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16135 POST THI RD NEAR-FRONT OF BUILDING PERMIT NUMBER, CII OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD . �� bis 6 PERMIT EXPIRATION JOB ADDRESS - ✓✓GG UNIT# • LOT# C&a_i_(AI,;V� PERMIT EXPIRES IF WORK owNER T , CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED,' PR EGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF RM VAL CATION CUPERTINO STANDARDS: .. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED " 1 UNDERGROUND /SLAB PLUMBING _ PAID f ELECTRICAL - - " ISSUANCE DATE MECHANICAL '- AU� 198 BLDG ELECT PLG. .MECR- l7 V ®x ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED City of CUperhRO BUN GING PERMIT WOOD FLOOR IRMp I VALUATION SIFT, PLUMBING -. - MECHANICAL t`- ✓� PERn+rt rO ELECTRICAL `1 FRAMING INSULATION STORIES TYPE CONSTR. I OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED • ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE so FT FLOOR AREA TOTAL ACREAGE . DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATHING Res IND CON BUILDING USE PB 00- APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑ ROUGH SAN.N ASBEBBORB PARCEL NO ' PLUMBING ELECT.ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY iRACTNO PARCEL NO MECHANICAL - MECR ENERGY ELECTRICAL ACC DATE ACF FILE NO. BUILDING ENERGY FRAMING ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION � PLUMBING GAS TEST GAS - MECHANICAL FIRE SPRINK ENERGY T"]A, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ Y ❑ ' No EXTERIOR SHEAR - ELECTRICAL RELEASE F LOOD ZONE A_L IUX INTERIOR SHEAR FIRE DEPT, Y❑ N❑ ° ❑ N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVALS BUILDING t�.l �w SCRATCH COAT ELECTRIC. PLAN CHECK GAS- FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED IOCCUPANCY SEISMIC'FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR, MICROFILM ARRANGE'FOR INSPECTION BY PHONING 252-450 ELECTRIC ELECTRIC z rr o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. Z MECHANICAL - SEE PERMIT FOR EXPIRATION DATE IMPORTANT! DATE ,- CONST.TAX PLEASE READ REVERSE SIDE BEFOREa;,` TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY rA.'.RE.S ANT TO FILL IN INFO MATION WITHIN RED LINES - USE B LL POINT PEN ONLY PERMIT NUMBER DING PROJECT IDENTI FIC 1 6135 _ APPLICATION & P IT COQ FOl f0.. erek BUILDING -ELECTRICAL-PLUMBING-MECHANICAL PLAN CHECK VALIDATION 6,44CO , IA119 I-IrI/C OTY. ELECTRIC PERMIT FEE C.C. o: PHONE J INAMECT�X(_e-d_ /�` UTLETS-SWITCHES-RECEP 10.0011,00 .4 70 NAME 4 LIC.NO. LIGHTING FIXTURES 10.00/1.00 0 ADDRESS r11 �� f ADDRESS OV (/ p/c h/i1� d�' lPA/vi PPLIANCES-RESIDENTIAL 4.0 G • yy6dklE 'O''t O/6 PANELS 10,00 DATE OF APPLICATION ' ARCHITEC ) /j�� PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEEP.C.NO. GR I�fR`/d /`7U !� - ` ENGINEER Q/8 /Z-I SIGNS TRANS. 3.00 �J. LIC.NO ARCH.oR END SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ADDRESS �• �� ®�1f¢�Sd t SQ`we4 PrrEMP.METER OR POLE INS. 20.00 T Ai IT\L11 Y / 1 APPLICANTS n MOTORS SEE FEE SCH. ADDRESS O V� Pr/YK'/ry �� pf SERVICE CHANGE 20.00 0 0 0 LICENSEU.CONTRACTORS UECLA RATION <U u I hereby affirm that 1 an licensed under provisions of Chapter 9 ISSUANCE GATE H 4 w (commencing with Section 7000)of Division 3 of the Business and Date - BLDG. ELECT. PLG. MECH. F o i Professions Code,and my license is in full force and effect ❑ El 4 z o�,- License Class Lic.Number I- '"L A11 +90 wW Contractor �� BUILDING PERMIT T Ic w o OWNI?R.BUILDER DECLARATION INFORMATION E 3 w I hereby affirm that I am exem t from the Contractor's License MISC.- REFER T Y p VALUATION S/FT. Foo J Law for the following reason.