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C 8127 (2) POST THIS CARD-NEAR FRONT OF BUILDING , PFRNIR NUYIRER ' :CITY OF, CUPERTINO Q1 r I ~ 'INSPECTION DIVISION' " ( ' LJ I � , JOB INSPECTION RECORD PERMIT EXPIRATION .JOB ADDRESS 22-+ UNIT4 _LOT# ' ti PERMIT+EXPIRES IF WORK OWNER CONTRACTOR r IS NOT STARTED-WITHIN INSPECTION ATE INSPECTOR INSPECTION RECORD. 18oDAYS OFPERMIT ISSU-" FOUNDATION - - •ANCE OR:180 DAYS FROM UFER - +.LASTCA ' LLEDINSPECTION.'�' ' PREGUNITE PERMIT VALIDATION. - � � _ - � � � ' ar . 'POUR NO C NCRETE UNTIL ABOVE HAS BEEN SIGNEDt. e' UNDERGROUND /SLAB PLUMBING ,. ELECTRICAL - - ISSUANCE MECHANICAL' - �. RL c fELECT. PLc, ECR. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT -- INFORMATION, .PLUMBING WOOD FLOOR 'VALUATION' -s/FT 4 IJ•. MECHANICAL- . - ELECTRICAL , •. kk . 'PERMIT • i, FRAMING - ' S ` E ONSTR. ,INSUL•ATION - ` - Dec.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN•SIGNEO ^: + ROOF . SG,IT.'I.00RPREA TOTALACREAG! i ��. DIAPHRAGM ; ••` ' RUI LOING USE x + IND . •CON . PB o"t-C .. APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED Eh 11 0- 4'bLU PARCEL No. ` ROUGH PLUMBING - - }• s. ' GAS TEST TRACT NO. - PARCEL NO, ' � � - - - - r 's • MECHANICAL ACC.DATE ACC RLE NO ELECTRICAL' FINALS DATE INSP. FRAMING • - ' ' SAN ZONING.' ENG.SITE NO.. ' INSULATION ' PLUMBING , ' � � - + GAS' MECHANICAL „ FIRE'SPRINK,M1 'ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ' °' "E - . LATH—INTERIOR ELECTRICAL FLOOD-ZONE, A.L.LLC.- „� LATH-EXTERIOR N Y N FIRE ., N Q r SHEETROCK GRADE - '.'FEE SUMMARY .i SHEAR INTERIOR - - BUILDING _ !•� BUILDING SHEAR EXTERIOR TEMPORARY•APP ROVA I R „J . ''. FIREWALLS' ELECTRIC ' - PLAN CHECK 'J . + GAS ' FEE' r NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY .SEISMIC FEE, OCCUPANCYOF BUILDING ISNOTPERMITTEDUNTILBUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR: - - ' . MICROFILM ARRANGE FOR INSPECTION BY PMONING.252-4505; . "o,, .. ELECTRIC , „ r o� ONE WORKING DAY BEFORE REQUIRED INSPECTION PLUMBING PLEASE GIVE'JOB-ADDRESS WHEN PHONING. Z — SEE PERMIT EXPIRATION DATE, S jMECHANICAL IMPORTANT! PLEASE READ REVERSE-SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION:,"': OFFICE COPY, T".r APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-- USE BALL POINT PEN ONLY BU LDI NGPROJECT.I DENTI FICATION 1 PERMIT NUMBER BUILcf �- APPLICATION & PERMIT ., f}''(� 1 //')7 ADD' r ` �J 1 LE 1 BUILDING,- ELECTRICAL-PLUMBING=MECHANICAL OWNER'S - PLAN CHECK VALIDATION NAME CITY. - ELECTRIC PERMIT FEE yawsAONE enN r CTOR SUTL ETS-SWITCHES-RECEP 10.00/1.00 /YdD c.No, LIGHTING FIXTURES 10.00/1.00 ADN Ac*o R's ADDRESS ceuZ /^ APPLIANCES-RESIDENTIAL ' 4.00 PHON\ AC'rf..x{ 8 PANELS 10,00 DATE OF APPLICATION ARCHITECT .PLAN CHECK FEE NO. OR C�71Mk. 'eCVOCS��AO�+� PANELS (OVER 200 AMP) 20.00 F.C., ENGINEER I"(C'IAL�. uc.ND.'• ' SIGNS TRANS, - 3.00 ARC ADDRESS ENG. • a SPECIAL CIRCUIT. 5.00 PERMIT VALIDATION- Ii EMP.METER OR POLE INS. - 20.00 APPucnrvrs . - MOTORS SEE FEE SCH. AOOREss Z 007- SERVICE CHANGE 20.00 .lU w o LICENSED CONTRACTORS UGCLARATION TEMP.POLE 30.00 :J a v U I hereby affirm that I am licensed under provisions Of Ch.pter 9 - w a N (contn ecein8 with Suction 7000)of Division 3 of the Business and - ' MECH. H D Prol'Cssions Cn am my license is in full fore• ❑ ❑ o Z_W Licenss����Cla;; Lia Numh�( F m E J Date_5�1 - I Contractor j os- ,. e _ rc w u . OWNER-BUILDER DECI`.JA'�RAA9'alo1N BUILDING PERMIT wi,n H I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD INFORMATION .. Law J Law for the following reason.