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17404 16657 (2) CARD NEAR FROP*�OF BUILDING r Y OF CUPERTINO f 74:04 �• INSPECTION DIVISION JOB INSPECTION RECORD 'C L4vFi G6od �� —PERMIT-eM TATION JOB ADDRESS ,O 3 '2S P�c.(AA/ P-fe' UNIT# -LOT#7 w y �.1c PERMIT EXPIRES,IF WORK OWNER �NNG�� CONTRACTOR ISI NOT STARTEDWITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. UFER - ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED'PLANS AND CITY OF PERMIT VALIDATION U ESTI T D RD GARAGE SLABS ,` •I-I ,1 1 POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED L'�7iA.r�•s 2a-/665,r Y ' 'UNDERGROUND /SLAB . PLUMBING ' E :Sc—O GT-�l'i ELECTRICAL./ - - ISSUANCE DATE MECHANICAL BBQ Lp 1%6mF BLOC, ELECT I •PLG. MECR. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNE A7s-V37- / b 41vwy BUILDING PERMIT WOOD FLOOR ' 104hv G a�q 9�?D�9lJ Brut- INFORMATION VALUATION $IFT, PLUMBING Vii„(,' f'bOT�,G}}''S '/p.$ $53 9-26-89 T6�.lD MECHANICAL` _I••�--. -� 1�ObRT�24- 5'5''47=k r_2712ca/'aY ELECTRICAL - 2�- SET+E•u.M ST 37 Akio AO&6 PERMIT TO FRAMING INSULATION .� Ser(* sroRlEs TYPE coNsnv. _ 5 3-8f-�gpea. l F e.c-�- OCC GROUP RES UNITS S�8f .E'�ctee+`a¢ 5>�-'Fiear'�1osc. PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 0014 lwkez sO ET FLOOR AREA TOTALACREAGE ROOF NOT NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM l FtcTQ•J TlP5 'I BUILDING USE ROOF SHEATHING r urs • IND LON PB 0m1 � APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED + FINALS DATE INSP. © 0 0 ❑ ED ASSESSORS PARCEL NO ROUGH SAN.W PLUMBING t¢� ELECT.ENERGY " LNACI NO. PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY ELECTRICAL . - ACC,DATE ACC PILE NO - BUILDING ENER FRAMING - ELECT.FINA ZONING ENa.srtE No. INSULATION PLUMBING GAS TEST - - GAS ' MECHANICAL EIRE SPRINK ENERGY T-24 N� N� COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ELDOn mNE ALuc EXTERIOR SHEAR. C-- �8g C ELECTRICAL RELEAS INTERIOR SHEAR FIRE DEPT. SHEETROCK GRADE I FEE SUMMARY EXTERIOR LATH BUILDING �• INTERIOR LATH TEMPORARY APPROVALS .BUILDING SCRATCH COAT JELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL B,U1 DING LISSIGNED BY BUILDING INSPECTOR. MICROFILM vLT ARRANGE FOR INSPECTION BY PHdgKG 252.4505, 4? ELECTRIC �� 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 APPjLICF •ORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY r ♦ - .PERMIT NUMBER BUILDIN ATION APPLICATION & PERMIT BUCR ILDING 17404 .0 r �, r(L�jY1ej BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN gHECK VALIDATION NAME TV. ELECTRIC PERMIT - •FEE `. rkr�- n�z as3- I ICAC E CO RAcmR'S N E OUTLETS-SWITCHES-RECEP 10.00/1.00 e"�'�' EC.NO. LIGHTING FIXTURES 10.00/1.00 ADD TOR'. APPLIANCES-RESIDENTIAL 4.00 (FT) 11, , g Orvn1'•�••r PHONE PANELS 10.00 DATE OF APPLICATION . ARCHITEyy / PLAN CHECK FEE P.C.NO. OR &u ted ���� -� � PANELS (OVER 200 AMP) 20.00 r ENGI LI SIGNS TRANS. 3.00 ARCH.OR ENG./ .. SPECIAL CIRCUIT 5.00 PE RMIT VALIDATION A RES C• l 1-'y�'y,' r ZIP EMP.METER OR POLE INS. 20,00 �1..._ Aly I�YI A.DRess A r� MOTORS SEE FEE SCH. 1 Q C SERVICE CHANGE 20,00 w02 LICENSED CONTRACTORS DECLARATION - < i U I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE (commencing with Section 70001 of Division 3 of the Business and w¢ y BLDG.