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14976 (2) POST THIS CARD-NEAR FRONT ervmlT NUMBER CITY OF CUPERl. ` INSPECTION DIVISION- 4976 ' � JOB INSPECTION RECORD ,.L c / ,�'f y� PERMIT EXPI RATION JOB ADD, SLz6R �•// l�vl'/�L —`-f/' o UNI -- - - PERMIT-EXPIRES IF WORK OWNER ' 'CONTRACTOR IS NOT STARTED WITHIN INVIICTPON DATE INSPECTOR PE ION RECORD 180 OAVS OPERMIT ISSU- FANCE OR 180 AYS'FROM . . FOUNDATIO _ ^8 DNOTE: LASTCALLED INSPECTION. UFER - �,' ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PREGUNITE CUPERTINO STANDARDS. GARAGE SLABS ... Y i POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - �� .i-s .• '�..'�.. • -UNDERGROU D /SLAB PLUMBING �p1 ELECTRICAL ` - - - - ISSUANCE GATE MECHANICAL BLOG ELECT PLG. MECR, , SPa*1� LAie?RDr 4- D C�keQL' tm2 O tv,, p Y ❑ ❑ . ❑ QO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED iOTNG PERMIT 11,'1 RMATION .WOOD FLOOR vawAnoN sTCT. PLUMBING ` MECHANICAL - "= CI� 000 r PERMIT iU - ELECTRICAL - FRAMING. - SIUHIE$ TYPE,CONSTR.7. INSULATION !: 2 . SH OCC.GROUP RES UNITS ` PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED t. so IT 11,UORARLA IOrA.ACRcnc.L,� ROOF ' _• NOTE:.NO FINAL INSP.SHALL BE MADE BEFORE �- DIAPHRAGM THE CONSTRUCTION TAX IS PAID + r eulLolrvc USE ROOF SHEATHING - I es INO CON Pu 'um,1 ' • El APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS -DATE INSP. © 1 0El ASSESSORS PARCEL NO ROUGH SAN.# ) S3 w.. PLUMBING ELECT.ENERGY TRACT NO. PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL - — - - MECH.ENERGY ' DATE: Ace Pae No. ELECTRICAL - d' - 'BUILDING ENERGY - - -�. FRAMING < ELECTrFINAL TEST ' ZONINf. ENG.SITE NO. INSULATION_ PLUMBING .GAS TEST GAS FIRE SPRINK ENERGY T2,T ' MECHANICAL- Y ❑ .0. � No COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ' PLooD ZONe 7 A c. EXTERIOR SHEAR ELECTRICAL RELEASE Y ❑' INTERIOR SHEAR / FI RE DEPT. Y ❑ N❑ N❑ SHEETROCK GRADE FEE SUMMARY ' EXTERIOR LATH BUILDING 2 Z BUILDING^ 972.00 INTERIOR LATH i TEMPORARY APPROVALS PLAN CHECK 15.50, '. ' SCRATCH COAT -/- ELECTRIC L Z FEE GAp AS Zlei .001 NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE 1'3.65 OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR: ,MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 73.13 U , ONE WORKING DAY.-BEFORE REQUIRED INSPECTION. PLUMBING 73.13 0� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z -<MECHANICAL, SEE, PERMIT FOR'EXPIRATION�DATE IMPORTANT! ' CONST.TAX288.24 PLEASE READ'REVERSE SIDE BEFORE TOTAL 1570.78' CALLING FOR FINAL INSPECTION. `' ' OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION _ + _ PERMIT NUM BER BUILDIonOrchardPring Court APRL'ICATION,& PERMIT ADLot 148 , .Plan 4A 14976 /�,,,�� 1,, BUILDING - ELECT�ICA L-PLUMBING-MECHANICAL OWNE NAMER r Group, Inc.,& A11�]nson - ; PLAN CHECK VALIDATION y Pt - QTY. ELECTRIC PERMIT FEE Devel ts' EHD 1 - CONTRACTORs NAGrOUTLETS-SWITCHES-RECEP 10.00/1.00 E egory Group, ,Inc. LID.No.B 430097 LIGHTING FIXTURES 10.00/1.00 - C.ONTRACTORs - in IoVin � APPLIANCES-RESIDENTIAL 4.00 ADDr . 94065 415, -2100 PANELS 10.00 DATE OFAPPLICATION ' ARCNrtec PANELS (OVER 200 AMPb- 20.00 'PLAN CHECK FEE: P.C.NO. DR Aram Bassenian; AIA & Associates ENGINEER . NO. C-8395 SIGNS TRANS. - 3.00 , ARCH,SS ENa. 031 & Or. /{1(yl SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ADDRESS �,QY'C {� , UI 1/1lN ' Santa La IYLS, 4H, iIF 9Z�� EMP.METER OR POLE INS. 20.00 APPLICANT'S r,ryx '' MOTORS SEE FEE SCH: - ADDRESS __Lam" C Twin Dolphin Dr. M CA. . 