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18693 (2) „ POST THIS CARD NEAR FRONT OF BUILDING ,FRlN NRGR CITY OF CUPERTINO 48693 P TI N DIVISION INS EC O JOB INSPECTION RECORD �4 c� 17.1 PE RTEXPIRATION JOB ADDRESS /o6d� �tie B �� UNIT#SLOT# TTT PERMIT EXPIRES IF WORK OWNER ' C CONTRACTOR \f-(- .I!�•e �' IS NOT' STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM NOTE: LIFER ALL GRADING AND DRAINAGE SHALL BE,INSTALLED LAST CALLED INSPECTION. PREGUTO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION GARAGE ARAGE ITE SLABS + CUPERTINO STANDARDS..' • ' G - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED PA.10r UNDERGROUND /SLAB PLUMBING ! C t 11 J, ELECTRICAL ISSUANCE DATE .' MECHANICAL . ALD ELECT I PLC. MECH. 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUA�TIr7ON $/FT. PLUMBING wr - 7/v ur MECHANICAL vER IIT TD ELECTRICAL _ `- FRAMING ,' I '� •' G�'r INSULATION - STORIES TYPE CONSTR OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE sU.FT.FLOOR AREA ruTaL acREacE DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATHING S aolNNusEPs Om,•, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS' DATE INS SS s 1SPARCE M ❑ ROUGH SANA PLUMBING ELECT.ENERGY CEL NO TUBS&SHOWER PAN PLUMBING ENERGY r' , T MECHANICAL - MECH.ENERGY ELECTRICAL BUILDING ENERG F FRAMING ELECT;FINAL•T.EST I INSULATION PLUMBING GAS TEST - GAS MECHANICAL FIRE SPRINK ENVOY LZ - COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING' N ° ❑ ” EXTERIOR SHEAR ELECTRICAL RELEAS L ) E � INTERIOR SHEAR - FIRE DEPT. E) N N SHEETROCK GRADEMQ•IARY ' EXTERIOR LATH BUILDING - INTERIOR LATH • TEMPORARY APPROVALS BUILDING ' SD e) SCRATCH COAT ELECTRICPLAN CHECK GAS FEE LA (I'7 NO TAPE OR PSTER UNTIL ABOVE HAS BEEN SIGNED SEISMIC MIC FEE � ' OCCUPANCYOF.BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNFDBY BUILDING INSPECTOR. MICROFILM, ARRANGE FOR INSPECTION BY PHONING 252-4505, ECECTRIC''' o�, 0NE,WORKING DAY BEFORE REQUIRED INSPECTION.' PLUMBING PLEA E GIVE JOB ADDRESS WHENPHONING. z — SEE PERMIT FOR EXPIRATION DATE — MECHriwcAc !� IMPORTANT! CONST.TAXI PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL W-ISPE%T10N. TOTAL OFFICE COPY ' APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY BUI LDI NIG PROJECT IDENTIFICATION PER BUILDING APPLICATION & PERMIT 1 O (�/) ADDREss I o J 1) •� / BUILDING_ELECTRICAL—PLUMBING—MECHANICAL OWNER'S P AN CHECK VALIDATION NAME 1 IIPDTV. ELECTRIC PERMIT FEE LL-v�NE 996` 94 E/II-fVAD CONTRACTORS NAME NAME OUTLETS-SWITCHES-RECEP 10.00/1.00 G CQ c:rvO. LIGHTING FIXTURES 10.00/1.00 LONTRACTOHs, - APPLIANCES-RESIDENTIAL 4,00 ADDREss I •. E PHONE PANELS j' 10,00 DATE OF APPLICATION ARCH TECT - - PLAN CHECK FEE P.C.NO. OR - - PANELS (OVER 200 AMP) ' -20.00 ENGINEER �B aYY�' JL( sac.NO SIGNS TRANS.. 3.00 ARCH.OR ENG. PERMIT VALIDATION AODR Sv— f. SPECIALCIRCUIT 5.00 - 66 / C/�l/ t•K' ¢Iv EMP.METER OR POLE INS. 20,00 APPLICANT'S MOTORS ADDRESS - SEE FEE SCH. ' SERVICE CHANGE PAID 20.00 ,a w o LICENSED CONTRACTORS DECLARATION a i u I hereby affirm that I am licensed under provisions of Chapter'9 ' OCT i 0 1989 ISSUANCE OATS w ¢w (commencing with Section 7000)of Division 3 of the Business and BLDG ELECT, PLG. MECH. H 7 Z Professions Code d y license is in lull 1'or 'I pl'f trip ^ ai = o LiccnscC as - Lic.Number_ (2� I P np _ ,E 1 ❑ H e r J Dale on .4 C O - a a O _ BUILDING PERMIT ¢ ¢ O NER-BUILDIiR DIiCLARA'I ION x o a v - INFORMATION S. ; H I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD u O¢ Law for the following reason.(Sec.7031.5,Businessand Professions - VALUATION $/FT. r - PERMIT ISSUANCE 10.00 ,nom Code:Any city or county which requires Permit to construct,alter, Q S a 0O improve,demolish,or repair any structure,prior to its issuance,also ELEL.CONTR. LIC.NO. ELEG. —5-(90- 0 LL requires the applicant-for such permit to file a signed statement that TOTAL PERMIT TO n w$m he is licensed pursuant to the provisions of the Contractor's License r z a Law(Chapter 9(commencingwith Section 7000)of Division 3 ofthe 4 o Business and Professions Code)or that he is exempt therefrom and CITY. PLUMBING PERMIT FEE to I-$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. a ; _ - by any applicant fora permil subjects the applicant Lou civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars(S500).)! - ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP, PES.UNITS sole compensation,will do the work,and the structure is not intended or offered for sale(Sec. 7044, Business add Professions DRAINS-FLOOR,ROOF,AREA,COND. 5,00 j Code:The Contractor's License Law does not Imply to an owner of n - property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP- 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- ments are Out intended oroffered for sale,If,however,the building GAS-EA.SVSTEM-11NC.4OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS EASYSTEM-OVER 4 (EA.) 2.00 builder will have the burden of proving that h - .e did not build or im- _ BUILDING USE prove for purpose of sale.): INDUSTRIAL WASTE INTER. 30.00 RES IND CON ,PB Other . ❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS­I INC 5 V.B. 6.00 ASSESSORS PARCEL NDS and Professions Code:The Contractor's License Law docs not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 51EA.) 1.00 contractsfor such projects with a conlractods)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO., PARCEL NO. ❑ I am exempt under Sec. ,B.&P.C.for this ' WATER HEATER W/VENT -6.00 reason Owner_ - Date WATER SYSTEM 5,00 ACC.DATE ACC.FILE NO, WORK' 'COMPENSATION DECLA RATION - WATER TREATING EQUIP. 5.00 - t. I hereby a rm that 1 have a certificate of consent to self-inum e,- t, or a certif le of Workers'Compensation Insurance,or a certified - t ZONING ENG.SITE NO. copy0t of ep�3800,Lab.CJ.0.� �� p - Policy o V Company ] •e• 0 Certified copy is hereby furnished. " FIRE SPRINK ENERGYTI4 Z Z Ce'drie�on y is'Filed wit ht I pcctio - O Applicant Ems. Ll` ii>`� MISC.- - `-' • REFER TO ORD. Y❑ N❑ Y ❑ N❑ - PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. W CIi R'II EICCOM COMPENSATION MINS FROM WORKERS'. W � COMPENSATION INSURANCIi PLG.CONTR. - .LIC.NO. PLG. Z (This section need not be completed if the permit is for one _ TOTAL Y❑ N❑ Y❑ N❑ hundred dollars IS 100)or less.) U 0 1 certify that in the performance of the work for which this per- CITY MECHANICAL PERMIT FEE ' FEE SUMMARY U. F mil is issued,I shall not employ any person in any manner so as to 0 W heroIr�� ) Workers'CQyg-'nsation Laws of C f ia. r y Datc_l/ pP102 _rim•-�+•'��� ALTER OR ADD TO MECH. 5.00 BUILDING J } Co NOT'IC1 TO PP ACANT: If,after making this Certificate of Ex- t ~ ? emption,you should become subject to the Workers'Compensation qpp LIANCE 5.00 PLAN CHE provisions of the Labor Code, you must forthwith comply with U Such provisions or this permit shall he deemed revoked. - AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 FEE x� CONSTRUCTION LENDING AGENCY. AIRHANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIE I hereby affirm that there: is a construction lending agency for EXHAUST HOOD(WITH DUCT) - 5.00 the performance of the work r which this permit is issued(Sec. HEATING UNIT(TO 100,000 B.T.U.) g.00 3097, . �� Lenderr's's NNaame Lender's AddreszHEATING UNIT(OVER 100,000 B.T.1 EL CTRIC r 1 certify that I have read Ihis application and state Bud the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county OOILER•OOMP13 H,P.OI t00,0008.T.U.) 6.001PLUMBING ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000BTUISEE FEE SCH. MECHANICA above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of misc.- REFER TO ORD. - upertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in any way accrue against said City in consequence of the , ra din I this permit. 'MECH.CONT. LIC.NO. MECH. TOTAL , TOTAL Signature of Applicant/Con tractor Date - OFFICE COPY _ _ __ _ __ _ _ ___ __ _ __ _ __ ___ ______ _ __ l _ _ __ ___ ____ _ __ ___ _____ n-,r 7, -5� Z-x 1:5.1 Lw'z S�=— -,x I c j I i N ACO RDAINCE WITH MEI CIT 01 CU MN J-c(DPSAN 'ORIMA R —D—A�--E-- SIC NED _V L' IM 7-ri .-M-V'73-m ML �rz and it is n- -ful 1) c. ,,q's a- alt rati ns L --Uf-1 ,.,am T- 'I, ­'.. f.�l ':1 �" �, Ihf -�jjj L not I, .ns Th slarmp,mg ci N-�: ;',r, I).-, �POCI I —= t 1. 1 zo or an , A Nuf i�zri t�- '-:m"rf-�' )n: ovil of the w a piovisim QTe jj7 -J:TA ly----- 7 ly �ity U:dt;i znz� �;i -- L, 11 D AEG:MN -OFARIDATE- BLDG. 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