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14380 (2) POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 14380 INSPECTION DIVISION JOB INSPECTION'RECORD PERMIT EXPIRATION JOB ADDRESS ' CORNER DEFOE AND 'BOLL INGERUNITu _LOT# _ - PERMIT EXPIRES IF WORK OWNER MICHAEL PICETTI CONTRACTOR MICHAEL PICETTI. IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION - ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE' TO COMPLY,WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED �..Z, j �/� 7 UNDERGROUND /SLAB _ PLUMBING ,*+' ( .od. •:c.r. ELECTRICAL - f• ISSUANCE DATE MECHANICAL BLDG.. ELLEECCTT PLO. NIECR. El 0 El 1 . DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING-PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION SIFT MECHANICAL - ELECTRICAL PERMIT 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 SD.FT.TLooR AREA TOTAL ACREAGE DIAPHRAGM. THE CONSTRUCTION TAX IS PAID - ROOF SHEATHING SUILDING USE RES IND CON PB O'l— APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑ ROUGH SAN.p ASSESSORS PARCEL NO PLUMBING" ELECT.ENERGY TUBS&SHOWER PAN PLUMBING ENERGY T RACT NO. PAnCEL NO MECHANICAL _ MECH.ENERGY ELECTRICAL - BUILDING ENERGY - Acc unTz ncc PILE No, FRAMING ELECT,FINAL TEST INSULATION PLUMBING G ENG.Si TE NO. GAS TEST - GAS MECHANICAL INK ENERGY T.as COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING N❑ 1:1 "� EXTERIOR SHEAR' ELECTRICAL RELECAPPROVEALSA ONe iL UC. INTERIOR SHEAR FIREDEPT. - N❑ Y_❑ N❑ SHEETROCK - GRADE E SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORGSCRATCH COAT ELECTRIC ECKS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN 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, ELECTRIC o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING y Z PLEASE GIVE JOB ADDRESS WHEN PHONING: - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION -PERMIT NUMBER ADDEMING RESS APPLICATION & PERMIT 14380 ADDRESS QI ��/ `U ZFaK. � '^�'�' BUILDING -ELECTRICAL-PLUMBING-MECHANICAL ..NNN1EIR'S",'1�� D PLAN CHECK VALIDATION f NA1111ym-yf,� QTY. ELECTRIC PERMIT FEE vlsorvE NOM1FRAcroRs . UTLETS-SWITCHES-RECEP 10.00/1.00 f uc.No. 41 Q3� LIGHTING FIXTURES 10.00/1.00 ADDRESs(oRs (' PPLIANCES-RESIDENTIAL 4.00 ' 136-7 Q,. PHONE 7 J'l�{�� PANELS 10.00 DATE OF APPLICATION RCHITECr PLAN CHECK FEE P.C.NO. oR � PANELS (OVER 200 AMPI 20.00 , ENGINEER DI LIc.No, SIGNS TRANS. 3.00 ARCH.OR ENG. PERMIT VALIDATION ADDRESS / SPECIAL CIRCUIT 5.00 QcI� C P EMP.METER OR POLE INS. 20.00 1r7 APPLICANT$ ADDRESSMOTORS SEE FEE ADDRESS SCH. o ¢ z SERVICE CHANGE 20.00 G /_u/✓l/ F 00 LICENSED CONTRACTORS DECLARATION av 1 hereby affirm that 1 am licensed under provisions of Chapter 9 2 w ISSUANCE DATE y 2 w (commencing with Section 7000)of Division 3 of the Bus ess anti BLDG. ELECT. PLC. MECH. r N z Professions Co d my license is in lull force and effect m un o i vs-9-fLicense Class '._Lic.Nmmber El ❑ El 0 m H J Date Coltman, ¢ Q w a OWNER-BUILDER DECLARATION BUILDING PERMIT w- °T" - INFORMATION ; I- I hereby affirm that I am exempt from the Contractor's License MISC. REFER TO ORD uU. Law for the following reason.(See.7031,5,Businessand Prn fessiuns VALUATION - g PERMIT ISSUANCE 10.00 Code:Any my or county which requires a permit to construct,alter, l Qw¢¢0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. D¢ requires the applicant for such permit to file a signed statement that EC A wm¢ he is licensed pursuant en the provisions of the Contractor's License PERMIT TO Rzw Lew(Chapter 9(commencing the with Section the Co(Division Sol'(he (y`/SPE IT 4 D Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE ler$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. n .- by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars(S5001J' ALTER-DRAIN St VENT-WATER (EA.) 5.00 ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 UCC.GROUP their sole compensation,will do the work,and the structure is not RES.UNITS intended or offered for sale(Sec 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,CON D. 5.00 Code: The Contract.,','License Law does not apply to an owner of property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 SQ.FT.FLOOR AREA TOTALACREAGE himself or through his own employees,provided that such improve- mentsarenotintendedorofferedforsale.If,howuveq the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 builder will have the burden of proving that he did not build or im- BUILDING USE prove for purpose cu saleJ. RES IND CON PB Ome, ❑ I,as owner of the property,am exclusively commeting with INDUSTRIAL WASTE INTER. 30.00 licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 and Professions Code:1'he Contractor's License Law does not apply ASSESSOR S PARCEL NO. to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 calumets for such projects with a comractons)licensed pummnt to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 --TRACT NNO. PARCEL NO. C1m Inexempt under Sec. ,B.&Poco for this rcrmn WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COMPFNSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers'Compens'tion Insurance,or, a certiticd ZONING ENG.SITE N0. copy thereof(Sec.3R00,Lab.C.).D v L- �1./�/rWl,l(.___ Policy No. rt Compeny �lU 0- ❑ Certified copy is hereby furnished. zp(r�certified copy is filed will, the city inspection division. FIRE SPRINK ENERGY T 24 p App.mt MISC.- REFER TO ORD. Y [] N� Y [D NO m CFRTIFICA'I'E OF EXEMPHON FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.LU.C. W COh1PIiNSATION INSURANCE PLG.CONTR. LIC.NO. PLG. CL O This section need nut be completed i( the permit is for one TOTAL V�, N Y❑ N Z hundred dollen(S 100) it lc„J U O 1 certify that in the performance of file work for which this per- OTV MECHANICAL PERMIT FEE FEE SUMMARY W I- mil is issued,1 shell not employ any person in any manner so es to O W becomesubjecl lothe Workers'Compensation Laws of Cah(ormil. M Dale-Applicant ALTER OR ADD TO MECH. BUILDING >_ Z NOTICE TO APPLICANT'. If,alter making this Certificate of CS- 5.00 F _ emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you roust forthwith comply with U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10JIIID41F.M.) 4.00 FEE CONSTRUCTIONLEN'DING AGENCY AIRHANDLING UNITIOVER 10,000GEM.) 6.00 SEISMIC FEE 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. 3097,CD.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM Lender's Name Lender's Address HEATI NG UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC o0 i 1 certify that I have .it this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct I agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 above-locreby entioned roperty foriins of this city es enter upon [he � above-mentioned property for inspection purposesBOI LER-COMP (Over 100,000 BTU)SEE FEE BCH. MECHANICAL (We) agree to Sava, indemnify and ep harmless the City of MISC.- REFER TO ORD. uperuino against I ifl ilitics,jail non's osis and expenses which PERMIT ISSUANCE CONST.TAX my in any way c, sin said consequence of the 10.00 ranting of c tt MECH.CONT. LIG NO. MECH. 1l \is Signatu pplicant ant etas On TOTAL TOTAL � OC� 'V OFFICE COPY