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10917 (2) ► ' POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 10917 INSPECTION DIVISION JO JOB INSPECTION RECORD 41 PMIT EXPIRATION OB ADDR ESS D7-T S/ UNIT# LOT ' R;n EXPIRES IF WOR,[ OWNER L Q CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD YSOFPERMIT ISSU- FOUNDATION _ v� K&AL "!)y'/'n OR 180 DAYS FROMr LAST CALLED INSPECTION. LIFER . PREGUNITE a PERMIT VALIDATION 3 aD-b J POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED L/-.217- 9) 1 ✓ o UNDERGROUND /SLAB I, K.lrcA2^ PLUMBING ELECTRICAL IS ANCE DAT L•'Z e - -� � �..Al�. BLDG. CT, "PLG. MECH. MECHANICAL �^�`VV 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEO - BUILDING PERMIT I N FORMATION{ WOOD FLOOR VALUATION siFT. PLUMBING MECHANICAL - ELECTRICAL /��1 PERMIT TO FRAMING / - •�� I ✓ �� STORIES TYPECONSTR. INSULATION OCC.GROUP RES.UNITS ' PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED. SO,FT.(LOOP AREA 'TOTAL ACREAGE ROOF DIAPHRAGM e/-/- y I \ •�'.B O 0-lo-O RE INOUILDING CON USEP B O'IF" APPLY NO ROOFING UNTIL ABOVE HAS BEN IGNED ❑ ❑ ❑ ❑ ROUGH ASSESSORS PARCEL NO. PLUMBING gr 94_ GAS TEST -PW g TRACT NO. PARCEL NO. MECHANICAL - ACC.DATE ACC.FILE NO. ELECTRICAL FINALS DATE INSP. FRAMING Pews. P(. sv S"6 SAN tt zoNlNc ENG.SITE No. INSULATION PLUMBING GAS MECHANICAL FIRESPRINK ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ Y ❑ N❑ LATH-INTERIOR - ELECTRICAL FLOODZONE A.L.uc. LATH-EXTERIOR FIRE DEPT. Y❑ N❑ Y ❑ N❑ SHEETROCK - - GRADE FEE SUMMARY SHEAR INTERIOR BUILDING SHEAR EXTERIOR -•�- TEMPORARY APPROVALS BUILDING FIREWALLS ELECTRIC PLAN CHECK GAS - FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN,SIGNED OCCUPANCY SEISMIC FEE UCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BYBUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC _ �V �� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING •) Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION DATE— MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. -- OFFICE COPY . •' I APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY Bl;LaDI NG PROJECT IDENTIFICATION PERMIT NUMBER L M. APPLICATION & PERMIT 10917 ADDRESS 19.3 N bb .O BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER (/( PLAN CHECK VALIDATION "AME y�j/�'j� 6?SS 6Ia5' CITY. ELECTRIC PERMIT FEE -(� I y ryr•4 af/)07A/PXONE '1 CONTRACTOR DOUTLETS-SWITCHES-RECEP 10.00/1,00 NAME -r � LIC.No, 8 ILIGHTING FIXTURES 10.00/1.00 0 ADDRESS oa•s PPLIANCES-RESIDENTIAL 4.00 CONTRACTOR PHONE PANELS 10.00 DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP) 2000 PLAN CHECK FEE P.C.NO. OR . ENGINEER LIC.No. SIGNS TRANS. 3.00 nooe'EIS END SPECIAL CIRCUIT 5.00 p My1T'YCLIDATION ZIP EMP.METER OR POLE 20.00 �A t..7 ADDRESS APPLICANT MOTORS SEE FEE SCH. 1-CO/A a ff LL 4444ii LIr 19,36 SERVICE CHANGEF Eb 2 0 iqRkoo /-/,/s/.��e���z}JJJ fD/� woo LICENSED CONTRACTORS DECLARATION City OI W p"'`" <v I hereby affirm that I am licensed under provisions of Chapter 9 Cupertino ISB ANCE DATE w <w (commencing with Section 7000)of Division 3 of the Business Mad BLDG. ELECT. PLG. MECH. Professions Cade,and my license is in full force and effect. N�1 a o m License Class Lie.Number �J 9 aF w Date Contractor a x s BUILDING PERMIT ¢ ¢ w a OWNER-BUILDER DECLARATION INFORMATION D REFER TO ORD X ;e w I hereby affirm that 1 um exempt from the Contractor's License MISC.- ¢ o a Law for the following reason.