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14225 (2) POST THIS CARD NEAR FRONT OF BUILDING PFRNnT NUN16ER CITY OF CUPERTINO 14225 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS 20469 SILVERADO UNIT# _LOT# PERMIT EXPIRES IF WORK OWNER ALLSTATE CONTRACTOR CAL NEON IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM LIFER LASTCALLED INSPECTION. PREGUNITE PAW POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED DFC 1 PLUMBING UNDERGROUND /SLAB of��RN0}�' r�,r ✓ ELECTRICAL .Cltl/ DO ISSUANCECEDATE MECHANICAL 6LDa ELECT. PLG. Nl R. ❑ D 11r " DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION $/FT. //� T MECHANICAL ELECTRICAL gERMIT Y� FRAMING INSULATION iSTOR1ES' TYPE CONSTR. OCC,GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF 50.FT.FLOOR AREA TOTAL E ACRAGE DIAPHRAGM I BUILDING USE" RES IND CON PB OIF, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑ ROUGH ASSESSORS PARCEL NO, PLUMBING GAS TEST TRACT NO, PARCEL NO MECHANICAL ELECTRICAL FINALS DATE INSP. ACCDATE ACC.FILE NO. FRAMING I SAN # INSULATIONPLUMBING ZONING ENG.SITE NO. GAS MECHANICAL FIRE SPRINK ENERGY T.24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ .Y ❑ N❑ LATH—INTERIOR ELECTRICAL FLOODZONE A.L.U.0 LATH—EXTERIOR FIRE DEPT. Y❑ N❑ Y N❑ SHEETROCK GRADE SHEAR INTERIOR FEE SUMMARY BUILDING SHEAR EXTERIOR TEM ORARY APPROVA BUILDING FIREWALLS ELECTRIC PLAN CHECK GAS FEE 'L NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC / :c: • o,{ 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 BUILDING APPLICATION & PERMIT A ss f �TQ �T BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 14225 OwrvE 'S !/ (/ PLAN CHECK VALIDATION NA L QTY. ELECTRIC PERMIT FEE u PHONE cTOBS UTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS PPLIANCES-RESIDENTIAL 4.00 Aoo � ONE PANELS 10.00 GATE OF APPLICATION AR ORCHITE PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ENGIN A. LIC.NO. SIGNS TRANS. 3.00 ADDRE O -/1l� ARC . R SPECIAL CIRCUIT 5.00 DEPERMIT VALIDATION all TEMP.METER OR POLE INS. 20.00 t APKICAUT;e MOTORS SEE FEE SCH. AOOR SERVICE CHANGE 20.00 Q. C leo w o o LICENSED CONTRACTORS DECLARATION a U U I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE N a (commencing with S tion 7000)of Uiviaion of the Business H w Z License e, iccnst is in f BLDG. EL PLOD. MECH. Z 0. - License -'� Lia NO o w Date Contractor ¢ w OWNER-BUILDER DECLARATION BUILDING PERMIT K ;LL N 1 hereby air that I am exempt from the Contractor's License MISC.- REFER TO ORD INFORMATION VALUATION u o¢ Law for the 1'ullowing reason.(Sec.7031.5,Business and Professions /FT. E - PERMIT ISSUANCE 10.00 / Code:Any city or county which structure permit to construct,alter, QQ ¢Q ImprUVe,deRIUI1sI1,O!repair any rlNet Ole.prior t0 It51sSllanee.aI50 ELEQ CONTR. LIC.NO. ELEC. �a�r D u requires the applicant for such permit to file a signed statement that TOTAL �✓ P a w m he is licensed pursuant to the provisions of the Contractor's License RMIT) atLaw(Chapter 9(commencing with Section 7000)of Division 3 of the 4 0 Business and Professions Code)or that he is exempt therefrom and a QTY. PLUMBING PERMIT F M H $ the basis for the alleged exemption.Any violation of Section 7031.5 TORTE TYPE CONSTR. a ; � by any applicant lora permit Subjects applicant toacivil penalty ALTER-DRAIN -WATER (EA.) S of not more than five hundred dollars(5500).500).): ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 their sole compensation,will do the work,and the structure Is not OCC.GROUP RES.UNITS intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA, ND. 5.00 Code:The Contractor's License Law does not apply to an owner of 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 or offered for sale.If,however,We building GAS-EA.SYSTEM-11N .4OTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM- VER 4 IEA.) 2.00 builder will have the burden of proving that he did not build or int- BUILDING USE prove for purpose of Sale.). INDUSTRIAL W EINTER. 30.00 RES IND CON PB Omer O 1,as owner of the property,ani exclusively contracting with 11 El El 1:1 El contractors to construct the project ISec.7044,Business LAWN SPRIN ERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who LAWN SPR KLERS-OVER 5 IEA.) 1.00 contracts is h projects with a contractors)licensed pursuant to the Contract /S License Law, SEWER- ANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL No. ❑ level empt under Sec.-,B&P.C.I'nr this WAT OiHEATER W/VENT 6.00 l OwnerI ILdc W ER SYSTEM 5.00 ACC.DATE ACG FILE N0. WORKERS'COMPIiNSAT10N UI.CLARATION TER TREAT ING EQUIP. 5.00 1 herebyaffirm that 1 have a certificate of c a ps. or self-insure, certificat•➢f Worker'Compcnsution 1 ranee,Or a certified ZONING ENG.SITE NO. copy i No 3 Policy er 1 - C� tilie pYi d z Z jQJ Nil coP 1 sptction division. FIRE SPRINK ENERGY T 24 f'- Q Pphcant MISC.- REFER TO ORD. Y ❑ N❑ Y ❑ N❑ PERMIT ISSUANCE 10.00 � y CERTIFICATE OF EXEMPTION FROM WORKERS' FLOOA. D ZONE L.U.C. LL > C04ENSATION INSURANCE PLG.CON LIC.NO. PLG. EL D (This section need nut be completed if the permit is for one TOTAL Y❑ N❑ Y _] N❑ U O h undred dollars(S 100)oI lex,) ' I certify that the performance of the work for which(his per- QT,. MECHANICAL PERMIT FEE FEE SUMMARY LL U mit is issue , shall not employ any person in any manner so as to become s i to the Workers'Compensation Laws of California. O 0- Date AppliAPPLICANT: I ALTER OR ADD TO MECH. 5.00 BUILDING .70. [^ } to NOTI .TO APPLICANT If,after making this Certificate of Ex- oC �l F Z emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK _ provisions of the Labor Code, you must forthwith comply with U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT O 10=C.F.M.) 4.00 FEE �3. 3 2 CONSTRUCTION LENDING AGENCY AIR HANDLING T(OVER 10=C.EM.) 6.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST OD (WITH DUCT) 5.00 the performance of Owork I'or which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATIN UNIT(TO 100,000B.T.U.) 8.00 Lender's Name- Lember'sAddrefS HEA G UNIT(OVER 100,000 B.T.U.)9,50 ELECTRIC /300 I certify that I have read this application and state that the above V TILATION FAN (SINGLE) 4.00 information is Correct I agree to comply with all city and County PLUMBING ordinances and state laws relating to building construction, and OILER-COMP(3 H.P.of 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. BOILER-COMP lover 100.000 BTU)SEE FEE SCH. MECHANICAL (We Tee t save, indemnify and keep harmless the City of MISC.'- REFER TO ORD. Cape m*&e ,judgments, osis and expenses which CONST.TAX May ingainst say in consequence of the PERMIT ISSUANCE1000gr li MECH.CONT. LIG NO. MECH.TOTALTOTALSignatutractor Date / l OFFICE COPY V