14397 (2) POST THIS CARD NEAR FRONT OF BUILDING PEHAIIT NUMOER
CITY OF CUPERTINO
INSPECTION DIVISION i 4397
JOB INSPECTION RECORD
PERMIT EXPIRATION ,
JOB ADDRESS / LS' ,ylyUNIT# _LOT#
C"---r- PERMIt'$ 0,1111 S'IK•WORK.
OWNER . I .�=�` � ' `'" I CONTRACTOR IS NOT,'STrARTED WITHIN •
.INSPECTION DATE I INSPE TOR INSPEC-iION RECORD tao DgYs'oF'PERMmiss
FOUNDATION - ANCE OW 180 DAYS FROM
NO'i E: LAST CALLE ID�1N$PECTION.,
UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED V.
TO COMPLY WITH THE APPROVED PLANS AND CITY OF 1•I llAll ALI)AI IIrN
PR EGUMITE _ CUPERTINO STANDARDS.
(*kR*&k SLABS ' Ii
POURAO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL p�D iSSUANCI.UA II
MECHANICAL ul.ou uln 'PLG mru
�f3 �ge o` a o Q ,
DO,NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED \p BUILDING PER IT
Cape _ INFORMATION_;
' WOOD FLOOR VALUATION slEt.
PLUMBING -
MECHANICAL - "
Ill lmul I
ELECTRICAL '
FRAMING _ .f.-/-`✓R - (Tie `�t1u/` •. ✓'.r�A/Vd.}%".._L
rn unR�: In•i uNSn�
INSULATION {'.
IIf.0 4HU111' ll('S 11NrtS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
\
SO f FI()UII Al1EA Ll11AL PlHEAC.L
ROOF NOTE:NO.FINAL INSP.SHALL BE MADE BEFORE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
uUiLuiNG USF I
ROOF SHEATHING Z;r i is s wU cury Pu Um.•
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. -� �Q
ASSESSOHS PARCFL NU
ROUGH SAN.N
PLUMBING 'i- n ELECT.ENERGY `'
nrncl NO -PARCEL NU
TUBS 8 SHOWER PAN - 'C -yjf - PLUMBING ENERGY
MECHANICAL MECH.ENERGY
ACC DAIf ACC FLL.I NO
ELECTRICAL -y_' BUILDING ENERGY
FRAMING _ ' ELECT.FINAL TEST n)NiN❑ ENG S1E No
INSULATION PLUMBING
GAS TEST GAS
FIRE$%IINK _L [NFIiGY T2 '
MECHANICAL -���/-, -
COVER NO WORK UNTIL RUOII lONFABOVE HAS BEEN SIGNED HEATING y OO NF y, NQ
'- . A L U C
p EXTERIOR SHEAR INEA—th 16 L• ` ELECTRICAL RELEASE
or-.919 r ❑ N - ❑ N .
INTERIOR SHEAR \\y _� QU FIRE DEPT. %t". -'
SHEETROCK =Z \ GRADE F$E_St1MMARV
EXTERIOR LATH BUILDING - BUIL6'1WG
INTERIOR LATH TEMPORARY APPROVALS _ '
SCRATCH COAT / ) (., ELECTRIC PLAN CHECK+
• FEE _
GAS _
. '� •�'.
NO,TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEB;_ /
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM'
�� ARRANGE FOR INSPECTION BY PHONING 252-4505, ECEcfRic ,, I_.
ON,E,WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
O PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z - MECHANICAL '
— SEE PERMIT FOR EXPIRA ION DATE
CONST.TAX
J
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES = USE BALL POINT PEN ONLY
• BUI LDI NG PROJECT I DENTI FICATION " PERMIT NUMBER
APPLICATION & PERMIT � ����
St PLAN CHECK VALIDATION
_
2 SO- SAR/�pFO`qI qp- I �, BUILDING'- ELECTRICAL-PLUMBING-MECHANICAL `
NAMEDosNaS2T_ '� I�Y,I`��
NAME J Y
OTY. ELECTRIC PERMIT FEE
PHrNE. - 3? -7
C TRACTOR'S r
NAME I`-
� OUTLETS .1000/1.00
Sig LIGHTING FIXTURES 10:0011..00 �C 7
CONTRACTOR -
ADDRESS
- APPLIANCES-RESIDENTIAL - 4.00
CO -
- PHONE PANELS 10,00 DATEOFAPPLICATION'
ARCHITECT PLAN CHECK FEE P.C.NO.
