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14962 (2) ? POST THIS CARD NEAR FRONT OF BUILDING ' PERM11NUMBER 49fi2 - CITY OF CUPERTIN'a' 1It INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS '�i �N�S ^"[_UNIT# _LOOT# o ' PERMIT EXPIRES IF WORK OWNER ,cs•2�+-lo CONTRACTOR e6,ppe IS NOT STARTED WITHIN INSPECTI N DATE INSPECTOR INSPECTIONRECORD 180 DAYS OF PERMIT ISSU FOUNDATION -7 ANCE OR 180 DAYS FROM '�-11'00 NOTE: LASTCALLED INSPECTION. LIFER --I I'. .ALL GRADING'AND DRAINAGE SHALL BE INSTALLED PREGUNITE _ TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIOATON CUPERTINO STANDARDS. GARAGE SLABS •• . POUR NO'CONCRETE UNTIL ABOVE HAS BEEN SIGNED -t; UNDERGROUND/SLAB -A �d PLUMBING ELECTRICAL - ISSUANCE GATE MECHANICAL RLuc ELEa - PLG. MECH. ED] N N N DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDINGPERMIT WOOD FLOOR INFORMATION SIFT. PLUMBING VFWW=ATION MECHANICAL - ulb CL_ I ELECTRICAL _ kIT TO FRAMING PI INSULATION _ cl, WN701ILS TYPE CONSTR. UCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - - Sn.f,.rL uRAREA TOTA ACRencE . ROOF. NOTE:NO FINAL INSP. ALL BE MADE BEFORE !� DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATHING - RES IND ILOCNON USE OI . APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ' � ❑ ❑ E] El ROUGH SAN.a ASSESSORS PARCEL NO. ��� , PLUMBING I ELECT.ENERGY THACI NO, PARCEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH.ENERGY 8M1 ELECTRICAL -�Jj BUILDING ENERGY � - AGE DATE ACC.FILE NO i FRAMING ELECT.FINAL TEST INSULATION PLUMBING TONING ENG.SITE NO. " f. ,8� t� t GAS TEST Z ,�.. GAS - t FIRE$PR IN K- ENERGV,T.]G' . '- MECHANICAL _017 m•_ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATINGY ❑ 'N❑ ° ❑ ND •B8 , . EXTERIOR SHEAR ELECTRICAL RELEASEFLOOU LONE ALUC ,�� INTERIOR SHEARFIRE DEPT. ° ❑ N❑ Y ❑ N❑ SHEETROCKGRADE - FEE SUMMARY EXTERIOR LATH BUILDING ?.2R •p8 INTERIOR LATH _ TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC 2. PLAN CHECK 15 GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - SEISMIC FEE op OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC + o� .ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z PLEASE. GIVE JOB ADDRESS WHEN PHONING. t - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL CONST.TAX ' IMPORTANT! PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. 1391.29 .+ OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY _ BUILDING PROJECT lDENTI FICATION PERMIT NUMBERAPPLICATION & PERMIT ADDRESSD : 11552.Seven Springs Dr. 14962 REss 1 BUILDING-ELECTRICAL-PLUMBING-MECHANICAL I NAMER a , nc. & fY mnson PLAN CHECK VALIDATION Developments 415-595,21!10 DTV' ELECTRIC PERMIT FEE N°;ERA°T°Ra UTLETS-SWITCHES-RECEP 10.0011.00 Gregory Gra/p, Inc. uD.NDB-32D097 LIGHTING FIXTURES 10.00/1.00 ADURE CTOR's r,ryl C Twin Dolphin Dr. RWC CA APPLIANCES 94065 4.00 CONTRACTOR ONT Ess LLII-l� 94065 ED415-595-2100 PANELS 10.00 DATE OF APPLICATION ARCHITECT PLAN {� � �1r,I PANELS (OVER 200 AMN 20.00 PLAN CHECK FEE P:C'.NO. ENGINEER"'•'• ' B4MIAN, AIA & A�. �,r,� LIC.No l 8395 SIGNS TRANS. 3.DO ARCH.OR EN'G. YYl Dr. 00 SPECIAL CIRCUIT 5.00 PERMIT VALIDATION AD Ess ata Ana H, n• Zt,92707 EMP. METER OR POLE INS. 20.00 APPLICANTS MOTORS SEE FEE SCH. ADDRESS 220 C Twin Dolphin Dr. M 9406 SERVICE CHANGE 20.00 /Y� pp _ 0 0 o LICENSED CONTRACTORS DECLARATION !O au u 1 hereby afOnm that I am licensed under provisions of Chapter 9 ISSUANCE DATE w< n (commencing with Section 7000)of Division 3 of the Bounce;and BLDG. ELECT. G. MECH. F w z Professions Code,in y license is in lull force ��Tppp i o In License ClassC, Lic.Number o m H Date Contractor - a m - BUILDING PERMIT pu OWNER-BUIL DBR DECLA TION INFORMATION wH 1 hereby affirm that I am exempt from the Contractor's License IMISC.