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27158APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY CITY OF CUPERTINOI I -D-77 (—IN(.-1cLF.11 AL BUILDING DIVISION APPLICATION/PF,RMI'P PLUMBING -MECHANICAL IIUILIHNG PRUdEC1' IUEN I']FICAT'ION PERMIT NO. 2 17 OOO RUILDINGADDRFSS: SANITARY NO. APPLICA'DON SUBMGTAL DATE 1 6LOt ^ UNIT# LOT# U .SNA PHONE: CONIAOR:S NA LIC NO: r� •ARCHITECT/ENGINEER: ❑ LIC NO: gUDRESS: CONTACT: PHONE: QTY. ELECTRIC PERMIT FEE BUILDING PERMIT INFO NLOG ELECT PLUMB MliCfl PERMIT ISSUANCE ❑ ❑ Oyy �00 LICENSED CONTRACr ORvinium DECLARATION Ihereby ofrmlhN amlice Busim,A and PrionsooCTapar9(cnmmendng with Snninn 7IXIU)of Divisinn3nf the Business and PmfessionsCode. and mylicense is in APPLIANCES - RESIDENTIAL PANELS JOB DISC ION ^C/�� Y W F <,,Liccnse c,,<y Z ONZ ) Z i CO y _ M O CWQ I u13 ¢.c if ,WNL C Q O a Eo� rZa ds� C full force and effect. Class Lic.# UPT02MAMN 201-Iqq AMPS Dam Cuntracmr ARCHI'FECUS DECLARATION 1 understand my plans shall be used as public ncemods. SQ. FT. 4100R AREA E/SQ.IT. OVER IIX)OAMPS SIGNS ELECTRICAL Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I sum exempt from the Cmdrzxzme' License law for the following reason. (Section 703 IS, Business and Professions Code: Any city or county which requires a permit to construct. alter, improve, demolish. or mpnir any ewctum to its issuance, also re the applicant for such 't m file a signed....creent poor tto du pp poomLa that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section70gnp of Division 3 ofthe Business and Professions Code? orthat he is exempt therefrom and the basis for thealleged exemption. Any violation of Section 703 t.5 by anyappliemifor a Acini subjects theupplieam to a civil penalty of not mart than five hundred dollar ($5110). ❑ I,a;)wnerofihepropcny,nrmyempluymwithwugesastheirsolecompcnsutinn. SPECIAL CIRCUIT/MISC. TEMP. METER OR POLE INST. POWER DEVICES SWIMMING POOL ELECTRIC VALUATION OUTLETS - SWITCHES - FIXTURES NEW RESIDLNTInL ELECB _SQ. FT. STORIES TVPECONSTRUCf10N ni?_ will(lothe work, and the structure isnot intendedoroffered for nine(Sec. 7044, Business and Professions Core: The Contractor's License Law does not apply to sm owner of propen,w it bui d, or impmvesthereon, andwhodoes such work himself nthroughhis ownemplmyas, providW the suchimprovemems ee notintendedmoffered funale. If, OCC. GROUP pi however, the buildingor improvement is sold withinone yearofcmmpletion, the owner - builder will have the burden of proving that he did not build or improve for purpose of PLUMBING PERMIT FEE sale')' ❑ I,asownerofbhcpropeny.amexcluxivelycontrnetingwithlicenSWcontractorsm FLOOD ZONE E.IN construct the project (Sec. 7044. Business and Professions Code:) The Contractor's Licenselnwdmsnutapplytoanownerofpmpenywhobuildsorimprovesthereon,endMIT ISSUANCE $BACK who contracts for such projects with immun etor(s) licensed purs men tothecontracmrs License Law. ER - DRAIN & VENT- WATER BEAT FEE SUMMARY ROW PROTECT'. DEVICE, OULSNI FEP_S ❑ 1 mu exempt under Sec. , B & PC for this mmmn SANITARY YN RECEIPT'# Owner Date INS- FLOOR. ROOF, AREA, COND. WORKMAN COMPENSATION DECLARATION ❑ IM1etnby uffrm lhatl haveacenifea¢of consent to self-insurt,mncertifcate mf . Workers' Compensation Insurance or a ceniftWcopy themof(See. 380), Lab C.) which re all cm In ee's unAcnhis 'r.RECEIPT'# Policy in SCHOOLTAX YN RECEIPT FIXTURES-PERTRAP PARK FEE Y N GAS - BA. SYSTEM -I INC. 4 OUTLETS BUILDING DIVISION FEES Com GAS - F.A. SYSTEM -OVER 4 (EA) PIANCHECK PEE ❑ ifW copy is hereby