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14594 (2) POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO4594 INSPECTION DIVISION • "" JOB INSPECTION RECORD Imo. �/ � PERMIT EXPIRATION JOB ADDRESS ' 1 9� B � 4 OU QS CYSINIT# LOT# PERMIT EXPIRES IF WORK OWNER 'Z "1 CONTFACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION - 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 PERMIT VALUATION GARAGE SLABS CUPERTINO STANDARDS. " POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB ' PLUMBING • r` ELECTRICAL ' ' ISSUANCE DATE MECHANICAL - BLOC ELECT PLc- NIECR .❑ ❑ -,❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED 8 BUILDING PERMIT WOOD,FLOOR INFORMATION PLUMBING `!` vALuw noN aIFT. MECHANICAL ELECTRICAL PERMIT TO FRAMING INSULATION, - SIDRIES IVPE CONS TO OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED .. ' ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE 5O'Pr aooR AREA rorAL ACREAr.E DIAPHRAGM THE CONSTRUCTION TAX IS PAID `}< M•` BUILDINGUSE ROOF SHEATHING REs IND coN PB om-t APPLY NOROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP: ❑ ❑ ❑ � ASSESSORS PARCEL NO ROUGH - SAN.H _ PLUMBING .ELECT.ENERGY TUBS 8'SHOWER PAN PLUMBING ENERGY TRACT NO -PARCEL NO� � - MECHANICAL MECH.ENERGY ELECTRICAL - BUILDING ENERGY ACC OATE ACC.FILE NO. FRAMING ELECT.FINAL TEST ZONING' ENG.SITE NO. INSULATION - PLUMBING • GAS TEST GAS - • MECHANICAL EIRE SPRINF ENERGY T.14 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING _ ❑ N'E ` ❑ No F . . _ EXTERIOR SHEAR - � - ELECTRICAL RELEASELODD ZONE ALU C. " INTERIOR SHEAR FIRE DEPT. ` ❑ N❑ YL N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH '"TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY,' SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY, PHONING 252-4505, ELECTRIC HW ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 0� PLEASE GIVE JOB ADDRESS WHEN PHONING. ZMECHANICAL - SEE PERMIT FOR.EXPIRATION DATE - IMPORTANT! CONST.TAX ' PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY y.°I APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUI LDI NG PROJECT I DENTI FICATION _PERMIT NUMBER i aVILQING, _ APPLICATION'& PERMIT r' - 14594 FFY�� ADDRESS F:W(0L 17��S C7-. BUILDING-ELECTRICAL-PLUMBING -MECHANICAL NEH' \' NAME PLAN CHECK VALIDATION 'f �,J.��-�, n (� OTY• ELECTRIC PERMIT FEE � �.� 6aTieT-•k'v',GeVHONE a �», - NnesEnnctoRs UTLETS-SWITCHES-RECEP 10.00/1.00 LIC.NO. LIGHTING FIXTURES 10.00/1.00 CONTRACTOR ADDRESS DDPP.LIANCES-RESIDENTIAL 4.00 TRAC PHONE' PANELS 10.00 DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.N0. OR PANELS (OVER 200 AMP) 20.00 ENGINEER uc.NO. SIGNS TRANS. 3.00 ARCH.OF ENG. SPECIAL CIRCUIT 5,00 PERMITVALIDATION - ZIv TEMP. METER OR POLE INS. 20.00 AODRESRrs MOTORS SEE FEE SCH. ADREu / t SERVICE CHANGE 20.00 -y�"wp''p�' w o o LICENSED CONTRACTORS DECLARATION y/✓�0 O a w 1 hereby iffrm that I am licensed under provisions of Chapter 9 ISSUANCE DATE in < m (commencing with Section 7000)of Division 3 of the Busitwss and BLDG. ELECT. PLG. MECH. H w z Professions Code,and my license is in full force and effect. ❑ ❑, z O u, - License ClassLic.Number g r o Date Contractor P g ¢ w u owNGR-n u1LDIiR DIiC1.A RATION BUILDING PERMIT MISC.- REFER TO ORD ORMATION P- ;A y 1 hereby affirm that I am exempt from the Contractor's License �v TON S/FT. a_ Law Law for the following rcuson.lSec.703L5,Businessand Profsslons PERMIT ISSUANCE 10.00 s Code:Any city car county which requires a permit to construct,alter, _ ce ¢Q 0 improve,demolish,or repair any structure,prior 10 its issuance,also ELEC.CONTR. LIG NO. ELEC. ca wO ¢ requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO $ h,is licensed pursuant to the provisions of the Contractor's License ' Of HiQLaw(Chapter 9(commencing with Section 7000)of Division 3 ofthe - �LB C, i 4 