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17863 POST THIS CARD NEAR FRONT OF BUILDING 1 HPERMIT NUMRE.R CITY OF r CUPERTINO x.7863 INSPECTION DIVISION JOB INSPECTION RECORD ~ r R ✓/�^ I/,�}+ - P,ERMIT�EXgIRA7l" '15 JOB ADDRESS_Io I `� v �--�' WS: UNIT# - _LOT# ' '' (( CC , ' v1 ,I PERMIT EXPIRES IF WORK .- .- oWNEs - • I 1 tCV�; . .• CONTRACTOR. �Q t., ��J 1. IS NOT STARTED WITHIN -INS - ION .DATE" INSPECTOR INSPECTIONRECORD . 180 DAYS OF PERMIT ISSU:, ~' FOUNDATION _ — OR•l 80,DAYS FROM . _ NOTE: - "' CASTCALLEDINSPECTION.' UFER ALL GRADING.AND'DRAINAGE SHALL BE INSTALLED TO COMPLY WITH T..E,APPROVED PLANS AND CITY OF ,PLRn+FT VALIDATION PREGUNITE ^ • CUPERTINO STANDARDS: +. •, + .. r c . . GARAGE'SLABS ' -POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGN ED - + _`".'= / �y ' UNDERGROUND /SLABS IJ r u b u -- �'J�'�V 3 PLUMBING ELECTRICAL `' T'1Rl' L� .ISSUANCE.DATE t . MECHANICAL - ^l` 17, ,ULuc, •E cr. .-PLG.. - at et P T± ,.. DO.NOT-POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT ' ,�: JUIV (j'1989, ' INFORMATION' 'WOOD FLOOR, vnLunnory SIFT. PLUMBING - - .:cI!Y.OfCUp^c1,tIRD}-.... %, �OO' MECHANICAL LECTRICAL + .. /yamveRn r rr E FRAMING INSULATION, STORIES - .TYP,F cONSTR. ,oCc,r,Ra LIP- - nes,uNirs -PLACE.NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHAL DE BEFORE FT FLoan AREA TOTAL ACREAGt a DIAPHRAGM THE•DONSTRUCTI .TA IS PAI Pv I n LOi ON USE. ING- - - Res coryOCFSHE�Try • APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED, FINALS INSP. '�' � _ ASSESSORS PARCELING - -ROUGH - -"• SAN.N, ', ' •3; PLUMBING~ O --1 ELECT,-ENERGY,' TUBSBSHOWE PANS'?" - PLUMBING ENERGY TRACT No. PARCEL NO MECHANICAL - MECH.ENERGY• ncc.onTE+' ACC,FILE NO, ELECTRICAL BUILDING'ENERGY - - - 'FRAMING _ — EL'ECT:FINAL TEST -- zONlrvc ENC.SITE No. >� INSULATION - _ - PLUMBING ., - '+ .GAS TEST GAS - •` ,w',- r _ MECHANICAL. vlRE svRINrc•+ 'ENeRc,Tsa- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING •< ❑j N❑' ED. N❑ ' ' FLOOD LONE AL U C. EXTERIOR SHEAR ELECTRICAL RELEASE •�0NvL -N❑ 4; INTERIOR SHEAR. `a" FIRE DEPT. SHEETROCK r GRADE FEE SUMMARY r EXTERIOR,LATH BUILDING- INTERIOR ILATH '.TEMPORARY APPROVALS !- j, 'SCRATCH COAT ELECTRIC' PLA N.CHECK GAS` FEE ��:' ' NO TAPE OR,PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY' SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. • MICROFILM- sz ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC �� ONE'WORKING DAY BEFORE,REQUI RED INSPECTION.^ PLUMBING aQ t PLEASE'G1VE JOB'ADDRESS WHEN PHONING. , Z -'SEE PERMIT F+OR EXPIRATION'`'DATE y MECHANICAL IMPORTANT!" ' CONST.rnx. P LEASE,READ.REVERSE SIDE BEFORE' TOTAL' `CALLING FOR FINAL'INSPECTION, OFFICE CCPV APPLICANT TO FILL IN INFORMATION WITHIN-RED;L'INES -•USE BALL POINT PEN ONLY * 'BUILDING PROJECT IDENTIFICATION �. PERMITNUMBER - GILDING : APPLICATION & PERMIT 1 r]'O L+ ADDRESS .r I f O U rZT00({D S AR • BUILDING - ELECTRICAL-PLUMBING-MECHANICAL '. OWNER'S - .