14931 (2) I „ POST THIS CARD NEAR FRONT OF BUILDING
' PERMIT NUMBER
CITY OF CUPERTINO
14931
INSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
JOBADDRESS ��`�d �N'TK�� J�,JQ.in/G �4.UNIT# '_LOT
�^ PERMIT EXPIRES,IF WORK
OWNER .,e /Q 6K4 U CONTRACTOR C�p rJ IS NOT STARTED WITHIN
INSPECTIO ATE INSPECTOR INSPE ION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION ��3- ANCE OR 180 DAYS FROM
NOTE: LAST CALLEP INSPECTION.
UFER 651=1'3_s5l ALL GRADING AND DRAINAGE SHALL BE INSTALLED r.
PFtEGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VA4i ATION
CUPERTINO STANDARDS.
GARAGESLABS � p
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 10 — 0 ,r.• r✓
UNDERGROUND /SLAB - -P R't S;i]p PA
ppQp �• -
PLUMBING
ELECTRICAL
L5IILjA.,F DATE
MECHANICAL cr, PLO. MECR.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT
WOOD FLOOR INFORMATION
PLUMBING VALUATION 1:$/FT,
MECHANICAL D
ELECTRICAL PERMIT TO
FRAMING I..
INSULATION � , ,"
STORi IYPE CONSTR,
Occ. =Roue WUNIrs
• PLACE pin SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
.
ROOF NOTE:NO FINAL.INSP.SHALL BE MADE BEFORE 50,PTFL O RHEA TOTALaRIAGE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
ROOF SHEATHING — — Res IND BUILDING USE
ROOFOtm•l
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. X. ❑ ❑ ❑ ❑
ROUGH SAN.p ASSESSORS PARCEL NO
.
PLUMBING ELECT.ENERGY
TRACT NO. PARCEL NO
TUBS 8 SHOWER PAN PLUMBING ENERGY
MECHANICAL (Ay- MECH.ENERGY - W
ELECTRICALBUILDING ENERGY - ACC.DATE ACC.FILE NO
FRAMING. p-g,IQfjyrOW5 ELECT.FINAL TEST
INSU LATION c PLUMBING ZONING '.eNa.sl re No.,
GAS TESTy, GAS,
MECHANICAL FIRE SPRINK ENERGY T]9 I
•
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING _ '� Y ❑ "❑ ` ❑ "❑'
ELECTRICAL RELEASE FLoDO zoNE ALU.C.
EXTERIOR SHEAR -.
INTERIOR SHEAR FIRE DEPT. Y❑ "❑ ` ❑ N❑
SHEETROCK - /(9-25-_W GRADE FEE SUMMARY
EXTERIOR LATH b-L - BUILDING
INTERIOR LATH �..� - TEMPORARY APPROVALS BUILDING c 0
SCRATCH COAT ELECTRIC FEEN CHECK 'C•�
GAS w
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FET
OCCUPANCYOF BUILDINGIS NOTPERMITTED UNTILBUILDING FINALISSIGNED BYB UILDING INSPECTOR'. MICROFILM
r
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC60-35'
ELI ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
z PLEASE GIVE JOB ADDRESS WHEN PHONING. 60 35
— SEE PERMIT FOR EXPIRATION DATE — MECHANICAL
IMPORTANT!
CONST. TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION. I ,rjQ
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
--BUILDING PRd1jECT IDENTIFICATION PERMIT NUMBER
"ILDING 11578 Raintree Spray. Court APPLICATION & PERMIT �•�
,[Lot x165 Plan *3B
BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
OWNEN'S GG � Inc. p PLAN CHECKVALIDATION
"A vranson Ue�elopnellts V 415-595-21 TV. ELECTRIC PERMIT FEE
vNONE
CONTRACTORS
NAME OUTLETS-SWITCHES-RECEP 10.00/1.00
Gregory Group, Inc. LIC.NO B-430097 LIGHTING FIXTURES 10.00/1.00
CONTRACT08S APPLIANCES-RESIDENTIAL 4.00
- ADDRESS rll.lr` �A. 5- g5-2100
RWM PHONE PANELS 10.00 DATE OF APPLICATION -
ARCHITECT te PLAN CHECK FEE P.C.NO.
on Aram Bassenian, AIA & As � eS PANELS (OVER 200 AMP) - 20.00 -
ENGINEER
LIC No. saci SIGNS TRANS. 3.00
ARCH.OR ENG, 203 Ore and Or. 100 SPECIAL CIRCUIT- - 5.00 PERMIT VALIDATION
AODRESa LVJ
Santa Ana I'It.S, CA. 92707 xm EMP.METER OR POLE INS. 20.00
APPLICANT
ADDREu065 220-C Twin DJlphin Or. RX CA MOTORS SEE FEE SCH.
.. SERVICE CHANGE 20.00
D O i o d
F
02 LICENS IiU CON'I'RACI'ORS DECLARATION
< i w 1 hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE GATE
H 4 w (commencing with Section 7000)of Division 3 of the Business and a DG. T. PLG. MECH.
H N z Professions Code,an my license is Xi full force a
Lft
o z Ino License Class_ Lic.Number_
Date Contract.
