Loading...
16166 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO . �j : INSPECTION DIVISION 161-6 "'i• JOB INSPECTION RECORD . �1 - ,1 .�' 1007—,e PERMIT EXPIRATION JOB ADDRESS/8��3 IV WOG><c UNIT# _LOT# � ..// - PERMIT EXPIRES IF WORK OWNER GUc� C / LO 0AICS CONTRACTOR S S/G-,� 'IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION TANCE OR 180 DAYS FROM ALL .•' UFER ALGRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION. PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - ' - UNDERGROUND /SLAB PLUMBING ELECTRICAL ISSUANCE DATE LEC MECHANICAL - - BLDG. E❑T PLG0. NEC. it o `❑ ' ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION - TION SIFT. PLUMBING � � �. MECHANICAL_- �+ ELECTRICAL p/PERMIT iD FRAMING INSULATION sroEs�✓ TYPE CONSTR.; OCC GROUP RES UNITS . PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 50 fT FLOORAREA f TOTALACREAGE ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING � .es IND CON PB o"„. APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALSDATE INSP. ❑ ❑ El El El ROUGH SAN,N ASSESSOHS PARCEL NO PLUMBING ELECT,ENERGY - - TUBS&SHOWER PAN PLUMBING ENERGY iHAcr No PARCEL No MECHANICAL' MECH.ENERGY ' ACC DATE ACC.FILE NO ELECTRICAL BUILDING ENERGY FRAMING ELECT.FINAL TEST - INSULATION PLUMBING zON1NG ENG SITE NO. GAS TEST GAS MECHANICAL FIRE SPRINK ENERGY T-]< COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y [D IN C] Y E] "❑ EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD zorvE AL INTERIOR SHEAR FIRE DEPT. Y F-1 -0 YL ' "❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVAL BUILDING S v SCRATCH COAT. ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE �S'p OCCUPANCYOF BUILDING ISNOTPERMITT.ED UNTILBUIL)ING FINAL ISSIGNEDBY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC .1)" ,r. F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z �. PLEASE GIVE JOB•ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION,DATE — MECHANICAL IMPORTANT! covsT.rnx PLEASE READ REVERSE SIDE BEFORE ,i p' TOTAL r� CALLING FOR FINAL INSPECTION. OFFICE COPY ARPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER APPLICATION & PERMIT a°"°'"° 161 66_ ADDRESS S QA -6 O ©'l,bT fP _S BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION -4 NAME �x �J QTY. ELECTRIC PERMIT FEE _ ( PHONE 22 •" �I CONTRACTOR'S NAME OUTLETS-SWITCHES-RECEP' 10.00/1.00 uC.N°. ys LIGHTING FIXTURES 10.00/1.00 CONTRACTORS_1C ADDRESS APPLIANCES-RESIDENTIAL 4.00 37 EC fa.S M 'HONE y1S•7gp1c37 PANELS 10.00 DATE OF APPLICATION ogCHI1ECT �/'6N�Y E AA7 99Sif. PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C'NO. ENGINEER uc.NO, SIGNS TRANS. S-.@oL/Q - ADDRESS ENG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 APPLICANT SN $ MOTORS - - SEE FEE SCH. ADDRESS SERVICE CHANGE 20.00 w O o LICENSED CONTRACTORS DECLARATION U w a u I hereby menci affirm that Sec 1 am licensed under nprovisionsthe of Chess ar 9 DANCE GATE yz a (commencing with Section 700e i of Division 3 of the Business and Q Q111-1 ELECT. PLG. MECH. H N i Professions Code and ply license is in full force o d e[ecL-7 ❑ 1:1 1:1 ❑ z o w - License�IgssK Lia Number O r o Dale�'ILConlrac[orJS,A.l- ¢ Y f d BUILDING PERMIT ¢ ¢a OWNER-BUILDER DECLARATION ¢ W v INFORMATION K ; LL y I hereby affirm that 1 am exempt from the Contractor's License MISC._ REFER TO ORD Hw0J Law for the following reason.(See.7031.5,Businessand Professions PERMIT ISSUANCEa�0 _ VALUATION $/FT. 0 Code'.Any city orcounty which requires a permit to construct,alter, ¢ ¢ ¢ improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO ELEC. IXd- D LL requires the applicant for such permit t°file a signed Statement that TOTAL PERMIT TO n w m w he is licensed pursuant to the provisions of the Contractor's License S� F,z > Law(Chapter 9(Commencing with Section 7000)of Division 3 oflhe 'V a Business and Professions Code)or that he is exempt therefrom and OTY- PLUMBING PERMIT FEE ¢ F o the basis for the alleged exemption.Any violation of SeCti.r 7831.$ STORIES TYPE CONSTR. dam by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars($500).): ❑_ I,as 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 offered 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 SO.FT,FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- GAS-EA.SVSTEM-1 6,00 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 inRES IND CON P9 Other prove for purpose of sale.). INDUSTRIAL WASTE INTER. - 30.00 ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-I INC 5 V.B. ' 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law docs not apply , to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts far such projects with a contractm(s)licensed pursuant to SEWER-SANITARY-STORM EA.200ftI10.00 the Contractors License Law. TRACT NO. PARCEL NO. ❑ I am exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT - 6.00 reason Owner Dote WATER SYSTEM 5.00 ACC.OATE ACC.FILE NO., WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to sell'-insure, ZONING ' ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.CJ. "r Policy No. Company O 0 Certified copy is hereby famish - FIRE SPRINK ENERGY T-24 Z Z p-Certifie , i. i 'ih a 't inspection division. MISC.- REFER TO ORD. ❑ ❑ ❑ O APPlicant V N V N F y CERTIFICATE EXEMPTION OM WORKERS' PERMIT ISSUANCE I -10.00 FLOOD ZONE A.L.u.C. LU a LU - CLO COMPENSATION INSURANCE PLG.CONTR. - LIC.No. TOTAL ❑ N❑ Y❑ N❑ D (This dollars need not be completed if the permit is_for one hundred dollars($ the pe less.) U O 1 certify that h the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY 0 h mil is issued,I shall not employ any person in any manneror is to O become subject to the Workers'Compensation Laws of California. 3 O i Date Applicant ALTEfl OR ADD TO MECH. 5.00 BUILDING F. W NOTICE TO APPLICANT: If,after making this Certificate sa ion F Z emption,you should become subject to the Workers'Compensation APPLIANCE 5,00 PLAN CHECK f" 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 10,000C.F.M.) 4.00 rn CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE N " I hereby affirm that there is a construction lending agency forE 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.) 8.00MICROFILM 3097,Civ.CJ.Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC tLender's Address I certify that l have read this application and slate that the aboveVENTILATION FAN (SINGLE) 4.00 information is correct. 1 agree to comply with all city and wanly PLUMBING ordinances and state laws relating to building construction, andBOILER-COMP(3 H.P.or 100,000 B.T.U:) 6.00 hereby authorize representatives of this city to enter upon the BOI LER-COMP(over 100,000 BTU)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. upertin° against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in any way accrue against .'id City in consequence of'the !anti this per iL MECH.CONT: LIC.NO. MECH. - TOTAL (. o u TOTAL o 7 A5ignature of Applicant/Contractor Data OFFICE COPY