Loading...
16874 POST THIS CARD NEAR FRONT OF BUILDING.. PERMIT NUMBER CITY OF. CUPERTINO 1687 , INSPECT,ION,,DIVISION,. JOB INSPECTION RECORD . �j Lc) p S(p ( r � / PERMIT EXPIRATION JOB ADDRESS , ` (1.I Z3 N . ISD4 e _UNIT# LOT# ' - ,, -T - PERMIT EXPIRES IF, WORK ' OWNER' l ��� 519�-P' e � CONTRACTOR -G Cie" -td 5T 18 NOT STARTEDWITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- I FOUNDATION 'ANCE OR 180 DAYS FROM', NOTE: LASTCALLED INSPECTION. UFER " ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE - _ TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION'. CUPERTINO STANDARDS. ' GARAGE SLABS i��y , C�.-,JS•' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING - s^'. L-+14+:fi*•+ Nn�! rY�,^4�,.. ELECTRICAL- - Y IssuamcE uarE.. MECHANICAL, LOG, ELECT. PLG. ECH- ❑ ,�J ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD.FLOOR INFORMATION VALUATION ' $"F T. • PLUMBING - MECHANICAL ` ' •RAIDI , ELECTRICAL .. - PERMIT TO I' - FRAMING ,43 o,,, i INSULATION -. sro IEs rwE.mNSTR.. - 'OCC.GROUP RES,UNITS• PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 'J SO.FT ILOOL.'A .TOTAL 4CREAGE ' ROOF' NOTE.NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID' ROOF SHEATHING, ; CON I'•REs INOILD GUSEPe O"'p, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 0 ❑ ..,El ❑ 1 • ❑ ASSESSORS PARCEL NO. ' ROUGH SAN.# PLUMBING _ ELECT.ENERGY ' . I TUBS&SHOWER PAN - �� PLUMBING ENERGY TRACT NOPARCEL NO� , MECHANICAL y-2fr— _44 MECH.ENERGY 'ELECTRICAL, - BUILDING ENERGY • ?CC DATE ACC.FILE rvO f, .FRAMING ELECT.FINAL TEST - .ZONING ENG.SITE NO. INSULATION PLUMBING - GAS TEST i GAS + ' MECHANICAL - - FIRE SPRINK ENERGY T.za COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING "� NE] FLOOD ZONE A,L.U,C' EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. v ❑ No , Y ❑' . N❑ SHEETROCK - GRADE . FEE SUMMARY EXTERIOR LATH BUILDING . INTERIOR LATH _ : TEMPORARY APPROVAL eulLDwc.,' 1 . SCRATCH COAT, ELECTRIC PLAN CHECK - GAS FEE , . . NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. ' MICROFILM pp ELECTRIC - ' ARRANGE FOR INSPECTION BY PHONING 252-4505, F ONE WORKING DAY BEFORE;REQUIRED INSPECTION. i"'I . PLUMBINGy� o - PLEASE GIVE JOB ADDRESS-WHEN PHONING. Z MECHANICAL — SEE PERMIT F,OR EXPIRATION DATE — 1 CONST.TAX IMPORTANT! PLEASE READ.REVERSE SIDE BEFORE + 'I CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY , I_ APPLICANT TO FILLIN.INFORMATION WITHIN RED LINES -' .USE BALL-POINT PEN ONLY BUI LDI NG PROJECT I DENTI TION �y -PERMIT NUMBER LDING APPLICATION &PERMIT A n AD Rys�. O� - 16874 ' BUILDING-ELECTRICAL-PLUMBING-MECHANICAL :e. OWNER'S - "PLAN CHECK VALIDATION • NA/N/E/ - - QTY. ELECTRIC PERMIT 'FEE•AG VNONE ., NAMe ACTOR's ., UTLETS-SWITCHES:RECEP 10.00/1.00 h� - - LIC.No: . LIGHTING FIXTURES 10.00/1.00 - CONTRACTOR'SADDRESS V401se-h/ - - � 1 ..' 4#5' PPLIANCES-RESIDENTIAL 4.00 _ QnwPHONE PANELS 10.00 - DATE OF APPLICATION I ARCHITECT PLAN CHECK FEE P.C.NO. OR PANELS (OVER 200 AMPI 20:00 _ ENGINEERARCH.OR - uc: SIGNS TRANS. 3.00 r ADDRESS ENG. ' SPECIAL CIRCUIT .5.00 PERMIT VALIDATION ' ZIPr EMP. METER OR POLE INS.. 20.00 APPUCANTS4pO.S IER CT MOTORS SEE FEE SCH. / ADDRESS ^^ww SERVICE CHANGE 20.00 woo LICENSED CONTRACTORS DECLARATION Icv I hereby affirm that I am licensed,under provisions of Chapter 9 2 w - • II ISSUANCE DATE •" ce a N (commencing with Section 7000)of Division 3 of the Businessland - 1 JVVV pG. ELECT. PLG. MECH. r o z Professions Code.. icense is in full forciii rJsO ❑ ❑ ❑ Z D o License Class C Lic.Number r II DD - F ,zi r J Date Con a >< , '�9-9-8=- '�' C./.F_L__V�[��iT�,v1.._. City Of Cupertino Ir w a OWNER-BUILDER DECLA ATload -N BUILDING PERMIT °nO MISC.- REFER TO ORD INFORMATION X 3,_ H I hereby affirm that 1 am exempt from the Contractors License VALUATION-T$/FT. H u O< Law for the following reason.