The URL can be used to link to this page

13794 POST THIS CARD NEAR FRONT CFiB'cJILDING CITY OF CARTINO PfR13794 NUNRER ='' INSPECTION DIVISION 1 JOB INSPECTION RECORD IA , PERMIT EXPIRATION JOB ADDRESS ��a-.O Vy�L 19i2106'lnV. uUNIT# LOT# PERMIT EXPIRES IF WORK OWNER 0-4,!F Q v CONTRACTOR - - IS NOT STARTED WITHIN INSPECTION DACTE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM LIFER LASTCALLED INSPECTION. PREGUNITE PERMIT VALIDATION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED �D UNDERGROUND /SLAB PLUMBING OCL e (1 ELECTRICAL ISSUANCE DATE . MECHANIC A BLO E cr. PLG. MECH. ❑, DO NOT POUR FLOOR NTIL A OVE HAS BE N SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION°' VALUATION $/FT. PLUMBING- • MECHANICAL ELECTRICAL PERMIT11r/o FRAMING INSULATION _ STORIES TYPE CONSTR. OCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF SO.F r.FLOOR AREA TOTAL ACREAGE !� OYAPkf&AGOA BUILDING USE RES IND CON PB OIE,. APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED 0 ❑ 1:1 El ROUGH ASSESSORS PARCEL NO. PLUMBING '/- - GASTEST -�3'�E TRACT NO. _ PARCEL NO. MECHANICAL ACC.DATE' ACC.FILE NO. ELECTRICAL g FINALS DATE P. FRAMING FRAMING � � ;ANV* INSULATION PLUMBING ZONING ENG:SITE NO GAS FIRE SPRINK ENERGY T74 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I HEATING _ ° "� "� LATH-INTERIOR ELECTRICAL FLOOD ZONE A.L.0 c. LATH-EXTERIOR . � - FIRE DEPT. v.� "� v I] N] SHEETROCK . GRADE FEE SUMMARY SHEAR INTERIOR 13 BUILDING lugr., - SHEAR EXTERIOR -I3-- TEMPORARY APPROVALS BUILDING •- .� FIREWALLS ELECTRIC PLAN CHECK GAS FEE LO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED occuPANcv SEISMIC FEE OCCUPANCYOF BUILDING ISNOTPERMITTEDUNTILBUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 0� 252-4505, ELECTRIC ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. z — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL CONST.TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE TOTAL i -•' f CALLING FOR FINAL INSPECTION. j__J OFFICE COPV CERTIFICATEOFCOMPLETION • • -- BUILDING INSPECTOR'S OFFICE ter CITY OF CUPERTINO (� DATE SFS \� �-� q2 ' BLDG. PERMIT NO. 17 -1 r, �I IE BLDG. LOCATED AT I S ��0 G'��. Y G�U� �t�l� OWNED BY 6-- (COMPLETED) �C�UCZ� G SZc�U HAS BEEN (COMPLETED) FOR USE AS QF51 DE- ��14 L �LUF1.l. ALTERED( 0 cui co ,P1 �� BUILDING INSPECTOR i APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUI LDI WG PROJECT I DENTI FICATION -PERMIT NUMBER BUILDING g APPLICATION & PERMIT "DRESS Lot092e11Plani1q Court BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 1 3794 OWNED C PLAN CHECK VALIDATION NAME OTY. ELECTRIC PERMIT FEE -Gre or Group, Inc. PHDNE 595-2100 CONTRACTOR'S / NAME UTLETS-SWITCHES-RECEP 10.00/1.00 Gregory Group, Inc. Lie.NO, 430097 LIGHTING FIXTURES 10.00/1.00 a CONTRACTOR s 220'CTwin Dolphin Dr. APPLIANCES-RESIDENTIAL 4.00 10-L,ADDRESS Redwood Cit A PHDNE595-2100 PANELS 10.00 DATE OF APPLICATION ARCHITECT TW6a -S-enian, . & PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ENGINEER Associates LIc.No. SIGNS TRANS. 3.00 PERMIT VALIDATION ARDHESS ENG. 3990 Westerly Place, //170 -,A A OREss SPECIAL CIRCUIT 5.00 W" �Jewport Beach, CA zlP EMP.METER OR POLE INS. 20.00 A APPLICANT 1220 C Twin Dolphin Dr. MOTORS SEE FEE SCH. T ADDRESS Redwood Cit CA 94065 SERVICECHANGE 20.00 .�,,BBgg w00 LICENSED CONTRACTORS DECLARATION \a'P <i c 1 hereby affirm that I am licensed under provisions of Chapter 9 E GATE 4 (fomm,ming with Suction 7000)of Division 3 of the Business and G. 'ELECT. PLG. MECH. D w Professions Code,mid m license is in fill[fc`c �pp��IIr,rC[[((e,,��hl� 5I�,]y O i=W License Class_13 y Lic.Number_.43UIJy� L_ Date Contractor. ¢ ,2 � BUILDING PERMIT ¢ ¢ w a OWNER-BUILDER DECLARATION INFORMATION o a U MISC.- REFER TO ORD se ; vHi I hereby affirm that I am exempt from the Contractor's License u 004 Law for the following reason.