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14677 (2) POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 14677 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS �o�S`U �1/ J�U7F���-L ���-✓1U UNIT# LOT# PERMIT EXPIRES IF WORK OWNER D ILLI/-� �j[_I V CONTRACTOR .� R �L�rG �. IS NOT STARTED WITHIN INSPECTION D E I INSPECTOR TION RECORD 180DAYS_OFPERMIT ISSU NOTE: FOUNDATION ANCE OR-180 DAYS FROM LIFER � ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION. PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED •j - ♦ -elite •�' ' P ..`'fin L`- UNDERGROUND /SLAB j L�♦' �' ���� Tt f PLUMBING ,Ecj, , ELECTRICAL ISSUANCE DATE MECHANICAL' - BLDG ELECT, 11C, MEC+ PW [:] © ❑ ❑ I DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR. \ VALUATION SIFT. PLUMBING MECHANICAL Ot CD.p •n0 ELECTRICAL EHMII TO FRAMING INSULATION STORIES TYPE CONSTR. OCG GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED . - SO FT FLOOR AREA TOTAL ACREAGIL ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE' DIAPHRAGM THE CONSTRUCTION TAX IS PAID BU I ILDING USE ROOF SHEATHING RES IND CON PB DIM- APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. L 0 ❑ L L ROUGH sAN.q ASSESSORS PARCEL NO . PLUMBING ELECT.ENERGY ' TRACT NO, PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY _ ILE NO ELECTRICAL ' BUILDING ENERGY ACC DATE ACC F FRAMING ELECT.FINAL TEST Z.ONI NO ENG.SITE NO. INSULATION PLUMBING GAS TEST GAS MECHANICAL FIRE SPRINK ENERGY T 2A COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - 11 "[ '` L NO /, EXTERIOR SHEAR ELECTRICAL RELEASE S FLOOD ZONE ALuC, INTERIOR SHEAR FIRE DEPT. ° ❑ NL I L "❑. 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 JOCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM uJ ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC � ONE WORKING DAY BEFORE REQUIRED INSPECTION PLUMBING ~o • 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 • �.4LICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY PERMIT NUMBER BUILDING PROJECT IDENTI FICA710N APPLICATION APDR ND , 14 6 7 7 ' Aj1Dfl E45 10050 N.. Foothill Blvd. BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION NAME CITY. ELECTRIC PERMIT FEE FQ>'ul Group PHONE NE TRAcroRs NA6Q UTLETS-SWITCHES-RECEP 10.00/1.00 NAM Sprig Electric LIDND,296728 Cl JW LIGHTING FIXTURES 10.00/1.00 30 - CONTRACTORS PPLIANCES-RESIDENTIAL 4.00 ADDRESSDRESS 1303 Fick Ave. PHONE 298-3134 PANELS. 100A 10.00 1,2 i fiir, DATE OF APPUICATION ORRCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE .c.No. ENGINEER LIC.NO. SIGNS TRANS. 3.00 AD ARCH. R'ESS END. SPECIAL CIRCUIT 5,00 PERMIT VALIDATION zrP EMP.METER OR POLE INS. 20.00 AMOTORS SEE FEE SCH. ADDDRESSDRESS 1303 Lick Ave. SJ CA 95110 SERVICE CHANGE 20.00 �//� /drY C oRUD LICENSED CONTRACTORS DECLARATION rt =W I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE a (commencing wish Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. r D i Profcssions Code.I license is in full forcM tr2 MAY ❑ ❑ ❑ Z O License Cl! 19-A?f-Lic.Number C . Z, H Umc_-J_ 0000 Carl rue for=(� ys, s� O i w a OWNER-BUILDER DECLARATION City ESI CUpB IID BUILDING PERMIT - o A sa INFORMATION X ; a- m I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD u O j law for the following reason.(Sec.7031.5.Husinessand Profcssions }�0 / VALUATION S/FT. - PERMIT ISSUANCE - Cale:Any oily or county which requ Lure permit mconstrue,.am 4 o improve,demolish,or repair any structure,prim to its issuance,also ELEC.CONTR. LIC.NO. ELEC, P o IS requires the applicant for such pencil to Ole a signed statement that Sri Electric 296728C10 TOTAL (J a whe is licensed pro to the provisions of the Contractors License /-- PER MIT TO F z aLiw(Chapter 9(com mcn c ing wi t h Sedion 7000)o f Division 3 of t he i o Business and Professions Code)or that he is exempt therefrom and CITY. PLUMBING PERMIT FEE IS $ the basis for the alleged exemption.Any violation of Section 7031.5 - STORIES TYPE CONSTR. by any aPilirmw for u pannit subjects the applicant to a civil Penalty ALTER-DRAIN -WATER IEA.) 5.00 of not more than Ove hundred dollars(S500).1'. ❑ 1,as owner of the property.or my employccs with wages as BACK FLOW PROTECT. DEVICE 4.00 DOCGROUPRES.UNITS their sole compensation,will do the work,and the structure o not intended or offered for sale (Sec. 7044. Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code: The Commetor•s License Law dues not apply to an owner of _ property who milds or improves thereon,and who does och work FIXTURES-PER TRAP 5.00 SO.FT,FLooR AREA TOTAL ACREAGE himself or through his own employees.Provided that such improve- mentsarenolintundedurofferedforsale.If,however,the building GAS-EA.SYSTEM-11NC.40UTLETS 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 Forcing that he did not build or im BUILDING USE prove for purpose afsale.L INDUSTRIALWASTE INTER. 30.00 RES IND CON PB Other ❑ I,As owner of the property,am exclusively cmoraclic,with 0 ❑ ❑ ❑ 0 licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Profepsions Code Thu Contractor's Liccvu Luw does not apply to an owner of property who builds or improses thereon.and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 contracts Ibr umb Projects with u con ractorts)licensed punuwu to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ tum exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner - Datc WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COMPENSAT ION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a renificalo of consent lis ser Ginsure. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO, copy thcr }1 �(l��j ab.C.l� D,,,...,,,,��11,, T.., Poly No�V Q"�i( nia.C.). Re JIJIJllc_- d®--L Q C CO, opy Hhaeb f nr 1 FIRE SPRINK ENERGY T 24 Z 2 ❑ Cc - J oty li I thety, imgm FO AppBr4 sec _ � - MISC.- REFER TO ORD. v � N� v ❑ NE � N CER'I'IFICA'I'E OF EXEMPTION PROM ORK� PERMIT ISSUANCE 10.00 FLOOD ZONE aL.u.C." LU 5 COMPENSATION'INSURANCE PLG.CONTR. LIC.NO. PLG. CL 0 (Thu Section need nm be completed If the permit u I'o, o TOTAL Y 1:1N0 Y ❑ NEI CL hundred dollars(I I ail or IL.J m U O 1 certify that in the lrcrformance of the work for which this per- CITY MECHANICAL PERMIT FEE FEE SUMMARY 1L1- n.it is issued,I shall not employ any Person in any nlanne'so as m _ become sabjucl to the Workers'Calnpensa(ion Laws of Culiforn iv. 0 orDate Applicant BUILDING a } 0. NOl'ICI-. TO APPLICANT: If,alter making this Certificate or Ex- ALTER OR ADD TO MECH. - 5.00 ? emption,you should become subject to the WorkerF Contpunsation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE CJ such provisions m this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10MC.F.M.) 4,00 CONSTRUCT ION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.EM.) 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 ISce. MICROFILM 3097,Civ Cf - HEATING UNIT (TO 100,000 B.T.U.) 8.00 Lender's Nddr HEATING UNIT(OVER 100,000 B.T.U.) fps Lender's Address ELECTRIC (/v I certify that I have read(his application and stale that the above VENTILATION FAN (SINGLE) 4.00 S information is mrecr. I agree to comply with all city and county PLUMBING ordinances and slate laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby authon/e representatives of this city to enter upon the BOILER-COMP(Over 1110,1X10 BTUI SEE FEE SCH. MECHANICAL vmvctnentiuned properly for inspection purposes. (We) acorn m Save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertoo against liabilities,judgments, costs and exlxmscs which CONST.TAX ay in ty ay accrue against said City in Consequence of the PERMIT ISSUANCE 10.00 m 'tl fthis Fenn . MECH.CONT. LIC.NO. TOTAL TOTAL r Lure of ApPllcan[Conlmcmr etc OFFICE COPY