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14490 POST THIS CARD NEAR FRONT OF BUILDING • PFAMIT NUN16ER CITY OF CUPERTINOq INSPECTION DIVISION 1449 - I( JOB INSPECTION RECORD ( - •. .. .. -PERMIT EXPIRATION JOBADDRESS 19626 La Mar Drive UNIT,* _LOT# ' PERMIT EXPIRES IF WORK OWNER Joseph/Alice Chiang - CONTRACTORLOvelace Construction IS NOT STARTED WITHIN ° INSPECTION DATE INSPECTOR INSPECTION.RECORD - 180 DAYS OF PERMIT ISSU. i FOUNDATION ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION.' LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED.PLANS AND CIN"OF. PERMIT VALIDATION CUP ERTINO STANDARDS. GARAGE SLABS • ' ,N POUR NO CONCRETE UNTIL ABOVE.HAS BEEN SIGNED ; A .`�� ;•"_{ ^" -• •.ti . UNDERGROUND /SLAB p. PLUMBING _ .190 J'` ELECTRICAL s" ISSUANCE DATE' MECHANICAL - eLoayyI ELECT I PLGNIECH, El 0 DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED p/ BUILDING PERMIT - INFORMATION WOOD FLOOR VALUATION SIFT'. _ PLUMBING - - • J MECHANICAL - ELECTRICAL, PERMIT TO FRAMING INSULATION sTOHIes "PE comsTR. OCC GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED " • ASO.V'i.FLOOR ANEn TOTAL AC iEAGE ROOF. NOTEaNO FINAL'INS°.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID - �. BUILDING USE ROOF SHEATHING RES IND - CON PB o APPLY"NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP, El El [3 El ❑ ,• ASSESSOHSPARCELNO, ' ROUGH SANT# - PLUMBING - ELECT.ENERGY • ' t TUBS IS iHAC1 SHOWER PAN ` � . PLUMBING ENERGY N0, PARCEL NO MECHANICAL - 2-• - MECH.ENERGY ELECTRICAL BUILDING ENERGY ACC,DATE . Acc.DILE NO _ FRAMING _ ELECT.FINAL TEST •zoNlNc ENG.SITE No. ' INSULATION -� �S— PLUMBING - . GAS TEST GAS -FIRE SMILE,, ENERGY T-24 MECHANICAL . ` COVER NO WORK UNTIL ABOVE HAS BEEN,SIGNED HEATING N� EXTERIOR SHEAR ELECTRICAL RELEASE .z ILDOL,INE0 ALU.CI- INTERIOR SHEAR IFIRE DEPT. vEl v LL. N� SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH - TEMPORARY. APPROVALS BUILDING SCIFATCH COAT ELECTRIC - PLAN CHECK r - - GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - .SEISMIC FEE OCCUPANCY OF,BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNEDBY BUILDING INSPECTOR- MICROFILM - ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC W� ,1 o� . ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING GIVE JOB ADDRESS WHEN PHONING. Z —SEE PERMIT FOR EXPIRATION DATE — MECHANICAL CONST.TAX IMPORTANT! . .PLEASE READ REVERSE:SIDE BEFORE TOTAL ( !' .CALLING FOR FINAL INSPECTION. ' OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY ,PERMIT NUMBER c" BIII LDING PROJECT"I DENTI FICATION BUILDING APPLICATION & PERMIT ' y ADDRESS i�szg �,� 1n �,� 14 4, 0- BUILDING -ELECTRICAL-PLUMBING-MECHANICAL OwNER'S PLAN CHECK VALIDATION _7' NAME f05fIOg /¢U GE' OTY. - .ELECTRIC PERMIT . FEE �/. 14/V PHONE CONTRACTOR'S NAME/vvOUTLETS-SWITCHES-RECEP 10.00/1.00 Q= , E L19t£ Cy GN,}r� uc.No z6�3 LIGHTING FIXTURES 10.00/1.00 _. CONTRACTOR', L�q APPLIANCES-RESIDENTIAL 4.00' - ADDRESS 3050 V19&F67- 5;4A47tC4WAPHONE /_5-l/ PANELS 10.00 DATE OF APPLICATION - ARCHITECT PLAN CHECK FEE P.C.NO. OR PANELS (OVER 200 AMP) 20.00 ENG W EER LIC.NO. SIGNS TRANS. 3.00 - AARCH OR DDRESS ENG SPECIAL CIRCUIT 5,00 PERMIT VALIDATION , ZIP TEMP.METER OR POLE INS. 20.00 APPULANT;S MOTORS SEE FEE SCH. ADDRESS SERVICE CHANGE 20.00 0 (OJ o z / O FOO LIC NSIiU CONTRACTORS DIiCLARA'I'ION ' (LA F i w I hereby of no that I am licensed under provisions of Chapter 9 0 `7�ISSUANCE GATE.' , (commencing 'ith Section 7000)of Division 3 of the Business and BLDG. EL CT. PLG. MECH. F Professions C e921 my license is in full force and effect. z O m License Class Lic.Bomber_f!Q.(.gQ.'3_ ❑ F w 1) Contracmr �1 Y s r,%M BUILDING PERMIT ¢o i OWNER-BUILDF-R DECLARATION INFORMATION •--ww 1 hereb affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD _ 3 u VALUATION $/FT. FLLoa Law for tfic following reason.