15676 (2) POST THIS CARD NEAR FRONT OF BUILDING PFRMIT NUMBER
CITY OF CUPERTINO 15676
INSPECTION DIVISION
JOB INSPECTION RECORD
• ,_ n PERMIT�E XPIRATION
JOB ADDRESST_ ,$—D �iR�E UNIT# _LOT# PERMIT EXPIRES IF WORK
OWNER CONTRACTOR 4VI ' CA IS NOT STARTED WITHIN
INSPECTION :.. DATE"° INSPECTOR `i: -,'Fi:"' INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
FOUNDATION
lo-Af wo NOTE: LASTCALLED INSPECTION.
UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED
TO COMPLY WITH THE APPROVED PLANS AND CITY OF PEHVIT VALIDATION
PREGUNITE CUPERTINO STANDARDS.
GARAGE SLABS -�_
POUR NO CONCRETE UNTIL ABOVE HAS.BEEN SIGNED - `-
UNDERGROUND /SLAB _
PLUMBING opop )w
ELECTRICAL ISSUANCE DATE
BLDG, ELECT PLG. MECH
MECHANICAL + [I El El
BUILDING IERVIVZE':".
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ,�� INFORMATION - F'
WOOD FLOOR VALUATIONSIFT.
PLUMBING �� pAVL-O
MECHANICAL (� PER'.
ro
ELECTRICAL —for(i
FRAMING
STORIES TYPE CONSTR.
INSULATION
OCC.GROUP RES,UNITS
PLACE`NO'SUBFLOORUNTIL'ABOVE:HASBEEN SIGNEO° saETFLDDRAHPA T.TALACREACE
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE ;.
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
BUILDING USE
ROOF SHEATHING RES IND CON PR 0111-
' —APPLY NO ROOFING UNTIL'ABOVE HAS BEEN SIGNED' =` ,'�`' FINALS =': DATE`' INSP, SE EL
ASSESSORS PARCEL NO.
ROUGH SAN.#
PLUMBING ELECT.ENERGY TRACT NO. PARCEL NO
TUBS 8 SHOWER PAN PLUMBING ENERGY
MECHANICAL , MECH,ENERGY Acc.DarE ACC.F.LENO
ELECTRICAL BUILDING ENERGY
FRAMING ELECT.FINAL TEST
ZONING ENG.SITE NO.
INSULATION - PLUMBING
GAS TEST GAS FIRE SPRINI< ENERGY T.14
MECHANICAL Y 0 N� Y ❑ N[
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD ZONE A L U C..
EXTERIOR SHEAR ELECTRICAL RELEASE -
N[] v qC
INTERIOR SHEAR FIRE DEPT, v L.,,
SHEETROCK GRADE FEE SUMMARY`�a;??'•
EXTERIOR LATH 71& BUILDING BUILDING
INTERIOR LATH TEMPORARY APPROVALS
SCRATCH COAT / -9 ELECTRIC PLAN CHECK
FEE
GAS /
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED occuPANcv SEISMIC FEE pZk
OCCUPANCY OF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC N J
ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
�� PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z MECHANICAL
— SEE PERMIT FOR EXPIRATION DATE —
CONST.TAX
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE TOTAL S—Q 7
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLIBANTTO FILL IN INFORMATION WITHIN RED LINES-USE BALL"POINT PEN ONLY
CITY OF CUPERTINO BUILDING-ELECTRICAL PERMIT NO. 2'��
BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL
BUILDING PROJECT IDENTIFICATION '
44
BUILDINGADDRESS' / ySANITARY NO. APPLICATION SUBMITTAL DATE
O AME: PHONE: CO AC R'S - _ - LIC NO:
i /y1�{TF�Cf �/ IL o / NIC, CONTROL#
ARi/G'0$ LIC NO: ADDRESS: 1
CONTACT:
y }, PHONE: - - - BUILDING PERMIT INFO '
_Car, Consultant Fces Paid by Applicant(Initial) -' BC PLUMW
Mec
LICENSED CONTRACTOR'S DECLARATION < . QTY. ELECTRIC PERMIT FEE
I hereby affirm that I am licensed under Provisions of Chapter 9(commencing ,
p ov p
B
Oce, JOB DESCRIPTION
{{ys� Z with Section and
ecDlvisionJ ofthe Rosiness and Pevfeaxlons Code,cod my Lanae is RES_RESIDENTIAL
@.00 - PCRMILiSSUANCE' � e
�UVm full force and effect. '
License Class Lic.N - ❑ DWL - ❑KITCHEN REMODEL
APPLIANCES-RESIDENTIAL
W Date Cuntrnctor '� (TION ,❑PLUMBING RE-PIPE
ARCHITECT'S DECLARATION PANELS