fumishW. Cie Cen GRFASIYINDUSTRL WASTE INTERCEPTOR GRADING FLU ❑ CcniticJ copy is ElcJ with the city inspection Jivisinn. CER' TIMATE OF 17XEMIMON FROM WORKERS' GREASETRAP ` SOILS FEE COMPENSATION INSURANCE SEWER - SA ITARY- pY.rJe,, ENERGY FEE (nisscutiouneed notbeu+mpleed! lithe peirml is foronehundreddo11nrs(1000) ZZ O or s.) (cenify the in the petiormnnec of the work for which this permit is issued. Lshall not employ any pmmn in any member so as to become subject to the Workers Compensation Laws of California. Marc Applicant No CETO APPLICANTS: I L after tanking this Certificate of Exemption, you should WATER If .NT/ELE PAID Date Receipt# WATER SYSTft P G NEW RESIDE. AL PLMB. SQ. FT. TOTAL: �.�. �> become subject ro the Workers Compensation provisions ofthe Labor Code, you must fnnhwitM1 comply with such provisions or this permit vhall be decmWrevoked. BUILDING FEE SEISMIC FEC 0 CONSTRUCTION LENDING AGENCY OW. Z U O D" F 0 U >" NhuilJingcmnaructinn, U Z 1 hereby affirm that here is a construction lending agency for the perttmnana of the work far whichihis permit is issued Nec. 3097, Civ. C.) I cr der'e Name TOTAL: ELECTRIC HE QTY. MECIIAN ICA I. PERMIT' FEE PLUMBING FEE Lenders Address I certify that I have read this application and state that the above information is correct. I agree to comply with W] city and county ordinances and scam laws relating to and hereby authorise representatives of this city to enter upon the above-mentioned property fur inspection purposes. (We) agree Rt save, indemnify and keep hamdcsa he City of COpe ino again liabilumS.jud cots. costa expenses which may many way, crnceg ns id City PERM IT ISSUANCE MECHANICAL FEE ALI'12R OR ADD TO MECI I. CONSTRUCf10NTAX AIR HANDLING UNIT CIO 10,000 CFM) AIR HANDLING UNIT (OVER IO,IXIO CPM) al +n Pro of the gr i EXHAUST I [OOD(W/DUCO PAID .gnat icanVComrumr Dae I TEN] INC, UND'(TO 100,000 BTU) HAZARDOUS MATERIALS DISCLOSURE Dare Receipt HEATING UNIT (OVER 1010M BTU) TOT -: Willthc applicant or future buildingore.,am,umcor handle hazardous material as cf ncd by 1M Cupertino Municipal Code, Chapter 9.12, and the I Icalth end Safety Code, Section 255.12(.)7 ❑ Yen ❑ No VENTILATION FAN (SINGLE RESID) ISSUANCE DATE Will theapplicantm futumbuildingoccupant usccgmipmem mdeviess which emit tinzardous air contaminants as delined by We Bay Arca Air Quality Management IixWct't BOILER- COMP (311P OR 100,000 BTU) BOILER - COMP(OVER (n),N)OBTU) s NEW RESIDC'IA1. MECH. SQ. FT. � Yee No El yen `^#p. VL P 1,7199 {� I have read rhe hazardous meeon], ngmirementx under Chapter 6.95 of the Culifnmia Health & SafctyCode, Sections 25505, 25533 end 25534. 1 understand Ihat if the building does not currently have a tcn.nt, that it is my respousibility to motd"Im occupant of the requirements which must be met prior to issuanm of a C -m mate of v`iT C�/ Y J 'OAA ser fur CK/ /1 f Occupancy. ISSUED BY:e 1 Owner or authorized agent Dam TOTAL: OFFICE APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY CITY OF CUPERTINO BUt"DTA- EI:P2Yil Al. BUILDING DIVISION APPLICA'T'ION/PERMIT PLUMBING -MECHANICAL BUILDING PROJFICTIDEN'T PHRMTT NO. n�'I 'I0IFICATION L 11 B HI.DING ADDRESS: /Not ,N• WOLF Zv CSt' E i UNIT is QT« SANITARY NO. APPLICiVOONSUBMDTN.DATE � Ct INCIII'I'IiCIdiNGINEER: WNIiR,S NAME:_ PHONE: C NTHACTOR'SN^ B: O LIC NO: kVF i_IA;uN�6 NIC CONTROL« LIC NO: `DRESS='M ^^_ S\ 1, //" J El CONTACT: PHONE: - QTY. ELECTRIC PERMIT FEE RUILUING PERMIT INFO B- LUCi ELECT PLUMB MECII PERMIT ISSUANCE �IT]/N' ❑ ❑ ❑ �KZ FJ00 y<Z{�wFd. QUU co Q a- 0V ZOvt/ OZ� -SY�� C W< kOaU W3 O, f LL�a ��lso•� aao WMm F Z_Q d F_o Gi=n LICENSED CONTRACTOR OR'SDECLARATION IhereM1y alfirtn Watlam licensedunderpmvisions of Chapter9(commencingwiN See..7").f Division 3.ftha Businexamad Profeamora Cede, and on, becomes in fall Lioca roc and effect. License C asz Cmao.cmr �� APPLIANCES - RESIDENTIAL PANELS UP T02o0 AMPS I000 AMPS JOB DESCRIPTION ns holt be CTS Dpu RATION IunAc�«dlkd �ry plans shall M1c used as. public records. 