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14960 (2) POSTTHISCARD NEAR FRONT OF BUILDING ' PF.HbtIT NUMBFIV , ' . CITY 'OF -CUPER'TIkq . 14960 INSPECTION DIVISION , JOB INSPECTION RECORD —/ %Y PERMIT.E XPIRATION ~:I. 1�3�� /H.- /� J 0 B ADDR '� 1UN1 •# / f - JJIJJJ PERMIT EXPIRES IF WORK J OWNER CONTRACTOR _ IS NOT STARTED WITHIN r INS TI DATE INSPECTOR %PE ION RECO D '180:DAYSOFPERMITISSU ;'t .- ANCE OR 180 DAYS FROM FOUNDATIO -� NOTE: LASTCALLED INSPECTION. LIFER -a,9- �' 'ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNI?E - 'TO COMPLY.WITH THE APPROVED PLANS AND CITY OF PE RMI I VAuTI oAON, t CUPERTINO STANDARDS. GARAGESLABS POUR,NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED- !�, = "'• `' _ UNDERGROUND'/SLAB ,, �r�.'!f • PLUMBING ,- ELECTRICAL. LUISSUANCE DATE: MECHANICAL - eG. ELECT. , PLG, MECH 6.1a IV'k�l�*- fO t to _ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED _ • _ BUILDING PERMIT INFORMATION . WOOD FLOOR .. VALUATION •sift. PLUMBING' "'x• ' MECHANICAL ' PERmn ro ELECTRICAL •J . FRAMING - - siora[s - TYPE corvsTH INSULATION Z r4mSNdR' OCC.GHOUP� RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNEDon ` 5O i. OOH APEA TOTIL ACREAGE ROOF NOTE:NO FINAL'INSP.SHALL BE MADE BEFORE (. '- I 1� DIAPHRAGM - THE CONSTRUCTION TAX IS PAID ]9wI I� HUI LUI NG USE ROOF SHEATHING -jl'-� ries IND CON PB o'l- APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS- DATE INSP. . ❑ EJ E) ❑ nsscssoas PnacEl.NO ROUGH SAN.N ] S 3 PLUMBING"(�` •._ .- ELECT..ENERG - .rano No PnaceL:No TUBS B SHOWER.PAN - -- - PLUMBING ENERGY ' MECHANICAL . MECH.ENERGYf5 ' ' aCG.GATE ACC FILE NO. ELECTRICAL ' BUILDING ENERGY' - • - FRAMING -1j- ELECT.FINALTEST: zowmc ENc'sITE No. INSULATION - d-7 PLUMBING GAS TEST - GAS - - ' T FIRE SPR INK EN*�RGY L.$G MECHANICAL v ❑ N❑ r,❑ N❑ COVER NO WORK UNTIL ABOVE HAS-BEEN SIGNED HEATING: z ' •FLOOD/ONL- A.L.U.C, - EXTERIOR SHEAR J l-S - ELECTRICAL RELEASE INTERIOR SHEAR �'0- - 'k FIREDEPT. .v❑ _N❑ ❑ `v ❑ N SHEETROCK . GRADE - FEE SUMMARY' EXTERIOR LATH �J BUILDING I ' .BUILDING • .INTERIOR LATH /�_ — " TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLANCHECK FEE z GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - SEISMIC F OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY'BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING M-4505, ELECTRIC 60.9p " ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBINGo0 PLEASE GIVE'JOB ADDRESS WHEN PHONING. 60.90 Z MECHANICAL -'SEE PERMIT.FOR EXPIRATION DATE IMPORTANT! CONST.TAX 4 .,PLEASE READ. REVERSE SIDE BEFORE TOTAL 1391.29 CALL'ING FOR FINACINSPECTION. ` OFFICE COPY ' APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN.ONLY -BUILDING PROJECT IDENTIFICATION , - PERMIT NUMBER aNILNING a pring APPLICATION & PERMIT • ANLot 149 Plan IA 14960 . BUILDING - ELECTRICAL-PLUMBING-MECHANICAL ' OWNER'S ,. - PLAN CHECK VALIDATION N/MF Gregory Group, Inc. & Ahmnson ' OTY. ELECTRIC'PERMIT. FEE' j ` P . , ... R OUTLETS-SWITCHES=RECEP,..10.00/1.00 , NAME • ' uC.N0, LIGHTING FIXTURES 110.00/1.00 WNTRACT 's PPLIANCES-RESIDENTIAL 4.00 A°NREas 220'C Twin Dolphin Dr. M CA o _ PANELS 10.00 , DATE OF APPLICATION ARCHITECT PANELS (OVER 200 AMP),-' 20,00 PLAN CHECK FEE P.C.,NO., °ENCIrvEER ARPM'BASSENIAN AIA & ASSOCIATE L.IC,NO, SIGNS TRANS. 