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15247 (2) POST THIS CARD, NEAR FRONT OF BUILDING PERM1aTNUMREH CITY OF CUPERTINO 15247 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 6145 Park Villa Circle UNIT# _LOT# • _ PERMIT EXPIRES IF WORK OWNER George Hansell CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION ANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED t TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERn IJ VALIDATION PREGUNITE CUPERTINO STANDARDS. ' GARAGESLABS A POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - UNDERGROUND /SLAB , PLUMBING ' ELECTRICALLEISSUANCE UA rE MECHANICAL eLUc ECT PLG. KIECR. . ❑ IO ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR PAMD. jINFORMATION VALUATION S/FT, PLUMBING - V 198 MECHANICAL 1 DO PEHMII TO ` ELECTRICAL FRAMING Of Cu1 sl RmS TYPE CDNSTB. INSULATION DCC GROUP RES OMITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED Fr FLoov aveA roTAL AcacACL ROOF _ NOTE:NO FINAL INSP.SHALL BE MADE BEFORE ^vF' DIAPHRAGM _ THE CONSTRUCTION TAX IS PAID euaDlNc use ROOF SHEATHING I RES IND CON PR Ow•, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ 11. ❑ n SbIbSDRS PARCEL NO ROUGH SAN.# - - PLUMBING ELECT.ENERGY THACT NO, PARCELNO TUBS&SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.-ENERGY ACC DATE ALG RLF.NO ELECTRICAL - J,S-j BUILDING ENERGY • FRAMING ELECT.FINAL TEST ZONING ENG.SITE NO, INSULATION PLUMBING ' � III, yr GAS TEST GAS FIRE SPRINA ENERGY T-24 MECHANICAL v ❑ N[D ❑ N COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOU ZONE AL 1 C. EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. ❑ • N� v NE] SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING ' INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR: MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o0ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. - �• -C •--• OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY _ BUILDING PROJECT IDENTIFICATION PERMIT NUMBER APPLICATION & PER MIT 15247 � /� �J AnORESS �) WLI /y1 Q r I uilq � LDING—ELECTRICAL—PLUMBING—MECHANICAL r OWNER'S 7 - h PLAN CHECK VALIDATION NAME DTV. ELECTRIC PERMIT FEE eo Ill e I7f�NE .2-157-eve CONTRACTORS V UTLETS-SWITCHES-RECEP 10.00/1.00 E uc.No. ? LIGHTING FIXTURES 10.00/1.00 cf ? 4DNTP.CTOTS Z APPLIANCES-RESIDENTIAL 4.00: '• - ADDRESS y PHOrve �'�j.'3 PANELS 10.00 DATE OF APPLICATION ' ARCRITECTP.C. OR �— PANELS�IOVER 200 AMP) 20.00 PLAN CHECK FEE -- t NO. ENGINEER uc No. SIGNS TRANS. 3.00 1404 AARCH OR DDDRESS EN�. SPECIAL CIRCUIT S.QQ PERMIT VALIDATION zIv EMP.METER OR POLE INS. 20.00 �1 APvucnrvrs MOTORS SEE FEE SCH. ('C"'�-�'�✓ RE55 �- SERVICE CHANGE 20.00 '0 o LICENSED CONTRACTORS DECLARATION a u w I hereby of Jinn that 1 um licensed under pmvisi)ns of Chapter 9 ISSUANCE GATE r (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. m D o_ Professions C license is in lull In f}T i o License ClussLY I,ic.Nmnbe E] ,(f_I Q m H Dare ! _ ��Contract) a m s V BUILDING PERMIT ¢ ¢ a OWNIi BUILDER DIiCLA RATION F. O.A U MISC.— REFER TO ORD INFORMATION w3 U.H I hereby utDnn that I on exempt Crum the Contractor's License LLoj Law for the followingreason.(Sec.7031.5.Businessand Professions PERMIT ISSUANCE �.