9'At(WY.LJ SERVICE CHANGE 20.00 0,o LICENSED CONTRACTORS DECLARAI'ION < I hereby affirm that I alicensed under Provisions of Chapter ` ISSUANCE DATE m 'J - H 3 i (commencing with Section 7000)of Division 3 of the Business and - BLDG. ELECT. PLG. - MECH. Professions Codc,Bnul my license is in full force andforce amI effect. - ❑ ❑ ❑ Z o u, - License Class Lie.Number o = Dale Cammemr p i-- Y f B ILDING PERMIT - ¢ ¢ w a OWNER-13611-DER DECLA A'PION _ ,"•. FORMATION D REFER TO ORD w 3 u I hereby al'linm that Inm exmnpt from the Con,nwtars License MISC.•- „ ALUATION IN 5/FT.- FLLoa Law for the following rcason.(Se<.7031:5,Business and Professions PERMIT ISSUANCE 10.00 Code:Any city or county which requires a permitto construct,allef, rt ¢ Q 2 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. a ELEC �s, Il'j - O¢ requires the applicant for such permit to life A signed statement that TOTAL," �,7 PERMIT TO whe is licensed 9(co mt to the provisions of the Contractor's 31,]it,, SFD r i'4 Law(Cha and Professions Code)or Section is exempt iheiefrom the - SFDU a Business and Professions Code)or that he],dion t therefrom and DTV. PLUMBING PERMIT _FEE ¢ t $ the basis for the alleged exalt sub a An lotion of Section malty - _ Any STORIES TYPE CONSTR. by any applicant lora permit dollars the applicant lnacivil penalty ALTER-DRAIN -WATER (EA.),5,00 2 ' '.5NHR ' of not more than five ire prop dollars tray em: ' ❑ 1,as owner at the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 their sole compenv,ion,will do the work,and the structure is not - OCC.GROUP RES.UNITS intended or offered far sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Cade:The Contractor's License Law does not apply to air owner of - properlywhobuildsorimprovesthereon,and who does sucli work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided thin such improve- ments are not intended or offered for sale.ll,however,the building GAS-EA.SVSTEM-11NC.40UTLETS 6.00 2445• 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 Norden of proving thin lie did not build or am- RE - IND' CON PB DmBa prove for purpose of sale.). - INDUSTRIAL WASTE INTER. 30.00 . � ❑ 1,as owner of the Property,am exclusively contracting with 11 licensed contractors to construct The prajeer fSee. 7044,BuslnCSS LAWN SPRINKLERS- 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 contracts I'or well pruleds with a contractor(s)licensed pursumlt to the Contractor's License Law, r - SEWER-SANITARY.STORMEA.200tt/10.00 TRACT NO. PARCEL NO. ❑ Inm 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. WORKIi RS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 - I hereby Wfirm that I have a certificate of ,,to self-insure. - ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insu,rnee,or a certified copy thereof(Sce.3900,LA.C.). United Pacific . Policy No. Company _ - Q CCtlilied cop h 'furnished. ' FIRE SPRINK- ENERGY T 24 Z Z •(Q Cer,ilieit Js with the city inspection 'division. MISC.::' . REFER TO ORD. O Aff-le't L' Y0 N❑, V ❑ N❑ � y PERMIT ISSUANCE - - 10.00 FLOOD ZONE A.L.U.C. w ), CIiRI'119CATliONSA-ilON ION PROM WORKERS' _ CUd not SAT ore INSURANCE PLG:CONTR. LIC.NO. PLG. v a 'No Y � N❑ � O ['this 'etion need no, he complete) it the permit is for one TOTAL " 2 hundred dollars($I00)or less.) U O I certify that in the performance of the work for which