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14305 OST THIS CARD NEAR FRONT OF BUILDING. PERMIT NUMBER ' A CITY OF CUPERTINO 14305 INSPECTION DIVISION 3 ' JOB17SPECTION RECORD / / o z3 LA, l ^ /� .R �. �.1' r tv , - :Lo,? C-T PERMIT EXPIRATION - JOB Ess 2 21A N WOLFE ROAD UNIT# _LOT# PERMIT EXPIRES IF WORK OWNER CAT TnPtl TNTO CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION - ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PR EGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF vERmn VALIDATION CUPERTINO STANDARDS. GARAGESLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ' UNDERGROUND /SLAB ' �.. l " PLUMBING ELECTRICAL - ' ISSUANCE DATE MECHANICAL BLDG ELECT I PLG MECH DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT Q WOOD FLOOR . INFORMATION PLUMBING -VALUATION $IFT. ' MECHANICAL ELECTRICAL PERMIT TO - FRAMING r c 4"">, ✓:, ,` INSULATION STORIES TYPE CONSTR, OCC GROUP RES.UNITS -� PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - - ) ROOF - NOTE:NO FINAL INSP.SHALL BE MADE BEFORE so.FT FLOOR AREA TOTAL ACREAGE DIAPHRAGM' , THE CONSTRUCTION TAX IS PAID - / - BUILDING USE ROOF SHEATHING RES No CON GE omr, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑ ROUGH SAN.N ASSESSORS PARCEL NO PLUMBING ELECT.ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT NO PARCEL NO MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY - - ACC,DATE: ACC,FILE NO. FRAMING ELECT.FINAL TEST INSULATION PLUMBING ZONING ENG.SITE No. GAS TEST GAS MECHANICAL ' - FI.REE.tSPRINK ENERGYOZ< COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING �l "❑ ❑ "� EXTERIOR SHEAR ELECTRICAL RELEASE 1.-�t�� FLDDDZONE A U.C. INTERIOR SHEAR FIRE DEPT. Y❑ N❑ ° ❑ "❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDINGS Z BUILDING INTERIOR LATH ' ' TEMPORARY APPROVAL SCRATCH COAT - ELECTRIC - PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE ✓ '-'` OCCUPANCY OF BUILDING IS NOT,PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUI LDING INSPECTOR. ,MICROFILM m w ARRANGE FOR INSPECTION BY PHONING 252-4505, -ELECTRIC 1 F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z PLEASE GIVE JOB ADDRESS'WHEN PHONING. r - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! coNST.rnx 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 IDENTIFICATION BUILDING PROJECT IDEPERMIT NUMBER NAPPLICATION & PERMIT - BDILDING A NO . WOLFG 14305. ADOg6i5 �, BUILDING-ELECTRICAL-PLUMBING-MECHANICAL .1`� OWNERS Y PLAN CHECKVAI�ATION `�°` «AME PIUp_yVw NG• .U3 QTY. ELECTRIC PERMIT FEE /wO /1 ..,�I[ A i Q wI PHONE W 1 / - �/ 1'-0, CONTRACTOR'S \\F NAME OUTLETS-SWITCHES•RECEP 10.00/1.00 - �'"'� � LIGHTING FIXTURES 10.00/1-.00 N0. CONTRACTOR'S - PPLIANCES-RESIDENTIAL 4.00 PHONE PANELS 10.00 DATE OF APPLICATION ARCHITECTPLAN CHECK FEE P.C.NO. OR / PANELS (OVER 200 AMP) 20.00 ENGINEER wtz-, U SIGNS TRANS. ' 3.00 ADDRESSARCH.CH N SPECIALCIRCUIT 5,00 "PERMIT VALIDATION ZIP EMP.METER OR POLE INS. 20.00 APPLICANT PLICA Ta MOTORS SEE FEE SCH. A •ej,w pie/- AM& *M p SERVICE CHANGE 20.00 0 0 o LICENSED CONTRACTORS DECLARATION - /� �N a a u I hereby affirm that I am licensed,under provisions of Chapter �•r:V PEG ISSUANCE DATE r 2 w (commencing with Section 7000)of Division.3 of the Business and w< n r yi BLDG. EL�E�CpT}1. PLG. MECH. Professions Cole,and my license is in full force and effect NJr i� 11se a i w G LicenClass Lie.Number - ®y Dale Contractor - a y f BUILDING PERMIT ¢ ¢ 4 OWNER-BUILDFR DECLARATION ¢ i v .. n INFORMATION E: ; 0i 1 hereby affirm that I am exempt from the Cnntn¢tor's License MISC.