201 - SQ. FT. FLOOR AREA 5/SQ, PI'. OVER ItN1U AMPS SIGNS ELECTRICAL Liunen 'fbasiond OWNER -BUILDER DECLARATION 1 hereby afftnr that I nm exnnui form he Contractor's License I... for the following rmmn.(Section ]03IS, Business and Professions Code: Any city Or county which rcyuircs n permit to conmot. alter, improve, demi or repair any ammonia sed In its not ance,vlao thea licam fmmah .mitto filen si ed statement prier rcyuircs Pp pe ship that he is licensed pum.am to the provisions of the Conwetor's License Law (Chaim, 9(commencing with Section7")of Division 3 ofthe Business and Professions Code) acted he is exempt Earxi antn me basis for thcalleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the apple, tto a civil penalty of not mom than five hundred dollars (SSW). ❑ I.asownerofthepopeny,ormyemployeeswithwagesastheirsolecompennation, will dothe amit.andthe sm.cmre is not imcndedoroffemJ front(See7004, Business SPECIAL CIRCUIT/MISC. TEMP. MEM R OR POLE INST. POWER DEVICES SWIMMING POOL ELECTRIC VALUATION OUTLLTS- SWITCHES - FI URLS + NEW RESIDENTIAL EL'CTH SQ. FT. STORIES TYPE CONSTRUCTION and Professions CNc: The Contractor's License Law does not apply to m owner of porgemy who buildimimprova themtiand whodoes such work himsclfor through his employees, provided tom such improvements are not intended offered fo... le. IL OCC.GROUP HIS. UNITS Ol'AL: however, the building., improvement is sold within one year of compleion, the owner builder will have the bunco of proving that he did not build or improve for porpme of QTY. PLUMBING PF T FEE FLOOD ZONE APN asho). El L as owner afthe property, am exclusively contracting with licensed contractors m committhe import (Sec. 7011, Business and Professions Cede:) the C.ntmetur's License Luw docs not upplymvn nwnan+l pr.peny whohuilJsor improveOherem.and PHRMI'I ISSUANCE whocontmcts for such projects with ac.ntrachums) Iumnsedpursuant t.0mContromr's Irina Law. ALTER - DRAIN&VENT - WATER (EA) FEE SUMMARY ❑ 1 am eacmpl under Sec. , B & P C for this mama BACK FLOW PROTECT. DEVICE OUTSIDE ICES SANITARY YN RECEIPT« Owner Date DRAINS- FLOOR, ROOF. AREA, GOND. WORKMAN COMPENSATION DECLARATION ,] Ihereby affirm that hvveacenifcateofconscntiosdf-imum, oracenificmeof Wnrkers'ComPensmion lnnumnceoru aciifiod copydvoomf(S.. 3800. Lab C.) which covers all employes s under this Permit. Policy« SCHOOL FAX Y N RECF.IPTp FIXTURES - PER TRAP PARK FEE Y -N- RECEIPT « GAS - EA. SYSTEM -1 INC. 4 OUTLETS BUILDING DIVISION F S Company GAS - EA. SYSTEM -OVER 4 HIA) PLANCHF.CK FEE ❑ Certified copy is hereby famished. GREASEJUNDUSTRL WASTE INTERCEPTOR GRADING FEE ❑ Caddied copy is filed with the city inspection division. CER'1'IFICATEOFEXEMPION FROM WORKERS GREASETRAP SOILS FEE COMPENSATION INSURANCE SEWER -SANITARY-, OR EA.2o0ET. ENERGY FEE (This section need not be completedHNc permit is furore hundred dollars($100) or les'.) WAA I • CTR I certify that in the performance of the work for which this permit is issued.) shall zz not employ any person in any manner so as to become subject to the Workers Compensation Lawsnf