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17482• POSTTHISCARD NEAR FRONTOF BUILDING - CITY OF -CUPERTINO, INSPECTION DIVISION JOB INSPECTION RECORD PTO 1 , w ,p - JOB ADDRESS—p �� SCn �o .n-yv- u_ CUNIT# _LOT #; OWNER CONTRACTOR PERMIT NUMBER y2 17482 PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OFPERMIT ISSU -PNCE OR 180 DAYS FROM LA ST CALLED INSPECTION. IS E AV DATE INSPECTOR INSPECtIONFRECORD FOUNDATION - NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH T��IIEE/�WVED PLANS AND CITY OF CUPERTINO STAND A. - UFER PREGUNITE _ PERMIT VALIDATION .- ^�S'j'(// _ c Ir `-� - 11iit ...IIII ISSUANCE DATE GARAGE SLABS -• '' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED -• -'�;rj �, �, qyy _—'--+_` UNDERGROUND- /SLAB PLUMBING city of ('110 ELECTRICAL MECHANICAL - - dEuc. ELecr. ❑ ❑ PLC. MFCIE ❑ E 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION. ' SIFT. PLUMBING MECHANICAL ELECTRICAL 5' PERMIT TO I tl� FRAMING - INSULATION '. v STOHIF.S - TYPE CONSTR, .. - - OCC GROUP RES. UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF - NOTE: NO FINAL INSP. SHALL BE MA DE BEFORE'- THE CONSTRUCTION TAX IS -PAID " -. so, vr. vLooB AREA TOTAL ACREAGE DIAPHRAGM - ROOF SHEATHING "' J.ND Rcs 1, BUILDING USE CON Pd O,- ❑ Q ❑ ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS. DATE INSP. ROUGH SAN.# - �ASSESSURS PARCEL NO, PLUMBING, ' ELECT. ENERGY' TUBS 8 SHOWER PAN.- PLUMBING ENERGY - rHAci NO. PARceL No MECHANICAL' . - MECH.ENERGY ELECTRICAL BUILDING ENERGY ACC DATE ACC FILE NO._ FRAMING ELECT. FINAL TEST _ INSULATION: � ., , PLUMBING {ONING ENG SITE NO. GAS TEST GAS MECHANICAL PIKE srdwK, Yo IN ,ENERGY r -in ♦ ❑ No COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL RELEASE FEDOOZONE v� N�. AL,Uc. v0 N❑ INTERIOR SHEAR , � FIRE DEPT. SHEETROCK - GRADE- FEE SUMMARY EXTERIOR LATH BUILDING - BUILDING , INTERIOR LATH' TEMPORARY, APPROVALS- SCRATCH COAT _ ELECTRIC PLAN CHECK. GAS. NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE , OCCUPANCYOF BUILDING IS NOT PERMITTED UNTI LLB.UILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, LU F� 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 F.INAL.INSPECTION. TOTAL, OFFICE COPY, APPLICANT TO FILL IN INFORMATION WITHIN R D INES - USE BALL POINT PEN ONLY PROJECT IDENTIFICATION e /] �� vV PPLICATION & PERMIT DING - ELECTRICAL- PLUMBING - MECHANICAL //�'PERMIT NUMBER //Y({•I� I� I ^ i� .., / 4 7W( G BUILDBUILDING Ao OWNER' "AME �� D QTY.i ELECTRIC PERMIT FEE PLAN CHECK VALIDATION DATEOF APPLICATION NA" T B Fr LIC. N0.37/ UTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS / NE Ur APPLIANCES- RESIDENTIAL 4.00 PANELS 10.00 ARCwTECT OR ENGINEER LIC. No. PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ADDRESS ENG ZIP SPECIAL CIRCUIT 5.00 PERMIT VALIDATION / �� i C./ D l TEMP. METER OR POLE INS. 20.00 APPLICANTS HESS 5 -S ) MOTORS - SEE FEE SCH. CHANGE 20.00 LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a d se is in full 1r- - Y_q Licens�Cl C.... t"et.,Numb_I - Professions CodVWN?R-1101L'DER ( DECLn RA ION I hereby affirm that I am exempt from the Contractor's License Law for the following reason. (Sec. 7031.5, Business and Professions Code: Any city or county which requirespermit to construct, ISSUANCE GATE _ y -. BL G. ELECT. PLG. MECH. �sx1-CAtI ci+of AuB�nQCnntmctor l 4BUILDING PERMIT INFORMATION MISC.