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24583 (2) APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINO _ ELECTRICAL PERMIT NO. BUILDING DIVISION ,APPLICATION/PERMIT PLUMBING-MECHANICAL 24583 p 5 8 BUILDING PROJECT IDENTIFICATION - L [� a 3 3 BUILDING ADDRESS: SANITARY NO. APPLICATIONSUBMTITALDATE 177 r. I f �me(4ft Ccl 45014- OWNERS AME: - PHO LIC NO: - 1 �+ y� �(, 0�.!/nQH• __N/7C CONTROL# • ARCHITECT/ INFER: II lQ T' I ¢' I '� ADDRESS: CONTACT: PHONE: ' QTY. ELECTN7C P FE8 BUILDING PERMIT INFO BLDG ELECT PLUMB MECH PERMIT ISSUANC ❑ ❑ ❑ LICENSED aDCONTRndmrpmSDECLA"TIONhapmr9 APPLIANCES RE DL TIAL B DESCRIPTION pyZ '1 hereby afBrLICEN aEDCONT uACTORvinDECLOhapter9(commencing with CA/`TION OO Section 7000).f Division 3 ofthe Business and Professions Code,and my license is in PANELS V ICpy! full force and effect. yy License Class Lic.# wqOWMIPS F'60. DateContramor AMPS ARCHITECTS DECLARATION IWOA S SQ.FT.FLOOR AREA �s$/SQ.FT. ZOy OZ—C I understand my plans shall be used as public records. - SIGNS ELE A Qz Licensed Professional gp CG OWNER-BUILDER fo rn the C ATIONea.I a SPECIAL C TSC. ryxa4,,O d F I herehy affirm that I am exempt from the Contractors License Law for the I• {v1 it IL m followinga son.amait(Section construct, Business and Professions Cade:Any city or county TEMP.M R POLE(NST. ❑a which requires a permit to construe,alter,improve,demolisM1,or repair any atrumure tY�Q� priorto as issuance,also requnce,im applicant for such permirto fleasigned statement POWER DEV( ES _ that he is licensed puauea00 the provisions fthe Contaut0rs License Law(Chapter Ie� me 9(comncing with Section 9000)of Division 3 oftbe Business and Professions Code) SWIMMING POOLELECTRIC VALUATION mat orthat he isexcmpttherefrom and the basis for thealleged exemption.Any violafionof GSection 7031.5 by any applicant for a Permit subjects the applicant to a civil penalty of OUTLETS-SWITCHES-FIXTURES Z1fQIJ p t more then flue hundred dollars($500). NEW RESIDENTIAL ELECIR S .FT. J X11 p� I,as ownsrofthepropeny,ormyemployeeswith wages asthelrsolecompeneation, Q STORIES TYPECONSTRUCTION the work,and the structure isentloeadedoroff rcd fxesale(Ser.7044,Business ���d Rofess ns Cade:The Contractor's License Use does not apply to an owner of properly who builds or improves thereon,and who don such work himarelfor through his wnemployees,providedthatsuchimpmvementsaronatinwndedorofferedforsele.IL OCCGROUP RES.UNITS however,the building orimprovement is sold within oneyearofevmpletion,ihner- eow - TOTAL: builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑ I,asoearrotlhe properly,emexclusively contracting with licensed conuecmam QT' PLUMBINGP FEE FLOOD ZONE APN consumer the project(Sec.70,41,Business and Professions Code)The—olow ore PERMIT ISSUANCE License Law does not apply m an owner ofpmperty who builds or improves thereon,and who contacts forsach projects with a carman,O licensed puauentmthe Contractors ALTER-DRAIN&VE A E ( ) FEE SUMMARY License Law. ❑nl am exempt ander Sec. ;B&P C for this reason BACK FLOW PROTECT.DCV-Z) EV IC 'J UTSIDE FE SANITARY Y N nwner r D RECEIPT# • c DRAINS-FLOOR,ROOF,ARE WORKMAN COMPENSATION DECLARATION