15117 (2) THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER
CITY 01 CUPERTIN_ 0 15117
INSPECTION DIVISION
IIpJ�OJlBCINSPECTION RECORD /�{
)OB ADDRESS II � """"'J� � �� UNIT# _LOT# "/ PERMIT E�� XPIyyRATION
/pT PERMIT E1rAWii6� IF WORK"
OWNER' GY o . 6 CONTRAOIOR -6re 6 IS NOT STARTED WITHIN
INSPEICTION DATE' I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION NOTE: _ ANCE OR 180 DAYS FROM
' UFER � "ALL GRADING AND DRAINAGE,SHALL BE INSTALLED LASTCALLED.INSPECTION.
PR EGUNITE TO COMPLY WITH THE APPROVE NO CITY OF PERMIr VAuuATION
CUPERTINO STANDARDS.
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED AUG 9.'"�98✓� j"' ! f•t-1 C I
UNDERGROUND /SLAB f
PLUMBING. e
City of CaVn ."'i.�
ELECTRICAL •7 eISSUANCE DATE
MECHANICAL BLoc ELECT
PLO. mecH.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Ok excPFri— BUILDING PERMIT
INFORMATION
WOOD FLOOR VALUATION siFT.
PLUMBINGg'� /hpSieP 1 C� OK
MECHANICAL ,138N6
ELECTRICAL 11
PERmiT ra
FRAMING ��� )' •--� `-� spu
STOHIES TYPE CONSTR.
INSULATION -
2 5NHR
DCC GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED R-3 I
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE sa Pr FLooR AREA TOTAL ACR Enoe
,ti, T
DIAPHRAGM THE CONSTRUCTION TAX IS PAID ZI-161
J, BUILDING USE
ROOF SHEATHING RES ' IND CON PB ow..
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ® ASSESSORS El 1:1ROUGH SAN.N , 4
PLUMBING ELECT.ENERGY
TUBS 8 SHOWER PAN PLUMBING ENERGY TRAC]NO PARCEL NO
" MECHANICAL MECH.'ENERGY
ELECTRICAL .058 BUILDING ENERGY, ACC DATE ACC.FILE NO
FRAMING - ELECT.FINAL TEST
ZONING ENG SITE NO.
INSULATION '• PLUMBING
GAS TEST - - GAS
FIRE SPRINK ENERGY T"20
MECHANICAL Y ❑ N Y ❑ No
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
'
EXTERIOR SHEAR ELECTRICAL RELEASE . FLOOD ZONE A U.6.
FIRE DEPT.
INTERIOR SHEAR -
E] N❑ Y ❑ N❑
' SHEETROCK - GRADE FEE SUMMARY
EXTERIOR LATH BUILDING
INTERIOR LATH ___G— (., TEMPORARY APPROVALS 'BUILDING 776400
SCRATCH COAT — ELECTRIC, - PLAN CHECK 15.50
GAS FE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE 01711
OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC 55.50
F � ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 55,50
{c. o PLEASE GIVE JOB ADDRESS WHEN PHONING.
.f, — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL 55.50
IMPORTANT! CONST.TAX 28A mr,
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION. 318.68
OFFICE COPY
APPLICANT TO F�LL 11WINFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
'
BUILDING PROJECT IDENTIFICATION PERMIT NUMBER_
BUILDING APPLICATION & PERMIT 1 C �, ']
ADR oft 29?1 Plant 2B I J 1
� ��/3 Wes shore COUr BUILDING -ELECTRICAL-PLUMBING-MECHANICAL
rbsME 6 PLAN CHECK VALIDATION
Gregory Group, Inc. & CITy• ELECTRIC PERMIT FEE
Ahmanson Dev. PHDN415-595- 1
CONTRACTOR'S
NAM OUTLETS-SWITCHES-RECEP 10,00/1.00
Gregory Group, IncLiG.No B-430097 LIGHTING FIXTURES 10.00/1.00 9.4
ACONTRACTORS 22(� (� IWin Dolphin Dr. APPLIANCES-RESIDENTIAL 4.00
ADDRESS RW/ pAklG r; PA45-595-210 PANELS 10.00 DATE OF APPLICATION
ARCHITECT ll�i JJ 44 VV VV JJ GINEE PLAN CHECK FEE P.C.NO.
0NAram Bassenian, AIA & PANELS (OVER 200 AMP) 20.00
r1$SOCiates LIC.NO. C-8395 ISIGNS TRANS. 3.00
ARCH,OR ENG. - PERMIT VALIDATION
ADDRE Orchard r. SPECIAL CIRCUIT 5.00
ants Ana Hts. CA. ZIP92707Lr�(
EMP.METER OR POLE INS. 20.00
ANrs MOTORS SEE FEE SCH.
ADDDRESDRESS 2P0-C Twin Dolphin Dr. RWC
SERVICE CHANGE �1� I S�
0 0 o LICENSED CON'TRACT'ORS DECLARATION [J
a v W I hereby affirm that I aro licensed under provisions of Chapter 9 ISSUANCE DATE
r (commencing with Section 7000)of Division 3 of the Business and A 11 BLDG. ELECT. PLG. MECH.
H i Professions Code,u d my license is in full forco and effect.
z 0 m - License ClaS Lic.Number s
C m t w Dale__ Contructor 0097 /1,�QI,Cups Ino X
a y 411 1 Y 1•`r BUILDING PERMIT
¢ a OWNER-BUIL DF:R DIiCLA ION
Beo T U INFORMATION
wg w I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD VALUATION
F u o 4 Law for the following reason,(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10.00 $jFT.
