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16565
POST THIS CARD NEAR FRONT OF BUILDING- � PERMIT NUMBER E . ` •CITY OF CUPERTINO '�i 16555 r INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS UNIT#J .LOT# PERMIT EXPIRES IF WORK OWNER • CONTRACTOR —F' IS NOT STARTED WITHIN .INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION - ANCE OR 180 DAYS FROM NOTE: LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION. PR EGUNITE 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 i.�/ PLUMBING ELECTRICAL - - 1ARI DATE ELECT MECHANICAL. - RLoc ELECT vL�. MECR - ►'AID' ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEDJUIV Z z BUN OIT J WOOD FLOOR 1989 RMATIO PLUMBING � y,� VALUATION 'X MECHANICAL City of Cupertino ELECTRICAL PERMIT TO ' FRAMING ' STORIES TYPE CONSTH INSULATION i OCC GROUP TRES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO.IT FLDGR AREA TOTAL ACREAGE . DIAPHRAGM - THE CONSTRUCTION TAX IS PAID BUILDING US ROOF SHEATHING •• I Res IND ON vi 00— APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE - INSP. ❑ ❑ ❑ D ASSESSOHS PARCEL NO ROUGH SAN.4 PLUMBING ELECT.ENERGY TRACT NO. PARCEL NO I TUBS&SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ELECTRICAL ACC DATE ACC FILE No BUILDING ENERGY FRAMING ELECT.FINAL TEST zoNlNc ENG.SITE No. INSULATION PLUMBING GAS TEST GAS MECHANICAL .i FIRE SPRINK. ENERGY T.24 � COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y N❑ Y ❑ � FLOOD ZONE A L,U.C. EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR - FIRE DEPT. Y❑ NE - Y 0 N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK ' GAS FEE' 1�_ . NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING ISNOTPERMITTED ONTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ONE WORKING DAY BEFORE REQUIRED INSPECTION.\r PLUMBING GIVE JOB ADDRESS WHEN PHONING. z — SEE PERMIT FOR EXPIRATION DATE — ' MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY Yc• APPLICAf IT TO FILL IN INFORMATION WITHIN REDLINES - USE BALL POINT PEN"ONLY BUILDING PROJECT I DENTIFICATI ON '� - PERMIT NUMBER III SUILOI J . APPLICATION & PERMIT �r" ADDRESS/a/a3 06�- - , I 16565 C 450 BUILDING —ELECTRftAL=`�LUMBING —MEC HANICAL ; FY= OWN R'a J rvp E a PLAN CHECK VALIDATION QTY. ELECTRIC PERMIT FEE' CCNTNAME CTOq'S ' NrpmE' � �+[, A, //__ // �f' OUTLETS-SWITCHES-RECEP 10.00/1.00 15 i� Sh c" McTL4.lt.No. a331=Lz LIGHTING FIXTURES 10.00/1.00 .. . CONTRACTOR'S . ' ADDRESS /f//•// APPLIANCES-RESIDENTIAL 4.00 5 PHONE Of�-;J'O 6 PANELS , 10.00 DATE OF APPLICATION' AR HIT ECT OR PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE PA,No. ENGINEER LIC.NO. ISIGNS TRANS. 3.00 ' ADDRESS eNc. SPECIAL CIRCUIT 5,00 PERMIT VALIDATION 1y/ LP EMP.METER OR POLE INS 2000. jyy yin APPLICANT'SU RJLJ�. AooEEss MOTORS — EE SCH. O ¢ i 'A SERVICE CHANGE t 0.00 r l f o O LICENSED CONTRACTORS DECLARATION - "" /�.