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16319 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER-, CITY OF CUPERTINO 16319 INSPECTION DIVISION, JOB INSPECTION RECORD' ,• - / - VERMIT EXPIRATION JOB ADDRESS 'IDI N. Wd T' UNIT#' ( LOT# t.' .PERMIT EXPIRES IF WORK .I OWNER O C coNrRACTOR. L,d�j.. IS. NOT'STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 1B0;DAYSOFPERMIT ISSU- FOUNDATION - . , ` ANCE OR 1 0.DAYS FROM NOTE:. - LASTCALL'ED INSPECTION..' UFER ALL GRADING,AND:DRAINAGE SHALL BE'INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY�OF PERMIT VALIDATION CUERTINO STANDARDS, P : GARAGE SLABS - t- POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Q. ,UNDERGROUND /SLAB - PLUMBING 0 .. � �//�• .L.• ELECTRICAL,' ISSUANCE'UAO MECHANICAL . " ,�.,.- BLDG, ELECT. PLO MECH. I „ o,; , ❑ a DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT ' WOOD FLOOR. VALINFORMATION PLUMBING - ' RATION SIFT. -. , , - MECHANICAL• - ' EMIT TO ELECTRICAL, , FRAMING. - I \� D / _ # INSULATION - - p STOK OIT TYPE CONSTR. `go IZ .. OCCGROUP RES,UNITS. PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO FT-FLOOR AREA TOTAL ACREAGE ROOF - NOTE:NO FINAL INSP.SHALL BE MADE BEFORE . DIAPHRAGM , THE CONSTRUCTION TAX IS PAID ' + BUILDING USE-, ROOF SHEATHING " - ,RLS .IND - CON - PB 011111 APPLY NO.ROOFING'UNTIL ABOVE HAS BEEN SIGNED FINALS' DATE INSP. ❑ '❑ '❑' ❑, ❑ ROUGH- SAN.N ASSESSORS PARCEL NO) PLUMBING - - - ELECT:ENERGY TRACT NO PARCEL NO. .. TUBS&SHOWER PAN PLUMBING ENERGY MECHANICAL `, MECH.ENERGY ' BUILDING ENERGY ACC DATB'' ACG.FILE NO ELECTRICAL' � � •� - - FRAMING ;- ELECT.FINAL TEST - INSULATION- "' PLUMBING' zONINO ;, END.SITE NOr d T GAS TEST: - GAS MECHANICAL' .FIRE'SPRINR ENERGY,T.2a COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ ` ❑ N0 FLOOD ZONE. - A,L U.C. EXTERIOR SHEAR.. ELECTRICALRELEASE - INTERIOR SHEAR''' FIRE DEPT. Y ❑ N❑ ',v ❑ N❑ SHEETROCK " GRADE FEE SUMMARY _ EXTERIOR LATH BUILDING •-`• - ,. INTERIOR LATH '�. - ' TEMPORARY APPROVALS' BUILDING" SCRATCH COAT- ELECTRIC - PLA N,CHECK ' ._- GAS - .FEE' NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OccUPANCY, SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED By BUILDING INSPECTOR. .MICROFILM ARRANGE'FOR INSPECTION.BY PHONING 252''-4505, ELECTRIC Hw- ONE WORKING DAY BEFORE REQUIRED INSPECTION PLUMBING, (} O� PLEASEGIVE JOB ADDRESS.WHEN PHONING - -MECHANICAL- z ' SEE.PERMIT FOR EXPIRATION DATE F` - IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE . :-, CALLING FOR FINAL,INSPECTION. TOTAL OFFICE COPY r APPLICANT TO FILL IN INFORMATION WITHIN RED LINES— USE BALL POINT PEN ONLY. BUILDING PROJECT I DENTI FICATION - a - PERMIT NUMBER mILnING_• �` APP.LICATION &_PERMIT 16319 ADaREss '�/ B�o2,3 N. k/ag BUILDING —ELECTRICAL—PLUMBING—MECHANICAL P' OWNEH'S N E PLAN CHECK VALIDATION • I �� GTY• ELECTRIC PERMIT FEE PHONE CONTRACTOR'S NAME UTLETS-SWITCHES-RECEP 10.00/1.00 LIC.No LIGHTING FIXTURES - 10.00/1.00 CONTRACTOR'S AGOREss / y APPLIANCES-RESIDENTIAL 4.00 INC).Ala e �p - PANELS ARCHITECT 10.00 : DATE Of APPLICATION ER PANELS (OVER 200 AMPI . 20.00 PLAN CHECK FEE P,c.rvo. ENGINEER LIC.NO. SIGNS TRANS. 3.00 ARCH,OR Ao0RE5S ` SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP -TEMP.METER OR POLEANS. 20.00 APPLICANT'SMOTORS -' AGGRESS �,,.,./ SEE FEE SCH. ^ Er SERVICE CHANGE 20.00 to ¢= r O o LICENSED CONTRACTOR$DECLARATION , ¢ w — mzo I hereby affirm that 1 mn licensed under provisions of Chapter 9 a a (commencing with Section 7000)of Division 3 of the Business and ISSUANCE DATE - f w 2 Professions Code an license is in full force' d.g[fe�L ' BLDG. ELECT. PLG. MECH. z o Ie - License Class AL1 Lic. I I -$ H w Delete --•'��wf' or, _ E' El, Y ¢wu OWNfi R-OUILDIiR 'LARATION BUILDING PER IT X. w I hereby affirm that I am exempt from the Contractor's License MISC.— REFER TO ORD INFORMATION Hno ¢ Law for the following reason.