14077 (2) POST THIS CARD NEAR FRONT OF BUILDING
.� :-�• PFRNIIT NUMBER
CITY OF CLIVERTINO7
INSPECTION DIVISION �� •
JOB INSPECTION RECORD '
y PERMIT EXPIRATION
JOB ADDRESS l�J� /\/ VlL32.f} "D UNIT# LOT#
�✓- //77 - PERMIT EXPIRES IF WORK
/1
OWNER 1-L—= i}/K CONTRACTOR Ck�q- / E (20&/ - IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR;: .; INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
ANCEFOUNDATION - _ u(�� i'!rS OR 180 DAYS FROM
LASTCALLED INSPECTION.
UFER p
PREGUNITE py ! i Vr�� T�`�-I PERMIr vALlDarioN
POUR'NOCO CRETEAB
.0 TIIOVEHASrBEEN_SIG EDl DtLpVLs� eyt- 'sgrr&-Z%w2vnx—rk- _
UNDERGROUND /SLAB �_4-8Acc
PLUMBING - O/C On- PfISj /iv (9-.wq e_
ELECTRICAL ISSUANCEDATE -
MECHANICAL BLOC, ELECT, PLC. mECR,
5cu.Lo F/ so 6-F/�:w- i"�r4p� IT�1 Elo1<_-P,5grz_G02 �aU c 4�-' El
DO NOT POUR FLOOR UNTIL ABOVE HASSBEEN SIGNED /2.-2 S-ifs GZ1tc - AID ; :,PUILDING PERMIT'
Q ,INFORMATION
WOOD FLOOR ` VALUATION BIFT.
PLUMBING —�- - i 1 Q1'O�'"-a
MECHANICAL
ELECTRICAL0 PERMIT O
FRAMING - i �,
CU rt�n SFj WL
INSULATION STORIES r�yeE�cpy�s'r��`
,GROUP RES.UNITNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - � 3 /
ROOF SO.FT.FLOOR AREA TOTAL ACREAGE
• DIAPHRAGM ��L -
BUILDING USE
tiV IND CON PB Omer
APPY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑
nsseSSORS vaRCBL No.
nn
PLUMBING � ROUGH 3s7_�!`°�u� m�
'.
GAS TEST - TRACTNO. PARCEL NO.
MECHANICAL _
ELECTRICAL FINALS '.DATE. INSP. ACC,DATE Acc.FILE No.
FRAMING SAN # 1-4 ZONING ENG.SITE NO.
INSULATION i PLUMBI G
GAS
r FIRE SPRINK ENERGY T49
MECHANICAL r(-] N v [D NEI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
FLOOD ZONE 0.L.U.L.
LATH-INTERIOR ELECTRICAL
Yo LATH-EXTERIOR FIRE DEPT. N[:] T "�
SHEETROCK lW5 GRADE FEE SUMMARY
'7
SHEAR INTERIOR BUILDING
BUILDING
SHEAR EXTERIOR �� S TEMPO
AF
AP OVA S
FIREWALLS ELECTRICPLAN CHECK
GAS FEE '
;NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE
UCCUPANCYOF BUILDING IS NOT PERMITTED.UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM r
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
oo PLUMBING
ONE WORKING DAY BEFORE REQUIRED INSPECTION. �6r10
Z PLEASE GIVE JOB ADDRESS WHEN PHO, DING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL �6
IMPORTANT! CONST.TAX X11
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY ,
APPLIICCA�NT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
EUJILDING PROJECT I DENTI FICATION PERMIT NUMBER
-
nGILOING APOLICATION & PERMIT
ADDRESS 37h h 106 BUILDING-ELECTRICAL-PLUMBING -MECHANICAL 14077
OWNER'S ��"`� PLAN CHECK VALIDATION
F N!; E.E� ( QTY. ELECTRIC PERMIT FEE
PHONE CITY.
��
f' ANTFAciDR's („ UTLETS-SWITCHES-RECEP 10.00/1.00
N '- .!4
NAME //
( /Q�(IyI S LIC.N LIGHTING FIXTURES - 10.00/1.00
ADDRESsio s �'� PPLIANCES-RESIDENTIAL 4.00
p KF� ONEr7,Q PANELS 10.00 DATE OF APPLICATION
OORRCNrtEci PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO.
ENGINE E�//1 (�/ /' AT .�
w/r I -LIC.NO Tr' r' SIGNS TRANS. 3.00
ARCH.OR ENG. PERMIT VALIDATION
AODREss SPECIAL CIRCUIT 5.00
E ' ZIP EMP.METER OR POLE INS. 20.00
APPLICANT MOTORS SEE FEE SCH.
ADDRESS
' SERVICE CHANGE 20.00
Woo LICENSED CONTRACTORS DECLARATION f.
4 . 1 hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE
.<s- (commencing with Section 7000)of Division 3 of the Business and
D Professions Cut apd m license is in full forCpy ej[gCJ. L BLDG. ELECT. PLG. MECH.