��'�Q`1 r w av G I hereby affirm that I em licensed under provisions of Chapter 9 '. ' 2 w ISSUANCE DATE' " G A (commencing with Section 7000)of Division 3 of the Business and - BLDG. ELECT. PLG. MECH.. r w z Professions Co c anti my license is in full for IT t. - - ❑ ❑ ❑ z o w — License Ca ic.Number - 4 y r w° Date •^r-i�ontrucmr ¢ w sl ,' ` OWNER-BUILDER DECLARATION BUILDING PERMIT — O A o INFORMATION E ; LLI hereby affirm that 1 am exempt from the Contractor's License MISC.— REFER TO ORD wOv, LoWfor the following reason. 703 LS,Bueinessind Professions VALUATION $/FT: — PERMIT ISSUANCE 10.00 Code:Any city or county which requiree a permit to construct,alter, ¢ ¢ improve,demolish,or repair any Structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. W requires the applicant for such permit to file u signed statement that TOTAL .} u w m he is licensed pursuant to lire provisions of the Contractor's License _ 1 , PERMIT TO as Law(Chapter 9(commencing with Section 7000)of Division 3 of the 1,�liyr , i D Business and Professions Code)or that he is exempt therefrom and QTV. PLUMBING PERMIT FEE 1 X�li ¢ H o the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. , by any applicant for a permitsubjects the applicant to a civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not mare than five hundred dollars($S00).)'. 0" 1,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,ROOFAREA,CON D. 5.00 Code:Th , ,e Contractor's LicEnse Law does not hpply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 6.00 SQ FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- mentsare not intended.,offered for sale.If,however,the building' GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of completion,the owner-. builder will have the burden of proving that he did not build or am- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE Prove for purpose of sale.). . . RES IND CON PB Other ❑ 1,as owner.f the property, WASTE INTER3000 ,am exclusively contracting with El1:1V❑ ❑ 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-OV ER 5(EA.) 1.00 contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO, PARCEL NO. ❑ L am exempt under Sec,.,B&P.C.for this reason WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM , ' 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby infirm that 1 hove.a Certificate ofconsent to self-insure, or o certificate of Workers Compensation Insurance,or a certified ZONING ENG.SITE NO. copy there f Sec.3800,Lab.CJ.Q /+ Policy No."normally-r aC1TiG C01npem Q ❑ CeHifiedcopyishemby furnished FIRE SPRINK ENERGYT-24 Z Z K Certified'copy 's Sled with .the ciytiis rection it 'on. ' FO Applicant�tsry_e__ _ MISC.- :REFER TO ORD. Y ❑ ;N❑ Y ❑ - N❑ CC r2 CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOODZONE A*L U C. LU > COMPENSATION INSURANCE PLG.CONTE. LIC.NO. PLG. IL 0 (This section need not be completed if the permit is for one TOTAL Y❑ N❑ Y❑. N❑ hundred dollars(8100)or less.) U O . I certify that in the performance of the work for which this per. OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL U mit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. 