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13433 (2) POST TH ARD NEAR FRONT OF BUILDING • PERMIT NUMBER CITY OF CUPERTINO 13433 INSPECTION DIVISION JOB INSPECTION RECORD - PERMIT EXPIRATION JOB ADDRESS 8093 PRESIDIO WAY UNIT# LOT# JIM & AGGIE MCAULEY MCCALLION PERMIT EXPIRES IF WORK pWNER � coNrRAcroR � IS NOT STARTEDWITHIN INSPECTION DATE INSPE TOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM UFER LASTCALLED INSPECTION. P PREGUNITE PERMIT VALIDATION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB . 1✓ J PLUMBING t ELECTRICAL T n f` ', FI . - ISSUANCE DATE MECHANICAL _, BLDG. ELECT. PLG. MECH.M!u + `'u" Bf07 �• !�� 1-11 DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR vawanoN SIFT. PLUMBING MECHANICAL ' ELECTRICAL - PERMIT TO FRAMING J ��• � .. -L,•: : INSULATION - STORIES TYPE CONSTR. OCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED FL ROOF SO.FT.FLOOR AREA TOTAL ACREAGE „ - DIAPHRAGM ' I RES INDUILDINGCON USEPa 0lher APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED El . 0 1:1 1111 ROUGH ASSESSORS PARCEL NO. , PLUMBING_' GAS TEST a• - TRACT NO PARCEL No. MECHANICAL ELECTRICAL FINALS DATE INSP. ACC.DATE ACO,FILE NO. FRAMING per, SAN * ZONING ENG.SITE NO. INSULATION �' PLUMBING , GAS MECHANICAL FIRE SPRINK ENERGYT 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N� Y ❑ NE] FLOODZONE A.L.U.C. LATH—INTERIOR ELECTRICAL' Y� N� r� N� LATH-EXTERIOR - � FIRE DEPT. SHEETROCK GRADEFEE SUMMARY SHEAR INTERIOR BUILDING BUILDING SHEAR EXTERIOR TEMPORARY APPROVALS FIREWALLS ELECTRIC - PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY L ISEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR, MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING j •. 0 PLEASE GIVE JOB ADDRESS WHEN PHONING. Iz - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY APPLICANT TO FILL IN IN•1MATION WITHIN RED LINES - USF ALL POINT PEN ONLY BUI LD1 NG PROJECT I OENTI FICATION PERMIT NUMBER 6llILDiNG APPLICATION & MIT ADORESs9 fre5� eJXQ 3 ;G 44 nU BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 13433 . OWNER' � A �/G PLAN CHECK VALIDATION • NAME /' QTY. ELECTRIC PERMIT FEE rl / PHONE 7p NaMTRacrons fj� ,/ p lir OUTLETS-SWITCHES-RECEP 10.00/1.00 0 r/VI CC.4W0M LIC.ND/9S0 073 LIGHTING FIXTURES 10.00/1.00 ADDRESSNTRACoR'S /r MUM �£ APPLIANCES-RESIDENTIAL 4.00 W MPHDNE �^ ^��/ PANELS 10.00 DATE OF APPLICATION ARCHITEqr I PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. O OR -�� ENGINEER LIC:No. SIGNS TRANS. 3.00 a oon'Ess ENG' SPECIAL CIRCUIT S.00 PERMIT VALIDATION DRESS IIP EMP.METER OR POLE INS. 20.00 ADD AP MOTORS SEE FEE SCH. Q �x x� /�� ZL/f //y` SERVICE CHANGEm R,In 20.00 Foo LICENSED CONTRACTORS DECLARAT N /1( V.I a i w 1 hereby affirm that I am licensed under provisions of Chapter 11 rI h '1 ISSUANCE'DATE- a A (commencing with Section 7000)of Division 3 of the Business and v s--• + -'" BLDG. ELECT.I PLG. MECH. o'A Professions Code, d m license is in full foreq�0 -ffe t. Ivi 0 w o License Cl ss Lie.Number_tl Qjf - - if I v H " z y vf0�/ZeM1rA,- h' Ur off, t oin L _ Dace Contractor ,MG( L fzlLy Ot VLIhCI'1:1C10 �ry a sa 4 BUILDING PERMIT It X a OWNER-BUILDER DECLARATION w U INFORMATION w;A I-I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD u o j Law for the following reason.(Sec.7031.5,Business and Professions pERMIT ISSUANCE 10.00 v(A L�U,ATION $/FT. r a Code:Any city orcounly which requires a permit to construct.alter, �� 7V yO Z ¢ improve,demolish,or m air an structure,prior to its issuance,also ELEC.CONTR. LIC.N0. Ic ¢ O p. P Y ELEC, �-1 G¢ ra1UVCS the applicant for such permit to file a signed statement that TOTAL � PERMIT T w$w he Is licensed pursuant to the provisions of the Contractor's License QS�1.