OR E'D`,D O FFRRIEL 1� ,g�SSac,• PANELS (OVER 200 AMP) 20.00 s
ENGINEER
-W14• 0XI LIC.No. SIGNS TRANS. 3.00 1 � -
AARCH
DDRESS SPECIALCIRCUIT 5.00 PERMIT VALIDATION -
' - "X`I54-2.17hzal TEMP.METER OR POLE INS. 20.00
APPLICANT'SADDRESSI• ��-,f �1 v MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
o o LI ENSED CONTRACTORS DECLARATION -
¢ Z w I hereby affirm that I am licensed under provisions of Chapter 9 - ISSUANCE DATE
(commencing with Beaton 700e)is in full
for 3 0(the Business and ; G ELECT. PLG. MECH.
w z Professions Code,and my license Is in full force and effect
Z O y - License Class eNumber
B Cent
H Date Contractor
F a 1 DING PERMIT
¢ ¢ < OWNER-BUILDER DECLARATION
o.a_0 - ij INFORMATION
X 3 LL,y I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD
_ LLN < Law for the following reason.(Sec.7031.5,Businessand Professions PERMITr ISSUANCE , 10.00 - VALUq]AON S/FT.
Ile Code.Any city or county which requires a permit to construct,alter, VQ
T Q o improve,demolish,or repair any structure,prior to,its issuance,also ELEC.CONTR. LIC.NO, ELEC. ''IIIT
O u . requires ills applicant for such penal[to file a signed afatemenf lhafi TOTAL Q - PERMIT T
Pa$ he is licensed pursuant to the provisions of the Contractor's License _
rzi
Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he Is exempt therefrom and '
Ic the basis for the alleged'exemption.Any violation of Section 703 LOTV. PLUMBING PERMIT FEE$ - STORIES TYPE CONSTR.
a3 _ by any applicant for a permitsubjects the applicant to a civil penalty IALTER-DRAIN -WATER'IEAJ 5.00
of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00
F their sole compensation,will do the work,and the structure Is not OCC.GROUP RES.UNITS
I intended or offered for sale (Sea 7044, Business and Professions DRAINS-FLOOR,ROOF;AREA,COND. 5.00 -
Code:The Contractor's License Law does not apply to an owner of
property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP _ 5.00 50.FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve-
-
mcnts are not intended or offered for sale.If,however,the building' GAS-EA.SYSTEM-1INC.4 OUTLETS 6.00
or improvement is sold within one year ofconipletion'the owner- GAS EASYSTEM OVER 4 IEA) 200
builder will have the burden of proving that h - . - .
e did not build or tin- . BUILDING USE
or ve for purpose of Sale.). INDUSTRIAL WASTE INTER. 30.00 . RES -IND - eory PB Omer
I,as owner of the property,am exclusively contracting with
liced-Contractors to construct the project(Sec. 7044,BusinessLAWN 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 contraetor(s)licensed Pursumll to
the Contractor's License Law. SEWER-SAN ITARV-STORM EA.200ft/10.00 TRACT NO, PARCEL NO.
'❑ I am exempt under Sec. ,B.&P.C.for tilts WATER HEATER W/VENT u6.00
reason
Owner ( Date'A_) WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO.
WORT."R S•CONfFENSATION UECI.ARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate ofconsent to selEmsure.
or a certificate of Workers'Compensation Insurance,or u certified ZONING ENG.SITE NO,
copy thereof(Sec.3800,Lab.C.V
Policy Nn. Company'
r.. O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY.T 24
Z Z 0 Certified cop fled with the city inspection dlvishm. ' MISC.- _ REFER TO OR D.
O Applicant Y ❑ N.� Y 0 N�
CC - PERMIT ISSUANCE 10.00 FLaoD zoNE a.L.0 c.
UJ CIiRTIPI ATE E EXEMPTION FROM WORKERS'
W COM not he'1'ION INSURANCE PLG.CONTR. LIC.N0. PLG. Y❑, N❑ Y ❑ ❑
d 0 (This-section dolneed not he completed if the penult is for one TOTAL N
D Z hundred dollars($100)or less) - -
U O 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE. FEE SUMMARY
W F i mil N issued,I shall not employ any person in any Intoner so as to
U become subject to file Workers'Compensation Laws of California.
