14537 (2) - a +
I
POST THIS CARD NEAR FRONT OF BUILDING 'PFRMIT,NUMBER
CITY OF CUPERTINO . 14537
INSPECTION DIVISION
w " JOB INSPECTION RECORD
I- 798.2 'SUNDERLAND DR.
PERMIT EXPIRATION,
JOB ADDR ESS UNIT# '_LOT#
�•• . PERMIT EXPIRES IF WORK '
''OWNER � .MR/'MRS.. ALLAN CONTRACTONVICTORS CONST. e CO. ISNOT STARTED•WITHIN $,
INSPECTION DATE INSPECTOR INSPECTION RECORD- ' 18o DAYS OF PERMIT ISSU
1
FOUNDATION' _ ANCE OR 180 DAYS.FROM
.NOTE:, . - -LASTCALLED INSPECTION.`
:UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITE '- TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT vnu un noN
CUPERTINO STANDARDS.
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - - r"D, '• —•�
. .UNDERGROUND /SLAB'. h
PLUMBING .�n � ' DICEµ.E RATE
MECHANICAL ,s - I
a .:c r. Pu;. MECR
❑ ❑ ❑ :
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMITO
INFORMATION •
WOOD FLOOR VALUATION SIFT.
PLUMBING
MECHANICAL
'ELECTRICAL-., A Au
PERMIT TO
FRAMING
INSULATION V STORIES TVPECONSTR.
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED -• -
'` n•+/1� _ - - 50,1'T.I:LOOH AHLA TOTAL ACRUAGE.
ROOFNOTE:NO FINAL INSP,SHALL BE MADE BEFORE
DIAPHRAGM - THE CONSTRUCTION TAX IS PAID
SI ` `I .. - .. RUI LDING USE
l i
ROOF.SHEATHING - 'trT• >I .', T"RES IND " CON FIR I","
APPIY NO.ROOFING UNTIL ABOVE HAS BEEN SIGNED, FINALS DATE INSP. ❑ ❑ 11 El ❑
ASSESSORS PARCEL NO.
ROUGH SAN.N
PLUMBING r r ELECT.ENERGYIF : '
TUBS&SHOWER PAN i PLUMBING-ENERGY rvncT NO, PARCEL NO
MECHANICAL - MECH.ENERGY
ELECTRICAL BUILDING ENERGY ACC.DATE ACE,FILL No.
y' FRAMING 'ELECT.FINAL TEST' •` +'' I '
ZONING ^ENG.SITE N0.
INSULATION' 0.n' I-Z _ ( PLUMBING
GAS TEST. - GAS '
MECHANICAL. PIKE SPAINK" EN E RG'Y T.24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ NEI V ❑ NO
rt.000 ZONE. A LU,C.
EXTERIOR SHEAR ELECTRICAL RELEASE -
INTERIOR SHEAR FIRE DEPT. El
SHEETROCKGRADE' 'FEE SUMMARY.
EXTERIOR 'LATH BUILDING
9; .
INTERIOR LATH '.` TEMPORARY APPROVALS BUILDING .
SCRATCH COAT - ' ELECTRIC PLAN CHECK"
GAS ' FEE.
NO TAPE OR PLASTER UNTIL'ABOVE HAS BEEN SIGNED OCCUPANCY ', 7 SEISMICFEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALASSIGNED BY BUILDING INSPECTOR. .-
- MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505 'ELECTRIC
Lu ONE WORKING'DAY.BEFORE REQUIRED INSPECTION PLUMBING
O PLEAS JOB ADDRESS'WHEN PHONING. —
y'i z ,i MECHANICAL ,
SEE PERMIT FOR EXPIRATION DATE—
P !:
IMPORTANT•! �:, CONST TAX:
IF
PLEASE READ'REVEpSE SIDE BEFORE a ',
CALLING FOR FINAL INSPECTION. TOTAL^1' S j
r OFFICE COPY
w
APPLICANT TO RLL IN''INFORMATION_WITHIN RED LINES - USE BALL POINT PEN;ONLY, -
j � wr -
•BUILDINGPROJECT ..�IDENTIFICATION � PERMIT NUMBER
�
pW6 sit"
I J 3
LOING APPLICATION & PERMIT q A C^�
• ;� ao..ESS -7 ^
v � (^/{� UILDING -ELECTRICAL-PLUMBING-MECHAN �}ICAL r -k
PLAN CHECK VALIDATION ,
A.EE ' y/• /TI� C/t fI UTY. ELECTRIC PERMIT FEE -
1L I 'I IJ '-,/" lVI/el 'PHONE�:JT79�{.
