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18292 (2)9 I� POST THIS CARD NEAR FRONT OF BUILDING CITY..OF CUPERTINO '- 7 INSPECTION DIVISION JOB INSPECTION RECORD. JOB ADDRESS / O�O •�� '' UNIT# _LOT # F,4 f, /1 /) �/J _ OW En V /T [�J�O V CONTRACTOR � PERMIT NUMBER 18292 @R IIT�E%PIR TION - PE %PIRES IF WORK IS NOT, STARTED WITHIN 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM LAST CALLED INSPECTION. " INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. - UFER PREGUNITE" i PERMIT VALIDATION VIJ� AA1701 /IJ�C"Qi C - - ISSUANCE DATE' GARAGE SLABS.;' � POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - UNDERGROUND/SLAB PLUMBING ELECTRICAL MECHANICAL- . I BLDG ELECT ❑ ❑ PLc. MECH ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION $IFT, PLUMBING MECHANICAL ELECTRICAL - .. PERMIT TO FRAMING - INSULATION _ STORIES TYPE CONSTR. , - - OCC. GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF I NOTE: NO FINAL INSP, SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID •BUILDING SIT FT FLOOR AREA TOTAL ACREAGE DIAPHRAGM • ROOF SHEATHING USE NEs INo CON PB om., 0 ❑ ❑ 0 ❑: APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGH SAN.# ASSESSORS PARCEL NO PLUMBING ELECT. ENERGY TUBS 8 SHOWER PAN PLUMBING ENERGY. TRACT NO PARCEL NO MECHANICAL . MECH. ENERGY ELECTRICALBUILDING ENERGY - ACC. DATE ACC. FILE NO FRAMING ELECT. FINAL TEST INSULATION � � PLUMBING 20NINC, ENG. SITE NO - GASTEST GAS ' MECHANICAL FIRE SPRINK Y ❑ •N� ENERGY T24 v "E] COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING " .EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE Y ❑ N❑ AL U C. Yo No INTERIOR SHEAR FIRE DEPT. SHEETROCK . GRADE - FEE SUMMARY EXTERIOR LATH BUILDING BUILDING INTERIOR LATHTEMPORARY APPROVALS 'SCRATCH COAT ELECTRIC PLAN CHECK , FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS B.EEN:SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL'ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, F 'ONE WORKING DAY BEFORE REQUIRED INSPECTION. O� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z — SEE PERMIT FOR EXPIRATION DATE —. ELECTRIC.' PLUMBING - MECHANICAL ' CONST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE. CALLING FOR FINAL INSPECTION. . ,TOTAL y'// t�s� W µ."O OFFICE COPY O ZZ O cc Lo LU > CL =)Z U 0, LL U Ow 1- u 0 APPLICANT TO FILL-IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PRUMACT IDENTIFICATION %l� - APPLICATION & PERN�T BUILDING - ELECTRICAL- PLUMBING - MECHANICAL MIT NUMBER r� 9 f� G G AD'OLOINGRESS aooREss /O 40 Co � OWNER'S NAME 2S7' p Pot. 1 Tef4 PHORe 00 OTY. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION CONTRACTORS 3 3 3,s y 9 NAME UTLETS -SWITCHES 10.00/1.00 ILIGHTING FIXTURES 10.00/1.00 L4a< PC;. LIC. No. CONTRACTORS ADDRESDioRs APPLIANCES -RESIDENTIAL 4.00 PANELS 10.00 //�a Y4•�� l y� IJ -I� 1/� (r- PHONE"Ip;� /(� DATE OF APPLICATION ARCHITECTPANELS(OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. ENGINEER LIC. No. , SIGNS TRANS. 3.00 AARCH, OR DDRESS ENG. SPECIALCIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS, 20.00 ZIP n�u T Cl (�� APPLICANT ADDRESS 15 9Y7 Et, S MOTORS SEE FEE SCH. SERVICE CHANGE 20.0ie LICENSED CONTRACTORS DECLARATION - I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business andJULh;J Professions Cod( and my license is in full foLcg;yl�ef ed� License CloseoA _%9_ Lie. in full ISSUANCE DATE L.G.S ❑ ELECT. ❑ PLG. MECH. ❑ Date -^..�1--art_Contractor OWNER-BUILDFR DECLARATION I hereby affirm that 1 on exempt from the Contractor's License Law for the ity or county which requirsapersit tocnd Professions Code: Any city or county which requires a permit to constant , alter, improve, demolish, or feralr any structure, prior n its issuance, also he vires the applicant for such permit to file a signed statement that he is licensed pursuant en the provisions of the Contractor's License Low (Chapter 9 (commencingwi lh Section I,7000) 3 of the t therefrom Business and Professions Code) or that he is exempt therefrom and exempt (E�� E_-' Y� j� - BUILDING PERMIT INFORMATION MISC. - REFER TO ORD VALUATION $/FT. PERMIT ISSUANCE 10.0 ELEC. CONTR. LIC. N0. TOTAL EOTA n PERMIT