Loading...
15058 (2) POST THIS,CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO.. 505 • S INSPECTION DIVISION' JOB INSPECTION RECORD 5 'PE7RMIT-EXPIRALN JOB'ADDRESS ///dt! cz,�-n -✓ 1-'t✓L'`- UNIT# LOT# / n �� •PERMIT EXPIRES IF WORK OWNER E'n/ U CONTRACTOR 7� `c -f�tilT IS NOT-STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 1B0 DAYS OF PERMIT�MSU- FOUNDATIONANCE OR 180 DAYS FROM ' NOTE: LAST CALLED INSPECTION. , UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE - TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION- CUPERTINO STANDARDS. - GARAGESLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUNn-/,SLAB_---.._ _ PLUMBING ELECTRICAL _— ! ISSUANCE DATE MECHANICAL - .RLDc. ELECT. PLG, MECH DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR p - Pv INFORMATION PLUMBING„ - �3N ^` VALUATION. 'SIFT. MECHANICAL 1pr .3 - - ELECTRICAL: PERMIT To • FRAMING INSULATION. 6' /N Cc`ie!ai STORIES TYPE CONSTR. n O U OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE sG FT cool,AREA TOTAL acRSacE DIAPHRAGM I I THECONSTRUCTI ON TAX.IS PAI D :'/,j( _ I ^l BUILDING USE , , ROOF SHEATHING + RES ,NO CON PR 'om.," APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 7 0 ❑" ❑ ASSESSORS PARCEL NO ROUGH 2C czG 3f," , —a, 0 — ' PLUMBING ELECT.ENERGY TRACT NO. PARCEL NO TUBS&SHOWER PAN PLUMBING ENERGY MECHANICAL " MECH.ENERGY ELECTRICAL BUILDING ENERGY Acc Gare ACC FILE NO. FRAMING CV' Y l0 8 ELECT.FINAL TEST 1 INSULATION - PLUMBING zoNlNc ENC.SITE No. GAS TEST - GAS FIRE SPRINK ENERGY T-24 MECHANICAL v ❑ N❑ r [3 NO COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD LONE ALUC EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. .Y O _ NEj Y 0 NE] SHEETROCK i GRADE �i FEE SUMMARY EXTERIOR LATH 6 BUILDING , - INTERIOR LATH , TEMPORARY. APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY - - SEISMIC FEE ' OCCUPANCY OF.BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR: MICROFILM ARRANGE'FOR INSPECTION BY PHONING 252-4505, ELECTRIC / s S ✓ F_ ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. z SEE PERMIT FOR EXPIRATION DATE — MECHANICAL IMPORTANT! CONST.TA x I, ' .PLEASE READ REVERSE SIDE BEFORE' TOTAL t" ' 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 ADDRESS .1 - 15058.. 'L t YrOA) BUILDING PLUMBING OWNER 5 tl PLAN CHECK VALIDATION "ante �4 % o CITY. ELECTRIC PERMIT FEE PHONE YV-O/Is"a� �� i \/ NAME"cTORs /'� UTLETS-SWITCHES-RECEP 10.00/1.00 9 Y�7j� /���� lA.US - LIC.No�F/3 3� l3 2 LIGHTING,FIXTURES 10.00/1.00 7 'S- l CONTRACTOR'S / ADDRnss per+ SaQ11(rA (y�� _ PPLIANCES-RESIDENTIAL 4,00 VL Y,pHON i( PANELS 10.00 DATE OF APPLICATION-1 ARCHITECT " PANELS (OVER 200 AMP) ' 20.00 PLAN CHECK FEE P.C:NO. OR ✓'Y 'AO's ENGINEER Llc.rvo. SIGNS TRANS. 3.00 ANR. ENG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION AGGRESS SS ZIP TEMP.METER OR POLE INS. 20.00 APPLICANTS ADDRESS MOTORS SEE FEE SCH. ' SERVICE CHANGE 20.00ta \ (/ ) �d 02 LICENSED CONTRACTORS DECLARATIONjut) �� ¢U u I hereby affirm that I am licensed under provisions of Chaplet 9 ISSUANCE DATE N ¢N (commencing with Section 7000)of Division 3 of the Business and B G� T. PLG. MECH. H 7 Z Professions Code, d by license is in full I'orc u c 17 - o0�,o License Cl s Uc.Number 12 ,A r Iu Date Contractqq��//_�_��11� ¢ w ¢ WNER.BUILDER DECLARATION U L �Su NG PERMIT w;e n I hereby affirm that 1 am exempt from the Contractor's License MISC.- REF ER TO ORD 1 RMATION a.0 ¢ I.awforthefollowingreason.(Suc.1031.1,Business and Professions PERMIT ISSUANCE }Q.DO �a VALUATION S/FT. S Code:Any city or county which requires a permit construct,alter, ELEC.CONTR. LIC.NO. v+ ¢ i ¢ improve,demolish,or repair any structure,prior IG its issuance,also ELEC. -o¢ requires the applicant for such permit to file a signed statement that TOTAL /�� PERMIT TO A w m he is licensed pursuant to the provisions of the Contractor's License �G•� a Fi> Law(Chapter 9(commencing with Section 7000)of Division 3 of the V iC.aw� Business and Professions Code)or that he isexempt therefrom and QTY- PLUMBING PERMIT FEE the basis for the alleged exemption.Any violation of Section703L5 STORIES I TYPE CONSTR. a ; by any applicant for u permit subjects the applicant to civil penally ALTER-DRAIN&VENT-WATER'(EA.) 5.00 Grant more than five hundred dollnrs(S500).): ❑ 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 aide(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 e Code:The Contractor's License Law does not apply to an owner of properly who builds or improves thereon,and who does such work4VL FIXTURES-PER TRAP 5.00 �SO.FT.FLOOR AREA TOTAL ACREAGE mentsfor not hrough own employees, red for.]a. If,providedthatsuch improve- GAS-EA.SYSTEM-I 6.00 / /�jO mems are not intended orOffered on forar o If,mpleveq the building L 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- - - RES IND CON PB Orhe( prove for purpose of sole.). INDUSTRIAL WASTE INTER. 