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15384 POST THIS CARD NEAR FRONT OF BUILDING revnur NUMBER CITY OF CUPERTINO 15384 INSPECTION DIVISION JOB INSPECTION RECORD Bldg. #41 PERMIT EXPIRATION JOB ADDRESS__11_U0_N0rt=h Wolfe Road UNIT# _LOT# PERMIT EXPIRES IF WORK OWNER Hewlett-Packard CO. CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATEINSPECTOR INSPECTION RECORD 180.DAYSOF PERMIT ISSU. FOUNDATIONANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. UFER' ALL GRADING AND DRAINAGE SHALL BE INSTALLED F TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION - PREGUNITE CUPERTINO STANDARDS. GARAGESLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB- -AR G 7 •TA�^ '';� �1 �, - 4•�J PLUMBING _Q. GC� pi-7 of I ELECTRICAL ! ISSUANCE DATE MECHANICAL —� OC • Gl7 "1— 17 C-q;5i-10L "LOC ELECT PLC, n+ecR Q ❑ 1 ❑' ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT'••,R INFORMATION. WOOD FLOOR VALUATION $TFT. PLUMBING MECHANICAL PERMIT TO ELECTRICAL FRAMING _ STORIES . TYPE corvsrn I INSULATION DCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED $O,FL 'LOOP AREA TOTAL nLHEAGf ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING nes IND CON PB om,, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS FAHCIEL NO ROUGH SAN.# PLUMBING ELECT.ENERGY TRAGI NO PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY ACC DATE ACC FILE NO FRAMING -3fj- ELECT.FINAL TEST ZONING ENG SITE NO. INSULATION PLUMBING GAS TEST GAS FIRE SPR INK ENERGY iPG E 3�? MECHANICAL ❑ NE ❑ N❑ COKI NO0 K UNTIL ABOVE HAS BEE IGNED HEATING FTOO D Z°NE A EXTERIOR SHEAR ELECTRICAL RELEASE —1 INTERIOR SHEAR. FIRE DEPT. v ❑ N❑ L, N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE L.. OCCUPANCY OF BUILDING ISNOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC L ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. Z MECHANICAL - SEE PERMIT FOR EXPIRATION DATE - IMPORTANT! 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 -PERMIT NUMBER ' BUILDING PROJECT IDENTI FICATION ADDRESS APPLICATION & PERMIT ADDRESS , , � . 15384 lapoo .A! li/O� I BUILDING - ELECTRICAL-PLUMBING-MECHANICAL__ Y' PLAN CHECK VALI�7TI ON NAME /t QTY. ELECTRIC PERMIT FEE / -a yr' carvTRAcraRs OUTLETS-SWITCHES-RECEP 10.00/1.00 NA C Int L¢.N., LIGHTING FIXTURES 10.00/1.00 ADURESS ns wAr PPLIANCES-RESIDENTIAL 4.00 �/r, E Ig:/� 7 PANELS 16.00 DATE OF APPLICATION 0NGINEETO � PANELS (OVER 200 AMP) '20.00 PLAN CHECK FEEP.C.NO. OR ) ENGINEER �'�Z;� LTC.No. SIGNS TRANS. 3.00 ARCH.OR ENG. SPECIALCIRCUIT 5,00 PERMIT VALIDATION Z& 5 �rl� y�/� II,P1Yl r+^ EMP.METER OR POLE INS. 20.00 ArS MOTORS SEE FEE SCH. APPLICDDREA as SERVICE CHANGE 20.00 /p '02 LICENSED CONTRACTORS DECLARATION 2 u 1 hereby effort that I ane licensed under provisions of Chapter 9 ISSUANCE GATE w<n Icommeneo,with Section 7000)of Division 3 W the Business and , IBLOG. t ELECT. PLG. MECH, r y i Professions Code,a my cense is in full 1'urce' fl ^Ik ) I ❑ ❑ z o y- License Class_'_.... Lic.NumbL-r�� 11El o H u, IJate ,' /'J Si/�r�Contractor -- a y E O a Ix w ¢ OWNER-BUILDER DECLARATION - 'BUILDING PERMIT E o d U MISC.- REFER TO ORD INFORMATION w 3 m 1 hereby affirm fiat I ant exempt Gem the Cont rac for. License VALUATION $/FT. H u O a Law for the following rcuson.