15477 POST THIS CARD NEAR FRONT OF BUILDING .. .
PENMIT NUMBER
CITY'. OF CUPERTINO 15477
INSPECTION-DIVISION
JOB INSPECTION RECORD
Lots 14. - 145 Lake Spring Court
/ Lots 146= 149 Orchard'•Spririg Court PERMIT EXPIRATION
JOBADDREss_1e �157- 62=Rain-tree Gau-r- _LOT#
PERMIT EXPIRES IF WORK :.
OWNER Gregory.-.Group CON.FACTOR - IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR SP TION RECORD 180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
FOUNDATION . ' OTE: LASTCALLEbINSPECTION.
UFER - ALL A G AND DRAINAGE SHALL BE INSTALLED
LV WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION
PREGUNITE - C RTINO STANDA D$�
GARAGE SLABS lj$'� Bl
POUR NO CONCRETE UNTIL ABOVE HAS BEE SIGN
UNDERGROUND /'SLAB ?
!,
PLUMBING. 4r—
ELECTRICAL,
ELECTRICAL, � ISSUANCE DATE
MECHANICAL Z7QD �.l yl �- Luc [CECT. rLc. MECH.
1 '❑ ❑ I ❑ 11
00 NOT POUR FLOOR'UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR VALUATION SIFT.
PLUMBING -
MECHANICAL.
ELECTRICAL PERMIT TO
FRAMING
INSULATION STORII.S TYPE.DONATO
OCC,GROUP RES UNITS
PLACE NO SUBF.LOOR UNTIL ABOVE HAS BEEN SIGNED _
SO.,IT.FLOOR ARLA TOTALACRFAGE ..
T: \ ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE
DIAPHRAGM ' : THE CONSTRUCTION TAX IS PAID '
_ BUILDING USE
ROOFSHEATHING I - r ' " RES IND CON PB D
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ E ❑
ASSESSORS PARCEL NO
L ' 'ROUGH SAN.#
PLUMBING- _ ELECT.ENERGY -
TUBS 8 SHOWER PAN PLUMBING ENERGY TRACT NoPnacBL No.
.
MECHANICAL - MECH.ENERGY
ACC.DATE ACG FILE NO.
ELECTRICAL BUILDING ENERGY
FRAMING - ELECT.FINAL TEST
ZONING BNc.sire No. :
INSULATION PLUMBING
GAS TEST GAS
FIRE STRIDE ENERGY T 2
MECHANICAL [] v❑ [:] ❑
•« COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING N N
PLOOU ZONE A.L D.C.
EXTERIOR SHEAR . ELECTRICAL RELEASE
'INTERIOR SHEAR- FIRE DEPT. YQ N❑. v ❑ N❑
e. SHEETROCK GRADE . FEE SUMMARY
EXTERIOR LATH BUILDING'
rBD
iNTERIoR LATH - TEMPORARY APPROVALSSCRATCH COAT ELECTRIC CKGASNO TAPE OR PLASTER:UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - EEOCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BYBUILDING INSPECTOR. MARRANGE FOR INSPECTION BY PHONING 252-4505,
H ONEWORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING "
Ir 0. PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z ' ' I - MECHANICAL
SEE PERMIT FOR EXPIRATION DATE -
I : IMPORTANTI coNST TAX
',PLEASE READ REVERSE.SIDE BEFORETOTAL = V ' �T
'CALLING FOR FINAL INSPECTION.
OFFICE COPY
�' -J
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
PERMITNUMBER
BUILDING PROJECT I D NTI FICATION •'
ILOINc -APPLICATION & PERMIT
APPREss 15.4.7 7
� p L-PLUMBING-MECHANICAL
NAMER S, Ly {p ' J PLAN CHECK VALIDATION
QTY. ELECTRIC PERMIT FEE -
vHorvE
CAME TO 5
CONTUd�fF.6,e_ , CO 1�� UTLETS-SWITCHES-RECEP 10.00/1.00
LIC,NO LIGHTING FIXTURES 10.00/1.00 .
r-DrvTRACTOR's.�' p J/4
55 4L6 APPLIANCES-RESIDENTIAL 4.00
A ORE
�SfJ'- PH ry f NELS 10.00 DATE OF APPLICATION
ARCHITECT PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE P.C.N0.
OR
E ER
LIC.No, SIGNS TRANS. 3:00
ARCH OR ENG PERMIT VALIDATION
oR�ss / SPECIALCIRCUIT 5.00
'T zIP .1�'1J EMP.METER OR POLE INS. 20.00
AvLI RECSS s
AMOTORS SEE FEE SCH:
pOss'�.
p1gInPG Rp dWrtA'LJtj SERVICECHANGE 20.00
o o' LICENSED CON'TRACTORS DECLARATION
¢ vI hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE
N "' (commencing with BLDG. ELECT. PLG. MECH.
Section 7000)of Division 3 of the Business and - ,
¢ m
r y z Professions Code,and my license is in lull force and effect. -
z o u,- Lice sZ/� Lic.Numbe - .
