14961 POST THIS CARD NEAR_ FRONT OF BUILDINGPERMIr NUMBER
--CITY OF CUPERf160
`� : ' • 14961
INSPECTIOv; DIVISION
JOB INSPECTION RECORD-;
PERMIT EXPIRATION '
JOB ADDRESS_� g/tib u�� UNIT# _LOT#'�
PERMIT EXPIRES IF WORK
OWNER CONTRACTOR ,�' �js(p!!f? IS NOT STARTED WITHIN ;
INSPECT] N DATE INSPECTOR INSPECTION RECORD - ' 180 DAYS of PERMIT ISSU-
ANCE OR 180 DAYS FROM
FOUNDATION NOTE: -
UFER 16 ALL GRADING AND DRAINAGE SHALL BE INSTALLED
LAST CALLEDINSPECTION.
TO COMPLV'All H THE APPROVED PLANS AND CITY OF PERMIT VALIDATION
PREGUNITE CUPERTINO STANDARDS.
GARAGESLABS -
- POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB. ' - f\ -~_ { { �r•
PLUMBING 7 �"•T>✓ �'•r'C�('• ,.
ELECTRICAL ISSUANCE DATE
MECHANICAL'. BLDG ELECT. PLG. MELIA
. Qp� 4
o, o'
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED 1 BUILINFORMATION
PERMIT
INFOORM
WOOD FLOOR vN
PLUMBING - - .. OtC Qe�\ _UATION SIFT
MECHANICAL 55,000
'- ELECTRICAL _PERwn.rO . .
FRAMING cm I
Si TYPE CONSTR..
INSULATION .
9 lawn
OCC, OUP IIII .,UNITS
PLACE NO SUBFL06R UNTIL ABOVE HAS BEEN SIGNED
y"L SO IT ILOaHnREA RDTAL ACREAGE
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID 1456 ,
BUILDING USE
ROOF SHEATHING � `�Z. - - � � •�
NES IND- CON PB 00—
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SfGNED• 'FINALS DATE INSP. [:]ND
ASSESSORS PARCEL .
ROUGH - SANA X5-3 0 -
PLUMBING - ELECT.ENERGY
TRACT NO. PARCEL NO.
TUBS B SHOWER PAN O - y_ PLUMBING ENERGY
MECHANICAL O-�N MECH.ENERGY Acc.DA TE ncc.EILE rvO.
ELECTRICAL- BUILDING ENERGY, ,
FRAMING, 'O`L.O� - ELECT'FINAL TEST - -
ZONING ENG.SrtE NO. "
INSULATION. - Ip'Z V.4T7 PLUMBING
GAS TEST. •Z , GAS
MECHANICAL '. EIRE SPRINK ENERGY DZR
e.T
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
ROOD TONE A.L.V.C.
EXTERIOR SHEAR \ ` , ELECTRICAL RELEASE ,� :v 6d Y L7 N
INTERIOR SHEAR W9 FIRE DEPT,
SHEETROCK - GRADE FEESUMMARY
EXTERIOR.LATH - BUILDING
.INTERIOR LATH - - TEMPORARYAPPROVALS BUILDING
SCRATCH COAT jirp' j - ELECTRIC' PLAN CHECK - 1550
GAS
NO TAPE OA PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - sElsMlc F
OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM
w
ARRANGE'FOR INSPECTION BY PHONING 252-4505, ELEcraic ;_ sp,90
I-' ONE'WORKING DAY BEFORE REQUIRED-INSPECTION;,' ,aLUMewc.• b090
0PLEASE GIVE JOB ADDRESS WHEN PHONING.
— SEE PERMIT,FOR EXPIRATION-DATE.—. MECHANICAL
: IMPORTANT! consT.TAX24
PLEASE READ REVERSE SIDE BEFORE," . TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY:
CITY OF CUPEkTiNO'
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE X-2
Date 7------------ I --- Building Permit No.
The Building Located at 9 -4
Ownedby ....................... --- - -- ------- -- --
om let
Has Been For Use As: -101 - --- -
-- ----------------------------
(Altered) 0
............ .................................................................................... ........ ......................................
