15548 (2) POST THIS CARD NEAR FRONT OF BUILDING. ;
PERMIT NUMBER
1 CITY OF CUPERTINO 15548
INSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
, 108 ADDRESS_1_0A-0—babb Road UNIT# LOT# -
• PERMIT EXPIRES IF WORK
OWNER Apple .Com uter CONTRACTOR IS NOT STARTED WITHIN
'INSPECTION DATE INSPECTOR 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 PERMIT VALIDATION
PREGUNITE'
- CUPERTINO STANDARDS..
GARAGE SLABS t POUR NO NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED'
UNDERGROUND /SLAB - lt'- �
PLUMBING
ELECTRICAL ISSUANCE DATE
MECHANICAL BLOC, .ELECT. PLG. -ECR
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WINFORMATION
WOOD FLOOR
ATION '-SIFT.
PLUMBING �(( -
MECHANICAL !(',, ul� (Ti
PERMIT TO
ELECTRICAL
FRAMING
INSULATION STORIES TYPE CONSTR.
!
OCC GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED `
SO.IT.'LOON AREA TOTAL ACREAGE
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE
DIAPHRAGM - THE CONSTRUCTION TAXIS PAID -
,BUILDING USE
ROOF SHEATHING RES IND CON PB o"n.,
• APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 11 ❑ ❑ 1:1 0
ASSESSORS PAH CEL NO
ROUGH SAN.q -
PLUMBING ELECT.ENERGY.
TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT NO PARCEL NO- � •
MECHANICAL . MECH.ENERGY
ELECTRICAL - BUILDING ENERGY ACC.DATE ACC,F¢.E No
FRAMING ELECT.FINAL TEST -
ZONING ENO.SITE NO.
INSULATION - PLUMBING
GAS TEST _ GAS '
FIRE SPRINK ENERGY T24
MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
EXTERIOR SHEAR ELECTRICAL RELEASE ELooO ZONE A.L.uc
D A❑ Y ❑ N❑
INTERIOR SHEAR* FIRE DEPT. L.-:
SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH BUILDING
INTERIOR LATH TEMPORARY APPROVALS"
BUILDING
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
~ ONE WORKING DAY BEFORE REQUIRED INSPECTION.' PLUMBING
O PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z MECHANICAL.
— SEE PERMIT FOR EXPIRATION DATE
I , IMPORTANT! coNsr.rnx
PLEASE READ REVERSE SIDE BEFORE TOTAL K
CALLING FOR FINAL INSPECTION. --
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY,
BUI LDI NG PROJECT I DENTI FICATION PERMIT NUMBER -
SUILOING APPLICATION & PERMIT 15548
ADDRESS
0 ��U/ BUILDING -ELECTRICAL-PLUMBING-MECHANICAL
O rvER'S ,,11 PLAN CHECK VALIDATION
NAME �'/-• LC /e7 fJ7 y��) DTV. ELECTRIC PERMIT FEE
r. PHONE LLQ
NAmafl AOI I (,p/IL� //y� UTLETS-SWITCHES-RECEP 10.00!1.00
'k - e LIGHTING FIXTURES 10.00/1.00
• uc.No.
CADDRESS - APP LIANCES-RESIDENTIAL 4.00
III PHONE PANELS 10.00 DATE OF APPLICATION I
ARCHITECTPANELS (OVER 200 AMPI 20.00 . PLAN CHECK FEE P.C.NO.
Ofl
ENGINE ^�1
/ Rlc No. SIGNS TRANS.. 3.00
ADD
ARCH. ENG, SPECIAL CIRCUIT 5,00 - PERMIT VALIDATION
a) ZAP EMP.METER OR POLE INS. 20.00
AP
AF DREEsSsS MOTORS SEE FEE SCH.
•
SERVICE CHANGE 20.00 '-ley/%'
a o o LICENSED CONTRACTORS DECLARATION - ( (E d
G u u 1 hereby affirm that 1 am licensed under provisions of Chapter 9 ISSUANCE DATE
FA Q w (commencing with Section 7000)of Division 3 of the Business and RLDG. ELECT. G. MECH.
✓g Z v Professions Co ' and my license is in full force 6let.G
Z
O m License Class Lic.Number-y- O ❑ ❑ ❑
o z F Date(_ s Contractor
a y E UILDING PERMIT
¢ a, w ¢ OWNER-BUILDER DECLARATIONao" INFORMATION
X ; I hereby al'finn Ihnt I am exempt from the Contractor's Licerrce
MISC.- REFER TO OR
�ir ,y (yATION $/FT.