(Sec.7031.5.Business and Professions PERMIT ISSUANCE 10.00 VALUATION S/FT. � -0 Code:Any city or county which requires a permit to construcLatter, p p y prior to its issuance,also ELEC.CONTE. LIC.NO. Q ¢ a int rove,demolish,or re air any structure,p ELEC. y X O u requires the applicant for such permit to rile a signed statement that TOTAL (j PERMIT TO w Is es he is licensed pursuant to the provisions of the Contractor's License r z a Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe �C=d'�4- i o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE M ¢ H $ the basis for the alleged exemption.Any violation applicant ofSection malty STORIES TYPE C/O/NlSTR. d;- by any applicant forapermit subjects the0).) wit civil penalty ALTER-DRAIN -WATER (EA.) 5.00 Z. sIv�- ofnot more than five hundred dollars(5500).): ❑ 1,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 -3 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 50,FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- mentsarenotintendedorofferedforsale.If,however,the building GAS-EA.SYSTEM-1 INC.40UTLETS 6.00110 or impro . .) 2,00 vement is Sold within one year of completion,the owner- GAS-EASYSTEM-OVER 4 IEA / builder will have the burden of proving that he did not build or am- BUILDING USE prove for purpose ofsale.). INDUSTRIAL WASTE INTER, 30.00 RE IND CON PB other ❑ I,as owner at the property,am exclusively contracting with ❑ ❑ ❑ ❑ 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 property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 3 p �-9-3� s�3j•�.3 contracts for Such projects with a contractor($)licensed pursuant to the Contractor's License Law. SEWER-SAN ITAR V-STORM EA.200ft/10.00 111 TRACT NO. PARCEL NO. ❑ l am exempt under Sec. ,e.&P.C.for thisWATER HEATER W/VENT - 6.00 ��95 reason Owner Dale WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO, WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to self-insum, or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(Sec.3800, d Lab.C.)UnitePacificZRe Policy No.-Company.U - U ❑ Ce :tied copy�,,o FIRE SPRINK ENERGY T24 Z Z ❑ Certified cotion division. O Applicant MISC.- REFER TO ORD. y❑ N❑ v ❑ N❑X LOCERTIFI KERS' PERMIT ISSUANCE 10.00 O FLOOD ZONE A.L.U.c. LLI > 0MPENSATION INSURANCE PLG,CONTE. LIC.NO. PLG, �• 0 (This sectidn need not be completed if the permit is for one TOTAL 8 v❑ N❑ Y❑ IN Z hundred dollars IS 100)or less.) U 0 I certify that in the performance of the work for which this per, OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL t mil is issued,1 shall not employ any person in any manner so as to U Qbecome subject to the Worker:Compensation Laws of California. W Date A hcant BUILDING ✓� a pp ALTER OR ADD TO MECH. 5.00 } In NOTICE TO APPLICANT: If,after making this rn'Compe of F-x- ? em vision You should L became subject n the Workers'Compensation APPLIANCE 5.00 PLAN CHECK pa provision io the Labor Code, you must forthwith comply wish FEE LJ U such provisions or this permit shall betterment revoked. AIR HANDLING UNIT(TO 10,000 C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER I0,000CFM.) 6.00 SEISMIC FEE �% P 1 hereby affirm that there is a construction 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.). Security Pacific HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 6 Lender's Address nC15 _u�wi ELECTRIC I certify that 1 have reed this application and State that the above VENTILATION FAN (SINGLE) 4.00 a information n correct.1 agree to comply with all city and county PLUMBING p ordinances end state laws,relating to building construction, and BOILER•COMP I3 H.P.Or 100,000 B.T.U.1 6.00 �U hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. BOILER-COMP Over 100,000 BTU)SEE FEE SCR. MECHANICAL pq lot (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. /QQ Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX Ir 6J nn ay in ry vay a ue against said City in conte uence of the gmnfl� spe MECH.CONT. LIC.NO. MECH. // TOTAL TOTAL SIg re of Icant)Contructor Kate OFFICE COPY