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2236 (2) qty �I`f� CITY 01' CUPF.RTjl10 IQSPECTIOC RECORD (Office Copy) 2236 _ / 10544 John Flay Lot C PEPJIIT NO. SANITARY DIST. 140. LOT NU ADDRESS Garaee Taylor PROJECT OWNER JOB SITE PIIO14E NO. PERMIT ISSUED Date ELECTRICAL Buildinc 8-23-82 Date Ins[). faectrical y� Power Pole _ _ Nechalnr Underground 1lechanical - P P.ough Wirin _ Temp. Cas/Elect. Ila.iis Solar Ceiling Fire Sprinkler Fixtures Int/Ext Sign llotors Grounding llisc. Temp. Power _ Other FINAL. INSPECTIONS Not Approved Date Insp. ("s PLUMBING Electric // Date Insp. Plumbin ,;,, (�- p( Backflow _ Nechanical Underground Solar Underfloor Pool Partial Rough Gradinp Rough Complete •� planning Solar Rough Fire Deft. Nater & T__�+. /0- - >- _ health Dept. Main Drai -�/- Building R/of/S Drain _ Other 'Gas* - Other BUILDING Not Approved Date Insp. Pad Certification MECHANICAL Date Insp. Pre-Gunite Underfloor S.M. Slab-Membrane Ducts & Insulation _ Bond Beam Fire Dampers _ Underfloor Girders Fireplace Floor Steel Grease Duct & flood Tiedowns One flour Shaft Di.aphrams Condensate Drain Seismic Bracing Equipment Anchorage Iial.ts-Panels Flues & Comb. Air Frame Other Lath Not Approved 11allbonrds Int Ext. Firewalls /t'l Other I— Not Approved �riE�AJ nto APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT-PEN ONLY BUI LDI NG PROJECT I DENTI FIC ERMWYM ER RIIILDING APPLICATION & PE T AD - (; 07 6I�Es� 6C."7 y BUILDING - ELECTRICAL-PLUMBING-MECHANICAL OWNER'S - PLAN CHECK VALIDATION NAME OTY. ELECTRIC PERMIT FEE ' �. y V PHONE I I' co rRAcr s UTLETS-SWITCHES-RECEP' 5.00/1.00 NN � 1 ( /�U.�/Ne7TCOST1IC,No. LIGHTING FIXTURES 5.00/1.00 CONTRACTOR'S JjN .y APPLIANCES-RESIDENTIAL 4.00 ADDRESS ^f PFo,E 51 e —, PANELS '5.00 DATE OF APPLICATION ARCHITECT - 6•DD PLAN CHECK FEE P.C.NO. OR SIGNS ENGINEER tic.NO. SIGNS TRANS. -3.00 ARCH.OR ENG. PERMIT VALIDATION ADDRESS SPECIALCIRCUIT 5.00 . _ - ziP - EMP.METER OR-POLE INS. 15.00 ACANrs � MOTORS E FEE SCH.ADORpp04 . 6) 0 D-6/ SERVI GE 10.00 p o0 LICENSED CONTRACTORS DECLAItKI'ION Y 3 y o a u u I hereby affirm that I am licensed under provisions of Chapter 65 N /p ISSUANCE DATE. T n a m (commencing with Section 7000)of Division 3 of Ore Business and - BLDG. ELECT. PLG. MECH. r m z Professions Code J y license is in full force and effect. ® ❑ ❑ ❑ Z o m - LicenseLie-.Number`p _t C, w F o Dam int ractnr 1✓'�-4 . .r• _ ¢ y s s0�'^' L�CG�-d BUILDING PERMIT ¢ ¢ OWNFR-BUILDER DL ARA'I'ION o w u INFORMATION X ; y I hereby affirm That I am exempt from the Contractor's License MISC.- REFER TO ORD F, LL o ¢ Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 6.00 /VALUATION $/FT. al Code:Any city or county which requires a permit to construct,alter, ELEC.CONTR.' LIC. S^f00� ¢ ¢ ¢ o improve,demolish,of repair any structure,prior to its issuance,also ELEC. ac n w- DLL .requires the applic:...I for such permit to file.'signed smtentenl Thal TOTAL PERMIT TO Otis f he is licensed pursuant to the provisions of lite Contractor's License Hii Law(Chapter 9(commencing with Section 7000)of Division 3 oflhe ¢ Business and Professions Code)or that he isexempl therefrom and OTY. PLUMBING PERMIT FEE 3 i o X I-$ the basis for the alleged exemption.Any violation of Section malty STORIES TYPE CONSTR. n ; � by any applicant for anandre dollits the applicant civil penalty ALTER-DRAIN -WATER (EA.) 4.00 of not more owner five hundred property. s(my employees ' ❑ I,as owner of the property,or my employees with wags eBACK F LOW PROTECTDEV ICE 200 OCCGROUP RES.UNITS • their sole compensation,will do the work,and the structure is nott . . ., intended or offered for sale (See. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 4.00 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 4.00 SO.FT,FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such intprive- martsare not intended orofferedfor sale.It,however,the building' GAS-EA.SYSTEM-1INC.4 OUTLETS 4.00 : or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 7,80 BUILDING USE builder will have Ilse burden of proving that he did not build or im- RES IND CON PB Omer prove for purpose ofsa `le.). INDUSTRIAL WASTE INTER. 2000 O 1,as owner of the property,am exclusively contracting wi lit . ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the roproject(Sec. