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14741 POST THIS CARD-NEAR FRONT OF BUILDING - PERMIT NUMBER CITY :OF CUPERTINO 14741 INSPECTION DIVISION JOB INSPECTION RECORD • yy,� - PERMIT.EXPIRATION JOB ADDRESS-90 .,5y� 5�� _CC�nWkAIT# LOT# PERMIT EXPIRES IF WORK OWNER NTRACTOR' IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERM IT ISSU FOUNDATION NOTE: .•ANCE OR 160 DAYS.FROM LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION. - PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PeRn+IT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS - - PAIL) POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED �� T ' UNDERGROUND /SLAB NOV 131989 . , PLUMBING ¢� - ELECTRICAL CIt•F ^' ^•°rftBR ///5-—IssuANCE DATE MECHANICAL - BLDG FELECT. PL MECH. ❑ ❑ 19 ❑' DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR PLUMBING VALUATION SiFT. ' .. A MECHANICAL ELECTRICAL - - PERMIT TO FRAMING bJf7L- INSULATION STORIES TYPE CDNSTE OCC.GROUP RES,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - — '• ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE so Fr�rLooR AREA rorA�.nnrence DIAPHRAGM THE CONSTRUCTION TAX IS PAID _ BUILDING USE ROOF SHEATHING RES IND CON PB Om., APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP., ❑ ❑ ❑ .❑ ASSESS(RS PARCEL NO ROUGH SAN.M PLUMBING - ELECT.ENERGY. 1 TRACT NO. PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY - - MECHANICAL MECK ENERGY ' ELECTRICAL BUILDING ENERGY ACC DATE ACC.FILE NO FRAMING ELECT.FINAL TEST ' INSULATION PLUMBING ZONING ENG.SITE NO. GAS TEST GAS g MECHANICAL FIRE-SPRINK ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ "� Y ❑ NEI EXTERIOR SHEAR - ELECTRICAL.RELEASE FLOOD ZONE A,L.U.C, ` INTERIOR'SHEAR FIRE DEPT. Y ❑ N Y ❑ No, SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH . BUILDING - INTERIOR LATH `. TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED By BUILDING INSPECTOR. MICROFILM ARRANGE,FOR INSPECTION BY PHONING 252-4505, ELECTRIC F� ONE WORKING DAY BEFORE REQUIRED.INSPECTION. • PLUMBING o PLEASE GIVE JOB ADDRESS WHEN PHONING. z MECHANICAL SEE PERMIT FOR EXPIRATION DATE -. IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL 6l� CALLING FOR FINAL INSPECTION. / OFFICE COPY APPLICANT TO FILL IN INFORMATJON'WITHIN RED LINES - USE BALL POINT PEN ONLY PERMIT NUMBER BUILDING PROJECT IDENTIFICATION BUILDING APPLICATION &.PERMIT 14 7 41 ADDRESS - Zo3OI BUILDING - ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION NAME UNITED MPHorvE 262_LISs��f DTV. ELECTRIC PERMIT FEE _ PIS CONTRACTOR'S r '. NApiq OUTLETS-SWITCHES-RECEP 10.00/1.00 �uNB/w1G [�• �N(ylc.ND. 388-?? LIGHTING FIXTURES 10.00/1.00 CONTRACTOR s APPLIANCES-RESIDENTIAL 4.00 AD S J LAZ.Azo NgPHONE ZD-'Q WO PANELS10.00 DATE OF APPLICATION + ARCHITECT �/ PANELS (OVER 200 AMN pAlM20.00 PLAN CHECK FEE P.C.NO. ENGINEER .. LIC.NO. SIGNS TRANS. - 3.00 ARCH.Ess ENG' SPECIALCIRCUIT F Q !O PERMIT VALIDATION' ZIP TEMP.METER OR POLE INS.. 26.00 ....ESS 14 AAJ AZR7-o G, _ MOTORS Cllr r6EB,FE SCH. 06 e- .... �N ICACCx' ADDREES SUNNY✓A�t Ca , Q14$ SERVICE CHANGE 200 reo O LIC17NSED CONTRACTORS DECLARATION• .Yta 7 a u u I hereby uftinn that 1 am licensed under provisions of Chapter a ISSUANCE DAT F zw (commencing with Section 7000)of Division 3 of the Business and m a BLDG. ELECT. PL MECH. D F o Z Professions Cole ndln license is (all force' cl'" ❑ ❑ 2 i u`S o License Classs, _3 r Lic.Number Datc�Ll - Comractor a x E -+ 19 Ll BUILDING PERMIT M s a OWNER-BUILDER DECLARATION o a o - - INFORMATION X ; U y I hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD FUN J Law forthe followingreasom(Sce.7031.5,Business and Professions PERMIT ISSUANCE 1000 VALUATION $/FT. Code',Any city or county which requires a permit to construct,alley - + p ¢ Q.0 improve,demolish,or repair any structum,prior to its i.sum.ce,also ELEC.CONTR. LIC.NO. ELEC. i wO u requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO - as m he is licensed pursuant to the provisions of the Contractor's License FiQ Law(Chapter 9(commencing with