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14964 (2) POST THIS CARD NEAR FRONT OF BUILDING " • PERM IT NUMBER CITY OF CUPERTINO ' 14994 INSPECTION DIVISION , ` JOB INSPECTION RECORD c (� ('' _ PERMIT EXPIRATION JOB ADDRESS 6o •�� `-' k'/N� UNIT# LOT# � 1Y �, PERMIT EXPIRES IF_WORK OWNER 6��Fs0� �/e0u CONTRACTOR G,Q C.e, 6,& IS NOT STARTED WITHIN INSPECTION D TE I INSPECTOR INSP TION RECORD Teo DAYS of PERMIT ISSU. FOUNDATION - - l ANCE.OR 180 DAYS FROM UFER _ Ill_ NOTE: LASTCALLED INSPECTION. ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PREGUNITE CUPERTINO STANDARDS. GARAGE SLABS - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PAID PLUMBING ELECTRICAL I N 7 1ClAATSSUANCE DATE MECHANICAL • . BLDG. ELECT. PLG. MecR, G Of �\ PL ' D' D0 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED .. BUILDING PERMIT . INFORMATION WOOD FLOOR VALUATION SIFT. ' PLUMBING MECHANICAL ELECTRICAL - PERMIT TO ? •sm , FRAMING _ h - ;INSULATION STORIES IYEE CONSTR. ' - H ? . 2 OCC GROUP RES UNITS I 1154 47- r n PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 1 ROOF NOTE:NO FINAL INSP-SHALL BE MADE BEFORE so'TT'FLOOR AREA TOTAL Acancc DIAPHRAGM THE CONSTRUCTION TAX IS PAID ,ISM bUILUI NO USE ROOF SHEATHING IO`Y1.-g$ TIES IND CON PB ae APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE ' INSP. R E:l 0 0 ' El ASSESSORS PARCEL NO, ROUGH SAN.N 117,4 PLUMBING ' ELECT.ENERGY _,Q rHACT NO. PARCEL NO TUBS 8 SHOWER PAN mb G , PLUMBING ENERGY _ �'MECHANICAL 1� MECH.ENERGY aAcc DATE Acc.EILE No. ELECTRICAL C C BUILDING ENERGYFRAMING ELECT.FINAL TEST ` ZONING ENG.SITE NO. INSULATIONll-zl-it i PLUMBING —�.pa. - GAS TEST ,27, •*�� GAS _ , FIRESPRINK ENERGY T 2< MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR 10-12-SB ELECTRICAL RELEASE _ FLDDU zoNe A.L u.c. , INTERIOR SHEAR 10-12-W, C FIRE DEPT. SHEETROCK �,�, GRADE - FEESUMMARY EXTERIOR LATH BUILDING - - O' BUILDING INTERIOR LATH TEMPORARY APPROVALS. SCRATCH COAT ELECTRIC PLAN CHECK GAS FEEGuo S.hQ NO TAPE OR PLASTER.UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY - SEISMIC F OCCUPANCYOF BUILDING ISNOTPERMITTEO UNTIL BUILD ING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM 'ARRANGE FOR INSPECTION BY PHONING 252-4505, 60. 1 LU � ONE WORKING DAY BEFORE REQUIRED INSPECTION. ELECTRIC PLUMBING 60.% PLEASE GIVE JOB ADDRESS WHEN PHONING. t — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL 60.SD . IMPORTANT! CONST.TAX 288.24 PLEASE READ REVERSE SIDE BEFORE., TOTAL ' 1391.29 CALLING FOR FINALANSPECTION. OFFICE COPY LICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY .alBUILDING PROJECT I DENTI FICATION PERMITNUMBER - ADDRENG 11684 Seven Springs Dr. APPLICATION & PERMIT 1496 �4 FOOREss Lot 121 Plan 1A BUILDING-ELECTRICAL PLUMBING-'MECHANICAL OWNER'S � ` PLAN CHECK VALIDATION w NAME "'wry Group, Inc. 'Ah Anson DEV OTV EL�CTRIC PERMIT FEE PHONE NAMERAcrOR's OUTLETS-SWITCHES-RECEP 10.00/1.00 Gregory Groups Inc. LICNo. B-430097 LIGHTING FIXTURES 10.00/1.00 covrRAcroRs Twin Dolphin Dr. RWC PPLIANCES-RESIDENTIAL 4.00 poor Fs P PANELS 10.00 DATE K APPLICATION OPRcvrtECT ram ssenlans Assoc. PANELS (OVER 200 AMP) 20.00 PLAN CH ECK FEE 'P.0"NO. ENGINEER uc.#100 SPECIAL SIGNS TRANS. 3.00 ARCH.OR ENG. 0001 (�.h rJ- Dr. #100 SPECIAL CIRCUIT 5.00 PERMIT VALIDATION AO AM J1 VI LIIO•I U UL / W/U7 EMP.METER OR POLE INS. 20.00 APPLICANT ' win In MOTORS SEE FEE SCH. ADDRESS SERVICE CHANGE ,20.00 o o LICENSED CONTRACTORS DECLARATION a v w I hereby affirm that 1 am licensed under provisions of Chapter ISSUANCE DATE N (commencing with Section 7000)of Division 3 of the Business and yRLOG. ELECT. PLG.. MECH. F N z LiccuxProfessionsla Code,amgny licatm is Saint force f ty z o T - Liccnsc Class Lic.Nu m her_ / UNI 0 m r w Date Contractor a m - BUILDING PERMIT 0 to OWNER-tl BUILDER UECLA Al'ION - INFORMATION wLL m I hereby afOrin that I um exempt from he Contractor's License MISC.- REFER TO ORD LL_ o a law for the following reason.