CONT ACTOflS -
N M 'L' p t ?_ OUTLETS=SWITCHES-R ECEP 10.00/1.00 `;'
� -v rs If '04 uc.No. 33•, a ' LIGHTING FIXTURES 10.00/1.00 A
CONTRACTOR'SAPPLIANCES':RESIDENTIAL' "4.00,:'
6 u tee�J PIIONEZZ� �S, y PANELS 10.00 DAT E O F APPLI CAT ION'
ARCHfiECT p PLAN CHECK FEE - P.C.NO.
GR - PANELS�IOVER 200 AMP. • 20.00
ENGINEER ��" - 300
uc.�No:. '��' �• SIGNS TRANS.:
ARCH,OR ENG. - - - PERMIT VALIDATION '
ADDRESS. SPECIAL CIRCUIT _ 5.00 -
•zlv;'e EMP.METER OR POLE INS.. 20.00 -
ADDRESNT's i ;�i MOTORS SEE FEE SCH.
- SERVICE CHANGE. 20.00 /�///p//
� o o .LICENSED CONTRACTORS DI'CI ARA PION. ISSUANCE
/(J
�+w.' I hereby uffum that I am licensed under provivonsof ChapR.r9 ISSUANCE DATE -
y H (co imeneing svIh Section 7000)of DI Ivan 3 I It,,a Business'nt f: T G. .ELECT. PLG. MECH"
o Professons Co an my i 'nse is m full force and e(fr/.16. D ❑ "� t ❑
z o y Llccnse Cla LI Number,/�//$-L_j/_•1.L
o m F IJele Contra for
O - p�C+ ',BUILDING PERMIT
0 w a OWNER-BUILDER DIiCLARATION - INFORMATION .
aD= ° ' " '1' MISC.- REFER TO ORD
w 0 N I hereby affrm that ason exempt front the Contractor's License VALUATION $/FT.
r u o Q Law for the followingreason.lSec 703 1.5,liuvn ssand Professions PERMIT ISSUANCE -10.00 �-
o Code.Any city r ounly'which re Iuirs t ermll I construct,alter, 1H
QIL ¢p Improve,demolish, r repair any structure.prix tl,Its issuance also ELEC.CONTR. LIC.NO. ELEC' 1 fn _
0 2 requires lire applicant for such permit t file a signed slate 111 en1 that 'a TOTAL,�Ol. PERMIT
wm he Is licensed pursuant to the provisions of the C ..tractor's License r _
F z i
Law(Chapter 9(commencing with Section 700()ol'Division 3 ofihe - I C (J ,�' � /��
< Business and Professions Ccde)'or•that he is exempt therefrom and CITY. PLUMBING PERMIT _ FEE
M r o the basis far the alleged exemption.Any violation of Section 7031.$ - '. STORIES T PE CONSTR.
a ;m by any applicam for a Permit subjects the applicant loacivilpenally ALTER-DRAIN& VENT-WATER (EA.) '5.00
of not more than five hundred dollars(S500).):' -
0 1,as owner of the properly,or nay:employees with wages as BACK FLOW PROTECT.'DEVICE 4.00
their sole compensation,will do the work,tend the structure is not OCG GHDUP RES.UNITS
intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,-ROOF,AR EA,COND. 5.00
Codi::The Contractor's License.Law does not apply't6 mi owner of -
_ property who builds,or improves thereon,and who docs such work FIXTURES-PER TRAP. 5.00 SO.FT.FLOOR AREA .TOTAL ACREAGE
himself or through his own employees,provided that such improve-'
W, " mewrve ooh intended ocorfered I'or sale.Ir,however,the building s' GAS-EA.SYSTEM'-1 INC;4 OUTLETS 6.00 -
or improvement'is sold within one year of completion,the owner-
's builder will have,the burden of proving that he did not build or im- - GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE
proveforpurposcofsaleJ. INDUSTRIAL WASTE INTER. 30.00 _ RES IND CON PB Omer
❑ Las owner of the property,:on exclusively contracting will, ❑ '❑ ❑ ❑ ❑
licensed contractors m construct the project(Sec.7044, Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO.
and Professions Code. file Contractor's License Law does not apply
to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00
contracts far such projects with a contractors)licensed pursimnt to SEWER-SANITARY-STORM EA.20011)10.00 ,
Om Contractor's License Law. _ TRACT NO. PARCEL NO.