(Sec.703 1.5,Business and Professions -PERMIT ISSUANCE - VALUATION $/FT. Fwiw Code:Any city or county whichrequiresa permit toconslruct,alter, 10.00 ¢G a 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. • ELEC. o ¢ requires the npPlicent for such permit to file a signed statement that TOTAL ' ¢ w$ he is licensed pursuant to the provisions of the Contractors License •� PERMIT TO H z a Law(Chaplet 9(commencing with Section 7000)of Division 3 ofthe F i o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE w H$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CDNSTR. a 3 - by any applicant for a pemtit subjects the applicant los civil penalty of not more than five hundred dollars($500r). ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVI CE 4.00 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 DRAINSFLOOR,ROOF,AREA,COND. Code:'rhe Contractor's License Law does not apply to an owner of - S. Property who builds or improves thereon,and who doessuch work FIXTURES-PER TR AP • himself or through his Own employees,provided that such Improve SO.FT.FLOGR AREA TOTAL ACOSAGE cents are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-11NC.40UTL .00 or improvement is sold within one year of completion,the owner- ' builder will have the burden Gf Proving that he did not build or im- GAS-EA.SYSTEM-OVER 4.(EA.) OO BUILDING USE prove for 1,as ownerose of theJ. INDUSTRIAL WASTE INTER. 3 0 RES IND .CON PB Other ❑ d as owner of The Property,am exclusively contracting with ❑ ❑ ❑ ,❑ licensed contractors toeCp construct the project(Se 7044,7044,Business LAWN SPRINKLERS-1 INC 5 V. 6. 0 8 . and Professions Code:The Contractor's License Law does not apply V ASSESSORS PARCEL NO. to an owner of property who builds or improves(hereon.and who LAWN SPRINKLERS-OVER 5(EA.Jp.%k4.bb contracts for such projects with a cnntractorls)licensed Pursuant to - theContractor'sLicenseLaw. SEWER-SANITARY-STORM EA.�200ft/10.00TRgeT NO. PARCEL No. ❑ I am exempt under Sec. ,B.&P,C.for this reason WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM _4.99 ', ACC.DATE. ACC.FILE NO. WORKER S'COMPENSA'I'ION DECLARATION WATER TREATING EQUIP... 5.00 I hereby affirm that I have a certificate ofconsam to self-insure, - or a certificate of.Workers'Compensation Insurance,or a certified ZONING ENG.SITE N0. copy thereof(Sec.3800,Lab.C.). Policy No. Company O ❑ died c.oY Is her furnished. FIRE%PRINK ENERGY T 34 Z Z erufi• o y is Rled�yyh��/ci�inspecfion division. P: O peptics MISC.- REFER TO ORD. y[] NE3 v D N[] � N :RTIPICA'I'Ii OP IiXF:MI'TION 19tOM WORKERS' PERMIT ISSUANCE PLOOG ZONE q.Lu.C. W COMPENSATION INSURANCE PLG.C R. LIC.NO. PLG DCL O (This section need not be completed if the permit is for one e L S TOTAL v N� y IN E] z hundred dollar,($100)or lcxsJ LL O 1 certify that in the performance of the work for which this per- DTV MECHANICAL PERMIT FEE FEE SUMMARY LL C) mit is issued. I shall not employ any person in any manner so to 0 W become subject to the Workers'Cnmpensat ion Laws ofCalifornia, } W CI. Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING rn NOTICE:TO APPLICANT: If,after making this Certificate of Lx- F ? emPtiun,you should become subject to the Workers'Compensation APPLIANCE 500 PLAN CHECK provisions of the Labor Code, you . must forthwith comply with U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 FEE CONSTRUCTION LENDING AG17NCY AIR HANDLING UNIT(OVER 10=1C.RM.) 6.00 SEISMIC FEE 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITHDUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.1. HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lenders Add rns HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC • I rmatio that I have read this application and stole that the above VENTILATION FAN (SINGLE) 4.00 information n correct I 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.LU.) 6.00 hereby authorize representatives forint of this city to enter upon the BOILER- ' above)entionedareto property for inspectionpep har, . COMP (Over 100,000 BTU(SEE FEE SCH, MECHANICAL (We) agree so save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which CONST.TAX may in any way accrue against 'd City in consequence of the PERMIT ISSUANCE 10.00 rantin of this permit. MECH.CONT. LIC.NO. MECH. F'r-nilTOTAL TOTAL ' azure o Pplicaln/Contractor ate - L OFFICE COPY