Z, w H.� Date(d_�Cie tract / I -
¢ x s
¢ ¢ a
OWNER-BUILDER BUILDING PERMIT
R-BUILDER DECLARATION -
o a - MISC.- REFER TO OR INFORMATION
wu I hereby affirm that 1 am exempt (cora the(.'rimmed of s License VALUATION
,roes Law nor fillowmg reason. 7031.5,Buslnssund Professions PERMIT ISSUANCE '10.00 S/FL
~ moi Code:Any City or county which regmresa permit to construct.alter.
'7//
2 ¢ a Q improve,demolish or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. /_ v V V _
'Es Q requires the applica t forsuch permit to file I signedstatement that - - ' TOTAL PERMIT TO
u w es Ile s licensed pursuant to the provisions of the Contractor's License
La z r Law(Chapter 9(courmen-ing withSection 7000)of Division 3ofIhe •T�*�; [ �
i o Business cold Professions Code)or that bell exempt 0 erefrumand DTV. PLUMBING PERMIT. - .FEE i
¢ H o the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
dam byanyapplicaut forapennit subjects the applicant to a civil penalty ALTER-DRAIN -WATER (EA.) 5.00
of not more than five hundred dollms(S500).):
❑ 1,as owner.of the property,or my employees with wages as BACK FLOW PROTECT:DEVICE 4.00 OCC.GROUP RES.UNITS
Sherr sole conpClnsmimn,will do the work,and the structure is not
Uncoiledor offered for sale (Sec. 7044; Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00
Code:The Contract.,',Gcel...Use does not apply to an.owner of
' ! properly who builds or mlpi'oses thereon,and who dues such work FIXTURES-PER TRAP 5.00 80-FT,FLOOR AREA TOTAL ACREAGE
himself or.through his own employee,,provided that such improve-
cutsare not intended or offered for sale.IL however,the building GAS;EA.SYSTEM-1 INCA OUTLETS 6.00
or improvement is sold within one year of completion, the owner- GAS-EA.SYSTEM-OVER 4(EA.) : 2.00 BUILDING USE
border will have the burden of proving that'lie did not build or int- RES IND CON PB Omer
Prove for purpose Of Sale.). - INDUSTRIALWASTE INTER. 30.00 ❑ ❑ ❑ ❑ ❑
❑ I,as owner of the,property,am exclusively'contracting with
licensed contractors to construct the..projeci(Sec 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. . 6.00 - ASSESSORS PARCEL NO.
. and Professions Code:The Contractor's License Law docs 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 a cuntracto,Is)licensed pursuant to SEWER-SANITARY-STORM EA.200tt/10.00
the Contractors License Law. - TRACT NO. PARCEL NO...
❑ I am exempt Under Sec. ,B.&PC.for this WATER HEATER W/VENT 6.00
reason
Owner Date WATER SYSTEM 6.00
- ACC.GATE ACC.FILE N0,
WO RKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. , ' '5.00
hereby.(firm that I have a Certificateofcon,Cm to,elGlnsure'tor - ZONING ENG.SITE NO.
a certificate of Workers'Compensation Insurance,Or a certified -
copy thereof(Sec,3800,Lah.C.).
Policy No. Company
O' ❑ Certihedcopyisherehyfurni.hed. - FIRE SPRINK • ENERGY T24
z Z ❑ Cery'xN�n y_I, fit witynhi y'ty I pe o MISC.- REFER TO ORD.
0 APplicanito(�SG�it-[Loll=x/_!���`ion. Y ❑ N❑ Y ❑ N❑
X = CERTIFICATE OF EXEMPTION FROM WORK CRS' PERMIT ISSUANCE 10.00 FLOOD ZONE AL.U.C.
W > COMPENSATION INSURANCE PLG:CONTR. LIC.NO, PLG. v❑ N❑ v❑ NE]
0 ('Phis seelion need not be completed if the pcione n it is for o TOTAL
Z) Z hundred dollar,,IS 100)or ICs,) -
U 0 1 certify that in the performmnce of the work for which this per- CITY MECHANICAL PERMIT FEE FEE SUMMARY
IL I- mit is issued,I shall not employ any person in any manner so as to
U become subject to the Workers'Compensation Laws of California.
� a Date ' Applicant ALTER OR ADD TO MECH. 5.00 rELECTRIC
3
} to NOTICE TO APPLICANT: It,after making this Certificate of-Ex-
F-- Z emption,you should become subject to the Workeri Compensation APPLIANCE 5.00
provisions of the Labor Code, you Cost forthwith comply.wish.
U such provisions or this permit Shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 rp
CONST RUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00
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,Cie.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name HEATING UN IT(OVER 100,000 B.T.U.)9.50
Lender's Address
_ 1 certify that I have read this application and site that the above VENTILATION FAN (SINGLE) 4.00
information is correct. I agree to comply with all city and countyPLUMBING
na
ordinces and state laws relating to budding construction, Slid BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00
hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL.
above mentioned property for inspection purposes.
m
(We) agree to Save, indenify and keep hu nnle s the City of misc.- REFER TO ORD.
Cupertino against liabilities,judgment,, Costs and expenses which CONST.TAX
in any way,accrue against sad City in consequence of the PERMIT ISSUANCE 10.00
rani Ihi:permit MECH.LONT. LIC.NIT - - MECH.
r. yTOTAL TOTAL 366 57
lure o pplicant/Contractor Da e
`� OFFICE COPY