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15078 POST THIS CARD NEAR FRONT OF BUILDING I'K.H MIT NUMBER CITY OF CUPERTINO 15078 \ INSPECTION DIVISION d JOB INSPECTION RECORD r ✓� ~ PERMIT EXPIRATION 10101 Wolfe Road UNIT# _Lor# JOB ADDRESS PERMIT EXPIRES IF WORK OWNED Sears CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM FOUNDATION NOTE: LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PREGUNITECUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING / ELECTRICAL ISSUANCE LATE BLDG ELECT-1PLG, MECH MECHANICAL xo ❑ ' DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR PAID VALUATIONSIFT. PLUMBING - J MECHANICAL PERMITTO ELECTRICAL FRAMING IsroHlEs TYPE covsrH INSULATION ^ -zap C�� Se�S OCC GROUP HESUNIT$ PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 50 IT FIOOH Al1EP TOTAL ACREAGE ' ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE ' DIAPHRAGM THE CONSTRUCTION TAX IS PAID fiva OlOOuSE ROOF SHEATHING 0 END coN-- PB 01 L... APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 1 13 �� nssessoas PnHCE I.No ROUGH SAN.N PLUMBING ELECT.ENERGY IHACI NO. PARCEL NO TUBS B SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ACC DATE ACC FILE NO ELECTRICAL BUILDING ENERGY FRAMING ELECT,FINAL TEST ZONING F.NG.SITE NO. INSULATION PLUMBING GAS TEST GAS FIRE SPH INK ENEHGYL]C MECHANICAL v Q N❑ v 0 NL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOU LONE A L U C. EXTERIOR SHEAR ELECTRICAL RELEASE -ZZ INTERIOR SHEAR FIRE DEPT. v NL v L N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH I TEMPORARY APPROVALS ELECTRIC PLAN CHECK SCRATCH COAT FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ELI F- ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING O� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z MECHANICAL — SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT I DENTIFICATI ON .PERMIT NUMBER BUILDING APPLICATION & PERMIT 15078 ADUREa� O _�p II 1 BUILDING -ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDTION DTV. ELECTRIC PERMIT FEE (( PHONE [%��+• � NONTRACTORs OUTLETS-SWITCHES-RECEP 10.00/1.00 LIC.NO. LIGHTING FIXTURES 10.00/1.00 IONTRacrons ' I C S PPLIANCES-RESIDENTIAL 4.00 ADD R E55 / HON -Ib PANELS 10.00 DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20.06 PLAN CHECK7 P.C.NO. OR ENGINEER -- LIC.NO, I. SIGNS TRANS. 3.00 ARC ies ENG. SPECIAL CIRCUIT 5,60 PERMIT VALIDATION -'- ZIP TEMP.METER OR POLE INS. 20.00 APPLICANTS MOTORS SEE FEE SCH. �pp ADDRESS SERVICE CHANGE 20.00 woo LICENShD CONTRACTORS DECLARATION a v u 1 hereby affirm that I um licensed under provisions of Chapter 9 ISSUANCE DATE y Q pBLDG. ELECT.Icommeneng with Section 7000)Uf DicisiUn 3 of the Business and PLG. MECH. �0En / Poore C license is in full force d effect. z o N Liconse lass Lia Number ❑ ❑ ❑ Q H Dole ... CmBractor au ¢ y s BUILDING PERMIT ¢ ac w a OWNER-BUILDER DECLARATION 0 MISC.- REFER TOO INFORMATION wS u y I herohy Al"on that I um exempt from the Contractor's License uIA Law for the following reason.(Sce.7031.5,Businessland Professions PERMIT ISSUANCE VALUATION $/FT. r - Code:Any city or county which requiresa permit tomallu" alteq IS ¢G 2O improve,demolish,or repair any Stn¢ture,prior In its issuance,also ELEC,CONTR. LIC.NO. ELEC.. ��(( - ce O IS requires the applicant for such permit to file a signed Sbaleneal that TOTAICtty Id CUP PERMIT TO A w m lie is licensed pursuant to the provisions ol'the Contractors License !� F z a Law(Chapter 9(commencing with Section 7000)of Division 3 oflhe 1N EQ.