................................................I................. ......... ...................._................
............... ...... .................... ...............................................................................................
..........., ........ .....
PD-7 B- i�DING INSPECTOR
Y
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
'BU I LDING PROJECT I DENTIFICATI ON PERMIT NUMBER
BUiLTRNG.- a eprang APPLICATIONS& PERMIT, - ,: ..
ADDRESSLot 142 - Plan 1B �"q
61
BUILDING -ELECTRICAL-PLUMBING=MECHANICAL
OWNER'S -, + - 'PLAN CHECK VALIDATION
NAME Gregory GrYwp, Inc. & Ahmanson OTY: ELECTRIC PERM? FEE
1
DeVelOPPents415-595-2100
TO TRACTORS OUTLETS-SWITCHES' RECEP 10.00/1.00
"AME Gregory Group, Inc B-4MT
•y u5.iuo. 'LIGHTING FIXTURES 10.00/1.00
DDNTRACTD - Wln In APPLIANCES-RESIDENTIAL- - 4.00
ADDRESS
RWC CA. 94065 � 5-595-2100 PANELS 10.00 DATE OFAPPLICATION...
-
ARCHITECT - PLAN CHECK FEE P.C.NO.
OR Aram Bassenian, AIA & Assoc. PANELS-(ONER ZOO AMP) 20.00
ENGINEER
LIC.NO. C-83q.9SIGNS TRANS. 3.00
ARCHOR
ENG. 2031 Orchard Or. #100i SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
Santa Ana Hts CA Isla/ EMP.METER OR POLE INS. 20.00 ,
APPLICANT'S 220 C Twin Dolphin Dr. RW 9406 MOTORS SEE FEE SCH.
ADDRESS
SERVICE CHANGE X20.00 -\/�N/vW�l" '
0 0 o LICENSED CON'PRACTORS DECLARATION LP
a u 1 hereby affirm that I um licensed under provisions of Chapter 9 ISSUANCE DATE
(commencing with Section 7000)of Division 3 of the Business and BLDG." ELECT. PLG. MECH.
rm i Professions Code,and rn license is in till force and effect.
z o m - License Class �-Lie Number_
o w r Date Contractor -`
¢ Y {�, - BUILDINGPERMIT'
¢ ¢ w Q
OWNER-BUILDER DECL+ ON INFORMATION
don MISC.- REFER TO OR w LL F I hereby uthnn That 1 am exempt Iron I C t dUor License VALUATION
u0j Law for the following reason.(See.703L5.Busmessand Prt,fessions PERMIT ISSUANCE 10.00 $/FT.
�,�� Code:Any city orcounty which requires a permit to construct.alter, '1
¢ ¢ a O improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC.'
u requires the applicant for such permit to file a signed statement that TOTAL ,PERMIT TO
isu, he is licensed pursuant to the provisions of the Contractor's License
FAt Law(Chapter 9(commencingwith Section 70000of Division3 oftho
a Business and Professions Code)or that he is exempt therefrom and GTN. PLUMBING PERMITE p
it the basis for the alleged esemplion.Any violation of Section 7031.5 OI IES .TYPE CONSTR,
A. by any applicant fora Perini[subjects the applicant too civil penalty
of not more than five hundred dollars 15500).1: 2 5WR
ALTER-DRAIN&VENT-WATER (EA.) 5.00 +
❑ has owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 ice.Group RES.UNITS
their sole compensation,will do(lie work,and the structure is not
intended or offered for sale (Sec. 7044 Business a,d Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00
«r Code.The Contractor's License Law does not apply to an owner of R-3 I
property who bt ilds or improves thereon and who does such work FIXTURES-PER TRAP 5.00 ' so.FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees.provided that such improve-
meatsarenotintendedorofferedforsale.If,however,the building GAS-EA.SYSTEM-1INC.4OUTLETS 6.00 1956
T or improvement is sold within one year of completion,the owner.
builder will have the burden of proving,that he did mol build or inn- GAS-EA.SYSTEM-OVER 4 (EA-.) 2.00 BUILDING USE
prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND =CON ED' other
❑ I,as owner of the property,urn exclusively contracting with ❑ ❑ El Ellicensed contractors to construct file project(Sec. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. ''.6.00 ASSESSORS PARCEL NO.
and Professions Code:The Contractor's License Law dues 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 conlrunoA s)licensed...du ant to -
theContractor'sLicerseLaw. SEWER-SAN ITARV-STORM EA.200ft/10.00 TRACT NO. PARCELNO.
