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13154 POST THIS CARD NEAR FRONT OF BUILDING pi MBER CITY OF CUPERTINO H131P54 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION 1161 YORKSHIRE JOB ADDRESS UNIT# LOT# I PERMIT EXPIRES IF WORK OWNER STEWART CONTRACTOR ACE PLUMBING IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ' ANCE OR 180 DAYS FROM UFER - LASTCALLED INSPECTION.} PREGUNTE - .PERMIT VALIDATION @ �if POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED- UNDERGROUND /SLAB IGNEDUNDERGROUND /SLAB ' PLUMBING - �L�}`V ELECTRICAL ISSUANCE DATE MECHANICAL BIpG. ELECT. PIG. MECH. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR -VALUATION S/FT. PLUMBING MECHANICAL ELECTRICAL ! ' JRM,IrIJTo FRAMING ' v' '• , INSULATION sroRlEs / YPE CONSTR. Dec.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 50.FL FLOORANSA TOTALACREAGE ROOF DIAPHRAGM �- BUILDING USE HES IND CON P9 Oln..r APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ 0 ❑ ROUGH. ASSESSORS PARCEL NO. PLUMBING ' GAS TEST TRACT NO, PARCEL NO. MECHANICAL ELECTRICAL FINALS DATE INSP. ACC.DATE ACC.FILE NO. FRAMING SAN # INSULATION PLUMBING ZONING ENG.SITE NO. GAS r �� FIRE SPRINK ENERGY L24 MECHANICAL Y ❑ N� YIN COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 11 HEATIN pn FLOOD ZONE A,L.UC. LATH—INTERIOR JELECTRICAL LATH—EXTERIOR FIRE DEPT., .1 °❑ N❑ v❑ N❑ SHEETROCK - GRAD al-' FEE SUMMARY SHEAR INTERIOR BUILDINGM ^ I i SHEAR EXTERIOR •PL PORARY APPROVALS BUILDING FIREWALLS ELECTRIC PLAN CHECK GAS FEE . NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED occuPANcv SEISMIC FEE OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNED By BUILDING INSPECTOR, MICROFILM ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC .\ ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING LUZ PLEASE GIVE JOB ADDRESS WHEN PHONING: - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL CONST.ONST.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 BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT 13154 I ADD E 5 BUILDING-ELECTRICAL-PLUMBING-MECHANICAL \ OwNER'S / PLAN CHECK VALIDATION E TV. ELECTRIC PERMIT FEE 1 \ ICONTRACTORS I OUTLETS-SWITCHES-RECEP 10.00/1.00 uc LIGHTING FIXTURES 10.00/1.00 CONTRA TORS APPLIANCES-RESIDENTIAL 4.00 ADDRESS AJ7 , �� PHONtQR PANELS 10.00 DATE OF APPLICATION ARCHITECTPANELS (OVER 200 AMP) 20.00 77 LAN CHECK FEE P.C.NO. OR ENGINEER LIC.NO. SIGNS TRANS. 3.00 ARCH.OR ENG, ERMpIT VALIDATION ADDRESS SPECIALCIRCUIT 5.00 �pAQ ZIP EMP.METER OR POLE INS. 20.00 �P''## APPLICANTS MOTORS SEE FEE SCH. LIq , ADDRESS SERVICE CHANGE 20.00 °woo LIC17NSED CONTRACTORS DECLARATION a u v I hereby affirm that I am licensed under provisions of Chapter 9 �ps Cu�5�UAWCE DATE w <w (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. y, m z Professions C y license is in full for z D w - License CP Lic.Number 'jg y ❑ fIX„I'. ❑ 4 m H w Dnlc Contractor�y [Y %t\ El LE M J C N BUILDING PERMIT LE 0 n D OWNER-tlUILDER DECLARATION INFORMATION wge y I.hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD FLLo J Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 VALUATION $/FT. �, Code:Any city orcuunty which requires a permit to construct,alter, C <Q improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. Dw mail Ile applicant fir Such permit to file aligned!Stammer,Ilral TOTAL ERMIT 70 d w m he is licensed pursuant to the provisions of the Contractor's License H z i Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe F m o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE at I-$ the basis for the alleged exemption.Any violation of Suction 7031.5STORIES VPE CONSTR. a; _ by any applicant for a permit subjects the applicant toll civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars($500).1: ❑ 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,AR EA,COND. 5.00 Code: The Contractor's License Law does not apply to an owner of property who builds lir Improves thereon,and who does such work FIXTURES-PER TRAP J 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE timself or through his own employees,provided that such improve- GAS-EA.SVSTEM-1 6.00 meats are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner. GAS•EA.SYSTEM-OVER 4 (EA) 200 BUILDING USE builder will have the burden of proving that he did not build or im- . . RES IND CON PB Omar El Las for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 C3 ❑ ❑ 1:1 1:1Las owner Of the properly,am exclusively contracting with licensed contractors to construct tire project(Sec. 7044,Business LAWN SPRINKLERS Q,WC•5-V. : 8.00 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 SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contractor(s)licensed pursuant to SEWER-SAN V-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. ❑ lam exempt under Sec.-,B&P.C.for this WATER HEATER WIVENT 6.00 (1D ..,on Owner Date WATER SYSTEM 5.00 ACC.DATE ACO.FILE NO. WORKF.RS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to self-insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or u certified copy thercof(Sec.3800,Lab.C.). Pair O. Company 0 Certified copy is hereby furnished. FIRE SPRINK ENERGY T-24 Z Z Cert cB sy Is-Il LLh the city inspl't'ms I ton. O mil it MISC.- REFER TO ORD. Y ❑ N❑ y ❑ N❑ ~ .00 LUN CERT °CATSEXEMPTION PROM WO S' PERMIT ISSUANCE 10FLoOO 2oNE A.L.U.C. W 1 COMPENSATION INSURANCE C PLG. d l (This secti need not be completed if the permit is for one TOTAL t Y❑ N❑ V ❑ N❑ Z hundred dollars($100)or less.) ✓ U O 1 certify that in the performance of the work for which this per. OTV. MECHANICAL PERMIT FEE FEE SUMMARY LL I- mit is issued,I shall not employ any person in any manner so as to O W become subject to the Workers Compensation Laws of California. Doc Applicant BUILDING Is. ALTER OR ADD TO MECH. 5.00 } W NOTICE TO APPLICANT: If,after making this Certificate of Ex. H Z emption,you should became 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 Ibis permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10DMC.EM.) 6.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 Ole performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). 1 HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lenders Name H EATI NG UNIT(OV ER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC ' I certify that 1 have read this application anJ state that the above VENTILATION FAN (SINGLE) 4.00 plyis correct. I agree to comply with all city and County PLUMBING an and state laws relating to building construction, and BOILER•COMPI3 H.P.or 100,000 B.7U.) 6.00 h by authorize representatives of this city to enter upon the BOILER-COMP IOvar 100,000 BTU)SEE FEE SCH. MECHANICAL 'above-mentioned properly for inspection PurPOWS. (Wel agree to Save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, casts and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in any way accrue against Said City in consequence of the granting of this permit. MECH.CONT. LIC.NO. MECH. TOTAL TOTAL Signature of Applicant/Contractor Date r OFFICE COPY