15129 "APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
• - PERMITNUMBER
BUILDING PROJECT IDENTIFICATION 151 2 9
o'oae s ap
APPLICATIONt. & PERMIT_
Y 1 estshore GOUrt BUILDING -ELECTRICAL-PLUMBIlft7-MECHANICAL
OWNER'S PLAN CHECK VALIDATION
pt NAME Gregory Group, Inc. & OTV ELECTRIC PERMIT FEE
Ahmanson Dev. 41511,595-2100
CONTRACTOR'S qysA q�y
OUTLETS ME LIC.NO. GHTING F XTURES I 1
RECEP
NGr10.00/1.00
RA.dl�VS A)TAIA
egory Group, INc. 8-430097
oONTRACTOR'S2ZO-C Twin Dolphin Dr. APPLIANCES-RESIDENTIAL 4.00
AOOR�SIS1C 94065 P-4115-595-210 PANELS 10.00 DATE OF APPLICATION'
ARRCCHITECi Aram basserian, AIA & PANELS (OVER 200 AMP) 20.00 PLANCHECK FEE P.C.NO.
O
ENGINEER Associates
r(` 8395
LICgE SIGNS TRANS. 3.00
ARCH,OR ENG. 2031 Orchard Dr. #100 SPECIAL CIRCUIT 5,00 PERMIT VALIDATION
ADDRESS
Santa Ana Hts. CA. 927Q,_7____ TEMP.METER OR POLE INS. 20.001
AADDRESS
rvr's MOTORS SEE FEE SCH.
PPLICA
220-C Twin Dolphin Dr. SERVICE CHANGE 20,00 lJl '
w o o LICENSED CONTRACTORS DECLARATION 'A IC,
a i v I hereby affirm That I am licensed under provisions of Chapter 9 ISSUANCE DATE
H ¢w (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH.
Professions Code,a6.1 my license is in full force =fgc,4780 X
z O H - License Class Lic.Number - ll`.}
O r w
Date Contractor
a x E BUILDING PERMIT
rc ¢ ¢ OWNER.BUILDER UECLA TION
MISC.- " REFE TO RD - INFORMATION
X 3 LL as I hereby affirm that 1 am exempt from the Contractor's License
a O 4 Law for the following reason.(Sec.703 t.5,Businessand Professions PERMIT ISSUANCE 10.00 VALUATION $/FT.
Code:Any city urcounty which requires a permit construct,ulcer, 15Z 727
ac Q Q Improve,demolish,or repair any Structure,prinr lO ltS I iLanec,also ELEC,CONTE. LIC.NO. ELEC.
a soc
M requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO
m he is licensed pursuant to the provisions of the Contractor's License
Fii
POST THIS CARD NEAR FRONT O.F BUILDING
PERMIT NUMBER'
CITY .,OF CUPERTINO •15129
INSPECTION DIVISION
JOB INSPECTION RECORD
I" IIlo63 trU�5�5hBr2
PERMIT EXPIRATION
J08 ADDRESS UNIT# LOT# ".��[1 9 PERMIT "" ORK
owNER, CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU
FOUNDATION ANCE OR 180 DAYS FROM
NOTE:
LIFER INSPECTION..
ALL GRADING AND DRAINAGE-SHALL BE INSTALLED'
PREGUNITE TO COMPLY WITH THE S.pmD.�LANS AND CITY OF PEI1mlr vnuDA noN
CUPERTINO STANDARDS. •+•L�
GARAGE SLABS -
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED / i l.- (.-(•
UNDERGROUND /SLAB
PLUMBING Up" -
ELECTRICAL ISSUANCE DA rE .
MECHANICAL BLDG ELECT PLG. MECH
to w
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR VALUATION S/FT.
PLUMBING
MECHANICAL 152.727
ELECTRICAL PERMIT ro
FRAMING SFDII
INSULATION STORIES TYPE CONSTR
OCC GROUP UNITS
Pl'ACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SER91-00T PLooR AHEn TOTA ACREAGE
DIAPHRAGM
THE CONSTRUCTION TAX IS PAID -
ROOF SHEATHING' �� �C HES IND LOCOOfN USEPB0"".
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP.
I ASSESSORS PARCEL NO
ROUGH SAN.# 1 585
PLUMBING - ELECT.ENERGY _, ..� TRACT No, PnRCEL No.
TUBS&SHOWER PAN PLUMBING ENERGY
MECHANICAL MECH.ENERGY -
ELECTRICALBUILDING ENERGY !;I ACC DATE "ACC.FILE No
FRAMING - :4 11 ELECT.FINAL TEST
. .
INSULATION � PLUMBING -
ZONING ENGSITE N0i
I ISI
GAS TEST=Z ..'a,�j^ GAS "! s I
MECHANICAL I I FIRE SPRINK ENERGY T2 '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING v 11 N� ❑ NO
EXTERIOR SHEAR -,j„$� ,C ELECTRICAL RELEASE FLOOOZONE
INTERIOR SHEAR �/r v ,.�' FIRE DEPT. ., = �` Y ❑
'SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH . BUILDING Vit/ / I/ BUILDING
INTERIOR LATH TEMPORARY AtPROVALS 825,00
SCRATCH COAT ^ 1 ' ELECTRIC PLAN CHECK
GAS FEE energy
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE fl
,71
OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. ' MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505; ELECTRIC 60.35
F- ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
z PLEASE GIVE JOB ADDRESS WHEN PHONING. 60.35
— SEE PERMIT FOR EXPIRATION DATE — MECHAwcAL60-35
IMPORTANT! CONST. TAX 288.95
PLEASE READ REVERSE SIDE BEFORE TOTAL 1383.21
CALLING.FOR FINAL INSPECTION.
OFFICE COPY