❑ lam exempt under Sec. ;B.&PC.for this WATER`HEATER W/VENT 6.00 -
nue nn 8067. .
Owner Date WATER SYSTEM 5.00 Acc.DATE ACC.FILE NO.
WORKFRS•COMPENSATION DECIARAT ION WATER TREATING EQUIP. 5.00 r -
Iherebyoffirmthat l have a certificate o fcohmamt tonlf-insure. ZONING ENG.SITE NO.
,r a certificate of Workers'Compensation Insurance,or a certified
copy thereof(Sec.3800.Lab C.) x -
Policy No. Company United-Pacific
y❑� Cerlilled o}yy l'herehy l arnlshcd - r FIRE SPRINK ENERGY T-10
z p A ¢anlCtrt I'i gylPd with the uty mspecuon division. MISC.- REFER TO ORD. Y❑ N Q y ❑ N❑ r
F- y PERMIT ISSUANCE 1000 - FLOOD ZONE A,L.U.C.
'LU Ch IFILCOMITI EA-fJON NS 1 ROM WORKb.RS .
W need not be completed
INSURANCE PLG.CONTE. LIC.N0. PLG. - Y❑ N❑ _ Y❑ N❑
Z (1 Ills section need not be c,mpleted if the Permit is for one TOTAL
hundred dollars(S 100)or Icss.l
U O 1 certify that in the performance of[tie work for which this per- QTY MECHANICAL PERMIT FEE FEE SUMMARY
U_ I- alit is issued,1 shill not employ any person in any amonerso as to
U become subject to the Workers'Compensation La f California
Q Q.W Date-Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 832.00
} to NOTICE I'O AI'1'LICANC If.after Waking tl' Certificate of I:x.
r Z_ emption,you should become subject to the Workers Compensation APPLIANCE 5.00 PLAN CHECK 15.50
provisions of the Labor Code, you must forthwith comply with FEE
U amh provisions or this pe,mrt shall ha deemed revoked. AIR HANDLING UNIT(TO 10SMC.F.M.) 4.00
/enepgy' 62.W
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER IQOWGEM.) 6.00 SEISMIC FEE
I hereby affirm that there is a construction lending agency fur EXHAUST HOOD (WITH DUCT) 5.00 . -
the performance of the work for which this permit is issued(Sec. MICROFILM
3097,Cle'C'L Security Pacific - . SF
HEATING UNIT 170100,000 B.T.U.1.' 8.00
Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC - 60.90
Lender'sqA7ddress-0ne_�rCa��,D-4th-fir.CA-
1 94118 That I he read this application and Tat that the above VENTILATION FAN (SINGLE) 4.00 90
I au ma'' a e 1 age 1 imply with all rest and county . PLUMBING' 60.71
information
nforordinancesaand state laws relating to ly with construction, a" BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00
hereby shore representatives or this city to enter upon tiro BOILER-COMP IOver 100,060BTU)SEE FEESCH. MECHANICAL M
ahove-mentioned property for inspccOnn purpose,. 60.90
(We) agree to save, indemnify and keep harmless the City of MISC.--. REFER TO ORD. -
upertino against liabilities,judgments, costs ons.cxpenme which PERMIT ISSUANCE 10.00 ' CONST.TAX 288.24
ay in any way accrue against said City in consequence of the
ranting L MECH.CONT. LIC.NO. MECH. '
TOTAL TOTAL 391.29
Signa (Applicant/Contractor Dat
OFFICE COPY