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• POST THIS CARD NEAR FRONT OF BUILDING ,. A' PFHMIT NUMBER CITY OF CUPERTINO X3231 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 10131 WESTMINSTER UNIT'# LOT#15 - PERMIT EXPIRES IF WORK OWNER THRUST `IV CONTRACTOR THRUST IV INC IS NOT STARTED WITHIN INSPECTION !DATE INSPECTOR INSPECTION RECORD �1180DAYS oFPERMIT ISSU- FOUNDATION 'In AZCE OR 180 DAYS FROM LAST CALLED INSPECTION. UFER PREGUNITE PERMIT VALIDATION POUR 0 CONCRETE UNTIL ABOVE HAS BEEIV SIGNED � � I UNDERGROUND /SLAB II I PLUMBING ELECTRICAL 1{ ISSUANCE DATE MECHANICAL E 1/&&ECT, PLG. MECH. ❑ ' ©f ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION $/FT. PLUMBING MECHANICAL - ?/%if 7 At 194i nno ELECTRICAL PER rr To r.. FRAMING - ' STORIES TYPE CONSTR. INS CATION - ^ Aof A OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVEAS BEEN SIGNED 1111 } r arvn ROOF SD.FLFLOOR AREA TOTAL AC EAGE DIAPHRAGM CI I Rer I„ BUILDING USE HES IND CON PR 00,e, tELECTRICAL G UNTIL ABOVE HAS BEEN SIGNED ❑ '❑ ❑ ❑ ASSESSORS PARCEL NO ROUGH GAS �HFr,174O, RCELNO. /2- 9 AC ATE ACC.FILE NO. FINALS DATE INSP. ZONING ENG.SITE NO, INSULATION IO 1 Z2,.7 IV PLUMBING /-3-ez ht5 GAS , _ MECHANICAL- FIRESPRINK ENERGY T 2A COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ' r ❑ "❑ Y El "❑ FLOOD ZONE A.L.U.C. LATH-INTERIOR - - ELECTRICAL LATH-EXTERIOR FIRE DEPT. Y❑ N❑ Y ❑ N❑ SHEETROCK GRADE �' FEE SUMMARY SHEAR INTERIOR BUILDING SHEAR EXTERIOR _ T.EMPOR'A ,APP.ROVALS BUILDING 50 FIREWALLS ELECTRIC - PLAN CHECK ' GASCit (16 i0O FEE ' NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY, SEISMIC FEE OCCUPANCY OF BUILDING ISNOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ' ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC '. o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. . PLUMBING 'z PLEASE GIVE JOB ADDRESS WHEN PHONING. y - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX280.00 PLEASE READ REVERSE SIDE BEFORE _ TOTAL . CALLING FOR FINAL INSPECTION. - OFFICE COPY , CITY OF CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date .............'..-...Q..................., 19.? ..�?.. Building Permit No. The Building Located at -(.04--V...... ...................... Ownedby ......T-J&-vv-sj7 ..... C.......................................................... Com Icted Has Been CZ�0, Use As: ......... . ........................... (Altered) .................................................................................................................................................. . ............................................................................................................................................... ........................................................................ . ................... ................................... -- -------- PD-7 BUILDING INSPECTOR xr P -APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER RUILOING APPLICA'WON &PERMIT 13231 AGGRESS 10131 WESTMINS77iCaT IS BUILDING - ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION �"�e NAME X415 OTY. ELECTRIC PERMIT FEE U PHONE CONTERACTOR'S UTLETS-SWITCHES-RECEP 10.00/1.00 00'-- NA Shilifir sec.No. 3 LIGHTING FIXTURES 10.00/1.00 3 d- crOR's ADDRESV S M. 940+3 9, APPLIANCES-RESIDENTIAL 4.00 ADDRES / * 2 ( (/R , I PHONE oZ PANELS10.0 U DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. OR ` ENGIyE�.n_ v DIEVe E Llc.No, SIGNS TRANS. 3.00 ADDRESS ENG. SPECIALCIRCUIT x"" r 'L')- PERMIT VALIDATION ZIP EMP.METER OR POLEINS. " t 20.00 xl.1II �Jt inn APPUCANTa MOTORS C'' 155 FEE SCH. AooREss uV 0 e r SERVICE CHANGE ` I'2d.00 "V �P C/'J�y�{(tt(O woo LICENSED CONTRACTORS DECLARATION / ¢ u t I hereby attain the I am licensed under provisions of Chapter 9 ISSUANCE DATE $'a (commencing with Section 7000)of Division 3 of the Business and - BLDG. ELECT. PLG. MECH. r" se'^ Professions Coyle,Sell m license is in full for�gap�j e(f�cy ❑ ❑ ❑ ❑ Z 0 n License Class-0 J y Lic.Number-,' 4l.L1_ o z H w Date Contractor " a se Y .BUILDING PERMIT ¢ ¢w OWNER-BUILDER DECLARATION INFORMATION w ;A N 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD p u0< Law for the followingteason.