3024 (2) CITY 01' CL'PI:[:1'INO INSPECTIOII RECORD (Office G)py --,.
FT3024 1 X2245 Regnart Road
NO. SANITARY DIST. NO. LOT 110. ADDRESS
Single Fanily Dwelling William McGuire
PROJECT OWNER JOB SITE PIIOI4E NO.
PERMIT ISSUED / Date ELECTRICAL
Building �- Date Insp.
Electrical Power Pole
Plumhilir Underground
Mcchani.cal Routh Wiring (,-
1'enp. Gas/Elect. Halls
Solar Ceiling
Fire Sprinkler Fixtures Int/Ext
Sign Hotors
Grounding '
Hisc. Temp. Power
Other U '
FINAL. INSPECTIONS Not Appruvdd '
Date Insp.
PLUMBING
Electric Date Insp.
Plumbing l/ to ackflow
Mechanical - qz Underground
Solar Underfloor
Pool Partial P.ou¢h() —�`-
Grading Rough Complete
I'Innning Solar Rough
Fire Dent. FjRr � a Mater & Insulation
Ilealth Dept. _ 'lain Drain
1luildinr R/of/S Drain j
Other Gas
Other
�l BUILDING Not Approved
Date Insp.
1'ad Certification tlECli'ANiCAL
Foundation Date Insp.
I Underfloor S.M.
Slab-Membrane Ducts & Insulation 2� FfS�
Bond Beam Fire Dampers
Underfloor Girders Fireplace
Floor Steel Grease Duct & Hood
Tiedowns One Hour Shaft
Diaphrams K Condensate Drain
Seismic Bracing Equipment Anchorage
halls-Panels Flues & Comb. Air �—
Frame r v-( c -2, Other
at n-T -4 11SM I Not Approved
Uallboards Int/Ext.
Firewalls
Other
Not Approved
BUILDING
s
ELECTRICAL
PLUMBING
MECHANICAL
MISCELLANEOUS
— , y
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE_
CITY OF CUPERTINO
DATE_ BLDG. PERMIT No.319 24
E
.E e THE BLDG. LOCATED AT Z Z 2-1-<Cg?f`�--I�ti�T
a OWNED BY IAS (`t L CA-ytL,—e
HAS BEEN I OMPLETEDI OR USE
a !
OM
i
BUILDING INSP TOR
T TO FILL IN INFORMATION WITHIN RED LINES - USE BALI. POINT PEN ONLY
firUICT I DENT[FICA&
rPROJE <L�'//✓//'//,l-�+=�-t/yLL
V"IT111111
„No APPLICATION PAT
ESS BUILDING -ELECTRICAL-PLUMBING-MECHANICAL
O24
OWNER'S ..
Y yv "q`E � �1 PN�`�/"�� QTY. ELECTRIC PERMIT FEE 7 �N CHECK V Llonri
3 (�-
1
CONTRACTORS
J � V
® NAME OUTLETS-SWITCHES-RECEP 5.00/1.00
LIC.NO, LIGHTING FIXTURES 5.00/1.00
CONTRACTOR s
ADDRESS - APPLIANCES-RESIDENTIAL '4.00
' PHONE /. - 'PANELS 5.00 DATE Of APPLICATION
gRCmTEL'T r,nM ill/�?�"' SIGNS 6.00 PLAN CHECK FEE P.C.NO.
DR F
ENGINEER 'r
LIC.NO, SIGNS TRANS. - 3.00
ARCH.OR AGGRESS E"G. SPECIALCIRGDIT 5.00 PERMIT VALIDATION
zmjTEMP.METER OR POLE INS. 15.00 � t`
ADDRESST S MOTORS 'SEE FEE SCH. J
' U �
o ¢z 0
�% 144-2:71/
SERVICE CHANGE 10.00 G/G�
Foo LICIiNSIiD CONTRACTORS DEGI,AHA1'ION - '
G U I herehy affirm that 1 um ISSUANCE DATE '
y a N (commencing with Section 7000)of Division 3 of the Business anti BLDG. ELECT. PLG. MECH.
r D z Professions Code.and my license is in full force and effect. ❑ ❑ ❑
o z w o License Class Liu:Number _
F_ w Date Contractor
BUILDING PERMIT
IF is w OWNER-BUILDER DECLARA'r10N= -
MISC.- REFER TO ORD ORMAT.ION
,v y, III ..by affirm tlia 1 am exempt from Om Contractors License t
aa O rt Law for the following reason.(Sec.7031.5.Businessand Professions - v N $/FT.
