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14971u POST TN.IS CARD NEAR FRONT.6F BUILDING CITY OF CUPPItTINO PERMIT NUMBER 14971 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION �r II&P2 VINE`yN tfl1� CTT 130 JOBADDRESS UNIT# _LOT# PERMIT 'EXPIRES IF WORK np OWNER I-0UI. CONTRACTOR - IS NOT STARTED WITHIN 1110 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM LAST CALLED INSPECTION. INSPECTION DATE I INSPECTOR INSPECTION RECORD FOUNDATION- '„ - .NOTE:'- ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF _ .LIFER PREGUNITE - PERMIT VALIDATION CUPERTINO STANDARDS. : - GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN S GNEO UNDERGROUND/SLAB I PLUMBING ISSUANCE DATE ELECTRICAL MECHANICAL PLUG ELECrPLG. I o MECH o 19. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR UATION s/FT. PLUMBING MECHANICAL ELECTRICAL FRAMING - INSULATION STORIES TYPE CONSTR. 2. MM " o _ OCC. GROUP 'RES UNITS R•3 1 PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGN ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID - sa r, F1.101 areA TOTAL ACRnACE DIAPHRAGM ROOF SHEATHING '�-- -a- T. RES IND LoCON USE OIl" . ® El ❑ ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGH SANS / ,5— "nbSLSSORS PARCEL NO PLUMBING ELECT. ENERGY69 `� TUBS & SHOWER PAN PLUMBING ENERGY _ _� 919 TRACT NO. PARCEL NO MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY nCC DATE ACC FILE NO FRAMING , ELECT. FINAL TEST INSULATION PLUMBING — ZONING ENG SITE NO, GAS TEST GAS I I91 MECHANICAL a � Z7j FIRESPRINK Y ❑ , N[:] ❑ ENERGY V24 Y E] ' NE] COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING — EXTERIOR SHEAR � ELECTRICAL RELEASE b? FLOODZDNE' ALUC.� Y.❑ N❑ v ❑ NQ INTERIOR SHEAR FIRE DEPT. SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH '• BUILDING BUILDING INTERIOR LATH - TEMPORARY APPROVALS SCRATCH COAT ./ ELECTRIC PLAN CHECK FEE SEISMIC FEE 15.50 GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY ,. OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F ONE WORKING DAY BEFORE REQUIRED INSPECTION.' i 68.68 °z PLEASE GIVE JOB ADDRESS WHEN PHONING.Ful -_di PLUMBING sa MECHANICAL —SEE PERMIT FOR EXPIRATION DATE — CONST. TAX 68.58 288.24 IMPORTANT! - TOTAL 1500.01 } PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. - OFFICE COPY 0 M i DO Xaw E. z p0 N L' Q p at 4 o w U Xie w u O Q t - N f se > c ¢�0 6wm u Hid f i o w � n 3 O Z F0 CC Lu _ EL O D z 00 LL U Ow } w A APPLICANT TO FILL IN INFORMATION WITHIN RED LINES -USE BALL POINT PEN ONLY BUILDING PROJECT -1 DENTI FICATION APPLICATION &PERMIT BUILDING ELECTRICAL- PLUMBING - MECHANICAL PERMIT NUMBER - 1 1497.1 Ann ..S ineyar pring t. oo. L Lot 130 Plan 2A OWNER'S NAME Gregory Group, Inc. & Rmanson DevelopTerts 416,,595-2100 OTY. ELECTRIC PERMIT FEE ' PLAN CHECK VALIDATION NAMrnacraRs NAME Gregory Group, Inc, Lie No.B-430097 UTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 ADDRESSTI 22D C Twin Dolphin Dr. M APPLIANCES - RESIDENTIAL 4.00 CA. 94065 PMr4i5-595-2100 PANELS 10.00 DATE OF APPLICATION ARCHITECT ARAM Bk%ENIAN AIA & ASSOC. OR ENGINEER Lie NO PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3,00 noorH; S ENG' 2031 Orchard Dr. #100 � SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 20.00 Santa Ana Fits CA. 92707 APPLICANTS 220 C Twin Dolphin Dr. M CA MOTORS SEE FEE SCH.94065 SERVICECHANGE 20.0 1 AR. Y 0 QQ LICENSED CONTRACTORS DECLARATION y VDelslii I I hereby alfinn that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and license is in full farce' License Class Lie. Numher ISSUANCE GATE " BLDG. ELECT. PLG. MECH. . Done Contractor_ - 11/�YIL owNER-Bu1LDERDECLRA ON A I hereby collo that 1 and exempt from toe Cons and Pro License Code:Law A (lie fI y or coup Iason.