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14542 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER ' CITY OF CUPERTINO 14542 r° INSPECTION DIVISION JOB INSPECTION RECORD ';'o PERMIT EXPIRATION 10123 N.WOLFE ROAD JOB ADDRESS-� LLC AO � l� —� Grrr) UNIT'# _LOT# PERMIT EXPIRES IF WORK OWNER - BUSTERS - CONTRACTOR ROLAND MASTROLUCA IS, NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 188 DAYS OF PERMIT ISSu- ANCE.OR 180 DAYS FROM FOUNDATION NOTE: LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PR EGUNI?E TO COMPLY WITH THE APPROVED PLANS AND CIN OF PERMITF,ALIDATION CUPERTINO STANDARDS. GARAGE SLABS ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB :r ISSUANCE PLUMBING ELECTRICAL .� � ISSUANCE DATE BLDG, ELECT. I PLG. MEC. MECHANICAL Cos © Eltep DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Y 1!�"�BUIL PERMIT INFOORMRM ATION ' WOOD FLOOR -- vawanoN SIFT, PLUMBING i MECHANICAL PERMIT To • ELECTRICAL I��L_1. /` ' FRAMING —STORIES TYPE CONSTR. INSULATION - OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 50 IT FLOOR PPEA TOTAL ACREAGE ROOF NOTE:NOTINAL INSP.SHALL BE MADE BEFORE ' .': DIAPHRAGM THE CONSTRUCTION TAX IS PAID ED LDING USE ROOF SHEATHING . RES IND CON PR Go– APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO. ROUGH SAN.H PLUMBING ELECT.ENERGY TRACT NO PARCEL NO TUBS 8 SHOWER PAN - PLUMBING ENERGY . MECHANICAL MECH.ENERGY ACC DATE ACC FILE NO ELECTRICAL .BUILDING ENERGY FRAMING - ELECT.FINAL TEST ZONING ENG SITE NO. INSULATION IPLUMBING, GAS TEST - GAS ' MECHANICAL FIRESPRINR - E1 [3c -xa KCO'VERNO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING • ❑ N ON� FLOOOZONE A.L.0 C. SHEAR ELECTRICAL RELEASE SHEAR FIRE DEPT! Yo N� Y ❑ N❑ K - GRADE FEE SUMMARY ' LATH BUILDINGBUILDING LATH TEMPORARY APPROVALSOAT ELECTRIC PLAN CHECK I GAS FEE NO TAPE OR PLASTER.UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCVOF BUILDING ISNOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC IL ONE WORKING DAY BEFORE REQUIRED INSPECTION.- O� PLEASE GIVE JOB ADDRESS WHEN PHONING. 0• PLumewc Z _ MECHANICAL — SEE PERMIT FOR EXPIRATION DATE — ' CONST.TAX IMPORTANT! PLEASE.READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. 1 . OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJCT 1 DENTI FI TION PERMIT NUMBER BUILDING t APPLICATION & PERMIT ADO R/Ea� 14542 V���V FASH(oN /'�/ZK BUILDING -ELECTRICAL-PLUMBING-MECHANICAL OWNER'S qp 6R-7" PLAN CHECK VALIDATION • Nu �K ­,r PHONE QTY. 'ELECTRIC PERMIT FEE ' CONTRACTOR s .. OUTLETS-SWITCHES-RECEP 10.00/1.00 _ A '/ e/STRr/�KCRLIC.NO. (//- / LIGHTING FIXTURES 10.00/1.00 ADDRess'oRs PPLIANCES-RESIDENTIAL 4.00 (� a•V. PHONE 5� - PANELS 10.00 DATE OF APPLICATION AARRCHITECT PANELS (OVER 200 AMP) 20.00J�IPLAN CHECK FEE P.C.NO. ENGINEER LIC.No. SIGNS TRANS. 3.00 ADDRESS sea SPECIAL CIRCUIT 5.00PERMIT VALIDATION ZIP EMP.METER OR POLE INS. 20.00 APPU DDRESS MOTORS SEE FEE SCH. Cl/W-ADDRESSSERVICE CHANGE 20.00 0 0 o LICENSED CONTRACTORS DECLARATION !/ is U 1 hereby affirm that 1 am licensed under provisions of Chapter 9 a IRP, ISSUANCE DATE w Q vAi (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. F w z Professions CoJ• nd yy license is in full force:wt ffe� ❑ ❑ ❑ zD 1 PARA i m o License Cla, '��o Lic.NumM1er �' n F n tr j Dale Contractor.M(f3_f.�Q(�'t�-A �j < x Y -' W BUILDING PERMIT < OWNER-BUILDER DECLARATION F d u INFORMATION F ; y 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD u O j Law for the following reason.