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18652 j POST THIS CARD NEAR FRONT OF.BUI,LDING PHRN,ITNUMBER CITY OF CUPERTINO, 186 `21. INSPECTION DIVISION • JOB INSPECTION RECORD S`�_ / PERMIT EXPIRATION JOB ADDRESS�O�ZJJ LG/OG�C. AZ.� -UNIT# _LOT# I 'PERMIT. EXPIRES IF WORK OWNER CONTRACTOR IS NOT STARTED WITHIN INSPECTION, DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION NOTE: - ANCE OR 180 DAYS FROM UFER ALL GRADING AND DRAINAGE SHALL.BE INSTALLED LASTCALLED INSPECTION. PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. ��0®" _Ln n` R/✓/ZLL(/GC� GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UG !" ], a 1989 w UNDERGROUND /SLAB PLUMBING /� ELECTRICAL - Clty of NoerfIRQ 5 ISSUANCE DATE I MECHANICAL BLDG, ELECT PL MECH. _ ❑ ❑ ❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION $ITT. MECHANICAL ELECTRICAL T PERMIT To FRAMING [f/Yfh�j f INSULATION STORIES T PE CONSTR, QiN OCC.GROUP RES UNITS PLACE'NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED • so-Tr PLODn MTEA TUrAL acR Eacu ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE .. DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING HIS ;No CON PB CHI— APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. '❑ ❑ 1:1 ❑ 1:1 • ROUGH ASSESSORSPARCEL NO SANp. PLUMBING - ELECT.ENERGY TUBS 8 SHOWER PAN TRACT No, - PARCEL No PLUMBING ENERGY MECHANICAL MECH.ENERGY ELECTRICAL - BUILDING ENERGY ?cc DATE AGC.FILE NO FRAMING ELECT,FINAL TEST " INSULATION PLUMBING ` ✓ ZONING ENC. SITE NO. GAS TEST GAS, MECHANICAL FIRE SPRINK .GEHF.RGY Th 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ "❑ , pp "❑ EXTERIOR SHEARELECTRICAL RELEASE FLOOD ZONE AL'O,c INTERIOR SHEAR FIRE DEPT. 'Y❑ N❑ .Y ❑ NEI SHEETROCK GRADE FEE SUM4ftY EXTERIOR LATH IBUILDING INTERIOR LATHTEMPORARY APPROVALS BUILDING' M'�, SCRATCH COAT ELECTRIC PLAN CHECK GAS. FEE I NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC JE OCCUPANCY OF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFI Lu ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRI 'a • II-- ONE WORKING DAY BEFORE REQUIRED INSPECTION. PL�UMBIN i Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION DATE — ME HANICAL IMPORTANT! A CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL' CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN,INFORMATION WITHIN RED LINES - USE BALL POINT-PEN ONLY r BU LDI NG PROJECT I DENT]FICATI ON .'PERMIT NUMBER BUILDING APPLICATION & PERMIT q f� AppREss I G Qs r/OL O , BUILDING - ELECTRICAL-PLUMBING-MECHANICAL r , OWNER' PLAN CHECK VALIDATION NAME /�✓ /� QTY. ELECTRIC PERMIT FEE L J ' PHONE cDNrRAcroRs OUTLETS-SWITCHES-RECEP, 10.00/1.00 NN E LIGHTING FIXTURES 10.00/1.00 CONTRACTORS v//� ` ' . App LIANCES-RESIDENTIAL 4.00 AODPESS I �j pp y r✓'•'Ax9v, ^PwHONEr -2�i� PANELS 10.00 DATE OF APPLICATION PCHITEC G. ^aK.W �'f�- gWtr PANELS (OV ER 200 AMP) 20.00 - PLAN CHECK FEE P.C.NO. OR Y + ENGINEER - ' uc.No. SIGNS TRANS. 3,00 ARCH.OR ENG. $pEGIAL CIRCUIT 500 ' PERMIT VALIDATION . A OGRESS ZIP - EMP.METER OR POLE INS. 20.00 ;_Toe_ J„�TO/L(�il APPLICANTS MOTORS - - SEE FEE SCH. ADDRESS _ SERVICE CHANGE- ' 20.00 " o o LICENSED CONTRACTORS DECLARATION y •��L/fB a u 1 hereby affirm that I am licensed under provisions of Chapter 9 - ISSUANCE DATE v 1 w (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG .MECH. wi Prafessione Code nd my icense is in full for ays{ e'I. - ❑ Zoy- License Cl' _ -3C Lia Number 1' � y 'v V ❑ ❑ 9 z r Dale Cnntraclo r- w< DwNER-BUILDER UECLARA I �4P ,` BUILDING PERMIT ° INFORMATION w 3 I hereby afOrm that I am exempt from the Contractor's License MISC.