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14398
I POST THIS CARD NEAR FRONT OF BUILDING " PF Rh11T NUMBER ' CITY OF CUPERTINO INSPECTION DIVISION' 14398 JOB INSPECTION RECORD PERMIT EXPIRATION JOBADDRESS• 20375 STEVENS CREEK UNIT# _LOT#t- PERMIT EXPIRES IF WORK owNEr+ SANTA 'CLARA;.LAND. TIT0 ACTOR DEANZA PROPERTIES IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD '180 DAYS OF PERMIT ISSU- ' FOUNDATION - . ANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PR EGUNI?E TO COMPLY WITH THE APPROVED PLANS AND CIN OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND'/SLAB PLUMBING �'' ° • e ELECTRICAL ;IlOeftlGR SSUdNCE LATE• MECHANICAL" - - BLOr,. ELecr. PLG.G. MecR. 0 0 ® o . DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR PLUMBING VALUATION SIFT, - ` MECHANICAL ©` ELECTRICAL _ - ,PERMIT TO FRAMING , nJ�-.. a n;,, ln„• w,;:J.:. INSULATION STORIES TYPE CONSTR. DEC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO.FT gpORAREA TOTAL ACREAGE - ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE -r DIAPHRAGM - '. THE CONSTRUCTION TAX IS PAID , BUILDING use ROOF SHEATHING RES INDCON PB 011— APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE - INSP. El El '" ❑ El El - ROUGH sAN.a ASSESSORS FFARCEL NO • , PLUMBING ELECT.ENERGY _ 'TRACT NO. PARCEL NO TUBS B SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ELECTRICALBUILDING ENERGY ACC RATE ACC.FILE RID FRAMING ELECT.FINALTEST Ll i INSULATION - PLUMBING ZONING ENG.SITE NO GASTEST GAS - - MECHANICAL FIRE SPRINK ENERGY T.2C' ' N� ' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ' Y Y 0 N[] FLOOU ZONE q,LU C. EXTERIOR.SHEAR .ELECTRICAL RELEASE •'yam INTERIOR SHEAR' FIRE DEPT. Y❑ N� rL N❑' SHEETROCK - GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH - - TEMPORARY APPROVAL BUILDING , SCRATCH COAT ELECTRIC PLAN CHECK GAS' FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNEDBY BUILDING INSPECTOR. MICROFILM e ARRANGE'FOR INSPECTION BY-PHONING 252-4505, ELECTRIC I-• ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING r 0 PLEASE GIVE JOB ADDRESS WHEN PHONING, Z MECHANICAL• ✓ — SEE PERMIT FOR EXPIRATION DAT CONST.TAX , PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL.INSPECTION. l OFFICE COPY, APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT.PEN ONLY - + BUILDING PROJECT IDENTIFICATION PERMIT NUMBERUrrDHNG - APPLICATION'& PERMIT aODRESS 14398 Azoss71riVS C,?kv� BUILDING -ELECTRICAL-PLUMBING -MECHANICAL OWNER'S Ty �r� �s ,,1 yy) PLAN CHECK VALIDATION NAME 4N //��//FF )fitiq �JO /1/JC OTY. ELECTRIC PERMIT FEE . . /'�{� PHONE nAa eERAcaoRS OUTLETS-SWITCHES-RECEP 10.00/1.00 LIC.NO. LIGHTING FIXTURES 10.00/1.00 CONTRACTORS AWEEss APPLIANCES-RESIDENTIAL 4.00 CO PHONE PANELS 10.00 - DATE OF APPLICATION - ARCHITECT PANELS (OVER 200 AMP) 20.00 . PLAN CHECK FEE P.C.NO. OP ENGINEER LIC.No. SIGNS TRANS. 3.00 ARCH,ss Enc' SPECIALCIRCUIT 5.0Q PERMIT VALIDATION ZIP TEMP.METER OR POLE INS, 20.00 APPLICANTS ifs ADDRESS MOTORS - SEE FEE SCH. SERVICE CHANGE" 20.00 r - ,{ woo LICENSED CON'T'RACTORS DECLARATION E C !+ �" a u w I hereby affirm that 1 am licensed under provisions of Chapter') ISSUANCE DATE z (conuneneing with Secllon 7000)of Division 3 of the Business and Ci G n .. LO E�L��jC PLG. MECH. H w i Professions Code,and my license is In full force and effect - Z, O H License Class Lic.Number I V Q I G Ih 1 O m DateContractor WW a u s -rc rc ¢ OWNER-B UILDF.R.DECLA RATION - ' ' BUILDING PERMIT 0 g u INFORMATION X ; LL H I hereby al firm [hut I am exempt from the Contractor's License MISC.- REFER TO ORD HLLIJ Law for the following reason.(Sec.7031.5•Businessand Professions PERMIT ISSUANCE 10.00 �VyALUATION,. $/F'. Code:Any mulish county it ichany structure permit it n its i suanc , ter,also - _ O improve,demolish,or repair any slnmture,prior to cls Issuance,ulw ELEC.DONTR. LIC.N0; ELEC. /b b e_ w m u requires the applicant for such permit to file a signed statement that TOTAL PER41T TO he is licensed pursuant to the provisions of the Contractor's License HZQ Law(Chapter 9(commaming with Section 7000)of Division 3of the E O Business and Professions Code)or that he is axempt therefrom and OTY. PLUMBING PERMIT, FEE EC H $ the basis for the alleged exemption.Any violation of Sectiomi 7031.