(Sec.7031.5,Business and Professions 10.00 �� - .,PERMIT ISSUANCE^ ar Code:Any city or county which requiresa permit to'construct,alter, a V KWet improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. -/� i O It requites the applicant for such permit to file a signed statemenLthat TOTAL �1�-V X m he is licensed pursuant to the provisions ar the Contractor's License PERMIT TO ' �'z < Law(Chapter 9.(commencing with Section 7000)of Division 3ofihe J' '1. ' 4 O Business and Professions Cade)or that he is exempt therefrom andQTV. PLUMBING PERMIT FEE "\ w m the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. - e3 � - by any applicantforapermit subjects the applicant to a civil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(4500).): - ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 o their sole compensation,will do tile cC.GROUP RES.UNITS e work,and the structure is not - inteaded 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 docs such work FIXTURES-PER TRAP 5.00 SO,FT FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- 1 ments are not intended or,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 im- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE prove for purpose of sale.). RES IND - CON ."PB Omer ❑ 1,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 E] [3 [:] ❑ ❑ and Ptd, scions Cod to construct the project(Sac.7044,Business - LAWN SPRINKLERS-1 INC 6 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The who License s thereon, docs not apply to tr owner of property who bairns[r improves thereon,and who - LAWN SPRINKLERS-OVER 5(EA.) . 1.00' ' contracts for such projects with a eontractorfs)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT No. PARCEL No. ❑ lam exempt under sec. ,B.&P.C.fur this reason WATER HEATER W/VENT X6.00 Owner' Date WATER SYSTEM 5.00 ACC.DATE ACC.Fu.E No. .WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy[hereof IS 3800,Lab.' Policy No. 'Company i '' Ce [tied cop is h44•re u hed. z Z C fit c y is Tde ihety sp n division. FIRE SPRINK ENERGY T-T4 ' O App ea MISC.-' • " REFER TO ORD. v Q 'm❑ v ❑ N❑ � m CERTIFICATE XEXEMPTION FROM ORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE � A.LU.C. W - COMP- SATION INSURANCE PLG.CONTR. LIC.NO. PLG. ' d O (This section need not be completed if the permit is for one - TOTAL Y"❑, IN Y ❑ N❑ D.2 hundred dollars IS 100)or Ica,) U O 1 certify that in the performance of the work for which this per-. CITY. MECHANICAL PERMIT FEE FEE SUMMARY LL I- mit is issued,I shall not employ any person in any manner so as to O W become subject to the Workers'Compensation Laws of California, BUILDING Q. Date Applicant ALTER OR ADD TO MECH. 5.00 } N NOTICE. TO APPLICANT: If,after making this Certificate of Ex- F ? enhption,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 he deemed revoked. AIR HANDLING UNIT(TO.IO=C.F.M.) 4.00 r '• CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER IO,OWC.F.M.) 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(Seo. MICROFILM 3097,Cie.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Nine Lender's Address HEATI NG UN IT(OVER 100,000'B.T.U.)9.50 ELECTRIC IQ• �Q I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4,00 - information is.correct.1 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 .�> hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,0009TU)SEE FEE SCH. MECHANICAL above-mentioned properly for inspection purposes. - (We) a tee to save; indemnify and keep harmless the City of MISC.- REFER TO ORD. U o ainst liabilitie judgments, costs and expenses which CONST.TAX y in an way a rue airs[ said Ci consequence of the PERMIT ISSUANCE • '10.00 Ianting of is 1(yrm MECH.CONT., 1- LIC.NO. MECH. TOTAL TOTAL BrSU nature of Ap cant/ ontractor Dale s OFFICE'COPY'.