The URL can be used to link to this page

16080 POST THIS RD NEAR FRONT OF BUILDING" "� PERMIT NUMBER UM OF CUPERTINO 16080 INSPECTION DIVISION JOB INSPECTION RECORD;. �1 (' I,1// �^ 1 P PERMIT EXPIRATION JOB ADDRESS r1 / � IV- "" D ( IZ U J UNIT# • -LOT# " - - PERMIT EXPIRES IF WORK OWNER K I try -eV-44 CONTRACTOR .,S �� eG � � IS NOT STARTED 'WITHIN INSPECTION DATE INSPECTOR SPE ION RECORD ' 1Bo.DAYS OF.PERMIT Issu-;j ' FOUNDATION' ... ' ANCE OR 100 DAYS'F•ROM7, NOTE: - LAST CALLED INSPECTION. 'LIFER • • ALL GRADING'AND DRAINAGE SHALL BE-INSTALLED -,i TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PREGUNITE, CUPERTINO STANDARDS. GARAGE SLABS , • POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - J.• f��Tl=;i`�I.K.G I ti UNDERGROUND /SLAB - PAID - PLUMBING . •'�•. I. { ELECTRICAL Ep1988,. ISSUANCE DATE i - MECHANICAL - BLDG ELECT. . PLG. MECH,, ' city.of cumfn El u Q ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED_ = BUILDING PERMIT - INFORMATION ,WOOD FLOOR - 'I: PLUMBING VALUATION srFr. ��' � �, , MECHANICAL - - ELECTRICAL PERMIT TO FRAMING INSULATION StOr IES TYPE CONSTR. OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ' ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE' S. FT.FLOOR AREA TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID OUILOI USE ' ROOF SHEATHING .. � ' � - .REs IND cONoN PB 'oll,,.f APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑ ASSESSORS PA . ROUGH SANIq � - � � - ICEL NO PLUMBING ELECT.ENERGY - TRACTNO. PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY - - MECHANICAL - MECH..ENERGY- - 1 ELECTRICAL - BUILDING ENERGY aCC.DATE ACC.FILE NO. FRAMING ELECT.FINAL TEST ZONING ENG.SITE NO. ` ' INSULATION - PLUMBING GASTEST GAS ' MECHANICAL PIRESPRINN ENERGY T 24 ' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ "❑ ❑ "❑ - EXTERIOR SHEAR ._ -s ELECTRICAL RELEASE ;, FLOOD ZONE ,. A.L U.C, - . INTERIOR SHEAR FIREDEPT, - Y ❑ N❑. Y ❑ N❑ SHEETROCK - GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING INTERIOR LATH - TEMPORARY'APPROVALS L " SCRATCH,COAT - ELECTRIC - PLAN CHECK "I - - GAS -FEE'' NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 3 �. ' F,� ONE'WORKING DAY BEFOREWHEN-PHONING.INSPECTION. PLUMBING O PLEASE GIVE JOB ADDRESS HEN PHONING. Z - SEE PERMIT FOR EXPIRATION DATE ' MECHANICAL IMPORTANT! h CONST TAX +• PLEASE READ REVERSE SIDE BEFORE dF : TOTAL CALLING FOR FINAL INSPECTION- OFFICE COPY APPLICANT70,'F L fN INFO MATION WITHIN RED LINES+-:USE LL POINT PEN ONLY; . - •-. I .- u i PERMIT NUMBER INTI FI ,'APPLICATION;&'P IT COREss10123-1 O1fe�Road' 1985 BUILDING-ELECTRICAL-PLUMBING- 16080 ' OWNER'S i PLAN CHECK VALIDATION Kitt NAME }' N F;xienda QTY• ELECTRIC PERMIT " FEE i -Kevin &rKalren;:Kim I " PHONE ' CONTRACTOR'S - NAME. OUTLETS-SWITCHES-RECEP 10.00/1.00 Sprig Elecbric' LIC.No:296728C 10 LIGHTING FIXTURES 10.00/1:00 CONTRACTOR'S .. w '.) ADDRESS ; APPLIANCES-:RESIDENTIAL . _'4.00 1 - 1303' Lick .AvenuePHONE298-3134 PANELS', 10.00 DATE OF APPLICATION i ARCHITECT PLAN:CHECK FEE P.C.NO: OR PANELS (OVER 200 AMP) 20:00 ENGINEER LIC.NO. SIGNS'TRANS. "� 3.00 2, ARCH.OR ENG, PERMIT VALIDATION ADDRESS SPECIAL CIRCUIT " ' :5.00 TWIC ZIP TEMP.METEWOR'POLE INS •+; 20:00 -- l APPLICANTS • - MOTORS rSEE'FEE QQ J ANT0NI)CCu ADOHEBB1303 Lick:Avenue, ST CA 95114. SERVICE CHANGE 2000 0.0 LICENSED CONTRACTORS DECLARATION' r ` U IOU ' a i w I hereby affnm that 1 am lieeased,under provisions of Chapter 9 ISSUANCE GATE v, ¢ H (eommeacing with Section 7000)of Division P3�of,ythe Business and BLDG! ELECT.11 - PLG MECH, R o z Professions Code an y.hccase is In full for G�b/f' 1' ❑ ❑', ❑•', z D w License ass UU Lie Num G b/ r 2 O Date - ConiraUo a r " i '." e ` BUILDING PERMIT rc-o 6. t OWNER-BUILDER DECLARATION 7 INFORMATION w ; u, I hereby affnn that I am exempt from the Contractor's License MISC.- REFER TO ORD ; r a.o 4 Law for the following reason.