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No. 828
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Mtg of Tuperfino
479jrVartmirut of Vid1bing 3"11p tion
A This certificate issued pursuant to the requirements of Section 307 of the
Uniform Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the city regulating building
construction or use. For the following:
v
Use Classification Interior Remodel Miyake Restaurant Bldg. PermitNo. 16992
Group B-2 Tpe Construction V-N Use Zone Planned Development
Ownerol'Building Yukio IwamotoAddress 10650 S . De Anza Blvd.
Building Address 10650 S. De Anza Blvd. — Locality Cupertino, California 95014
By: Joe Antonucci
Date: January 22, 1990
Building Official
IN POST IN A CONSPICUOUS PLACE
20
Oil
POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER
CITY OF . CUPERTINO 69 '2
' INSPECTION DIVISION
JOB INSPECTION RECORD i
' j �rCl'� PERMIT EXPIRATION",
JOB ADDRESS nbf0 I)G � " '� •J 6• I,Fa UNIT# _LOT# PERMIT EXPIRES IF WOR
OWNER f CONTRACTOR IS NOT STARTED WITHIN',
NSPECTION DAT INSPECTOR INSPECTI RECORD 180 DAYS OF PERMIT ISSU
FOUNDATIO 2 •Zi-�( � ANCE 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 PLRNm VAI IunnuN
CUP TINO STANDARDS.
GARAGE SLA
POUR'NO CO UNDERGROUND /SLAB BEEN SIGNED;; '1 •� MARor 0=1 �21 )-_L,-_
e
PLUMBING% _ _4�. �-
ELECTRICAL City at Cupertino ISSUANCE DATE
MECHANICAL rC ewo ELECT I PLG N'ECR�'
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR �1 NaLUA,IONSIFT. 2
PLUMBING
MECHANICAL ' .► C VPevn+rt 0
ELECTRICAL a•_fecQ 1&Swf,* �.K• - -
FRAMING V -
INSULATION O 77- I ,4A O Tuvl 5 I. Ons R
2
Ocl GveuP RES UNITS 2
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 1 2
so r T r uluv AREA +1IA1 ACREAGE
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE 2
APHRAGM THE CONSTRUCTION TAX IS PAID 2
BUILDING USE 2
ROOF SHEATHING EELS IND LON Pe GIS,,;
APPLY NO.ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ '� 11* 2
AS5E550 AFE E NO
ROUGH •- —B SAN.N
PLUMBING b_ . �o ELECT.ENERGY '
TRACI NO FARCE L NO
TUBS 8 SHO R PAN PLUMBING ENERGY
MECHANICAL _2z MECH.ENERGY
ELECTRICAL -� BUILDING ENERGY. ACC GALE ACC TILE NO NE
FRAMING -1 - C' ELECT.FINAL TEST
ZONING ENG SITE NO YB'
INSULATIO PLUMBING v u
GAS
FIRE SPRItin ENERGY 7 2 an
MECHANICAL - Jr ` ❑ nO N� hE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING --
El
EEnoOroNr nLuc L
EXTERIOR SHEAR ELECTRICAL RELEASE - V
INTERIOR SHEAR FIRE DEPT. _ ` N� I' ❑ Nr]
SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH BUILDING ._- - -
BUILDING
INTERIOR LATH TEMPORARY APP OVALS fl
SCRATCH COAT ELECTRIC IL
` PLAN CHECK -
FEE
GAS
NO TAPE 09 PIASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE ��D
OCCUPANCYOF BUILDING IS NOT PERMITT ED LkNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
IIL A R':'' NGF. FOP
INSPECTION BY PHONING 2!i2 4505, ELECTRIC
:�- ONi 'r�ORKING ;)AY' BEFORE RLOUIRED INSPECTION. PLUMBING
U PLEASE GIVE JOB ADDRESS WHEN PHONING. �I+• _
t - CONST.
- SEE PERMIT FOR EXPIRATION DATE MECHANICAL
- ,.F•,. a
fj F-2
_ CONST.TAX
, ( r+ :I PI: Lc'\rr-I eL (': - F.' FC� :F
ft. TOTAL.
low
fa'Y;.i•,;i�i; EP05TIfdC3COF'J
POST THIS CARD NEAR FRONT OF BUILDING PERMIT.NUMYER � .
CITY OF CUPERTINO ggg
INSPECTION DIVISION
JOB INSPECTION RECORD
i4
PERMI % IRA� �1 N
S
. JOB ADDRESS A p 6�o " be L4-2ef 41\1`4 UNIT# _LOT# ' �� � ��
PERMIT'EXPIRES IF WORK
OWNER L) l`` yy tl.VP���D. CONTRACTOR K U, S O IS NOT.STARTED WITHIN
INSPECTION .DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION ANCE OR 180 DAYS FROM
NOTE: - LASTCALLED INSPECTION.
