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11008/ POST.THIS CARD NEAR FRONT OF. BUILDING PTO Nu61BER - CITY OFtUPERTIN0 , ; . 11008 INSPECTION DIVISION ' OB INSPECTION.RECORD PERMIT EXPIRATION JOB ADDR ESS UNI # OT# 7 PERMIT EXPIRES IF WORK OWNER' CONTRACTOR IS NOT.STARTED.WITHIN INSPECTION FPAfEI INSPECTION RECORD 180 DAYS OF PERMIT ISSU-. FOUNDATION .. , ANCE OR 180 DAYS•FROM 'r 'LAST CALLED INSPE66W PREGUNITE PERMIT VALIDATIONPOU NO CONCRETE UNTIL ABOVE H -UNDERGROUND/SLPLUMBINGELECTRICAL I ISSUANCE DATEMECHANICAL „ •BLDG ELECT. 'P MEC .00 NOT POUR FLOOR UNTIL ABOVE euILDIRM TIONWOOD FLOOR - I INFORMATION..VALUATION'. $/FT. PLUMBING ,1 .MECHANICAL.' ELECTRICAL FRAMING P - STORIES TYPE CONSTR. INSULATION. - - OCC GROUP.. ' RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF.. .. • . SO.PT.FLOOR AREA "TOTAL ACREAGE DIAPHRAGM •BUILDING USE ' • - " ""' HES IND N PB 00- El APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED o o O ASSESSORS P IGEL N0. : .ROUGH'. I PLUMBING 1- J _ GAS TEST TRACT NOI PARCEL NO. - . . ` - MECHANICAL ELECTRICAL' FINALS DATE INSP. Acc.DATE ACC.FfLENO. - FRAMING ' SAN # ZONING ENG,SITE NO, INSULATION - PLUMBING - - GAS , FIRE SPRINK ENERGY T}0 MECHANICAL' 'Y [:] NE 'Y El NEI - COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I HEATING LATH—INTERIOR ELECTRICAL , FLOOD ZONE +t A.L.u.c. LATH—EXTERIOR ' FIRE DEPT. Y Q•" NLj Y 1] NLj SHEETROCK ' GRADE . - ' FEE SUMMARY SHEAR INTERIOR BUILDING " - SHEAR EXTERIOR TEMPORARY APPROVALS. BUILDING FIREWALLS ELECTRIC 'PLAN CHECK _ - - GAS FEE 'C --- NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUIL DING INSP ECTOR. ' MICROFILM • 1 'ARRANGE FOR INSPECTION BY PHONING 252-4505, . 'ELECTRIC ' ui ONE WORKING DAY BEFORE REQUIRED INSPECTION. P 'MeING {. F- Lu . 0_� PLEASE GIVE JOB ADDRESS WHEN PHONING.- •MECHANICAL SEE PERMIT-FOR EXPIRATION DATE'—' .IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL ,. OFFICE COPY - - APIC'ANT TO FILL IN,INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY ~� BU I LDING PROJECT I DENTIFICATI ON ' PERMIT NUMBER BDILDINC^ APPLICATION& PERMIT ADDRE@E 1 .1008 n 1Z , © � s G ♦5 /'�rTT.TJT BUILDING =ELECTRICAL-PLUMBING-MECHANICAL Owrv`ER'15 O VCIJ L+K- moi-+ .PLAN CHECK VALIDATION "AME - - DTV. ELECTRIC PERMIT FEE PHONE I CONTRA ORs NAM OUTLETS-SWITCHES-RECEP 10.00/1.00 h. A A �/-T1�-� LIC.ND. LIGHTING FIXTURES 10.00/1.00 CONTRACTORS .d'n�FQfV�x'ISLU - APPLIANCES-RESIDENTIAL 4.00 . ADDRESS �W 0kLJ IAA6 = PANELS - 10.00 DATE OF APPLICATION ARCHITECT PANELS (OVER ZOO AMP) 20.00 PLAN CHECK FEE P.C.NO. OR ENGINEER - - uc.NOSIGNS TRANS. 3.00 ARCH.OR END p SPECIAL CIRCUIT 500 PERMIT VALIDATION AooRESs . , ZIP EMP.METER OR POLE INS. 20.00 ) A • MOTORS SEE FEE SCH. ,J1 !L`,.G•�`✓^' ADDRESS DREss SERVICE CHANGE 20.00 0 o LICENSED CONTRACTORS D17CLARATION RB '1 p {/,�/y'7/��(1p a v u I hereby affirm that I am licensed under provisions of Chapter 9 - AC96Ul.NCE Oh9@IQ s- w (commencing with Section 7000)of Division 3 of the Business and BL ELECT. PLG. MECH. r i Professions Cock,V my license is in full force and effect. - ❑ z o=- License lass v Lia Number C p�n o m R a Data a -- Contmcmr ¢ m f - 'BUILDING PERMIT OWNER-BUILDER DECLARATION INFORMATION A o A u MISC.- REFER TO ORD m I hereby affirm that I am exempt from the Contractor's License VALUATION $/FT. r u o j Low for the following reason.(Sea 7031.5,Business and Professions pERM1T ISSUANCE 10.00 Code:Any city or county which requiresa permit to construct,alter, - / O g.