15217No. 766
Trrtifirttte of Orrultaury
Titg of Tu.pertino
Brvartment of +Vitilling Atopertion
This certificate issued pursuant to the requirements of Section 307 of the
Uniform Building Code certifying that at the time of issuance this structure ms
in compliance with the various ordinances of the city regulating building
construction or use. For the following:
Use Classification
RETAIL SALES (INTERIOR
IMPROVEMENT)
Bldg. Permit No. 15217
Group B-2
Type Construction II N.
Hr. Use Zone
PLANNED DEVELOPMENT
Owner of Building CASTLEBYS (TENANT) Address
Building Address 10123 N. WOLFE RD. #1040 Locality
Building Official
rover •Op.l
By:
Date:
10123 N. WOLFE RD. #1040
CUPERTINO, CALIF. 95014
JOE ANTONUCCI
DECEMBER 2, 1988
POST IN A CONSPICUOUS PLACE
n
let
+` POST THIS RD NEAR.FRONT OF BUILDING •J
CI1T OF CUPERTINO !� :,
INSPECTION DIVISION/ \
JOB INSPECTION RECORD
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JOBADDRESS � /V UNN
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OWNER g-STLL CONTRACTOR L%Qj6r AIe, L"dti!(7
RMIT NUMBER
15217
PERMIT EXPIRATION'
PERMIT EXPIRES IF WORK '
IS NOT STARTED WITHIN "
180 DAYS OF PERMIT ISSU-
OR 180 DAYS FROM
LASTCALLED INSPECTION.
INSPECTION DATE I INSPECTOR
INSPECTION RECORD
FOUNDATIONANCE
NOTE:
ALL GRADING AND DRAINAGE SHALL BE INSTALLED
TO COMPLY WITH THE APPROVED PLANS AND CITY OF
CUPERTINO STANDARDS. -
UFER
PREGUNITE
PERMIT VALIDATION
`'•' `•
! / �.''Ei
ISSUANCE DATE
GARAGESLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-('2
" UNDERGROUND/SLAB"
PLUMBING
�i_i \ Q - t^dK
ELECTRICAL
MECHANICAL -
-
aLnc ELECT
0 -❑
PLA. MECH
❑ ❑,I
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
A
Q
v
BUILDING PERMIT
INFORMATION
WOOD FLOOR
VALUATION 5/FT,
PLUMBING
`
JAN \pO�J
MECHANICAL
ELECTRICAL
„1�
W
PERM1IIT TO
iUTERl�� /�/ �'/c•
'7
FRAMING
INSULATION
STORIES
TYPE CONSTSTR,
OCC. GROUP -
RES UNITS
Fit
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF
NOTE: NO FINAL INSP. SHALL BE MADE BEFORE
THE CONSTRUCTION TAX IS PAID
so. ET ELooR AREA
TorAI. ACREAce
DIAPHRAGM .
ROOF SHEATHING
BUILDING USE
Res IrvD CON PR O.I,,..
❑ ❑ ❑ ❑ ❑
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED
FINALS DATE INSP.
ROUGH
SANA
ASSESSORS PARCEL NO.
PLUMBING
ELECT. ENERGY
TUBS 8 SHOWER PAN -
PLUMBING ENERGY
THACI NO
PARCEL NO�
MECHANICAL
MECH.ENERGY
ELECTRICAL
BUILDING ENERGY
ACCDATE
,
ACC. FILE NO
FRAMING 3/,
ELECT. FINAL TEST
INSULATION
PLUMBING (�
ZONING
ENG. SITE NO.
GAS'TEST
GAS
FIRE SPRINK
Y❑N❑
ENERGY r"za
v❑ NEI
i j
MECHANICAL -
iib—
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
HEATING
EXTERIOR SHEAR
ELECTRICAL RELEASE
FLOOD ZONE
❑ N
A.L DID
L N❑
INTERIOR SHEAR
FIRE DEPT.
SHEETROCK:
GRADE
FEE SUMMARY
EXTERIOR LATH
BUILDING —%
BUILDING
����,((((pppp 01DINTERIOR
7'h
LATH
TEMPORARY, PPROVA LS
SCRATCH COAT
ELECTRIC
PLAN CHECK
FEE
GAS
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY
SEISMIC FEE
o2
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE'FOR INSPECTION BY PHONING 252-4505,
o� ONE WORKING DAY. BEFORE REQUIRED INSPECTION.
A
PLEASE GIVE JOB ADDRESS'WHEN PHONING.
