The URL can be used to link to this page

14935 I 'POST-THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO ^' INSPECTION DIVISION 14935 ' ! ` JOB INSPECTION RECORD _ PERMIT EXPIRATION •' JOB ADDR ESS�O `14KE- 109 iN C•' UNIT#. PERMIT EXPIRES IF WORK owNER UD CONT4ACT09 e-6-et V IS NOT STARTED WITHIN INSPECTION ATE I INSPECTOR INSPE ION RECORD . 180 DAYS OFPERMITISSU. FOUNDATION - ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. . LIFER b ALL GRADING AND DRAINAGE SHALL BE'INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF -PERMIT VALIDATION . CUPERTINO STANDARDS. ' GARAGE SLABS n POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB - V PLUMBING J ,I/ '_• i ELECTRICAL DANCE DATE MECHANICAL ELECT, I PLG. MECH. se e . �t0 D ;O DO NOT POUR FLOOR UNTIE ABO HAS B SIGNED BUILDING PERMIT - INFORMATIO�J _ WOOD FLOOR - VALUATION SIFT. PLUMBING MECHANICAL I53,{W ELECTRICAL PERMIT TO FRAMING - INSULATION sioHlEs TYPE CONSTH, OCC. ROUP .UNITS PLACE NO SUBFLOOR UNTIL ABOVE-HAS BEEN SIGNED - SD.Fi. L HARCA iOiA ACREAGE ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE �) DIAPHRAGM' . THE CONSTRUCTION. IS PAID IID ILDING USE ROOF SHEATHING �• Res IrvD CON PB ' Opo., APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALSDATE •INSP. ® ❑ L L ASSESSORS PARCEL NO. ROUGH SAN.# _ - PLUMBING OP &ot O -(1•Ls' - ELECT.ENERGY - TRncT Na PARCEL No TUBS B SHOWER PAN V �� C1L'J 5 PLUMBING ENERGY -.Q MECHANICAL MECH.ENERGY ELECTRICAL':, BUILDING ENERGY ACC.DATE ACC,FILE NO. FRAMING [ 09 LII ELECT.FINAL TEST - _ _1�� ZONING ENG.SITE NO. INSULATION: PLUMBING GAS TEST - ;Z O.1P1T GAS _ _ MECHANICAL (� FIRE SPRINK ENERGY T.2a . O'2 Y ❑ N❑ I ❑ N,❑ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING„ B - EXTERIOR SHEAR, ',—&> FLOOD/ONE A.L U.C.ELECTRICAL RELEASE _\�=� W, INTERIOR SHEAR FIRE DEPT. Y LN Y L NL SHEETROCKT�t j GRADE FEE SUMMARY • EXTERIOR LATH \.. _ fG - BUILDING - -�Q'• INTERIOR LATH .9.9 TEMPORARY APPROVALS BUILDING . ox m SCRATCH COAT - ELECTRIC PLAN CHECK, GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY .SEISMIC OCCUPANCY OF O UILDIN GISNOTPERM ITTED UNTIL BUILDING FINAL IS SIGNED-BY BUILDING INSPECTOR. MICROFILM lual 'ARRANGE FOR INSPECTION BY PHONING 25274505, ELECTRIC I- ONE WORKING DAY,` BEFORE REQUIRED INSPECTION., PLUMBING 00 PLEASE GIVE JOB ADDRESS WHEN PHONING. 60 35 Z I MECHANICAL — SEE PERMIT FOR EXPIRATION DATE — 60 25 IMPORTANT! coNsr.TAX . 2N24 PLEASE READ REVERSE SIDE BEFORETOTAL CALLING FOR FINAL INSPECTION. 1382.50 OFFICE COPY CITY OF CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE ................. Date ..... . .... . ... ................. 19. . �"- Building Permit No. The Building Located at ------vN5qQ------- ...... ................................... ............................. Owned by 9 . . ...... Has Beeli dio orUse As: ------- 1..1---v......0....---_....._........................... (Altered) .......................................................... ........................................ ............................................. ................................................................................................................................................. .... ....................-........................................................ .................................................. I .................................... PD-7 BUILDING INSPECTOR APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY �- < PERMIT NUMBERBUILDING PROJECT APPLICATION SI PERMIT ADDRESS DUREss1157,3 LA.fC:aSprlrg Court BUILDING - ELECTRIC�L-PLUMBING-MECHANICAL 14985 !i Lot 154 Plan 3A OWNER'S / ��.yy� _ InC �y P,,,�,�n PLAN CHECK VALIDATION A.E l] w W�' OI Il'19 OTY. ELECTRIC PERMIT FEE r,Developnents PHGNE415-595-2100 CONNAMEnACTons UTLETS-SWITCHES"-RECEP 10.00/1.00 Gregory Group, Inc. LIC,No. B-430097 LIGHTING FIXTURES 10.00/1.00 CONTRASDDRESS oRS A220 C Twin Dolphin Dr. RIC PPLIANCES-RESIDENTIAL 4.00 94065 OT.415-595-2100 PANELS 10.00 DATE OF APPLICATION . - ARCHITECT tAran Oasseni�n AIA & ASsoci PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE - P.C.NO. On A ENGINEER " Llc.No. 'SIGNS TRANS. 3.00 ARC .OR ADDDRESS ENG. 2031 Orchard Dr. #100 SPECIAL CIRCUIT 5,00 PERMIT VALIDATION Santa Ana Hts CA. 92707 ZIP EMP.METER OR POLE INS. 20.00 APPLICANTS �wln DU In Dr. MOTORS SEE FEE SCH. `-Q d AnDR ESS "�rj /tel-Ow-0.q`i SERVICE CHANGE 20.00 is F 0 o LICENSED CONTRACTORS DECLARATION /� a u v I hereby affirin Hut I am licensed under provisions of Chapter') ISSUANCE DATE a ec (commencing with Section 7000)of Division 3 of the Business and ELECT. PLG. MECH. Professions Caste nd my license is in full force ppf�r,([�tJ ryr o i W License Class Lie.Number�},juJj/ `Y'1t'I w H Date- III) elor,,/��III,,,�� ¢ Y s " DING PERMIT ¢ ¢ ¢¢ a OWNIi R-BUILULI UEC A'1'ION M ISC.