(Svc.7031.5,Businessand Professions PERMIT ISSUANCE - 10.00 VALUATION $/FT. � - Code:Anycity orcounty which requiresa permit construct,alter, U ELEC.CONTR. LIC.NO. 185 a 000 2 ¢<40 improve,demolish,or repair any structure,prior to its issuance,also ELEC. (^'x71/ -0 ac requires the applicant for such permit to file a signed statement that TOTAL�7� PERMIT TO wm m he is licensed pursuant to the provisions of the Contractor's License ... Fz > Law(Chapter 9(commencing with Section 7000)orDivision3ofthe ii SFDWL i o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE - ¢I-$ the basis for the alleged exemption.Any violation of Section 7031.$ 'STORIES TYPE CONSTR. w. by any applicant for a permit subjects the applicant to a civil penalty - ALTER-DRAIN -WATER (EA.) 5.00 2 of not more than five hundred dollars(5500).): ❑ I,as owner of the property,or my employees with waxes 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 R-3 1 Code:The Contractor's License Law does not apply to as owner of P property who builds or improves thereon,and who does such work FIXTURES-PER T 5.00 50.FT.FLOOR AREA TOTALACREAGE Y'I himself or through his own employees,provided Nlat such improve- ments arc not intended or offered for sale.If,however,the building GAS-EA:SYSTEM- UTLETS 6.00 2926 or improvement is sold within one year of completion,the owner- GAS-EA.SVSTFEM-OVER 4 IEA.1 2.00 builder will have the burden of proving that he did not build or im- BUILDING USE i prove for purpose ofsale.). INDUSTRIAL WASTE IN TER.. ' 30.005 I❑ ❑N ❑ Other ❑ I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(See.7044,Business LAWN SPRINK'L�R�S•1 INC 5 V.B. 6.00 � � ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Low does not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKL'ER5 6 1R15}IEA.) 1.00 342--12- j9 contracts for such projects with a contractors)licensed pursuant to the Contractor's License Law. SEWER-SAN ITARY-STORM EA.200ft/10.00 V - TRACT NO. PARCEL NO. 'I 'I am exempt under Sec. ,BAP.C. in this I reaWATER HEATER W/VENT 6.00 80,16:. s011 Owner Uma WATER SYSTEM 5.00 3�� ACC.DATE ACC.FILE NO. WORK IiRS'COMPENSATION LECLA RATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to self-in,vare, or a certificate of Workers'Compensation Insurance,o�sytificd ZONING ENG.SITE NO. copy thereuf(Sec.3800,Lab.C.LS. Policy Nn. Company__ O ❑ Certitiedcopyisherebyfurnished. FIRESPRINK ENERGY T 24 Z Z ❑ Certiffiie1d1 copy isfiled �Z-with the city inspection division. MISC.• REFER TO ORD. Q APPlica Ht TNRu_1ileM, Y ❑ N❑ Y ❑ N❑ CC N. CERTIFICATE OF EXEMPTION PROM WORKERS' PERMIT ISSUANCE 10.00 U FLOOD ZONE A.L.UG. UJ COMPENSATION INSURANCE. PLG.CONTR. LIC.NO.O TOTAL O fro N❑ ❑ ❑ CL (This section need not be completed Y pleted if the permit is for one Y N Z) Z hundred dollars($100)or less.) U O I certify that in the performance of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL F mit is issued,I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. O w Date-Applicant Applicant 'BUILDING 645.50 a ALTER OR ADD TO MECH. 5.00 } w NOTICE ption,you APPLICANT: If,after making this Certificate sa F.x- ? empision you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions.io the Labor Code, you nest forthwith comply with - FEE l7 such provisions or this permit shall be deemed revoked. AIR HANDLING U OI'I ,000 C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIC FEE 12.95 1 hereby affirm that there is a construction lending agency for EXHAUST HOpQ(WITH-lVel ) 5.00 s- (he performance of the work for which this permit is issued(Sec. HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM 3097,Ch,.C.L �..I. b �yp Lender's Name c � HEATING U 1 B.T.U.)9.50 ELECTRIC e- Lender's Addr -ter I certify that I have read this application and state that the above 3 VENTILATION FAN (SINGLE) 4.00 61 information is correct. I agree to comply Willi all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 l hereby authorize representatives of this city to enter upon the BOILER-COMP (Over t00,000BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. 280.OO Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 0 CONST.TAX may in any way accrue,against said City in consequence of the granting of this permit r/ MECH.CONT. LIC.NO. MECH. b��A `J•/187 TOTAL W TOTAL C -� Signature of Applicant/Contractor ,are OFFICE COPY