-. "' - - PL ECK ALIOATION NAME • - •pTy, �2o ELECTRIC PERMIT' FEE I,Q,am�c . NyGwrtaulck PHDNE' -`t , I� d • 6 CONTRACTOR'S G S qa X NAME OUTLETS-SWITCHES-RECEP 10.00/1.00 JAx�1s < LIC.No. LIGHTING FIXTURES" '10.00/1.00 j W ADnrRAcrofls PPLIANCES-RESIDENTIAL 4.00 A DORESS - , PHONE _ PANELS - 10.00 •DATE OF APPLICATION ARCHITECT - PLAN CHECK FEE P.C.NO. OR a' PANELS (OVER 200'AMN 20.00 (_,1'bAI(JlENGINEER K4917LIC.No. _ . SIGNS TRANS. 3.00 ARCH.ORE G.' - - - PER MIT VALI DATI ON ya ADDRESS ',' tr••POEII- •�l�r`i :� SPECIAL CIRCUIT - ' " 5.00 , Z WJ U6 P TEMP.,METER OR POLE INS. 20.00 ��/���•yx//�. / ./, APPLICANT'S I �• L'JI Ik{v I/(J/�I I ADDRESS - - - MOTORS' SEE FEE SCH. SERVICE CHANGE 20.00 . 02 00 LIC17NSED CONI RACTORS DECLARATION a U 1 hereby affirn that I am licensed under,provisions of Chapter 9 - e ISSUANCE DATE: ^t w a w Irommencing with Section 7000)or�Division 3 otlhe BUSitu ss and - - BLpG. ELECT. PLG. MECH. F y z Professions Code,and city license is in full force and effect .LI n n �. ❑ z z m w 9 - License Class Lia Number ' •H .: Date' _ Contractor ¢ y E d. - BUILDING PERMIT ¢ ¢ a OWNER-BUILDER DECLARATION ' ¢ e u MISC.- -` ORD ' ' INFORMATION w g n 0< thereby allvm that I am Lxempl from the Contr tors Licens ` VALUATION $/FT.. 'HLLoaiawf the followingr reason (Sec 70lI 5,Busm sire dP ufessots PERMIT ISSUANCE 1'O:OB �'1"J Code Any city r county which requ resa permit t construct,alter. - 6 0 5, < impr ve,demo h.h r repair a n y strap l are pror to l l s Issuance also ELEC.CONTR. -" LIC.NO. ELEC. O LL requires the applicant for such permit to file a signed statement that TOTA 37 50 PER T w$ w he is licensed pursuant to the Provisions of tire Contractor's'License' r i > l,uw(Chapter9(commencingwi0l Section 7000)of Divisim13o the' - " ' ! o0 0 a Business and PImbessiom Code)or that he is exempt therefrom and QTY. _ PLUMBING PERMIT FEE 1 X "�I ¢ gym the basis for the alleged exemption.Any violation of Section 703 L5 - - STORIES TYPE CONSTR. i g � by any applicant for a permit subjects the applicant IG aciv it penalty P of not more an five hundred dollars ALTER-DRAIN (EA.) 5.00 th ` ❑ A,as owner of the property,or my anployees with wages as'- BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their aide compensation,will do the work,unit tire structure is not _ intended or offcred,f.r sure (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 _ - pmperly who builds or impnma's thereon,anJ.who does such work 6A FIXTURES-PER TRAP '. 5.00 SO.FT.FLOO1 AREA 'TOTAL ACREAGE mentsler lot intended own employees, red forsult.provided that such improve- GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 7 ' menus rovement tended proffered forsalo IL huwevcq the blinding or impnwemetl is sold within one year of annplmipn,the owner •I GAS-EA.SYSTEM-OVER 4 IEA.) 2.00 BNLOING USE builder will have the burden of proving that Ito did,not build or im- RES IND CON 'PB .Omer prove for purpose critic.). I NDUSTR IAL WASTE.I LATER. 30.00 ❑ ❑ ❑ -❑. '❑ rCl .I, is owner of the property,nm exclusively nmtrucling wish -' licensed'contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law.does not apply , to an owner of propety who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.). 