(Sec.703 1.5,Business and Professions PERMIT ISSUANCE -' W Code:Any city or county which requiresa Permit to construct,alto,, ^''T1 T to¢ 0 improve,demolish•or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. rT to O u requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO A. w $ he is licensed pursuant to the provisions ol'the Contractor's Licmtse - F z i Law(Chapler 9(commencing with Section 7000)of Division 3 ofthe 4 Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT r c the basis for the alleged exemption.Any violation of Section7031.5 STORIES TYPE DONSTR. i ;m by anyapplicant fora permit subjects the applicant toacivilpenalty ALTER-DRAIN (EA.) 5.00 of not more than five hundred dollars($500).): O Las owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not intended or,uffered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 50,FT.FLOOR.AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- , •' ments are not intended or offered for sale.lf,how ever,the building GAS-EA.SVSTEM-11NC.40UTLET$ 6.00 or Improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE builder will have the burden of proving that he did mol build or int- RES IND CON PB Omar prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ Las owner of the property,am exclusively contracting with 1:1 El licensed contractors to construct the project(Sec.1044,Business LAWN SPRINKLERS-.1 INC 5 V.B. 6.00 - ASSESSORS PARCEL NO. anJ 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 contracts for such projects with a contraclons)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. the Contractor's License Law. ❑ lamexemptunder Sec. .B.&PC.for this WATER EATERW_/_V_E_N_T__ _ 6.00 reason Owner /�� / �4 D�.qIc J;W WATE S M 5.00 ACC.DATE ACC.FILE N0, WO1JLN5'X FfNS,(I'i(�E�AH4ATION WATER TREATING EQUTP, 5.00 - I hereby affirm that I have a certificate ofconsent In self-insure, �! ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab C.). ' Z/ Policy No, - Company Q ❑ Certified copy Is hereby furnished. FIRE SPRINK ENERGY T 24 Z Z ❑ Certified copy is filed with the city inspection division. MISC.- REFER TO ORD. y N Y [] N� Applicant ' OF EXEMPTION PROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE AL.U.C. CC CERTIFICAIIS ' Ul > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. Y❑ N Y N d 0 (This Section need not be completed if the permit is for one TOTAL D Z hundred dollars($100)or less.) U O I certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL. 1- mit is issued,I shall not enmloy any person in any manner so as to O W become subject to the Workers'Compensation Laws of California. BUILDINGO Date ApplicantALTER OR ADD TO MECH. 5.00 } ran NOTICE 1'0 APPLICANT: If,suer making this Certificate of Fx- I'- 2 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 such provisions or this permit shall be deemed revoked AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY A R HANDLING UNIT IO,0MC.F.M.) 6.00 SEISMIC FEE u 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. - MICROFILM? 3097,Civ.C.l. HEATING UNIT(TO 100,000 B.T.U.) 6.00 yy Lenders Name - HEATI NG UNIT(OV ER 100,000 B.T.U.)9.50 ELECTRIC 4 Lenders Address ✓•� h I Certify tlaLl have read this application and state that the above VENTILATION FAN (SINGLE)' 4.001 !MECHANICAL UMBING' . information is correct. I agree to comply with all city and county BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. abovo-mentioned property for inspection purposes. (We) agree to,save, indemnify and keep harmless the City of MISC.- REFER TO ORD.upertino againstliabilities,judgments, costs and expenses which PERMIT ISSUANCE10.00 NST.TAX ay in any y accrue inst City in consequence of line ranting I r"n MECH.CONT. LIC.NO. MECH. // TOTAL TOTAL 15MMPlicaft7contractor ale OFFICE COPY