwWred dollars($5004.): ALTER-DRAIN III VENT-WATER (EA.) 5.00 O 1,as owner of the property,or my employees with wages as ggOK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES.UNITS their Sale compensation,will do the work,and the structure is nal intended or offered I'ur sale (See. 7044, Business and PTUNSSimis DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does nal apply to an owner of property who builds or improves thereon,and who docs Such walk FIXTURES-PER TRAP 5.00 SO.FT.FLOOR ANEA TOTAL ACREAGE himself or Ibrough his own employees,provided that such implove- ( '�• meimals are not intended or offered for sale.ll',however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 l or provement is sold within one year of completion,the owner- GAS-EASYSTEM-OVER 4 (EA) 200 builder will have the burden of . . . proving that lie did not build or inl. BUILDING USE prove to,Purpose of sale.). INDUSTRIAL WASTE INTER3000 RES IND C PB Our, O I,as..net of the property,am exclusively contracting uviol . . 00 11 licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSE590 P RCEL NO. and Professions Code:The Contractor's License Law Joe,mol apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects Willi a contfaclons)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.2001t/10.00 TRACT NO. PARCEL NO. m❑ I am exempt under Sec. ,B.&P.C.fur Ibis WATER HEATER W/VENT 6.00 ason Owner Urate WATER SYSTEM 5,00 ACC.DATE ACC.FILE NO. WORK ERS'COMPENSAI'ION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm trial I have a ecrtiri,ai,of curoenl ro srIful..or. or a certificate of Workers'Comperoatiom Insurance,m a certified ZONING ENG.SITE NO. copy thereof(Sec.3800,Lab.C.). Policy No. Company O ❑ Certified copy is hereby tarnished. FIRE BPRINK ENERGY T-24 Z 2 CrnifieJ oP is filed will tlm city inspection Jivisim. F- O A plicunt H1jaQ1r- MISC. - REFER TO ORD. Y 0 N Y ❑ N� � N CERTIFICAI'F OF EXF-MPHON FROM WORKERS' PERMIT ISSUANCE 10.00y- FLOOD ZONE A.L.D,C. LU COMPENSATION INSURANCE PLG.CONTH. LIC.NO. PLG, _ CL o (This ,coon nerd no be r.ano,wd if the permit is for one TOTAL Y Y ry� Z hundmJ d.Ihrs($IU0l ar lescl U O 1 cenify that in the pvO....ona•of Iha work fur which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL U mit is issued,I Anal(.,at unglluY miY Pcl son in any InenueI, u. in become subject to the Wmkeri Compcn,,wN Laws of CaliHinlia. ..�Z La Dale Applicant ALTER OR ADD TO MECH. 5.00 Q BUILDING >_ N NOTICE TO APPLICANT: Il;after nwking this Certificate of 1(x F ? eruption,you Amuld become subject m Ile Work"' ConpensatiunApp LIAN CE 5.00 PLAN CHECK pruvisums of the Labor Code, you must forllwilh comply with U FEE well pruvisfons or this permit shall be devoted revoked. AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10p00 C.F.M.) 6.00 SEISMIC FEE (J 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of ole work I'or which this permit is is,uad(Sec MICROFILM 3097,Civ.C.). HEATING UNIT ITO 100,000 B.T.U.) 8.00 Lender's Name H EATI N G UN IT I OV ER 100,000 B.T.U.)9.50 ELECTRIC I Lender$AJJre» LLLL 1 certify that I have read this application and state bar the above VENTILATION FAN (SINGLE) 4.00 ' information is correct.1 agree to comply with all city and cowry BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING �S - ordimnces and state laws relating to building construction, and `.� hereby xmhorl ,t repeenmtivas of this oily to enter upot the BOILER-COMP IDvar 100.000 BTUI SEE FEE SCH. MECHANICAL �` Q above-mentioned Property for inspection purposes. (We) agree to save, indemnify and ke'l'p IWtIIII[SS III,' (]Iy of MISC.- REFER TO ORD. Cupertino against liabilities,judgurents, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in any way acerae against said City in consequence of tire V granti�ng ofJf1fa\,P��[�nor. ^ MECH.CONT. LIC.NO. MECH. TOTAL bapialur,galAPpIICanjjCmllraeWare U'-fJ TOTAL / OFFICF COPY POST THIS CARD NEAR FRONT OF BUILDING .. . PFHMIT NUMBEH CITY OF CUPERTINO 11443 I INSPECTION DIVISION >- JOB INSPECTION RECORD r �1Jn ;��� PERMIT EXPIRATION JOB ADDRESS (//�/�, UNIT# LOT# PERMIT EXPIRES IF WORK OWNER CONTRACTOR NlexcpiajIS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180DAYS OFPERMIT ISSU- FOUNDATION /I �Q, ANCE OR 180 DAYS FROM UFER � ''�-�''�'T � LASTCALLED INSPECTION. PREGUNITE PERMIT VALIDATION POURAO CONCRETE UNTIL ABOVE HAS BEEN SIGNED `TI ,.