(Sea 7031.5,Business and Professions PERMIT ISSUANCE 10.00 t VALUATION $/FT. w91 Code:Any cityorcountywhichrequiresapermittoconstruct,alter, . .12.00 R ¢¢ improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC,NO, ELEC.' D m requires the applicant for such permit to file a signed statement Dmt TOTAL- n w m u' •� 'PERMIT TO he is licensed pursuant to the provisions of the Contractor's License 1- t-�� -{' i Law(Chapter 9(commencing with Section 7000)of Division 3 of the i ^f•G�L� I S)` f z o Business and Professions Code)or that he is exempt therefrom and OTV. PLUMBING PERMIT FEE ' . Xr$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. n3 � by any applicant for a permit subjects-the applicant toacivil penalty ALTER-DRAIN&"VENT-WATER (EA.) 5.00 of not more than five hundred dollars(5500).): ' ❑ ,I;as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE ,4:00 ' f their sole compensation,will do the work,and the structure is not OCC.GROUP RES:UNITS .. intended or offered for sale(Sec.'7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND-. 5.00 Code:The Contractor's License Law does not apply to an owner of property who builds or Improves thereon,and who docs such work FIXTURES'-PER TRAP " . 'r 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- -. " ments are not Intended or Offered for Sale.If,however,the building GAS-EA.SYSTEM-1 1 NC.4 OUTLETS 6.00 ' or improvement is sold within one year ofcompletion;the owner-. GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 ., BUILDING USE builder will have the burden of proving that he did not build or im- RES IND CON PB Other Prove for purpose ofsale.). - INDUSTRIAL WASTE,INTER. 30.00 ❑ 1,as owner of the property,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 - , 1 r to an owner of property wh.,buildx orJunproves thereon;and who LAWN SPRINKLERS-OVER.5(EA;) 1-.00 contracts for such projects with a contractors)licensed pursuant to SEWER-SANITARY-STORM EA.2001t/1 0.00 r •p the Contractors License Law. TRACT N0. PARCEL NO. ❑ 1 am exempt under Sec. ,B.&P.C.fur this reason - WATER HEATER W/VENT 6.00 . Owner Date WATER SYSTEM" ' 5.00 ACC.OATE. ACC.FILE NO. ,I ! WORKERS'COMPENSATIONDECLARATION WATER TREATING EQUIP' . .5.00 1 1 hereby affirm that I have a certificate of consent to self-insure, - ZONING ENG:SITE NO. or o certificate of Workers'Compensation Insurance,or o certified - 't .I COPY th�(ce,up[[,,(Seq,}�Qj1 Leb.Cl Policy N6W.7.U21aCffimpany Republic Indemnit O', ❑ Cerlified,opy is hereby) riished, i FIRE SPRINK ENERGYT-24 ZZ Certified copy is filed with the city inspection division, MISC.-. REFER TO ORD. Q Applicant M ` - v❑ N❑ �v ❑ N❑ CERTIFICATE.OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE , 10,00 FLOOD ZONE A.L.U.C., LU Q COMPENSATION INSURANCE r' PLG.CONTR. LIC.NO. TOTAL '„ �' N Y N '(This section need not be comp fo leled if the permit is r one ❑ ❑ -❑ ❑ .j Z) Z hundred dollars IS IOD)or less.) •• " U O ('certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT' - FEE FEE SUMMARY LL I-_ mit is issued,I shall not employ any person in any mmnner so as to O W become subject m the Workers'Compensation Caws of California. - BUILDING ' y Date Applicant 'ALTER OR ADD TO'MECH. 5.00 - �- mi NOTICE. TO APPLICANT: If,after making th S Certificate of fix- F.. Z emption,you should become subject to the Workers'Compensation APPLIANCE 5;00 PLAN CHECK` provisions of the Labor Code, you must forthwith comply with 'FEE. U 't such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO'10=CAM.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10,000CflM.) 6.00 I SEISMIC FEE' " 1 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. MICROFILM- - 30.97,CivC.). HEATING UNIT ITO 100,000 B.T.U.) 8.00 Lender's Name NONE - Lender's Address HEATINGUNIT(OVER 100,000 B.T.U.)9,50 ' -ELECTRIC 1 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 state laws relating to building construction;and BOILER-ODMP(3 H.P.Dr.100,000 B.T.U.) 6'00 hereby authorize representatives of this city to enter upon„the BAILER-COMP,(over 106,0068TU)SEE FEE SCH. MECHANICAL above-mentioned property for Inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC. REFER TO ORD: b " upertino against liabilities,judgments, costs and expenses which, . CONST.TAX may in myY way accrue ag inst sa'd City in consequence of the PERMIT'ISSUANCE 10.00 . " ra gy this permit. - MECH.CONT. '+ LIC N0. MECH. . - - //,q](y��I TOTALa 1 '.TOTAL - Signature of Applicant/Contractor Vale 2 21 OFFICE COPY I,