15996 POST THIS RD NEAR FRONT OF BUILDING
•. ' PERMIT NUMBER
CI `:OF CUPERTINO a - 1596 yI
INSPECTION DIVISION, : ,• r '
JOB INSPECTION RECORD Y
• //��.. .PERMIT EXPIRATION
JOB ADDRESS /U'I,29� V. 4V0 LFA ?IJ UNIT# r ` LOT 4t �'-`rr f I
,Y • "� - .•e' PERMIT EXPIRES IFyWORK r
' • OWNER � , (j4 L,uJO- f CONTRACTOR - � �' IS'NOT STARTED.-WITHIN
INSPECTION •DATE INSPECTOR - INSPECTION RECORD leo DAYS OF VERMiT ISSU:
FOUNDATION ANCEOR-,180 DAY&FROM,�
NOT LASTCALLE D,INSPECTION.
LIFER' _ " "' .ALL GRADING AND DRAINAGE SHALL BE INSTALLED - c
PREGUNITE . . TO COMPLY WITH THE APPROVED PLANS AND CITY,OF.i - •PERMIT VALIDATION ,
CUPERTINO STANDARDS
4 GARAGE SLABS' '�. �. ri. - ,^.�.-•r"' rt" , :I
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB -
PLUMBING' ,I, - .?^< 'b r
ELECTRICAL -
ISSUANCE DATE'
MECHANICAL - .BLDG ELECr, PLG rMecR.I
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
'
WOOD.F,LOORINFORMATION' ,vnwnnoN - sicr.
PLUMBING - -
R MECHANICAL
ELECTRICAL 7 - T. - PERMIT TO .
' I .
FRAMING + - 'Aa0' A/k, ,
INSULATION , - 8 TOR,ES TYPE CONST-R,
B `SG GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
'SO.T.T.F L OOK AREA TOTAL ACREAGE
` + '• ROOF - - .NOTE:NO FINAL INS°.SHALL'BE MADE BEFORE -
THE CONSTRUCTION TAX IS PAID"-
•; , . DIAPHRAGM'_.
eUILDING"'PI,,
'
ROOF SHEATHING " ` SAES IND CON. PB om.,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP: 0 0' •0 0 'D I
,. ASSESSORS PARCEL NO. ,
ROUGH SAN.q
PLUMBING ELECT.ENERGY' , 't
,
TUBS BSHOWER PAN: - "- PLUMBING ENERGY - TRACT NO,• PARCEL' NO.
MECHANICAL ' -• MECH..ENERGY t' - •
ELECTRICALS ACC.DATE ACC,FILE NO .}
BUILDING ENERGY ' -
�' FRAMING .� .• ,.•ELECT.FINAL TEST -
' :'ZONING ENG SITE NO:,
INSULATION ' - PLUMBING ,���j�., ooq
` LASTEST - GAS 'i'
,y MECHANICAL -'FIRE BPHINK'. ENERGYT24. j
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING:. - "Y 0, , N.0 - Y.E], N0.
FLOOD ZONE w' A.CU C.
EXTERIOR.SHEAR ELECTRICAL RELEASE i
INTERIOR SHEAR • FIRE DEPT. - r❑, ' N,El v ❑fi No
SHEETROCK GRADE . _
i FEE SUMMARY -
'I
EXTERIOR LATH BUILDING., •' .
BUILDING• j
,
INTE RIOR LATH - , -•'TEMPORARY"APPROVALS -
SCRATCH'COAT ELECTRI 7 ,PLAN CHECK ,
.. GAS... . , ++ - FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE. '
OCCUPANCY OF BUI LDINGIS NOT PERMITTED UNTIL BUIL DING FINAL IS SIGNED BY BUI LDING INSPECTOR. I
' MCRgFIIM ,
n
ARAANGE FOR.INSPECTION BY PHONING 252-4505, ELEcraic
F ONE WORKING DAY BEFORE REQUIRED INSPECTION. ;PluMaiNG.
O
PLEASE'E RE WHEN ASE GIVEJOB'ADD SSW E PHONING.
t. .