y• I Dam Applicant - ALTER OR ADD TO MECH. 5.00 BUILDINGl �i00
} N NOTICE TO APPLICANT: If,after making this Certificate of Ex-
F ? eruption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK
provisions of the Labor Code, you nmst forthwith comply with FEE
- V such provisions or this permit shall be deemed revoked. ` AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00
s, I ' .CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE o
I hereby afflrm.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 100,1)00 B.T.U.) 8.00
Lender's Name HEATI NG UN IT(OV ER 100,000 B.T.U.)9.50
Leader's Address ELECTRIC _
' Icertify (far l have read application and statelh.t the above �' VENTILATION FAN ISINGLE) 4,601)
into
rdinancion is correct. I agree to comply'with all city and county PLUMBING -
ordinances and slate laws relating to building construction, uad ' BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6,00 Ok
hereby authorize representatives of this city to enter upon the BOILER-COMP IDVar 100,000 BTU)SEE FEE SCH. MECHANICAL
above-mentioned property,for inspection purposes. -
(We) agree to save, indemnify and keep homeless the City of MISC.- REFER TO ORD. i -
Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE ,1g..BB .CONST.TAX
ay..m any way accrue against said City in consequence of the
ranting of this permit - 'M1 MECH.CONT. LIC.NO. MECH,
TOTAL /7//^�J OV TOTAL V
Slgnatureof AppiplitpContractor - De[e-
OFFICE COPY
POST THIS CARD NEAR FRONT OF BUILDING
- . PERMIT NUMBER
}, CITY OF CUPERTWO
14,397
'~ INSPECTION DIVISION
JOB INSPECTION RECORD
AyPERMIT EXPIRATION -
'
JOB AooREss1325 .South .Saratoga-SunnMie LOT#
. - PERMIT,EXPIRES IF WORK '
OWNER' Elr "ices CONTRACTOR ISINOT STARTED WITHIN '
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- -
FOUNDATION: _2 ANCE OR 180 DAYS FROM
_ NOTE: LASTCALLED INSPECTION. .
UFER ALGGRADING AND DRAINAGE SHALL'BE INSTALLED
PREGUNITE r, TO COMPLY WITH-THE APPROVED PLANS AND CITY OF PERMIT VAI.IOATION .
CUPERTINO STANDARDS., -
E SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEE SIGNED ?y ^FC 7",Nyr �e1d
!
UNDERGROUND /SLAB a
PLUMBING
I
- ELECTRICAL .. ��.� - � IssuANce uarE
MECHANICAL p10
BLDG, E^LECT PLO. MECH
., wl El i
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD.FLOOR VALUATION $ T
'PLUMBING - ."
MECHANICAL - 4axzJ 4,,1,-G7'
ELECTRICAL - - PERMIT To
FRAMING - • - u.:�. �•' Id1' :
INSULATION
STORIES IYPE CONSTH.
' - � - ( ' •
�` Z3
OCC,GROUP RES.UNITS
LIPLAOE?NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED '
$O.FT,F1.0(1H ARtA TOTAL ACREAGE
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID '
-
°��`' BUILDINGUSE
ROOF SHEATHING ' - RES IND CON PB OIro—
APPLY NO ROOFING UNTIL ABOVE HAS"BEEN'SIGNEO.• ;
•r - - _FINALS
t '.:'.DATE '., : •INSP.
El El El 1:1
ROUGH SAN.ri"• .,ASSESSORS PARCEL NO.
• . "
PLUMBING - 40 ELECT.ENERGY
rRnr,T No. PARCEL No
TUBS&SHOWER PAN Z/—/Y
-./4 PLUMBING ENERGY ,
s
MECHANICAL _ MECH.ENERGY ,
ACC,DATE' ACC FILE N0�
- - -ELECTRICALBUILDING ENERGY . '
I' ' FRAMING - ELECT.FINAL TEST ZONING ENG.SITE,No. .'
INSULATION - PLUMBING
GAS TEST GAS
FIRE SPRINK ENERGY T24
MECHANICAL Y ❑ N❑ v 1:1 N❑;
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING .
FL000 zorvE A.L UC:
EXTERIOPo.SHEAR" ELECTRICA L RELEASE
. INTEIO
RR SHEAR FIRE DEPT. - . Y❑ "❑ Y L,1 N❑
SHEETROCK GRADE, FEE SUMMARY
'EXTERIOR LATH - BUILDING -
' ,wTERIOR LATH - TEMPORARY APPROVAL - BDILDwc -��,,.� ;'
SCRATCH COAT I z— ELECTRIC - PLAN CHECK
GAS FEE
- I,NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY'' ' SEISMIC FEE • f 'l
OCCUPANCY Or BUILDING IS NOT PERMITTED UNTIL-BUILDING FINALIS SIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC.
"� ONE WORKING DAY BEFORE REQUIRED INSPECTION.
.PLUMBING
0 PLEASE GIVE JOB ADDRES&WHEN'PHONING. ,
MECHANICAL '4.4�,J ,dy
- SEE PERMIT FOR.EXPIRATION DATE
IMPORTANT! CONST.TAX
(.' PLEASE READ REVERSE SIDE BEFORE TOTAL ,
'CALLING'FOR FINAL'INSPECTION.
OFFICE COPY