0 i Date - Applicant ALTER OR ADD TO MECH. 5.00 BUILDING >_ W NOTICE TO APPLICANT: If,after making this Certificate of Ex- _ ♦— Z emption,you should become summer to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you most forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10SMCF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10000QFM.) 6.00 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 �0 3097,Cw.C.h HEATING UNIT(TO 100,000 B.T.U.) Lender's Name —� H EATI N G U N IT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC I 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-COMP(3 H.P.or 100,000 B.T.U.) 6.00 �r hereby authorizeomeproperty npec on this [,'Doter upon the BOILER-COMP(Ovnr 100,000 BTU)SEE FEE SCH. MECHANICAL ty... r above-mentioned r. forms action ui osos. Lupertino e to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. ainst liabilities,judgments, costs and expenses which pERM1T ISSUANCE - 19;00 -- ' CONST.TAXway`accrue against said City in consequence of theis permit ,O MECH.CONT. LIG NO. TOTALTOTALpp can Contractor OFFICE COPY VALLCO FAS14io*4 FIAFi K 1_4/mvpll%r r TLsDRAIA Aum 10 FK7 CD ATFL 0w_5� M. W L4kir- lav0 W SIDE Aug p O O O �- ?o.c. - Td 65"A LS (C DN CT, T5' 1`110 DEL wo6 '12,0 V ° ° ° ° ° ° ° 0 0 0 0 7 € IZS A t lg oo 6VAf ly o (j ( o 0 UtVDER S/ h✓/� E 7�;Z o - o\0 0 OT \ \ 12'�(lZ'GD '� ° p ° ZPo� o ° - O O o o p y . 0 00,7 �iJifiefdJ6, t O . ., 28od 1 O O O O O O O O O O` C 7 t I 2'Zy•YZ`/ Q - 1Los Angeles, California Boulevard 3348 .OG To N4[.YED TAP, p O O i---- .- 2134784456 14-1 o. ° 2yso G o scNo71-S p �1 . . Wo o 6-nAW TVrAl., u�aN IN G t ° p O O O O O O O O ZoS y 3 ( �•�_- _ - o 0 0 0 0 o p / W } ° 0 0 0 0 w/71�tEC1or.K' �j�IJC (r7► �C � ► V ° ° ° o 0 0 (Ltc'l, . �1R� s?StCn+ f 4 . ova. AA 1.„ ` REFLECTED CEILING PLAN , IN ORa' DE k NI THE CIfY �� Z HAVE fug' {�ldl .. � _aUPEllf:11� ODES AND VLFA,1'D _ ORBIN DATE �a ' E SIGNED 1• = 11ltis sat c. . .rt, .. I \ 2j GNEC1' CpMMflJTS �/ A, perF� GM , 3a I \ /onro NQS ✓tse Ga t . de kept cn F e ;2 g p` =siicns MU5? \ same tom .s s r i © j70GUME�✓I 5 �Gco�Ot JG r tr, k is uA' Ort same w k a r, or alterktiogl' FS7, zl�. 4 = the bu;Aq N msssion koeF 1t star L Pa t:pa. S)tAtL f l7 -'i IAV, Z+To /'w w-,vr ¢ 1, �pvi6catiod4 ( a§Wuvel of,the r' �. r:,t cr P� be arr - oNzi(f ej S{ any Wovisiortr - - .Lave PROM "TRAP Pit►,E(� To .56W64 7W` f COPS Q GENERAL NOTES lNSTziu- EXPAt SIGN SHIELD y���QJEfES4 y� N S Ifs Oc F:•r�F', ANC W � - _ PLUM$lN(,� ISOM�T�I/CS - _ �t��D_�P�►�1" pito M �t1�TtJ�.E : - � 86 � 1. ALL DUCTWORK SHALL BE CONSTRUCTED, ERECTED . AND TESTED IN - hElyl4flli f�'�f'�/ID� ACCORDANCE WITH THE MOST RESTRICTIVE OF LOCAL REGULATIONS AS F IJi i�Gf Py �ZEl�'p • DETAILED IN THE ASHRAE HANDBOOK 4 SMACNA STANDARDS. - �� """ co�ye Of CAVE _ ,f ti��p(,Y Dl1�t o� I e: oor� ,"k�Ipl• - - FLOW �--WITC/f1 2. DUCTWORK TO BE INSULATED PER '5wACNA ({� ✓Ft'!!