The URL can be used to link to this page

17037 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMaER CITY OF CUPERTINO � 70�7 INSPECTION DIVISION. JOB INSPECTION RECORD pe�� ll E PI ' - 1 U 7-' ' PERM�P RATION JOB ADDRESS f b 23 N ' USC UNIT# - _LOT# PERMIT EXPIRES IF.WORK OWNER CON RACTOR IS NOT STARTED WITHIN INSPECTION' DATE INSPECTOR INSPECTION RECORD 18oDAYS OFPERMIT ISSu- FOUNDATION ANCE OR 180 DAYS FROM NOTE: LAST CALLED 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 ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - ®® vl ' �` '� '�� <<•! G I- UNDERGROUND /SLAB FEB F � �tl� �• #''I ! PLUMBING _ Cl�l^tj of Cuoffim ELECTRICAL ISSUANCE DATE MECHANICAL - BLDG. .LECr PLG. MECH, , - .. L ❑ '. ❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT WOOD FLOOR INFORMATION ' VALUATION - $IFT.. PLUMBING 3-�� ' L I' MECHANICAL / ' ;• C,�t.�(-� _ PERMIT TO ELECTRICAL FRAMING I, OF I � `_ .��•t/!ri INSULATION STORIES TYPE CONSTR. .00C GROUP - RES.UNI TS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED . ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE su.Fr FLOOR AREA TOTAL ACREAGE . DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATHING Res INom LOGON USEEPIT 00", APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ • ❑ ❑ ❑ ❑ 1 ASSESSORS PARCEL NO ROUGH SAN.# PLUMBING ELECT.ENERGY TRACT NO. PARCEL NO TUBS&SHOWER PANPLUMBING ENERGY MECHANICAL MECH..ENERGY � ELECTRICAL BUILDING ENERGY ACC DATE 'ACC,� FILE NO FRAMING ELECT.FINAL TEST INSULATION PLUMBING ZONING ENG.SITE No. GAS TEST - GAS MECHANICAL 'FIRE SPRINR ENERGY T.Za COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ ❑ N❑' EXTERIOR SHEAR' ELECTRICAL RELEASE FLOOD ZONE A L U.L. INTERIOR SHEAR FIRE DEPT. -- ?❑' , N❑ v ❑ ' N❑ SHEETROCK GRADE FEESUMMARY EXTERIOR LATH BUILDING _ INTERIOR LATH TEMPORARY APPROVALS BUILDING ,.�-r SCRATCH COAT ELECTRIC PLAN CHECK - NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE r a . OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC I4 F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING o PLEASE GIVE JOB ADDRESS WHEN PHONING. ' z MECHANICAL - SEE PERMIT FOR EXPIRATION DATE -' IMPORTANT! CONST,TAX PLEASE READ REVERSE SIDE BEFORE '3.. ;;:, TOTAL I -'`' CALLING FOR FINAL INSPECTION. - OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY , BUILDING PROJECT I DENTIFICATION - PERMIT NUMBER aalLING. /o / 3 •- wog r'k' APPLICATION & PERMIT r,� 17037 ADORES! l�Y(. al�b7 5 to A - O BUILDING—ELECTRICAL—PLUMBING-MECHANICAL OWrvER'S / PLAN CHECK VALIDATION rvamE L'�/y� QTy, ELECTRIC PERMIT FEE cx x� w HorvE aso-a r0 28197 CONTRACTOR 3 .1 NA '- OUTLETS-SWITCHES-RECEP 10.00/1.00 f4 5 Cp , LIC.NQ1 LIGHTING FIXTURES .10,00/.1.00 ACCESSSRRo s Ta R's ' .APPLIANCES-RESIDENTIAL' 4.00 - , l7n 6 g� �caQA 004 APPLIANCES-- Q E.IUI'T pPHory lqf 5d•/ „PANELS 10.00 . DATE OF APPLICATION ARCRRECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ENC1NEE), + // Q BB, a LIC.NO. ' 1 SIGNS TRANS. ' 3.00 ARCH.OR ENG. /(/a 04�K PERMIT VALIDATION ADDRESS 3 SPECIAL CIRCUIT 5.00 SNaTM Stij c 'a"9V-fol EMP.METER OR POLE INS: 20.00 APPLICANT'S Q` p - ADOREss MOTORS � � SEE FEE SCH: d oq yl E JnT ac A e?R' 79e5-5--5 SERVICE CHANGE ,w4839 oo LICENSED CONTRACTORS DECLARATION FU Q av u 1 hereby at that 1 am licensed under provisions of Chapter 9 m (commencing with Section 7000)of Division 3 of the Business and ISSUANCE GATE - H a Professions Cod- an my license is m full far�7�yyn{Xy/f� PW DG. ELECT. PLG. MECH. Z O w License las Loc.Number`s: p ❑ 1:1 ❑ . 9 w r w Date _ � Conlracin rt w ¢ OWNER-BUILDER DECLARATION BUILDING PERMIT UMISC.— REFER INFORMATION w ;' m I hereby affirm that I am exempt from the Contractor's License TO ORD FuoeC Law for the following reason.