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15950 POST'THIS CARD NEAR FRONT OF BUILD[ PERMIT NUMBER "CITY.. OF CUPERTINO 1595 INSPECTION DIVISION JOB INSPECTION RECORD • ,I/ I'. OD13 PERMIT EXPIRATION • JOB ADDRESS 1 d/_ot<3'/V••IM1JU �J� fir' NIT#, _LOT# L� �I .��l ' PERMIT EXPIRES IF WORK • OWNER ��G /`y.y 2C �(J� -CONTRACTOR R-l3�CL, oC ,1`i 4,,) IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM _ NOTE: ' LAISTCALLED INSPECTION. UFER _ ALL.GRADING AND_DRAINAGE SHALL BE INSTALLED ' PREGUNITE TO COMPLY WITH THE-APPRo PLANS AND CIN OF PERMIT VAUUATION GARAGESLABS' CUPERTINO'STANDARDS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ' UNDERGROUND /SLAB PLUMBING C7 I ELECTRICAL .- - ISSUANCE DATE MECHANICAL - BLDG ELECT. PLG. MECH ❑ © ❑ ❑ I D BUILDING PERMIT 0 NOT POUR F a L FLOOR UNTIL ABOVE HAS BEEN SIGNED WOOD.FLOOR - INFORMATION S/ VALUATION F T. PLUMBING I ' MECHANICAL - ELECTRICAL - ` PERMIT rO FRAMING INSULATION Ir Es TYPE CDNSTR OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED `t • ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE sD Fr FLOOR AREA TOTAL ACBEaGL ' DIAPHRAGM :. THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING RES IND CON PB on,.. APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE -INSP. CI ❑ ❑ ❑ ❑ ASSESSORS PARCEL NO .ROUGH SAN.N ' PLUMBING ELECT.ENERGY ' TUBS 8 SHOWER PAN � , PLUMBING ENERGY TRACT NO. PARCEL NO MECHANICAL MECH.ENERGY '• ELECTRICAL .- BUILDING ENERGY Acc.oATe_ ACC FILE No FRAMING. .. - - ELECT.FINAL TEST - ZONING ENG,SITE NO. INSULATION - • PLUMBING -GAS TEST' - GAS MECHANICAL • FIRE SPRINK ENERGY T.24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING 'Y ❑ ND Y ❑ N[3 I . EXTERIOR SHEAR ELECTRICAL RELEASE FLOODZONE ALUC INTERIOR SHEAR FIRE DEPT..' y ❑ NO Y ❑ No SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH - TEMPORARYAPPROVALS BUILDING SCRATCH COAT' - ELECTRIC b- PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM w ARRANGE FOR INSPECTION BY PHONING 252.4505ELECTRIC , 4 ~O� ONE-WORKING DAY BEFORE REQUIRED'INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION DATE — ME C H A Nlilt CAL 'IMPORTANT! ' CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL'INSPECTION'. OFFICE COPY ELECTRIC SERVICtE NOTICE P.G. E.COPY J.^ BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO To `7 — " . 19 t; You are hereby authorized to Connect electric,[service for n n o Owner or Tenant L/L[_ �� �� y/T 0^'r/� f n,, 77e— C/1r ' At. 7,� vr.2�/>�� s�fo / 3 No.of Wires Size of Wires Size of Switch Motor Load Voltage Phase ' Heating Load K.W. Voltage 110IM/0 /` A No.of Meters Light 0_New Service Reconnect Hear 120-Three Wire More Service_ No.of Add.Meters Power ^ Three Phase Move Meter ©� ELECTRICAL INSPECTOR ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO 1a �� To You are hereby authorized to Connect electrical service for Owner or Tenant At Pv/7 3 No.of Wires Size of Wires Size of Switch ----------- Motor Motor Load Voltage Phase Heating Load K.W. Voltage � I, ' ( Lght 190New Service Reconnect No.of Meters 1\ lent-1 20-Three Wire More Service_ No.of Add.Meters Power Three Phase Move Mee,- ELECTRICAL eier ELECTRICAL INSPECTOR APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY .PERMIT NUMBER . I • BUI LDI NG PROJECT I DENTI FICATION ��/ - - Aoon ss .2o�v �-/`) I� APPLIGRTIO�J & PERMIT - 5950 - /0/ �1/O H wo1.FC^ l?iOH• BUILDING—ELECTRICAL—PLUMBING—MECHANICAL OWNER'S q PLAN CHECK VALIDATION NAME 7ne a`,,r=c T,?er•/ rC �DUTf�vE. • I OTV. ELECTRIC PERMIT FEE . 19VDDjJ PHONE 7'IS CONTRACTORS NAME p UTLETS-SWITCHES-RECEP 10.00/1.00 LIC.NO.B 43 1701 ILIGHTING FIXTURES 10.00/1.00 esroNrRAcroasalo GO. li�`•-°`I PPLIANCES-RESIDENTIAL- 4.00 DDRE55 LIF U R � ANELs 0,00pp4Y` )\ici, PHONE?)V- DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE ,.C.NO. OR ENGINEER .uc.NO. SIGNS TRANS. 