The URL can be used to link to this page

15486POST THIS.CARD NEAR FRONT OF BUILDING CITY OF- CUPERTINO INSPECTIONDIVISION ' " JOB INSPECTION RECORD - JOB ADDRESS L U� .O �� /y/N/J %c� Gni UNIT# LOT# ,-' OWNER , LL CONTRACTOR G Dow PERMIT NUMBER 15486 PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED •WITHIN 180 DAYS OF PERMIT ISSU- ANCE OR 18t.:DAYS FROM LAST CALLED INSPECTION. INSPECTION DATE I INSPECTOR - IjIdSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. UFER - PREGUNITE PERMIT VAuonnON , -%'� `• ' '' /," �•' ` X/` 6 - / ISSUANCE DATE GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED .- _ UNDERGROUND/SLAB PLUMBING. '''/'�� ff' �.. W L - ELECTRICAL, f%' goo - MECHANICAL - i - eLOc ❑ ELECT. [:1r❑ I PLG. MECH 1 `❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUAIION �3 SIFT. PLUMBING .. MECHANICAL• ELECTRICAL ' PERMIT TO FRAMING INSULATION STORIES TYPE CONST OCC 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 50 IT FLCQH AREA TOTAL ACREAGE DIAPHRAGM - ROOF SHEATHING pUILDING USE i+ta iNo GON PB Ott— ❑ ❑ ❑ ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGH SAN.# A55LS50HS PARCEL NO PLUMBING ELECT. ENERGY TUBS & SHOWER PAN PLUMBING ENERGY -TRACT NO PARCEL NO MECHANICAL MECH. ENERGY ELECTRICAL - - BUILDING ENERGY ACC DATE ACc, FILE NO , FRAMING ELECT. FINAL TEST. INSULATION PLUMBING L b�a� ZONING ENG .SITE No. GAS TEST .�j� GAS .. MECHANICAL FIRE SPRINK . Y ❑ N❑ ENERGY T.24 ° ❑' N❑ COVER NO,WORK UNTIL ABOVE HAS BEEN SIGNED HEATING . EXTERIOR SHEAR - - ELECTRICAL RELEASE -. FLOOD 70NE Y❑ NEI A L U C °❑ N❑ 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 HAS BEEN SIGNED IOCCUPANCY SEISMIC FEE _ OCCUPANCY OF BUILDINGIS NOT PERMITTED UNTILBUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, o0ONE WORKING DAY BEFORE REQUIRED INSPECTION. Z PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE = ELECTRIC X PLUMBING " MECHANICAL CONST. TAX IMPORTANT!- PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY 7 FA O ZZ _ V T_ T LU - a❑ U 0 LL U Ow F- 5 V APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY - :� - BUILDING PROJECT IDENTIFICATION APPLICATION & PERMIT BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PERMIT NUMBER -, 15486 BUILDING ADDRESS /yam IOI�O W�r+�IAIbT�lL L.1" OWNER'S NAME n J� ut' C�J ll PHON OTY. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION �� DATE OF APPLICATION CONTRACTOR PI) p I; uc ND.a a� OUTLETS - SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 DD's 'GENTADDRESStr /yy/ff��,�� J ''T `i l K O 2258 EAI%,. PHO.:11i PPLIANCES- RESIDENTIAL 4.00 PANELS 10.00 ARcwrecTPANELS(OVER DR ENGINEER LIC. NO 200 AMP) 20,00 • PLAN CHECK FEE .C.'NO. SIGNS TRANS. 3.00 AARCH, OR DDRESS ENG. SPECIALCIRCUIT 5,00 '�a Ys PERMITIVALIDATION _ TEMP. METER OR POLE INS. 20.00 ziv APPLICANT ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICENSEDCONTRACTORS DECLARATION ao L PT' I hereby affirm that I :all licensed under provisions of Chapter 9E(.Ls'L (commencing with Section 7000)of Division 3 of the Business and license Is in full f< eff • • Professions' Co mss License Class_ Lic. Number ISSUANCE DATE BLDG. ELECT I PLG. MECH. ICI Date -Contractor �- �. T ..� LJ� (•' 'BUILDING PERMIT INFORMATION OWNER -BUILDER DECLARATION I hereby affirm that I am exempt front the Contractor's License Law for the following reason. (Sec. 703 1.5, Businessand Professions Coda. Any city or county whichreyuiresapennittoconstruct,alter, improve, demolish, or repair any structure, prior to its issuance, also 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 70000of-Division 3 of the Business and Professions Code) or that he is exempt therefrom and MISC. - REFER TO ORD - PERMIT ISSUANCE 10.00 C) �-- VALUATION ,T `✓`�/�' ' V�IV $/FT. ELEC. CONTE. LIC. NO. ELEC. 7 TOTAL V PERMIT TO SW/ti/,E.