Loading...
13034 POST THIS CARD NEAR FRONT-OF BUILDING PERMIT NUMBER CITY OF 'CUPERTINO 13034 INSPECTION DIVISION JOB INSPECTION RECORD r PERMIT EXPIRATION 11075 LA PALOMA DRIVE JOB ADDRESS UNIT# LOT# .PERMIT EXPIRES IF WORK OWNER RICHARD KOLLERER CONTRACTOR.' SELF IS NOT STARTED WITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM LIFER LAST CALLEDINSPECTION. PREGUNITE ' - PERMIT VALIDATION. . POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB ' PLUMBING ELECTRICAL F I L V ry^p� ISSUANCE DATE " MECHANICAL ��� �� i ._IIii BL ELECT- vLc. TEE it EE DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ATE—Z2La4Zf BUILDING PERMIT INFORMATION. WOOD FLOOR ' VALUATION s/FT" PLUMBING. 9—If� MECHANICAL -~� ELECTRICAL PERMIT ro 3,iy-�8 Cry *-bpI 1•i oi� FRAMING OK STORIES TVPF.CONSTR. INSULATION ' , N - -7� OCC.GROUP RES.UNITS n•46 PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED _1 - ROOF - SO.FT. AREA TOTAL ACREAGE DIAPHRAGM r, / BUILDING USE RES IND CON RB 00", APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED - © E El 11 I] ROUGH ASSESSORS PARCEL NO. � - . . PLUMBING, leg-3-22 ,(26 - GAS TEST - iRACiNO. PARCEL NO. MECHANICAL •r_ 7 ACC.DATE ACC.FILE NO. ' ELECTRICAL „3_ FINALS DATE INSP. FRAMING /a.. SAN # ZONING ENC:SITE No. INSULATION �Z..� _ PLUMBING �— GAS — - _ RE SPRIN K' ENERGY TL< Awgw " MECHANICAL N❑ v [] NE] COVE14 NO WORK UNTIL ABOVE HAS BEEN SIGNED j HEATING OOU LONE A.L.UL. LATH—INTERIOR - - . ELECTRICAL" LATH—EXTERIOR D"$ FIRE DEPT. " ❑ NQ v0] N❑ SHEETROCK . GRADE - FEE SUMMARY SHEAR INTERIOR . 3J_ BUILDING SHEAR EXTERIOR TEMPORARY APPROV BUILDING FIREWALLS- ELECTRIC rl PLAN CHECK GAS. FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE _ •,•; } OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM' ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC V � ' i� F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z PLEASE. GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORETOTAL CALLING FOR FINAL INSPECTION. . a OFFICE COPY - APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY- BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT �O�4 A ADDRESSY a1v BUILDING - ELECTRICAL-PLUMBING-MECHANICAL Ow ER I PLAN CHECK VALIDATION 0� NAME ! rat nTy ki(1 V. ELECTRIC PERMIT FEE PHONE ZS 1 y// CONTRACTOR s UTLETS-SWITCHES-RECEP 10.00/1.00 a- 8-ANAME ' uc.No. LIGHTING FIXTURES 10.00/1.00 r-Vv CONTRACTORS APPLIANC ES-RESI DENTIAL ' 4.00 ADDRESS PHONE - PANELS - 10.00 DATE OF APPLICATION ARCHITECT � _IIO 83-1- �� PANELS (OVER 200 AMPI 20.00 PLAN CHECK FEE P.C.NO. OR /Dry INE uc.No. SIGNS TRANS. 3.00 \ ARC"OR 5 G. PERMIT VALIDATION ADDRESS SPECIALCIRCUIT .00 ZIP EMP:METER OR POLE INS. 20.00 APPLICANT$ MOTOflS SEE FEE SCH. A DRESS - ���5 Q/OwIQ' C SERVICE CHANGE 20.00 0 0 DG Foo LICENSED CONTRACTORS DECLARATION 0 7 ¢u I hereby affirm [hat I am licensed under provisions of Chapter 9 ISSUAANC DATE- H a w (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. I MECH. F D z Professions Code,and my license is in full force and effect. rbl Z o m - License Class Lic.Number l``!\ o z - Dale Contractor a y E - BUILDING PERMIT ¢ ¢ w < OWNER-BUILDER DECLARATION INFORMATION F - MISC.- REFER TO ORD w g A m I hereby affirm that I am exempt from the Contractor's License VALUATION $/FT. u_ o a Law for the following reason(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 Code:Any city or county which requires a permit to construct,alteq IS Q 4 0 Improve,demolish,Or repair any structure,prior to Its Issuance,also ELEG CONTR. LIC.NO. / ELEC. e_ w m¢ requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO / he is licensed pursuant to the provisions of the Contractor's License Fii Law(Chapter9(commencingwithSection7000)ofDivision3ofthe /"1"L�D/Iia /_\// i o Business and Professions Code)or that �1 he is exempt therefrom and CITY. PLUMBING PERMIT FEE BE F a the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. n ;m by any applicant for a permit subjects the applicant toa civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars(SS00).): I- C:911 lSA�/, ❑ 1,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 - 3 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 = SEEFT.FLOOR AREA TOTAL ACREAGE himself or through his own employees.provided that Such mPmve- ments are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or improvement Is sold within one year of completion,the owner- GAS-EASYSTEM-OVER 4(EA) 200 BUILDING WG-USE builder will have the burden of pm . . . roving That he did nal build int- RES IND - CON PB Other pXfor purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 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 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 a contractor(s)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractors License Law. TRACT NO. PARCEL No. ❑ Ixempt under Sec ,B.