LIFER - ALL GRADING AND DRAINAGE SHALL BE INSTALLED
TO COMPLY WITH THE APPROVED PLANS AND CITY OF -'PERMIT VALI CATION
PR EGUNITE CUPERTINO qTANDARDS. '
GARAGE SLABS wcl
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB, ' AIAR 21
PLUMBING ''��_
ELECTRICAL - ISSUANCE DATE
MECHANICAL BLDG ELECT_1 FLG I MECH
13,&1.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR ., +, INFORMATION
VALUATION' I SIFT.
PLUMBING �� jlL
MECHANICAL
ELECTRICAL PERMIT TO
FRAMING
INSULATION STORIES T111 1.NSTR.
OCC,GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED '
ROOFNOTE:NO FINAL INSP.SHALL BE MADE BEFORE so FT FLooR AREA TOTAL ACREAGE
DIAPHRAGM - THE CONSTRUCTION TAX IS PAID
I ROOF SHEATHING RE5 INBUILDING
ILDc NUSEPa Gin..
El
APPLY,NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ,
ASSES 1 SP IICEL NO
ROUGH SAN.k /
PLUMBING Ur- ELECT.ENERGY
TUBS 8 SHOWER AN PLUMBING ENERGY TRACT No, PARCEL rvo I,
MECHANICAL - MECH.ENERGY -�, „ p' `
ELECTRICAL BUILDING ENERGY `ACC DATE, ACC FILE NO
FRAMING —� —Q ELECT.FINAL TEST ZONING ENG.SITE No.
INSULATION PLUMBING. .'�`2— O
GAS TEST0111 OM 7 •�1 FIRE sPRINK,. ENERGY T 2
M CHANICAL Y ❑ NO Y [D No
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
FLOOD ZONE AL.0 C.
EXTERIOR SHEAR ELECTRICAL RELEASE 2^CJD v 0 "NQ v ❑ N 1
INTERIOR SHEAR FIRE DEPT.
SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH - BUILDING
INTERIOR LATH - TEMPORAR APPROVALS,(/ BUILDING �(•` '
SCRATCH COAT ELECTRIC - PLAN CHECK. —^^
GAS I
FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE !xI;a0,
OCCUPANCY OF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505,
ELECTRIC ' D
LU. WORKING DAY BEFORE REQUIRED INSPECTION. P.LUMBING .010
O� PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL S O
IMPORTANT!
CONST.TAX
PLEASE READ REVERSE SIDE BEFORETOTAL /
CALLING FOR FINAL INSPECTION. 6.�. �
OFFICE COPY
' K'
APPLICANT,TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION -PERMIT NUMBER _
,a6oGAING . APPLICATION'& PERMIT 1 [�(]
V BUILDING -ELECTRICAL-PLUMBING-MECHANICAL
92
OWNER' . Y WA- 6 - PLAN CHECK VALIDATION
NAME K-1 p. A �yy^ TV. ELECTRIC PERMIT FEE
✓ PHONE
CONTRACT 'S
NAME UTLETS-SWITCHES-RECEP 10.00/1.00 Y_\IY Gl
O LIC.ND.�Z/p LIGHTING FIXTURES 10.00/1.00 �j�
ADDREsstORs S.L( .F�fGIG C� APPLIANCES-RESIDENTIAL 4.00 .
,r�n ` PHONE PANELS- 10.00 DATE OF APPLICATION
ogcHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P. NO.
E E
Ic.rvo. �j�ib SIGNS TRANS. 3.00
ADDRESS E.G. 0� G• ZE SPECIAL CIRCUIT - 5,00 PERMIT VALIDATION
�1L l G n/ TEMP.METER OR POLE INS. 20.00
APPLICANT S2!1s�O[2psq iw�rAIMA4 � MOTORS SEE FEE SCH.
ADpRESS �Jli O
SERVICE CHANGE 20.00 � O� n��dKVwt
wo o LICENSED CONTRACTORS DECLARATIO -
u u I hereby affirm thin I an licensed underprovisionsof Chapter9 ISSUANCE DATE t
z O1 (commencing with Section 7000)of Division 3 of the Business and - BLDG. ELECT. I PLG. MECH.
wi Professions Code,W my license is in full force un I
z o m-
License ss _Lic.Numbm�'2- MAR �sz
,�,. e w Uam Contractor_?
