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14349 POST THIS CARD NEAR FRONT OF BUILDING : PERMITNVMBE- ^: CITY OF CUPERTINO , 14349 INSPECTION DIVISION (/,'� JOB INSPECTION RECORD u �' 10123 N WOLFE ROAD Sp �C,Zv PERMIT EXPIRATION o JOB ADDR ESS UNIT# LOT# • PERMIT EXPIRES IF WORK OWNER, XTRASCONTRACTOR 14F.RRP.R T BOGAHOSIAN 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 CIN OF - PERMIT VALIDATION CUPERTINO STANDARDS. y GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND"/SLAB PLUMBING ELECTRICAL ISSUANCE D4TE MECHANICAL - - BLDq, ELECT. PLG„ MEC- DO-NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED { cupv.TNtuviNu FORMATI NIT WOOD FLOOR VALUATION- BIFT. PLUMBING ' MECHANICAL PERMIT TO ELECTRICAL FRAMING STORIES TYPE CONSTR. " INSULATION. • i OCC,GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ROOF NOTE:NO FINAL INSP.'SHALL BE MADE BEFORE s0.IT ELooR AREA rarAE ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID ' BUILDING USE ROOF SHEATHING RES IND CON PB OVar APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ El 0 ' El ❑ ASSESSORSPARCELNO ROUGH SANA . - PLUMBING. ELECT.ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT No. PARCEL No MECHANICAL '`T - MECH.ENERGY ELECTRICAL - BUILDING ENERGY - ACC OATE Ac C.FILE NO. FRAMINGELECT.FINAL TEST I' INSULATION PLUMBING FONING ENG,SITE NO. GAS TEST GAS, - _ - MECHANICAL FIRE SPRINK ENERGY T.24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ° N[] EXTERIOR SHEAR ELECTRICAL RELEASE FLOODZONE ALU C INTERIOR SHEAR FIRE DEPT. Y❑ N❑ v L7 NE] SHEETROCK GRADE - FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVALS BUILDING �•, _ SCRATCH COAT ELECTRIC PLAN CHECK , GAS. FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDI NG INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY.=DATE - CONST. ELECTRIC F ONE WORKING DAY BEFORE REPLUMBING z PLEASE GIVE JOB'ADDRESS WH - SEE PERMIT FOR EXPIRMECHANICAL 'IMPORTANT! T.TAX PLEASE READAEVERSE SIDE BEFORE r , TOTAL r .. CALLING FOR FINAL INSPECTION. ' OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED.LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION - PERMITNUMBER, . BUILDING 1 APPLICATION &'PERMIT 14349^ (] ADDRESS - �F �F J �/ pJ0C F4 �.D BUILDING -.ELECTRICAL_PLUMBING -MECHANICAL OWNER'S - PLAN CHECK VALIDATION 4{" NIR7WCITY. ELECT RIC PERMIT' FEE vflorvE ' "v w x cioR's NAME OUTLETS-SWITCHES-RECEP 10.00/1.00 NAME ,Q, d./ d3/1WND. -;/7 ILIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S - UA//IOlAvew 44 JAPPLIANCES-RESIDENTIAL .4.00 - ADDRESS q/ N, PANELS 10,00 - DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE .C.N0. OR ENGINEER LIC NO SIGNS TRANS.' 3.00 3 ' AARCH.OR DDRESS ENG. - SPECIAL CIRCUIT I -S.00 PERMIT VALIDATION , 'TIP - EMP.METER OR POLE INS. - 20.00 APPLICANTS MOTORS- . SEE FEE SCH. ADDRESS SERVICECHANGE 20.00 00 LICENSED CONTRACTORS DECLARATION a U I hereby affirm that I am licensed under provisions of Chapter 9 GUGeCt��O qN DATE - a Q y (Commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. r w Professions Co tl ,and y license is In full fore eC` - ❑ ❑ z o w- License Class.( rt1�Lic.Number - - �,. ❑ w = Date Contractor a Y LI A+•4:iANJ BUILDING PERMIT rc BE w OWNER-BUILDER DECLARATIONINFORMATION E: o LL y I hereby affirm that I am exempt from the Contractor's License MISC.