14551 (4) POST THIS CARD NEAR FRONT OF BUILDING
PERMIT NUMBER
,, CITY OF CUPERTINO 1 X551
INSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
JOB ADDRESS 1601 SARATOGA/.SUNNYVALE RD,.UNIT# _ _Lor#
. PERMIT EXPIRES IF WORK'
OWNER DANTEL CONTRACTOR JADE MECHANICAL IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU.
FOUNDATION ANCE OR 180 DAYS FROM
NOTE: LAST CALLED INSPECTION.
UFER - ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VAI.mAi IDN q
CUPERTINO STANDARDS. -
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND/SLAB.
PLUMBING ' • '/ n 7�L �.
ELECTRICAL ISSUANCE DATE
MECHANICAL' - BLDG ELECT I PLO, MECH
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR -
PLUMBING VALUATION SIFT.
' � - '
MECHANICAL '
ELECTRICALPERMIT To
Ti Y L
FRAMING
INSULATION s IEs 'TYPE CONSTR.
19
-.) OCC. RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF NOTE:NO FINAL INSP.SHALL BE MADE,BEFO sn.rr FLOOR AREA romLACRI:ACE $
DIAPHRAGM - THE CONSTRUCTION TAX IS PAID I
BUILDING USE.
' ROOF SHEATHING REs IND CON PB UP—
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ Cl
ROUGH
ASSESSORS PAI+CEL NO
.. ' ' SAN.p � -
PLUMBING ELECT,.ENERGY
,
TUBS BSHOWER PAN � � PLUMBING ENERGY `TRACT NOPARCEL NO
MECHANICAL MECH.ENERGY '
ELECTRICAL BUILDING ENERGY ACC.DATE ACC FILE NO
FRAMING
ELECT.FINAL TEST
INSULATION PLUMBING
ZONING ENG SITE NO.
' _
GAS TEST GAS
FIRE SPRINK ENERGY LyG
MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING [DNE] ❑ "�
EXTERIOR SHEAR - ELECTRICAL RELEASE FLOOD ZONE AIL U.C.
❑ N❑ YL N❑
INTERIOR SHEAR FIRE DEPT.
SHEETROCK ' ' GRADE FEE SUMMARY
EXTERIOR LATH - BUILDING
INTERIOR LATH TEMPORARY APPROVALS - BUILDING
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
H� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
z PLEASE GIVE JOB ADDRESS WHEN PHONING. '
- SEE PERMIT FOR EXPIRATION DATE
MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE.SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION PERMIT NUMBER :
,NG APPLICATION & PERMIT 1455.1
�(
ADDRESS s BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
r^0.49
`
OWNER B hY� EL PLAN CHECK VALIDATION
X S / QTY. ELECTRIC PERMIT FEE
'• /DV �r ONE
N "rR".°T°Rs 1q- { N J�,4 UTLETS+SWITCHES-RECEP 10.00/1.00 .
d LIGHTING FIXTURES 10.00/1.00
CONTRACTORS �E1 544 o SY �Q 1q PPLIANCES-RESIDENTIAL 4.00
7Z ` /AS $ I PHON `� PANELS 10.00 DATE OF APPLICATION
RRcwrfcT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO.
O
ENGINEER
L,C.No. - SIGNS TRANS. 3.00
ARC i°SS ENG. SPECIALCIRCUIT 5,00 PERMIT VALI DATION
ZIP EMP.METER OR POLE INS. 20.00 l:
APPLICANTMOTORS SEE FEE SCH.
ADoaesg
SERVICE CHANGE 20.00
w
00 LICENSED CONTRACTORS DECLARATION
4 0 w 1 hereby affirm that I nm licensed under provisions of Chapter 9 ISSUANCE DATE
N a n (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH.
D Professions Co u I n license Is In full fore•o e c 9. ❑ ❑ ❑
Z i= License C est " y Lic.Numhcr /
Date _Contractor_ L. GLH;r
x BUILDING PERMIT
¢ ¢o OWNF-R-BUILDER DECLARATION INFORMATION
X 3 LL I- 1 hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD
r LL o a Law for the following reason.(Sec.7031.5,Businessmo ronessionsPERMIT ISSUANCE - 10.00 VALUATION $/FT.