this per- GTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is ixsued,I shall no,cnmloy any Parson in any manner so as to Ow become subject to lire Workers Compensation Laws of California. - - BUILDING - 972.00 Date Applicant ALTER OR ADD TO MECH. 5.00 } N NOTICI.TO APPLICANT: If,after making this Certificate o1fix - F-. ? emption,you should become subjecl to the Workers'Compensation APPLIANCE • 5.00 PLAN CHECK provisions of the Labor Code, you most fonhwilh cmnply with FEE' /ener 62.DD U suet,provisions or this permit slide he deemed revoked. AIR HANDLING UNIT(TO 10,000QF.M.) 4,00 CONS'1'RuCnON LENDING AGENCY AIR HANDLING UNIT(OVER 10=Q F.M.) 6.00 - SEISMIC FEE 13.65 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) .5.00 the Performa Sec -MICROFILM 3097,Civ.C.). yykkiyyC eiWR3d62 HEATING-UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name_4>h_flooY•�. 941-1-1 HEA TING UNIT(OVER 100,000 B.T.U.19.50 ELECTRIC 73.-13 Lender's Address I certify Our I have read this application and slate that Om above VENTILATION FAN (SINGLE) r ,4.00 • iNDnnices n estate,. I agree to comply with all city and county PLUMBING 73.I3 Itchy and state lows relating m ly with construction, and BOILER-COMP I3 H.P.or 100,000 B.T.U.1 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP (OVA,100,000BTU)SEE FEESCH. MECHANICAL xbo,e n ention,d property for inspection purposes. _ (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD, Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX L88.24 may in any way accrue against said City in consequence of the ranting of,his per 't. `/�� MECH.CONT. - LIG NO. MECH. TOTAL S TOTAL 1570.78 Signature of Apeand/Contractor Kate OFFICE COPY ELECTRIC SERVICE NOTICE OFFICE COPY / BUILDING INSPECTOR'S NOTICE LOT fj CITY OF CUPERTINO T /7� %7 19 ' To You are hereby authorized to Connect electrical service far Owner ar Tenant 5—=fa Arr—�-- No,of Wires Size of Wires Size of Switch Motor Load Voltage Phase Heating Load K.W. Voltage No.of Meters � ( Li9hl I10_New Serve ' Reconnect jf1 Heat-]20-Th,ee Wire More Service ' No.of Add.Meters Power. Three Phase Move Mere, �• ELECTRICAL INSPECTOR BUILDING INSPECTORS OFFICE - CITY OF CUPERTINO k' - Bldg.Dept. •• Office Copy ❑ Backflow Device: - Sanitary Permit No.- _11"i ❑ Sewer Connection Plumbing Permit No. 1 ©Plumbing Final - - •Lot No. I Owner or Tenant TJ'�i"i•-/^�� ',c rli�-i - " r _ At IZC= - t Tract - I Dare Connected 19—- Dare Final !_Z 19A� JI �" �;•. /PLIJMBING-IN9PECTOR7 CITY OF CUPERTINb CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date ..... .I Building Permit No The Building Located at 190 Owned by --- om lete .......... ............ ...... Has Been C (Altered) For Use 417 ................... - ------------- - - ' -V..........�' .✓......... ............................... ............ .. .........I.............. ............................................I.................. ............................ ............................. ........... ..... .................................................I............................ .................. ........... PD-7 ;154r�--INSPECT- .. . ........ --------------- CITY OF tUPERTIpo, OFFICE 1 py." GAS SERVICE NOTICE j To You are hereb Y authorized to'conne&the GAS service for Owner or Tenant A t ------------- 0 p y _ NewService - No. of Meters Reconnect Na. of Add- Meters ---------------- Move Service Move Meter PLUMBf NSPECTOR 0.