The URL can be used to link to this page

18022 POST THIS CARD NEAR FRONT OF BUILDING _ PERMIT NUMBER CITY OF CUPERTINO 18022 INSPECTION DIVISION JOB INSPECTION RECORD �•1��• 40 4.5 PERMIT EXPIRATION JOB AD SR ESS �""0�3 -<uT�rENb C/29EK.• _ UNIT# "_LOT# ' ,1 PERMIT EXPIRES IF WORK OWNER, -ry' �,� - CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION - - " ANCE OR 180 DAYS FROM NOTE: , • UFER 'ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION. _-PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF 'PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS . ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 4L✓^1 . UNDERGROUND /SLAB • / U PLUMBING C� U I ELECTRICAL - ISSUANCE EAT E MECHANICAL BLDG ELECT I PLG. MECR DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMI WOOD FLOOR . ' • INFORMATION VALUATION $/LL 1 PLUMBING JUN 1 �_ 1989 ' MECHANICAL IV "OJ' PERMIT TO ELECTRICAL City Of CDpBrIRD FRAMING v�— INSULATION, - STORIES TYPE CONSTR, OCC GROUP ' HES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO.i T.FLOOR AREA TOTAL ACREAGE ROOF NOTE'NO FINAL INSP.SHALL BE MADE BEFORE M DIAPHRAGM - THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING riffs• 6 x PB . om.• APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSLSSO SPAHCEL NO • ROUGH SANA PLUMBING - ELECT.ENERGY TRACT NO, PARCEL NO TUBS&SHOWER PAN PLUMBING ENERGY _ MECHANICAL' _ MECH.ENERGY ELECTRICAL BUILDING ENERGY - Acc.GATE ncc.FILE No. FRAMING ELECT.FINAL TEST ZONING ENG.SITE NO- INSULATION PLUMBING ' GAS TEST GAS - FIRESPRINK ENERGY TQE MECHANICAL 7- -b-I _;r2i Y ❑ N C Y ❑ IN COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - EXTERIOR'SHEAR - ELECTRICAL RELEASE FLOOD ZONE A.L U C. INTERIOR SHEAR - FIRE DEPT. Y❑ N❑ v L) N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR CATH BUILDING INTERIOR LATH- TEMPORARY APPROVALS BUILDING SCRATCH COAT • ELECTRIC PLAN CHECK . GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING ISNOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM LU ARRANGE FOR INSPECTION BY, PHONING 252-4505, ELECTRIC ONE WORKING.DAY BEFORE REQUIRED'INSPECTIQN. PLUMBING ' 0� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z MECHANICAL ;V.(60 - SEE PERMIT FOR EXPIRATION DATE -' i IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE'BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES.- USE BALL POINT PEN ONLY BUI LDI NG PROJECT 1 DENT[FICAT ON ,PERMIT NUMBER BUILDING L APPLICATION & PERMIT 18022 ADDRESS I, - ✓B r v BUILDING -ELECTRICAL-PLUMBING-MECHANICAL _. OwNE 7777////�� - PLAN CHECK VALIDATION " E OTY. ELECTRIC PERMIT FEE ONE CONNAME Acrons OUTLETS-SWITCHES-RECEP 10.0011.00 . L.C.ND. LIGHTING FIXTURES 10.00/1.00 ' root essTOR s. 4T. -pp PPLIANCES-RESIDENTIAL' 4.00 ��0 �� G PP.oNE 6/ PANELS 10.00 DATE OF APPLICATION `- ARCHITECT - PLAN CHECK FEE P.C.N0. OR PANELS (OVER 200 AMP) 20.00 ENGINEER uc.No. ISIGNS TRANS. - - 3.00 ARCH.OR ENG. PERMIT VALIDATION ADDRESS SPECIAL CIRCUIT 5.00 ZIP EMP.METER OR POLE INS. 20.00 1^y��r I / AoD.ESS r:aZLy�Ar MOTORS SEE FEE SCH. J.A"IUI llrn IL-M. //'"'w 149w 4i•/ndyG�• SC✓ SERVICE CHANGE 20.00 r 00 LICIiNSEU CONTRACTORS DIiC1.ARA'I'ION ' - < o~j I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE IT w (commencing with Seclion 7000)of Division 3 of the Business and G, a y BLDG.. ELECT: PLG. MECH.. I-w Z Professions Co d y license is in full farce and f ❑ ❑ ❑ z o m - License Lie.Number- I A ,r Fyn m H w Dale 1 Contractor_ (l ly .7 a x a i BUILDING PERMIT ¢ o n U OWNER-BUILDER DIiCLANATION MISC.- ORD INFORMATION w ; y I hereby affirm that I am exempt from the Contractor's License LL o a Law for the following reason.