The URL can be used to link to this page

15120 (2) POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTI_NO 15120 INSPECTION DIVISION JOB INSPECTION RECORD �� 7317 s0bql�shcre cxH a7G FINS RtH1PPIRATION JOB ADDESS 1NI �7� UNIT# _LOT# PERMIT EXPIRES IF WORK OWNER �/ V'• II/VU CONTRACTOR Gre ar 6r IS NOT STARTED WITHIN INSP CT ON DATE INSPECTOR I PE- ION RE ORD 180 DAYS OF PERMIT ISSU. FOUNDATION ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PU4USjANDCITY OF PERMIT VALIDATION GARAGE SLABS . CUPERTINO STANDARDS. PAIL) POUR NO CONCRETEUNDERGROUND /SLAB BEEN SIGNED AUG 9 . 1988 PLUMBING ELECTRICAL City of Cupertino ISSUANCE DATE' MECHANICAL BLOC ELECT .PLG. MECH ❑ ❑ ED DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - Bu DING P MIT• WOOD FLOOR INFORMATION VALUATION $/FT. PLUMBING MECHANICAL 138 ELECTRICAL PERMIT TO FRAMING INSULATION STo S TYPE CONSTR OCC GROUP UNIiS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO FT-FLOOR AREA Tn L ACRFnGL I DIAPHRAGM - THE CONSTRUCTIONTAX ISPAID /J',4 \ ROOF SHEATHING 4L INC,USE HES IND CON PB Om.. ' APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALSDATE INSP. ❑ ❑ ❑ ❑ IH515 ROUGH SANp - AssEssoRS PnHCEL No ' PLUMBING ELECT,ENERGY TUBS&SHOWER PAN PLUMBING ENERGY _ 9 TRACT NO PARCEL No MECHANICAL MECR ENERGY - 0-4 ELECTRICAL BUILDING ENERGY ACC-DATE ACC FILE No FRAMING ELECT,FINAL TEST INSULATION PLUMBING _ Q ZONING ENC.SITE NO. GAS TEST �. GAS AA^_ V MECHANICAL FIR F.$PRINK ENERGY T2 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING _ Y ❑ N 1 ❑ NO EXTERIOR SHEAR ELECTRICAL RELEASE11.0011ZUNI, A UC INTERIOR SHEAR _ Q FIRE DEPT. Y ❑ N❑ Y ❑ NO SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVA S BUILDING SCRATCHCOAT $; - ELECTRIC PLAN CHECK GAS FE •� NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE �� OCCUPANCYOF BUILDING ISNOTPERMI I I I,UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 65.50 LU Z � ONE WORKING DAY BEFORE REQUIRED INSPECTION.PLEASE GIVE JOB ADDRESS WHEN PHONING. PLUMBING — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL 65,Sn IMPORTANT! CONSaTAX .PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TO318,68 OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PENONLY BU LDING PROJECT I DENTI FICATI ON .PERMIT NUMBER • no'Iin':G' do 26 APPLh;ATION & PERMIT ��,31 Southshore COUrt BUILDING - ELEARICAl-PLUMBING-MECHANICAL 1 51 20 OWNERa Gregory roup, Inc. PLAN CHECK VALIDATION . Ahmanson Dev. 415-595-210 QTYWPANELS RIC PERMIT FEE CONTRACTOR'S PHONE - IXXX X%R "AMregory Group, Inc. 10.00/1.00 C.NO. B-430097 LIGHTING FIXUTLETS TURES TCHES-RECEP 10.00/1.00 CONTRACTOR s 220-C Twin Dolpphin Dr. PPLIANCES-RESIDENTIAL 4.00 Ap 94065 44,52595-2100 10,00 DATE OF APPLICATION ARCHITECT Aram Bassenian, AIA &'Assoc 0 AMP) 20.00 PLAN CHECK FEE P_C:NO.' OR ENGINEER C-8395 pp LIc.No. SIGNS TRANS. 3.00 ARCH,OR ENS, 8031 rchLrd Dr. #10 PERMIT VALIDA TION AO Ess rH,e Ix' y2707 SPECIAL CIRCUIT 5.00 Santa nes H S. A. znPEMP.METER OR POLE INS. 20.00 , ADDRESS TS 22a?pp_CC 7 MOTORS SEE FEE SCH. RL]C 94 99 n Dolphin Dr. 1 -�N�NIxGI SERVICE CHANGE 2 r o o LICENSED CONTRACTORS DECLARATION a v u I hereby affirm that I am licensed under provisions of Chapter 9 <H (commencing with Section 70001 of Division 3 of the Business and ALI ISSUANCE DATE H 2 Professions Cuda,and my license is in full force�a IFBLDG. ELECT. PLG. MECH. r C, o o - Licence Class DD Lic.Number_µ st � O� 4 m Contractor- CRY u, Date-�j_i y>- (i UU Lll X Q y E J pertino Ix Ix w ¢ OWNER-BUILDER DECLARATION BUILDING PERMIT ° O s. MISC.- REFER TO ORD INFORMATION w ; w I hereby affirm that I am exempt from the Contractor's License a- o ¢ Law for the following vaso..(Sec.7031.5,Businc,, nd Professions VALUATION g/FT. - PERMIT ISSUANCE 10.00 Code.Any city or county which requires a permit to construct,alter, se aa¢ 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. 