(Sec:703 1.5,Businessand Professions PERMIT ISSUANCE - VALUATION $/FT. Code:Any city or county which requires apermi(to construct,alter, 10.00 QIS Q 0 improve,demolish,or repair any structure,prior to Its Issuance,also ELEC.CONTR. LIC.NO. ELEC. sc w m ¢ requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO H he is licensed pursuant to the provisions of the Contractor's License �^A Hz,a Law(Chapter 9(eommencingwith Section 7000)ofDivision 3 ofthe 2 4 er Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE 1_U vaH m the basis for the alleged exemption.Any violation of Section 7031-5 STORIES TYPE CONSTR- are by any applicant fora permit subjectsthe applicant ALTER-DRAIN -WATER (EA.) 5.00 of not mothan five hundred dollars(S500).): ❑ I,as owner the property,or myy employees with wages as BACK FLOW PROTECTDEVICE ' 400 - their sole compensatatioq;will do the work,and the structure is not . . OCC.GROUP ARES.UNITS 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 himself or through his own employees,provided that such improve SG.Fr.FLOOR AREA TOTAL ACREAGE mems are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-11PIC.4 OUTLETS 6.00 Or improvement is sold within one year of completion, the owner-. builder will have 16,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.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Other ❑ 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,BusinessLAWN SPRINKLERS-1 INC 5 VB600 - and Professions Code:The Contractor's License Law does not apply V.B. . ASSESSORS PARCEL No. 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 contmetons)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRAC NNo. PARCEL NO. ' ❑ lam exempt under Sec,.,B.&P.C.for tilos reason WATER HEATER W/VENT 6.00 ` Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK FRS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I I hereby af6in dial I have a certificate of ewenl to self-insure, - -or a certificate Of Workers Compegp_�V&&T&ve,or s certified ZONING ENG.SITE NO- Copy them Sit lewV12-9.g).�j. Policy No 4 Company /1/ I,VI1TOEE '0777 Certified Copy is hereby furnished. - FIRE!PRINK ENERGYT-24 Z'Z ❑'Certif d copy,is li sll�the try in: action division - - F O - Applicant - MISC.- - REFER TO ORD, y [:J N� _ Y'[:] NE] CC m CE IFICATEOF FXEMPT16N FRO 1 WORKERS' PERMIT ISSUANCE 10.00 FL000 ZONE A.L.U.C. LU 7 COMPENSATION INSURAI CE PLG.CONTR. LIC.NO. PLG. tl 0 (This section need not be completed if the permit Is for one TOTAL V N� V N❑ Z hundred dollars IS 100)orless) U 0 1 certify that in the performance of the work for which this per QTY. 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. 500 BUILDING �� >• N NOTICE TO APPLICANT': If,after making this Certificate of Ex- . . - F Z Caption,you should become subject to the Workers'Compensation APPLIANCE 5.00 4FEEa: provisions of the Labor Code, you mustforthwith comply with such provisions or this permit shall be deemed revoked.' AIR HANDLING UNIT(TO 10,ODOQF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10,000CEM.) 6.00 `V 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,CR,.C.)., _ HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Address - HEATI NG UNIT(OV ER 100,000 B.T:U.)9.50 ELECTRIC - 1 certify that 1 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 stale laws relating to building construction, and BOILER-COMPI3H.P.Dr100,000B.TU.) 6.00 above- authorize representatives for ins of this city to enter upon the BOILER-COMP LER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL (We) property tativ spot this purposes. (We) agree to save, indemnify and keep harmless the City of MISC- REFER TO ORD. Cupertino against liabilities,judgments; costs and expenses'whlch CONSTTAX may in any way accrue against said City in .consequence of the PERMIT ISSUANCE' 10.00 , rant' g of this permit MECH.CONT. LIC.NO. MECH. TOTAL TOTAL q'91�5 Sig tore oC Applicant/Con[mmor Uate - OFFICE COPY