Section 7000)of Division 3 of the 4 D Business and Professions Code)or that he is exempt therefrom and OTY, PLUMBING PERMIT FEE .4/�Q ¢ Fm the basis for the alleged exemption.Any violation ofSection 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN& VENT-WATER (EA.15.00 of not more than five hundred dollars(5500).): ❑ 1,as owner of the property,or my employees with wages es BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES,UNITS sole compensation,will do the work,and the structure is not intended or offered for sale (See, 7044, Business and Professions DRAINS-FLOOR,ROOF;AREA,COND. 5,00 Code:The Contractor's License Law does not apply to amt owner of property who builds or improves thereon,and who does such work' FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTALACREAGE himself or through his own employees,provided that such improve- mentsarenotintendedoroffered for sale.If,however,the building GAS-EA.SYSTEM-I INC.4 OUTLETS,6.00 po or improvement is sold within one year of completion,Rhe owner- GAS-EA.SYSTEM-OVER 4 (EA,) 2.00 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 CON PB Other. ❑ Las owner of the properly,:un exclusively contracting with _ 11 0 Q 1:1 El licensed contractors to 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 Ihercon.and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 contracts for such projects with a contractor(s)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. ❑ lain exempt under SCC. ,B.&P.C.forthis reason WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM -5.00 ACC.DATE- .ACC.FILE NO, WORKERS'COMPENSAT1ON D17CCARA'17ION WATER TREATING EQUIP. 5.00 1 hereby affirnh that I have a certificate of consent to self-insure. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. - copy thereof(Sec.3800,Lab.C.). Policy No.-Company. - O ❑ Certified copy is hereby furnished Certific�f Dlcd Ih the it iI FIRE SPRINK ENERGY L24 Z Z � Py 1 ' y Peclion division. - p Applicam-GB�61=4 C. � �N MISC.- REFER TO ORD. - v � No Y ❑ NO ~ i4 PERMIT ISSUANCE - '10.00 Cr - CIiRI'II'1GCOMPF EXEMPTIONINS FROM WORKERS' FLo0020NE A'.L.U.C. W > COMPENSATION INSURANCE G /qTR. / LIC.No.- PLG. CL Z (This section need not be completed if the permit is for one �.PC B Told L2. 3 Z TOTAL �JD� V❑ N� Y� N� hundred dollars IS 100)or less.) U O 1 certify that in the performance of the work for which this per- GTY. MECHANICAL PERMIT FEE FEE SUMMARY LL I- mit is issued, I shall not employ any person In any manner so as to Q L)become subject to the Workers'Compensation Laws of California. v. Datc Applicant BUILDING + } DO NOTICE*1'0 APPLICANT': II',after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 F Z emption,you should become subject to the Workers'Conhpensatioli APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with - FEE U such provisions or this permit shall be deemedrevoked. AIR HANDLING UNIT(TO 10)Oo0C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.EM.) 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 permit Is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) -8.00 _ Lender's Name H EATI NG'U N IT(OVER 100,000 B.T.U.)9,50 Lender's aJressELECTRIC 1 certify that I have read this applical ion and store that the ohne, VENTILATION FAN (SINGLE) 4.00 O information is correct. I agree to comply with all city and county g01LER•COfv1P(3 H.P.Df 100,000 B.T.U.) 6.00 PLUMBING �,-9 ordinances and state laws relating to building construction, and hereby above-mentioned representatives of this city to enter upon'the BOILER-COMP (Over 100,000 BTU1 SEE FEE SCH. MECHANICAL hereby enthmir property for inspectionois city purposes. - (We) agree to save, indemnify and keep harmless the City of • . MISC.- REFER TO ORD. upertiao against liabilities,judgnhents, costs and expenses which CONST.TAX ay any way accm against Said City in consequence of the PERMIT ISSUANCE - 10.00 mf�I of lh is pertniL 1 - MECH.CONT. - LIG NO.. MECH. O� p; Al&A.-6 � 11-13-89 TOTAL TOTAL 7 o Signature of A pplican t/Contractor Dale - - OFFICE COPY