Q i� W License f.'1BSs Lic.Number L _�1
L
Date ,/1 Contractor
¢ w s BUILDING PERMIT
¢ ¢w 4 OWNER-BUILDER DECLARATION INFORMATION
oA0 MISC.- REFERTOORD
E
3 LL y I hereby affirm that I am exempt (tura the Contractor's License VALUATION $/FT.
F LL o 4 Law for the following reason.(Sec.7031.5,Busines'sand Professions PERMIT ISSUANCEJAW
-' Code:Any city or county which requiresa permit to construct,alter,
Se ¢ Q G improve,demolish,or repair any structure,prior to its Issuance,also ELEC.CONTE. I.C.NO. ELEC. Q 1�11Mr A
A wD ¢ requires the applicant for such permit to file a signed statement that TOTAL r� PERMIT TO
$ he is licensed pursuant to the provisions of the Contractor's License
riQ Law(Chapter 9(commencing with Section 7000)ofDivision 3 of(he w
s i O Business and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE
¢H$ by basis for the allege)exemption.Any applicant
of Section 7071.5 - STORIES TYPE CONSTR.
d ; � by any applicant fore permit subjects S5000.licant toacivil penalty ALTER-DRAIN IEA.) 5.00 9 �A/��
of not more than five hundred dollars(5500).): �\
❑ I,as owner of the property,or my employees with wages as BACK FLOW 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(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 3
Cade:The Contractor's License Law docs not apply to an owner of
' property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 $D.FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve-
mentsare not intended or offered for sale.If,however,she building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 C;.1 17
or improvement is sold within one year of completion, the owner GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 �P
builder will have the burden of proving that he did not build or in!l' USE
prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB other
O 1,as owner of the property,um exclusively contracting with U ❑ ❑ ❑ ❑
licensed contractors to construct the project(Sea 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 property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 389-oil-p
-a-�3
contracts for such projects with a contruetor(s)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00
the Contractor's License Lew. TRACT NO. PARCEL NO.
❑ lam exempt under Sec. ,BAP.C.for 11i WATER HEATER W/VENT 6.00
reason
Owner Dere WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO,
WORKERS'COMPENSA'PION DECLARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate Of consent to self-insure, ZONING or a certificate of Workers'Compensation Insurance•or a certified ENG.SITE NO.
pcopy Iheract(Sec.3800,Lab.C.).
Policy No. ' Company
O ❑ Certifil, py is hereby furnished. FIRE SPRINK ENERGY T-24
�i[ Certif c Is filed =the ' .1 Chun division. MISC.- REFER TO ORD.
Z � AppcCant `o '�/ Y ❑ N❑ Y ❑ No
D: = CERTI IC 1'Ii IEN 11 'R MICRKERS' PERMIT ISSUANCE 1 /01 - FLooD zoNE A.L.u.c.
LU - OMpt NSAT'ION INSURANCE PLG.CONTR. LIC.NO. PLG. �/ Y❑ N❑ v ❑ ❑
CL 0 (This section need not be completed it tie permit is for one TOTAL fP N
hundred dollars IS 100)or less.)
) 0 I certify that in the performance of she work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL F mit is issued,I shall not employ any person in any manner so as to
0W become:subject to the Workers'Compensation Laws of California. BUILDING g
0. D010 Applicant ALTER OR ADD TO MECH. 5.00
} W NOTICE TO APPLICANT: If,after making this Certificate of Ex-
2 emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK
provisions of the Labor Code, you must forthwith comply with FEE
U such provisions or this permit strait be deemed revoked. AIR HANDLING UNIT(TO 1Q000OF.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.EM.) 6.00 SEISMIC FEE
I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00
the 3097 performance of the work for which this permit is issue)(Sec. HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM
Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 8'6
Lender's Address ELECTRIC
1 certify that 1 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 T
ry
ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.001 0
hereby authorize representativesh i purposes.of This city to enter upon the
above-mentioned property for inspection BOILER-COMP (Over 100,000 BTU)SEE FEE SCH.1 MECHANICAL
(We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD.
Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE q.g� CONST,TAX
any way a e,again)t Said City irk cons quence of the /uT-- /
ranting this palmi I Q MECH.CONT. LIC.NO. MECH. ^ / O
1 TOTAL YI_ ( D TOTAL
ignam e o Uate U Y'
• OFFICE COPY
A LJ =7 _ - 2 ._ .a r ;y1 ? • . .. i 14I 'r . . 'F. - r-1 ,= F' L.
6
a
cii .
ACSIDiILE hiLSSAGE
POM :
,TO :
I''AX NO : 201 -560 -s -
OTAL A;UMbER O
1
r '
i
A C �''•s
� � - -
;r
s
. , .
� ,
1
'�
-- - _. r�
�v� � Q�
:�
x
h
•
��9E GENERAL CONTRACTOR-STATE LIC.#413736
• CONSTRUCTION
6. 3083 Lawrence Expwy.,Santa Clara,CA 95051
(408)720.8193
t.
September 5 , 1989
City of Cupertino
Planning and Development
Inspection Division
10300 Torre Avenue
Cupertino, CA 95014
Re: 10371 Riviera Road
Mr. & Mrs. Saleem Shaikh Residence
Dear Sir:
Hereby we certify that no air condition unit shall be added on to
the project at above said address. However, if there should be any
A/C unit to be installed, aCCity permit shall be issued.
• Very truiy yours ,
LUNG SENG SH H S EEM SHAIKH
Creative Construction Homeowner
Project Manager