SEE PERMIT FOR EXPIRATION DATE -
ELECTRIC .
PLUMBING
MECHANICAL
CONST. TAX
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE
" CALLING FOR FINAL.INSPECTION'.
TOTAL
.80•
OFFICE COPY
ELECTRIC SERVICE N^'ICE • P.G.b E. COPY ✓
BUILDING INSPECTOR'S, .E
CITY OF CUPERTINO ,. B
19�L L
to
You are hereby authorized to Cgnn5q electrical service for _ a�
Owner or Tenant
No. of Wires Size of Wires Size of Switch
Motor Load Voltage
Hearing Lood K.W. Voltage
IL*lp
LlgIt 110��New Service / Reconnect
No. of Meters — Heat 120_Three Wire More Service__
No. of Add. Meters Power —Three Phase Move Mete, -
(E) .
eter(E)• ELECTRICAL INSPECT O -(/ /—
0
t
a
ELECTRIC SERVICE N`10E 9 '# OFFICE COPY I/ `
BUILDING INSPECTOR1 =E _
CITY OF CUPERTINC)Cf - �..
To
19
You are hereby authorized
i
to Conned electrical service for
Owner or Tenant / J
A
r '!- ^�
,d n� J - J1Q, ; G�
At / /,-
/I� l6,)-,
No. of Wires
Sze of Wires Size of Switch
Motor Load
i
Voltage Phase
Hearing Load
I
K. W. Voltage
F' T"T-�IulEfl
A; T T ,` y
No. of Meters ( 1 r' ;,�
1�/
( Light I'� Li90 L- — New Service `/ (''L Reconnect
eat
,H - i -0__Three Wire
„ 20, `. More Service__
' No. of Add. Meters
Power Three Phase Move Meier
/'�/
0• EIECTRICAI INSPECTOR`"'
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!APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE ALL POINT PEN ONLY
PROJECT IDEN7I FDIC
APPLICATION &PE IT
BUILDING -ELECTRICAL -PLUMBING -MECHANICAL
PERMITNUMBER,
1521 7
bBUILDING
BUILDING
aooREss
NAME 5 - gist
Y[
L PHONE 9GSrG Z
QTY. ELECTRIC PERMIT FEE
PLAN CHECK VALIDATION
/(��
J
CONTRACTORS
UTLETS-SWITCHES-RECEP 10.00/1.00
LIGHTING FIXTURES 10.00/1.00
I$ uC. NO.36 7-7/
CONTRACTOR
ADOR ESS
PPLIANCES-RESIDENTIAL 4.00
PANELS 10.00
}�CC/�
241501",A^ yQr PHONE 5'21 V43 41
DATE OF APPLICATION '
ARCHITECTPLAN
DR .
ENGINES G
. I111(LT/ 11C. NO.(Z 34
PANELS (OVER 200 AMP) 20.00
CHECK FEE P.C. NO.
SIGNS TRANS. 3.00
ADDRESS ENG
sc- fn Az,A✓z Syr Q/L,
SPECIAL CIRCUIT 5.0Q
PERMIT VALIDATION
EMP. METER OR POLE INS. 20.00
A:I-
iIP ted D
_
APPLICANT'S
ADDRESS ,y 4iS Sd:, Dz..
MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
44 -g•.a ,01z) f
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed Under Pmvisioosnf Chaplet')
ISSUANCE DATE
(commencing with Section 7000) of Division 3 of the Business' And
Professions Cod nd my license is in full for a fled. (
License C' Lic. Number
BLDG. ELECT.
❑
PLG. MECH.
❑ ❑
Date Contractor -'�+
PAID
BUILDINGINFORMATION
INFORMATION
OWNER-BUILDER D17CLARATION
I hereby affirm that I am exempt from the Contractor's F License
Law for the following reason.lSec. 7031.5, tlusinessanJ Pwfessiols
Code: Any city or county which requires a permit to construct, alter,
improve, demolish, or repair any structure, prior to Its Issuance, also
requires DID applicant I'Ot such permit to file a signed statement that
he is licensed pursuant to the provisions at tire Contractor's License
r
MISC. - REFER T D
PERMIT ISSUANCE - .0 C
VALUATION
4 +.
Oy
$/FT.
'
ELEQ CONTR. LIC. NO.
