The URL can be used to link to this page

17323 POST THIS CARD NEAR FRONT OF BUILDING TIT EMIT NUMBER CITY OF CUPERTINO 7323 INSPECTION DIVISION JOB INSPECTION;RECORDS— O 3 I rr /^ ,PERMIT EXPIRATION 1�-F-- JOB ADDRESS_4 �� E-we UNIT# _LOT# PERMIT EXPIRES IF WORK S OWNER, • �LZX FACTOR 'e L' IS NOT STARTED.WITHIN' INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF.P•ERMIT ISSU. FOUNDATIONANCE OR 180 DAYS FROM NOTE: LIFER .ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASITCALLED INSPECTION. TO COMPLY WITH THE APPROVED PLANS AND CITY OF, PERMIT VALIDATION PREGUNITE CUPERTINO STANDARDS. GARAGE SLABS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED OR - UNDERGROUND /SLAB ,�+,. L•:�CC+ PLUMBING �1*�C%/ Y i ELECTRICAL ISSUANCE DATE MECHANICAL BLDG ELECT, PLG. Me CR KNOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Z_ zbte BUILDING PERMIT WOOD FLOOR ,� F9 eek l 2v, t' �lL INFORMATION VALUATION "$/F T. PLUMBING - MECHANICAL i PERMIT TO ELECTRICAL FRAMING STORIES TYPE CONSTR. INSULATION OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED $p,l 1.11,111111 AREA TOTAL ACREAGE -� ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE TI DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING REs IND CON PR o,l„. APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑ ASSESSORS PARCEL NO ROUGH SAN.a PLUMBING ELECT.ENERGY TRACT No PARCEL No, TUBS a SHOWER PAN PLUMBING ENERGY - MECHANICAL MECH.ENERGY ACC.DATE ACC.FILE NO. ELECTRICAL BUILDING ENERGY FRAMING ELECT,FINAL TEST _ ZONING ENG.SITE NO, INSULATION PLUMBING GAS TEST GAS FIRE SPRINK ENERGY T�74 . MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y'7731 [3N❑ Y ❑ N❑ EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD zoyE ,A,1,u.c. INTERIOR SHEAR - FIRE DEPT. Yo N❑ Y-❑ No SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK . GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM LU ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 41,2.01 ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING O PLEASE GIVE JOB ADDRESS WHEN PHONING. z MECHANICAL — SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! coNST.rA PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. 2.�U OFFICE COPY . APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUItDI NG P40JECT ONWAMNLEEORIN'$G . C ID PHIOFN(EI4�C.AOsT�I 4 PERMIT NUMBER APPLICATION PERMITgPU ING-ELECTRICAL-PLUMBING-MECHANICAL 17323 PLAN CHECK VALID QTY ELECTRIC PERMIT FEE ATION /. NAN¢Rac Rs NAME UTLETS-SWITCHES-RECEP 10.00/1.00 TIC Nos 2LIGHTING FIXTURES 10.00/1.00 corvrRACTOR's APPLIANCES-RESIDENTIAL 4.00 A TRA , Sd 9 2.I Z 7••' 2 Z G 3 PHONry/� PANELS 10.DO r DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.NO. OR p �� PANELS (OVER 200 AMP) 20.00 ENGINEER Die 4 l�tCa' ' ' /w, tic.No.? Z 4 SIGNS TRANS. 3.00 ADDR, SS ENG.I�x SPECIAL CIRCUIT 5.00 ARCO OR a% le - / 2 r M PERMIT VALIDATION �. ' X.4 Q CfaIP 7,?J Aif TEMP.METER OR POLE INS. 20.00 APPLICANT's ADDRESS . MOTORS SEE FEE SEH. PO. 263/ .SQ C/Pnf2/2•Z SERVICE CHANGE I . 20.00 /� y w o O LICENSED CONTRACTORS DECLARATION F J A _ .O*vte_ ri w 1 hereby affirm tlmhl ant licensed Inkier provisions of Chapter 9 ISSUANCE DATE i4 Q a (eommencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. H o i Professions Code and y license is in full force:yu1{f! 1:1 ❑ ❑ z o y- License Class �' Lie Number$_ w H 0 Date / Contractor-,b.•-{rFfE� Icw OWNER-BUILDFR DECLARATION BUILDING PERMIT 'xu ;LL N 1 hereby affirm that I am exempt front the Contractor's License MISE.