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18408 POST THIS CARD NEAR FRONT OF BUILDING PERMIT 1NO 0.41 8408 CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD r PERMIT EXPIRATION JOB ADDRESS.II O DD 1�I/� UNIT# _LOT# '"� -/ PERMIT EXPIRES•IF WORK OWNER yy / L d V-d CONTRACTOR IS NOT STARTED WITHIN I SPECTIO DATE IN PECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED ' TO COMPLY WITH THE APPROVED PLANS AND CITY OF PENbuT VALIDATION PR EGU N I TE CUPERTINO STANDARDS. GARAGE SLABS &Z- ' I y i POUR NO CONCRETE UN L ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB UG 11 1989 PLUMBING I "J T ELECTRICAL city ot cupillito ISSUANCE OAT LC,- BLDG ELECL PLG. ' McCR MECHANICAL rte. ❑ ❑ 0 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR I-^• VALUATION SIFT, PLUMBING I I, _ pp d O. MECHANICAL I,-� L,• C/- W' ELECTRICAL ` """ PERMIT TO FRAMING DA FL ILd -f �c- r STORIES WYNE CONSiH INSULATION (,CC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED so ,r ELooR Alicn TOTAL AcbLAck ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE S� DIAPHRAGM THE CONSTRUCTION TAX IS PAID bUILUI USE ROOF SHEATHING Res IND CONON Pb El El APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 0 El SP ASSESSORS PARCEL NO ROUGH SAN.N PLUMBING ELECT.ENERGY LRacr NO PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY qcc DATE ncc FILE No. ELECTRICAL BUILDING ENERGY FRAMING ELECT,FINAL TEST zomwc ENc.SITE No. INSULATION PLUMBING GAS TEST GAS PINE SPRINK ENERGY T-Ya ' MECHANIC I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING N❑ ❑ NE] EXTERIOR SHEAR ELECTRICAL L E EL000 zoNE A.Luc. INTERIOR SHEAR FIRE DEPT. ,6 °❑ N0 Y ❑ rv❑ SHEETROCK GRADE S FEE SUMMARY I EXTERIOR LATH BUILDING UI DIN INTERIOR LATH TEMPORARY APPROVALS PLAN CHECK SCRATCH COAT ELECTRIC . FEE -- GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE 12-0-p OCCUPANCY OF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNEDBY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC c,= ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING O� PLEASE GIVE JOB ADDRESS WHEN PHONING. ('P Z MECHANICAL SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. 6 OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU I LDING PROJECT IDENTIFICATION PERMIT NUMBER MurOING I ; � 4/ APPLICATION & PERMIT 184 08 AooREss 11000 �U��E BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OwNER'S PLAN CHECK VALIDATION NAME L/�� TY. ELECTRIC PERMIT FEE 424--7 - CONTRACTORS �f{F h/j 2j �^ PHONE"f{/ ✓� �P247 Q -a pQ NAIVE croR's' OUTLETS-SWITCHES-RECEP 10.00/1.00 '> G'/ / /Cj l NAME I%Ip LIC.No. LIGHTING FIXTURES 10.00/1.00 Apply Ess oR's .#51 r\QQ foAPPLIANCES 4.00 Ul 1I UU Ess PHONE PANELS 10.00 DATE OF APPLICATION ARCHlrecrPANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. OR ENGINEER LIC. ISIGNS TRANS. 3.00 ARCH OR ErvG. (� SPECIAL CIRCUIT 5.QQ PERMIT VALIDATION 7=d Z ZIP EMP.METER OR POLE INS. 20.00 APPLICANT ��yyyyyy��E��,C IV MOTORS SEE FEE SCH. aO0�55 12515 G �// 7 ^`/ OSZ S� SERVICE CHANGE �4, (20.00 , v'z 4 � wo o LICENSED CONTRACTORS DECLARATION < u I hereby affirn, that I znr licensed under Provisions of Chapter 9 .I Ir 3 1i� ISSUANCE DATE i7 Q H (commencing with Section 7000)of Division 3 of Ore Businessand BLDG. ELECT. PLG. MECH. F- H z 1'n.tesslms Code,and my license is in full force and effrel. ❑ ❑ ❑ z O u, - License Class Lin Number �� Capertl O a H D;dc Contractor ot `a ,s BUILDING PERMIT ¢ C w ¢ OWNER-BUILDER DECLARATION - - INFORMATION A oA U MISC.- REFER TO ORD w LL N I hereby al lura that I am exempt from tire Contractor's Liccnsc VALUATION $/FT. H LLo ¢ Law for the following reason.