1.00 contracts(6,such projects with a'conlraetrn(x)licensed Pursuant to SEWER-SANITARY-STORM EA,200ft/10.00 the Contractors License Law. TRACT NO. PARCEL NO. ❑, tum exempt under Sec. ,it.&P.C.till this WATER HEATER'W/VENT 6.00 ' reason Owner - Pan WATER SYSTEM 5.00 ACC.GATE ACC.FILE LA0. WORXERS'COMPENSA'I'DON DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm thin 1 Have a ccrti0cute of consent to self-insure, - nr a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(Sec,3800,Lab.C.). - - Policy No. Company 0 ❑, Certified copy is hereby Nunished. z FIRE SPR INK ENERGY T.2A ~ O-Certified copy is filed with the city inspccfion division. - REFER TO ORD. p Applicant- - MISC. V❑ N[DV E) Ncc ❑ rn ' . h ' • PERMIT,ISSUANCE J'9:80 CIi RTIF'ICATIi OP EXEMPTION ItROh1 WORKERS'.t" FLOOD ZONE A.L.U..C. LU COMPENSA'HON INSURANCE PLG.CONTR. LIC.NO, PLG. ' C 0. (Flus,sectlon need not-he completed if the Pennit is for one i' TOTAL s - V�: N❑ V ❑ ' N❑' Z lU ndred dollms(Sl00)cites.) - L) OI certify.that in the performance of(be work for which this per. QTY. MECHANICAL PERMIT FEE FEE SUMMARY - U F, hlil is issued,I shall nil employ any person in any mannerroasJ s O w become subject to the Workers'Compensation Laws of California. / y Date - -Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 7 NOTICE 'f0 APPLICANT: If,after making this Certificate of rix. - - Z InuPtion,you should become subject to the Workers'Compensation APPLIANCE' 5.00 IF �� provisions of the Labor Code, you must forthwith comply with - U such provisions or this permit shall be deemed revoked_ AIR HANDLING UNIT(TO 10=CF.M.)• 4.00 . „ CONSTRUCTIONLEIsDINGAGENCY AIR HANDLING UNIT(OVER 10=C.F.M.)'6-00 _ Qj�Z hereby affirm the there is a nmstnrnlion Icuding'usency I'or EXHAUST HOOD (WITH DUCT) 5.00 . the perl'oirnlance of the work for which,this permit is issued(Sec. 3097,Civ.C.). - HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lenders Name HEATING UNIT ER 100,000 B.T.U.)9.50 ' Lender's Address , I ecnify that I have read This application and stale Ilial the above VENTILATION FAN (SINGLE) 4.00 inionnation is cormeL agree to comply with all city tnd county •00 i ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 ` hereby authoriic representatives of this city to'enler upon the BOILER-COMP OWU 100,000 BTU)SEE FEE SCH. M+ECHANICAL above-meumot'l Property for inspectionur pposes, - - (We) agree to save, indemnify and keep harmless the City of MISC.- -REFER TO ORD. -' upenino.againit liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in any way accrue against said City In consequence of the ' mntingofthis permit MECH.CONT. LIC.NO. MECH. n .• •+ .TOTAL I TOTAL . Slgnatumof-Applicant/Contractor Dale - - "� r OFFICE COPY o t, r 0 71: o �o f.11'J ago 1644, oo$�'GaiP W l�dpS :, a410 en �o,,dw euX y �s ue\ 7 0 a4 � 4 SA uo 1 aes sW1 ( S SeQb��ee00 0 �d 7- HiWE JUL 0711989 BLDG. INSPECTION DEPARTMENT CITY OF CUPERTINO. r t I � e vo JL chi Is — �R—il�,j� dd I ,I • • ia�a sui JUL 87 1989 ouuaaa 3 10�uio \ BLDG. INSPECTION DEPARTMENT 6861 z8-inr CITY OF CUPERTINO 1 1 © 40irpIR�; UFh�' CIIA U4 C�hEbl1P1