138,306 - a e requires the applicant for such permit to file a signed statement that TOTAL a w m m he is licensed pursuant to the provisions of the Contractor's License PERMIT TO H z¢ Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe SFDU i c Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE ¢ H o the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. a ; m by any more fora permit dollars the applicant toacivil penalty ALTER-DRAIN -WATER (EA.) 5.00 2 •-5NHR of not more than fora hundred dollars I he ap li ❑ I,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,ROOFAREACOND. 5. Cod,:The Contractor's License Law does not apply to an owner of , , 00 R-3 1 Property who builds or improves(hereon,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,the building GAS-EA,SYSTEM-1 INC.4 OUTLETS 6.00 •- 177 or improvement 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 ins- BUILDING USE Prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Drher ❑ 1,as owner of the property,am exclusively contracting with fi0 licensed contractors to construct the project(Sec 7044, BusinessM KLERS- 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 builds of improves thereon,and whoKLERS-OVER 5(EA.) 1.00 contracts Ior such projects with a contractor(s)licensed pursuant to I he Contractor's License Law. TARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. , . . . ER W/VENTreason 6.00Owner Dann EM 5.00ACC.DATE ACC.FILE NO. WORT:FRS'COMPENSATION DECLARATION TING EQUIP. 5.001 hereby affirm that I have a cenifier aofconsent to ,HGim, ,. or a certificate of Workeri Compensation Insurance,or a certifiedCopy ZONING ENG.SITE NO. Polley,ereef(s,,.3e .pn,ay00. United Pacific I'ohcy N rt Company ❑ CurtdlCJ cup,is hcrchY furnished. Z Z IX Cettific<� ry Iled v'h the city inspection division. FIRE SPRINK ENERGY T-24 Applicant MISC.- REFER TO ORD, y � NEI YE] N[] O PERMIT ISSUANCE jrLU W CERT 'ICCOWI E l ATIOTINS FROM WORKERS' 10.00 FLDOD ZONE AL.U.C. W _> COMPENSATION INSURANCE PLG.CONTE. LIC.NO. PLG. � O (This section need not be completed if the permit is for one TOTAL Y N� V 0 N[] Z hundred dollurs(S 100)or less.) LL I- I certify that h the to employ of the work for which this per OTY MECHANICAL PERMIT FEE FEE SUMMARY U. U mit is issued,1 shall not employ any person in any manner sr is to Q W become subject to the Workers'Compensation Laws of California. C. Dale Applicm't ALTER OR ADD TO MECH. 5.QQ BUILDING >_ to776.0 NOTICE TO APPLICANT' m : If,after aking this Certificate of Ex- ? eruption,you should become subject to the Workers Compensation APPLIANCE 5.00 j7 provisions of the Labor Code, you must forthwith comply with PLAN CHECK FEE Ener V .� U such provisions or this permit shall be deemed revoked AIR HANDLING UNIT(TO 10,000 C.F.M.) 4.00 9Y CONS'I'RUC1DON LENDING AGENCY AIR HANDLING UNIT(OVER 10)000C.F.M.) 6.00 SEISMIC FEE 9.7 I hereby affirm that there is a construction lending agency for EXHAUST HOOD.(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. 3097,Civ.C.L HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM Lender's Name_ e U id0f Lender's certify that IJSQ Gn a'r Utl-"f1'T�- HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 55.5 I acuity than I have read this appllcaholn and state that the above VENTILATION FAN (SINGLE)• 4,00 information is correct. I agree to comply with all city and county PLUMBING 55.5 ordinunces and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby aLrhOriee representatives of this city to enter upon the above ramlioned property for inspection purposes. BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL 55.50 (We) agree to save, indemnity and keep harmless the City of MISC.- REFER TO D. upertino against liabilities,judgments, costs and expenses which nay in any way accrue against said City in ConsequenceCONST.TAX of the PERMIT ISSUANCE 10.00 288.95 ranting Of thisp_ ern H. MECH.CONT, LIG NO. MECH. ,QtLxp lana'__ 6 TOTAL TOTAL Sngnalurc uQ/(ppinc3Tt{6wdruc[or Ua[e � 11318.68 OFFICE COPY I CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE ' CITYYjj 0OF CUPERTINO DATE �� 19� BLDG. PERMIT NO. 120 THE BLDG. LOCATED AT OWNED BY I� HAS BEEN (- OMPLETED FOR USE AS (ALTERED) i BUILDING INSPECTOR I