- < PERMIT ISSUANCE 6.00 _
E � >f Code:Any city or county which requimia permit toconshuct,alter,
¢ ¢ Q O improve,demolish,or repair nny sUucLLve,prior to its issuance,also ELEG.'CONTR. LIC,NO, E11 C(ty EPP
y w o LL requires[he applicant for Such permit to file a signed statement that - TOTAL 1i `r PERMIT TO per/,(
m prfinn
he is(Chapter
pursuant en the provisions of the Contractor's License S/NG H/L -
Hzi I,aw lChapter9(armmencingwlth Section 7000)nCDivision3 of the
E 4 o Business and Professions Code)or that he is exempt therefrom and
CITY. PLUMBING PERMIT FEE
¢ H m the basis for the alleged exemption.Any violation of5ection 7031.5 1 - 'STORIES TYPE CONSTR.
n 3 by any applicant for n pmol)subjectsthe applicant to a chit penalty
oCnm more than five hundred dollars(S5000.) ALTER-DRAIN&VENT-WATER (EA.) 4.00
❑ 1,as owner of the property,or my employees with wages as BACK.F LOW PROTECT. DEVICE 2.00 OCe.caouP RES.UNITS
their sole compensation,will do the work,and the s rL fine i,not
intended or offered for sale (Sec. 7044:Rosiness and Professions DRAINS-FLOOR,ROOF,AREA,COND. 4.00 /
Code:1'lie Contractor's License Law does not apply to an owner of '
property who builds or improves I un,cm,and who docs such work. FIXTURES-PER TRAP 4.00
himself or through his own employees,provided that such improve-
SO.Fr.FLOOR AREA TOTAL ACREAGE
ments are not intended or offered for sole.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 4.00 Q 7,).
or improvement is sold within One year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) - 1,00 " BUILDING usE
builder will have the harden of proving that he did not build or int- RES IND CON PB Omer
Nfor purpose ofsale.). INDUSTRIAL.WASTE INTER. 20-00 PI I,as owner of the property,ant exclusively com,actin,with
licensed contractors to ...suint[ the project(Sec. 7044,(Business LAWN SPRINKLERS- 1 INC 5 V.B. 5.00 SORS PARCEL NO.
and Professions Corte:The Contractor's License Law does not apply
to an owner of Property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EAJ• 1.00
r
contracts for such projects with amlmdort sl licensed pursurnt to
thetracts or is License Law. SEWER-SANITARY-STORM EA..200ft/8.00 TRACT NO. PARCEL NO.
'
❑ 1'am exempt under Sec. ,ls.&P.C.for this - WATER HEATER W/VENT q,pp /
lai
V lyI -� } WATER SVSTEM 4.00 ACC.DATE ACC.FILE NO.
WORKI:RS'COMPEN5a ON DECLARATKIK, WATER TREATING EQUIP. 4.00
I.hereby affirm [Hill I have it certificate of consent to self-insure,
or a certificate of Workers'Compensation Insurance:or a certified ZONING ENG.SITE NO.
copy mere.f(Se..3800,Lab.C.). SGPT/G T9�/
Policy No. Company
Q ❑ CertiRedc.py'isherebyfurnlslted - FIRE SPRINK ENERGY TZa
Z 2 ❑ Certified copy is fled will] file city'inspcnion division.
p Applicant MISC.- REFER TO ORD. Y [:] N� Y [:) N�
rn C1i RTI P I CA I'E 01:1:X 17 PFR)N 17 ROM WO RF I?RS' PERMIT ISSUANCE 6.00 FLOOD ZONE A.L.U.C.'
W > 'COMPENSAT'ION INSURANCE PLO.CONTR. - LIC.NO. PLG.
C- D ('this section need not be complete,] if the permit is for one TOTAL Y N� Y N�
2 hundred dollars IS 100)or less.) -
C� O I certify that in the perf.rmrnce Of the work for.which this per- CITY. MECHANICAL PERMIT 'FEE FEE SUMMARY
LL F 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.
Dale . Applicant BUILDING ���
} w NOTICE 'f0 APPLICANT': If,after making this Certificate of Ex- ALTER OR ADD TO MECH. 4.00
? emption,you should become subject to the Workers"Com pen saHo it APPLIANCE 4.00 PLAN CHECK 7
provisions of the Labor Code, you most fon m
ovitl] comply with FEE
U such provisions or Elis permit shall be deemed revoked AIR HANDLING UNIT(TO 10=C.F.M.) 3.00
CONS'[RUCTION'LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.EM.) 5.00 SEISMIC FEE 9y
"I hereby affirm that there is a construction lending agcrcy for EXHAUST HOOD (WITH DUCT) 2.00
the performance of the,work for which this permit is issued(Sec. MICROFILM
3007,Civ.C.), HEATING UNIT(TO 100,000 B.T.U.) 4.00
Lender's NameHEATI NG UN IT 100,000 B.T.U.)7.50
Lender's padres. - ELECTRIC
I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 3.00
ordinances n correct. 1 agree to comply with all city and county - PLUMBING
ordinances and state laws relating to building ,enter
and BOILER-COMP 13'H.P.or 100,0006.T.U.1 4.00
Hereby authorim representatives of this city to enterer I
pon the .BOILER-COMP (Over 100,000BTU)SEEFEESCH. MECHANICAL
above-mentioned property for inspection purposes.
(We) agree to save, indemnify and keep harmless the City or MISC.-- REFER TO ORD.
C'penino against,liabilities,judgmmnts, costs and ex Perr+es'which PERMIT ISSUANCE 3.00 'CONST.TAX
n' in any way recruit against said City in consequence of the /
ting this pert til. MECH.CONT. LIC.NO. MECH. -
c - ®/d 83 DTA TOTAL
Si native of Applicant/ Nrac Date - -
OFFICECOPY