'
EL . (x ,,F
TOh-LV kof CupB1 di
PERMIT TO
QTY. PLUMBING PERMIT FEE
Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and
�� V
STORIES
TYPEtCONSTH.
the basis for the alleged exemption. Any violation of Section 7031.5
1
by any applicant for a permit subjects the applicant to a civil penalty
of not more than five hundred dollars ($500).):
'
ALTER -DRAIN -WATER IEA.) 5.00
❑ I, as owner of the property, or my employees with wages as
their sole compensation, will do the work, and the structure is not
BACK FLOW PROTECT. DEVICE 4.00
OCC. GROUP
RES. UNITS
DRAINS -FLOOR, ROOF, AREA,COND. 5,00
intended or offered for sale (Sec. 7044, Business and Professions
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
TOTAL ACREAGE
himself or through Ills own employees, provided that such improve
maps are not intended or offered for sale. If, however, the building
GAS - EA. SYSTEM -11 NC. 4 OUTLETS 6.00
or improvement is sold within one year of completion, the owner-
builder will have the burden of proving that he did not build or int-
prove for purpose of sale.).
❑ I, as owner of the property, am exclusively contracting with
GAS - EA. SYSTEM - OVER 4 IEA.) 2.00
BUILDING USE
RS IND CON PB Omer
RESEl
D 13
INDUSTRIAL WASTE INTER. 30.00
licensed contractors to construct the project (Sec. 7044, Business
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- 1 INC 5 V.B. 6.00
LAWN SPRINKLERS - OVER 5 (EA.) 1,00 '
ASSESSORS PARCEL NO.
contracts for such projects with a Dominations) licensed pursuant to
the Contractor's License Law.
SEWER -SANITARY -STORM EA. 200ft/10.00
TRACT NO.
PARCEL NO.,
❑ 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
ACL. FILE NO.
WORKP-RS'COMPENSATION DECLARATION
WATER TREATING EQUIP. 5.00
I hereby Affirm that I have a certificate of consent to rel Ginsure.
or a certificate of Workers' Compensation Insurance, or a certified
ZONING
ENG. SITE NO.
copy thereof (Sec. 3800, Lab.C.).
Policy No. Company
0 ted co is her y ramiled.
Appl reified co is a with U ' city inspection division.
FIRE SPR INK
V N
❑
ENERGY T 14
V N
MISC. - REFER TO ORD.
CERT TIS OP EXEMPTION FROM WORKERS'
PERMIT ISSUANCE - 10.00
FLOOD ZONE
A.L.U.C.
PLG.CONTR. LID. NO.
PLG.
TOTAL
COMPENSATION INSURANCE
1'fhis section need not he completed if the permit is for ono
V ❑ N�
Y N�
QTY. MECHANICAL PERMIT FEE
'
FEE SUMMARY
hundred dollars (S 100) or less.)
I certify that in the performance of the work for which 'his per-
not Is issued, I shall not employ any person in any manner so as to
BUILDING
3
become subject to lire Workers' Compensation Laws of California.
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Ex-
ALTER OR ADD TO MECH. 5.00
APPLIANCE 5.00
PLAN CHECK
emption, you should become subject to the Workers' Coulpensation
provisions of the Labor Code, you must forthwith comply will
such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
FEE
AIR HANDLING UNIT (TO 10=CF.NL) 4.00
AIR HANDLING UNIT (OVER 10=C.F.M.) 6.00
SEISMIC FEE
?�
I hereby affirm that (here is a construction lending agency for
the performance of the work for which this permit is issued (Sec
3097, Civ.C.).
EXHAUST HOOD (WITH DUCT) 5.00
,
MICROFILM
HEATING UNIT (TO 100,000 B.T.U.) 8.00
HEATING UNIT (OVER 100,000 B.T.U.)9.50
ELECTRIC
Lender's Name
Lender's Address
FAN (SINGLE) 4.00
I certify that I have read this application and state that rho aboveVENTILATION
information is correct. I agree to comply with all city and coup,PLUMBING
ordinances cad state laws relating to building construction, And
BOER- COMPI3H.P.or100,0000.T.U.) 6.00
So LILER-COM P (Over 100,000 BTU) SEE FEE SCH.
MECHANICAL
hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
MISC. - REFER TO ORD.
CONST. TAX
(We) agree to save, Indemnity and keep harmless the City of
upertin. against liabilities, judgments, Casts and expenses which
Ay 'n�'AtY1Y4y�accrue against said City in consequence of the
PERMIT ISSUANCE 10.00
MECH. CONT. LIC. NO. MECH.
TOTAL
TOTAL
r/ fid.
at ting Of this perT 1.
w 5
Signa! eof App nt/Contractor Date
OFFICE COPY