15386 POST THIS CARD NEAR FRONT OF BUILDING PERMITNUM6ER I
CITY OF CUPERTINO j,3 �*
INSPECTIONDIVISION
-�. JOB INSPECTION RECORD
�Ary�
yt PERMIT EXPIRATN
JOB ADDRESS` 10123. N. Wolfe Road UNIT#_ _LOT#
PERMIT EXPIRES IF WORK
OWNER Calania Corp. CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU.
FOUNDATION ANCE OR 180 DAYS'FROM
NOTE:
' LIFER ALL GRADING AND,DRAINAGE SHALL BE INSTALLED LAST CALLED INSPECTION.
PREGUNITE TO COMPLY WITH THEAPPROVED PLANS AND CITY OF ., PERMIT VALIDATION
CUPERTINO STANDARDS.
' GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED r _
Y / �
UNDERGROUND /SLAB / +
PLUMBING
ELECTRICAL In ISSUANCELATE
-
MECHANICAL eL.Dc ELECT Pcc. MECR.
❑ ❑ ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR VALUATION $iFT.
PLUMBING - - - -
MECHANICAL - /' -
ELECTRICAL - - PERMIT TO
FRAMING - - + �' -✓•"'
INSULATION ' STORIES TYPE CONSTR. t '
ILCC CROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
SO.FT.FLOOR AREA TOTAL ACREAGE
kROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE
DIAPHRAGM I I THE CONSTRUCTION TAX IS PAID
J ROOF SHEATHING " FiES IND ILOCON USE
omry'.; '
APPLY.NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑
` ROUGH SAN.N - t ASSESSORS PARCEL NO.
PLUMBING ELECT.ENERGY
TUBS 8 SHOWER PAN PLUMBING ENERGY - TRACT NO, PARCEL ND
MECHANICAL MECH.ENERGY
ELECTRICAL BUILDING ENERGY Acc DATE Acc.FaENo.-
FRAMIN ECT.FINAL TEST' zoNING ENG.SITE NO.
INSULATION. PL MBING :3-
GASTEST GAS `
MECHANICAL .-.2 FIRE SPR iNK ENERGY T2
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING E] "❑ Y ❑ "❑
EXTERIOR SHEAR 'ELECTRICAL RELEASE ], FLOOD ZONE A.Luc.
INTERIOR SHEAR FIRE DEPT. Y❑' "❑ Y ❑ - N❑'
SHEF<TROCK. GRADE FEE SUMMARY
EXTERIOR LATH BUILDING — i
INTERIOR LATH TEMPORARY APPROVALS- BUILDING .�,49 �+
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEF,
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY, SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. 'MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505ELECTRIC
„
0-0 PLEASE
WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING.
, n Z — SEE PERMIT FOR EXPIRATION DATE'— MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE o
TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUI LDI NG PROJECT 1 DENTI FICATION .PERMIT NUMBER --
aUIL ING APPLICATION & PERMIT q C 0 L+
ADDRESS I J Q U
BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
OWNER'S
NAME L/!� PLAN CHECK VALIDATIOryr
/1� 7 CITY. ELECTRIC PERMIT FEE 7 q y •,�("
,. IA (,d PRONE e e/4,
CONTRACTOR'S
:- NAME - �PrNr9 UTLETS-SWITCHES-RECEP 10.00/1.00
L' IC.NJ • 3� /3 LIGHTING FIXTURES 10.00/1.00
CONTRACTOR'S
AOOREaS S.IF A� S - PPLIANCES-RESIDENTIAL 4.00
a'(
ay ONE /)4070 - PANELS 10.00 DATE OF APPLICATION
OR
V(/-VI
-5' /rn4 i7C / PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO.
Ofl L- ''�-II ! ��OO//44�� TIL�4Tr
ENGINEER
uc.NO. - / SIGNS TRANS. 3,00 - '
ARCH.OR ENG.//1/2 S7 J!'T^ I PERMIT VALIDATION
AOOREss �J7 L� V-� a F�, / SPECIAL CIRCUIT 5.00
P&4
Ar ac0 C,9
zIP 07. ^ EMP.METER OR POLE INS. 20.00
APPLICANT'S eW /y -,-
ADDRESS
'
ADDRESS S�,•7 �j -AWil--CSCd 7Y/�Z '1, MOTORS SEE FEE SCH. ctt _
D¢ 2 rr f7-- VtM 77607 SERVICE CHANGE 20.00 �l/Ol Od
r o o LICENSED CONTRACTORS DECLARATION S
< u sU I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE
H z w (commencing with Section 7000)of Division 3 of the Busines nd
w a sN� BLDG. ELECT. PLG. MECH.