❑ Iamexemptlinder Sec. ,BARC.for this
rc..son WATER HEATER W/VENT 6.00
Owner Date WATER SYSTEM 5.00 - ACC.DATE AOC.FILE NO.
WORKERS'COMIENSATION DECLARATION_ WATER TREATING EQUIP.
I hereby affirm that 1 have a certificate ofconsent 10 Wh`-insure.
or.a certificate of Workers'Compensation I sur..nce,or a cer ified ZONING - ENG.SITE NO.
..� co�Y Chery'pf 3 C.y } 4_
Policy Ne4ol,f�afiy- ^xY_✓L�
r - n Certified copy i'1 ehy furni'1 I edi + - FIRE SPRINK ENERGY T-24
Z Z ❑ Certified L y Is Ileal wI I lire ity pectlon dive:o -
O APPlicam_- _( .y _ MISC.- REFER TO ORD. y❑ N❑ Y❑ No
CC rte )' ' , PERMIT ISSUANCE - 10.00
� - CIiR"I'IPICATIi OF IiXI:MPTION PROM WORKERS' FLOOD ZONE A:L.u.c.
LU > COh11'ENSA'I'ION INSURANCE I ' PLG.CONTH. "LIC.NO. PLG, y� N❑ Y❑ N❑
i.
Z ` ('This section need not be,completed if the pemlit is to, one TOTAL'
hundred doliarsfn tale pe forte - -
U _O I certify t,I sir the ie employ
the work fnr which this per- CITY. - MECHANICAL PERMIT FEE, FEE SUMMARY
0 F- mit is issued,1 sha11`naI employ mG,,mrsnn in:my Iof Cali or is to - -
' U became subject to the Workers'Compensation Laws oLCalifornia.' 7
U y DateApplicant - ALTER OR ADD TO MECH. 5.00 BUILDING
'} rte NOTICI] APPLICANT: IL ufler making this Certilicale oL I?x-
F_ 2 eruption,you Should'become subject to the Workers'Con,pensmiov " APPLIANCE 5.00 PLAN CHECK
provisions of Lite Labor C0dC,.yOU must forthwith Bi comply with FEE
U such Provisions or this permit shall he dcmncd revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00
CONSTRUCTION LENDING AG17NCY I' AIR HANDLING UNIT(OVER 10MC.F.W 6.00 SEISMIC FEE 3Z3
- 'I hereby affirm that there is a construction lending agency for - EXHAUST HOOD(WITH DUCT) 5.00
the perRirmance of the work for which this permit is issued(Sec. MICROFILM !
3097,Civ.CJ. HEATING UNIT(TO 100,000 B.T.U.) '8.00
Lender's Name - HEATING UNIT(OVER 100,000 B.T.U.)9.50
x
Lender's Address - e ELECTRIC ✓
I certifyinformation
thatcorrect.
agrees application and stateaf.c that the above VENTILATION FAN (SINGLE) 4.00 -
information is correct I agree to comply with ulconst and county PLUMBING .
ordinances,and slate laws relating to building construction, and BOILER-COMP(3 H.P.Or 100,0008.T.U.) 6.00
�. hereby authoriLe representatives of this city It, enter upon lire BOILER-COMP (Over 100,000BTUISEEFEESCH. -MECHANICAL
above-mentioned property for inspection purposes.
(WePagree to save, indemnify and keep hsnnfess the City of MISC.- REFER TO'ORD.
' -Cupertino against liabilities,judgments, cos and expenses which CONST.TAX
oury'Tgena any way ace
Frei uguiud�xaidr:Cjeat, consequ ce oL he PERMIT ISSUANCE s,• 10.00matin of s Pe - MECH,CONT. LIC:N0. MECH.
2 S TorALTOTAL'Signature of Applicant/Contraclate -
'. OFFICE COPY ' '