- ELECT. PLG. MECH. M z Professions Code,and my license is in full force and effect. u�/ ELECT. w is License Class Lic.Number G z m r u p J Date.Contractor BUILDING PERMIT ¢ ¢ ¢ OWNER-BUILDER DECLARATION - A O a ° INFORMATION N 1 hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD VALUATION $/FT. H LL O st Law forthe following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10.00 te Code:Any city or county which req vires a perm it to in consume t,a ter, ^� R ¢ ¢ improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. `f• A c u requires the applicant for such Permit to file a signed statement that TOTAL ("�P'ETR�MIT TO n w m w he is licensed pursuant to the provisions of the Contractor's License A VISI I 1 O N Hza Law(Chand Professions cing Codewith Section is 00)exemfDtherefoofthe E 4 ° the Business and Professions Code)or that he is exempt ecu therefromandGTV. PLUMBING PERMIT FEE ¢ r $ the any the alleged exemption.Any tsthea plica tfSed ion malty STORIES �TYYPE'CONSTR. i3 � by any applicant fora permit mule... S500).licannoacivil penalty ALTER-DRAIN -WATER (EA.) 5.00 L of not more than five hundred dollars(my employees ❑ Las owner at the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS (heir sole compensation,will Jo the work,and the structure is not intended or offered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5,00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SD,FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve I menus mea intended oroflered fo,tfle.If,however,the building GAS-EA.SYSTEM-I INC.4 OUTLETS 6,00 or improvwnem is sold within one year of completion,the owner. ' builder will have the burden of proving that he did not build or im. GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE prove for purpose of sale.). RES IND CON PB Other ❑ I,as owner of the properly,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Busines 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 for such projects with a contractor(s)licensed pursuant to SEWER-SAN V-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. ❑ Inn a pruner Sec. ,B.&P.C.lortbis WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATIO WATER TREATING EQUIP. 5.00 hereby affirm that I have a certificate of consent to self-losure, , or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO, copy thereof(Sec.3800,Lah.C.). Policy No. Company 0 ❑ Certifiedcopyisherebyfurnisbcd' FIRE SPRINK ENERGY T$4 Z Z ❑ Certified copy is filed with the city inspection division. MISC.- REFER TO ORD. O Applicant y❑ N❑ y ❑ N❑ ~ �+ PERMIT ISSUANCE 10.00 LU CERTIFICATECOMPENSATION INS FROM WORKERS' FLOOD ZONE A.LU.C. W � COMPENSATION INSURANCIi PLG CONTR. u0.NO. PLGCL . Z (This section need not he completed if the permit is for one TOTAL Y❑ N[3Y ❑ NC] 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 W h not is issued,1 shall not employ any person in any manner so as to O W become subject to the Workers'Compensation Laws of California. - °• Dam ApplicantBUILDING >_ N NOTICE TO APPLICANT, IL after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 F Z emption,you should become subject to the Workers Compeer lion APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must fo,thwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=CF.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. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name H EATING UNIT(OVER 100,000 B.T.U.)9.50 Leader's Address ELECTRIC I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I.agree to comply with all city and county PLUMBING ordinances and state laws staling to building construction, and BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 8.00 hereby authorize representatives fo iins inspection this city es ewer upon the BOILER-COMP(Over 100,000 BTUI SEE FEE SCH. MECHANICAL hereby above-mentioned property forinspofth i purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which CONST.TAX May in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 ��rami I[hls armif MECH.CONT. LIC.NO. MECH. 3 Sof TOTAL TOTAL ign ur of Applicant/ ontractor at OFFICE COPY It1do57