SCHOOL TAX Y N ❑ Irs'Co afflrNNaRhnance ca.Gerd r copythromf(Snsure,0r Lab C.)which FIXTURES-PER TRAP RECEIPT Workcrs'Compensmion Insurance oracertiFied copy thereof(Sec.3800,Lab CJ which PARK PEE Y N overs all em to ee's under this pemtiL RECEIPT'N P Y GAS-EA.SYSTEM-1 INC.40UTLETS ' Policy# BUILDING DIVISION FEES Company GAS-EA.SYSTEM-OVER4(EA) PLANCHECK FEE ' El Certified copy is hereby famished. rm ❑ Certified copy is filed with the city inspection division. GREASEANDUSTRL WASTE INTERCEPTOR GRADING FEE CERTIFICATE OF EXEMPTION FROM WORKERS' GREASE TRAP SOILS FEE COMPENSATION INSURANCE (This section need not be completed Hine permit is Income hundred dollars($100) SEWER-SANITARY-STORM EA.200FT. ENERGY FEE or less.) I emify that in the performance of the wnrk for which this permit is issued,I shall WATER HEATER W/VENT/ELECTR Art employ any Person in any manner so as to become subject to the Workers PAID Compensution Lawsof Califomia. Date WATER SYSTEM/TREATING Date Receipt# Q 7-+ Applicant - Z 2 NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should NEW RESIDENTIAL PLMB. SQ,FT. i TOTAL: rA become subjectto the Worker's Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shell be deemed revoked. - - BUILDING FEE W z CONSTRUCTION LENDING AGENCY t SEISMIC FEE - ^a (hereby from that there is a construction lending agency for the performance of V O the work for which this Permit is issued(See.3097,Civ.C.) TOTAL: ELECTRIC FEE �n Lenders Name O !� Lenders Address QTY, MECHANICAL PERMIT 0 FEE PLUMBING FEE LU$I1 certify that 1 have read this application and state that the above information is MECHANICAL FEE act.l agree to comply with all city and county ordinances and state laws relating to PERMIT ISSUANCE �-' In building construction,andhereby authorize representatives ofthis city to enter upon the - CONSTRUCTION TAX U y above-mentioned property for inspection purposes. ALTER OR ADD TO MECH. F7 (We)agree to save,indemnify and keep harmless the City of Cupertino against liabllitia,judgmente,cases andexpe eas which may in any way accrueagainst said Cly AIR HANDLING UNIT(TO 10.000 CFM nsequence f the granting o/f t�hio'P]ermit AIR HANDLING UNIT(OVER 10,000 CFM) �o��/{�C — tO�Q� . Signature of ApplicanUContacmEXIfAUST HOOD(W/DUCT)r Date PAID HAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO 100,000 BTU) Date Receipt# Will the applicant or future building occupaatstme or handle hazardous material HEATING UNIT(OVER 100,000 BTU) - L: me defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Section 25532(a)P 0Yee El N0 VENTILATION RAN(SINGLE RESID) ISSUANCEDATEUP Will theapplicantorfuture bmildingaccupabtuse equipmenmrdeviceswhichetnit BOILER-COMP(3HP OR 100,000 BTU) i . hazardous air rnntaminants as defneJ by the Buy Arm Air Quality Management BOILER 100,000 BTU) Dia°�°°' ❑Yes 11 No NEW RESIDENTIAL MECH. SQ.PT. DEC 10 1992 1 have read the hazardous materials requirements under Chapter 6.95 of the CI I I OF Curt:5 California Health&Safety Code,Sections 25505,25533 and 25534. 