- REFER TO ORD I MATION X H 1 hereby affirm that 1 um exempt Ir m the Contractor's License N 5/FT. F .. oa Law Tonle following reason.(Sec.7031,5.Businessand Pro(asions PERMIT ISSUANCE 10.00 ' Cale:Any city or county which requires a permit to construct,aheq re ¢o improve,demolish,or repair any'structure.prior to its issuance,also ELEC.CONTR. LIC.N0. ELEG. °�' - -¢ requires the applicant for such permit to the a signed statement that TOTAL u w " he is licensed pursuant to the provisions of the Cuntruemr•x License PERMIT TO rii Luw(Chapter 9(commcmcingwithScction7010)cfl)ivision3ofihc SFDUL a Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE ¢ 0 the basis for the alleged exemption.Any violation ofseelion 7031.5 STORIES - TYPE CONSTR. i3$ by any'applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN 5.00 of not more than Five hundred dollars($500).):' 2 SN-IR ' ❑ 1,as owou,of the property,or my employees with wages a, BACK FLOW PROTECT. DEVICE 4.00 their sole compensation,will do the work,end tine structure is not OCC.GROUP REB.UNITS intended or offered for sale (Sec. 70", Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00 - Code:The Contractor's License Law does not apply to an owner of R-3 I property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5,00 so.FT FLOOR AREA TOTAL ACREAGE himself re through his own employees,for sale.pmvidN that such improve- menuurenotintended oroffereo eesplLedthatsuthe building GAS-EA.SYSTEM-I INC.40UTLETS 6.00 1934 or improvement is sold within one year of completion, the owner- GAS-EA.SYSTEM-OVER.4 IEA.1 2.00 BUILDING USE ho der will have the burden of proving that he did not build or inn- RES IND CON- PB Omar prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.0.0 I� ❑ 1,as owner of the property,um exclusively contracting with Fig. ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and 1'rofessions 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 dnllracts for such projects with a contructiono licensed pursuant to - the Contactor'xLicense Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ 1um exempt Under Sec. .H.&P.C.for this WATER HEATER W/VENT 6.00 8067 RJ On Owner Date WATER SYSTEM 5.00 ACC.DATE .ACC.FILE NO, WORK E RS'COMPENSA'I'ION DECLARATION WATER TREATING EQUIP.. 5.00 I hereby umnn Hut I have a certificate mf consent to sell inme. - ZONING or a certificate of Workers'Compensation Immumca or a c,Hf ied ENG.SITE NQ copy Ihereof(Sec.3800,Lab.C.). United Pacific Policy No. Company O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T-24 Z Z 1f Cenited filed with the city irtspedion.division. MISC.- REFER TO ORD. 0 Applicant Y [:] N❑ Y ❑ NE]'CC Fin PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. CCCIiRTI .ATI: EXEMPTION FROM WON KERS' IL > COMPENSATION INSURANCE the PLG.CONTR. LIC.No. PLG. Y❑ N❑ Y❑ IN C] Z) Z ad re section need not be completed i(the frennit u for one TOTAL hundred dollars IS 100)or less.l U 0 -I cert iI that in the pertormanee of the work for which this per CITY MECHANICAL PERMIT FEE FEE SUMMARY LL,I- mil is issued.1 shall not employ any person in any manner so as to 0UJ 0become subject to the Workeri Compensation Laws of California. BUILDING 825.Wa Datc Applicant ALTER OR ADD TO MECH. 5.00 } to NOTICE.TO APPLICANT': If,after making this Certificate of Ex- ♦- ? emption,you should become subject to the Workum'Compensation APPLIANCE 5.00 PLAN CHECK 15.50 provisions of the Labor Code, you most forthwith comply with such provisions or this permit shall be deemed revoked. <. AIR HANDLING UNIT(TO 10=C.F.NU 4.00 FEE e CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10A000.F.M.) 6.00 SEISMIC FEE - in 71 .1 hereby aff. that then is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM- ' 3097,Civ,CJ Security Pacific HEATING UNIT(TO 100,000 B.T.U.) 8.06 Lender's NamAddress- � �- HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 60.35 Lender's Address _. I ceriify that I have read this apcat a ��that the above VENTILATION FAN (SINGLE) 4.00 information n correct. I agree ti comply with all nstrund county' PLUMBING 60.35 informnas and state laws resting to building construction, and BOILER'OONP(3 H.P.Or 100,0000.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL 60.35 atiovmmenti.m d property for inspection purposes. ,.-(We; agree to save, indemnify and keep harmless the City of MISC.'- REFER TO ORD. .upertino against liabilities,judgments, costs and expenses which CONST.TAX y may in any way accrue against said City in con quem of the PERMIT ISSUANCE 10.00 21.24 ailing of this perm i MECH.CONT. LIC.NO. MECH. 1 �� TOTAL TOTAL 1382.50 Signature mtA /Contractor Ua • OFFICE COPY