�, I rzi Law(Chapter 9(commancingwith Section 7000)of Division 3 ofthe �N T�yUQ "G/`l a Business and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE ¢ rte the basis for the alleged exemption.Any variation ofSection 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penulty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(5500)): ❑ 1,as owner of the property,or my employees with wages as BACK F LOW PROTECT. DEVICE 4.00 their sole compensation,will do the work,and the structure is not OCC.GROUP RES.UNITS intended or offered for sale IS". 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5,00 Code:The Contractor's License Law does not apply to u^owner of • property who builds or improves thereon,and who does such work FIXTURES•PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- mentsI an not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner GAS-EA.SYSTEM OVER 4 (EA.) 2.00 builder will have the burden or proving that he did not build or am- BUILDING USE prove for purpose of sole.). INDUSTRIAL WASTE INTER3000 RES IND CON PB oiler . . ❑ 1,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors lr construct the project(See.7044,Business 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 properly who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts forsuch projects with a contraclorls)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT N0, PARCEL NO. reason l am exempt under Sec..,BARC.for this WATER HEATER W/VENT/ 6.00 Owner Dale WATER SYSTEM " 5.00 ACC.GATE ACC,FILE NO. WORKERs'COMPENSAT'1ON DECLARATION WATER TREATING EQUIP. _ 5.00 1 hereby affirm that I have a certificate ofconsent to self-insure, Or a certificate of Workers'Compensation Insurance,ora esI ifed ZONING ENG.SITE NO. ca thereof(Sec.3800,Lab.C.) U �TlR'LO </ n PqP�cy No. Company ' vitt Of C,,l110rti)10 Za['Certi lied ropy is hereby turn' IeJ.W G p�p FIRE SPR INK ENERGY T-24 Z Cert if o Is ti d w'th the s e Y Ivision. MISC.- REFER TO ORD. O Applicant_ 4.�.� - _ Y ❑ ry❑ y ❑ N❑ W CERT gCATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10,00 d FLOODZONE A.L.U.C. W COMVENSATION INSURANCE PLG.CONTR. _ LIC.NO. pLG, /� CL Z (This section need not he completed if the permit is for one TOTAL V❑ N❑ V ❑ N❑ hundred dollars(5100)rr less,) 0 O I certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued,I shall not employ any person in any manner so as to O W become subject to the Workers Compensation Laws of California. /� p y Date - Applicant - � BUILDING lop } to NOTICE TO APPLICANT: Il',after making this Certificate of Ex- 4-0 ALTER OR ADD T7 MECH. 5.00 ? emption,you should become subject to the Workers'Compensation APPLIANCE u'.. -- 5.00 PLAN CHECK (� provisions of the Labor Code, you must forthwith comply with FEE V such provisions or this permit Shall be deemed revoked AIR HANDLING UNIT(TO 10=C.F.M-) 4,00 CONSTRUCTION LENDING AGENCY AIR HANDLINGONIT,(OVER IQOOOQF.M.) 6.00 SEISMIC FEE 1 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. L.• MICROFILM 3097,Civ.C.). HEATING UNITt,LT0,100;000d .T.U.) 8.00 Lender's Name HEATING UN IT ER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address a ry� I certify that I have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county BOILER-COW(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws relating to building construction, and 4\ hereby authorize representatives of this city to enter upon the BOILER-COMP IOver 100,000STU)SEE FEESCH, MECHANICAL '--✓v above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Caper lino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in an ay accrue ag City in conseyu ace the gra n of is e 3C 8/ MECH.CONT. LIC.NO. MECH. � [)lie TOTAL Ir _ TOTAL 7 S�Vf Si mre rf Applicant/Contractor OFFICE COPY