15435 (2) POST THIS CARD NEAR FRONT, OF BUILDING PERMIT NUMBER
CITY OF CUPERTINO 15435
INSPECTION DIVISION
.' JOB INSPECTION RECORD
PERMIT EXPIRATION
JOB ADDRESS 740 Stendahl - UNIT# _LOT#
• - PERMIT EXPIRES IF WORK
OWNER Eyster CONTRACTOR • IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU.
FOUNDATION ANCE OR 100 DAYS FROM
NOTE: ' LAST•CALLEDANSPECTION.
LIFER, - ALL GRADING AND DRAINAGE SHALL BE INSTALLED V
PREGUNITE'. TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALICIATION
CUPERTINO STANDARDS. -
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED-
UNDERGROUND /,SLAB
IGNEDUNDERGROUND /SLAB l' r
PLUMBING ' - - ` -•'.�a- .^
ELECTRICALINl 1 E' i_
�"�,i• ISSUAN CF.DATE
MECHANICAL RLDr. -ELECT. rLc. MECH.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT w
WOOD FLOOR INFORMATION
PLUMBING VALUATION SIFT.
- MECHANICAL'
ELECTRICAL - PERMIT TO
FRAMING - •� �. _
. INSULATION . .�
STORIES TYPE CONSTR.`
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED '
SO,lT FILTER ARIA TOTAL ACREAGE
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE
DIAPHRAGM' THE CONSTRUCTION TAX IS PAID
BUILDING USE
ROOF.SHEATHING - - RES IND CON PR 00—
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS - DATE INSP. ❑ ❑ ❑ ❑ ❑
ROUGH SAN.N ASSESSORS PARCEL NO
PLUMBING' ELECT.ENERGY
TUBS&SHOWER PAN PLUMBING ENERGY, ' TRACT NO PARCEL NO
MECHANICAL MECR.ENERGY '
ELECTRICAL .(/i BUILDING ENERGY ACC DATE ACC.FILE NO
FRAMING " ELECV FI NAL'TEST iy •
INSULATION ZONING - , ENG.SITE NO,
— mc PLUMBING
GAS TEST GAS -
FIRESPRINK ENERGY T 24
' MECHANICAL
• COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑. N Y ❑ No
EXTERIOR SHEAR ELECTRICAL RELEASE FLOOUZONL A UC
INTERIOR SHEAR FIRE DEPT. Y ❑ N❑ I NQ
SHEETROCK _ _ GRADE - FEE SUMMARY
EXTERIOR'LATH BUILDING .Q
INTERIOR LATH - TEMPORARY APPROVALS 9UILOING
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE J
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC �(
ONE WORKING DAY BEFORE REQUIRED INSPECTION: . PLUMBING
0 PLEASE GIVE JOB ADDRESS WHEN PHONING.
z
— SEE PERMIT FOR EXPIRATION DATE — MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
4 OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY _
PER NUMBER
BULLDI NG PROJECT 1 DENTI FICATI ON , -
RUILDINc
ADDRESS�40 APPLICATION & PERMIT ' 1 �n ��
BUILDING-ELECTRICAL-PLUMBING-MECHANICAL " I T
OWNERS J at, vI / PLAN CHECK VALIDATION
NAME /_ � TY. ELECTRIC PERMIT FEE
lti(N E ✓ RDNE 2SS-�Zo
CONTRACTORS
NA
S/ 41 UTLETS-SWITCHES-RECEP 10.00/1.00
% C01
5L5%/" p0
LIGHTING FIXTURES 10.00/1.00
CONTRACTORS I APPLIANCES-RESIDENTIAL 4,00 '
ADDv ss/ p D�x7 _ h
26 -CI/N/ry� PHONE.I?A _/ PANELS 10.00 DATE OF APPLICATION
ARCHITECT PLAN CHECK FEE P.C.NO.
OR - PANELS (OVER 200 AMP) 20.00
ENGINEER
uc.No ISIGNS TRANS. 3.00
ARCH,OR ADDRESS ENG. - SPECIAL CIRCUIT 5.00 -PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20.00 T
ARMOTORS SEE FEE SCH.
ADDRESS
SERVICE CHANGE 20.00
wo O LICENSED CONTRACTORS DECLARATION I•It1h,. 1 1 3/a //DV
¢U w I hereby affum that 1 am licensed under provisions of Chapter 9 (a�snSrl{ISSUANCE DATED GG .
v, a `w (commencing with Section 7000)of Division 3 of the Business and -'
F J Professions CodVnd my license is in full fL�DGy ELECT. I PLG. MECH.
z o `� - Licensy'Class_�1 Lic.Number�J�r77��YJl�$Gl '� x♦�-
O z -D DateContractor f yE( ®•
Q ¢ erOWNER-BUILDER DECLARAI71011 BUILDING PERMIT
w3 A y 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD INFORMATION
w O j Law for lhtl following reason.(Seo.7031.5,Bulinus tout I?rofeasions .0 VALUATION $/FT.