�) re to¢ 0 Improve,demolish,or repair any structure,prior to Its issuance,alto ELEC.CONTR. LIC.ND. ELEC. O¢ requires the applicant for such permit t0 file a signed statement that y TOTAL PE MIT TO A w m�` he is licensed pursuant to the provisions of(he Contractor's License in -va Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe I 4 o Business and Professions Code)or that he is exempt Illi... ha and OTY. PLUMBING PERMIT FEE the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. u ; � by any applicant for a permit subjects the uppliconl ton civil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(SSOOT): ❑ 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 , •� properly 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- mentsmePutintended or offered for sole.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or improvement is sold within one year of co...lifeline,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or im RES IND CDN PB Other prove for purpose of sale.). - INDUSTRIALWASTE INTER. - 30.00 I-+� ❑ I,as owner of the property,am exclusively contracting with n ❑ ❑ ❑ licensed'contractors to construct the project IS".7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSOR RCEL NO. and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who LAWN SPO IN KLERS-OVER 5(EA.) 1.00 contracts for such projects with a contraclorfs)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. ❑ 1 am exempt under Sec. B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner 'Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WOR DECLARATION RATION WATER TREATING EQUIP. 5.00 1 hereby affirm that 1 have o certificate of consent m sell insure, - ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a acrid a, I copy thereof(Sec.3800,Lida.C.) 1 A Policy No. Company a� /C _ Q ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T-24' ' ❑ Certifie d w' sp Ilion division. Zp Applicant _ MISC.- REFER TO ORD. Y❑ N❑• Y ❑ N❑ P,y CERTIPILCA'p�E01•-EXCMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 fL00020NE A.L.0 C. W 5 COMPENSATION INSURANCE - PLG.CONTH. - LIC.NO. PLG. - CL 0 (This section need not be completed if the permit is for one TOTAL .Y❑ N❑ Y❑ N❑ D Z hundred dollars(S 100)or less.) - U O 1 certify that in the performance of IIIc work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY IL F mit is issued,I shall not employ any person in any manner so as to O beconm subject to the Workets Compensation Laws of California. - O w - BUILDING �'i � Q. Date Applicant - ALTER OR ADD TO MECH. 5.00 } W NOTICE TO APPLICANT: If,otter making this Certificate of nix. - ♦- Z emplion,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=CFJV0 4.00 - CONSTRUCFIONLENDING AGENCY AIR HANDLING UNIT(OVER IO,OODOEM.) 6.00 SEISMIC FEE72 I hereby affirm that them is a emis motion lending'ogency let EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Co,C.). ' HEATING UNIT(TO 100,000 B.T.U.) . 800 Lender's Name Lenders Add, HEATING UNIT(OVER 100,000 B.T.U.)9,50 ELECTRIC ess I Certify lbatl have readthisapplication and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct. 1 agreeto comply with all city and county PLUMBING ordinances and state laws relating to building construe,ion• and BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the above-mentioned properly for inspection purposes. BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL (W%Oa o save, indemnify and keep harmless the City of MISC.- REFER TO ORD. -- Capet liabilities, Pigments, costs and expenses which CONST.TAX mayy ac rueag, list said Cityin consequence of thePERMIT ISSUANCE 10.00 granto ) L . MECH.CONT., LIC.NO. MECH. - TOTAL TOTAL 7 /a] 3 Signature of p licent/Cantrmmr . Date _ I