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159371• POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOBANSPECTION RECORD yw^^I JOB ADDRESS lVl'Z•3 N VloLF.F n� . UNN �# _LOT# OWNER AwAI.S CONTRACTOR ELbZ /L/C.. PERMIT NUMBER 15937 PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU- . ANCE OR 180 DAYS FROM ; ' LAST CALLED INSPECTION. INSPECTION ' DATE I INSPECTOR INSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. LIFER - PREGUNITE PERMIT VALIUATIDrs ci �'B 1 �:•/' 1SjbANCE DATE GARAGE SLABS , POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING - ELECTRICAL - PLUG. El ELFCL PLG. MECR, MECHANICAL 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED euaowM PERMIT INFORMATION WOOD FLOOR VALUATION sifr., , O T p0- PERMIT TO �aDTEL �T STORIES j F TYPE CONSTR. i PLUMBING - � MECHANICAL ELECTRICAL _ - " V FRAMINGt .. INSULATION ' - Occ. GROUP REs,uNlrs PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED $O. FT FLOOR AHE. TOT aL aCH FAGS ' ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID - DIAPHRAGM. BUILDING USE RES IND CON PIs i OR— • ❑ ❑ ❑ ❑ ❑ ROOFSHEATHING . ' I I APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP.. ASSESSORS PARCEL NO RCUGH- SAN* . 'PLUMBING '' ELECT. ENERGY - TRACT NO. PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH. ENERGY ' ACC DATE. ACF FILE NO. •• ELECTRICAL BUILDING ENERGY FRAMING. ELECT. FINAL TEST ZONING ENG,SITENO. - INSULATION ' PLUMBING GAS TEST GAS ` fIRE SPRINK Y❑ N❑ ENERGY 7 24 .o N❑ MECHANICAL - ' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD ZONE Y ❑ NO - A.L U.C. Y L, N❑ EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. FEE SUMMARY SHEETROCK GRADE EXTERIOR LATH BUILDING — BUILDING - INTERIOR LATH - TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK FEE ' GAS - SEISMIC FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL'ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, LU ONE WORKING DAY BEFORE REQUIRED INSPECTION. ' ~o PLEASE GIVE JOB ADDRESS WHEN PHONING. Z - SEE PERMIT FOR EXPIRATION DATE - ELECTRIC PLUMBING MECHANICAL CONST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE'BALL POINT PEN ONLY` BUI LD1 NG PROJECT DENTI FIC TION - APPLICATION & PERMIT BUILDING - ELECTRICAL- PLUMBING -MECHANICAL 'PERMITNUMBER iP" 15937 So INC Ik OWNERS AME N '•�r �j-g'Z•7J AN DNE ! - i OTV ELECTRIC PERMIT FEE PLAN CHECK VALIDATION N EHACTORS OUTLETS -SWITCHES -RECEP-1000(ip0' 10.00/1.00OOS51.-. ,, uc. CONTRACTOR'S / /�.� ADDRESS 4�5{/j�/�1' PPLIANCES-RESIDENTIAL 4.00 PANELS 10.00-' PRONE :'11 11 DATE OF APPLICATION ORRcw T. , ENGINEER ' uc. NO - PANELS (OVER 200 A P) - 20.00 PLAN CHECK FEE P.Cr NO. SIGNS TRANS. 3.00 ARCH, OR ADDRESS ENG --�� SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 20.00 in, - Q � A ADOR DRESS Ess - MOTORS SEE FEE SCH. - SERVICE CHANGE 20.00 _ LICENSED CON TRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes,I ns Cod • 'cense is in full for it ss Lic.Noinb ISSUANCE GATE' BLDG. .. ,ELECT.' PLG. MECH. �.- El Dale Comore - BUILDING PERMIT INFORMATION OWNER -BUILDER DECLARATION 1 hereby affirm ingr am exempt fro.5, Bu Contractor's Pti License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires permit to construct, alter, 'MISC. - REFER TO O PERM I UANCE VALUATION $/FT. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant l0 the provisions of the Contractor's License Law (Chapter 9(commeneingwith Section 7000) of Division 3 ofthe Business and Professions Code)'or that he is exempt therefrom and C. ONT LIC. NO. E, t T 'PERMIT TO - CITY. PLUMBING PERMIT city ��PP9BLL�t the basis for the alleged exemption. Any violation of Section 7031.5 by any applicanttons permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1 STORIES • - TYPE CONSTR. " gLTER-DRAIN&VENT-WATER (EA.) 5.00 '❑ L as owner of the property, or my employees with wages as their sole compensation, will do lire work, and the structure is not BACK FLOW PROTECT. DEVICE 4.00 OCc. GROUP REB. 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 ' .' FIXTURES - PER TRAP 5.00 GAS-EA.SYSTEM-111NC.40UTLETS 6.00 SO. Fr. FLOOR AREA - TOTAL ACREAGE property who builds or, improves thereon, and who does such work himself or through his own employees, provided that such improve- ments are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or I'D -BUILDING prove for purpose ofsale). O I, as owner of the property, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 (EA.) 2.00 USE RES IND :_CON PB Other Q 0 ❑ '. ❑ 0 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 - ASSESSORS PARCEL NO. LAWN SPRINKLERS - OVER 5 (EA.) 1,00 contracts for such projects with a contractors) licensed Pursuant to dna Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft/10.00 TRACTNO. ,PARCELNO. ❑. I am exempt under Sec.' ,BAP.C. for this reason NATER'HEATER W/VENT 6.00 Owner Date WATER SYSTEM 5,00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP, 5.00 _ "WORK FHS'COMPENSATION DECLARATION I hereby affirm it 1 1 1 rtfcale 0f cansenl to self -insure, or a cer ' i of.14o�I�I� m alio%II,nssurayncee,{o�r�(u'craified t ieE.`7 'J/aIn. �n VGA 1 c Compo - ZONING ENG. SITE NO. - FIRESPRINK Y N ENERGY T-24 Y ❑ N� ❑ Cer d opy is he y rushed. ❑ Cerl y i t w h [Ile city inspection division. Applicant t MISC. - REFER TO ORD. CE RTI FICAI'E OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L. UA. COMPENSATION. INSURANCE (This section need not be completed if the permit is for one '?' ❑ N❑ Y [ N❑ PLG.CONTR. LIC. NO. pLG: TOTAL hundred dollars IS 100) or less.), I certify that in the Performance of the work for which this per- mit is issued, I shall not employ,xny person in any manner so as to OTV. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING ' become subject to the Workers' Compensation Laws of Culil'orma.. Date ApplicantI NOTICE TO APPLICANT: if, after making this Certificate 01 Ex- - FALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 AIR HANDLING UNIT (TO 10=C.F.M.) 4.00 PLAN CHECK' FEE - emption, you should become subject to the Workers' Compensation provisions of the Labor Code, you most forthwith comply with such provisionsor this permitel all be deemed revoked AIR HANDLING UNIT (OVER I0,000GF.M.) 6.00' - SEISMIC FEE - CONSTRUCTION LENDINGAGENCY '• 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 (See. 3097, Civ.CJ.. MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 Leader's Name Lender's Address HEATING UNIT 100,000 B.T.U.)9.50 ELECTRIC I C VENTILATION FAN (SINGLE) 4.00 I certify that I have read this application and state that the above information is'correct, Fagree to comply with all city'and county'PLUMBING ordinances and state laws relating to building construction, and , - BOILER-COMPI3 H. P. Or 100,000 B.T.U.) 6.00 BOILER -COMP (Over 100,000 BTU) FEE $CH., - 'MECHANICAL` hereby aphorize,representatives of this city to enter upon the above-mentioned properly for inspection purposes. '. 'MISC. - REFER TO ORD. - CONST. TAX mnify and keep harmless the City of agree to'Lace agains n Is, costs and expenses which y .wn ai t sat Cily in conaeque cc of the oSig.alcum PERMIT ISSUANCE 10.00 MECH. CONT. LIC. NO. ' MECH., A TOTAL - TOTAL f Applicant/Contractor Date OFFICE COPY