- REFER TO ORD INFORMATION Law for the following reason(Sec.7031.5,Business anJ Professions PERMIT ISSUANCE 10.00 Z Jd VALUATION $/FT. m � Code:Any city or coup ty which requites a permit toconstruct,alter, r <p improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. i wm S, requires the applicant for such permit to fila a signed statement that TOTAL PERMIT TO m IT is licensed pursux Bt la the provisions of tlne Contrlelor's License rz > Law(Chapter9 tcommencingwish Section 7000)ofDivision3ofthe �� ) E o Business and Professions Code) or that he is exempt thcrcfrom and QTV. -PLUMBING PERMIT FEE CV I- m the baSTS For the Flegcd exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicaatdor a perandsubjectsthc applicant loacivilpenalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five Imndred dollars(S500).)', ❑ I,as owner of the properly,or ary employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not intended or offered for sale (See. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an'ownerrol' \ property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.06 SO.FT.FLOOR AREA TOTAL ACREAGE br himself or through his own employees,provided that such improve. � ` meats are not intended croffered for sale.if,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 o or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or im- GAS-EA.SYSTEM•OVER 4 (EA.) 2.00 BUILDING USE prove for purpose of sale.). RES IND CON PB Other ❑ I,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 Eld I' T•) licensed.contmeturs to construct the project(Sec. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL No. El El anrofessinns Code:The Contractor's License Law does not Igtply to an owner of property who builds or improves thereon.and who LAWN SPR IN KLER$-OVER 5(EA.) 1.00 contracts for such projects with a contractoo s)licensed pursuant to © TRACT Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. 'PARCEL NO. ❑ lam exempt under Sec.O ,B.&P.C.for this WATER HEATER W/VENT 6.00 Owner Owner - Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. P WORKF-RS'COMPENSATION UEC1_ARA1lON WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to self.insure, a tort ificatc of Workers'Comp [ion I ea,or certified ZONING ENG.SITE NO. cap ereoff Sce.3800,Lai, y��•((TYY , Policy Company _ ' 0 ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T-24Z Z ❑ Certified copy is filed with dm city inspeetul division, 0 Applicant MISC.- REFER TO ORD. Y ❑ NC] Y ❑ N� to CERTI FICA'I'H OF EXEMPTION FROM WORK Ii RS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.u,L. LLI CL Cl COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. CL Z (Phis section meed not be completed if the permit is for one TOTAL YE] N EJV F1 N hundred dollars IS 100)or less.) U O I certify that in the perardo c e r or w this per- CITY MECHANICAL PERMIT FEE FEE SUMMARY LL U mit is issued, 1 shall not emplo Py cost so as to bean esp bjeq�t the Werke C 0 S. Date. .CT Apple � ALTER OR ADD TO MECH. 5.00 BUILDING } m NOTICE h' tire er to Cegd`k ate of Ex. H 2 enplion,you shuul can tet to c Workeri Compensation APPLIANCE '5.00 PLAN CHECK provisions of the L Code, you must forthwith comply with U FEE such provisions or this permit shall be deemed revoked AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=CF.M.) 6.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for IEXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.L HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Address - HEATI NG UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC 1Q2tab . ( certify that l 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 801LER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING' ordinances and state laws relating to building construction, and hereby authorize representatives ec This city to enter upon the BOILER-COMP(Gver 100,000 BTU)SEE FEE SCH. MECHANICAL haboveereby authorize Property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino Iles < tents, Costs and expenses which - CONST.TAX m y way acc st said City in consequence of the PERMIT ISSUANCE 10,00 ' tun MECH.CONT. LIC.NO. MECH. TOTAL TOTAL 611 Signal Uat - OFFICE COPY