&P.C.for this WATER HEATER W/VENT 6.00 on I . Owner 111P.1a � tar• WATER SYSTEM 5.00 - Ata DATE ACC.FILE NO, Ain 3 ' ORKE Ai'16Np�r DECLARATION - WATER TREATING EOUIP. 5.00 I hem by affirm t at I have a cert ifieale of consent to self-insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.). Policy No. Company Q ❑ Certified copy n hereby furnished FIRE SPRINK ENERGY T-24 Z Z ❑ Certified Copy is filed with the city inspection division. 0 Applicant - MISC.- REFER TO ORD. v ❑ N❑ v ❑ N[]~ va CIi RTIFICATIi OP EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 ,J FLOODZONE A.L.U.C. � L COMPENSATION INSURANCE PLG.CONTE. LIC.NO. PLG. / Y❑ N❑ Y ClNEI CL O (This Section need not be completed if the permit is for one TOTAL IP D Z hundred dollars($100)Or less.) U 0 1 certify that in the performance of the work for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY LL F 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. O w 1 - p BUILDING 0'7 n nate Applicant ALTER OR ADD TO MECH. 5.00 31 } N NOTICE TO APPLICANT: If,after making this Cerlificate of Ex__ ♦- ? emption,you should become subject to the Workers Compensation APPLIANCE 5.00 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.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 1 hereby affina rl at there is a construction lending agency for EXHAUST HOOD (WITH DUCT)' 5.00 the performance of tAc work for which this permit is issued(Sec _ MICROFILM 3097.CiYC.). + HEATING UNIT IT 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT IDV ER 100,000 B.T.U.)9.50 ELECTRIC � � Lender's Address Icertify that d 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 BOILER-COMP13 H.P.or 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned entied property for inspection purposes. �J (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against Liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10:00 lo- CONST.TAX ag may m a ay accrue ain t said City in consequent of the - mnt1 0 spermit MECH.CONT. LIG NO. MECH. ® D TOTAL / (i TOTAL l -/�0 ignature of Applicant/Contractor Due I OFFICE COPY �, •- . n.- �• •..� I.�r-.II I'T�l... I OF UUILUIIVU CITY OF CUPERTINO "'n,IT" MII,EH INSPECTION DIVISION 13034 JOB INSPECTION RECORD - PERMIT EXPIRATION JOB ADDRESSUNIT Jt _LOT# OWNER ( PERMIT EXPIRES IF WORK Ic arc. e/CONTflACTOfl IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR IN PEC ION RECORD 180 DAYS OF PERMIT ISSU. FOUNDATION G,1•,�, ,e V `r ANCE OR 180,DAVS FROM LIFER d.s C LAST CALLED INSPECTION. PREGUNITE ( P000IT VALIOAT'ION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND atl 3•z PLUMBING ELECTRICAL ISSUANCE DATE MECHANICAL uwr ,�; :T. I PLC. mecp. 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED eII II DING PERMIT WOOD F 'INFORMATION " PLUMBING VA U LOU, In SIFT. MECHANICAL Z CIS:! LO ELECTRICAL PERMIT TO FRAMING INSULATION a M. A STORIES TYPE CONSTR. _ OCC.GROUP HES.UNITS L CE NO BFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF sa FT FLOOHAIILA TOTAL ACRIACE -.. DIAPHRA _ BUILDING USE RES IND CON Py Dion A LY NO ROOFING NTIL ABOVE HAS BEEN SIGNED ❑ E) 11- ❑ ❑ ROUGH ASSLSSORS PAHCLL NO. PLUMBING-, GAS TEST v IACI NO, PARCEL NO. MECHANICAL _ ELECTRICAL _ FINALS DATE 'NSP. ACC.DATE ACC FILE NO. FRAMING _ .. SAN # INSULATION F PLUMBING o 2 r 2UNING ENG,SITE NO _ GAS MECHANICAL FUZE SPRINK ENEHGY 12 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N Y ❑ N❑ LATH–INTERIOR ELECTRICAL Imo_ FLOOD ZONE A.L.0 c. LATH-EXTERIOR 0` –g FIRE DEPT. Y❑ N❑ Y ❑ , N❑ SHEETROCK �. GRADE SHEAR INTERIOR BUILDING FEESUMMARY SHEAR EXTERIOR TEMPORARY APPROVALS ' BUILDING 313 FIREWALLS ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. ' MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, 1" ELECTRIC p� — { _ o� � ONE WORKING DAY BEFORE REQUIRED INSPECTION. I� PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL �0 IMPORTANT! { CONST.TAX PLEASE'READ REVERSE SIDE. CGFORE ii�I; II) I�iIr�I! )l TOTAL G����. CALLING FOR FINAL INSPECTION.