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15811 (2) " POST THIS CARD NEAOF BUILDING PERMIT NUMBER CITY• OFC MRTINO 15811 L INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION .JOB ADDRESSI �� CL.��R. �R�N� GUNIT# _LOT# -2 / 6 - G-a U PERMIT EXPIRES IF WORK. DINNER S CONTRACTOR • G L/ IS NOT STARTED WITHIN . INSPECTION DATE INSPECTOR INSPECTIO R CORD 180 DAYS OF PERMIT ISSU • FOUNDATION' ANCE OR 186 DAYS FROM • NOTE: LASTCALLED INSPECTION. - LIFER r ALL GRADING AND DRAINAGE SHALL BE INSTALLED -TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PR EGUNITE CUPERTINO STANDARDS. GARAGE SLABS J POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING & lT _T i..• ��?� r ELECTRICAL ISSUANCE DATE' ` MECHANICAL - .BLDG. ELECT I PLG. MECH, © Q DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR ALUATION s/FT. PLUMBING - - ` MECHANICAL ELECTRICAL' ' ERMIT TO FRAMING SFDUJ(— STORIES TYPE CONSTR. INSULATION " - OCC. ROUP ITS jl!,TA`CE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED .L •? ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE so.Fr FLOOR AREA roTAL ACRencE DIAPHRAGM- . - - THE CONSTRUCTION TAX IS PAID .2726 ' _ BUILDING USE ROOF SHEATHING 'lj-1'3-Qy, I�CLYj RES IND CON PB UP- DAEl El TE NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ASSESSORS PARCEL NO ROUGH SAN.1 PLUMBING' p C3o.�q ELECT.ENERGY �� 'L TRACT NO. PARCEL NO. TUBS 8 SHOWER PAN -- PLUMBING ENERGY go� ` ' MECHANICAL l,{..5�� MECR.ENERGY 80 ACC.DATE ACC FILE No.. ELECTRICAL Lk-•I BUILDING ENERGY 'FRAMING Lt.{ ELECT.FINAL TEST zownc ENc.SITE NO. INSULATION ^i PLUMBING GAS TEST _ GAS MECHANICAL FIRE SPRINK ENERGY T.24 ❑ [:]COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING NY N❑ vEonO ZONE .A,L U.c. EXTERIOR SHEAR fjs i ELECTRICAL RELEASE - v A� v ❑ N❑ INTERIOR SHEAR s- '� FIRE DEPT. SHEETROCK •{ , GRADE _ FEE SUMMARY EXTERIOR LATH BUILDING - INTERIOR LATH TEMPORARY APPROVALS BUILDING 91640 SCRATCH COAT - <T C ELECTRIC TPLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEMSLBNE� OCCUPANCY­ NO FEE OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM —' ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC LI' ONE WORKING DAY BEFORE REQUIRED INSPECTION: •� fe . PLUMBING 6 ' 10 PLEASE GIVE JOB ADDRESS WHEN PHONING. MECHANICAL 68.58 SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! CONST.TAx, PLEASE READ REVERSE SIDE BEFORE TOTAL .7 CALLING FOR FINAL INSPECTION. OFFICE COPY ' LICANT TO FILL IN INFORMATION 1 ED LINES - USE BALL POINT PEN-ONLY ' BUILDING PROJECT IDENTIFICATION - - PERMIT NUMBER_ BUILDING APPLICATION &'PERMIT 1 C Q ADDRESS Lot 216 Plan 2C I �J lJ 11626 Cedar- Spring Court BUILDING -ELECTRICAL-PLUMBING-MECHANICAL NAMERa Gregory roup,. Inc. PLAN CHECK VALIDATION Ahmanson Dev. P,b5-595-2100 OTY- ELECTRIC PERMIT FEE CONTRACTOR'S OUTLETS N E uc.NO. LIGHTING FIXTURES RECEP ;0.00/ 1.00 0.00/1.00 2�regory Group, Inc. B-430097 CONTRACTORS 220-C. Twin Dolphin Dr. APPLIANCES:RESIDENTIAL, 4.00 ' ADDRESS RWC -94065 -415-595-2100 PANELS 10.00 DATE OF APPLICATION ARCHITECT PLAN CHECK FEE - P.C.NO, DR Aram Bassenian, AIA & Assoc. PANELS (OVER 200 AMP) 20.00 ENGINEER C-8395 . - uc.ND. SIGNS TRANS. 3.00 ' AARCH,OR DDRESS ENG. 'ram Ba SSP.nian,AIA & Ass SPECIAL CIRCUIT 5.00 PERMIT VALIDATION 2031 Orchard Dr.#l00Santa EMP.METER OR POLE INS. 20.00 APPLICANTS - 9446ZMOTORS • - . SEE FEE SCH. ADDRESS 220-C Twin Dolphin Dr. RWC SERVICE CHANGE 20:00 py�/ 02 LICENSE D CONTRACTORS DECLARATION a i I hereby ult'irm that I am licensed under provisions of Chapter 9 ISSUANCEL DATE (commencing wilh.SeCtion 7000)of Division 3 of the Business and BLDG yyLECT. I PLG. MECH. '0 2 Professions Code,anyd�4mny license is in full force un � Z o; License Class l7 y Con Number µ.1(I119. , V •Y^'(I mr w Late - Contractor . ¢ m E d Q�1d�DING PERMIT ¢ Is: w u OWNER-BUILDER DECLARATION - Cupe1,11YF0 RMATION w0 LL N I hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD F u O ¢ Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 VALUATION S/FT. w � Code:Any city or county which requires a permit to construct,alter, ELEC.CONTR. LIC.NO. 17B 261 rc¢¢Q improve,demolish,or repair any structure,prior ID its issuance,also EIEC. , c O ¢ requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO .w m" he is licensed pursuant to the provisions of the Contrmtor's License Tial Law(Chapter 9(commencing with Section 7000)of Division 3 of the SFDUJ L' - ¢ Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE rc F.