(Sec.7031.5.BuMnes...it Professions PERMIT ISSUANCE 1000 VALUATION S/FT. Code:Any city or county which requircaa permit tuconstract,alter, S < 20 ls improve,demolish,or repair any structure,prior In its issuance,ao ELEC.CONTR. LIC.NO. ELEC. r� - O F: requires tire applicant for such pernot to file u signed stalemmV that TOTAL PERMIT TO whe is licensed pursuant to the provisions of the Contractor's License F z r Law(Chapter 9(cummencingwith Section 7000)of Division 3 ofthe JIM 4 o Bosun.and Professions Cods)or that he is exempt therefrom and QTY. PLUMBING PERMIT le Ip the basis for the alleged exemption.Any violation of Section 7031,5 STJ%Ufi� TYPE CONSTR. e- 3 by any applicant for a permit subjects the applicant to a civil penalty CRY of not more than five hundred dollars(S5Ol ALTER-DRAIN&VENT-WATER (EA.) 5.00 Cafe 2 W 3 fR ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE '4.00 OCC.GROUP RES.UNITS their Sole compen Ation,will do the work,and the structure is not intended or offered for sale (Sec 7144, Business and Pmfessimrs DRAINS-FLOOR,ROOF,AREA,COND. 5.00 ' Code%File Contractor's License Law does not apply to an owner of R-3 property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees.provided that such improve- ments are not intended oroffered for sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the owner- 1956 GAS-EASYSTEM-OVER 4 (EA) 200 BUILDING USE builder will have the burden of proving that he did not build or im- . . . prove for purposeofsale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON RB Omer ❑ I,as owner of the property,an exclusively contracting with El ❑ ❑ licensed contractors to construct the project(Sec. 7044"Rusinuss 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 huflds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts fursuch prujeaswull a eontfactnns)licensed PLINSuct t0 SEWER-SANITARY-STORM EA.200ft)10.00 TRACT NO. PARCEL NO. the Contra,fors License Law. ❑ ren exempt underScc. ,B.&P.C.for this reason WATER HEATER W/VENT 6.00 8067 Owner Dare WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. wORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby uffrm that 1 have a certificate of consent to self insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy hereof(Sec.3800,Lab.C.). United Pacific Policy Nn. Company O ❑ Certified copy is thliLch urnished. Z Z CeftifCJ Cop' vlth the city inspection JiVi5i0a FIRE SPRINK ENERGY LI4 O App(cant MISC.- REFER TO ORD. Y IN Y NEI CCN CER rill FI i OP EXEMPTION('ROM WORKERS• PERMIT ISSUANCE 10.00 FLooO ZONE A.L.U.C. CIL O (This section need11not beTcolmpletedl if he permit is for one PLG.CONTR. LIC.NO. TLO.AL Y E Z) Z hundred dollars 0100)or less.) U o 1 certify that in tie ne,fonoan,,of thewofk f..which hl,.per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued,I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. OUl Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING ' >_ So NOTICE TO AI'PLICAN'F: If,after making this Certificate of Ex- F. ? eruption,you should Irccouic subject to the Workers'Compensationi APPLIANCE' 5.00 PLAN CHECK 15,50 provisions of the labor Code, you must forthwith comply with FEE U such provisions or his permit shall be deemed revoked. AIR HANDLING UNIT TO 10=CF.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE I hereby uRmm hat here 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,Ci..0 L Security Pacific One HEATING UNIT TO 100,000 B.T.U.) 6.00 Lender's Nome HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address- 4ftl-fir � �- ELECTRIC 60.90 - loulifythatlhavereadhisapplicati�nandstate above VENTILATION FAN (SINGLE) 4.00 ry1 information is correct, I agree to comply with all city and county PLUMBING 6D.9D ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon he BOILER-COMP(Over 1130,000 BTU)SEE FEE SCH. MECHANICAL 60.9m 1 atiove-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. uperino against liabilities,judgments, costs and expenses which nPERMIT ISSUANCE 10.00 CONST.TAX 288.24 ay jn any way accrue against Said City in wnsequcnce of the ranting of this perml MECH.CONT. LIC.NO. MECH. Jr. r./_ TOTAL TOTAL 1391.29 Signatureo rant/Contmcmr Dat OFFICE COPY