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14315is le POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION- RECORD 10150 TORRE AVE JOB ADDRESS UNIT'# -LOT# TORRE AVENUE II OWNER CONTRACTOR PERMIT NUMBER. 14315 PERMIT EXPIRATION PERMIT EXPIRES IF WORK 'i IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM LAST CALLED INSPECTION. ' INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION .NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. UFER PR EGUNITE PERMIT VALIDATION ISSIiANCSOATS GARAGESLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED /-•c{(rcd M W • UNDERGROUND/SLAB PLUMBING (fAILC,-e �- VVI ELECTRICAL MECHANICAL" S_ .-A AICT HLOG ELECT PLG. .MLCR. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED -1w T 6.4R FOA_ BUILDING PJERMIT - INFORMATION WOOD FLOOR VALUATION $ FT. PLUMBING•' MECHANICAL ELECTRICAL PERMIT TO FRAMING INSULATION STORIPS TYPE CONSTR. OCO GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF - NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID - so. FT PLooR AREA TOTAL Acacnoe DIAPHRAGM ROOF SHEATHING BUILDING USE RES IND CON PH O,h4 111:1 ED El APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGH SAN.H - ASSE550RS PARCEL NO PLUMBING - ELECT. ENERGY TUBS a SHOWER PAN PLUMBING ENERGY _ TRACT NO. PARCEL NO MECHANICAL - MECH.ENERGY ELECTRICAL BUILDING ENERGY AGC DATE ACC FILE NO. FRAMING ELECT. FINAL TEST INSULATION PLUMBING ZONING ENG SITE N0. GAS TEST GAS MECHANICAL FIRE SPRINK Y ❑ N ' ENERGY T-20 Y ❑ N0 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR - � ELECTRICAL RELEASE FLOOD ZONE ' Y o-. No A L U.C. ' Y L NE] INTERIOR SHEAR FIRE DEPT. SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC - PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HASeBEEN',,SIGNED OCCUPANCY < SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM H ONE WORKINGDAY BEFORE RE ARRANGE FOR INSPECTION BY P=DATE— O PLEASE GIVE JOB ADDRESS WHEPHONING, —SEE PERMIT FOR EXPIRIMPORTAN! ELECTRIC PLUMBING MECHANICAL coNST. rnx T PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY 02 O Z F• O W > a0 U O LL U Ow • APPLICANT TO FILL IN INFORMATION WITHIN RED LINES = LIS&BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION - -APPLICATION & PERMIT BUILDING -ELECTRICAL- PLUMBING -ME -.MECHANICAL L PERMITNUMBER ., 14315 Vr eauoaDRoEmsGs O I ��( WNER OJ�� •--��(j e OTVELECTRIC PERMIT FEE PLAN CHECK VALIDATION NAMERACTORs OUTLETS -SWITCHES -RECEP 10,00/1.00 LIGHTING FIXTURES 10.00/1.00 LIC. NO. ADDRESSTDR's PPLIANCES- RESIDENTIAL 4.00 PANELS 10.00 PHONE DATE OF APPLICATION, ORRCHrtECT PANELS (OVER 200 AMN 20.00 PLAN CHECK FEE P. C. NO. ENGINEER LIC. NO SIGNS TRANS. 3.00• • ADDRRESS ENG,- SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 20.00 • ZIP APPLICANTS ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 /` �••�L(� �•'`> ' 2� D: ISSUANCE ATE 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 and Professions Code, and my license is in full force and effect. License Class oNumber Date Contractor tractor - BLDG. ELECT. ❑ PLG. 'MECH. ❑ ❑ - nC V L OWNER -BUILDER DECLARATION 1 hereby 'mfrm that 1 am exempt from the Contractor's and pr License Professions Law for the ityfollowing reywhichee.703 uires a permit to Code: Any city or county which requirese permit to Cpns uanc alter, Improve, demolish, or repair any structure, prof to its issuance, also requires the applicant for such permit to file a signed statement that be is licensed pursuant to the provisions of the Contractors License Law(Chapter 9 Ompameneingwith Section 7000/of Division 3 oohs and Professions Code) or that he is exempt therefrom and B�1x�{I{I�PpI NG PERMIT DAMN, MISC. - REFER TO ORD VALUATION �/ V $/FT, - PERMIT ISSUANCE 10.00 ELEC. CONTR. LIQ NO. ELEC.