<d4 �l[`JsHOv/-s s i o Business wad Professions Code)or that he is'exanpt therefrom and OTV. PLUMBING PERMIT FEE ¢ H G the basis lin the alleged exemption.Any violation of Section 7031.5 1 STORIES TYPE CONSTR, in re by any applicant for a permit subjects lire applicant boa civil Penalty ALTER-DRAIN -WATER IEA.) 5.00 of not more than five hundred dollars($5000.), ❑ L as owner of the properly,or my employees with wages as BACK F LOW 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 ProfessionsDRAINS-FLOOR,ROOF,AR EA,COND- 5.00 Code:The Contractor's l-icense Low docs not apply to an owner of property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 SOL FT,FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such Improve- ments are not intended Or Offered for sale.If,however,lire building GAS-EA.SYSTEM-1INC.4 OUTLETS 6.00 or i,up...sci mm is sold within one year of complulion,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE builder will have the burden of proving that he III,]Put build or im- Proveforpurposeofsalc.l. INDUSTRIAL WASTE INTER. 30.00 REB Irvo cOry PB Other ❑ I,as owner of 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. unit 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 contracts for such projects with a contractors)licensed pursuant w Ore Contractor's License Law. ISEWER-SAN I TARV-STORM EA.200ft/10.00 TRACT NO, PARCEL NO. ❑ lam exempt under Sec.-,BAP.C.for this WATER HEATER W/VENT 6.00 leall. Owner Dat, WATER SYSTEM 5.00 ACO DATE ACC,FILE N0. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to sell-insure. or a certificate Of Workers'Compensatio�qfn InsuraZONINGnce,or as certified ENG.SITE NO. .� copy ther�l,y,,, abC IL 1]'1041 w1W-- I'nlicy No. ''��''//''I(SS )7N4inn5ti� O ❑ Certified copYns h c armshed. FIRESPRINK ENERGY T$4 Z Z ❑ CLyFItfiTTls ops til wit the city inspection division. MISC.- REFER TO ORD. Y❑ N❑ y ❑ N❑ Applicant - � y CIiR'fIF1CATli OF F:%IiMPf10N FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.I.M.C. UJ 5 COMPENSATION INSURANCE PLG.CONTR, LIC.NO, PLG. 1 ❑ (This section need not be completed if the permit is for one TOTAL v❑ No , Y ❑ N❑ Z) Z hundred dollars IS 100)or less.) L) O 1 certify that in the perfurmance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL 1- not is issued,I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. y Dale Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 9 } vl NOTICE TO APPLICANT: If,after making this Certificate of Ex- F Z criprion,you should become subject to the W'orkers'Connpensalion APPLIANCE 5.00 PLAN CHECK Provisions of the Labor Code, you mast forthwith comply with FEE U such provisions or this permit Shull be deemed revoked. AIR HANDLING UNIT(TO 10=CF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10p C.F.M.) 6.00 SEISMIC FEE ST0 1 hereby affirm that there is a constn¢tion lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this perelr is issued(Sec MICROFILM 3097,Civ.CC), HEATING UNIT ITO 100,000 B.T.U.) 6.00 Lenders Nam, HEATING UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address 1 certify that I lave rend Ibis applicmion and slate that the above VENTILATION FAN (SINGLE) 4.00 ordinances n correct. I agree to comply with all city and county PLUMBING information unit state laws relating m y with construction, and BOILER-COMP 13 H.P.or 100,0008.T.U.) 6.00 hereby anlhorue representatives of this city to enter upon tine BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. (Wu) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX nay in any wa accrue against said City in$$$111]]]nsequence of t ing of[hi'p rail. ( //r ry MECH.CONT. LIC,NO. TOETAAL p (,(_ .`l (y/( TOTAL Signatureof Applicant/Contractor Date OFFICE COPY