- REFER TO ORD LLoj Law for the folluwingmasoa(Sec.7031.5,Businessand Professions pERMIT ISSUANCE 10.00 VALUATION S/FT. � - so Code Anycity ormunty which requires a permit to construct.alter. a, Zia a 0 improve,demolish,or repair any structure,prior 10 its Issuance,also ELEC.CONTR. LIC.NO. ELEC. 1 w- O m requires the applicant for such permit to File a signed statement that TOTAL pERMIT TO y he is licensed pursuant to the provisions of the Contractor's License H z a Law/Chapter9(commencing with Section 7000)of Division 3 of the ' Business and Proessimrs Coded nr tial he is exempt therefrom and QTY, PLUMBING PERMIT FEE the basis for the alleged exemption.Any violation of Section 7031.5 RIES TYPE CONSTR. a � by any applicant for.permit subjects the applicant to a civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than Five hundred dollars 155000: -0 I,as owner of the properly.or my employees with wages asBACKFLOW PROTECTDEVICE 4.00 `,� P RES.UNITS their 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 docs not apply to an owner of I property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 SOL PT.FLOOR AREA TOTAL ACREAGE Ithimselmordsfe not l] de owneferedfor r p It,however, to improve- GAS-EA.SYSTEM-1 6.00 rents arc not intended oroff on forala H;completion, the hobo, 1956 _ r ld,,0semen have is sold within one year of completion, the owner GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 builder will have the burden of proving that he did not build or int- BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Omer ❑ I,as owner of the properly,am exclusively contracting with ❑ 1] El EJ licensed contractors to construct the project(Sec 7044.Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law don 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 will]a conlractogsl licensed puCi to the Comoaco',License law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL No. ❑ Iumcscmlplundcrsec ,x.&P.C.Invtllis 11aVol WATER HEATERW/VENT 6.00 8067 o Owner. Date WATER SYSTEM 5.00 ACC.GATE ACC FILE NO. W'ORKERS'COMPENSA'IION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a cenificale of consent to wi Ginsore, ZONING ENG.SITE NO. or a certificate of Worker,Compensation Insurance,or a cenifeJ copy therenl l Sec.3800,Lab C.1. Pohcy No. cOmPany_United_Pacific O ❑ cerOFiell c py I mrIlls hud.- z Z CenifcJ `'q fQ with the city inspection division. FIRE SPRINK ENERGY T44 O Aglicam MISC.- REFER TO ORD. YE] H❑ Yo .NF] CC w PERMIT ISSUANCE - 10.00 . LU - CERI'I I'IG TIi E l A% I YTION FROM WORK ERS' FLOOD ZONE A.L.u.c. 0. need not be completed INSURANCE PLG.CONTR. - LIC.N0. PLG. Y� N❑ V ❑ No Il IThis section 10 not be completed if the permit is for one TOTAL • � Z hundmd dollars 1$100)or Iess.1 - U O 1 certify that in the performance of the work for which this per- OTV MECHANICAL PERMIT - FEE FEE SUMMARY LL H mit is iseucd,1 shall not employ any person in any manner ws as to OW become subject to elm Worker,Compensation Laws of Calilornia. a Date AppliantBUILDING pper�..,, >_ N NOTICE;TO APPLICANT: If,alter nl akin,this Cirri of Ex- ALTER OR ADD TO MECH. 5.00 <A4•� f'- Z emption,you should become subject to the Workers Compensation APPLIANCE 5.00 PLAN CHECK 15.50 provisions of the Labor Code, you must forthwith comply with U such provisions or this permit shall bmre e deemed revoked. AIR HANDLING UNIT(TO 10MC.F.M.) 4.00 FEE Ie11e00 .CONSTRUCTION L17NDING AGENCY' AIR HANDLING UNIT(OVER 10=1C.F.M.) 6.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 - - . 1025. the perfonnwlce of the Work for which this Remot is issued(Sec. MICROFILM 3097,Civ.C.). Security Pacific One BnbarCadenHEATING UNIT(TO 100,000 B.T.U.) 8.00 Lenders N. EATI N G UNIT(OVER 100,000 B.T.U.)9.50 Lender's AJdress .-94}}} ELECTRIC- 60,90 I certify that 1 have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 lr� information a correct.1 agree to comply with all city and county PLUMBING �•� ordinances and state laws relating to building conslruclion, and BOILER-COf+F(3 H.P.or 100,000 B.T.U.1 6.00 hereby authorise representatives of this city to enter upon the BOILER-COMP IO.rvr 100,000 BTU)BEE FEE SCH. MECHANICAL \. above-mentioned property for Inspection purposes, 60.90 r t (We) agree Io avc, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in any way acme against sand City in consequence of the 288.24 gooddifin off MECH.CONT. LIC.NO. MECH. ��1�" ✓��J/� TOTAL. TOTAL 1391.29 Signature Applicant/Contractor D.Re OFFICE COPY caUI CITY OF CUPERTINO CERTIFICATE OF C,6MPLETION BUILDING INSPECTOR'S OFFICE I , Lo7T /10o Date . ..."... z.__......, 19.�Jl� Building Permit No.,O. The Building Located at �...--.-r',EIG W---Z t?/t(/I�C�j... Owned by .... ..ORiIFp r' 1 I Has Been (Com Icte • .., . '_, 7, For Use As: .. - ...-,"..� �to: I tere ) T ............................. ............ - ........ _......_....._............................."....--..................- ......... -- ............_............................_ PD-7 ` BUILDING SPECTOR -------------- .