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15862 (2) POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 1Sg62" INSPECTION DIVISION If JOB INSPECTION RECOFi6 PERMIT EXPIRATION JOB ADDRESS lr�'�+� �+�_UNIT# _LOT#3v7 e - y �� PERMIT EXPIRES IF WORK OWNER6te � CONTRACTOR (-(1^U-�,7.ioZL(f)p� IS NOT STARTED WITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM NOTE: LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PR EG UNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF Pomvr VALIDATION CUPERTINO STANDARDS. - GARAGESLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED r UNDERGROUND /SLAB PLUMBING 12. ELECTRICALP ISSUANCE DA IE MECHANICAL - BLDG ELECT I PLG. MECR 'O \\w 2 1 el O 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED- BUILDING Gpu` BiN INFORMATION PERMIT WOOD FLOOR ��ty PLUMBING VALUATION SIFT. MECHANICAL m j ELECTRICAL PERMIT TO FRAMING SWIL, INSULATION STORIES TYPE CONSTR, OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED $O FT FLOOR AREA TOTAL ACREAGE • ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATHING L�..�, BmLDwuse RES IND CONN v8 Op... APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. Rl ❑ ❑ ❑ ❑ ROUGH ' SAN# / M ASSESSORS PARCEL NO PLUMBING L5ELECT.ENERGY c7HIP^ —3Ic3o2 TUBS 3 SHOWER PANTRACT N ARCEL NO PLUMBING ANERGY a MECHANICAL MECR.ENERGY 0J ELECTRICAL 3,.6 BUILDING ENERGY ACC DATE ACC FILE NO FRAMING 3d0Y ELECT.FINAL TEST INSULATION 1to00( PLUMBING lG TNING END.SITE NO. GAS TEST (Q, GAS MECHANICAL FIRE SPRINK ENERGY T 2 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ ` ❑ N❑ EXTERIOR SHEAR Z11-69 ELECTRICAL RELEASE FLOODZONE - ALUC. INTERIOR SHEAR FIRE DEPT. `' ❑ NO Y ❑ rv❑ SHEETROCK GRADE EXTERIOR LATH - FEE SUMMARY BUILDING INTERIOR LATH 7D TEMPORARY APPROVALS BUILDING 00 SCRATCH COAT ELECTRIC PLAN CHECK $15.50 GAS FEE Ehmy $52.00 NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE 10.71 OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 0.35 F-`. ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. , Z - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL $60.35 IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION -PERMIT NUMBER ao'oAEOs 11811 SierraSpringCoLrrt APPLICATION & PERMIT 15862 Lot SS ifs BUILDING -ELECT CT�ICAL-PLUMBING -MECHANICAL OwrvER'S 1 PLAN CHECK VALIDATION NAME - CITY. ELECTRIC PERMIT FEE • Atnanson Developnl2rlt PHDNE415/595-2100 CONTRACTORS OUTLETS-SWITCHES-RECEP 10.00/1.00 G Croup, Inc. LIC.NO.U-4W7 LIGHTING FIXTURES 10,00/1.00 CONTRACTORS 22D-C Twin Dolphin DR. APPLIANCES-RESIDENTIAL 4.00 ADDRESS SS//�[ RIX 94065 PHONE 415/595-21 PANELS 10.00 DATE OF APPLICATION ARCHITECT Aran) Eassenian, AIA & PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE P,C:NO. OR ENGINEER AssociatesNO C-8395 SIGNS TRANS. 3.00 ABC.OR ENG. 2031 Orchard Dr., 1/100 SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ADDRESS Santa Ana i'ir5. CA zIP 92,707 TEMP. METER OR POLE INS. 20.00 APPLICANT'S ADDRESS MOTORS SEE FEE SCH. 220-C Twin Dolphin DR. RIC 94065 SERVICE CHANGE 20.00 ¢ ¢ � /J Foo LICENSED CONTRACTORS DECLARATION a v 1 hereby affirm B®f I am licensed under prm'isimiS of Chapter 9 - x w ISSUANCE DATE Haw (commencing will,Section 7000)of Division 3 of the Business and DG. ELECT. PLG. MECH. F N z Professions code,; J my license is in full fur c1. Z i m o Licenu;la Lic RumM1h ---- - V 0KL JK ¢ �, j Dale-/-r. _ Cnnl rado IGYO �x� ¢ ¢w a OWNER-BUILDER DECLARATION G BUILDING PERMIT °: O MISC.- REFER TO ORD INFORMATION K g LL I hereby affirm that I am exempt from the Contractor's License LLov, Law for the following reason. 7031.5,Business and Professions PERMIT ISSUANCE VALUATION $/fT. Cush:Any city or county which requiresa permil toconstruct,alter, 10.00 ¢ e demolish,or re air en tructure, rior to its Gsuunca,also ¢ ¢ Ec 0 unpnry p y a p ELEC.CONTR. LIC.NO. ❑p -M ii: o u requires the applicant for such permit to file a signed statement that TOTAL 152,727 A w m y he is licensed pursuant to the provisions of the Contractor's License PERMIT TO z a Live(Chapter 9(commencing with Section 7000)of Division 3 ofthe i o Business and Professions Code)or that he is exempl therefrom and CITY. PLUMBING PERMIT FEE SFUL ¢ r m the basis for file alleged exemption.Any violation of$ection 7031.