(Sec.7031.5,Husinessand Professions PERMIT ISSUANCE 10.00 Code:Any city or county which rnquiresa permit loconstruch alter, / `Q Q Q Q- ImprovQ demolish,Or repair any Structure.prior t0 its Issuance.also ELEC.CONTR. LIC.NO. ELEG ��f n - 0 ¢ req uires the applicant for such permit to file a signed statement that TOTAL Q PERMIT TO K m he is licensed pursuant to the provisions of the Contractors License _ HiQ Law(Chapter 9(commencing with Section 7000)of0ivision 3 ofthe Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE ¢ Fp the basis for the alleged exemption.Any violation ofSection 7031.$ STORIES .TYPE CONSTR. d ; r' by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(SSOO)J: - ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 Ihait sole compensation,will do the work,and the structure is not OCC.GROUP REB.UNITS intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00 Code:The Contractor's License Law docs not apply to an owner of properly who builds or improves 11creon,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- ., ..tents are not intended or offered lot sale.If.however,the building GAS-EA.SYSTEM-1 INC.4OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) - 2.00 BUILDING USE builder will have the burden of proving that he did not build or im- proveforpurposeofseleJ. INDUSTRIALWASTE INTER.'' 30.00 - RES IND CON PB Orae, ❑ 1,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 Prorexsions Code:The Contractor's Limue Law docs not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OV ER 5(EA.) 1,00 ' contracts for such projects with a contractors)licensed pursuant to the Contract.,',License Law. ' - SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ I am exempt under See. .B.&RC.for this WATER HEATER W/VENT 6.00 reason Owner Date• WATER SYSTEM - 5.00 ACC.OATE ACC.FILE NO. WORK SRS'COM PENSA riON DIiCLA RATION WATER TREATING EQUIP. 5.00 - 1 hereby affirm that I have a certificate of consent to self-insure. ZONING ENG.SITE NO. or a ectliticate of Workers Compensation Insurance,or u certified copy there 4-3sCom pangoo,Lab.G.)AME/ e41t! Policy ere je�tertifwd copy is hereby furnished. FIRE SPRINK ENERGY T24 z Z ❑ Gert ificd y li cd with tl(e ty,jnytytion division. MISC.- - - REFER TO ORD. ❑ ❑ ❑ ❑ I n /l y /ILC' rrT-{ Applicant-��Y� CL - v N v N to Cb RI')FICA'I'E OF EXEMPTION PROM WORKERS' PERMIT ISSUANCE 10.00 � FLOODZONE A.L.U.C. W >_ COMPENSAT10N'INSURANCF. - PLG.CONTR. LIC.NO. PLG. CL O (This section need not be completed if the permit is for one - TOTAL v❑ N❑ v❑ N❑ ::) Z hund,ed dollars(S I OO)o,Ivxx) 'U O I zflny that.in the performance of the work I'.r which this per- QTY MECHANICAL PERMIT FEE FEE SUMMARY LL F mit is issued,1 shall not employ any person in any..tanner so as to U become subject to the Workers Compensation Laws of California. CL Date Applicant ALTER OR ADD TO MECH. 5.00 �( BUILDING } to NOTICE 'f0"APIC CAN1.. If,after making this Certificate of Ex- Z emmnsm,you should become subject to the Workers Compensation APPLIANCE 5.00 1 t. PLAN CHECK provisions of the Labor Code, you must forthwith Comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO,10=C.F.MJ 4.00 - CONSTRUCTION'LENDINGAGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE x<d I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the wock for which this permit is issued(Sec. - MICROFILM. 3097,Civ,CJ HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lenders Name HEATING UNIT(OV ER 100,000 B.T.U.)9.50 Lenders Addre,. ELECTRIC pLQ I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county PLUMBING ' ,�. ordinances and state laws relating to building construction, and BOILER r COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby iuthonte representatives of this city In enter upon the - BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL -/S above-mentioned property for inspection purposes. (We) agree to me, indemnify and keep harmless the City of MISC.- REFER TO ORD. uperhno against liabilities,judgments, casts and expenses which PERMIT ISSUANCE 10.00 p CONST.TAX may in any way accrue against said City in consequence of the r ti fthis pennite MECH.CONT. LIC.NO. MECH,. 7/ 7_- -/ TOTAL /S TOTAL A �✓ tgnature.1 VpWrinntticontrac� ro,rot Date!/ OFFICE COPY -