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, s i POST THIS'.CARD NEAR FRONTOF,BUILDING PERMIT NUMBER CITY OF CUPERTINO1428 g" INSPECTION'DIV.ISI,ON JOB INSPECTION RECORD 1 - - PERMIT EXPIRATION JOB ADDRESS ��5 ��' ��'e/N(i 7 LT UNIT# _,LOT# / � PERMIT .EXPIRES IF WORK LT'6. .OWNER OA- 'V ,CONTRACTOR �6OA 6k t c/ IS NOT STARTED WITHIN INSPECTION D E INSPECTOR INSPECT ON RECORD180 DAYS OF PERMIT ISSU FOUNDATION .ANCE OR 180 DAYS FROM NOTE: • LAST CALLED INSPECTION. UFER b.. ALL GRADING AND`DRAINAGE SHALL'BE INSTALLED PR EGUNI?E TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VtA!JOATION CUPERTINO STANDARDS. - GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - `1 UNDERGROUND /SLAB ' `— PLUMBING - Q ELECTRICAL _ .- - - vISSUANCE LATE ft MECHANICAL - - e a ELECT. PEc. MECH. - DO NOT POUR FLOOR UNTIL ABOVEHAS BEEN SIGNED - - .BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION $/FT. n. PLUMBING 13J,f= a MECHANICAL • - - OITlAD . - PERMIT TO ELECTRICAL FRAMING ' sm, STORIES 1VPE CONSTR. INSULATION 2 OCC.GROUP RES,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO "-FLLUR Alien uTrAL cHg cE DIAPHRAGM THE CONSTRUCTION TAX IS PAID 1740 BUILDING USE ROOF;SHEATHING - - ..HES IND CON PB O APPLY NO ROOFING UNTIL•ABOVE-HAS BEEN SIGNED - FINALS DATE iNSP. ` k1 ❑ El� ❑ ASSESSOHSPARCELNO ROUGH SAN.11 / .PLUMBING v �Qjcj' ELECT.EN ERGY - ' TRACT,NO. PARCEL NO ,TUBS&SHOWER PAN. ' p - W PLUMBING ENERGY _ ' - MECHANICAL p( t kLo MECH.ENERGY ELECTRICAL' ACC:DATE ACC.FILE No. Ip BUILDING ENERGY _7 - FRAMING. ELECT.FINAL TEST ' INSULATION PLUMBING ZONING ENG.SITENO. _ GAS TEST ' ,.`,/ GAS MECHANICAL _ _.a FIRE$PRINK ENERGY T 7 z 12COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ° ❑ N❑ . ❑ N❑ . EXTERIOR SHEAR 7, ELECTRICAL RELEASE ,S! P+.00L rume n.L u.c. INTERIOR SHEAR - FIRE DEPT. v;LNE]I ' SHEETROCK GRADE FEESUMMARY EXTERIOR LATH I\ — Ib BUILDING -\ ' Tw INTERiOR,LATH - TEMPORARY.APPROVALS BUILDING _ 7z•ir• SCRATCH COAT'" ./.� ELECTRIC - PLAN CHECK '.FEE • .. GAS-.- - ;NO TAPE OR PLASTER,UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY ; SEISMIC FEE 62.00 OCCUPANCY.OF"BUI LDING IS NOT PERMITTED UNTH_BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM / ELECTRIC ` ARRANGE•FOR INSPECTION BY, PHONING 252-4505, U.1 ONE WORKING D'AY BEFORE REQUIRED INSPECTION. • . y PLUMBING O� ':PLEASE GIVE JOB ADDRESS WHEN''PHONING. 55.50 MECHANICAL =SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! CONST.TAX 288.24 . PLEASE READ REVERSE SIDE BEFORE'- TOTAL 1117.97 CALLING FOR FINAL INSPECTION. OFFICE COPY ' CITY OF CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date V).................. 11,91'. - BWIding Permit No. The Building Located at 11-57.12) ------ alhe....... ..ult ....... Ownedby --------------------------------------------------------- ---------- ...................................................... Has Been (Complet For Use As: ..-,SF-D........................ ----------------------------------- ired) ....................... .......................................................................................................................... .............................. ............................................................................................................... ...........-...... .......... ...............................................................................................................; -----W.)