$ STORIES TYPE CONSTR. ac by any applicant for a permit subjects the applicant to a civil pcoally ALTER-DRAIN -WATER IEA.) 5.00 of not more than five hundred dollars(S500).): ❑ I,as..net of the property,or my emvloyees with wage as BACK FLOW PROTECTDEV ICE 4.00 2 5" their sole compensation,will do life work,and the structure is not . OCC.GROUP RES.UNITS intended or offered for sale (Sec. 7044. Business and Professions DRAINS-FLOOR,ROOF,AREA,CONE). 5.00 Code:The Contractor's License law does not apply to an owner of R_S . property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 s0.FT.FLOOR AREA TOTAL ACREAGE himself or through his own rovesemployees,arc provided that such ich ove- ments are not intended or offered 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- GAS-EA.SYSTEM-OVER 4 IEA.) 2.00 2349 builder will have the burden of proving that he did not build or im- BUILDING USE prove for 1,as ownerose of theJ' INDUSTRIAL WASTE INTER. 30.00 E I❑ ❑N ❑ ❑ ❑ d as owner of the properly,um exclusively contracting with licensed wntrudors m construct the prnjen(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:T'he Convacmr's License Law does not apply / to an owner of property who builds or improves thereon,and rho LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a conlrac mo)licensed pursuant to r Ole Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 lam exempt under Sec. jT�RgCT pNO. PARCEL NO. recola❑ ,B�&P.C.for this WATER HEATER W/VENT 6.00 O� �O- Owner Pate WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. wo RKIiRS'coMPENSnnoN DECLARATION WATER TREATING EQUIP, 5.00 I hereby atfirm that 1 have a certificate of consent to sell-insure. or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(Sec.3800,Lab.C.), Lhileed Pacific Policy No. Company 0 ❑ Certified copy is hereby furnished- FIRE SPRINK ENERGYT- Z Z I�Cen if o y Is I d lh the city inspection division. 24 O Apple. _ . _ _ MISC.- REFER TO ORD. v� N� v � N� � y ffiRTlIrICA"ri OF Ex iMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A1.U.C. LU > COMPENSAT'ION INSURANCE PLG.CONTR. LIC.NO. PLG d O (This section need not be completed it the permit is for one TOTAL V� N� V ry� 2 hundred dollars IS 100)or less.) U O 1 cenify that in the performance of the work for which this per- CITY MECHANICAL PERMIT FEE FEE SUMMARY UL 1- mil is issued, I shall not employ any person in any manner so as to 0 W become subject to the Workers'Compensation Laws of California. 1 DalT APPLICANT um ALTER OR ADD TO MECH. 5.00 BUILDING } Z N aptioni TO Should become If,after making this Certificate of ion 5.00 (- - envision you should become subject m me Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with 15.50 U such provisions or this permit shall be deem d revoked AIR HANDLING UNIT(TO 10MC.F.M.) 4.00 FEE Ene -2.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE $10.71 I hereby affirm that there is a construction lending agency lir. EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,,'S Na . Crv.r„,i tV PaCl.fl� HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name +}i�H� Lenderi Address -1T'--SF 4 1 HEATING UNIT(OVER 100,000B.T.U.)9.50 ELECTRIC $60.35 1 certify that I Imvc read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with-I1 city and county PLUMBING .35 ordinances and stale laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 C hereby authorize representatives foriins of this city to enter upon BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. hereby autiorizprepesentatvsPef thipurposes. MECHANICAL $60.35 (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which ay in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 CONST.TAX p7 C3 rantingofthis ennitpllca 1CoMECH.CONT, LIG NO, MECH. II/ - TOTAL TOTAL Slgnamre of Apnfmctor to : 1391.29 OFFICE COPY CITY OF CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date z0.... 19-91 Building Permit No. The Building Located at ------- ........9 Owned by ------- ------ - - ............... -------- Has Been (Com�1,te or Use As: ........... ....... (Altered) .......... &W- ............................................................................. ............ ....................................................... ............ .................................................................................................................. ................. .............................................. ................ ....................... ................................ PD-7 BUILDING IN PECI'OR