�D �P�L- `per v�h J 3. DUCT TO BE FABRICATED AFTER FIELD VERIFICATION FOR 1 ! ( 1W � F /�� -C 9I r- Iod _ l CLEARANCE. l 4. PROVIDE DUCT MOUNTED ACCESS DOORS FOR FIRE DAMPER, FIRE AND u SMOKE DAMPERS. / � R C , �• o, �'o ;� < 5. DUCT SIZES GIVEN ON DRAWINGS ARE NET CLEAR DIMENSIONS. CO 6. PROVIDE TURNING VANE FOR ALL ELBOWS AND TEES. tit 'Car hm� E— Mle- 7) 5 7. DOOR LOUVERS ARE NOT BY THE MECHANICAL CONTRACTOR.t8. ALL DUCTS AND PLENUMS ON ROOF SHALL BE LINED. (�rAre �-7&'Ti1� -S�1T��t N 9. LINED DUCT DIMENSIONS INDICATED ON DRAWINGS ARE NET INSIDE 5 Oi � PGS } ( . DIMENSIONS.IF11 i�1a%C I'dr 10. THE SIZE OF DIFFUSERS INDICATED ON PLANS ARE NET CORE SIZES. ENERGY NOTESW00- GALVANIZED S R.A. P SHALL HAVE 1/2" MESH-11 ALL RETURN INLETS FROM LENUM Z METAL CREEN 12. ALL DIMENSIONS TO BE FIELD-VERIFIED. SEmt� GE �IEZeTcuf fP llt�(r, PwJh Qj� 3 L � Tt� hE AS�£S�€hEIF6�RIQIA�PCHMZ2F CODE, TZTLS 24, PART 2,CHAPTER F S O ITH Li•��A - �ITOI� �G}� �Jlp� C!�!✓1 ���� �jE��,gro _ 2-53 THS OLIAWING HALL BE C MPLIED W p 13 . ACCESS TO ALL FIRE DAMPERS AND EXHAUST FANS TO BE PROVIDEDt BY MECHANICAL CONTRACTOR AND INSTALLED AS . REQUIRED BY CODE 1 PIPING SHALL BE INSULATED PER SECTION 2-5312. .P( ►MM�.D rlT���,�-{� = BY GENERAL CONTRACTOR.N(It!• YII7= � " hp2) HVAC EQUIPMENT SHALL BE STATE OF- CALIFORNIA CERTIFIEDP� e, �1,a�1lG �I(�rltic� 14. ACCESS DOOR REQUIREMENTS: MINIMUM 12 X 12 FOR EACH FIRE PER SECTION 2-5314(a) DAMPER. �1 1 - 3) GAS APPLIANCES SHALL HAVE A PILOTLESS IGNITION PER IZ&MTf-rEWas;�-444 e-v FpqG�(,��(� O v TErD nZ4NiAN Gp 15. REVIEW ARCHITECTURAL DRAWINGS FOR ALL FIRE RATED SECTION 2-5314 (e) . � T�� �pDA � 1� PENETRATIONS. INSTALL FIRE DAMPERS.' t ��t 1 4) - HVACEQUIPMENT SHALL HAVE TFiE FOLLOWING REQIIIREMENTS: TER Fto1I �1^I�TI/1T � {/ 9 � ,�M ' . ` . 16- MECHANICAL CONTRACTOR TO COORDINATE EXACT LOCATION OF ALL1 ` ` ""`r -'tT`� �� fo� 4��tT� 6� T}�F� �JDOO �� pVl(7� CONCRETE CURBS, PADS, ETC. SIZE AS REQUIRED. ALL CONCRETE 4.1) AUTOMATIC CONTROLS PERSECTION 2-5315(a)Ej'.T of arlrr; WORK BY GENERAL CONTRACTOR. �W,;re ? 4.2) THERMOSTAT SET POINT PER SECTION 2-5315(a) .17. COORDINATE DUCTWORK WITH STRUCTURAL MEMBERS, CONDUIT, PIPING OTHER IONS. AL CONTROL PLEATING AND COOLING PER SECTIONrc�� �, T��j l ,, AND OBSTRUCT 4 3) SEQUENTI AP 1 �-•t-i 7�` ►+�� G�t ��DTCr- c 2-5315(a) . kkI- . ^rte T'� f� 'q t o� /� 18. COORDINATE ACTUAL DIFFUSER AND GRILLE LOCATIONS WITH� I �+f` i� ( 7AM �� G `� �G� � ' ( I (. ,1REFLECTED CEILING PLANS. 4.4} THERMOSTAT CONTROLS FOR EACH ZONE PER SECTION �;�YI 2-5315. 19. CONTRACTOR TO FINALIZE LOCATION OF ;THE THERMOSTATS WITH rAL or4T) OWNER. 5) AUTOMATIC: EXHAUST FAN DAMPER$ PER SECTION 2-5316(b) - C, SYS�H IS OF FjETiI�JJ PLENtlH E.[,EGTi6Co4 t 6jVENTIL.ATION PROVIDED PER SECTIONS 2-5316 AND 2-5343.A TCt.Ga [ ISTEO FQe YE�LTIEA7117-GE+LJNL4 Ll DO IC HOT WATER AND/OR POOLS PER SECTION HEATERS FO�2 MEET 2-5318. VVV