� -t VALUATION $/FT. � — Code:Any city or county which requlresa permit to construct,alter, tt sQ Q improve,demolish,or repair any st Rut Lire,prior to its issuance,also EC.CONTE, LIQ NO. y'� ELED. /9 O LL requires the applicant for such pelnlll t0 file Signed statement thu �y TOTAL ( ( VERMIT TO w $ he is licensed pursuant to the provisions of the Contractor's License .x n H Z a Law(Chapter 9(commenciagwith Section 7000)of Division3ol'the L2'GZ L G. 4 o Business and Professions Code)or that he isexempt therefrom and QTY. PLUMBING PERMIT FEE ¢ H e the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. d ;m by any applicant for a permit subjects the applicant toa civil penalty ALTER-DRAIN -WATER IEA.) 5.00 of not more than five hundred dollars 155001.1: ❑ 1,as owner of the property,or my employees with wag)as BACK F LOW PROTECT.DEV ICE 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 docs not apply to an owner of property Who builds Or Improves lhencon,and who does such work FIXTURES-PER TRAPSO.FT,FLOOR AREA TOTAL-ACREAGEhimself or through his own employees,provided that such improve- n mains arc not Intended or offered for sale.ll;however,the building GAS-EA.SYSTEM-11NC.40UTLETS 6. V 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- prove for purpowofsale.). INDUSTRIAL WASTE INTER. IND CON PB Omer ❑ 1,as owner of the property,am exclusively contracting withVoe ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. .OQ , ASSESSORS PARCEL NO. and Professions Code:The Contmcter's I.ic:cnw Law does not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.0 contracts for suelt projects with a mot racto,(,)licensed pursuant to tiro Cmunicur's License Law. SEWER-SANITARY-STORM EA.200tt/10.00 TRACT NO. PARCEL NO. Cl I am exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.GATE ACC.FILE NO. WORM'RS'COMPENSA1ION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a cellilicate L:eonsent Da self-insure. ZONING ENG.SITE NO. nr a certificate of Workers'Campensalinn Insurance,or a cern 'ed copy there f S ftab.C.). STi� Policy N L "Pan, Q ❑ CcrliflCJ copy 'IICrCby fmrulSl `d. FIRE SPRINK ENERGY T-09 Z 2 Cert'-N op s tiled wiD t11c cit iu aion division. MISC.- REFER TO ORD. O Applicant c q Y❑ N❑ V ❑ N❑ ~ rn PERMIT ISSUANCE '-10:60/p. FLOOD ZONE A.L.u.c. T CE:R'I'I FICA :0 iX- IPTION FROM WORKERS' d O COh1I'li ATION INSURANCE G.CO TR. LIC.NO. V TOTAL �-0 ❑ ❑ ❑ ❑ This sect loin need not he completed if the permit is for um Y N V N :) Z Modred dollars(SIOO)orless.) U O 1 certify that in the performance of the work for which this per- DTV. MECHANICAL PERMIT E FEE SUMMARY LL F mit is issued.I shall noloy t co any person in any manners)as to U become subject to the Workers'Compensation Laws of Cxli(orma. y Dam Applicant ALTER OR ADD TO MECH. ILDING } W NOl'ICE TO APPLICANT'. If,after making this Certificate at Ex- imitation,you should become subject to the W'orkeri Compensation APPLIANCE 5.00 C' CHECK provisions of the Labor Code, you mist forthwith comply with U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4. CONST RUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.F.M.) SEISMIC FEE 1 hereby afl'ino that there is a conxtnmtinn Icoling agency for EXHAUST HOOD(WITH DUCT) _5.06 the performance )f the work far which this permit is issued(Sec. MICROFILM 3097,Civ C.). HEATING UNIT(TO 100,000 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC �� Lender's Address I certify that l have read this application andsmte that the above VENTILATION FAN (SINGLE) 4.00 / information is correct. I agree to comply with all city and county PLUMBING mdinenes, and state laws relating to building construction, and BOILER-COMPI3 H.Por100,000B.T.U.) 6.00 �_ hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL 6S� above-mentioned property for inspection purposes. 0 (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino a ainst liabilities,judgments, costs and expenses which PERMIT ISSUANCE ��`_ CONST.TAX ay in a way accrue against said City in consequence of the ming is perm) CH.CON LIC.NO. MECH. _ . O. '[OCHE/�ys-0 TOTAL "gnature of A a t/Contractor- Ua eJO 7 (� ! FFICE COPY