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 5.00 ASSESSORS PARCEL NO. and Professions Code The Coln nmtor's License Law does not apply to an owner of property who huilds or improves lhcreom and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 commas fors' LiceneeLwithacontructods)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/8.00 the Contractor's License Law. TRACT NO. PARCEL N0. ❑ l am exempt under Sec.—,B.&P.C.far this WATER HEATERW/VENT . 4.00 . . reason Dau - Owner— . WATER SYSTEM 4,00 r ACC.DATE ACC.FILE NO. woRKCRS'coMPGNSAl]ON DECLARATION WATER TREATING EQUIP. 4.00 ' I hereby affirm that I have a certificate ofeonsent to selGinsum, ZONING ENG.SITE NO. or a certificate of Workers'Com nssss����Ij� I u c•, f„t r'"•ll copy thereof(Scm3800.Lab.C.)_9G}- rM31- 1 Policy No. 'Con, y_�/��� - O ❑ CerC ' denA}t ti N ted G OQ7 FIRE SPRINK ENERGY T-24 _Z 2 C',u y] G 7 m y InSpeaion division. MISC.- REFER TO ORD. y N v N O p ❑ ❑ ❑ ❑. ~ y PERMIT ISSUANCE 6.00 LU CFRTIFFICAT POF FNSAIIM[ifON INS FROM WORKERS' FLOOD ZONE A.L.u.c. - W � COMPENSATION INSURANCE PLG.CONTR. LIC.NO. CL Z (This section need not be completed if the Permit is 1'o,one TOTAL V El ❑ Y ❑ N❑ hundred dollars($1001 or laws , U 0 I certify that in the performance of the work for which this per- DTV. MECHANICAL PERMIT FEE FEE SUMMARY LL I- mit is issued, I shall not employ any person in any manner so as to U become subject m the Workers'Compensation Laav,of California. / U y "Date Applicant - ALTER OR ADD TO MECH. 4.00 BUILDING V-Z .Ta } to NOTICE TO APPLICANT: If,alley making this Certificate of EX ? emption,you should become subject to the Workers'Compemulion APPLIANCE 4.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE U such provisions or this permit shalt he deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.I 3.00 CONSTRUCTION LENDING AGIiNCY., AIR HANDLING UNIT(OVER 10=C.F.M.) 5.00 SEISMIC FEE x-0 I hereby affirm that there is a construction leadingagency for EXHAUST HOOD (WITH DUCT) 2.00 the performance of the work for which this permit is issue) c. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 4.00 Lender's Name N Q i �� `LAQs ' �� - LLEdCr'sAddmxt ¢ '9R'9— HEATING UNIT(OV ER 100,000 B.T.U.)7.50 ELECTRIC I certify that have readthis applicationand state thal,the.hove VENTILATIONFAN (SINGLE) t^ 3.00 . . inforlwtion d estate l 1 agree to comply with all city and county PLUMBING yHimEr afic and state laws relating to building t]city action,nd co and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 4.00 'hereby authorRe representatives of this city to enter upon the above-mentioned property for inspection purposes. gQILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL ' (We) agree to save, indemnify and ky-s harmlass the City of MISC.- ^I, REFER TO ORD. _ Cupertino .gains( Iiuhilities,jnarlyl{ td exlfe se which PERMIT ISSUANCE 3.00 CONST.TAX May in any way abi tit eft y m co I .1 the granting Of this MECH.CONT. - LIC.NO. MECH. - -!G/ _ TOTAL TOTAL Signal of Ap ll/Co Factor 1 tc OFFICE COPY i N I ELECTRIC SERVICE NOTICE P.G BE.COPY BUILDING INSPECTOR'S NOTICE IO f CITY OF CUPERTINO To 19q You are hereby authorized to Connect electrical service for E u. Owner or 1 E At J O �� �i.J A Y o — m m I No.of Wires Size of Wires Size of Switch 8 F Motor Load Voltage Phase 16 Heating Load K.W. Voltage 'e m � n No.of Meters Light 110—New Service Reconnect ' �_ Hem 120_Three Wire More Service No.of Add.Meters Power Thr hate Move Meter Om ELECTRICAL INSPECTOR ELECTRIC SERVICE NOTICE OFFICE COPY ,Y BUILDING'INSPECTOR'S NOTICE CITY OF CUPERTINO '7 n 19 rS To You are hereby authorized to Connect electrical service for , Owner or Tenant -4�'�+� T No.of Wires Size of Wires Size of Switch 'Motor Load Voltage Phase Heating Load K.W. Voltage i No.of Meters Light 110_New Service / Reconnect _�, Heat-120 Th,eeWire More Service No.of Add.Meters Power Three,Phase Move Meter ©M ELECTRICAL INSPECT +. CITY OF CUPERTINO PCOPYE GAS SERVICE NOTICE t al 19 0 LL To ' a You are hereby authorized to connect the GAS service for m m Owner or Tenant 11 At New Service 9 g No. of Meters / Reconnect No. of Add. Meters Move Service Move Meter PLUMBING INSPECTOR CITY OF CUPERTINO _ OFFICE COPY d GAS SERVICE NOTICE19 P�2 . To , You are hereby authorized to connect the GAS service for i Owner oT Tenant At G - n ' 9 New Service No.,of Meters / Reconnect'- No. econnect'No. of Add. Meters Move Service A__ � 1 Move Meter PLUMBING INSPECTOR