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13062 (2) POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO RN;iT NUMBER INSPECTION DIVISION 13062 JOB INSPECTION RECORD. """PERMIT EXPIRATION JOB ADDRESS 10717 LINDA VISTA DRIVE UNIT# Lor# ,PERMIT EXPIRES IF WORK OWNER LEONS CONTRACTOR ACE PLUMBING IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION - - , ANCE OR 180,DAYS FROM LIFER L'ASTCALLED IN .PREGUNITE PERMIT VALIDATION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED pfd p PLUMBING UNDERGROUND /SLAB Ia1L9I ,I!j -7 �,ird - I�� f!'Q•V ELECTRICAL i NC` BLDMECHANICAL _ r a,❑ E❑r ECR. El DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT - WOOD FLOOR INFORMATION PLUMBING - VALUATION -SIFT. L. MECHANICAL ELECTRICAL - - P Mrt ro,I FRAMING •��" INSULATION STORIES T NSTR, OCC,GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO.FL FLOOR AREA TOTAL ACREAGE - ROOF . . DIAPHRAGM - - I BUILDING USE - HES IND CON PB Ome, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ 0 ❑ El ASSESSORS PARCEL NO. ROUGH PLUMBING ' GAS TEST , TRACT NO, PARCELNO. MECHANICAL ACC.DATE ACC.FILENO. . ELECTRICAL FINALSDATE INSP. FRAMING SAN # ZONING ENG.SITE NO. INSULATION PLUMBING GAS ' MECHANICAL' FIR:] IN ENERGY TBA COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING "� NEI LATH-INTERIOR ELECTRICAL FLOOD ZONE A.L.U.C. LATH—EXTERIOR - FIRE DEPT. ' `'❑ IN Y ❑ IN E:] ' SHEETROCK GRADE •' FEE SUMMARY SHEAR INTERIOR BUILDING _ SHEAR EXTERIOR TEMPORARY APPROVALS BUILDING FIREWALLS ELECTRIC' 'PLAN CHECK , GAS FEE '. NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNEDBY BUILDING INSPECTOR, MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC -� F IN- ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.SAX v, N' PLEASE READ REVERSE SIDE BEFORE TOTAL r L L CALLING FOR FINAL INSPECTION. OFFICE COPY , APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMITjNU BEER BUILDING APPLICATION & PERMIT 0ADoa s LDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER PLAN CHECK VALIDATION "nmE OTY. ELECTRIC PERMIT FEE ' PHON� CONTRACTORS OUTLETS-SWITCHES-RECEP 10.00/1.00 NA LIG" LIGHTING FIXTURES 10.00/1,00 CONTRACTOR'S APPLIANCES-RESIDENTIAL 4.00 A DREG C �+ L }, ONE PANELS 10.00 DATE OF APPLICATION AR HITec - PANELSIOVER 200 AMP) 20.00 PLAN_CHECK FEE P.C.NO. - OR ENGINEER LIc.No. SIGNS TRANS. 3.00 ARCH.OR ENG. 5.00 PERMIT uy�LIO a AooRass SPECIAL CIRCUIT, Y-P9714.J ZIP EMP.METER OR POLE INS. ' 20.00 aFPucarvrs MOTORS SEE FEE SCH. ' T AOOREss .,. - - SERVICECHANGE 20.00 {{�sIpr,� woo 1 LICENSED CONTRACTORS DECLARATION V sY u�e1�100 a u w I hereby affirm that 1 am licensed under provisions of,Chapter 9 ISSUANCE DATE H ¢u (commencing with Section 7000)of Division the us a nd BLDG. ELECT. PLG. MECH. r Z Professions C license is in full f L ❑ ❑ ❑ 2 0= License as Lic.Numbe - o r w Date Contractor BUILDING PERMIT Q Y f J ¢ a w u OWNER-BUILDER DECLARATION - INFORMATION E ;u 0 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD F LL o J Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 1, VALUATION S/FT. mCode:Any city or county which requlresa permit to construct,alter, LEC. c ¢ ¢Q improve,demolish,or repair any structure,prior to its issuance,also. ELEC.CONTE. LIC.NO: E O 0 requires the applicant for such permit to file a Signed statement that ) TOTAL gip IT TO wS a he is licensed pursuant to the provisions of the Contractor's License FzLaw 9(commencing with Section 7000)of Division 3 of the _ ¢ Business and Professions Code)or that he is exempt therefrom anis QTY. PLUMBING PERMIT FEE ¢= the basis for the alleged exemption.Any violation of Section 7031.5 STORIES GONSTR. by any applicant for a permit subjects the applicant toa civil penalty gLTER-DRAIN -WATER IEA.) 5.00 of not more than five hundred dollars(5500).)'. ❑ 1,as owner of the property,or my employees with wages asBACKFLOW 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 an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SG.FT,FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 mems are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or im- RES IND CON PS Omer prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct thS e project(Sec.7044,Business LAWN SPRINKLER -1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 connote is far such projects with a contractors)licensed'pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 - TRACT No. PARCEL No. El am exempt under Sec. .B.&P.C.for this WATER HEATER W/VENT 6.00 0 reason Owner 'Date WATER SYSTEM - 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP, 5.00 1 hereby affirm that 1 have a certificate of consent to self-insure, ZONING ENG.SITE NO. Or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.CJ. Policy No. Company O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T-14 Z Z ❑ Certified copy is filed with the city inspection division. MISC.- REFER TO ORD. Y[3N❑ y E] N❑ O Applicant y CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 O:tic FLOOD ZONE A.L.u.c. LU >_ COMPENSATION INSURANCE PA C NTR. N PLG 1 e 20 (This section need not be completed if the permit is for one TOTALY[3 N❑ v [:] N E] D Z hundred dollars(S 100)or less.) U O I certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H. mil is issued,1 shall not employ any person in any manner so as to O W become subject to the Workers'Compensation Laws of California. BUI LDING Date Applicant ALTER OR ADD TO MECH. 5.00 } y NOTICE TO APPLICANT: If,after making this Certificate of Ex I.- emptier,you should become subject to the Workers'Compensation APPLIANCE 5.00 ,PLAN CHECK provisions of the Labor Code, you must forthwith comply with AIR HANDLING UNIT(TO 10 C.F.M.) 4,00 FEE (') such provisions or this permit shall be deemed revoked. .000 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.F.M.) 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.CJ. HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OV ER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address I certify that l have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 / OC) is correct. I agree to comply with all city and county BOILER-COMP.(3 H.P.Or 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the, BOILER-COMP(Over t0o,000 BTU)SEE FEE SCH. . MECHANICAL above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City oil MISC.- REFER TO ORD. perItino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX. I ny way accrue against said ty in consequence of the I tin of h p it ,MECH.CONT. LIC.NO. MECH, y TOTAL TOTAL .fFigballofe Applicant/Contractor , Date OFFICE COPY'