30.00 ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors.)o construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:T'he 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 3 -�� contracts for such projects with a contracmts)licensed torsion o the Contractor's License Law. t SEWER-SANITARY-STORM EA.2001t/10.00 TRACT NO, PARCEL NO. ❑ lam exempt under Sec..,B.&P.C.fortisWATER HEATER W/VENT 6.00 reason Owner Data WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a Certificate of Consent In self-insure, ZONING ENG.SITE NO. or a Cerli(icate'of Workers'Compensation Insurance,or a certified copy thereof(gec.3800,Lab.C.). A [•,ISD dy..�/ _ Policy No.-Company ly Q ❑ Certified copy is hereby IurnisheJ. FIRE SPRINK -ENERGY T-29 Z Z Cc tike p filglLur h ohe_ly i speaion division. MISC.- REFER TO ORD. ❑ ❑ ❑ ❑' PO' A p icanl V N V N va -` PERMIT ISSUANCE .lArOO FLOOD ZONE a.L•.u.c. cc CIiRTIF A :f 10 O WORKIiRS' W >_ C MPIiNSATION INSURANCIi PLG'CONTR. LIC.N0. PLG. / j d ITbis section need not be completed if the permit is,for one TOTAL b Y❑ N❑ I Y❑ No, D Z hundred dollars(S 100)or less.) U 0 I certify that in the performance or the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY - LL )- mil is issued,I shall not employ any person in any manner so as to O w became subject to the Workers'Compensation Laws of California. BUILDING ���S� Q. Date Applicant - ALTER OR ADD TO MECH. 5.00 } N NOTICE TO APPLICANT: If,after making this Certificate of li x- Z emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with 'FEE .0 such provisions or Ibis permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,000 C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER I0,000C.RM.) 6.00 SEISMIC FEE .27 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 . the performance of ore work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.L HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address I certify that I have read this application and state that The above VENTILATION FAN (SINGLE) 4.001 s.O • information n correct I agree:to comply with all city and county,odiaPLUMBING information Ves and state laws relining to building construction, and BOILER-COMP(3 H.P.or 100,0008.T.U.) 6.00 hereby authorize representatives of this City to enter upon the BOILER-COMP IDVer 100,000 BTUI SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. /� u erlino against liabilities,judgments,costs and expenses which CONST.TAX -way a ainst said City in cons quence of the PERMIT ISSUANCE $&B& / �0 [TIting of s permit �/ MECH.CONT. LIC.NO. MECH'Y - 1160 TOTAL fefl atur AppivaRrItIContractor Dutc OFFICE COPY CITY OF CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date . ... .0................... 19_�v.. Building Permit No. ............ 1112 l l q �Sd.S.e ne�Building Located at ...11.2.../.........G/�!�./����.....I�U� Owned by ...... ........� v m ................\........ ......................................... For Use Has Been .�. .(A ............ .................................................................................................. \ .......................................................................... .................................................................................. _�-t-�k.... ..... 6-�........ PD-7 BUILDING INSPECTOR ELECTRIC SERVICE NOTICE OFFICE COPY I BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO 19 Ta i You are hereby authorized to Connect electrical service for 1111 Owner or Tenant � b At—\ Z_ r1 c i �� Q 1c cTr u ram I+ No.of Wires Size of Wires Size of Switch Motor Load Voltage Phase Heating Load K.W. Voltage ��x/` Light s I10 / New Servicey' Reconnect No.of Meters Heat.]20.Three Wlrc More Service No.of Add.Meters Power Three Phase Move Meter i OM ELECTRICAL INSPECTOR BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Bldg,Dept. Office Copy ❑ Backflow Device - Sanitary Permit No. f ❑ Sewer Connection Plumbing Permit No. I � lmPlumbing Final Lot No. Owner or Tenant I At 1-, < N Tract C Date onnected 1y1L/E- � 19 f / Dote Final_ �� —�C � 19�_ ©M � , li PLUMBING INSPE TOR i I l u _ CITY OF CUPERTINO oO PE GAS SERVICE NOTICE l �'f X. —c,2To . . � -. jg 0 6 You oie hereba\uthorized to connect the GAS service for j Owner or Tenant At \ Z G 1 ca e k S-1a 4--� la mac— New Service No. of Meters Reconnect 'I No. of Add. Meters Move Service 1 Move Meter PLUMBING INSPECTOR 1