Calemnia. Date Applicant NOTICE 10 APPLICANT: If. after making this Certificate of Exemption. you should PAID Dam Receipt« W STEM/1'RFATING _ NEW R DENTIA Ill. SQ. FI'. TOTAL: tibecome 7 subject to the Workers Compensation provisions of the Labor Cade, you must rt forthwith comply with such provisions or Permit shall be deemed revoked. BUILDING FEE SEISMIC FEE F CONSTRUCTION LENDING AGENCY V O F^ L1 F' L) Z 1 hereby affirm that is a construction lending agency for the performance of the work for which this perndt is issued (Sea. 3097, Civ. C.) Lender's Name '101'AL: ELECTRIC QTY. MECHANICAL PERMIT FEE PLUMBING ME lander, Politics, I certify Nut I have read this application and nate that the above inf.rmatitm is corm. Ingram comply wllh all city and county ominances and man, laws relating to bCl)uilding conswction. and hereby salmon representatives ofthis city master upon 'he above-mmnioned pmpcn .r inspection purposes. PERMITISSUANCE MECHANICAL FEE ALTER OR ADD TO MECII. CON. TRUCf10N'TA% AIR HANDLING UNIT Cl 010,000 CFM) (We) game to, .' dcmnify and keep harmless the City of Cupertino against It vbllities.judgmentss and expenses which may in any way accrue against said City AIR HANDLING UNIT (QYBft 10,000 CFM) in esmaeyuence t g ung of Nis permit. EXHAUST HOOD (W/DUC ) PAID ignma a P - am roman, / / That, HEATING UNIT(TO 1010.000 BTU) HAZARDOUS MATERIALS DISCLOSURE Data Rmcipt p HEATING UNIT(OVFR 100,010 BTU) T will the applicant or future building occupant node or handle Instated... material as dcfred bytha CuPeamen Municipal Cade.Chapter and 9.12, the Health and Safety VENTILATION FAN (SINGLE RESID) Cala Section 25532(a)? ❑ Yet ❑ No ISSUANCE DATE WillNealplucamorfmurehoilding occupant unmequieductordevices whichemlt BOILER- COMP OHPOR 100.000 BTU) h W emduos air contan.inants us defined by the Buy Arm Air Quality Management BOILER - COMP(OVER 100,000 BTU) �Exul[Q ❑ Yes ❑ N.0 I have read be mo am us materials requirements under Chapter 6.95 of the 0C1T 5 1994 NEW RISIDENTIAL M[CH. SQ. FT. California [health & Safety Code. Sections 25505.25533 and 25534. 1 undersand that fihe building does not currently have a mount, that it is my responsibility in notify the occupant of the requirements which mum be met prior to i.esuaoee of a Certificate of Cts vv. L••• Occupancy. I ISSUED BY: Owner or auNoriecJ agent Date TOTAL: I OFFICE r L Sheet of %' SPECIAL INSPECTOR DAILY p _ Structural Steel / WeldiRE ' t� City of: If (/%�1= P71, I N () Date/Da chi 2y-t�-ILl Project Name: �zE /-I DZ S u pe Proj PS % 21-/ Address: /!, /O/ /f2 d' Report Sequence No.: Inspection Type(s)/Coverage: Welding % Continuous e Bolting CI Shop L.I Periodic ❑ PT ❑ MT Cl UT CI Field AI Welding Process Electrode Type �� f Type of Welds Welder(s) Name(s) I .ii�i v 7 r Inspections Made: (?Li.SP a Vc r�li/iSc��i /iv SCJc c�cci //t/ i 2\ �Uh/lt+n�7S (tai YDS < S 4 ` G 7L SIU JX/ �o C%�5�h-c.,l I Results: ptf�b I '_ le s Pr a' 74 L c�. �, ,U /_ c� 5 / N Gc CG cYc�u vvc yz i�7 ` 17 �u�, 1�Ir-L I ' ;�;' I Comments: To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specificationsan .applicable workmanship pr �vsions of the U.B.C. except as noted above: Signed:/ `U Print Full Name: TERRATECH, INC. 1365 VANDER WAY 7891 WESTWOOD DR.. S'I'E. 101 12 THOMAS OWENS WAY .1141 SUBURBAN RD., STE. DI -� Date: C I.D. Number. 