p.Dy on - ❑MULTI-UNIT ❑]MODIFICATION
Z O:4 a 1 understand my plans shall he used as public records -
pp UPTO 2(m AMPE '❑INTERIOR ❑CHIMNEY REPAIR
�-+w ts1 Llanud Professlonnl n 201-IOMAMPS - IMPROVEMENT
OWNER-BUILDER DECLARATION
, 1 hereby affirm that I am exempt from-the Contractors License Law for the OVER IOOOAMPS I.❑BATH REMODELBEPAIR ❑DEMOLITION
O F L following reason.(Section 7031.5,Business and Professions Code:Any city or county SIGNS ELECTRICAL ' ❑OTHER
444777 O which requires a permit to construct,alcor,improve,demolish,or repair any structure
h
prior to its ance also requires the ppl'a t(of suchPermit it)file a signed slaterni SPECIAL CIRCUIT/MISC. _
p. that buis licensed prannion Thep ov f lh C tens es L Law(Ch,ter e) COMMERCIAL'G (comm nc'ng th Secd n 7000) fDl o
and P [ .I :Cody or TEMP.METER OR POLE(NST. '
that h exempt Iheref m end theb for N II g pt o Any violation of ❑NEW BLDG/ADDITION ❑DEMOLITION
+ may rdPmma,ims
' 70315 by any applicant for a permit sub ap cardto a civil crafty of POWER DEVICES ❑TENANT ,❑FOODSERVICE
Zhao sere hundred tars(E500). /'owner of the propert rmye y ages thei motion SWIMMING POOL ELECTRIC IMPROVEMENT "' h
k and the sl i.n int ed on fie ale( c IW usmess ❑OTHHR
Code Th rs L cense 44 pp g)4p an owner of OUTLETS-SWITCHES-FIXTURES
h bu Ids or'mprty retn.'end whoYl 'h arkM1lmselforlbmughprovided d t s ch mpr..con�AAtttt arc nm Intended or offered for NEW RESIDENTIAL ELECTR SQ FT. '
sale.If,however,the building or vemem is Bold within an var of completion,the SQ.PT.FLOOR E/SQ:FT.
owner-builder will have the burden or proving that he did not build or improve for pur-
pose of sale.).
❑1,as owner Of the property,am exclusively contracting with licensed connectors toick
construct the project(Sec.7044,Business and Professions Cc&:)The Contractor's Li- -
cense Law does not apply to an owner of property who builds or improves thereon,and QTY, PLUMBING PERMIT FEE "'➢
who contracts for such projects with a contraetims)licensed pursuant to the Contreetrrs _
Lic se Law. PERMIT ISSUANCE
lar
exempt ec. B&P C for this mason,
ALTER-DRAIN&VENT-WATER(EA) VAL TI
Owner Date '
W KER'S CO F,NSATION DEC MITION BACK FLOW.PROTECT,DEVICE �:Y vs ��
(hereby art- underpeut yeffect,one of the following declarations:
i❑I have and will maintain a Certificate of Consent tnulf-insure for Worker's Compen- DRAINS-FLOOR,ROOF,AREA,CONE. STORIES TYPE CONSTRUCTION
sation,as provided for by Section 37M of the Labor Code,for the performance of the ,
work for which NIX
is permit is issued, FTURES-PER TRAP ' -
❑1 have and will maintain Worker's Compensation Insurance,as required by Section i
37W of Ne Labor Code,for the performance of the work for which this permit is issuW. GAS-EA.SYSTEM-1 INC.4 OUTLETS ,OCC.GROUP APN
My Worker's Compensation Insurance carrier and Policy number are: -
Carrier: Policy No.: GAS-EA.SYSTEM-OVER 4(EA),
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE GREASFJINDUSTRL WASTE INTERCEPTOR - BUIL V[310N FEES
(TTis sec0onnced notbe completW ifthepeemft is fonmehundred dollars($100) GREASE TRAP
tales'.) PLANCHECKF
(certify then in the my manneeof the becomork e
suich ject to permit ikm,' oovpvmI -
Out employ any person manner so as subjectmthe Workers'Com SEWER-SANITARY-STORM EA.200 FI'. O
P Y pen= ENERGY FEE
station Lews of California.Date
Applicant WATER HEATER WNENT/ELECfR GRADIN