(Sea 7031.5,Businessand Professions PERMIT ISSUANCE 10.00 VALUATION $/FT. � - V, Code:Any city or county whichrequireeo permit to construct,alter, ¢ ¢ ¢O improve,demolish,or repair any structure,prior toils issuance,also ELEC.CONTR. LIC.NO. - ELEC. A W m¢ requires life applicant for such permit to file a signed statement that TOTAL PERMIT TO he is licensed pursuant to tlm provisions of the Contractor's License H z a Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe - 4 o Business and Professions Code)or that he is exempt therefrom and GTY. PLUMBING PERMIT FEE ¢I-m the basis fertile alleged exemption.Any violation of Section 7031.5 STORIES -TYPE CONSTR. sL - by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars(5500).): ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 their sole compensation,will do(he work,and the structure is not OCC.GROUP RES.UNITS intended or offered for sale(Sea 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 - Code.The Contractor's License Law does 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 TOTALACREAGE' himself or through his own employees,provided that such improve- memsare not intended(it offeredCOT sale.It,however,He building GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of completion, the 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 NO PB Our, ❑ 1,as owner of the property,am exclusively contracting with El ❑ licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS'-1 INC 5 V.B. 6.00 ASSESSO S PARCEL NO. and Professions Code:I'he Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) 1,00 Cont for such projects with a conlrac¢r(s)licensed pursuo"(m the Contractor's actor's License Law. SEWER-SAN ITARY-STORM EA,2001t/10.00 TRACT N0. PARCEL N0. ❑ 1 am exempt under Sec. ,B.&P.C.for(his WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.OATE ACC.FILE NO. woR" c Pit AT 1 10N WATER TREATING EQUIP. - 5.00 I hereby afE m that I'I[a t RsuRl to elf-insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certil icd copy thereof No ( c 3800,Lab.C.). Policy No. Co hereby Z ❑ Ce rl ilieJ copy is s .. furnished. - FIRE SPRINK ENERGY T 24 Z Z CeTIM ic� cop is f�jed Itlt the y ms lion division. O A plicunt�j �/� � MISC.- REFER TO ORD. YE] N[] Y ❑ No � N CSIKtJ/TIFICAT801:EXEMPTION FROM WORKERS' PERMIT ISSUANCE - 10.00 FLOOD ZONE A.L.U.C. W > COMPENSATION I NSURANCE PLG.CONTE. LIC.NO. PLG. CL Z (rhis section need not be con,leted it the permit is for one TOTAL - Y Q N❑ Y CD NC] hundred dollars(S)00)or less.) ) 0 1 certify Thal in the performance of the work for which this pc,- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL 1- mit is issued,I shall not employ any person in any manner so as to QO O Ubecome suhject to the Workers'Compensation Laws of California. Date Applicant BUILDING } y NOTICE. 'r0 APPLICANT: If,alter making this Certificate of rix- ALTER OR ADD TO MECH. 5,00 F ? eruption,you should become subject To The Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you most forthwith co nr ply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10G20OF.M.) 4.00 " CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10,000C.F.M.) 6.00 SEISMIC FEE ':1 hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the ,Intonnancc r f[ work far which this permit is issued(See MICROFILM 3097,Ci,C.) O�r HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC I certify that I have read this application and state IJim The above VENTILATION FAN (SINGLE) 4,00 . information is correct. 1 agree to comply wilh.all city and county PLUMBING ordinances and state laws relating To building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby enthori¢ representatives of this city to ewer upon the BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL IDG, above-men(ioneJ operty for inspection purposes. (We) gra 1r s e, indenmlfy and keep bmin less the Cl y of MISC.- REFER TO ORD. uperL a int abilities,judgments, costs and expe .es hick PERMIT ISSUANCE 10.00 CONST.TAX may i an w accrues against id City in on qu Ice f the m go IN rmit, s R_C� . LIC.NO. MECH. ' 4J/•lZ�" TOTAL TOTAL I,, (�O ,.me fApplica t/Con rncto Da s OFFICE COPY