14137 (2) I
POSTTHI RD NdAR FRONT OF BUILDING • PERNRT NUMBER
` CITY OF, CUPERTINO 14137
INSPECTION DIVISION
JOB INSPECTION RECORD
8075 PRESIDIO DRIVE PERMIT EXPIRATION
JOB ADDRESS UNIT# LOT#
PERMIT EXPIRES IF WORK
OWNER RAMAS HANDROW CONTRACTOR KOOL METAL IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION ANCE OR 180 DAYS FROM
LIFER
LASTCALLED INSPECTION.
PREGUNITE PERMIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING. ,
ELECTRICAL ISSUANCE DATE
•� MECHANICAL ME❑CH.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT,
INFORMATION
WOOD FLOOR VALUATION $/FT.
PLUMBING '
MECHANICAL
ELECTRICAL - PERMIT TO rr `
FRAMING
INSULATION STORIES TYPE CONSTR.
OCC GROUP RES,UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF $O FL FLOOR AREA TOTAL ACREAGE
DIAPHRAGM - -
BUILDING,U$E
R E.S IND CUM PB Other
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED 1:1 ED 0 1:1 ❑
ROUGH ASSESSORS PARCEL NO.
PLUMBING
TRACT NO. PARCEL NO.
GAS TEST
MECHANICAL
ACC:DATE ACC.FILE NO.
ELECTRICAL FINALS DATE INSP.
FRAMING SAN *
ZONING ENC,SITE NO.
INSULATION PLUMBING
GAS
- EFIRERINK ENERGY TZC
MECHANICAL N� v N�COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATINGZONE A.L.U,C.
LATH-INTERIOR ELECTRICALLATH-EXTERIOR FIRE DEPT. ICE] 10 NO
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
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
o� ONE 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.
OFFICE COPY - '
APPLICANT TO FILL IN INORMATIUN WITHIN RED LINES - U. ALL POINT PEN ONLY
i BPERMIT NUMBERUILDING PROJECT
BUILDING APPLICATION & PERMIT
ADOREss
BUILDING - ELECTRICAL-PLUMBING-MECHANICAL 14137
OWNER'S PLAN CHECK VALIDATION
NA CITY. ELECTRIC PERMIT FEE
PHONE
CONTRACTORS OUTLETS-SWITCHES-RECEP 10.00/1.00
NA E
LIc.ND: LIGHTING FIXTURES 10.00/1.00
�.
ADDRESS APPLIANCES-DDRES6_. _ �- PPLIANCES-RESIDENTIAL 4.00
�O✓ ,� L� PHONE` ^W PANELS 10.00 DATE OF APPLICATION
cHlrecT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO.
on
ENGINEER
' uc.No. ISIGNS TRANS. 3,00
AARCH.OR DDRESS ENG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20.00
APPLICANTS MOTORS SEE FEE SCH,
ADDRESS
SERVICE CHANGE 20.00
0
02 LICENSED CONTRACTORS DECLARATION 5
1 Q Uv I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE
ei w (commencing with Section 7000)of Division 3 of the Business and
a e. BLDG.a rELECT:- t1rPLG. MECH.
H y Z Professions Code,and my license is in full force and e(f•ef. f' _❑^• ❑ ❑
zom License'Cluss B__ (-4-& Lie.Number o u
9 w r 'Date riff- 94 Cont.ctqr1ArAe1JfftPk1Z1r_
a y f BUILDING PERMIT
5 ¢ w u OWNER-BUILDER DECLARATION INFORMATION
w;A H 1 hereby from that I at exempt from the Conaactor's License MISC.- REFER TO ORD
u 0 a Law for the following reason.(Sec.703 1.5,Businessand Professions PERMIT ISSUANCE 10.00 VALUATION $/FT.
L- _ Code:Any cityorcounly whichrequiresnpernittoconslrml,alter, n
QQ Q p ImFlrOVI',dl'InOhah,Or repair any$h4Ct11 rC,prior[O IIS 199uu11CC,llISU ELEC.CONTR. LIC.NO. ELEC. /
, requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO
a w m he is licensed pursuant to the provisions of the Contractor's License
r z i Law(Chapter 9(commencing with Section 7000)of Division 3ofthe ��74 O �si ✓ts7
a Business and Professions Code)or that he isexempt therefrom and OTY. PLUMBING PERMIT FEE
st r O the basis for the alleged exemption.Any violation or Section 7031.5 STORIES TYPE CONSTR.
e. by any applicant for a permit subjects the applicant to a civil penally 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
their sole Compensation,will do the work,and Ilse structure is not OCC.GROUP RES.UNITS
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
pr achy who builds or improves thereon,and,who does such work F IXTUR ES-PER TRAP 8.00 SO.FT.FLOOR AREA TOTAL ACREAGE
himselfor through his own employees,provided that such improve-
mentsareno(intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00
or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00
builder will have the burden of proving that be did not build or ia, BUILDING USE
prove for purpose of Sale.). RES INC) CON PB Other
❑ 1,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30,0011 El El ED El
licensed contractors to construct the project(Sec. 7044,BusinessLAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARC EL 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 for such projects with a contractor(s)licensed pursuant to
the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
❑ lam exemptuWer Sec. ,B.&P.C.for thisreas
on WATER HEATER W/VENT 6.00
Owner Date WATER SYSTEM 5.00
ACC.DATE ACC.FILE NO.
WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP, 5.00
I hereby affirm that I have a certificate of consent to self-insure, ZONING ENG.SITE N0.
or a certificate of Workers'Compensation Insurance,or a certified
copy thereof(Sec.3800,Lab.C.).(�__
PPlicy No. Company'
O `op Certifie opy is here yfurnished. FIRE SPRINK ENERGY T$4
Z 2 0 Certifie py s e wi e c ty inspection division.
O Applicant MISC.- REFER TO ORD. J Q N[] Y C] Nf_]
N CERTIFICATE OF EXEA PTION PROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C.
LU > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG.
tL Z( This section need not be completed if the Permit is for one TOTAL YE] N [:J� Y NE]
hundred dollars(S 100)or less.)
U O I certify that in the performance of the work for which this per- DTV. MECHANICAL PERMIT FEE FEE SUMMARY
LL 1- mil is issued, I shall not employ any person in any manner so as to
U become subject to the Workers'Compensation Caws of California. BUILDING /J `=
i Date Applicant _ ALTER OR ADD TO MECH. 5.00 D
} N NOTICE TO APPLICANT: If,after making this Certificate of Ex-
z emption,you should become subject to tire Workers'Compensation APPLIANCE 5.00 PLAN CHECK p C�kfT
provisions of the Labor Code, you must forthwith comply with FEE O ---�
U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10MC.F.M.) 4,00
CONSTRUCT ION LENDING AGENCY AIR HANDLING UNIT(OVER IQODOQF.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.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name - HEATING UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC
Lender's Address
• I Certify that I have read this application and stale that The above VENTILATION FAN (SINGLET 4.00
information is correct. I agree to comply with all city and county PLUMBING
ordinances and state laws relating to building construction, and FILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00
hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. BOILER-COMP (Over,100,000 BTU)SEE FEE SCH. MECHANICAL
(We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD.
Cupertin gain iia I'liti jud meats, costs and expenses which 10.00 CONST.TAX
may 't way ecru cin sai(L it in Tense� ce of the PERMIT ISSUANCE H.
gra 1 [ this it. MECH.CONT. LIC.NO. MECH.
TOTAL TOTAL C21 '9
Wftbre_gf sc)KtWntra;XZ r Date
OFFICE COPY