(Sec.7031.5,Budeass rat Professions PERMIT ISSUANCE 1 10.00 0 O'o VALUATION S/FT. AHP Code:Anycil§orcounty which requires a permit In construct,alter, ¢ La Q D Improve,demolish,Of repair any structure,prior to Its issuance,also ELEC.CONTR. LIC.NO. ELEC. QO - G¢L requires the applicant for such permit to file a signed statement that TOTAL 3 o ./ PERMIT TO e w m m he is licensed pursuant to the provisions of the Contractor's License Fa> La.,(Chapter 9(commencing with Section 7000)of Division 3 ofthe fFddy7/a a Business and Professions Code)or that he is exempt therefrom and OTV. PLUMBING PERMIT FEE M $ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. d3 � by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN -WATER IEA.) 5.00 of not more than five hundred dollars(55001.): ❑ I,as owner a] the property,0r my employees with wages as BACK F LOW 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 1� Code:The Contractor's License Law does not apply to an owner of • property who builds or improves thereon,and who does such work F IXTUR ES-PER TRAP 5.00 0 Q.FT.FLOOR AREA TOTAL ACREAGE t himself or through his own employees,provided that such improve- ments are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1 1 NC.4 OUTLETS 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 proving that he did not build or im- REB IND CON PB Omer p v for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 1,as owner of the property,am exclusively contracting with ❑ ❑ El 1:1 11bKd 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:O A.) 1.00 contracts for Such projects with a conlractor(s)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/ 0.00 lire Contractor's License Law. _ rl TRACT NO. PARCEL NO. ❑ lour exempt der Sec. ,B.&P.C.tor this WATER HEATER I•. 6.00 �( reason Owner Data WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPE ATION DECLARATION WATER TR EATING Ila .00 1 hereby affirm that I have a certificate of consent to self-insure, ZONING ENG.SITE NO. ora certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.). Policy No. Company 0 ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T 24 Z Z ❑ Certified copy is filed with the city inspection division. MISC.- REFERTOORD. O Applicant Y ❑ N❑ Y ❑ N❑ in PERMIT ISSUANCE 10.00 � - CERTIFICATE COMPENSATION N INSUROMWORKIiRS' FLOOD ZONE A.L.UL. UJ > COMPENSATION INSURANCE DLG.CONTR. LIC.NO. PLG. CL O (This section need not be completed if tire permit is for one TOTAL 001 Y❑ N❑ Y❑ N❑ 0 Z hundred dollars IS 100)or less.) U O 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued,1 shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. w Date Applicant �q st -1 a ALTER OR ADD TO MECH. 5.00 LS%� BUILDING K O �- } In NOTICE TO APPLICANT: If,after making this Certificate sa Ex- ? emotion,you should become subject to the Workers'Ccomply with APPLIANCE 5.00 PLAN CHECK provisions io the Labor Code, you must forthwith comply with FEE V suchprovisions or this permit shall be deemed revoked. AIR HANDLING UNIT C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=Q,.FM.) 6.00 SEISMIC FEE S.2 I hereby affirm that there is a construction lending agency for EXHAUST HOOP - 5.00 ' the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 Lender's Name HEATING UNIT P) .U.19.50 ELECTRIC 0 Lender's Address " . vv 1 certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 3 DD information is correct.I agree to comply with all city and county PLUMBING `- t 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 BTUI SEE FEESCH. - MECHANICAL .