5%9S SAN JOSE. CA 95112 (408) 297-6969 FAX (408) 297-7716'" GILROY. CA 95020 (408) 842-0236 FAX (408) 842-7314 MONTEREY. CA 9394() (408) 372-3716 FAX (409) 372-7481 SAN LUIS OBISPO, CA 93401 (805) 543-5493 FAX (805) 543-2748 • Sheet_ of SPECIAL INSPECTOR DAILY REPORT City of Cc nv Nr Date/Day: /o / Project Name: S of ✓ t C , w rr \\ w., Project No. 57 Z`-/ Address: 1-c Z prn d Report Sequence No. Inspection Coverage: Continuous ©. Periodic ❑ Inspections Made: Oh -'c"J c t4 % 1 c l v s 1. /A /. o„✓ o -F%/6)199 '1Z �. Tests Made: N Items Requiring Correction, Corrections of Previously Listed Items and Previously Listed Uncorrected Items: c T 3 J/c t/; 3t l Changes to Approved Plans LAuthorizzed by Architect or Engineer LAvSc.C,o/ 1 S U. `Tc.RU ✓ui7�i l c13 9 �, G✓� S Ut c� r c ljlvc tl -d y'/ S� , Comments: /)/IQ/ /u J n s 7 o,v n7/ e/I.)V, i 1.,, / TS C' (n c, /! 1 /Jt✓c.. C tt�-�. �, c_ rl -�,✓ h2, ✓1 /7 �, !I , r., -1— c �Lc. u.— r J C N To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specificatio s and applicab) /workmanship provisions of the U.B.C. except as noted above: • Signed: ���,,//�,4/.1�./��///JA Date: -Print Full Name: Ar' I/ K �� N�' I.D. Number: TERRATECH, INC. 1365 VANDER WAY SAN JOSE, CA 95112 (408) 297-6969 FAX (408) 297-7716 7891 WESTWOOD DR.. STE. 101 GILROY. CA 95020 (408) 842.0236 FAX (408) 842-7314 12 THOMAS OWENS WAY MONTEREY, CA 93940 (408) 372-3716 FAX (408) 372-7481 141 SUBURBAN RD., STE. DI SAN LUIS OBISPO, CA 93401 (805) 543-5493 FAX (805) 543-2748 Sheet_ of S ECIAL INSPECTOR DAILY REPORT i 3 _ City Of C�14'✓ 77�Ny Date/Day: 10/19 Il A`/ -� •Project Name: 7 Project No. < 7 Z / Address: to I b I LJ � 15 c ii ci Report Sequence No. Inspection Coverage: Continuous m Periodic ❑ Inspections Made: Oln Sv /� G� 77 1 w s %., // T on/ o/ 3 fr (/II- dl'` . i // 7L. J e._. /..... <_ -r ..,./ Ll X- ck e rn e'.A Lir_ r% f I. e 1 ti u ,1_-_'T Z h \LliO rc ""/, 1 Ll-�5l Y. Tests Made: Yc.or.✓/e_/c/ So ✓i/c�/ c>�%/ d /-�o�/ e--< Ic Tr enlTru J�. +, / .mac �r� 17 C- vor r i r / c. r.v / ! y r �f_ �✓ �v /.rC�r /7✓Io /O TW S l / I' ✓ C e/In YI -r- ,/ n /U tf, I / S 4 ku �r C In/l/r r %nom Kr r�/ /io,/L✓ r/v�/��._ t1 ��.. i C. �u. o✓ �,, .r r f_ Items Requiring Correction, Corrections of Previously Listed Items and Previously Listed Uncorrected Items w Changes t Approved Plans Authorized by Architect or Engineer: Comments: IIA To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specifications and appjj�oable wcrymanship provisions of the U.B.C. except as noted above: Full Name: I.D. Number: TERRATECH,INC. 1365 VANDER WAY SAN JOSE, CA 95112 7891 WESTWOOD DR., STE, 101 GILROY, CA 95020 12 THOMAS OWENS WAY MONTEREY. CA 93940 141 SUBURBAN RD.. STE. DI SAN LUIS OBISPO. CA 93401 (408) 297-6969 FAX (408) 297-7716 (408)842-0236 FAX (408)842-7314 (408)372-3716 FAX (408)372-7481 (805) 543-5493 FAX (805) 543-2748 4, Sheet of SPECIAL INSPECTOR DAILY REPORT ' 1 ,; City of C�pr r I Ivo Date/Day: --LO/19 WA /. Project Name: S—r7J l n/n,/77 au Project No. S 7 1 y r Address: ( 0 10 1 '1 4o I E. I -k o t a Report Sequence No. Inspection Coverage: Continuous ID _ Periodic ❑ Inspections Made: (An s i /gid '1 c- 1'�i5. �4 I �o ^i < / Z 3 ✓till -A.", d C"V'10✓J 5c-7 �/ �/'/ ` J«ur a., 1" ds 4 �.�nui T-% /4 S - Loo e -fl K./ -ivr' AV. y K- 1 ✓o A/ % /1✓r �../ /Q1 f— \-'f I;-%ill.�eA Lo'-,•. (—c.. C1 c>�. n,, N/1 / 44 J /C_ �}- Ill <. in huC-�vvL, 0A1 Cvl IV't. 1,✓L(� ... % i� Frc,..