\, \`• UNDERGROUND /SLAB PLUMBING - �• ELECTRICAL ISSUANCE DATE MECHANICAL BL G. ELE T. PIG. MECR. 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT, WOOD FLOOR INFORMATION PLUMBING VALUATION $/FT. MECHANICAL ELECTRICAL PERMIT r FRAMING INSULATION uRlEs Ivvec NST R. OCC,GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF 50 FT.FLOOR ATLA TOTAL ACREAGE � • DIAPHRAGM BUILDING USE HHS IND CON PB OR- PGASTEST FING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ASSESS � ARCEL NO, ROUGH TRACT NO. PARCEL NO. , ACC.DATE ACC FILE NO. ' FINALS DATE INSP. � '� �' SAN n INSULATIONPLUMBING ZONING ENG.SITE NO. GAS MECHANICAL FIRE SPRINK ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED IHEATING Y ❑ N❑ Y ❑ N[j LATH-INTERIOR ELECTRICAL FLOODTONE A.L.U.C. LATH-EXTERIOR FIRE DEPT. YE] N❑ Yo] N❑ TROCK I IGRADE + FEE SUMMARY SHEAR INTERIOR BUILDING SHEAR EXTERIOR TEMPORARY APPROVALS BUILDING FIREWALLS ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM �. LU ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING ' 40 PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANTI CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFrICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY •�� Bol LDI NG PROJECT I DENTI FICATI ON PERMIT NUMBER BUILDING APPLICATION & PERMIT w ADDRESS 't-CIS-0 0 �.� �K - BUILDING -ELECTRICAL-PLUMBING-MECHANICAL 1443 OWNER'S � ��+- pPLAN CHEC VALIDATION "rime A 11 '`�1�1W1V1� NE � TY. ELECTRIC PERMIT FEE 1(j/�] ONE /�J CONTRACTORS OUTLETS-SWITCHES-RECEP 10.00/1.00 ' 130 NAME �` L$IZ� sec.rvo, 0 LIGHTING FIXTURES 10.00/1,00 ADDRESS R's PPLIANCES-RESIDENTIAL 4.00 -1-4W ir -PHONEnXc-oknir PANELS 10.00 DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE P.C.NO. OR ENGINEER sec.No %)'L01 SIGNS TRANS. 3.00 ADORRESS ENG. SPECIAL CIRCUIT 5.00 PERMIT VALID {�TION p T p.J Cw�- TEMP.METER OR POLE INS. 20.00 APPLICANTS MOTORS SEE FEE SCH. ADDRESS n\'p �( SERVICE CHANGE 20.00 00 LICENSED CONTRACTORS DECLARATION ¢ u 1 hereby affothat I am licensed under provisions of Chapter 9 ISSUANCE GATE m a, "' (commencin with Section 7000)of Division 3 of the Business and Q n g BL ELEC PLG. MECH._ r y z Professions Code, o my license is in full force Bnd efliit. zo - License Class -Lic.Number_3���___ O w= Uate Contractor 7 �LfV� BUILDING PERMIT ¢ ¢ ¢ OWNIiRBU LDGR UGCLARA'fl ¢ ser u INFORMATION w3 LL n I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD VALUATION H u.o J Law for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10.007 0.00 CJ $/FT. wc, Code:Anycityorcounty which requiresa permit to construct,alter, ¢ ¢<0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. [.,L E m, requires the applicant for such permit to file a signed statement that TOTAL T( PER IT IP whe is licensed pursuant to file provisions of the Contractor's License rii Law(Chapter 9(commencing with Section 7000)ofDivision 3 ofthe Q Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE ¢ =$ the basis for the alleged exemption.Any violation of Section 7031.5 1 TYP�CUNSTH. e. ; by any applicant for a permit subjects the applicant toacivil penalty ALTER-DRAIN& VENT-WATER (EA.) 5.00 of not more than five hundred dollars($500).): ❑ 1,as owner of the property,or my employees with wages us BACK FLOW PROTECT. DEVICE 4.00 UNITS- their sole compensation,will do the work,and the structure is not OCC.GROUP RES.ONITS intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00 Code:The Contractor's License Law docs not apply to an owner of . property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- mentsarcnotintendedorofferedforsale.If,however,the building GAS-EA.SYSTEM-11 NC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the owner. GAS EASYSTEM OVER 4 IEA) 200 builder will have the burden of proving that he did not build or im • . - . . - BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES - IND a PB Come, ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 6 V.B. 6.00 ASSIESSRJ�b PARCEL NO. and Professions Code:The Contractor's License Law does riot apply to an owner of property who builds or Improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects will:a contractors)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT No. PARCEL NO. ❑ I an,exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner Dare WATER SYSTEM 5.00 ACC.GATE ACC.FILE NO. WORKERS'COMPENSAT ION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby.(frim that I have a certificate of Consent m seltainsure, ZONING or a certificate of Workers'Compensation Insurance,or o ttrtified ENG.SITE NO. copy thereof(Sec.3800,Lab.C.). Policy No. Company 0 ❑❑L Certified copy is hereby furnished FIRE SHRINK ENERGY T-24 Z Z ya Certified ro is filed with Ilse city inspection division. F O Applicant �s(a- MISC.- REFER TO ORD. Y ❑ IN Y ❑ No Cr W CFRTIFICAni OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00(Oj'- FLOOD ZONE A.L.U,C, LL > COMPENSATION INSURANCE PLG.CONTR. LIC.No. PLG. /S ~- v El ry❑ v 11 NO CL Z( This section need not be completed it' the permit Is for one TOTAL hundred dollars fS 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 I- mit is issued, I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. BUILDING /' (/ U y Date Applicant ALTER OR ADD TO MECH. 5.00 /dl0 } m NOTICE TO APPLICANT: If,after making this Certificate of Ex- F 2. e,option,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=4-F.M.) 4,00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIC FEE 1 05 I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the 3097 ivCperformance of the work for which this permit is issued(Sec. HEATING UNIT(TO 100,000 B.T.U.) 6.00 MICROFILM Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC • 1 certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 - information is correct. I agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMPI3H.P.or100,000B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP IOve,100,000 BTU)SEE FEE SCN, MECHANICAL OCQ above-mentioned property for inspection purposes. (We) agree to save, indenmify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in any way accrue against said City in consequence of the V grantingof mit MECH.CONT. 'LIC.NO. MECH. TOTAL �- TOTAL Signature fApplicant/Conttaclor at'6 e OFFICE COPY POST THIS CARD NEAR FRONT OF BUILDING `��� '� �•` CITY OF CUPERTINO . PERM1IITNDMBER INSPECTION DIVISION � � JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS/YLD ,`�,`—�--UNIT# LOT# PERMIT EXPIRES IF WORK OWNER CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTIO RECORD 180DAYS OFPERMIT ISSU- FOUNDATIONANCE OR 180 DAYS FROM LEER LASTCALLED INSPECTION. PREGUNITE PER MIT VALIOAT ION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I ` � ,UNDERGROUND /SLAB \ � PLUMBING 1 ELECTRICAL ISSUANCE DATE MECHANICAL • BI.Ic. ELE T. PLG. MECR. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION $IFT. MECHANICAL ELECTRICAL - Pen MIrT FRAMING 4 ORIEs INSULATION _ TYPEC NSTR. OCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED • ROOF SO,FT.FLOOR AREA TOTAL ACREAGE DIAPHRAGM - • BUILOMG USE RES INO CON PB O,hm APPLY.NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ROUGH ASSESSO ARCEL NO. ' PLUMBING GAS TEST - - TRACT NO. ,PARCEL NO, MECHANICAL ACC,DATEACC.FILE NO. ELECTRICAL- FINALS DATE INSP. FRAMING I SAN # ZONING ENG.SITE NO. ' INSULATION PLUMBING GAS MECHANICAL FIRE SPRINK ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ "❑ ❑ "❑ LATH—INTERIOR ELECTRICAL FL000 zoNE AL.U.C. LATH—EXTERIOR FIRE DEPT. Y❑ N❑ Yo N❑ SHEETROCK - GRADE FEE SUMMARY SHEAR INTERIOR BUILDING I BUILDING �( i SHEAR EXTERIOR TEMPORARY APPROV LS FIREWALLS ELECTRIC PLAN CHECK GAS FEE' NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE K OCCUPANCY OF BUILDING IS NOTPERMITTEDUNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM w ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC e � — . I.— ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION,DATE — MECHANICAL CONST.TAX • : IMPORTANT! PLEASE READ REVERSE SIDE BEFORE TOTAL /1 CALLING FOR FINAL INSPECTION. OFFICECOPY