•I x" T rM ECH ANICAL; F
— SEE PERMIT FOR EXPIRATION DATE •—,• . I — + .
IMPORTANT! CONST TAX
< Ec x
PLEASE READ REVERSE'SIDE BEFORE ' ' a '° TOTAL
CALLING FOR FINAL INSPECTION.
. .OFFICE COPY' :;
APPLICANT TO FILL IN'INFQMEMATION WITHIN'RED LINES - USE ALL POINT PEN ONLY T
_ - [PERMITNUMBER -ai -
�UYLEINGPROJECT IDENTI FIWN APPLICATION 8l P IT '
D • 1 5 9 9 6
ADDRESS100 N Wolfe Road ' Space ce 1002
' BLIILDING�-ELECTRICAL-.,P.LUMBING-MECHANICAL
_fes OWNER'S - . I MPLAN CHECK VALIDATION
NAME CITY. - ELECTRIC PERMIT FEE I
F.W.-.Woolworth,,OM€J'•
CONTRACTOR'S '
NAME OUTLETS-SWITCHES-RECEP 10.00/1.00
\. Cal-Air, :InC." UC.NO. 1'37195 ';.LIGHTING FIXTURES '10.00/1.00 ,
CONTRACTOR A aRESS s
ADDRESS PPLIANCES-RESIDENTIAL 4.00 '
TRCL LC ,t '
1"/.7S 1St B1dgry0(E 937�O1SS
PANELS. , 10,00 •, DATE OF APPLICATION '
ARCHITECT 'PLAN CHECK FEE P.C.'NO.
-
OR - PANELS (OVER,200AMN ` .20A0 •' • . ,
ENGINEER. -
LIC.NO. - SIGNS TRANS. -3.00
ADDRESSENG. , SPECIAL CIRCUIT I" �^ 5.000 H.OR PERMIT VALIDATION
ZIP EMP.METER OR POLE INS. 20.00
Ars MOTORS ' : - 'SEE FEE SCH.
H
ADDRESS •
. SERVICE CHANGE 2000 '
mz
'•woo + LICENSED CONTRACTORS DECLARATION ,
a L � I hereby affirm that I am licensed under provisions of Chapter 9 c �' ISSUANCE DATE
y< n (commencing with Section 7000)of Division 3 of the Business and ., BLDG:, ELECT. PLG. MECH.
F,v,i Professions Code,and I}�(license is in full force,n f c. .Q ❑ ❑
.o i m o Licen�(j`'(�a//{{ oLU-Lic.Number ,
DatCjL�_' I�COnIrJCtOr-��. -
a m f -+ _ +. BUILDING PERMIT
IL o n •'OWNER-BUILDER DECLARATION , „ INFORMATION
m g LL F I hereby affum that I am exempt from the Contractor's License MISC..- - REFER TO ORD
r u o J Law fogthe following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 VALUATION S/FT.
- y'4 Code:Any city orcounly whichrequimsapeorit toconstn¢palter,
improve,demolish;or re ' ELEC.CONTR. LIC.NO. '
a: ¢ ¢o I p pair any structure,prior n its issuance,also , - - TOTAL''
y LI¢ requires the applica0l for such permit to file a signed statement that TOTAL PER_MIT TO
w m v, he is licensed pursuant to the provisions of the Contractor's License -
Q Law(Chopter9(commencing with Section 7000)of Division 3 ofthe
Business and Professions Code)or that lie is exempt therefrom and CITY. PLUMBING PERMIT
¢
.8 the basis for the alleged exemption.Any violation of Section 7031.5 '^STORIES TYPE CONSTR:
by any applicant for a permit subjects the applicant toacivil penalty ALTER-DRAIN -WATER (EA.) 5.00
of not more than five hundred dollars(8500).):
❑ L as owner of the property,or my empluyies 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,AREA;COND. 5.00
ion Code:.The Contractor's License Law docs 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 Nei own employees.provided that such improve- .. -
mentSere not Intended or offered for salt if,however,the budding ' GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00
or improvement is Sold within oproving
of completion,the owner; GAS-EA.SYSTEM-OVER 4 IEA.) 2.00,
builder will have the burden of rovingthat he did not huild or in,- I' 1BUILDING USE
prove for purpose ofsale). INDUSTRIAL WASTE INTER. 30.00 RES" IND 'CON PB 'Other
❑ [,'.1 owner of the property,am exclusively contracting illi - E] [:] ❑ El '❑
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 LAWN SPRINKLERS-OVER 5'(EA.) 1.00 I ,
SEWER-SAN ITARY•STORM EA.200ft/10.00 TRACT NO. PARCEL No. ,
Contracts for such projects with a conlractorts)licensed pursuant to
'
theContractor's1 amc.e5pt Under Sce. - -
❑ lam exempt under Sec. I ',B.&P.C_,fof this WATER HEATER'W/VENT 6.00
reason '
• i
• Owner Date - WATER SYSTEM 5.00 .ACC.DATE . Ata FILE N0.