✓ ! A% ✓(03c a; � 3 a 1 SRO ✓c-Ho✓T X139 fr i�ll�/ To �esCslvlade: LWcI �Ii %— / a� c IrLSi �c J�[�c/I LInc L �<<. ci iv/ H/„n, / C(taJ . <1iLv.L/C— w 4..4,lr. Items Requiring Correction, Corrections of Previously Listed Items and Previously Listed Uncorrected Items: Changes to Approved Plans Authorized by Architect or Engineer: Comments: To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, spepificatiOs andApplicable workmanship provisions of the U.B.C. except as noted above: Print Full Name: Aw—, T � I.D. Number: TERRATECH, INC, 1365 VANDER WAY SAN JOSE. CA 95112 (408) 297-6969 FAX (409) 297-7716 7991 W ESTWOOD DR., STE. 101 GILROY. CA 95020 (409) 942-0236 FAX (409) 842-7314 12 TIIOMAS OWENS WAY MOM'FREY, CA 93940 (408) 372-3716 FAX (408) 372-7481 141 SUBURBAN RD., STE. DI SAN LUIS OBISPO. CA 93401 (805) 543-5493 FAX (805) 543-2748 ., . � ,..—a�.�mwvv v„nur r..-+,."a.-.�•.v-�. ....,a"^"."+"y--"`..^^*-sew;z.,.'.-iy`c..�,pry^'ww�'n*.-'�.:�v,r.m".dn.�o-sw.�,^n ^' ,'y+ -n ...n wn,.. :rrm,"«....�..n.."._... � ^ � ,. Sheet of SPECIAL INSPECTOR DAILY REPORT Structural Steel / Welding City of: C-�n Date/Day: Project Name: � r S N Project No: .57 Z '--/ Address: l l2 f /7 / �% /� �4 Report Sequence No..- Inspection o.:Inspection Types)/Coverage: Welding I ContinuousL Bolting C Shop CI Periodic 1-7 PIT ❑ MT Cl UT ❑ I 11 Field x— Welding Process rC A1,) Electrode Type r'5 - Type Type of Welds 1 f Welder(s) Names) � A.J c Fav , TI 0 ✓✓0 7' 54 'lu A — Z ti I Comments: /i1/%YI/L To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specifications and applicab"l—q, rkmanship provisions,, the U.B.C..except as noted above: Signed '�✓ /% /-r Date: P not? 11 Name: %7�Yy/QS //% lc� b� I.D. Number: TERRATECH,INC. 1365 VANDER WAY SAN JOSE, CA95LI2 7891 WESTWOOD DR.. STE. Illi GILROY. CA 95020 12 THOMAS OWENS WAY MONTEREY, CA 93940 141 SUBURBAN RD., STE. DI SAN LUIS OBISPO. CA 93401 (408) 297-6969 FAX 14081 297-7716 (409) 942-0236 FAX 14081 842-7714 (409)372-3716 FAX (411X)372-7481 (805)543-5493 FAX (80-5) 543-2748 a( Sheet of SPECIAL INSPECTOR DAILY REPORT Structural Steel / Welding City of: Project Name: S� e�✓ !� ✓Ii ✓ NJ Address: (Q 10 1 r o I F✓ ro c. ci r Inspection Type(s)/Coverage: Welding Al Continuous ❑ Shop CI Periodic 4 Meld 0 Welding Process Electrode Type Type of Welds_ Welder(s) Name(s) Date/Day: /0 7 I Project No: -57Z--1 Report Sequence No.: Bolting D PT ❑ MT 17 UT ❑ Inspections Made: (%r<U-kC, LA) c)tC_.0 Ic-A r)ri 1 CIX ks���i Cr-)VAj21c 1LCl I 14 -{- 6 q/ V G- , -/h L 5% ( / .v iC C A" /i«n/ AAu%-4 c- C1 4- C- 5 - c.S If oss•kle To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specificatiops and applicble wprkmanship provisions of the U.B.C. except as noted above: Signed: 'ZNn / i Ix Print Full Name: / L ' TERRATECH, INC. 1765 VANDER WAY 7891 WESTWOOD DR.. S9 E. 101 12 THOMAS OWENS WAY 141 SUBURBAN RD.. STE. DI Number: SAN JOSE, CA 95112 GILROY. CA 95020 MONTEREY. CA 9394(1 SAN LUIS OBISPO, CA 93401 (408) 297-6969 FAX (408) 297-7716 (408) 842.0236 FAX 14781 842-7314 oft 372.3716 FAX (408)372-7481 (805) 543-5493 FAX (805)543-2748 ILA •.ti(�Mti.�iil'wAvrl`'"..-��r`+mi*^^^^rW.f"b✓:'+5�n-.....v��+....�^�hnH.:r,:r-.,r*+h.+.-r...�n.. +:...�:-rD^� �..,..,�wt:.�... SPECIAL INSPECTOR DAILY REPORT Structural Steel/ Welding City of.- Project f: Project Name: -)P R r% Address: //i/ /' 'g Inspection Type(s)/Coverage: Welding Process_ Type of Welds Welder(s) Name(s) Welding. �7Y Shop ❑ Field Le' Sheet of Date/Day: /m- Z d -SV Project No: % 2 -/ Report Sequence No.: Continuous � Bolting ❑ Periodic (D PT ❑ MT Ci UT Electrode Type S 7/ -/--/ / Results: Comments: To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above: i Signed: Date: Print Full Name: �Gw-/�z�� //IylC 1 01///y/r , I.D. Number: TERRATECH, INC. 1365 VANDER WAY 1 7891 WESTWOOD DR.. STE. 101 12 THOMAS O W ENS WAY 141 SUBURBAN RD.. STE. DI SAN JOSE. CA 95112 GILROY. CA 95020 MONTEREY. CA 9394() SAN LUIS OBISPO, CA 93401 (408) 297-6969 FAX NOXI 297-7716 (408) 842.0236 FAX (408) 842-7314 (408)372-3716 FAX (408)372-7481 (805)543-5493 FAX (805) 54.3-2748 �.r'+rr.y.