3.00 ARCH.OR ENG. - SPECIAL CIRCUIT„ 5.00 PERMIT VALI DATION' ADDRESS 2031 Orchard Dr. #100 HtS CA z1P EMP.METER OR POLE INS. 20.00 AP L EAna MOTORS SEE•FEE SCH. ;- ADDRESS 220 C. Twin Dolphin Dr. RX CA - Nh SERVICE CHANGE ' .20.00 1p ' o o LICENSED CONTRACTORS UECLARA'if ON U 1 hereby ullirm Ilial 1 um licensed under provisions of Chupter'l . ISSUANCE DATE (Commencing with Section 7000)of Division 3 of the Business anti BLDG. ELECT. PLG. MECH. Fi Professions Code,and�3,license is in full force' (feet. .z 0 o- License Class [}_Lie Number s x 97 - O H Dale Contractor F Q y E J It ¢w ¢ OWNIi R-BUI L'UER DECL ATION BUILDING PERMIT REFER ORD INFORMATION F LL v~i I hereby affirm that am exempt from the C.ntmddi s Ciccone MISC.- -- VALUATION SIFT. u0a Law for the following reason.(Sec.7031.5.Businessand Professions PERMITISSUANCE 10.00 !1!1!� L W Code:Any city or county which Imforesa pennittoconstructalter, ,AAI pimprove,demolish,or repair any structure.prior to its issuance,also ELEC.CONTR. LIC. TE LET ., O LL requires the applicant for such permit 10 file a signed statement that s TOTAL N PERMIT TO whe is licensed polemic,to the provisions' m.1 tConimetur's License F z¢ Law(Chapter?(commencing with Section 7000)of Division 3ofthe SFDU Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT ��C or I is the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. A , - by any applicant for a pencil subjects the applicant t.a civil penolry , ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars($5000f): 2 5MiR - 17 1,as owner of the properly,.r try employees with wagax:rs BACK F LOW PROTECT. DEVICE- 4.00 OCC,GROUP RES.UNITS their sole com pensalion,will do lite work,and tire structure is not ' intended .r offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law docs not apply to an owner of ... R-3 I Property whobuilds or improves thereon,and who docs such work FIXTURES-PER TRAP. - 5.00 SO.FT.FLOOR AREA TOTALACREAGE himself or through his own employees,provided that such inhprovc- - mentsare notintended oroffered for sale.If,h.wever.the building GAS-EA.SYSTEM-I INC-40UTLETS 6.00 1956 or improvement is sold within one year of completion,the owner- GAS-EAESYSTEM-OVER 4 (EA.) - 2.00 - BUILDING USE �e,1 builder will have,he burden of proving that he did not build or inh-- - RE$• IND CON PB . Otho, prove 1,aso nee off themic.). INDUSTRIAL WASTE'INTER.• '30.00 �. 0 ❑ L as owner of the property,am exclusively comm,lbu with licensed contractors : construct ,he project La 7044,Business LAWN SPRINKLERS 1 INC 5 V.B:' ;6.00 - ASSESSORS PARCEL NO. - . and Professions Code:The Contractor's License Law does to an owner.I'property who builds or improves thereon..and anJ who LAWN SPRINKLERS-OVER 5(EA.) 1.00 , contracts For such projects with a contraclots)licensed pursuant to the Contractors License Law. _ - SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ l am exempt under Sec. ,B:&P.C.to,(]ds WATER HEATER W/VENT d• 6.00 reason 8067 Owner Dale - WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COMPHNSA'I'10NDECLARATION WATER,TREATING.EQUIP. - 5.00 - I hereby gfl7rm That I hove a certificate of consent m set Finsure. - or u eculihcale of Workers'Compensa+t,io.,nJ Insurance,or a certified ZONING ENG.SITE N0. copy thereof(Sce.3800,Lab,C.tnited Pacific t . Polley NH, Cnmpuny V O ❑ CCflied Copy\I reby furnished FIRESPRINK , ENERGY T-24 z Z �( MISC.- cant Certilic filed with ,he city inspection Jividivision,O AfiT 'REFER TO ORD. - YE] NE Y N[:J F- w PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. � - CER'I'I CA'fIi UP IiXEMI"fIONIRON WORKI:RS' Lu > CONIPENSATION INSURANCE PLG.CONTR. LIC.NO, PLG.TOTAL Y� N� YC] NC] CL O ('f his section need ,or he completed if ,he permit is for one _ , Z humdreddollars(s100)orlcss.) ' U O 1 certify that in the felt..naHee.f the work Air which this per- 'OTY ' MECHANICAL PERMIT FEE FEE SUMMARY LL F out is issued, I shall not employ any person in any manner sr as to 00hCe.hllC subject to the WorkerFCompensasion