TO ,/�`',! OTY. PLUMBING PERMIT FEE STORIES TYPE CONSTR. the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).): ALTER-DRAIN&VENT-WATER (EA.) 5.00 .00 ❑ Las owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 intended or offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner o1' properly who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improve- mentsarenotintendedorofferedforsale. If, however, the buildingGAS FIXTURES - PER TRAP 5.00 - EA. SYSTEM - I INC. 4 OUTLETS 6.00 SO. FT. FLOOR AREA TOTAL ACREAGE or improvement is sold within one year of completion, the owner. builder will have the burden of proving that he did not build or im- prove for purpose of sale.). I, as owner of the property, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 IEA.) 2.00 BUILDING USE RES IND CON P8 Other El El ,❑ E] 11❑ INDUSTRIAL WASTE INTER. 30.00 licensed contractors to construct the project (Sec. 7044, Business 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- 1 INC 5 V.B. 6.00 LAWN SPRINKLERS - OVER 5 (EA.) 1.00 ASSESSORS PARCEL NO. contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under Sec.-, BAP.C. for this reason WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM 5.00 ACC.DATE ACC`FILE NO. WATER TREATING EQUIP. 5.00 WORK 17 RS'COMPENSA'TION DECLARATION - 1 hereby affirm that 1 have a certificate of consent tomlf-insure, or a certificate of Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO. copy thereof (Sec. 3800, Lub.C.). Policy No. Company ❑ Certified copy ishereby, furnished ❑ Certified copy is filed with the city inspection division. Applicant _ FIRESPRINK Y ❑ N❑ ENERGY T-24 Y ❑ N❑ REFER TO ORD MIC. - . S CERTIFICATE Of EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.u.c. PLG. CONTR. LIC. NO.PTOTAL LG. x /,. /S../1 7 V V COMPENSATION INSURANCE (This section need not be Completed if the permit is for one Y ❑ N ❑ Y ElN ❑ CITY. MECHANICAL PERMIT FEE FEE SUMMARY hundred dollars IS 100) or less.) I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so as to BUILDING " becom sub'ect o the Workers' Compensation Laws o olifor ia. Date_ I �Applicant - J+rfut� _tee}�x NOTICE TO APPLICANT. If, attar mukfng this Certificate of ALTER OR ADD TO MECH. '5.00 APPLIANCE 5.00 PLAN CHECK' emptier, you should become subject to the Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. FEE AIR HANDLING UNIT (TO J0XMC.F.NL) 4.00 AIR HANDLING UNIT(OVER IOAODC.F.M.) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY 1 hereby afOrm.that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 ante of BIc work far which this Permit is Issued (Sec. the 3097, Ci performance MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 HEAT] NG UN IT (OVER 100,000 B.T.U.) 9.50 ELECTRIC Lender's Name Lender's Address I Certify that l have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and VENTILATION FAN (SINGLE) 4.00 -PLUMBING BOILER- COMP (3 H.P. or 100,000 B.T.U.) 6.00 BOILER -COMP Over 100,000BTU) SEE FEE SCH. MECHANICAL hereby authorize representatives of (his city to enter upon the above mentioned property for inspection purposes. MISC. - REFER TO ORD. CONST. TAX (We) agree to save, indemnify and keep harmless the City of upertino against liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 rantingaf this permit �� w� �_�3 Pie MECH.CONT. LIC. NO. MECH. TOTAL TOTAL ' I`�,ITD Signature of Applicant/Contractor OFFICE COPY CITY OF CUPIERTINO 10300 Torre Avenue Telephone 252-4505 INSPECTION NOTICE G DIVISION JOB ka w \ wyyMk DATE I V v 1 ADDRESS V TIME DAILY REPORT ❑ CORRECTION NOTICE VIOLATION ❑ TYPE INSP.: BLDG. ELEC. ❑ PLBG� MECH. ❑ R POST THIS CARD NEAR FRONT OF BUILDING r CITY OF CUPERTINO S�^�rn� INSPECTION DIVISION JOB INSPECTION RECORD .�f /,/J JOB ADDRESS /O�`' ( �� UNIT# LOT# OWNER O/I/ CONTRACTOR PERMIT NUMBER 18292 PERMIT �EXPIRATION . , ��!