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15047 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER r f CITY OF CUPERTINO `I15D�7 ' INSPECTION DIVISION , JOB INSPECTION RECORD Gp3`J PERMIT EXPIRATION JOB ADDRESS lae,23 .�, WOL=i_ UNIT# _LOT# PERMIT EXPIRES IF WORK OWNER rz L CONTRACTOR �ZO�;L tf IS NOT STARTED, WITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE-OR 180 DAYS FROM _ NOTE: LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE .TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALWATIUN GARAGE SLABS CUPERTINO STANDARDS. • POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB • , � PLUMBING ELECTRICAL, - ISSUANCE DATE MECHANICAL BLDG ELECT. PLG. MECH. / ❑ ❑ ❑ 1 DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION ' SIFT. PLUMBING VALUATION MECHANICALS � PA c�� ELECTRICAL i nn pp rr PERMIT TO FRAMING + 1'- 40'oe' INSULATION - sTORI ES TT CONSTR. 1 UCC GROUP RES,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE so_vT FLOOR AREA TOTAL ACRFAGF DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING HES IND cory PB omr, APPLY NO ROOFING UNTIL ABOVE HAS BEEN'SIGNEO FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑ ROUGH SAN.N ASSESSORS PARCEL NO ' PLUMBING ELECT,ENERGY TRACT No PARCEL NO TUBS&SHOWER PAN PLUMBING ENERGY MECHANICAL, MECH.ENERGY ACC DATE ACC.FILE NO ELECTRICAL �], BUILDING ENERGY FRAMING ELECT.FINAL TEST ZONING ENG SITE NO. , INSULATION •' PLUMBING GAS TEST GAS MECHANICAL , FIRESPRINK ENERGY T-24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N1Y ❑ NE-1 EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE I A.LUC, INTERIOR SHEAR - FIRE DEPT. Y[:] "❑, v ❑ "❑- SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVALS BUILDING i SCRATCH COAT - ELECTRIC - PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE 7,Sy OCCUPANCYOF BUILDING IS NOTPERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM LU ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC c• ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING �� . PLEASE GIVE JOB ADDRESS WHEN PHONING. rr ;' .- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL �S CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL iN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY _ BU G I LDING PROJECT IDENTIFICATION PERMITNUMBER AOIILREYS APPLICATION & PERMIT s 15047 BUILDING -ELECTRICAL-PLUMBING-MECHANICAL AOWrvER' T NA E - rDO14 PLAN CHECK VALIDATION QTY- ELECTRIC PERMIT FEE vlsoNL CONTRACTOR'S "AME UTLETS-SWITCHES-RECEP 10.00/1.00 No. LIGHTING FIXTURES 10.00/1.00 CONTRACTORS fcr-NNI-1)(. �7Q(�� PPLIANCES-RESIDENTIAL 4.00 cp Gly Sokoub PMONF PANELS IO.00 DATE OF APPLICATION ARCXITECT DR 'PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE , P.C.NO. NGINFE Ic.rvo. 'l 32 SIGNS TRANS. 3.00 ARCH.OR ENG, ADDRESS I PERMIT VALIDATION p,, L,_,,_ 2,p SPECIAL CIRCUIT 5.00 1 Lv lxoul Py :- EMP.METER OR POLE MS. 20.00 APPLICANT'S 1ys ADDRESS ,,�LI""L�13TDN Ty�]'706*7 MOTORS SEE FEE SCH. \n}�/ �C�C��E30C(`UC� L3IJ SERVICE CHANGE 20.00 0 2 i 1=O o LICIiNSIiU CON'I'RACTORS'UIiCLARATION <z w I hereby alfirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE h ¢ Is. (commencing with Section 7000)of Division 3 of the Business and BLOC. ELECT. PLG. MECH. r y z Proles'sipns Cod and y license is in full I an c,l oz i_ o License I Lic.Numb m H w Date.' Conlraclor ��_ ¢ a,W a OWNBR-BUILDER DECLARATION BUILDING PERMIT u MISC.- REFER TO ORD INFORMATION X 3 u I hereby W irm that 1 mn exempt from the Conlraclor',License F u o j Law for the following reason.