- - REFER TO ORD Y P VALUATIO Fu. 0 J Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE ,10.00 I Code:Any city or county which requires a permit to construct,alter, BE acimprove,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC. a O B: requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO w$ he is licensed pursuant to the provisions of the Contractor's License �! / Hzi Law(Chapter 9(commencing with Section 7000)ofDlvision 3 ofthe a Business and Professions Code)or that he Is exempt therefrom and CITY PLUMBING PERMIT FEE E $ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES ;TYPE CONSTR. by any applicant for a permit subjects the applicant macivilpenalty ALTER-DRAIN -WATER-IEA.1'5.00 of not more than five hundred dollars($5001.): ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES.11NIT5, their sole compensation,will do the work,and the structure is not intended or offered for sale (Sec. 7044, Business and Pmfessions 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. F IXTUR ES-PER TRAP 5.00 - SD.FT.FLOOR AREA TOTAL ACREAGE menta are not ownemployees,for sale. If,ed that however,the improve- GAS-EA:SVSTEM-11NC.40UTLETS 6.00 - mems are through intended or offered for sale.If,however,the improve- building or improvement is sold within one year of completion,the owner. GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or im- ,RES IND CON ., PB Omar prove for purpose of sale.). INDUSTRIAL WASTE INTER.' '.30.00 - ❑ 1,as owner of the property,am exclusively contracting with - - ❑ - El El ❑ ❑ 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 a contraetons)licensed pursuant to - SEWER-SAN -STORM EA.200ft/10.00 the Contractor's License Law. SEWER-SANITARY-STORM TRACT NO. PARCEL N0. ❑ I am exempt under Sec.-,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner - Date WATER SYSTEM 5.00 ACC.DATE -' ACC.FILE NO. WORKERS'COMPF-NSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to self-insure, ZONING or a certificate of Workers'Compensation Insurance, a erlifieA - ENG.SITE NO. opy thereof(Sec.3800,Lab.Cg Cep b�,l0$190 A ' olicy No. - Company 0,j=�� - 0 ❑ Certified cop isherebyf r so,'d �-�T� _ FIRESPRINK ENERGYT-24 Z Z ❑ Cer d y hereby fie th In, city in ceder division. - - - _ ,tg - L}' MISC.t � REFER TO ORD. APPlica r'1�4 .. Y ❑ N❑ V ❑ N❑ Hy PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. .- 1 CERT E 1 E kl WORKERS' UJ _ CON E ATI INSURANCE. PLG.CONFER LIC.NO. PLG. Y❑ N❑s V❑ N❑ CL 0 (This section need not be completed if.the permit is for one TOTAL _ Z hundred dollars(8100)ordecc) ' (� O I certify that in the performance of the work for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY H. mit LL is issued,I'shall'not employ any person in any manner so as to 0 W become subject to the Workers:Compensation Laws of California. BUILDING Date Applicant' ALTER OR ADD TO MECH. 5.00 Q. } m NOTICE TO APPLICANT: If,after making this Cerlifieme:of lis- L.. ? emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK / provisions of the Labor Code, you must forthwith comply with FEE (Or;lam C„)• such provisions or this permit shall be created.r6v.kLd. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER I0,000C.F.M.) 6.00 FEEL FEE Thereby affirm that there is a construction lending agency for .EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM , 3097,Civ.C.L HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ' ELECTRIC Lender's Address I certify that l 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-C.OMPI3 H.P.of 100,000 B.T.U.1 6.00 � , hereby authorize representatives of this city to enter upon the BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL above-m boned properly for inspection purposes. (We) a me to save hd and keep'harmless the City of MISC.- - REFER TO ORD. upert' 0 against ITS es,ju mems, costs and ezir/ sea which CONST.TAX. . may i a y By a e agar said Cily in w sece of the ` PERMIT ISSUANCE 10.00 con' g f 'aper L - MECH.CONT. LIC.NO. MECH. /Z TOTAL TOTALm ofA lie /Co actor te OFFICE COPY