H �w Professions Cod y license is in full fur fee{.^3A
2 D`��' Licensyy CICo Number 1.!"
z D Date(¢J_{_t2_g8_Commctor ' e
a y i - 4 BUILDING PERMIT
¢ ¢ a OWNER-BUILDER DECLARATION v
M
a u INFORMATION
E
Sw 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO O
F ¢ 0< Law for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10. 0 X.GLUATION '$/FT.
Code:Anyciuyorcounty which requires a permit to construct alter, �j .M.A
QQ Q Improve,demolish,or repair any structure,prior to its Issuance,also ELEG CONTR. LIC.NO. ELEC.
u wO LL requires the applicant for such permit to file a signed statement that - TOTAL - PERMIT TO
he is licensed pursuant no the provisions of the Contractor's License
i
Law(Chapter 9(cnmmenciog with Section 7000)of Division 3ofthe
i o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE /V(`C-7C.L0� /jJR/t/&F
¢ H$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
by any applicant for a permit subjects the applicant oa civil penalty ALTER-DRAIN -WATER (EA.) 5.00
of not more than five hundred calms(5500).):
❑ I,as owner of the property,or my employees with wages as BACK F LOW PROTECT.DEV ICE 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,AREA,(&N
Code:The Contractor's License Low does not apply to an owner of
r\ property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 SO.FT.PLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such
improve-menus are not intended or offered for sale.If,however,the building - GAS-EA.SYSTEM-111NC.40UTLETS 6.00
f or impomemem is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00
builder will have the burden of proving that he did not build or im- ' BUILDING USE
prVfor purpose of sale.). INDUSTRIAL WASTE INTER. - 30.00 RES 'IND CON PB Done,
�I 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.8. 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 IEA.) 1.00
contracts for such projects with a contractors)licensed pursuant to /
the4WORKE4RS'COMPEiS�A110N
SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
.
B. .C.I'orihis WATER HEATER WIVENT 6.00
rea -
Ow at / WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO.
;NSA'1' ATION - WATER TREATING EQUIP. 5.00
1 hereby affirm that I have a certificate ofttmsenl to self-insure, ZONING ENG.SITE N0.
or o Certificate of Workers'Compensation Insurance,or a certiried
copy thercoffSec.3800,Lab.C.)
Policy NO. Company
O ❑ fortified copy is hereby furnished:IIIIJ 21 27i FIRE SPRINK ENERGY T-24
Z Z Or Certified copy is filed with the city inspec ton division. - REFER TO ORD.
13- Applicant ]MISC. Y❑ N❑ V ❑ N❑
to CERTIFICATE 017 EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C.
LU 7 COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG.
CL Z( This section need not be completed if the permit is for one TOTAL v❑ N❑ Y [:] N[]
hundred dollars(S 100)or less)
U 0 1 certify that in the performance of the work I'or which this per-WHANDLING
ECHANICAL PERMIT FEE FEE SUMMARY
LL F mit is issued,I shall not employ any person in any manner so as to
U become subject to the Workers'Compensation Laws of California.
O CL Date I Applicant p BUILDING 8 9.Sa
CL ADD TO MECH. 5.00
} m NOTICE prion you
APPLICANT: If,after muting this Certificate sa ion
L.. ? emvision you should become subject In the Workers'CompensationAPPLIANCE 5.00 PLAN CHECK
provisions io the Labor Code, you must forthwith comply withNG UNIT IT
10,000C.F.M) 4.00 FEE
U such provisions or this permit shall he deemed revoked. 9
CONSTRUCTION LENDING AGENCY NG UNIT(OVER IOMOOOCEM.) 6.00 SEISMIC FEEI hereby affirm that there is a constriction lending agency forHOOD (WITH DUCT) 5.00
the performance of the work for which this permit is issued(SecMICROFILM
3097,Civ.C.). / HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name HEAT]NG UNIT ER 100,000 B.T.090
.) ,5
Lenders Address ELECTRIC
I certify that I 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 scute laws relating to building construction, and BOIILLER-COMPI3H.P.or100,000B.T.U.) 6.00
hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. BOER-COMP IOver 100,000 BTU)SEE FEE SCH.' MECHANICAL
(We) agree to save, indemnify End keep ha film he Cit f MISC.- REFER TO ORD.
uperlino against liabilities,judgments, costs J e nses ch PERMIT ISSUANCE 10.00 CONST.TAX
ay in any way accrue against said City i co q enc the
r MECH.CONT. LIC.N0. MECH. /
TOTAL TOTAL
Signature of Applicant/Contrac or are
OFFICE COPY