TINOTICE TO APPLICANT.If,' after making this Certificate of Exemption, should
,yWATER SYETEM/TREATING
become subject the Worker's Compensation provisions of the Labor Code,you must SOILS FIE
forthwith complyy with such provisions or this permit shall be deemed revoked. WATER SERVICE
WQ
CONSTRUCTION LENDING AGENCY ,. NEW RESIDENTIAL PLMB. SQ.FT. PAID
F
(hereby affirm that there is a coostrumlon lending agency for the performance of ReaiptM the work for which this Permit is issued(Sec.3097,Civ.CJ
Q U Lenders Name
TOTAL:
Lendeta Address
I certify thai I have read this application and state that the above information is BUILDING FEE I
07 correct.l agree to comply with all city and county'ordinances and sate laws relating to QTY. MECHANICAL PERMIT FEE --
L) Z building concoction,and hereby authorize representatives of this city 0 enter upon the SEISMIC FEE
above-mentioned property for inspection purposes. J- -
PERMIT ISSUANCE
(We)agree to save,indemnify and keep hmmn an the City r Cupertino against ELECTRIC PE
lieemoses,crue of the ecists ractird expgnusmit. may in any way udmeagainst said City ALTER OR ADD TO MECH. -
inc�nsequence of the greening of this permit PLUMBING qE'
APPLICANT U ERSTANDS AND WILL COMPLY WITH ALL NON-POINT, AIR'HANDLING UNIT(TO;IQ000 CFM)
OUR ERE L T MECHANICA
AIR HANDLING UNIT(OVER 10,000 CFM) - CONSTRUCTION TAX
Ignalur of Co actor ' pare EXHAUST HOOD(W/DUC7f)
H BLOCS MATERIALS DISCLOSURE HOUSING MITIGATION FEE -
Willtheapplicanorfumrebuildingoccupantstora of handle hazardous material HEATING UNIT(TO 10gW0 BTU)as defined by the Cupertino Municipal Code;Chapter 9.12,and the Health and Safety
' Code,Section 25132 a)
HEATING UNIT(OVER 100,000 BTU)
F7 Yea '�❑No
VENTILATION FAN(SINGLE RESID) PAID
Will thea Ilam or flimre building a ant use equipment or devices which Date Raeipt iF
pp gasp Arco
BOILER-COME GHP OR 100,000 BTU)
�uoit hazardtus ei.c.... orents as defined by the Bay Ama Air Quality Menagemwt - TOTA
DIaWcB t BOILER-COME(EVER 100,000BTU)
❑Yes ON.
1 have toad the hazardous laaadals re iiremems coder Chapter 6.95 of the Cali- AIR CONDITIONER -
4 P 'v „
forme Health&Safety Cale,Sections 25505,25533 and 255]4.1 undersand Nat if the ISSUANCE DATE
RESIDENTIAL MUCH. SQ.FT.
building denre
s not currently have atenant,that it is my responsibility to notify the cecupant .I
of the requirements which most be met prier coissuana ofa Certificate of0ecupancy"
Owner or authomd agent Date f ISSUED
nBY:
OFFICE,
DAVID PERNG, ARCHITECT
1616 DAPHNE DR.
SAN JOSE, CA. 95129
Phone: (408) 996-3896; Fax: (408) 996-8689
To:City of Cupertino,
Building Department
Date: Nov. 30, 1999
Re: Job site visit for rough framing
on #7950 Cranberry Circle.. Cupertino_Ca.
Dear Mr. Inspector:
Per your request, I am sending this letter to you to conform my
visits for the house located in above address. The 1st visit is done on Nov.
25`°, the 2nd visit was done on Nov. 29th, at 2nd time the framing was covered
with insulation. which I try my best to check the structural main frame, the
framing does follow approved plan and spec. , the brace is required to tie the
rafter to the bearing wall between kitchen and guest room, which "contracor" is
C7, - working on it.
If you have any question, please contact me!
Sincerely yours,
�. 1
David Perng, arch to t.
C.C. Owner, Mr. & Mrs. Lin