Code:Any city or county which requlresn permit to construct,alter,
-
¢ ¢O improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC.
- DLL requires the applicant for such permit to file a signed statement that TOTAL
u w m he is licensed pursuant to the provisions of the Conlrnctor's License PERMIT TO
z i
Law(Chapter 9(commencing with Section 7000)o(Division 3 ofthe
i o Business and Professions Code)or that he is exempt therefrom and PLUMBING PERMIT FEE
w r$ the basis for the alleged exemption.Any violation of Sect inn 7031.5 STORIES TYPE CONSTR.
o, g _ by any applicant for it permit subjects the applicant-to a civil penalty ALTER-DRAIN -WATER (EA.) 5.00
of not more than five hundred dollars($500)):
❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 ocC.GROUP RES.UNITS
sole compensation,will do the work,and the structure is not
intended or offered for Sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00
Code:The Contractor's License Law does not apply to an owner of
Properly who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.60 50,FT.FLOOR AREA TOTALACREAGE
himself or through his own employees,Provided that such improve
cents are not intended or offered for sale.ll,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00
or improvement is sold within one year of completion,the owner- GAS EASYSTEM OVER 4 (EA) 200
builder will have the burden of proving that h - . - . .
e did not build or im- RES IND BUILDING USECON
Ome,
prove 1,as ownerose
of the.(. INDUSTRIAL WASTE INTER. 30.00 ❑ F O I
❑ I,as owner of the property,um exclusively contracting with
licensed contractors to construct file project(Sec.7044, Business LAWN SPRINKLERS-I IN(VIM- ASSESSORS PARCEL NO.
and Professions Code:The Contractor's License Law does not apply
to an owner o4 property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5
contracts for such projects with a contraetoins)licensed pursuant to kAl
the Contractor's License Law. SEWER-SANITARY-STOOt/10. p TRACT NO. PARCEL NO.
❑ lam exempt under Sec,-,B&P.C.for this WATER HEATER W/YEN
reason
Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO.
WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP, 5.00
1 hereby affirm that I have a certificate of consent to self-insure,
or apy certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO.
cothereof(Sec.3800,Lab.C).
Policy No. Company
Q ❑ CeHilied copy is hereby famished, FIRE$PRINK ENERGY T-ZO
Z
Z
FJ Certified copy is fled with (he city inspection division.
F O Applicant MISC.- -REFER TO ORD. Y N Y 0 N�
N CHR'I]PICAT17 OI'I:X EM PTI ON F ROM WO R K 17 RS' PERMIT ISSUANCE 10.00 O - FLOOD ZONE A.L.U.C.
L COAIPEN$ATION INSURANCE PLO.CONTR. LIC.NO. PLG. /1
CL Z (This section need not be completed if the pe nn it is for one TOTAL �V Y 0 N Y 0 N C]
hundred dollars(S 100)or less.)
U O 1 certify that in the performance of file work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL 1- mit is issued, I shall not employ any person in any Planner so as to _
O L) blicon}•yU bjeq(to the Workers' tpelus:yyayyligjvS of California.
Taro_!(Z-y�Applicum J �'•Yi BUILDING
} y , N01- i T6 APPLICAN"I': If, Her making this Certificate of F:x- ALTER OR ADD TO MECH. 5.00
F 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 pernlit shall be deemed revoked. AIR HANDLING UNIT(TO 1Q000QF.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10A00GEM.16.00 SEISMIC FEE '
I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00
the 3097 Civ C.jnae of the work for which this permit is issued(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 ,
Lender's Address ELECTRIC
I ceHify that l have read this application and state than the above VENTILATION FAN (SINGLE) 4.00
f� information is correct.I agree to comply with all city and county PLUMBING ••�1
ordinances and stale laws relating m building construction, and BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00
hereby authorize representatives(olives of this city m enter upon HH BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL
hereby
property for inspection of
purposes.
j (We) agree to save, Indemnify and keep harmless the City of MISC.- REFER TO ORD.
upertino against liabilities,judgments, costsand expenses which CONST.TAX
may i any wyy'' accrue egai id City in consequence of the PERMIT ISSUANCE 10.00
(anti of thl�✓ MECH.CONT. LIC.NO. MECH.
.71
C' Z TOTAL TOTAL
J` Sig are of APllcant/Contractor Data
IF
OFFICE COPY