✓-..iA..�....a._..rr" '+„f4#.d�.r-n .,,..h...•:..�s�.R ww..w *9^.r Kra'.^"�.---.-•�-...s...:..-.r,_ ...w, y-,�+,:rv.+�c�wr.. ..a-.+� «�...4.,. �. Sheet of � SPECIAL INSPECTOR DAILY REPORT" . �r Structural Steel / Welding City of: d ; a,. i-f�A n Date/Day: In - zc _ 4 !�/ Project Name: 'k, q n.. A Amo A fl.. A Project No: ¢� Address: (CI ftl I ).A.illf 0 . Ya4 _ _ Report Sequence No.: / T' Inspection Type(s)/Coverage: Welag Ci Continuous !] Bolting X Shop CI Periodic ❑ PT ❑ MT ❑ UT ❑ Meld Welding Process Electrode Type Type of Welds Welder(s) Name(s) Inspections Made: W/ /_ & " r Results: A -b d 14 /p v .% n li�i � 7� n r �i � ��n �a n Ct 1A a 6-� i_�) Comments: To the best of my knowledge, work specifications and applicable wPrkn '0"tSigned:` Print Full Name: TERRATECH, INC. ed was in accordance with the building department approved design drawings, provisions of the U.B.C. except as noted above: J Tk. 4 0'➢4 Date: :,1- 1,-94 1365 VANDER WAY 7891 WESTWOOD DR., ST E. 101 12 THOMAS OWENS WAY 141 SUBURBAN RD.. STE, DI I.D. Number SAN JOSE. CA 95112 (408) 297-6969 FAX (408) 297.7716 GILROY. CA 95020 (408) 842-0236 FAX (408) 842.7714 MONTEREY. CA 93940 (408) 372-3716 FAX (408) 372-7481 SAN LUIS OBISPO. CA 93401 (805) 543-5493 FAX (805) 543-2748 'u_.,✓...nM'+V'•.M1^w..-:o-MYfa�•.•Wlarvm�rn rMVw.a.an..a'A:n_w^>�o-:rpS('a'ir!�{.��ti]m�1/ .Y°'ti^�^Mm• eaS "".M!el". w•�..ar.i,!`iN�i�rN^m'Yrr n r -+m ..+✓;vn ruAUJT]+%in:.. Sheet of SPECIAL INSPECTOR DAILY REPORT Structural Steel / Welding City of: o ht) a, p Date/Day: Project Name: SCI y A A Project No: 5 8 4 Inspection Type(s)/Coverage: Welding X Shop 1'=.1 Meld Di Welding Process = c A (n/ Type of Welds Welder(s) Nan Continuous A Periodic f. I Electrode Type Report Sequence No.: Bolting PT 0 MT 1 UT CI Results: (C ^ t J h 1 11-O n0 0 c c o piny .N Pa. - AIA/ S �� din} ,� krAN nom. Cry( non ni._rn„ n war. or, Ifylnnt specifications and applicable workmanship provisions of the U.B.C. except as noted above: Signed:, Date: -a'Al A l (6 l 4q ¢ „« _ x„ Print Full Name. Cj iC RSD F_ n� o I.D. Number: '�' Aj g Q TERRATECH,INC• 1365 VANDER WAY SAN JOSE, CA 95112 141181297-6969 FAX (408)297-7716 7891 WESTWOOD DR., STI:. 101 GILROY. CA 95020 14081 842-0276 FAX (408) 842-7314 12 THOMAS OWENS WAY MONTEREY, CA 9394(1 14081 372-3716 FAX 14081372-7481 141 SUBURBAN RD., STE. DI SAN LUIS OBISPO, CA 93401 18051 543-5493 FAX (805)541 2748 -....n.w:•;..q...•+.v...r�r... nx4r•+vn.,rr-.r�.n:in•�.ux a�,.r...nra''.WJK4; ✓wn. +ws+M r..,,,...,,a�,.,.�;.n +r.xr•nv+.•-.rvr'Yr'u+r ...�.•.. ..-... ...... LSheet of 4,4.. SPECIAL INSPECTOR DAILY REPORT Structural Steel / Welding City of: 2 A tx p Date/Day: ro - Project Name: �� SLtl w A Project No: Address Inspection Types)/Coverage: Welding X Shop 0 Meld k Welding Process SCA LA/ Type of Welds Welder(s) Nan Report Sequence No.: Continuous IN- Bolting -C Periodic =1 PTO MT (1 UT ❑ Electrode Type & 5 % T • / ER 2 %% Comments: To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specifications and applicable workmanship provisions of the U.B.C. except as noted above: Date: mber. % 4? TERRATECH, INC. 1365 VANDER WAY SAN JOSE. CA 95112 7891 WEST WOOD DR.. STE. 101 GILROY. CA 95020 12 THOMAS OIA ENS WAY MONTEREY. CA 93940 141 SUBURBAN RD.. STE. DI SAN LUIS OBISPO. CA 93401 (408) 297-6969 FAX (408) 297-7716 (408) 842-0236 FAX (408) 842-7314 (408) 372-3716 FAX (408) 372.7491 (805) 543-5493 FAX (805) 543-2748 P SPECIAL INSPECTOR DAILY REPORT Structural Steel/ Welding City of: l_ UPL'j-C`//L111U Project Name:.