- City OtAkWiWORD PERMIT ISSUANCE 10.00 VALUATION $/FT. ELEC. CONTR. LIC. N0. � ELECT TOTAL improve, demolish, or repair any structure, prior to its issuance, also also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License PERMIT TO Law (Chapter 9 (commencing wish Section 700(bof Division 3 of the Business and Professions Code) Or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE the basis for lire alleged exemption. Any violation o(Section 7031.5 byany applicant for a permit subjects the applicant toa civil penalty of not more than five hundred dollars (S50D).); STORIES TYPE CONSTR, ALTER -DRAIN -WATER (EA.) 5.00 ❑ 1, as owner of the property, or my mnployces with wages its their sole compensation, will do the work, and rte structure is not BACKFLOW PROTECT. DEVICE 4.00 Oce. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, CONO. 5.00 'nletded or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of - , FIXTURES - PER TRAP 5.00 - GAS-EA.SYSTEM-11NC.40UTLETS 6.00 SEE FT, FLOOR AREA TOTAL ACREAGE property who builds or improves thereon, and who dues such work himself or through his own employees, provided that such int proven meats are not intended or ffered for sale 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 nut build or Dr. GAS - EA. SYSTEM - OVER 4 (EA.) 2.00 BUILDING USE prove for purpose of sale.). ❑ 1, as ..Be, of the property, ant exclusively contmeting with RES IND CON PB Omar ❑ INDUSTRIAL WASTE INTER. 30.00 licensed contractors to nmstruat the project (Sec. ]044, Business and Professions Codc: 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 it mntmmons) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 200tt/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under Sec. ,B.K.P.C. for wi: reason WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO, WORK ERS'CO.M PENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent t''%% set nsure, Com a r of Workers' m e�sa ion Into ay Jam' cert ted or' Co ZONING ENG. SITE NO. Copcertificate ttereuf( -.3800, Policy Nr Company _ Tpl C y ' IR.,IH fur ( y s It I t t ( c I b A plica _ v _ FIRESPRINK Y[] NED ENERGY T-24 I [] N[-] MISC.- REFER TO ORD. C. IE CA 'OF : ., TI ,t E 11 PERMIT ISSUANCE 10.00 'FLOOD ZONE A. L. U.C. COMPF.NSA'I'ION INSUkANCIi - ITh is section need not be completed if the permit is for one PLG. COINED. LIC. NO. PLc. TOTAL Y N V N hundred dollars IS 100) or less.) I Certify that in (he performance of the work for which this per- mit is issued, 1 shall not employ any person in any mannerso as to QTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING become subject to the Workers' Compensation Laws O'California. Dam Applicant NOTICE '1'O APPLICANT: It after making this Cert Fa, of ISx- ALTER OR ADD TO MECH. 5.00 q, ip o APPLIANCE 5.00 AIR HANDLING UNIT (TO 10=CmF,M,) 4400 PLAN CHECK FEE emption, you should become subject to Ilse Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT (OVER 10MOC.F.M.) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY I hereby.affirm that (here is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance Of the work for which this permit is issued (Sec. 3097, Civ.C.L MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Address HEATING UNIT IOV ER 100,000 B.T.U.)9.50 ELECTRIC VENTILATION FAN (_SINGLE) 4.00 I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordina 'es and state laws relating to building cons(ruclion, and PLUMBING BOILER,,-COMP(3H.P.or100,000B.T.U.) 6.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL ) _ hereb au(hnrid represen 'ves of this city to enter upon the abov r cutinncd PEOPLE( br spcction purposes:. (\ agree to SaveMWeds, pharmless the City of Cup ino against liubsin 1. y1,.,shPERMIT m n any way^ncerin con t uence of the MISC. - REFER TO ORD. TAX ISSUANCE ��i Li(7CONST. o p MECH. C UC. N0. MECH. A. r 7I G AL �cg s D AI 7 TOTAL,5� gnalure of Applicant/Contractor Dat• OFFICE COPY