(Sec.7031.5,Business and Professions Q VALUATION - $/FT. H - PERMIT ISSUANCE 10.00 vA Code:Any city or county which requires a permit to construct,alter, y, QQ Q *0 improve,demolish,or repair any sl Rlcture,prior to its Issuance,also ELEC.CONTR. LIC.NO. ELEC.L PERMIT TO M requires the applicant for such permit to file a signed statement that X$ he is licensed pursuant to the provisions offlis Contractor's License TOTAT R z< Law(Chaphr9(commencing with Section 7000)nf Division3 of the CL/ 4 D Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE at r $ the basis for the alleged exemption.Any violation ofSeclion 7031.5 STORIES TYPE CONSTR. i 3 - by any applicant for o permit subjects the applicant to a civil penalty of not more than five hundred dollars(550().): ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ 1,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 a^owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5,00 SO.IT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- ments are not,mended or offered for sale.If,however,the building GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the owner. GAS-EA.SYSTEM-OVER 4 IEA.) 2.00 builder will have the burden of proving that he did not build or im- BUILDING USE REB IND CON PB Omer prove 1,aso neer of sale.), INDUSTRIAL WASTE INTER. 30.00 � El � 13 C] ❑ d as owner of the property,he exclusively contracting with licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions prop"The Contractor's License Law does not apply to tr owner of properly who builds(r improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts forsuch cprojects L with a contraclorts)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT N0. PARCEL NO. ❑ lawn exempt under Sec..,BAP.C.for Ol is WATER HEATER W/VENT 6.00 reason Owner _ Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE N0. WORK 1:RS'COMPF.NSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm That I have a certificate of c sent mset l-insure, ZONING ENG.SITE N0. or a certificate of Workers'CompensiI'D In ranee,or a certified Copy(hereof(Sec.3800.Lab.CJ. 1� Policy No. Compuny , .. O ❑ Certified copy is hereby furnish¢ . FIRESPRINK ENERGY T-24 Z Z ❑ Certifte copy is Rled with re city inspection division. MISC.- REFER TO ORD. O pplicant Y E] N Y [] NE] Ir y CERTIFICATEOF 17XEM19ION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. U.1 - COMPENSATION INSURANCE PLG.CONTR. LIC.NO.' PLG. n' 0 Cl his section need not be completed if the permit is for one TOTAL Y N V N D Z hundred dollars(SOLD or less.) 1..) O 1 certify that in the pert I Ace of the work for which this per- OTT MECHANICAL PERMIT FEE FEE SUMMARY LL F mit is issued,1 sl not em oy I arson In alman ¢r so as l0 U II¢¢nmy5 t Workers' n so California. w Date-/ Applica^I ALTER OR ADD TO MECH. 5.00 BUILDING } y 7f NOTI .T APPLICANT': IL a er I aking this Certificate of Ex- "Option oushouldhecome suhjecl to lhC Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must foNh with comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.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 the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Nam" Lender's Address HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC I certify that l have read this application and stale 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 I3H.P.Dr100,000B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOILER -COMP IOver 100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned properly for inspection purposes. (We) agree to Save, indemnify and keep harmless the City of MISC.- REFER TO ORD. go ino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 . CONST.TAX any way accrue against said City in cousequmce of the this 'l. MECH.CONT. LIC.NO. MECH. /' l7TOTALTOTAL re of pplica t/Contractor Dale fJ O OFFICE COPY '