¢ m s w BUILDING PERMIT
¢ m w u OWNER-BUILDER DECLARATION INFORMATION
w ;w U I hereby affirm that I am'exempt from the Contractor's License MISC.- E VALUATION
w LL m 4 Law for the following reason.(See,7031.5,Businessland Professions PERMIT ISSUANCE 10:00 al)
Code:Any city or County which requires a permit to construct,alter,
/D OV
ac Q ¢ Improve,demolish,or repair any st,cure,prior to its Issuance,also ELEC.CONTR. LIC.NO. ELEC. O
so
d O LL requires the applicant for such permit to IIIe a signed statement that I TOTAL . 10
PERMIT TO
n w m he is licensed pursuant to the provisions of the Contractor's License
� z a Law(Chapter9(Commencing with Section 7000)of Division 3ofthle
Bus, and Professions Code)or than Ile is exempt therefrom and QTY. PLUMBING PERMIT FEE a V•
IS the basis forthe alleged exemption.Any violation of Section 7031.5 STORIES TYPE fONITR.
P, 3 by any applicant fora permit subjects the applicant toacivilpenalty ALTER-DRAIN&VENT-WATER (EA.).5.00 Ub
of not more than five hundred dollars(8500).1: - P
❑ I,as owner of the property,or my employees with wages is BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES.UNITS
their sole compensation,will do the work,andthe structure is not
intended or offered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,'AREA,CONO. 5.00
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 ` r00 So.FFLFLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve _Qt-
. I mems are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-l1NC.40UTLETS 6.00
�T' ar improvement is sold within one year of completion,the owner- GAS-'EA.SYSTEM-OVER 4 IEA.) 2.00 .B� INBUILDG ISE
builder will have the burden of proving that he did not build or am- • RES IND IN PB 1 Orae.
prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 1:1 IN ❑
❑ 1,as owner of the property,am exclusively contracting with _
licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-I INC 5 V.B. 6.00 ASSESSORS-ARCEL NO.
and Professions Code:The Contractor's License Law docs not apply
no an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5-(EA.) 1.00
contracts for such projects witlh a contractors)licensed pursuant no
tie Contractor's license Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
❑ lam exempt under Sec ,B.&PLG for this WATER HEATER W/VENT 6.00 Q�
reason f
O0 Owner Doe WATER SYSTEM - 5.00
00 ACFDAfi ACC.FILE NO.
WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
O 1 hereby Illi 0 fillave a certificate of consent to sell'-insure, - ZONING ENG.SITE NO.
ar ertificate of Workers:Compensation Insurance,or a certified copy t cot Sue.38W Lab.C.I. - /
Policy No. Company
0 ❑ ,Certi led co py is hereby fur sed. FIRESPRINK ENERGY T-24
Z 2 "❑ "Certified copy '1' wi the city inspection division. MISC.- REFER TO ORD.
O . APPlieann O< V ❑ N❑ - Y ❑ N❑
CC L 'CERTIFICA' GOF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10,00 .DD FLOOD ZONE A.L.U.C.
W > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. r,
EL 0 (' Illi, section ut need nbe completed if the permit is lot one TOTAL 14p' If Y[DN❑ V[:] N❑
hundred dollars IS 100)or less.)
V O 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL P mit is issued,1 shall not employ any person in any manner so as to
Q 0 become subject to the Workers'Compensation Laws of California. BUILDING
`I �✓�e-Z�L A-y�
y Date Applicant ALTER OR ADD TO MECH. 5.00 s /D
} 0 NOTICE TO APPLICANT; If,alter making this Certificate of Ex.
?' emption,you should become subject tG the Workers'Compensation APPLIANCE 5.00 PLAN CHECK
or inns of the Labor Code, you must forthwith Comply with FEE -�
(,1 sucnh provisions or this permit shall be deemed revoked. - AIR HANDLING UNIT(TO 10=C.F.M.) 4,00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE at�
I 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. HEATING UNIT(TO 100,000 B.T.U.1 ' 8.00 MICROFILM
3097,CIv.CJ.
Leader's Name HEATING UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC ' f
Lender's Address E
I certify that I have read thisipplic'anion and slam that the above VENTILATION FAN (SINGLE) 4.00 ��qq
information is correct.I.agree to comply with all city,and'county' PLUMBING y• UV
- ordinances and Stam laws relating to building construction, and BOILER-COMP(3 H.P.or 100,0008.T.U.) 6.00 r
hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL
(We) agree to save, indemnify and keep harmless tile City of MISC.- REFER TO ORD.
Cupertino against liabilities,judgments, costs and expenses whichCONST.TAX
ay in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 11.OQ
mnlingoft Scali: / MECH.CONT. LIG NO. MECH. _
rA&/ . TOTAL � � TOTAL 76 .
Sign 57M Apph�Contractor eJDae it I
OFFICE-COPY