- TOTAL PERMIT TO �r/�j^/r W,46<,Business DTV. PLUMBING PERMIT 'FEE STORIES TYPE CONSTR. the basis for lite alleged exemption. Any violation of$ection 7031.$ by any applicant fora permit subjects The applicant toacivil penalty of not more than five hundred dollars f8500)J: ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS-FLOOR, ROOF, AREA, COND. 5.00 intended or offered for sale (Sec. 7044, Business and Profession; Code: The Contractor's License Law does not apply to an owner o property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve- mems are not intended or offered for sale. If, however, the building FIXTURES - PER TRAP 5.00 $0. FT. FLOOR AREA TOTAL ACREAGE GAS-EA.SVSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of completion, lire owner- builder will have the burden Of proving that he did not M1uiIJ Or int Prove for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 IEA.) 2.00 BUILDING USE RES IND CON Pa Omar ❑ ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 30.00 licensed contractors t0 construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly 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 a con s) licensed pursuant to the Contractors License Law. SEW ER -SANITARY -STORM EA. 200ft/10.00 TRACT N0. PARCEL N0. ❑ I um cxcc Mer ec. x .B.&P.C. for lis reason WATER HEATER W/VENT 6.00 Owner Uale WATER SYSTEM 5.00 ACC.OATE ACC. FILE NO. WATER TREATING EQUIP. 5.00 W RKERS'COM ENSA1'ION DF.CLARAI'ION - ' I hereby affirm thin I have a certificate of consent to self -insure, or a certifcme Of Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO. copy thereof(Sec. 3800, Lob.C.). - Policy No. Company FIRE SPRINK v ❑ N❑ ENERGY T-24 v ❑ N❑ ❑. Certified copy is hereby furnished. ❑ Certified copy is filed with the city inspection division. Applicant MISC. REFER TO ORD. CER1'IFIC'A'IT OF EXEMPTION PROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L. U.C. PLG. CONTR. LIC. NO. PLG. TOTAL COMPENSATION INSURANCE (This section need not be completed if lire permit is for one v❑ N❑ v❑ N❑ hundred dollars IS 100) or less.) I certify that in the performance of the work for which this per. mil is issued, I shall not employ any person in any manner so as to QTYMECHANICAL PERMIT FEE FEE SUMMARY BUILDING (7� J V become subject to lite Workers' Compensation Lows of Califurma. Date Applicant ALTER OR ADD TO MECH. 5.00 NO'T'ICE TO APPLICANT: If, after making this Certificate of lix- emption, you should become subject to the Workers' Compensation APPLIANCE 5.00 PLAN CHECK provisions of the labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT (TO 10=C.F.M.) 4.00 FEE AIR HANDLING UNIT OVER 1000C.FM.) 6.00 SEISMIC FEE SZ - CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 theCivCanCe of the work for which this permit is issued (Sec. MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT (OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county ordinances and state lows relating to building construction, and PLUMBING BOILER- COMP (3 H.P. or 100,000 B.T.U.) 6.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL hereby authorise representatives of this city to enter, upon the above-mentioned property for inspection purposes. MISC. - REFER TO ORD. (We) agree to save. Indemnify and keep harmless the City of Cupertino againstgbflin"�,-and expentes which ay in any y consequence of the pe CONST. TAX PERMIT ISSUANCE10.00 MECH. CONT. LIC. NO. MECH/Z•Z, TOTAL TOTAL Signature f Applicant/CoMractoV Date OFFICE COPY