� _�,,. '1/ f PER IYEXPIRES IF WORK `f�OT STARTED WITHIN 180 DAYS OF PERMIT ISSU- ANCE OR ABO DAYS FROM LAST CALLED INSPECTION. ' INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. UFER PREGUNITE PERMIT VALIDATION ` � "" 46111" ISSUANCE DATE GARAGE SLABS ,POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED S UNDERGROUND/SLAB PLUMBING ELECTRICAL MECHANICAL loot)BLDG 1:1❑ ELECTPEG. me CR. ❑ l DO NOT POUR FLOOR UNTIL>ABOVVHAS BEEN SIGNED ft Of owl BUILDING PERMIT INFORMATION WOOD FLOOR ( W VALUATIONi 'I$IFT. PLUMBING ' MECHANICAL' ELECTRICAL �. PeRMn TO FRAMING INSULATION STORIES TYPE CONSTR. OCC. GROUP RES. UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID SO FT AREA ' TOTAL ACREAGE DIAPHRAGM ROOF SHEATHING BUILDING USE RES IND CON PB Otl", El El El El ID APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ROUGH SAN.# ASSESSORS PARCEL NO ..- PLUMBING ELECT. ENERGY TUBS & SHOWER PAN PLUMBING ENERGY. TRACT "°. PARCEL No - MECHANICAL MECH.ENERGY ELECTRICAL BUILDING ENERGY ACC.DATE ACC. FILE NO FRAMING ELECT. FINAL TEST INSULATION PLUMBING ZONING ENG. SITE NO. - GAS TEST GAS MECHANICAL FIRE SPRINR Y [] N ENERGY T]G ❑ NEI COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE Y ❑ NE] ALU.C. . . , Y 0 N❑ INTERIOR SHEAR FIRE DEPT. SHEETROCK GRADE FEESUMMARY EXTERIOR LATH BUILDING BUILDING INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK FEE GAS SEISMIC FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY TUPANCYOF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, IU-J--� ONE WORKING DAY BEFORE REQUIRED INSPECTION. O PLEASE GIVE JOB ADDRESS WHEN PHONING. Z -SEE PERMIT FOR EXPIRATION DATE - IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. i ELECTRIC PLUMBING GY� MECHANICAL CONST. TAX TOTAL - APPLICANTS POSTING COPY - YJ 10 } CitM of Cwperti"o 10300 Torre Avenue Cupertino, California 9SO14 Telephone: I408) 252•450S DEPARTMENT OE PLANNING AND DEVELOPMENT P.O. Boz 580 Cupertino, California 95015 APPLICATION FOR USE OF ALTERNATE MATERIAL, METHOD OF CONSTRUCTION OR MODIFICATION OF CODE Address of where work will be done: .The undersigned hereby requests the following: • Use of alternate material Use of alternate method of construction Modification of Code (See UHC Section 105, 106 and 107; UFC 2.301) Codes affected: Building Electrical _ Mechanical Fire Other C� A of specific section involved: Brief description of request Applicant's Name: 611,661 Eft,6EI �j Address: logo, tot-r3K }'(f6- i.UO�j2T1 �0 Telephoner (A/C �o ZIP or S . 'yJ • } The Building and Fire Official must evaluate information that the material, method of work and/or modification is equal to the Code in strength, effect, fire -resistance, durability, safety, etc. Please supply such information to support your request. Use additional paper if necessary. 1. Suitability 2. Strength 3. Effectiveness 4. Fire resistance 5. Durability 6. Safety Additional evidence or proof: Date: Signature + a + + a a r r + a • • • • a a • + + a + a + • • w + a + + + The above application and material has been reviewed ands 1> Fire Marshal: Date •Date Building Official 1"" Y PIj 9 Cl JULY 18 1989 CUSTOMER:PAULSEN ADDRESS z16467 COLE+Y AVE CITY& ST:4yUf7! CA. PHONE 0 :257 2689 DESCRIPTION SUN RESTORATION 1597 DE ANZA WAY SAN JOSE, CA 95125 (408) 723-7615 This contract may be withdrawn by us if not accepted within; ....... days. ---------------------------------------------- QUANITY RATE 'TOTAL ---------------------------------------------------------------- THE FOLLOWING IS A BRIEF SUMMARY OF THE STEPS WE TOOT+, TO INSTALL THE TILE OVER THE TUB AREA. HALL BATH ROOM INSTALL NEW WATER RESISTANCE AROUND TUB AREA. ( GREEN BOARD ) NAILED ON 6" CENTER ON EACH STUD. INSTALL 15 POUND" FELT PAPER , 8" HORIZONTAL NAILED ON 6" CENTERS INSTALL LATH WITH A 6" OVER LAP NAILED WITH 1 '3/4 FURING NAILS & NAILED ON 6" CENTERS ON EACH STUDS. INSTALLED MORTAR 1/2 THICK OVER LATH & THEN TILE ON TOP OF THAT. THIS BRIEF SUMMARY IS HOW WE COMPLETED WORK ON TUB AREA. PLEASE CALL US IF THERE ARE ANY QUESTIONS ABOUT OUR INSTALLATION OF TILE. ON BEHALF OF SUN RESTORATION WE WOULD LIKE TO THANK YOU FOR THE CONSIDERATION YOU HAVE GIVEN US ON THIS NATTER. ------------------------------------------------------------------------- ACCEPTANCE OF PROPOSAL:The above prices, specifications and conditions are satisfactory and are hereby accepted. Yam are authorized to do the work as specified. Payment will be made as outlined Above. DATE OF ACCEPTANCE: SIGNATURE: 4