(See.7031.5,Business and Professions PERMIT ISSUANCE 10.00 NJ Code:Anycity orcouity whichreyuiresapennd toconstruct,alter, M^ ¢ ¢ Q 2 improve,demolish,or repair any structure,prior W its issuance,also ELEC.CONTE. LIC.NO. ELEC. G LL requires the applicant for such permit In file a signed statement that TOTAL PERMIT TO w $ he is licensed pursuant to the provisions of the Contractors License vy His- Law(Chapler9(mmmm,cin,with Section 7000)of Division 3 of the ,� ��++�� ¢ Business and Professions Code)or that he is exempt tlfrm areoand OTY. PLUMBING PERMIT FEE I"Dl CAP 12AM P ¢H p the hasls for the alleged cxen,ption.Any violation of Section 7031.5 STORIES TYPE CONSTR. n ; m by any applicant for a permit subjects the applicant to a civil penally ALTER-DRAIN -WATER (EA.) 5.00 of not more than Five hundred dollars($5001.): O I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sok compensation,will do the work,and the structure Is nol 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 applyto an owner of property who builds Or Improves thereon,and who does such work FIXTURES-PER TRAP 5.00 50.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- -�, recoils arc not intended or oltered for sale.It,however,the hudding GAS-EA.SYSTEM=I INC.4OUTLETS 6.00 improvement provement 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 in> prove for purpose of sale.). INDUSTRIAL WASTE-INTER. 30.00 RES IND PB omzr as owner of the properly,am exclusively contracting with 11 El0 ❑ 1:1 c -contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO, and professions Code:The Contractor's License Law docs riot apply to an owner of property who builds or improves thereon.and who iLAWN SPRINKLERS-OVER 5 (EA.) 1.00 contracts for such projects with a c pHotclor(s)licensed pursuant In SEWER-SANITARY-STORM EA.200ft/10.00 lhu Cpn tractor's License Law. TRACT NO. PARCEL NO. I am exempt Under Sec.-,R.&P.C.for Ods WATER HEATER W/VENT 6.00 Q Owner Dap` WATER SYSTEM 5.00 ACC.DATE ACC,FILE NO, WORKERS'COM PENSA']TON DECLARATION WATER TREATING EQUIP. 5.00 I hereby Afire that I have a certificate of consent to self-insure. ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.). Policy No. Company O ❑ Certitied copy is hereby furnished. FIRE SPRINK ENERGY T-24 Z Z ❑ Certified copy is filed with the city inspection division. MISC.- REFER TO ORD. Applicant V ❑ N❑ v ❑ NEI c w CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. LU >_ COMPENSATION INSURANCE PLG.CONTR., LIC.NO. PLG. d O (This section need not be completed if the permit is for one TOTAL Y❑ N❑ Y❑ N❑ Z hundred dollar,IS 100)or less.) U O 1 certify that m lire performance of the work for which this per- OTV. MECHANICAL PERMIT FEErFEE ARY 98 LL 1- oil is issued,1 shall nut enydoy any person in any manner so ns to U become subject to tiro Workers'Compensalion Laws of Calhomia. .� O w Dalc Applicant ALTER OR ADD TO MECH. 5.00 NOTICE TO APPLICANT: 11,after making this Certificate of Ex- emptlm,,you should become subject to the Workm Conlpematim, APPLIANCE 5.00 provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10AOOC.F.NM 4.00 CONSTRUCTION LENDING AGIiNCYAIR HANDLING UNIT(OVER IO,000C.F.M.) 6.00 121 hereby affirn, that There is a Construction lending agency lot EXHAUST HOOD (WITH DUCT) 5.00 lire performance of the work for which this permit is issued(Sec. HEATING UNIT ITB 100,000 B.T.U.) 8.00 1 3097,Ci¢C.1. I-ender's Name HEATI NG UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address 1 certify that I have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00 PLUMBING 1p hereby au and state laws relating to is building construction. and hereby aulhoriry representatives ins of this rp es enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL abovrmentioned property for inspection Purposes. (We) agree to save. Inderaddy and keep harmless the City of Misc.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in any way accrue against said City in consequence of the of this per iL MECH.CONT. LIC.NO. MECH. 0..7-g TOTAL TOTAL Sbaurture of Applicant/Contractor Date OFFICE COPY