•//y� �Od 4a CITY. PLUMBING PERMIT FEE STORIES TYPE CONSTR. the hulls for the alleged exemption. Any violation of Section703L5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500).): - ALTER -WATER IEA.) 5.00 ❑ Las owner of the property, or my employees with wages as their, wile compensation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AR EA, COND. 5.00 intended or offered for sale (Sec. 7044, Business and Professions Code: ]'he Contractor's License Law does not apply 1D an owner of property who builds Of Improves thereon, and who,does such work himself or through his own employees, provided that such Improve- mentsurenof intended m offered forsale. IL however the building FIXTURES - PER TRAP 5.00 SO. FT, FLOOR AREA TOTAL ACREAGE - GAS - EA. SYSTEM -11 INC. 4 OUTLETS 6.00 or improvement is sold within one year of completion, the owner- builder will have the burden of preying that he did not build or int - prove for purpose of,,da.).INDUSTRIAL ❑ I, as owner of the property, am exclusively centracling with . -.. GAS - EASYSTEM OVER 4 IEA) 200 BUILDING USE RES IND DON Pe Orbe, ❑ ❑ ❑ ❑ ❑ WASTE INTER. 30.00 licensed contractors to construct the project (Sec. 7044, Business and Proles'sions Codc:'I'lie Contractor's License Law duos flat 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 contractors) licensed pursuant to lite Contractor s License Law. SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO, ❑ lam exempt under Sec. ,B.&I'.C. for this le.fam " WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM , 5.00 'ACC. DATE ACC. FILE NO, WATER TREATING EQUIP. 5.00 WORK ERS'COMPENSATION DIiCLARAT'[ON - I hereby affirm that I have a certificate of consent to self -insure. or a certificate of Workers• Compensation Insuranac,,, a certified copytherSsof�f5�eyJ-s.888QQQQ�RjI,.��`C.). /l10_V( Policy N�Ts[fl-'O-mels 1_FI'{F+� ZONING ENG. SITE NO. L (r do./ --0. - FIRE SPRINK Y ❑ N ❑ ENERGY T"Z4- Y ❑ N❑ ❑ Ccrflfic op here funushcd. is ❑ Certitie of, if li4. w�' I� the it inspection division. Apphaant�!=1_4 �4tf�i cityp MISC. - REFER TO ORD. CERTIFICATE 01: EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.LU.C. PLG. CONTE. LIC. NO. PLG. ON. TOTAL COMPENSATION INSURANCE (fills section need not be completed if the pemtil is for one Y ❑ IN V [-] IN C] hundred dollars (Sion) or less.)' I certify that in the performance of the work for which lids per- mit is issued, I shall not employ any person in any manner so as to CITY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING; �/Q si1 become subject 10 the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT'. If, after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 emption, you should become subject to the Workers' Compensation provisions of the Lobar Code, you must forthwith comply with such provisions or this permit shall be deemed revoked AIR HANDLING UNIT. (TO I0A00C.F.M.) 4.00 AIR HANDLING UNIT (OVER 10=C.F.M.) 6.00 OS^ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the perlixmance of the work for which this permit is issued (Sec. 3097, CivC.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 HEATI NG UN IT(OVER 100,000 B.T.U.) 9.50 TRIC Lender's Name Lender's Address VENTILATION FAN (SINGLE) 4.00 y and stall' that d ountL' I certify that I have read this to comply n cis an correct. I agree to Conmly with all city unit county i ordinances end style laws relating building construction, and PLUMBING ! Q BOILER•CCff (3 H.P. or 100,000 B.T.U.) 6.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL hereby au hereby entimed representatives of This city es enter Inion the t uhovumcntioned properly for inspection purposes. MISC. - O d(. REFER TO ORD. (We) agree to save, indemnify unit keep harmless the City of ape o against liabilities, Jud ents, costs and expenses which ay n fly w y arc sins mid City in consequence of the ran pg 115 erml CONST. TAX FERMI ISSUANCE 10.00 0 / : MECH. CONT. LIC. NO. MECH. TOTAL ate. I TOTAL p '� �- Sign n ur 1'Applicanl/ on mcto Data I OFFICE COPY