The URL can be used to link to this page

14147 POST THIS CARD NEAR FRONT OF BUILDING CITY 1 OF CUPERTINO .141 NU INSPECTION DIVISION 1411 47 JOB INSPECTION RECORD, PERMIT EXPIRATION JOB ADDRESS 10123 N WOLFE ROAD UNIT# _LOT# - PERMIT EXPIRES IF WORK owNER 'LANE BRYANT CONTRACTORS M'&MIyMECHANICAL IS .NOT. STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION ANCE OR 180 DAYS FROM LIFER - LASTCALLED INSPECTION, PREGUNITE - PERMIT VALIDATION 'I POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED f UNDERGROUND /SLAB j•rr •.i � . PLUMBING . ELECTRICAL - ISSUANCE DATE MECHANICAL'. • - "BLDG. ELECT. PLG. . MECR. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION s/FT. MECHANICAL " x ELECTR IAL •.., Crit^T�[� vER�Mrc TO FRAMING 41 �.I INSULATION - STORIES TYPE CONSTR. OCC.GROUP RES,UNITS I A PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ROOF SO FT FLOOR AREA TOTAL NCREI.GE DIAPHRAGM BUILDING USE RES IND CON PB Other APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ '❑ ❑ ❑ ❑ ROUGH ASSESSORS PARCEL NO PLUMBING .. GAS TEST - TRACT NO, PARCEL NO. MECHANICAL I - ` ELECTRICAL FINALS DATE INSP. ACC.DATE ACD.FILE NO. FRAMING - SAN # INSULATION PLUMBING zorvlNc ENG.SITE NO, GAS MECHANICAL , FIRE SPRINK ENERGY LOE y ❑ . " COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATINGY ❑ No Y ❑ NG E LATH—INTERIOR - ELECTRICAL FLOOD ZONE A.LU.0 I LATH—EXTERIOR' FIRE DEPT. Y❑ N❑ Y N❑ SHEETROCK, GRADE FEE SUMMARY SHEAR INTERIOR, - BUILDING SHEAR EXTERIOR, TEMPO RARY.APP ROVALS BUILDING . FIREWALLS ELECTRIC PLAN CHECK • GAS - FIt . NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE UCCUPANCY OF BUILDI NG IS NOT PERMITTED UNTI L BUI LDING F INALIS SIGNED BY BUI LDI NG INSPECTOR. "r MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC u' ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERIVl.ITF,0R EXPIRATION DATE - MECHANICAL . 3 IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE ''.I w TOTAL CALLING FOR-FINAL INSPECTION. • OFFICE COPY - APRLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY 1 LD1 NG PROJECT IDENTIFICATION FICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT ADDRESS , /+G 1414 7 4d a w0 TBUILDING—ELECTRICAL—PLUMBING—MECHANICAL OWNER'S PLAN CHECK VALIDATION • NAME �j GLy-C QTV, ELECTRIC PERMIT FEE IJ Y GNt PHONE NAME CONTRACTORS NAMEOUTLETS-SWITCHES-RECEP 10.00/1.00 . `� Mgce ;ae ¢.NO. LIGHTING FIXTURES 10.00/1.00 ADDRESS Fs VCLCr.Iuilk 9sakov APPLIANCES-RESIDENTIAL 4.00 Yt I-Ac vVck LOIN CIONE Fa//gP PANELS - 10.00 DATE OF APPLICATION ORRCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ENGINEER LIG.NO. ISIGNS TRANS. 3.00 ' ADDRESSS ENG. SPECIAL CIRCUIT S.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 APPLICANT'S ADDRESS - � MOTORS SEE FEE SCH. /F/ (ALVL�-•—� _ SERVICE CHANGE 20.00 'r /�� w o o LICENSED CONTRACTORS DECLARATION G u 1 hereby affirm that I am licensed under provisions of Chapter 9 y Z w (commencing with ISSUANCE DATE at Section 7000)of Division 3 of the Business•anJ BLDG. ELECT. PLG. MECH. H N Z Professions Code,ant�myjicens¢is in full for and e F ❑ ❑ ❑ O Z m o License Class S`�_:�+�con Numbeyrp _ 1-y H J ate T}.b Owe Contractor IF'� w a OWNER-BUILDER DECLARATION BUILDING PERMIT — o a `� MISC.— REFER TO ORD INFORMATION F ;LL H I hereby affirm that I am exempt from the Contractor's License VALUATION u o¢ Law for the following reason.(Sec.7031.5,Businessand Professions H — g PERMIT ISSUANCE 10.00 Code:Any city or county which requirese permit to construct,alter, RM at Q Improve,Demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. - LIC.N0. ELEC. o u. requires n e dp pursuant for such permit to file a Signed statement License TOTgL ERMO e w m he is licensed pursumt to the provisions of the Contractor's License F Z¢ Law(Chapter 9(commencing with Section 7000)of Division 3 of the i o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE te H $ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. i ; � by any applicant fora permit subjects the applicant toacivil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(E5 11 1, I,as owner of the property,or my employees with wages 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,AR EA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 So.FT.FLOOR AREA TOTALACREAGE himself or through his own employees,provided that such improve- ments are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of completion,the owner- builder will[rave the burden of proving that he did not build or im- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER3000 RES IND CON PB Omar D I,as owner of the property,am exclusively contracting with . . ❑ 0 ❑ ❑ ❑ licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and 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 o contractor(s)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under Sec. ,B.&RC.for this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to self-insure, or a certificate of WorkersCompensation Insurance,or a certified ZONING ENG.SITE NO. Copy theneeyyff,L�ee,v�..}}8o0,/.ab.C.). p Policy No.AX�b f61Apany O ❑ Certified copy is hereby furnished. - ^ FIRE SPRINK ENERGY T 24 - Z 2 O CerNfla copy is Bled ith Ity' inspection division. Fq/ Applicam � � 1-„� � MISC.,- REFER TO ORD, v.� NEI ,v � NEILUy CERTIFICATE OF EXEMPT ION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE a.L.U.C. W �_ COMPENSATION INSURANCE PLG.CONTE. LIC.NO. PLG. CL D (This section need not be completed if fire permit is for one s TOTAL v❑ N V N 2 hundred dollza($100)orkox,) - U 0 1 certify that in me performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL h mit is issued,1 shall not employ any person in any planner so as to U W become subject to the Workers'Compensation Laws of California. Date Applicant ALTER OR ADD TO MECH. 5.00 �' BUILDING } rail NOTICE TO APPLICANT: If,after making this Certificate of Ex- ? emption,you should become subject to the Workers'Compensation APPLIANCE it provision5.00 PLAN CHECK s of the Labor Code, you must forthwith comply with .. ..nCt�k U Such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT,(TO10MC.F.M.) 4.00 �- FEE CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=1CAM.16.00 SEISMIC FEE I hereby affirm that (here is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(See. MICROFILM 3097,Civ.C.). B EATING UNIT(TO 100,000 .T.U.) 8.00 Lender's Name HEATI NG UN IT 100,000 B.T.U.)9.50 ' Sa Lender's Address ELECTRIC I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4,00 information is correct. I agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby authorize representatives of this purposes.is city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE$CH. MECHANICAL above-mentioned property forinspectionh (We) agree to save, indemnify and keep harmless the City of Misc.- REFER TO ORD. - Curer tine against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 V CONST.TAX may in any way accrue,against s id City in consequence of the gra of this permit. MECH.CONT. LIC.NO. MECH. A TOTAL q,p TOTAL Sire of Appll t tractor Date ✓J� OFFICE COPY