(See 7031.5,Business and I'ro LES PERMIT ISSUANCE 10.00 L, Code:Any city or county which requiresa permit toconstn¢L alter, se ¢ Q 2 my improve,deolish,or repair anstructure,prior to its issuunce,also ELEC.CONTR. LIC.NO. ELEG ca D Mrequires the applicant for such permit to file signed statement flat TOTAL PERMIT T w $ he is licensed pursuant to the provisions of the Contractor's License H z i Law(Chapter 9(commencingwilh Section 7000)of Division 3 ofthe /"7s+'✓0q /T v < Business and Prol'cssions Codel or the he is exempt fhcrcl'mm arid OTY. PLUMBING PERMIT FEE F to the basis for the alleged exemption.Any violation of Section 703 1.5 1 STORIES TYPE CONSTR. n ; m by any applicant for a permit subjects the applicant to a civil Penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dodars($500).): ❑ 1,as owner of the properly,or my employces with wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES.UNITS Inch sole compensation,will(S the work,Business the structure is not intended or offered for sale le L doe. Business ate Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Curie:The who builds or License Law docs not who to on owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5,00 sD.IT,ELooR AREA TOTAL ACREAGE `• himself or through his own employees,provided that such improve- GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 Dent,are not intended or offered for sale.If,however,the building or improvement is sold within onm e year of completion,th e 11-nen- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE builder will have the burden of proving flat he did not build or inn- RES IND CON PB One, prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ I,as owner of the property,am exclusively Contracting with licensed contractors to construct tine 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 SPR IN KLERS-OVER 5IEA.) 1.00 contracts lot such projects with it contruutorlo licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ l am exempt under See,-,BAP C.for this WATER HEATER W/VENT 6.00 anon Owner Life WATER SYSTEM 5.00 ACC.DATE ACC,FILE NO, WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby elfin that I have A[enificat,oI cousew to self-insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy thcreof(Scc.3800,Lah.C.). ��. �L Policy NI �-it- Q ❑ ffeee i ied o ns rc t Is '�. FIRE SPR INK ENERGY TQ4 Z Z Q�CQllficllo is c with city irop coon division. MISC.- REFER TO ORD, y N y No (ry CISRTII4C TIS OF E%BA1I'PION 1'ROhf WORRISRS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.0 c. LLJ > COMPENSA'I']ON INSURANC17 PLG.CONTR. LIC.NO. PLG y ry Y N 0- 0 ('Phis section need not be completed if the permit is fix one TOTAL DZ hundred dollars($100)or less.) U O 1 certify that in We performance of the well for which this per- QTY- MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued, I shall not employ any Perron in any nnanner so as to Ow beeomeSubject totheWorkcN,CompensationLaw,ofCalifornia. BUILDING Q Sa o. Date-Applicant ALTER OR ADD TO MECH. 5.00 } m NOT CE TO AI'I'LICAN'I': if,after making this Cenil'icate of Ex- Z eruption,you should become subject w 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 be deemed revoked. AIR HANDLING UNIT(TO 10JMC.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIC PEE I hereby afford that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work lir which this permit is issued ISec HEATING UNIT-(TO 100,000 B.T.U.) 8.00 MICROFILM Lender's Na Lender's Adm,,,,, HEATING UN IT(OVER 100,0008.7-U.)9.50 ELECTRIC 1 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 BOILER-CDMP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING ordinances and slate laws mlatiny to building construction, and hereby aufhorice representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL above-memioned properly for inspection purposes. (wb) agree to save, indenmify and keep harmless the City of MISC.- REFER TO ORD. upmtin against liabilities, Wgmunls, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX �\ may in y ay, accrue a U Said City in con. qucnc of the mnling0 th Perm'L MECH.CONT. LIC.NO. MECH. - ` TOTAL TOTAL 1;1"F Signature of pN.zaffX.hthr.cIoT Dat OFFICE COPY