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13591 (2) POST THIS CARD NEAR FRONT OF BUILDING ' CITY OF CUPERTINO PERMITNN ,BE INSPECTION DIVISION 13591 JOB INSPECTION RECORD :PERMIT EXPIRATION JOB ADDRESS 10560 S . FOOTHILL UNIT# LOT#" 18 PERMIT EXPIRES IF WORK OWNER JAMES SISK CONTRACTOR JAMES SISK IS NOT STARTWpWITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION - ANCE OR 180 DAYS FROM UFER r_YLASTCALLED INSPECTION. PREGUNITE PERMIT VALIDATION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB �, of g�gedino 1 PLUMBING ELECTRICAL ISSUANCE DATE` MECHANICAL BLDG. ELECT PLG. MECR. ❑ ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT WOOD FLOOR INFORMATION VALUATION SIFT. PLUMBING _7. - MECHANICAL ' ;'r ELECTRICAL _/0.f7 PERMIT TO FRAMING62-247 J ✓,, /_ IN ULATION STORIES TYPE CONSTR. JOCC.GROUP RES,UNITS LACE NO SUBFLOOR UNTIL ABOVE HAS EEN SIGNED J ROOF S0.4T FLOORAREA I.TALACREAGE �1 DIAPHRAGM z- -SH xc_ - BUILDING USE RES IND CON PB OWei APPLYAO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑ ROUGH ASSESSORS PARCEL NO. PLUMBING it GAS TESTIf TRACT NO. PARCEL NO, MECHANICAL I ELECTRICAL;,* l ACC.DATE - acc.FILE No. _ . S _ FINALS DATE INSP. FRAMING � SAN # INSULATION enR _ C' PLUMBING zoNlNc ENO.SITE No. GAS MECHANICAL FIRE SPRINK ENERGY L]< COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ` ❑ N[j ` ❑ N❑ LATH-INTERIOR q- ELECTRICAL FLOOD ZONE AL ITC. LATH-EXTERIOR FIRE DEPT. N❑ Y ❑ N❑ SHEETROCK IGRADE FEE SUMMARY SHEAR INTERIOR BUILDING -2, SHEAR EXTERIOR —� TEMPORARY APPROVALS BUILDING - FIREWALLS ELECTRIC PLAN CHECK GAS FEE 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 E252-45O5 ELECTRIC ONE WORKING DAY BEFORE REQUIRED IPLUMBING Z4� PLEASE GIVE JOB ADDRESS WHEN PHONI- SEE PERMIT FOR EXPIRATION DAMECHANICAL CONST.TAX IMPORTANT! _ PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION W11-HIN RED LINES - USE BALL POINT PEN ONLY BIJDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING LD.1•.. APPLICATION & PERMIT ADDRESS�/ 5. 3 5 1 �� O N L BUILDING- ELECTRICAL-PLUMBING-MECHANICAL Ci S PLAN CHECK VALIDATION i'sF NAME�'LLRS .,J DTV. ELECTRIC PERMIT FEE n PHONE ZSS t( 3 / CorvTRACTors �4-�' UTLETS-SWITCHES-RECEP 10.00/1.00 NAME ✓ C� 5 Ll. 955 LIGHTING FIXTURES 10.00/1.00 02c CONTRACTOR'S I APPLIANCES-RESIDENTIAL 4.00 - jooREss 1 x••� EkJ1G PHONE255 r J c PANELS 10.00/0 - DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.NO. on PANELS (OVER 200 AMP) 20.00 ENGINEE ^,1yy�1Af1��II,, ''11 'I pr1 J1Kf1LJ�P1 /MLIC.No. ISIGNS TRANS. 3.00 (� ARCHOR RENG. 1v La SPECIAL CIRCUIT 5.00 PERMIT VALIDATION 6= zrP � EMP.METER OR POLE INS. 20.00 APAPPLICANT EA TS MOTORS SEE FEE SCH. () W r_ TLV SERVICE CHANGE 20.00 1+; Y �f C❑0f`W�A-eL.J O o LICENSED CONTRACTORS DEC LARATION /�//'3/0, a u u I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCEDATE (commencing with Section 7000)of Division 3 of the Busit m and BLDG. ELECT. PLG. MECH. r n i Professions Cod li4nd my license is in full f Lieensc .lass Lic.Nu wH Dalc ,, Contrac ` - ` ••11 BUILDING PERMIT a nOWNER ATION INFORMATION y I hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD a. se o j Low for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10.00 U' VALUATION SIFT. � - Code:Any city or county which requires a permit to construct,alter, sw_�, a G improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. V-U 7 1 t/ O u requires the applicant for such permit to file a signet)statement that TOTAL PERMIT TO w89 he is licensed pursuant to the provisions of the Contractor's License F z a Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe 9'7=Z) w� Business and Professions Costa)or that he is exempt therefrom and OTY, PLUMBING PERMIT FEE r $ the bass for the alleged exemption.An q gc p he violation of Section erah$ STORIES TYPE CONSTR. by any applicant fora permits objects $500).licanttoocivil penahy ALTER-DRAIN -WATER (EA.) 5.00 T of not more then Five hundred dalton(5500).1'. ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will do 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 au owner of property who builds or improv=thereon,and who does such work I FIXTURES-PER TRAP 5.00 BG.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- } mems are not intended or offered for sale.If,however,the budding GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 .270 / or improvement is sold within one year of completion, the owner- GAS EASYSTEM-OVER 4 IEA) 200 builder will have the burden of proving that he did not build or im- - . . . BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Other ❑ 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project (See.7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 . AaOF PARCELNO. and Professions Codc:The Contractor's License Law dues not apply �7 to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 3,S_ --t75_- /f' contracts for such projects with a contractur(s)licensed pursuant to SEWER-SAN V-STORM EA.200ft/10.00 0 the Contractors License Law. TRACT NO. PARCEL NO. O lam exempt under Sec. ,B.&P.C.for this WATER HEATER WENT 6.00 reason Owner Date WATER SYSTEM 5,00 ACC.DATE ACG FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that 1 have acertificateofconscat toself-insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3600,Lab.C.). Policy No. Company 0 ❑ Certified copy is hereby f seabed. FIRE SPRINK ENERGY TR4 Z 2 O Cu '- copy is Elc with t scit inspection division. O Apph, IMISC.- REFER TO ORD. Y O N❑ Y 0 N� CC W TI pICATE OF EX EAI PI'I ON PROM WORKERS' PERMIT ISSUANCE 10.DO /0 - FLOOD ZONE A.L.U.D. LU > COMPENSATION INSURANCE. PLG,CONTR. LIC.N0. PLG. B9 (/y Y N Y N� � Z TOTAL('Phis section need not be completed if the permit s for one R hundred dollars(S I0(Hor less.) U O 1 certify that In the pedornoocc of the work for which this per. OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued,1 shall not employ any person in any manner so as to U become subject to the Worker:Compensation Laws of California. O WDate Applicant ALTER OR ADD TO MECH. 5.00 BUILDING �/� } m NOTICE TO APPLICANT: If,after making this Certificate of Fx- F 2 emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must torthwith comply with FEE U such 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 I0,000C.ENL) 6.00 SEISMIC FEE 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. MICROFILM 3097,Civ.C). HEATING UNIT(TO 100,000 B.T.U.) 8.00 6 Lenders Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender,Address ELECTRIC SI certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 d information is correct. I agree to comply with all city and County PLUMBING (/L ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 Q hereby authorize representatives of this city to enter upon the BOILER-COMP= (Over 100,000 BTU)SEE FEE SCH. MECHANICAL 0 N above-mentioned property for inspection purpos . u (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which CONST.TAX may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.(X1 - 6 8 Ol this Remit. MECH.CONT. LIC.NO. MECH. a /{ TOTAL ,/x� Si ort of Applicant/Cont or O ate `"� TOTAL ��Ii�'S OFFICE COPY Q