o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE ¢ r g the basis for the alleged exemption.Any violation of Section 7031.5 _ STORIES TYPE CONSTR. s ; by any applicant for a p,rhit subjects the applicant to a civil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(551X)).): ❑ I,as owner of the progeny,or my employees with wages as BACK F LOW PROTECT. DEVICE 4.00 OCC.GROUP RES.uFartS ileo ssde compensation,will du the work,and the structure is not intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of pfoperry who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 Sa FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- mentsarenotintendedoroffered for sale.If,however,the building GAS or 6.00 or improvement is Sold within one year of completion, the owner- GAS-EA.SYSTEM. 4 (EA.) 2.00 builder will have the burden of proving that he did not build or im- BUILDING USE prove for pur mic of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Dmer ❑ 1,as owner of the property,am exclusively contracting with 0 ❑ ❑ O ❑ - licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law docs not apply to in owner of property who builds or improves thereon.and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 contracts for such projeels with a CmInielnRs)licensed PUMIIWII to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. ❑ l am cxempt,mhder Sec IB&PIC.Orlin, WATER HEATER W/VENT 6.00 reason t)wner Date WATER SYSTEM 5.00 ACC.DATE ACC FILE NO. W'ORKIiRS' OMPF,N'SA'1'ION DECLARATION WATER TREATING EQUIP. 5.00 J- I hereby alarm that I have u certificate of consent to set Ginsure. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(Sec.3800,Lsb.C.). Policy Nn. Company O ❑ Certified copy is hereby furnished. RE SPRINK ENERGYT 44 Z Z ❑ Cenifed copy is fled with the city inspection division. MISC.- REFER TO ORD. Q Applicant ' 'Y ED NF] YED NE:] rn CERT1FICA'fE OF VX17NIPTION FROM WORKERS' PERMIT ISSUANCE 10.00 O - FLOOD ZONE AL-UG. W > COMPENSATION INSURANCE PLO.CONTR. LIC.No. PLO. �5 [:] ❑ ❑ ❑ Z (phis section need mol be completed if the permit is for one • TOTAL Y N Y N hundred Dollars($100)or IessJ U O 1 eerily that in the pertirmhan.e of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued, I shall not employ any person in any manner so as to U w become subject to the Worker'Compensation laws of California. GO Datc Applicant BUILDING >_ N NOTICE TO APPLICAN"I'. it,after nuking this Cvnit irate of Ex- ALTER OR ADD TO MECH. 5.00 (_ Z emption,you should become Subject to the Workers'Corripensatlon APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you most forthwith comply with FEE U such provisions or this permit skull be deemed revoked. AIR HANDLING UNIT(TO 10)000C.F.M.) 4.00 CONSTRUCTION LeNDING ACL'NCY. AIR HANDLING UNIT(OVER 10)=C.F.M.) 6.00 SEISMIC FEE I'hereby affrin thel there is u Construction lending agency HOT EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. - MICROFILM 3097,Civ.0.). HEATING UNIT(TO 100,000 B.T.U.) 8.D0 Lenders Name HEATING UNIT(OV ER 100,000 B.T.U.)9.50 Lender's AJdress ELECTRIC 1 certify that I have read this application and state that the abase VENTILATION FAN (SINGLE) 4.00 information is correct, I upon,to comply with all city and county BOILER-COf813 H.P.or 100,000 B.T.U.) 6.00 PLUMBING �S ordinances and slate laws relating to building construction, and s hereby atnhorve representatives of this city to enter upon the BOILER-COMP IOser 100,IXp BTU)SEE FEE SCH. MECHANICAL shove-mentioned property for inspection purposes.' ' (We) non, to use. indemnify and keep harmless the City of MISC.- REFER TO ORD. upenmO against liabilities,judgments, costs and expenses which m i an way accrue anal t said Cit PERMIT ISSUANCE '1000 CONST.TAX Y Y Y yin conseq acme of the and of(his pen t. MECH.CONT. LIC.NO. MECH. VML 3 TOTAL TOTAL i late of i P Date - - OFFICE COPY