- PERMIT ISSUANCE - 10.00
Code:Any city or county which reyuiresa permit to construct,alter, ,.,n/ ,v1
ac rt ¢�' improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIG N0. ELEC. r q Ar1(p ^ `O
O ¢ requires the applicant for such peon it to file a signed statement that TOTAL OCLJ
e w m LL he is licensed pursuant m the provisions of the Contractor's License PERMIT TO
r i
Law(Chapter 9(commencing with Section 7000)of Division 3 of the
i o Business and Professions Code)or that he is exempt therefrom and
¢ r o the basis for the alleged exemption.Any violation of Section 7031.5 DTV. PLUMBING PERMIT FEE STORIES TYPE CONSTR.
n ; 4 by any applicant fora hundred
dollars the applicant[Da Civil penalty ALTER-DRAIN -WATER (EA.) 5.00
of not more than five hundred dollars(5500).):
❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 - OCC.GROUP 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 does not apply to an owner of _
property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 56 FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve-
mentsare not
intended orOffered far sale.If,however,the building GAS•EA.SYSTEM-11NC.40UTLETS 6.00
or improvement is sold within one year of completion, - . -OVER 4 IEA. .00 the owner- GAS EASYSTEM ) 2
builder will have the burden of proving that he Aid oat huild or an- BUILDING USE
for RES IND CON PB Other
prove 1,aso owner
the.l. INDUSTRIAL WASTE INTER. 30.00 0 0 ❑ 0 0
❑ I,as owner of the property,am exclusively contracting with
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 Low does not apply ,
to an owner of property who builds or improves thereon,unit who LAWN SPRINKLERS-OVER 5(EA.) 1.00 -
contracts Ibr such projects with a cont.......(,)liconwd pursuant to SEWER-SANITAR V-STORM EA.200ft/10.00
the Contractor's License Law. TRACT NO. PARCEL NO.
❑ [.me
under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00
reason
Owner Date WATER SYSTEM 5.00 ACC.DATE ACO.FILE NO.
'WORKERS'COMPENSAIION DECLARATION WATER TREATING EQUIP. 5.00
1 hereby affirm that I have a certificate of consent to self-insure
or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO.
copy thereof(Sce.3800,Lab.C.) -
''� Policy No. Company-� 54n1efit
Q ❑ CeM1ificJ py rs hereby famished. FIRE SPO INK ENERGY T-24
Z Z ❑ Cetlil'ic cpfpy (ilyd ith t w city inspection diviamu .
Applicant L/ MISC.- REFER TO ORD. v� N� v � N�
CCN CERTIFICA'FF 017 EX1ldrrIO PROMPROM WORKERS' PERMIT ISSUANCE 10.00 Q FLOOOZONE A.L.U.C.
LU COMPENSATION INSURANCE PLG.CONTR, LIC.NO. PLG,
a. Z ([his section need not he completed if the pennil is for one TOTAL �N✓ V F] NE] V NEI
hundred dollars IS 1001 or Iess.) -
U O I certify that in the performance of the work for which this per OTY. MECHANICAL PERMIT FEE FEE SUMMARY
` 1 0.W become subj17- mit is lect toathe Workers'Compll not employ any ensatioerson n Laws of California.unner so as to
O_ Date Applicant BUILDING
} GO NOTICE TO APPLICANT: If,after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00
H Z emplion,'you should become subject to the Workers'Compenealion APPLIANCE 5.00 PLAN CHECK
provisions of the Labor Code, you must forthwith comply with FEE
U such provisions or this permit shall he deemed revoked. AIR HANDLING UNIT(TO,10=C.F.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10,000QF.M.) 6.00 SEISMIC FEE S'zf
I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 S
the performance of the work for which this permit is issued(Sec. MICROFILM
3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 p
Lender's Address ELECTRIC
1 certify that I have read this application and state that tm above VENTILATION FAN (SINGLE) 4.00
infonnulion is correct. I agree to coo with all cit PLUMBING
ti comply city on BOILER-COMPI3H.P.or100,000B.T.U.) 6.00
ordinances and stale laws relating to building construction. and
I hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL
above-mentioned property(or inspection liar@haus. � � -Y�✓
(We) agree to wve, indemnify and keep harmless the City of MISC.- REFER TO ORD.
Cupertino gainst liabilities,judgments, costs and expenses which CONST.TAX
ay in y way accrue against said City in consequence of the PERMIT,ISSUANCE 10.00 d
rand it. �• MECH.CONT. LIC.NO. MECH. /
TOTAL xf'� TOTAL (O�
,Ram reof Applicant/Contractor - Date '
OFFICE COPY