Fuo¢ Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 up�a1Y�_
Cade'.Any city or county whichrequiresa permit to construct,
m� ELEC.CONTR. , JI¢ ¢o improve,demolish,or repair any structure,prim to its issuance,also ELEC. /
a. - DLL requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO
K
m w he is licensed pursuant to the provisions of the Contractor's License
r z a Law.(Chapter9(commencing with Section 7000)of Division 3 of the
E 4 D Business'and Professions Code)or that he is Cxempl therefrom and DTV. PLUMBING PERMIT FEE
¢ the basis for the alleged exemption,Any violation of Section 7031.5 STORIES TYPE CONSTR.
by any applicant fora permit subjects the applicant macivil penalty ALTER-DRAIN St VENT-WATER (EA.) 5.00
of not more nfive hundred dollars 11:
❑ I,as owner
my employees of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 .00C.GROUP RES.UNITS
their sole compensation,will do the work,and the structure is not
intended or offered for sale (SCC. 7094, Business and an
of DRAINS-FLOOR,ROOF,AR EA,COND. 5.00
Code'.ly hContractor'sor License Law does not apply to an owner of
properly who buildsis improvesthereon,and who doessuch work' FIXTURES,PER TRAP 5.00 SO,FT.FLOOR AREA TOTAL ACREAGE
himself a through his own employees,provided that such improve-
ments arc notintendedis old w thinoffered
one y ar o If,however,the bowneg GAS-EA,SYSTEM-1 1NC.4 OUTLETS 6.00
or improvement is sold within one year of com Plmion,she 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 Omer
. prove for purpose ofsaleJ. INDUSTRIAL WASTE INTER. 30.00
❑ 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 an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 '
contracts for such projects will,a contractor(,)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00
the Contractor's License Law. TRACT NO. PARCEL NO.
❑ I am exempt under Sec.-,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
hereby affirm that I [ave a certificate.!'consent to self-insure,
Ior a certificate of We, eis' tion Insurance,or a certified ZONING ENG.SITE NO.
Copy tiler 419k��`�y
Policy NVt 6mP.mv S-
.0 ❑ Cer[Ilted copy is ha by furnished. . FIRE SPRINK ENERGY TI4
❑ Cerf,ed Is d'with the city inspection division.
z p, 'Applicant f5/�,M/� MISC.- REFER TO ORD. % v❑ N❑ v ❑ N❑
~ w PERMIT ISSUANCE 10.00 FLOOD ZONE A.I-.u.c.
CC TIE C rE F-EXEMPTION FROM WORKERS'
11J > COMPENSATION INSURANCE PLG.CONTR, LIC.NO. PLG. v❑ N❑ Y ❑ N❑
2 (This section need not be completed if the permit is for one TOTAL
humbed dollars 151001 or less,I
U O 1 certify that in she performance of the work for which Ibis per QTY, MECHANICAL PERMIT FEE FEE SUMMARY
LL P 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. OI
UJ
Date Applicam ALTER OR ADD TO MECH. 5.00 BUILDING'
} H NOTICE 'f0 APPLICANT: If,after making this Certificate of Ex-
emption.you should become subject to the Workers'Countersuit ion APPLIANCE ' 5.00 PLAN CHECK,
provisions of the Labor Code, you must forthwith comply with - FEE
T..1 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 10,000 C.F.M.) 6.00 SEISMIC FEE
I hereby affirm that there is a construction leading agency for EXHAUST HOOD (WITH DUCT) 5.00
the performance of the work for which this permit is issued(Sec. MICROFILM
3097,Cw Cj. HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name
Lenders Address HEATING UNIT(OVER 100,000 B.T.U.0.50 ELECTRIC
I certify that I have read this application and state that the above VENTILATIONFAN (SINGLET- '4,00
information is correct, I agree to comply with all city and countyPLUMBING
• 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 BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL
above mentioned property for inspection purposes. -
(We) agree to save, indemnify and keep harmless the City GI MISC. ORD.
Oay�
ertino against liabilities,judgments, Costs and expenses which CONST.TAX
in any way accrue against said City in consequence of tePERMIT ISSUANCE 10.00ling ,is pe it, MECH.CONT. LIC.NO. MECH.roT"` TOTAL
at fAp cant/Contractor ate
OFFICE COPY