- R F 1' VALUATION_, $/FT. a. Ea Law for the followingeeoson,ISec.7031,1,Business and Professions PERMIT ISSUANCE 10.00 Codie e:Any Any city orcounty which requires it permit o construct,alter, - K Q improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. °¢ requires the applicant for such permit to file a signed statement that TOTAL + PERMIT TO wca a- he is licensed pursuant to the provisions of the Contractor's License t// Zs- Law,(Chapter 9(commencing with Section 7000)of Division 3 of the y� a Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE E p the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TY E CONSTR. - i ;`�° by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN&VENT-WATER IEA.) 5.00 of not more than five hundred dollars(S50().): ❑ I,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,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law don not apply to an owner of properly who builds or Improves themon,and who does such work FIXTURES-PER TRAP 5.00 O D 50.FT.FLOOP APEA TOTAL ACREAGE himself or through his own employees,provided that Such improve. ments are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or im- RES IND CON PB Omar prove for purpose of sale.). ' INDUSTRIALWASTE INTER. _ 30.00 ❑ ❑ ❑ ❑ ❑ ❑ [,as owner of the property,am exclusively contracting with - - licensed contractors to construct the project(Sec.7044,Business) LAWN SPRINKLERS-I INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law do"not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 IEA.) 1.00 contracts for such projects with a contractor(s)licensed pursuant to the Contra A0r s License Law. SEWER-SAN ITAR V-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. - ❑ lura ukentpt under See ,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. wORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 Thereby affirm that I have a certificate of consent m self-insure, ZONING ENG.SITE NO. - or a certificate of Workers'Compensation Insurance,or a echified copy thereat(See,3800,Lab.C.L - - Policy No. Company O ❑ Certified to y is hereby furnishe FIRE SPRINK ENERGY 134 Z Z Certifies o y is f�ed wit c' inspection division. MISC.- ' -REFER TO ORD. y ❑ N❑ YE]. N❑ O icam - pr rn PERMIT ISSUANCE - - 10.00 V CC iRTIFICATF-OF EXEMPTION FROM WORKERS' JsO FLOOD ZONE A.L.u.C. LU >_ COMPENSATION INSURANCE - PLG.CONTH. LIC.N0. PLG. t1 Q. Q (This section neeA not bn completed if the pennil is for ono TOTAL Y C] N❑ Y ❑ N❑ Z hundred dollars 1$100)nr less.) , 'U O 1 certify that m the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE U_ 5FEE SUMMARY mil is issued,1 Shall not employ any person in any manner so as to O w become subject to the Workers'CompensationLaws ofCalifornia. BUILDING Date Applicant ALTER OR ADD TO MECH. 5.00 } DO NOTICE TO APPLICANT: If,after making this Certificate of Ex. _ ♦- Z emption,you should become subject 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 10,000C.F.M.) 4.00 - CONSTRUCTIONLENDINGAGENCY AIRHANDLING UNIT(OVER 10PMC.EM.) 6.00 - SEISMIC FEE 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,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 - Lender's Name HEATING UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC, Lender's Address' 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 gO1LER=COMP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws Totaling to building construction, and hereby authorize representatives of this city (o enter upon the BOILER-COMP (Over 100,000 BTUI SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes, (We) agree to Save, indemnify and keep,harmless the City of MISC.- '- REFER TO ORD. ' upertlno Winst liabilities,judgments, Costs and expenses which - PERMIT ISSUANCE 10.Op CONST.TAX- . ay in way accrue a in c0nse once of the rani [his permit MECH.CONT.+ LIC.NO. MECH. TOTAL TOTAL a..�. ignature of ppll r e OFFICE COPY