<XJ_�?S �iADLI�Q��il7 Address: Inspection Type(s)/Coverage: Welding /j Continuous ❑ Shop ❑ Periodic El Meld Welding Process Type of Welds (�7 i c/¢/�/S' Welder(s)Name(s) �Qiir/� /,�7 U Electrode Type Sheet of Date/Day: '3'9/l /hi.. Project No: o5;7211 Report Sequence No.: Bolting ❑ PT Cl MT 1-j UT CI Results: Comments: To the best of my knowledge, work inspected was in accordance with the building department approved design drawings, specificatio/nssaaind�applicable workmanship provisions of the U.B.C. except as noted above: y Signed: ��7�lu�� Date: �Q1� Print F ulI Name: Yr a P no)VT= I.D. Number: G S 7 r1 TERRATECH, INC, 1365 VANDER WAY SAN JOSE. CA 95112 (408) 297.6969 FAX (408) 297-7716 7891 WESTWOOD DR.. STE. 101 GILROY. CA 95020 (408) 842-0236 FAX {4081842-7314 12 THOMAS OWENS WAY MONTEREY, CA 9394() (408) 772-3716 FAX (409) 372-7481 141 SUBURBAN RD.. STE. DI SAN LUIS OBISPO, CA 93401 (805) 543-5493 FAX (90-51543-2749 4 11 10300 Torre Avenue Cupertino, CA 95014 Building Division (408)777-3228 Fax (408) 777-3333 September 26, 1995 Sears 10101 North Wolfe Road Cupertino, CA 95014 Subject: 10101 Wolfe Road, Permit # 27110, 27158, and 27000 Dear Sirs, According to our records the above mentioned permit has never been finaled by a • City Building Inspector. A permit is considered to be valid only six months from its last inspection date. If your permit shows that the final inspection has been completed please send a copy of the permit, along with this letter to 10300 Torre Avenue, Cupertino, CA., 95014, Attention Building Department. If your permit has not been frnaled, please contact the Building Department by calling (408) 777-3228, so that we may arrange to extend your permit, and schedule a final inspection. In an effort to control the number of expired permits, the City of Cupertino requires a response in ten working days from your day of receipt of this letter. If we do not hear from you, the City of Cupertino's Building Department will have no alternative but to resolve your permit as expired and discard the records. Thank you for your assistance. Sincerely, City of Cupertino E Fnnren rn Rec:cxo Rioer Cupertino 10300 Torre Avenue Cupertino, CA 95014 Building Division (408)777-3228 Fax(408)777-3333 September 26, 1995 The Mobil Net 20735 Stevens Creek Boulevard Cupertino, CA 95014 Subject: 20735 Stevens CreekBoulevard, Permit # 26757 Dear Sirs, According to our records the above mentioned permit has never been finaled by a City Building Inspector. A permit is considered to be valid only six months from its last inspection date. If your permit shows that the final inspection has been completed please send a copy of the permit, along with this letter to 10300 Torre Avenue, Cupertino, CA., 95014, Attention Building Department. If your permit has not been finaled, please contact the Building Department by calling (408) 777-3228, so that we may arrange to extend your permit, and schedule a final inspection. In an effort to control the number of expired permits, the City of Cupertino requires a response in ten working days from your day of receipt of this letter. If we do not hear from you, the City of Cupertino's Building Department will have no alternative but to resolve your permit as expired and discard the records. Thank you for your assistance. Sincerely, City of Cupertino U Pnn.ntl.m fjpvyTleU Face,