(^ -� above-mentioned property for inspection purpoxs. (We) agree to save, indemnify unit keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments costs and expenses which 00 CONST.TAX may in any way accrue•agai st said ily in consequence of the PERMIT ISSUANCE 10.00 gra Ingo hispe tit. MECH.CONT. LIC.NO. MECH. ��� TOTAL �s�t3 TOTAL �6I �SZTOTAL �s zl� TOTAL ��I7SZ . Signature of Applicant/Cont tar Da t/ - . f•` August i8, 1987 City of Cupertino Chief Building Inspector Joe Antonucci 10300 Torre Ave Cupertino , CA 95014 Subject : Extension of Time to Keep Building Permits Active Reference: Permit #0484 and 10917 Dear Mr . Antonucci ; This letter is to request that building permit number 0484 and permit number 10917 on my residence at 11236 Bubb Road remain active. Both permits are currently active and have had inspections completed within the required 180 days. However , I am currently remodeling the kitchen on permit #0484 and will not be able to complete any work on permit #10917 within the required 180 day period . These two permits are on the same house and together make up the complete remodeling job being done. Progress on one inhibits progress on the other part . • ,� As we discussed on the phone, I would like an inspection on one permit or the other permit to cause them both to be considered active. When permit #0484 was taken out , we were only planning on doing that part of the remodel . As time passed , we realized that the remaining work should also be done. That is when permit #10917 was taken out . I appreciate your agreeing to keeping these permits active. As you may remember I am the only person doing the work and it sure is a slow process . Again, thank you for your cooperation. Sincereelly,,,/ Richard C. ay n 1per Bubb Ro Cupertino , C 95014 Bt9G• INSP©F IC���TF,YQ[v�El�ti 1 •61- ` �'. . . ..�. u i1- E[ •IL ?0/20/45 PERMIT INSPECTION ACTIVITY FOR PERM)? B 10417 Faue i 9L 11236 BUBB ROAD a9 ' •°�i INSPECTION CATE60RY w s9 ONE—T.YPE-GF--INSRECTJaN INSREZT-9R—CODE PIF ^"Mr.6 4/10/90 PRE INSULATION/SHEET ROCK JJ CANCELED •Z9 19 ° INSPECTION CATEGORY 301' •6S Ls —DONE_ IYP.E_DE_.INSPECTION INSPECTOR ''ODS P/F COMMENTS °S 4/10/90 HOT/COLO PLUMBING JB CANCELED ss vs 6/06/90 PRE INSULATION, PLBG HOUCOLD JB P Cs 42!22492 PLBG-R dd P Ls .1s av CTdON CAT€GORY 707 •ro 9vi DATE DONE TYPE OF INSPECTION INSPECTOR CODE F/F COMMENTS 61.061-90 P.RE-INSULA730N-NECH JB P E •�;i 6/OB/40 MECHANICAL dJ P Lv' 1/21/42 STOVE FINAL CC X P lit 1---- -321.22(-4.2 MEC"RE=SNEETRY, Jd P 0a g 3E a NSP.ECTIOF-CATEGORY 304 o< rE DATE DONE TYPE OF INSPECTION INSPECTOR CODE P/F COMMENTS CC 0 PRE--RISULATM ELECTCtIC JD F u 6/07140 ELECTRICAL JJ P ..00E 12122192 ELECT-RI' JJ P u •LL It INSPECTION CATE60RY 305,,. et . DATE DONE TYPE OF INSPECTION INSPECTOR CODE F/F COMMENTS' u 4/10/90 INSIDE FRAMING id CANCELED IL L0zJW _FRAME JJ ° 61 61 6/07/90 FRAMING (EARLY) dd P • l LI 91 ; 0s1 INSPECTION CATEGORY 306 .. ' IL E` ION INSPECTOR CODE PIR—COMMENTS — r 1-1 n 6/08/90 INSULATION JJ P e 01 6 a , • L INSPECTION CATEGORY 311 9 s DONE—DATE T FE OF 4NSP€CTION INSPECTOR CODE RiF CON NIS v E 6120190 SHEET ROCK dJ P L 1 . 0 0 w .6L 9L It 94 SL It .. EL PFPMTT tuaacrTrntl ACTIVITY FOR PERMIT i 10917 Pane 99 LL •u IIIb BUBB ROAD ' o1- 69 CIiON CATEGORY 313 aq , •L9 w MATE DONS TYPE OF INSPECTION INSPECTOR CODE .PIF COMMENTS S9iio 3 INT-LATH JJ F w � •1-9 10 '