3.00 ARCHH.OR ENG' SPECIAL CIRCUIT 5,00 PERMIT VALIDATION SS ZIP EMP.METER OR POLE INS- ?8:60 A3L APPLICANT S ADDRESS _ MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 00 LICENSED CONTRACTORS DECLARATION- ¢U U. I hereby affum that I am licensed under provisions of Chapter 9 - ISSUANCE DATE y a w (commencing with Section'7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. r o Professions Code,' d my license is in full for c a t�6.7 ❑ ❑ p i PAW El = License la s Lia Number I / . Date---tea-t Contractor m f BUILDING PERMIT E- W w u OWNER-BUILDER DECLARATION 9 INFORMATION X 3 n I- 1 herebyalfrm that 1 am exempt from the Contractor's License MISC.— ,- REFER TO OR 'a- W ' PUATION E/FT. r _O J Law for the following reason.(Sec.703 iresa Businessand Professions -—PERMIT ISSUANCE - `— n \\7� W i Cade:Any city or county which requiresa permit to constrne aheq 8 2 2 Q p improve,demolish,or repair any structure,prior 10 its issuance,also ELEC.CONTR. LIC.NO. ELEC. G a, requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO w$ he is licensed pursuant to the provisions of the Contractor's License FZQ Law(Chapter 9(commencing with Section 7000)of Division 3 of the f i p Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE st I- the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. a ; by any applicant for a permit subjects the applicant ma civilpenelty ALTER-DRAIN&VENT-WATER IEA) 5.00 of not more than five hundred dollars(8500).): . - ❑ 1,as owner of the property,or Try 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 Contractors License Law does not apply to all owner of property who builds or improves thereon,and who docs such work F IXTUR ES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- GAS-EA.SVSTEM-11NC.40UTLETS 6.00 menus are not intended or offered for sole.If,however,the building or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 IEA.) 2.00 BUILDING USE builder will have the burden of proving that Ise did not build or im- RES IND CON PB Other prove . . for purpose of sale.). INDUSTRIAL WASTE INTER3000 ❑ I,as owner of the properly,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 Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who iLAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO, PARCEL NO. ❑ Iumexemptunder Sec. ,B.&P.C.far this WATER HEATER W/VENT 6.00 reason Owner - Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to self-insure, _ ZONING ENG.SITE N0. or a certificate of Workers'Compensation Insurance,or a certified opy thereof(Sec.3800,Lah.C.). , 11 [icy No. Company O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T-24 Z Z O Certif cop H ed wilythe city inspection division. MISC.- REFER TO ORD. O Applicant C6^_v4 Y❑ N❑ Y.❑ N❑ ~ m �' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. � CIiRTIFI AYEPE EXEMPTION FROM WORKERS' CL need not be co N INSURANCE the PLG.CONTR. LIC.NO. PLD. Y❑ N❑ Y❑ N❑ � Z (This section Sled not be completed if the permit is for one TOTAL hundred dellaat 1 n tine pe less) LL O I certify that h the performance of person work for which this per- QTY MECHANICAL PERMIT FEE FEE SUMMARY LL F mil is issued,I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. i Date Applicant ALTER OR ADD TO MECH. 5.00 PELECTRIC } N NOTICE TO APPLICANT: If,after making this Certificate of Ex- 2. emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 provisions of the Labor Code, you must forthwith comply with (� such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.NL)' 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10DMCF.M.) 6.00 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 HEATING UNIT(TO 100,000 B.T.U.) 8.00 3097,Civ.C.). Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ��� I Certify that l have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00 information is correct..)agree to comply with all 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 hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. (We) agree to nave, indemnify and keep harmleas the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which CONST.TAX ay many way accrue against said City in consequen a of the PERMIT ISSUANCE 10.00 Bra :7 of this pr, iL MECH.CONT. LIC.NO. MECH. OTAL TOTAL Ignatureof Applicant/Contractor Dal OFFICE COPY