H N f J
¢ , w OWNER-BUILDER DECL 'PION '� MATIONIT
w ;e. w I hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD at
u VALUATION $/FT.
.. o j Law for the following reason.(Sec.7031.5,Buslnessand Professions 10.00
N y g PERMIT ISSUANCE 153,0
Code:Any city or county which structure,
permit to construct alter,
R M 4 O improve,demolish,or repair any$INCtnrC.prior to its issuance,also ELEC.CONTR. LIG N0. ELEC.
. M40
it m u requires tiro applicant for such permit to file o signed statement that TOTAL - PERMITTO
he is licensed pursuant to the provisions of fire Contractor's License
HZQ Law(Chapter 9(commencing with Section 7000)of Division 3 of the Y1
-q 4 D Business and Professions Code)or that he is exempt therefrom and QTY, PLUMBING PERMIT FEE SR�FDUL
M H o the basis for the alleged exemption.Any violation of-Section 7031.5 STORIES TYPE CONSTR.
aim by any applicant for a permit subjects the applicant boa civil penally
of not more than five hundred dollars(5500).1: ALTER-DRAIN&VENT-WATER (EA.) 5.00 2 5NHR
❑ L as owner of the properly,or my employees with wages as BACKFLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS
their sole compensation,will do the work,and the structure is not
intended or offered for ,vale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5,00
Code:The Contractor's License Law docs not apply to an owner of R-3 1
• properly who builds orlmproves thereon,and who docs such work FIXTURES-PER TRAP _ 5.00 SO,FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve-
mentsarenotintendedoro(fered for sale.If,however,the building GAS-EA.SYSTEM-1INC.4 OUTLETS 6.00 1934,
or improvement is sold within one year of completion,the owner. GAS-EA,SYSTEM-OVER 4 IEA.) 200
builder will have the burden of proving that he did not build or no. . BUILDING USE
Drove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Omar
❑ I,as owner of the property,am exclusively contracting with El ❑ 11 D
licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS- 1 INC 5 V.8. 6.00 ASSESSORS PARCEL N0.
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 contractorls)licensod pursuant to SEWER-SANITARY-STORM EA.200ftI10.00
the Contractor's License law. TRACT NO. PARCEL NO.
❑ lam exempt under Sec.-,B&P.C.for thisreas
ml WATER HEATER W/VENT 6.00 8067
Owner [)ate WATER SYSTEM - 5.00
ACC.DATE ACC.FILE NO.
WORKIE:RS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate of Consent to sell'-insure.
or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO.
1 copy thercof(Set.3800,Lab.CJ.
Policy No. Company United Pacific
O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T 24
Z Z Certil'icd copy 1 the city inspection division.
MISC - REFER TO ORD. � N v [:] N
O APpflcant �� V
~ rn PERMIT ISSUANCE 10.00
CC - CE R'I'I F ICA E Ola I?X EM PTI ON PROM WO It K FRS' FLOOD ZONE A.L.U.C.
LL > COMPENSATION INSURANCE PLD.CONTR. LIC.NO. PLG.
CL 0 (INS section rood not be Complete,[ if the pemlit is Logon. TOTAL Y N V E] N
D Z hundred dollars IS 100)or less.)
U O 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL U mit is issued, I shall not employ any person in any manner so as In
become subject to the Workers'Compensal ion Laws of California.
ED Dale Applicant - BUILDING r-,825•00
0.} W NO1'ICH,T0 APPLICANT: If,after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 1_1
H ? emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK .l
provisions of the Labor Code, you must forthwith comply with
U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10MC.F.M.) 4,00 FEE , energy 62.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.FM.) 6.00 SEISMIC FEE 10.71
1 hereby affirm that there is a construction lending agency lot EXHAUST HOOD(WITH DUCT) 5.00 -
the perforner f to Wyyrk f Itirc,t this permit is issued(Sec. MICROFILM
3097,Civ.C.). JCC�"1LX�1[}�_C1T C rl,,, HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Adde One-[l1liGrC-a -4th f1r .
Lender's Nano,
��-Sp �- HEATING UNIT(OV ER 100,000 B.T.U.)9.50 ELECTRIC - 60.35
I certify thud lmve rYJd IMS` ,,'atSn'1� state thrf at the above VENTILATION FAN (SINGLE) 4.00
information is correct. I agree to comply with all city and county BOILER-COMP(3 H.P.Dr 100,000 B.T.U.) 6.00 PLUMBING 60.35
ordinances and slate laws relating to building construction, and
hereby authorise representativesec this city m enter upon lir° BOILER-COMP (Over 100,000BTUISEEFEESCH. MECHANICAL 60.35
hereby authorize
property for inspection purposes.
(We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD.
upertin//oJJ�'�a��g-aa§iink�}}s'tt' abilities,judgments, frosts and expenses which PERMIT ISSUANCE 10.00 CONST.TAX 288.24
ay in any%�rae against said City in consequence of the
ranlingo nit MECH.CONT. LIC.NO. MECH.
&�W TOTAL TOTAL 1382.50
Srgnnl fApphcan[/Contractor Dale
OFFICE COPY