---P.....-..................... S.... PD-7 BUILDING INSPECTOR ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING INSPECTORS NOTICE CITY OF CUPERTINO T11L1 k plq To You ore hereby outhora �ed to Conneelectrical service for Owner or Tenant (5� rV ct 14 P At— No.of wires Size of Wires _Size of Switch Motor Load Voltage Phase� Heating Load K.W. Voltage q:::D Reconnect No.of Meters Ligh'—I to New Service—>� 20.Three w,,,.More Service No,of Add.Meters PowerThree Phase Move Mete,— f7 Qr ELECTRICAL INSPECTOR i BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO Bldg.Dept. Office Copy ❑ Backflow Device - Sanitary Permit No. ❑ Sewer Connection Plumbing Permit No. Plumbing Final (� Lot No. Owner or Tenant �V EExl 6- qp At Tract 1, Date Connected I9_Date Finalj'pt )`Z 19 ©" PLUMBING INSPECTOR . f OFACE CITY OF CUPERTINO COPY GAS SERVICE NOTICE Q J To You•are hereby authorized to connect theGAS service for Ownero Tenant. <>-�C=Cafld7_v 11-2C�1 )K '� At {.( 5 ?yi L n-n New Service u No. of Meters Reconnect o t No. of Add. Meters Move Service .� Move Meter PLUMBING INSPECTOR APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY s BLMLOY NG PROJECT I DENTI FICATION PERMIT NUMBER , BDIL. ING APPLICATION & PERMIT ^ ADDRESS Lake ring y Lot 153 Plan *2A BUILDING - ELECTRICAL-PLUMBING-MECHANICAL 28 OWNER'S yYy,/yyq/ rl41 - -I't[ryt PLAN CHECK VALIDATION NAME ,IUUUYCgYY3 y lY.]l L❑TFWP1 OTY. ELECTRIC PERMIT FEE , PHONE i' , 1 CONTR,I OR'S "AME Gregory UYvLIp, Inc. g-430097 UTLETS-SWITCHES-RECEP 10.0011.00. . ❑C,No. LIGHTING FIXTURES '{0.00/1.00 CONTRACTORS 220-0 Twin Dolphin Dr. M APPLIANCES-RESIDENTIAL 4.00 AD 220-C PHON415=595-2100 PANELS •10.00 DATE OF APPLICATION ARCHITECTPLAN CHECK FEE - PG:NO. on Aram gasserian, AIA Associates PANELS (OVER 200 AMP) 20.00 ENGINEER C-8395 ' - im.No. . SIGNS TRANS, 3.00 ARCH,ORENG. PERMIT VALIDATION • ADDRESS Santa Ana Fits, CA.• 92707 SPECIAL CIRCUIT 5.00 zu, TEMP.METER OR POLE INS. 20.00 - APPLICANT 220-C Twin Dolphin Dr., RWC MOTORS SEE FEE SCH. n ADDRESS ( �y� CA. 94065 SERVICE CHANGE 20.00 woo LICENSED CONTRACTORS DECLARATION s. ¢ u. I hereby affirm that Idm licensed under provisions of Chapter �® ISSUANCE DATE way laommencing with Section 7000)of Division 3 of the Business and BLDG. PLG. -MECH. F w z Professions Code,and,{ny license is in full force a ff el. _ z O m License Class [f_Lic:Number - m - O aa Date Contractor - 4, `a Y s - � - t - AT G PERMIT ¢ ¢ w 4 OWNER-BUIL DECL ATION 4 o d MISC. REFER TO ORD MATION w g u m I hereby a0um that I am exempt from the Contractor s Li* - 1 VALUATION - $/FT. F u O Q 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,alter, plPlmd 139,000 w¢ improve,demolish,or repair any xtructmm,prior 10 its issuance,also ELEC.CONTE. - LIC.NO.- Eca LEC. OY1tlM ¢ ¢ O -O¢ requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO n ac " he is licensed pursuant to the provisions of the Contractor's License j z a Law(Chapter 9(commencing with Section 7000)of Division 3 of lire SF i O Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE ¢ I o the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. a ;e? by any applicant for a permit subjects the applicant toa civil penalty 00 ALTER-DRAIN -WATER (EA.15. of not more than five hundred doll...($500),): 2- 3M ❑ I,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 lite structure is not intended or offered for sale (See. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00 Code:The Contractor's License Law docs bot apply to an owner of R-3 1 Foci who builds 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- - i menjs-mc,not intended orofemd for sale.IL however,lira building GAS-EA.SYSTEM;I INC.40UTLETS 6.00 1740 or improvement is sold within one year of completion,the owner- GAS-EASYSTEM-OVER 4 (EA) 200 BUILDING USE builder will have the burden of proving that he did not build or im . . . - HES IND' CNG PB Orae, prove for purpose c sale.). INDUSTRIALWASTE INTER. 30.00 ❑ U as owner of 0h: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 in,owne6 of property who builds ci improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with a contractorts)licensed pursuant to - theContractor'sLicenseLaw. SEWER-SANITARY-STORM EA.200ft/1000 TRACT NO. PARCEL NO. ❑ 1'em exempt under Sec.-,BAP.C.for Ot is WATER HEATER W/VENT 6.00 8067 ` reason Owner Date WATER SYSTEM 5.00 . ACC,DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of coment to self-insure. ZONING or a certificate of Workers'Compensation Insurance,or u certified ENG.SITE NO. copy Bterenf)Sec.3800,LaoC.).United Pacific policy No. Company Q Certified copy is hereby furnished. FIRE SPRINK ENERGY T-24 Z Z P1-Certified py i with the city inspection division. MISC.- REFER TO ORD. p ApplicantY ❑ N❑ Y ❑ N❑ CCT PERMIT ISSUANCE 10.00 FLOOD ZONE , A.L.uc. LU CIiRTII'1,C PE SAX ION INS FROM WORKERS' W �_ COMI'IiN$AI'If)N INSURANCE PLG.CONTR. LIC.N0. PLG, Q' O 1'Thls section need not be completed if the permit is for one TOTAL Y❑ N❑ Y❑ N❑ Z hundred dollars($100)or less.) U O 1 certify that in the per ounance ol'the work forwhich thinper- QTY. MECHANICAL PERMIT o FEE FEE SUMMARY. -t LL H mit is issued,I shall not entpley any person in any manner so as to 1 U become subject to the Workers'Compensation Laws of California. - a BUILDING Date Applicant 'ALTER OR ADD TO MECH. 5.00 T6.00 } rA NOTICE TO APPLICANT'. If,alto making this Certificate of Ex- _ F Z_ emptier,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 FEEenc U such provisions or this permit shall be deemed revoked. AIR HANDLING UNITATO 1Oj100C.F.M.) 4.00 / ' CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 9,73 I I hereby afl'inn that there is a mnouction lending agency],it EXHAUST HOOD(WITH DUCT) 5.00 (lie performance of the work for which thispennit is issued(Sec. HEATING UNIT(TO 100,000 B.T.U.1 B.00 MICROFILM 3097,Civ.C.). Security Pacific Lender's Name .p f•1r HEATI NG UN IT(OVER 100,000 B.T.U.M.50 ELECTRIC 55.50 - - - Lender's Address �y("Q�' ,_. 1 certify that 1 have . t ii 'aTion and smte that the above VENTILATION FAN (SINGLE) 4.00 information n correct I agree mining comply with all city and county BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING 55.50 ordinances and state laws .. c m building construction,co and my hereby authorize representatives of this city to enter upon the BOILER-COMP(Over 100,000 BTU)SEE.FEE SCH. MECHANICAL 55.50 above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. - -. Cupertino against liabilities,judgments, costs and expenses which CONST.TAX 288.24 . may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 granting of this 't. MECH.CONT. LIC.NO: MECH. TOTAL TOTAL 1317.97 Signator licanl/Contractor Dat OFFICE COPY I