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17400 APPLICANT T9 FILL IN INFORMATION WITHIN RED LINES -'USE BALL POINT PEN ONLY . BUILDING PROJECT IDENTI FICATION PERMIT NUMBER OIAPPLICATION & PERMIT Q� y5 I 1 1 4 �J 1' , A RESOQ . BUILDING -ELECTRICAL-PLUMBING-MECHANICAL , OWNER'S T PLAN CHECK VALIDATION NAME L ��fs //yyyy.�CITY. ELECTRIC PERMIT FEE _ 0. VHONF 1./ %-_a CONTRnp.�O S NnmE y�I E'e h QoYIS{'7 ')r-Ne., OUTLETS-SWITCHES-RECEP 10.00/1.00 Nor o ll LL, ID LIC,No. 16 S LIGHTING FIXTURES 10.00/1.00 r-orvTRAcroR's ,�/�-p PPLIANCES-RESIDENTIAL 4.00 3 - ' AOS .�lTz_�/��J PHONE PANELS 10.00 DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.NO. OR PANELS (OVER 200 AMPI 20.00 ENGINEER 'ISCIr.suc.No. � SIGNS TRANS, 3.00' ARCH,OR ENG. PERMIT VALIDATION ADDRESS �y-c SPECIA LICI RCUIT 5.00 -, s . . K9 D G QVC LZaP KiMi'l EMP.METER OR POLE INS. 20.00 1 Po�,� /oI A DRESS MOTORS SEE FEE SCH. �•J AooRess �• ��p K,S Vail ICA SERVICE CHANGE 20.00 o o - LICENSED CONTRACTORS DECLARATION - - ¢ u 1 hereby iffoul that I am licensed under provisions of Chapter Y ISSUANCE DATE "' (oommenciag with Section 70001 of Division 3 of the Business antl � jra Professions Coda,aOd, license is in ILII( ade(f - I BLDG. ELECT, PLG. MECH. o L W Liter,Kp�C'aas� ..Lic.Numb 'di, 1/ ❑ L H Dute Q'h-L Con".,, Q g E J ¢ ¢ w a owlvER-Bm1.miR DEc1.nRnnO ' MetBUILDING PERMIT or ; u.y I hereby affirm that I am exempt from the Contractor's License MISC.- RE ERT ORD INFORMATION r .. o j Law for the following reason.(Sec.7071.5,Businessland Professions PERMIT ISSUANCE vAwAn ON SEPT. La Code:Any city or county which requires permit to construct,alter, 10.00 `0--e`�-- ¢ FO improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. EIEC. " v 010 IS 4 iL m ¢ requires the applicant for such permit to file a signed statement that TOTAL PERMIT , w he is licensed pursuant to the provisions of the Contractor's License Y Hit Law(Chapter 9(commencing with Section 7000)ofUivision 3 of the - RR � �T 'I/✓',f[ 4 o Business and I'ro(essions Code)or that he is exempt therefrom and ll�� ¢ H the basis for the alleged exemption.Any violation o'Sectioin 7031.5 DTV. PLUMBING PERMIT FEE STORIES TYPE CONSTR. i 3 _ by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500),): ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ I,as owner of the property,or my employees with wages as BACK•.FLOW 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 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 TOTAL ACREAGE himself or through his own employees,provided that such improve- menu are not intended or offered for sale.If,however,the building GAS-EA.SVSTEM-1 INC.4OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS EASYSTEM OVER 4(EA) 200 builder will have Elie burden of proving that h - . - . . e did not build or im- BUILDING UB prove for purpose of sale.). RES IND CON/gPB ONa, ❑ I,as owner.I'the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 El IN I-/ and ensed Contractors:The Contrtount actor's Project La 7044,Business LAWN SPRINKLERS- 1 INC5 V.B. 6.00 ASSESSORS PARCEL NO. tend Professions Code The Contractor's improv Law docs not apply to tr owner of property who builds or improves Hereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contractorls)licensed pursuant to SEW ER-SANITARY-STORM EA.200ft/10.00 the Contractor's License law. � TRACT NO. PARCEL N0. ❑ lain exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner Bate WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COM PF NSATION DECLARATION WATER TREATING EQUIP. 5.00 00 I hereby infirm that I have a certificate of consent to self-insure, or a certificate of Workers Compensation Insurance,or it certitied ZONING ENG.SITE NO. copy 11171'( 00,Lab.0 .). 4PDT� penyZ O ❑ Ccrtititt py is her• nvmshcd. FIRE SPRINK ENERGY T724 Z z (J4- Cer" co n d Ith Ih coon divisioli. ❑ ❑ ❑ ❑ p O Applican� L MISC.- REFER TO ORD. v N v fe a PERMIT ISSUANCE 10.00 00 LUCI:RTII%CCOMPFsf:XIiION INSUROh1WORK1iRS' FLOOD ZONE A.L.u.C. W COMPfiNSATION INSURANCE PLG.CONTR. LIC.NO. PLD. . Y� N� Y � N� d O IThis section need not be completed if one permit is for one TOTAL Q�.� Z) Z hundred dollars($100)or less.) U O 1 certify that in the perl'urnmnce or the work liar which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL F mit is issued.I shall not employ any person in any manner so as to O W become subject to the Workers'Compensation Laws of California. Ex. Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING >_ 0 NOTICE TO APPLICANT: If,after making this Certificate of Ex- t F Z cinption,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 10,000C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.RM.) 6.00 SEISMIC FEE' 2"_ 1 hereby affirm that there is a ha stnretitm 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 NamAddress H EATING UNIT(OV ER 100,000 B.T. .)9.50 Lender's Address ELECTRIC 1 certify Nat I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 i rdinnution n cornet.1 agree to Comply with all City and county BOILER•COMP 3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws relating to building construction,and Co and hereby aEtlion,c rep,csLnt.ti,. of Ellis city to Cater upon the BOILER-COMP love,100,0110 BTU)SEE FEE SCH. MECHANICAL above mentioned property for inspection purposes. (We) agree to wet-tirldKmnify and keep harndecs the City of MISC.- REFER TO ORD. upertgainst Iis ill iud IS hosts and expenses which PERMIT ISSUANCE 10.00 CONST.TAX any way a • ago st sai in consequence of the Ing of this MECH.CONT. LIC.NO. MECH. 6• _ TOTAL TOTAL 6 more pp can/Contractor Uafe OFFICE COPY POST THIS CARD NEAR FRONT OF BUILDING PFRMIT NUMBER CITY OF' CUPERTINO' 17400 INSPECTION DIVISION JOB INSPECTION RECORD (`y/. q _G�paM v _ PERMIT EXPIRATION JOB ADDRESS�11v ' 1L'�/�/—y '�'�"`�^ '`� � "� _LOT# 41RJ EXPIRES IF WORK OWNER ' �`1 OI` i�d IF CONTRACTOR �� - Ofl,S�lr; IS NOT STARTED WITHIN INSPECTION DATE INSPE INSPECTION RECORD 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM .FOUNDATION OTE:' LASTCALLED INSPECTION. UFER - L GRADING AND DRAINAGE SHALL BE INSTALLED PR EGUNITE T COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION 1 C PERTINO STANDARDS. GARAGESLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ` UNDERGROUND /SLAB ` PLUMBING ' ELECTRICAL _ PAW Is ANCE DATE MECHANICAL , BLDf;, -LEcr. vLc� M iii" 2 81989 . . DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT /fty� INFORMATION WOOD FLOOR Iy�11(EU n100 PLUMBING 5 �v n'w ano�N - 5/FT, MECHANICAL .%✓ .�=�' ELECTRICAL, ' 1PERMIT � " ( . FRAMING " f Y.- INSULATION t(,('' �•r . rSa� T( :B iVPE CONSTH, INSULATION . C.GHOUP RES UNITS+•t PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE aoor+nREA rorA�ncRCAGE r DIAPHRAGM, THE CONSTRUCTION TAX IS PAID BUILDING 5 ROOF SHEATHING RES IND Co PB 00— APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED - FINALS DATE- INSP. ❑ ❑- -❑ 1:1 _ ROUGH SAN.a . ASSESSOR S PAHO Ft,NO PLUMBING ELECT.ENERGY - 1 TUBS 8 SHOWER PAN , PLUMBINGENERGY' TRACT No , PARCEL No, MECHANICAL MECH:ENERGY ELECTRICAL - BUILDING ENERGY ACC.DATE ACC.FILE NO FRAMING - ELECT.FINAL TEST ' ZONING ENG.,SITE NO. - INSULATION ' $.j'7 $4 PLUMBING GAS TEST GAS. FIRE SPRINK ENERGY T-14 MECHANICAL YY COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING . ❑ "❑ E] N[] EXTERIOR SHEAR :'1`7 ELECTRICAL RELEASE FLOOD ZONE, A,L.UC INTERIOR SHEAR - FIRE DEPT. ' X13- Y ❑ N❑ - Y ❑ NO SHEETROCK .In GRADE FEE SUMMARY EXTERIOR LATH BUILDING �� INTERIOR -iATH - TEMPORARY APPR VALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK ' GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE _ OCCUPANCY OF BUILDI NG IS NOT PERMITTEDUNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR, .MICROFILM 1 'ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC �� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING - 0 PLEASE GIVE JOB ADDRESS WHEN PHONING. Z - SEE PERMIT FOR EXPIRATION DATE — MECHANICAL' IMPORTANT! covsr.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL- CALLING CALLING FOR FINAL INSPECTION. OFFICE COPY Hawk Engineers, Inc. \ MP.N5T STRtUT.SAN P114N4t560,pSL"On NIA St 1O5.1415;454DOO? July 13, 1989 Subject : NE Corner of Stevens Creek and Stelling Out File : 3549 City of Cupertino Building Department 10300 Torre Avenue Cupertino CA 95014 Gentlemen: This letter is to notify you of the following information (based on field survey by Hawk Engineers, Inc. ) : 1 . The finished _floor .of the car-wash building (now under construct,ion.) .on -the subject zite .has been staked (Elev. - = 269 :71) 1n :accordance 'with the approved grading plan prepared by .Robert H. Lee :and Associates (Sheet A-2) . 2 . The car wash building wall exterior will be located 1 . 25 ft. from the existing concrete wall which is entirely within the subject site . 3 . The plans indicate a 0 . 25 ft . overhang for the car wash building roof., therefore, the drip line from the roof will alsobewithin the subject property. Very truly yours, XJOhnoBerry, p DH. 1 :This cc : John Williams - Shell 011 Company I