(Sec.7031.5,Business..d Professions VALUATION $/FT. Code:Any City or county which,climresn pe nu it tocatistruct,alter, PERMIT ISSUANCE 10.00 {�f, IS ¢ G p improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR: LIC.NO. ELEC. K m ES requires the applicant for such permit to file a signed statement that TOTAL IL w he is licensed pursuant to the provisions of the Contractor's License PERMIT TO Hir Law fChapter9(commenciog with Section 7000)of Division 3 of the a Business and Professions Code)or that h i is exempt therefrom and DTV. PLUMBING PERMIT FEE ¢_$ the basis far the alleged tion.An violation ofSectioh 703L5 8 p il STORIES TYPE CONSTR. i` by any applicant meIlora permit subjects lheopplicant loativil Penalty ALTER-DRAIN -WATER'(EA.) 5.00 of not more owner five hundred dollars($50100�amp . - ❑ Las owner of the properly,or my employees with mis not canoBACK F LOW PROTECT. DEVICE 4.00 OCC GROUP RES.UNITS their sole compensation,will Jo the work,and the structure rs not intended or offered for sale (Sec. 7044, Business anti Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 - Codc' 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 SG.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve- - . menrs are not intended or offered for sale.IL lowever;the building GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or int. GAS-EA.SYSTEM-OVER 4 (EA.)' 2.00 BUILDING USE Prrwe for purpose of sole.). E IND CON PB Other ❑ I,as owner of the property,and exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 , licensed contractors to construct the project(Sec, 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00ASSESS OHS 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 neh projects will,n ,unn ctury)licensed purauanl to the Contractor's License Law, SEWER-SAN ITARV-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under Sec..,BAP.C.for this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKF?RS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm tlmt I have o certificate of consent to sal Ginsurc, ' or a certificate of Workers'C,,n e,or o ce rlificd ZONING ENG.SITE NO. copy thereof(S c.3800,Lab.C.). Policy No. (, mpunvtp ❑ Certifier c pyi� serol hc, Z ❑ Certifi,, d city inspection ivisiom FIRE BPgINK ENERGY T-24 FO Applicant_ MISC.- REFER TO ORD. Y 13 N0 Y IN OC y CF RTI PKAT Ola F:XIiMI'I'ION 17 ROM WORK 1:RS' PERMIT ISSUANCE 10.00 FLOODZONE A.L.U.C. M W CO IPENSATIO..INSURANCE PLG.CONTR. LIC.NO. PLO, ❑ ❑ `�-�,-, CL a ('this section need not be completediethe a is for TOTAL Y N Y LJ IN U O hundred dollars(S 100)or ICx,.) Ls - I certify that in the performunc of II •wor FEE SUMMARY U_ H mit is issued,1 shall not employ Pe on'n s to DTV. MECHANICAL PERMIT FEE Wbean su t e Workers'C Yo lis ia. CL Date__ pplicant BUILDING } U) NOTICEICE T�ANT: If,after n n nix. - ALTER OR ADD TO MECH. 5.00 F Z emption,you should become subject N the Wor crs Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith Comply with - AIRC,1 such provisions or this permit shall he beetled revoked. AIR HANDLING UNIT(TO 10,000OF.M.) 4.00 CONST RUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10,000 C.EM.16.00 SEISMIC FEE AIL I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) - 5.00 the perfornlunce of Ole work for which this permit is issued(Sec. - MICROFILM 3097,Cie,C.). H EATING UN IT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OV ER 100,000 B.T.U.)9.50 Lender'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 a I Country PLUMBING ordinances and state I s relating to building c.nortiZ on, Still BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 he -by authorize repr s•ntativ of this city to enter upon the BOILER-COMP (Over 100,000BTU)SEE FEESCH. MECHANICAL a a-mentioned op or it pection purposes. C) ree to v emn fy and keep harmless the City of MISC.- REFER TO ORD. a1 'rIiI^ against a e , to gnlents, costa and expenses which PERMIT ISSUANCE 10.00 CONST.TAX y way - at 'id City in consequence of the 9 ,s p ..' ECH.CONT. LIC.NO. MECH. p TOTAL TOTAL "1 S lar of i ant ntracto Dale M OFFICE COPY