- REFF,R TO ORD r u o 4 Law for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUAN Cup 10.00 0�. VALUATION $/FT. f ,A0F Code:Any city or county which requimsapermit to construct,alter, /K re Q 4 2 Improve,demolish,or repair any Structure,prior to Its Issuance,also ELEC.CONTR. N0. ELEC. / F. 0 u requires the applicant for such permit to File a signed statement that TOTAL 30 PERMIT T n w he is licensed pursuant to the provisions of the Contractor's License '�w rii Law(Chapter 9(commencing with Section 7000)ofDivision3 Of the �� Q g 4 o Business and Professions Code)or that be is exempt therefrom and QTY. PLUMBING PERMIT FEE ¢ H $ the basis for the alleged exemption.Any violation of$emion 7031.5 STORIES TYPE CONSTR. y � by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN (EA.) 5.00 of nyI more than five hundred dollars($500f): DC I,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES,UW1 S their sole compenmtion,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 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 6D.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve' �� ments are not intended or offered for Sale.11,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 ' or improvement is sold within one year of completion,the owner- GAS EASYSTEM OVER 4 IEA) 200 builder will have the burden of proving that he did not build or am. - . - . . BUILDING USE prove for purpose of Sale.). RES IND CON PB Other ❑ I,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 ❑ C3 0 ❑ ❑ licensed contractors to construct the project(See.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 16 an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such pmjocts.,it canlme[ortsI licensed pursuant to the Cc ct rs Lice a aw. SEWER-SANITARY-STORM EA.200ft110.00 TRACT NO. PARCEL NO. ❑ , ,B.&P.C.for this WATER HEATER W/VENT 6.00 rea Own Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSA f0N DECLARATION WATER TREATING EQUIP. 5.00 iemby affirm !hall have a certificate ofcoment to self-insure, - or o certificate of Workers'Compensation Insurance,or a eertificd ZONING ENG.SITE NO: copy thereof(Sec.3800,Lab.C.). Policy No. Company O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T 24 Z Z ❑ Certified copy is filed with the city inspection division. O Applicant MISC.- REFER TO ORD. YN[] Y ❑ NE ~ w PERMIT ISSUANCE 10,00 FLOOD ZONE A.L.U.C. LU CERTIFICATE COM E SATION INS FROM WORKERS' W � COMPENSATION INSURANCE PLG.CONTR. ' LIC.No. PLG, ' IL Z( This section need not be completed if the permit is for one TOTAL Y❑ N Y [:] N hundred dollars(S 100)or less.) 0 O I certify that in the performance of the work for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY UL H mit is issued.I shall not employ any person in any manner so as to Ow become subject to the Workers'Compensation Laws of California. BUILDING Q Date Applicant M ALTER OR ADD TO MECH. 5.00 } m NOTICE TO APPLICANT: If,after making this Certificate of Ex- F•, Z cum!1011,you Should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=CF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of th•work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.L - �0 N - HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Address HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 36 1 certify that I have read this application and state that the abode VENTILATION FAN (SINGLE) 4.00 information is correct.I agree to comply with all city and county PLUMBING gordinances and state laws relating to building construction, and BOILER-DOW(3 H.P.Or 100,000 B.T.U.) 6.00 6k/ hereby authorize representatives of this city to enter upon the BOILER-COMPlower loo.000 Brul SEE FEE$cH. MECHANICAL above-mentioned property for inspection purposes. ( agree to save, indernnlfy and keep harmless the City of MISC.- REFER TO ORD. u rtii o against liabilities,jr gn ts, costs and expenses which CONST.TAX y in a way ace a St City nkequcnce of the PERMIT ISSUANCE 10.00 • r if MECH.CONT. LIC.NO. MECH. 2_2 TOTAL TOTAL /,Z33 Si azure o(Appli ant Con raI Date OFFICE COPY