1 understand that if the building does not currently have a tenant,that it is my responsibility to notify the occupant of the re paimanctus which must be met prior to issuance of a Certificate of Occupancy. Owneroramhorized ngent Date TOTAL: ISSUCD BY:71J." OFFICE CITY OF CUP>✓.0 INV PERMIT NO. BUILDING DIVISION - BUILDING PROJECT IDENTIFICATION 4 BUILDING ADDRESS: r SANITARY NO. APPLICATION SUBMITTAL DATE VNERS NAM PIIONE: CONTRACI'ORBNAME: LIC NO: I • 1 _ _"_ __ NIC CONTROLa ARCHITEC IENGINEEFL N :y� r LIC N(r:\4 i ADDRESS: ❑ INSPECTIONS -� �` DATES INSPEC. INSPECTION RECORD BUILDING PERMIT INFO ";;:% BLDG ELECT PLUMB MECH FOUNDATION/PIERS/H.D.S. /,45 NOTE: ALL GRADING AND DRAINAGE ❑ ❑ ❑ ❑ UFER GROUND SHALL BE INSTALLED TO COMPLY WITH JOB DESCRIPTION - PAD/SET BACK-CERT THE APPROVED PLANS AND CITY OF i n 0 � CUPERTINO STANDARDS. t�/-�--}�'O�r GARAGE SLABS/PREGUNITE POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED INSPECTION SPLCIAL INSPECTION DATE INSP. UNDERGROUND/SLAB REr1UIPED PLUMBING ELECTRICAL DO NOT POUR FLOOR UNTIL ABOVE HAS BEIN SIGNED PLUMBING MECHANICAL ELECTRICAL I FRAMING VENTS INSULATION PLACE NO SUBFLOOR UNTIL ABOVE HLLAS BEEN SIGNED ROOF SHEATH/DLAPHRAM PLUMBING ro _ TUBS&SHOWER PAN n _ ® � -� ECHANICAL i r\ ECTRICAL/POOL BOND FRAMING/STAIRS/E.EGRESS - z-q DA 1 n j INSULATIONNENTILATION ` COVER NO WORK UNTIIABOVKHAS BEBN SIGNED;; EXTERIOR SHEAR/HOLD DOWN INTERIOR SHEAR/HOLD DOWN SHEETROCK/SHEETROCK SHEAR EXTERIOR LATH/W-SCREEN SHOWER LATH NO TAPE OR PIASTER UNTIL ABOVE HAS BEEN SIGNED SCRATCH COAT SEWER/WATER ' TEMPORARY APPROVALS - BUILDING ELECTRICAL GAS FINALS GAS TEST GRADE PROVED FOR OCCUPANCY ❑ FIRE HANDICAP TO ARRANGE INSPECTION ISSUANC&DATE .y '` a• CA1.1, UFTFRNOONS 113:30 PNL .4:00 PNII .. LECTRICAL/ENERGY 252-4505 MONDAY TO FRIDAY 24 HOURS -UMBING/ENERGY BEFORE REQUIRED INSPECTION. JOB AD- DRESS AND PERMIT#ARE NEEDED WHEN MECHAN[CAL/ENERGY PHONING. BUILDING/ENERGY �z-y .CI"I EN'!Il):N CONI RAI:f0kJ: ELECTRICAL FINAL TEST NO PERSON(S)SHALL PERFORM WORK ON THIS JOB SITE WITHOUT WORKER'S OCCUPANCY OF BUILDING IS NOT PERMITTED COMPENSATION INSURANCE. UNTIL BUILDING FINAL IS SIGNED BY BUILDING IM11OR FANI INSPECTOR. PLEASE READ REVERSE SIDE BEFORE -`l" CALLING FOR FINAL INSPECTION!! ISSUED BY: APPLIOANT'S_POSTING COPY_ 0--l— citv 10300 Torre Avenue Cupertino, CA 95014 of Cupertino Building Division (408)7 - (408)777-3333 (fax) March 29, 1995 Owner 7732 Carriage Circle Cupertino, CA 95014 REFERENCE: Building Permit 924583, Carport Dear Owner: • Our records indicate that the above referenced building permit for a carport, has not been finaled in our computer. Our records indicate that the last inspection made was January 29, 1993, by inspector Jerry Brager, and this was for a final on the project. According to our records, this failed to pass inspection. If your inspection card shows that your project has been inspected and finaled by the City of Cupertino, we would like to show this as a part of our permanent inspection record. Please contact this office within thirty (30) days of this letter. If we do not hear from you within this time, we will expire the permit and dispose of the file. Thank you for your assistance. CITY OF CUPERTINO 04 Christ?Akatiff, Administrative lerk (408) 777-3203 CA/cda cc: file P,ntec.:n Fecvded P,.iOe,