(Sec.7031.5,Business and Professions V ATION $/FT. fw> Code:Any city or county which requiresu permit toconstruc4aheq PERMIT ISSUANCE 10.00 ¢ ¢ ¢ o improve,demolish,nr repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC i w m LL requires the applicant for such permit to file a signet statement that TOTAL It. is licensee)pursuont 1p the provisions of the Con Uaclois License ,VWERMIT TO Hza Law(Chapler9(comm s Co Secsinn 70001of Division3 oft he FEE. `�` p i CI Business and Profess".ns Cne)or that he is exempt therefrom and DTV. PLUMBING PERMIT se H o the basis for the alleged exemption.Any violation pf Section 7031.5 STORIES TYPE CONSTR. n ;m by any applic;ult for permit subjcels the applicant toacivilpen:Jty ALTER-DRAIN&VENT-WATER IEA.) 5.00 of not mote than five hundred dollars(S500).1: ❑ I,as owner of the property,Or. employees with wages as BACK FLOW PROTECT. DEVICE 4.00 their sole compensation,will do the W. and the structure is not OCC.GROUP RES.UNITS I ntended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 YrQ�',. Code:The Contractor's License Law does not apply to an owner or S property Whp builds or improves thereon and who does snCll work FIXTURES-PER TRAP S.00 SQ FT.FLOOR AREA TOTAL ACREAGE I himself'or through bis own employees,provided that such improve. ments are not intended or Offered for sale.If,hol the building GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00 of improvement is sold within one year of completion,the owner- " k' builder will have the burden of proving that Iie oil]not build or R. GAS-EA.SYSTEM-OVER 4 IEA.) 2.00 BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER3000 RES IND CON PB Omar .M I,as owner of the property,am 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 Code:The Contract.,',License Law does not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 IEA.) 1.00 contracts for such projects with a contmctior0 licensedpursuont to tire Contract.,',License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ 1 am exempt under Sec. ,B.&BC,for this reason WATER HEATER W/VENT 6.00 ' Owncr Dat WATER SYSTEM 5.00 ACC.DATE ACG FILE NO. 1r L WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 �G Thereby affirm that I have a certificate ofc.maut Io self-insure, or o certificate of Workers'Compensation Insurance,or n certified ZONING ENG.SITE NO, copy thereof)Sec.3800,Lab.CJ � ��/'� J•t) . Policy hereby I�CCryu O 0 Certitled copy is hereby fu niched. FIRE SPRINK ENERGY T 24 Z 2 ❑ Certifi• c q'IcJ I the c'y inspection division. O Applicant 1 1L" MISC.- REFER TO ORD. ❑ ❑ ❑ YO N YON CC W CERTIFICATF OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.u.C. W COMPENSATION INSURANCEPLG.CONTR. LIC.NO. PLG. 1 O (This sal need nothe complelad if NC permit is for one TOTAL Y❑ N❑ Y ❑ N❑ OO hundred dollars(SIOO)or le ss) ' I certify that in the performance of Ne work for which this per- CITY. MECHANICA - FEE SUMMARY LL I- mil is issued,1 shall not employ tiny person in any manner so as to L PERMIT FEE O W becoll�y su�c, o lite Workers' o IP sa s Califo...S. } d NOTDate"CI ' 1 LICANcant l(�� ALTER OR ADD TO MECH. 5.00 BUILDING s'7l m NOT"CIO APPLICANT: If,alley mukin this Certi irate of F,x- oC H Z el"Ption,You should become subject to lire Workeri Conlpensat ion APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you most forthwith comply with CJ such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10ACC.F.M.) 4.00 FEE CONS']RUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE N / I hereby affirm al Room his a construction lending agoncy for EXHAUST HOOD (WITH DUCT) 5.00 the Performance of the work for which this permit is issued(Sec.r 1 �AfTMICROFILM 3097,Civ.C.1. 8^j'lg HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Address 1� vT Fs` HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 1 certify that 1 have read this application and state that the above VENTILATIONFAN (SINGLE) 4.00 information is correct I agree to comply with ell 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 herebhereby authorize representatives for ins of this city es enter upon thealovcBOILER-COMP (Ova 100,000 BTU)SEE FEE SCH. MECHANICAL y authorize ned property forinsp ofth i purposes to. (We) agree 10 Save, indemnify and keep harodess the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which CONST.TAX may a y way,aTue against said City in consequence of the PERMIT ISSUANCE 10.00 ran[ go thi nem I MECH.CONT. LIC.NO. MECH. i TorAL TOTAL �SC7S na reof plicantlCGntractor Date OFFICE COPY