laws of Califirria. BUILDING Do Disc Applin m ALTER OR ADD TO MECH. 5.00 832.00 } co NOFICI: TO APPLICANT, If,alter nwking this Certificate of F ? Ex- emption,you should become subject ro the Workers'Compensation APPLIANCE - - 5.00 " PLAN CHECK 15.50 provisions of the Labor Code, you must forthwith comply with - FEE U such provisions.,this permit shall be decmcd revoked. AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIRHANDLING UNIT(OVER 10MC.F.M.) 6.00 SEISMIC FEE 10.85 1 hereby affirm that there is a Construction lending agency for EXHAUST HOOD(WITH DUCT) '5.00 the performance of the work liter which this,permit is issued(Sea HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM - JO77,CivC.). Sec lr' _ aclfic-_One_Embarc Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)8.50 ELECTRIC 60.90 Lenders Addmss 4 - lr-.SF_CA-941-1_I- I certify Ihm 1 have read this application mutilate I,,a,the above VENTILATION FAN (SINGLE) - .4,00 information is correct. 1 agree to comply with all city and county a PLUMBING ordinances and slate laws relating to building construction, and BOILER-COMP(3H.P.or 100,000B.T.U.I6.00 6D.90 hereby authorize representatives of this city Io enter upon the BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL a mec umitionml p,.pc,ty for inspecb.n purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against Iiahilitius,judgments, costs and expenses whichCONST.TAX ' may in any way accrue against said City in conPERMITISSUANCE 10.00 es acnes of the 288.24 ranting of th�`,mi7/"l MECH.-CONT, LIC.NO. MECH. , TOTAL TOTAL 1391.29 Signature' plicant/Contractor 7 D.t - OFFICE COPY BUILDING INSPECTOR'S OFFICE CITY OF CUPERTO eidq.Dep.. � ' Office Copv ❑ Backflow Device Soriitary Permit No. ,Sewer Connection' Plumbing Permit No. Q Plumbing Final '.' -• .f;: :Lot No. l�2 - Owner or TenanttY At /// ? e ��'"✓%/livid r1�i'�/it/r fik- T° "� Tract t Date Connected ' 19_Date Final. 19�'� ' f �ice- �/ / .�/ •. �I �" i ` ` • + FLUM13ING'INSPECTOR CITY OF CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date ......lzZ............... 19.E Building Permit The Building Located atz/OK( 3��..C>00- Rll/,f!rLc>,..SP2//✓c$..�7" Owned by ......�lliC.C70 .Y..........Cf/C - - .............. Has Been Com let For Use As: ..S.sciG1.1n .......................................... (Altered) ............. ......_........ .........._...................... ......... ..... .......................... ...................... ........._........_............................................................................................................................ ........................................................................ ..................................................................... . .. ... .. .. ......................... PD-7 BUILDING INSPECTOR.............. I CITY OF CUPERTINO OFFICE ; COPY GAS SERWCEtNOTICE car I i \J !) To You are hereby authorized fo'wnnect the GAS service for . l OwnerorTenant ' At /// ?% �/'.+^!'"1.1i>J?J� rT/"iii/rte�r—:'r'•, y ' j I ! , r``r �, • New Service -�� •. No. of Meters- Reconnect No. of Add:' Meters/' ' Move Service ' Move M e4r �}.. PLUM BIN G,INSPECTOR. ------- ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING INSPECTORS NOTICE CITY OF CUPERTINO. h To _ 196 Cl You are hereby authorized to Connect electrical service for Owner or Tenant �'Yi'��!=— .t`��'y G" •(..//� At No.of Wires Size of Wires Size of Switch Motor Load Voltage Phase Heating Load K.W. Voltage I' Lighr 110_New Service f No.of Meters / 1 - Reconnect 1( Hear.I20_Three Wire More Service No.of Add.Meters Power Three Phase Move Meter. © ELECTRICAL INSPECTOR l