$ the basis for the alleged exemption.'Any violation of Section 7031.5 - STORIES TYPE'CONSTR. by any applicant for.permit subjects the applicant toacivilpenalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars($500).): 2 5NHR• ❑ 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(See. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 R-3 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 FIXTURES,PER TRAP 5.00 SO.PT,FLOOR AREA TOTAL ACREAGE himself ar through his own employees,provided that such improve- cuts are notintendedoroffered for all If,however,the budding GAS-EA.SYSTEM-l1NC.40UTLETS 6.00 2726 or improvement is wld 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 ins- R IND CON PB Other prove for purpose of sale.). INDUSTRIAL WASTE INT ER. 30.00 ❑ ❑ ❑ ❑ ❑ 1,as owner of the properly,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 docs 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 eontracroRs)licensed pursuant to SEWER-SANITARY-STORM EA.200ft(10,00 the Contractors License Law. TRACT NO. PARCEL NO. ❑ lam exemptunder Sec.-,B.&P.C.for this WATER HEATER W/VENT 6.00 8098 reason Owner Dam WATER SYSTEM - 5.00 ACC.DATE ACC.FILE NO. - t WORKERS'COMPF.NSA'FION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate ofmnsenl to self-insure, - ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified _ copy thereof(Ser.3800,Lab.C.). United Pacific Policy No. Company - O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T24 Z p 3 Certified copy is filed,with the city inspection•division. MISC.- REFER TO ORD. y ❑ N❑ Y . N❑ ~ LU rn CERTIFICATE OF PERMIT ISSUANCE - , 10.00 FLOOD ZONE A.L.u.c. 1 EXEMPTION FROM WORKERS' W COMPIiNSN INSURANCE URANCE -1 PLG.CONTR. LIC.NO. PLG. Z (This section need not be completed if the permit is for one TOTAL Y C:] N❑ Y C3 NCI hundred dollars IS 100)or less:) U 0 1 certify that in the'performance of(be work for which this per- DTV. MECHANICAL PERMIT FEE FEE SUMMARY U. F mit is issued.I shall not employ any person in any Runner sous to U become subject to(hBUILDING e Workers'Compensation Laws of California. 916.00 a Date Applicant ALTER OR ADD TO MECH. 5.00 > to NOTICE TO APPLICANT: If,after making this Certiftcate of Ex- n F ? emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLANHECK 1 :CJo provisions of the Labor Code, you must forthwith comply with FEE /energy 6 00 U such provisions or Ibis permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4,00 CONSTRUCT ION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 12.53 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance'of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.CJ. Sepu It Pad HEATING UNIT(70100,000 B.T.U'.) 8.00 Lender's Name Tender's , HEATING UNIT(OVER 100,0008.T.U.)9.50 ELECTRIC 68.58 Lender's Address-� QQ 1 Certify that I have r' tYsi7 pp Icarian and state that the above VENTILATION FAN (SINGLE) 4,00 information is correct.1 agree to comply.with all city and county PLUMBING 68.58 ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 0 hereby authorize representatives of this city to enter upon the BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL 60.58 above mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino.againsl liabilities,judgments, costs and expenses whichPERMIT ISSUANCE 10.00 CONS .TAX03 16 i may in any way accrue against said City in consequence of the7-7 trawling of this IL MECCONT. LIC.NO. MECH. TOTAL H. TOTAL Signature of ApWant/Contractor Date OFFICE COPY ��