The URL can be used to link to this page

8256 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD 1' PERMIT EXPIRATION JOB ADDRESS � � d�d � ' � � UNIT# LOT# Is PERMIT EXPIRES IF WORK OWNER CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR - INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM UFER LASTCALLED INSPECTION. PR EGUNITE - PERMIT VALIDATION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED / </ UNDERGROUND /SLABd' PLUMBING 666 i ELECTRICAL ISSUANCE DAT MECHANICAL BLD ELECT. PLO. IMECH. ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR - VALUATION S/FT. PLUMBING MECHANICAL 7 EH O ELECTRICAL FRAMING STORIES TYPE CONSTR. INSULATION OCC.GROUP RES,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO,F .FLOOR AREA TOTAL ACREAGE ROOF DIAPHRAGM eulLolrvc USE RES IND CON PB 011" APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED 1:1 11El 11 11 ASSESSORS PARCEL NO. ROUGH PLUMBING TRACI NO. PARCEL NO, GAS TEST MECHANICAL ELECTRICALAcc.GATE ACC FILE No FINALS DATE INSP. , FRAMING =�o iQ'� SAN # N PLUMBING zoNlNc ENG.SITE NO. INSULATION - - �f GAS FIRE SPRINK ENERGY T-24 MECHANICAL - - + Y ❑ N[] Y ❑ NEl COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING LATH-INTERIOR ELECTRICAL Y0 mNE AL.u.c. , ' NE] Y 0 N❑ LATH-EXTERIOR FIRE DEPT. SHEETROCK GRADE FEE SUMMARY SHEAR INTERIOR BUILDING BUILDING SHEAR EXTERIOR TEMPORARY APPROVALS • FIREWALLS ELECTRIC PLAN CHECK F + GAS EE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE UCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o�l ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. Z. MECHANICAL - SEE PERMIT FOR EXPIRATION DATE - CONST.TAX IMPORTANT! 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 BW LDI NG PROJECT IDENTIFICATION PERMIT NUMBER ,RorlolNc APPLICATION & PERMIT oREss BUILDING - ELECTRICAL-PLUMBING-MECHANICAL8256 wrvEH'S Ems- G PLAN CHECK VALIDATION ELECTRIC PERMIT FEE CONTRALTO Y M�ETRACTO , 1-r �,�.(�) UTLETS-SWITCHES-RECEP 10.00/1.00 CCK-G'v l �L/V�t Llc.rvo. � LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'5 _ PPLIANCES-RESIDENTIAL 4.00 aoGREss 1 5 wa-re- PEON �{L/Q PANELS 10.00 DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. OR FNCINEl11:_ 1... - SIGNS TRANS. 3.00 ARCWENG, 'T PERMIT VALIDATION aooREss (7 SPECIAL CIRCUIT 5.00 It,-z LA EMP.METER OR POLE INS. 20.00 aPPucANrs MOTORS SEE FEE SCH. pO RE55 ` ' l fCj M Ccn''16R.71f,-'i�- SERVICE CHANGE 20.00 wMo LICENSED CONTRACTORS DECLARATION TEMP.POLE 30.00 a .u I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE GATE (commencing with Section 7000)of Division 3 of the Business and RLDG. ELECT. PLG. MECH. F N z Professions C ..b�ppd license is in full f m1 vIIpy . z o m - License��-Cla)))) _ `k Lia Number LU / Z ❑ ❑ ❑ ❑ 9 w w Date /.S Contractor 1�e BUILDING PERMIT ¢ ¢ w a OWNER-BUILDER DECLARATION D INFORMATION WGA " MISC.- REFER TO ORD 3 N 1 hereby affirm that 1 am exempt from the Contractor's License a_ vi Law for the following reason.(See.7031.5,Business and Professions PERMIT ISSUANCE 10.00 jv�ALDyAT1oN S/FT. r Code:Any city orcounty which requires a permit to construct,alter, ac an s-20 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. - CLL requires the applicant for such permit to file a signed statement that TOTAL Uitv PERMITT wm he is licensed pursuant to the provisions of the Contractor's License 'y1�I ry+y'/_/Q o yQJ FiQ Law(Chapter 9(commencing with Section 7000)of Division 3 of the /jV/Cje�U•\ /1tM�� _ Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE ¢ H o the basis for the alleged exemption.Any violation of Section 7031.5 1 STORIES TYPE CONSTR. a ; m byany applicant fora permit subjects the applicant loacivilpenally ALTER-DRAIN&VENT-WATER IEA.) 5.00 of not more than five hundred dollars(5500).): ❑ 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 does not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself re through his own employees,fors,provided that such improve- ments buildi r himself a throuot gh or offered eesale.lf,ed that such building GAS-EA.SYSTEM-1INC.4OUTLETS 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 pruvmg that he did not build or im- prove for purpose ofsale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON Pe Omer ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed 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 does not apply to in owner of property who builds or improves thereon.and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contractogs)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. ❑ I an,exempt under Sao-,B&P.C.for this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC,FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to w1binsure' ZONING or a certificate ut Workers'Co pensM ran os m�ac�e,oorra�a certified ENG.SITE NO. copy thereof(sec.3800,Lab Policy Lf- Policy No. Compa y 0 FJ Cerlilie 'rc costed. FIRE SPRINK ENERGY T 24 Z Z P_iy Certific c with I 'ity inspection division. MISC.- REFER TO ORD. Q Applicant Y❑ N❑ Y ❑ N❑ C - CERTII'I Ii OP I?%, PTIO 'ROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. 111 >_ MPENSATION INSURANCE PLG.CONTE. LIC.NO. PLG. 0' Q (This section need not be completed if the permit is toy one TOTAL Y❑ N❑ Y❑ N❑ 0 Z hundred dollars(S 100)or less.) U Q 1 certify that in the performance of the work for which this Per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY 1L F mit is issued, I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. a Dat° Applicant ALTER OR ADD TO MECH. 5.00 BUILDING } to NOTICE.TO APPLICANT: If,after making this Certificate of Ex- F Z emplion,you should become subject to 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 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10,000C.F.M.) 6.00 SEISMIC FEE 1�4 I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the epCCrvrmance of the work for which this permit is issued(Sec. MICROFILM 3097, HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATI NG UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address ( certify that have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 , information n correct I agree to comply with all only and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U,) 6.00 hereby authorize representatives of this city to enter upon the / I above-mentioned property for inspection purposes. BOILER-COMP (Over 100,000 BTU(SEE FEE SCH. MECHANICAL (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. / Cu a ino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX y ' accrue against said City in co sequence of the \/\ 1 nY t IS pe nil MECN.CONT. LIC.NO. MECH. 3 TOTAL TOTAL a 3 natur o p ant/l n actor Data OFFICE COPY /