(h requires permit I ocnd Professions Code: Any city or county which requirese permit toconstruct,, also improve, demolish, or repair any structure, prior no its issuance, x150 requires the applicant for such permit to file a signed statement that he is licensed Pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and BUILDING PERMIT INFORMATION MISC. - REFER TO ORD PERMIT ISSUANCE 10.00 VALUATION 179,000 $/FT. ELEC. CONTR. LIC. N0. ELEC. TOTAL CITY- PLUMBING PERMIT FEE PERMIT TO 5�U the basis for the alleged extutoomn. Any violation or Section 7031.5 by any applicant for a permit subjects she applicant to a civil penally of not mare than I we hundred dollars ($5001.): STORIES 2 TYPE CONSTR. SNFIR. ALTER -DRAIN -WATER IEA.) 5,00 ❑ 1, as owner of the property, or my employees with wages as their sole Compensation, will do the work, and [lie 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 Professions Cade: The Contractor's License: Law does not apply to an owner of R-3 1 FIXTURES - PER TRAP 5.00 - GAS-EA.SYSTEM-I1NC.40UTLETS 6.00 property who builds or improves thereon, and who docs such work himself or through his own employees, provided that such Improve. ments ore not intended or otlered for sale. If, however, the building or improvement is sold within one year of completion, the owner- budder will have the burden of proving that be did not build or on. prove for purpose of sale.). ❑- I, as owner of the property, am exclusively contracting with SO. FT. FLOOR AREA 2263 TOTAL ACREAGE GAS - EA. SYSTEM -OVER 4 IEA.) 2.00 BUILDING USE RES IND CON PS Olbee , Cl ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 3000 . licensed contractors to CmAtnmt the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property 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 u contractor(s) licensed'purslenl to the Contractors License Law. ❑ tum exempt under Sec. ,B.&P.C.for (his sten SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. 8067 PARCEL NO. WATER HEATERW/VENT 6.00 Owner Date WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I'emby afflrlll that I have a certificate of corse It to Wir-aralre, ZONING ENG. SITE NO. or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lah,C). UNITED Pacific Policy No._Company ❑ CeUiIII copy is hercb umished. Certified couy�S with the city inspection division. Ap"pTicunt /` FIRESPRINK Y N❑ ENERGY T-24 Y❑ N❑ MISC.- REFER TO ORD. CIi R1lFICA 8017 EXEMPTION FROM WORK FRS' ' COMPI:NSAT'ION INSURANCE This section need not be completed if the permit Is for ora` PERMIT ISSUANCE 10.00 FLOODZONE Y ❑ N ❑ A.L.U.C. Y ❑ N ❑ PLG. CONTR. LIC. NO. PLG. TOTAL hundred dollars IS 100) or less.) 1 certify that in the performance of the work for which this per- DID is issued, I shall not employ any person in any nenner so as to OTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING - 916.00 become subject to the Workers' Compensation Laws of California. Date Applicant ALTER OR ADD TO MECH. 5.00 NOTICF '1'0 APPLICANT: If, after making this Cersificsle Ol nix _ APPLIANCE 5.00 AIR HANDLING UNIT (TO 10=11F.M.) 4.00 PLAN CHECK FEE /ener-gy 15.50 62.00 emption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shag be deemed revoked AIR HANDLING UNIT (OVER 10MIC.F.M.) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGIiNCY 1 hereby affirm that there is a construction lending agency for the performance f the We rk l'I1yy whi I.this I�yreit }'s I sueA (Se. 3097, Cie.C.). �C� o�ri y YdCl IC Ufle ❑IUdrCaOE: EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM 53 ' HEATING UNIT (TO 100,000 B.T.U.) 8.00 Lender's Name-4th4lr. CSF rk. . 94.11i Lender's Address HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC I certify that I have read this applicationand stale that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to Comply with all city and County ordinances unit state laws relating to building construction, and hereby hereby authorize representatives ie this city to enter upon the property lorinsp of this purposes. BOILER -COMP 13 H.P. or 100,000 B.T.U.I 6.00 PLUMBING 68.58 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH, MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC. - REFER TO ORD. 68.59 upertino against liabilities, judgments, costs and expenses which ay in any way accrue against said City in consequence of the ranting of thispll�pjL V1)/•//�� (//moi/iI PERMIT ISSUANCE 10.00 CONST. TAX 288 24 MECH. CONT. LIC. NO. MECH. TOTAL TOTAL 1500.0I Signature of t t/Contractor Ua0.a OFFICE COPY