$ STORIES TYPE CONSTR. by any applicant forapermit Subjects the applicanttoo civil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(85007.S500).1: - O I,as owner of the property,or my employees with wages as BACK,F LOW 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 DRAIN$-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves Ihermon,and who does such work FIXTURES-PER TRAP FA10o 50.FT.FLOOR AREA TOTAL ACREAGE • himself or through his own employees,provided that such improve- ments are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER E'AIJ 2.00 builder will have the burden of proving that he did not build or int- BUILDING USE prove for purpose Of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Omer ❑ I,as owner.of the properly,um exclusively cool ratting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INCA 18.0 I I ASSESSORS PARCEL N0. and Professions Code:The Contractor's License Law docs not apply to an owner of properly who builds or improves thereon,and who - LAWN SPRINKLERS-OVER 5 (EA.) 1.00 contracts forsuchcenecLwith acontracdrHs)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Cont f or s e License w. TRACT NO. PARCEL NO. ❑ Ie. exe rpt unML. ,B.&P.C.for thismiixu� WATER HEATER W/VENT 6.00 Owner -- Dae - WATER SYSTEM 5.00 ACC.GATE ' ACC.FILE NO. WORK F.RS'COMPENSA' ION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby AhOu that 1 have a certificate of consent to,elf-insure, - or a certificate of Workers'Compensation Insurance,or a cerlificd ZONING ENG.SITE NO. copy thereof(Ser.3800,Lab.C.l. Policy No. Company O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T 24 Z Z C1 Certified copy Is filed with the city inspection division. MISC.- REFER TO ORD. O Applicant Y ❑ No Y ❑• N❑ H m PERMIT ISSUANCE 10.00 U-' LU CERTIIRCCOMVF IATION INS FROMWORKIiRS' FLOOD ZONE A.L.u.C. CL recd Got be co N INSURANCE PLG.CONTR. LIC,No. PLO. d� a+ V❑ N❑ .Y ❑ ❑ CL O nfres section need not he completed if the pcnnil is ]or tote - TOTAL N � Z hundred dollars(S100)or less) V O 1 certify that in the performance of the work for which this per- FEE SUMMARY QTY. MECHANICAL PERMi(1��D FEE U.0 L) mil it issued,I shall not Workers' any parson in any mature so is 10 - U Dine subject to the Workers'Compensrtlmt Laws'ol'Culifornin. / y a NOT Applicant ALTER OR ADD TO MECH. 5.00 BUILDING } m NOTICE TO APPLICANT: If,alter making this Certificate ul'Ex- - H-, Z efunion,you should hceome Subject to the Workers'Compensation APPLIANCE 1�.1J /u 5.00 PLAN CHECK _ provisions of lite Labor Code, you must I'orlhwilh comply with FEE - V such provisions or this permit shall he deemed revoked. AIR HANDLING UNIT(TO 1o=QF. . .I 6.) 4. - CONST'RUCTION LENDINGAGENCY AIR HANDLING UNIT(OVER 10 t. O SEISMIC FEE '6V I hereby rffunt that there is a construction lending agency lot 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 No HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC 1 certify Thal I have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00 q ♦f'' information is correct. I agree to comply with all city and county PLUMBING OCd J ordinances and state laws relating to building conslruclion, and BOILER- P(3H.P.or100,000B.T.U.) 6.00 .t... hereby authorize representatives of this city to enter upon Ih° BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL ✓� above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. - uperlino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in ayaccrue against said City in consequence of the 0 r tis pe iL MECH.CONT. LIC.NO. MECH. - ' TOTAL /` �_ TOTAL Si nature of Applic /Contractor Dale. OFFICE COPY