'? 'WORKERS'COMPENSATION DECLARATION WATER'TREATING EQUIP, 5.00 - ,! :
I hereby affirm that I have a certificate ofconsent to self-insure. ZONING-
or a ccertificate of Workers'Compensation Insurance,or a certified ENG SITE NO.
'
copy y therwf gee"3800;Lah.C') '
Policy No C mpany T Ty- 't I o
❑ Certified copy is hereby furnished. FIRE SPRINK' ENERGY T 24
Z. Z . ❑ Certifies�&1 Y d lie City inspection division. -
p Applicant N�1* 2.6( T�-• MISC.- REFER TO D. :Y❑ N❑ v ❑ -N❑
CC �E OF EXEMPTION
X- J�7�-01-7- * PERMIT ISSUANCE 100
LU CERTIFICATIIPE EAI IO TINS FROM WORKERS' . - NPLOOo ZONE - A:LLLC. `
- W � COM11Pf:NSATION INSURANCE: ' PLG.CONTR. LIC.No. pL '-
CL O (This section need not he completed if lbe permit is for one - T � �Q V❑ N❑ `V ❑I„N❑
Z) Zhundred dollars(S 100)'.01 less.) "
U O 1 certify that:in'the-performance of the work for which this per- QTY. MECHANICAL PERMIT FEE. FEE SUMMARY
.U. F mit is issued,1 shall•not employ any person in any manner so as to
O W become subject to,the Workers'Compensution Laws of California.
Dale Applicant BUILDING
a ALTER OR ADD TO MECH. `5.00
} m NOT ICE TO should b6co If,after making this rs'Certificate sa Ex -
F Z
provisions
of should become subject m the Workers' Comply with
APPLIANCE 5.00 PLAN CHECK "
provisions of the Labor Code, you must forthwith comply with FEE .
' (,1 such provisions or this permit shall be deemed revoked. ,Z AIR HANDLING UNIT(TO 10,000GF.M.) roi
wNs'1'RucrIDNLENDING AGENCY AIR HANDLINGUNIT(OVERIOAOOC.F.M.) 6.00 - SEISMIC FEE
I hereby affirm that there is a construction lending agency lot EXHAUST HOOD(WITH DUCT) 5.00
the performance of the work for whicb,this permit is issued(Sec. MICROFILM
3097,Civ.C.). . . HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Nanle- HEATING UNIT(OVER 100,000 B.T.U.)9.50 ',. ELECTRIC
_ Lender's Address ' F
JoTdinand
ntl have read this application and state that the above VENTILATION FAN (SINGLE) '
-cortect.1 agree to comply with all city and county - - - PLUMBING
d'state laws rlating Io building construction, and BOILER-COMP(3 H.P.or/00,000 B.T.U.) 6,00
red representativesee this city toenter upon IlioBOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL
ed property f sp ofth purposes.to save, in el-id and cep harmless the Cityo f - MISC.- REFERTOORD.instiia�ili s, d cols costs a d expenses which CONST.TAX
ay•x cnie a i m' icy in nsequcnce of the' - PERMIT ISSUANCE
MECH:CONT. LIC.NO. MECH. 'I
TOTAL TOTAL
Signature of Applicant/Contractor _ale Cal-Air IT1C. 137195
O �7 -OFFICE COPY