� y� Code:Any ci[yorcounty which requiresa permit to construct, 138 306
Be Be a 2O improve,demolish,or repair tiny structure,prior In its issuance,also ELEC.CONTR, LIC.NO, FLEC.
te O IS requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO
w$w he is licensed pursuant to the provisions to the Contractor's License
r z a Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe SFDU
1 i 0 Business and Prot'cssiom Code)or that he is exempt therefrom and OTY, PLUMBING PERMIT FEE
¢ r$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
a. by any applicant for a permit subjects the applicant boa civil penalty ALTER-DRAIN& VENT-WATER (EA.) 5.00 2 SNHR
of not Ih ere than five Bundled dollars($5001.):
❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECTDEVICE 400 Oce.�jRO,$1P RES.UNITS
their sole compensation,will do the work,and the structure is not . . 3 1
intended or offered for sale (Sec, 7044, Business and ProfessionsDRAINS-FLOOR,'ROOF,AR EA,COND. 5.00
Code:The Contractor's License Law does not apply to an owner of
properly who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SD.FTr G$Q9rLAR EA TOTAL ACREAGE
himself or through his own employees, 11,ho that such impmve- YY�'�+
or improvement
intended within
ronfce,i for yearSale.l 11,however,the the o neo- GAS-EA.SVSTEM-11NC.40UTLETS 8.00
or improvement is e b 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 se.). RES IND CON PS Other
th
❑ I,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTEfl. 30.00 rYI ❑ ❑ ❑ ❑
licensed comracWrs to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 L7. ASSESSORS PARCEL NO.
and Professions Code:The 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 for such projects with it conlraetods)licensedpursuant to SEWER-SANITARY-STORM EA.200ftI10.00
the Contractors License Law. TRACT NO. PARCEL NO.
❑ lam exempt under Sec,..BAP.C.for this
reason WATER HEATER W/VENT 6.00
Owner Date WATER SYSTEM 5.00
ACC.DATE ACC FILE N0.
WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
1 herebyaffirm [hat I have a certificate of consent to self-insure,
or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO.
copy lhereor(See.3800Lab.C�nited Pacific
Policy No. Cmnpany
O 4 Cerlitled copy is hereby futnishe . FIRE SPRINK ENERGY T 24
Z Z JII Certified ry ed to city inspection division. MISC.- REFER TO ORD. ❑ ❑ ❑ ❑
F O Applicant � C � V N V N
cc L) CERT _ATT OF l7%EMP1'ION PROM WORKCRS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C.
W > COMPENSATION INSURANCE PLG.CONTR, Sec.NO. PLG.
LL O (This Section need not be completed if the permit is for one TOTAL Y❑ N❑ I Y❑ N❑
Z handed dollars l$100)or less.)
O.O I certify that in the performance of the work for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY
LL 1- mit is issued,I shall not employ any person in any manner sn as to
O U become subject to the Workers Compensation Laws of California. 776.00
Date-Applicant - BUILDING
a pplicant ALTER OR ADD TO MECH. . 5.00
} W NOTICE TO APPLICANT', it,after looking this Certificate of Ex-
?
comical,you should become subject to the workers Compensation APPLIANCE 5.00 - PLAN CHECK 15.50
pra tons of the Labor Code, you must forthwith crnlply with FEEEner
U such provisions or this permit shall be deemed revoked. AIR.HANDLING UNIT(TO 10MC.F.M.) 4.00 62.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER IQOOOC.EM.) 6.00 SEISMIC FEE 3
1 hereby affirm that there is a construction lending agency lot EXHAUST HOOD(WITH DUCT) 5.00
the performance of the work for which this permit is issued(Sec. MICROFILM
3097,Civ.C.). Securi acific HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name
Lender's Address _mn6a.r_"dgl'_'0Qrr - HEATI NG UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 55.50
l I certify that I have read this apphcat ion:edUll-1 ,I flw SCd VENTILATION FAN (SINGLE) 4.00
infoonatian is correct.I agree to comply with all city and county PLUMBING 55.50
ordinances and state laws relating to building Construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00
r \ hereby authorize representatives of this city to enter upon the BOILER-COMPO0 E( ver 100,00BTUI SEFEE SCH. MECHANICAL
�.a above-mentioned property for inspection purposes. 55.50
'D (We) agree to save, indemnify and keep barmlCss the City or MISC.- REFER TO ORD.
�1 Cupertino against liabilities,judgments, costs and expenses which CONST.TAX 2
may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10,00
ranting of this n 't MECH.CONT. LIC.NO. MECH.
TOTAL TOTAL
Signal c or plicae Dr Date 1 ,318.68
OFFICE COPY
• air conditioning
11
16250 Railroad Avenue
P.O. Box 1480 Morgan Hill (408) 779-6371
Morgan Hill, CA 95037 San Jose (408) 265-2447
March 10, 1989
Building Department
City of Cupertino
10300 Torre Ave.
Cupertino, Ca. 95014
To the Building Inspector;
• ASCO Air Conditioning, contractor's license C-20,279031,
has completed mechanical installation of heating system,
venting of Fans, flues, kitchen hood and 26 gauge penetrations
in garage firewall for lot 291, 11733 Westshore Court, Plan 2B.
All work performed and completed is per Uniform Mechanical Code
and is identical to production work for- Plan 2.
ASCO begins a one year warranty to homeowner from date of
P.G. & E startup.
Thyou, / /
GARY V. CALVERT.
President,
ASCO Air Conditioning, Inc.
GVC/ci
,A- . .
O DELTA MECHANICAL CONTRACTORS
P.O. Box 595 • Ripon, California 95366 • (209) 239-6292
• - - ate, �-... �-�- 1 � ,�'�-
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