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18605 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER A. CITY OF CUPERTINO 18605 INSPECTION DIVISION ' f' JOB'INSPECTION RECORD ' 'V '6 PERMIT EXWRATION JOB ADDRESS V'7-o� �1 /C"V-1 UNIT# LOT# I! .'Y PERMIT/EXPIRES IF WO RK• OWNER CONTRnCTOa /-,j,/0!e n //Sr IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU FOUNDATION ANCE OR 180 DAYS FROM ! NOTE: LAST CALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PR EGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMITvnLm4N/ CUPERTINO STANDARDS. GARAGESLABS C w POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED q oD"WA- 'UNDERGROUND /SLAB A-'UNDERGROUND /SLAB - '�'��z PLUMBING - n ELECTRICAL '1'��1e 0 /I.'-i,/� SUANCE DATE MECHANICAL - - BLuc ELECT. PLG. MECH rr`Fy of pn.,rtlfr9, ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT - WOOD FLOOR INFORMATION PLUMBING , - rvALIATTO� STET. MECHANICAL IN4 ELECTRICAL I= p .�.y� - ,., PER MIT TO / FRAMING rear t9.rC� �.l� `ICJ INSULATION STORIES TYPE CONSTR. .. - OCC.GROUPRES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - - • ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE so.Er,ELwIt AIteA. TOTALACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID uaO ROOF SHEATHING tics IND PH APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO -ROUGH SAN.N PLUMBING - ELECT.ENERGY TRACT NO, PARCELNO TUBS&SHOWER PAN PLUMBING ENERGY '' MECHANICAL MECH.ENERGY ELECTRICAL AGAS Acc.OnrE ACC.FILE No. FRAMING " ZONING -_ENG SITE NO. INSULATION ENG GAS PIRESPRINK ENERGY T.2J ON� v N� , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING . EXTERIOR SHEAR ELECTRICAL RELEASE FL- C. INTERIOR,SHEAR FIRE DEPT. - Yo N❑ Y 0 OOD70NE AL UN❑ SHEETROCK - GRADE FEE SUMMARY. EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY APPROVALS BUILDING .• /, SCRATCH COAT IELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANC - SEISMIC FEE /f• / 60 OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ED BY BUILDING INSPECTOR. MICROFILM it ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC H ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING Z O�f "PLEASE GIVEJOB•ADDRESS WHEN PHONING. i — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL IMPORTANT! h;, CONST.TAX PLEASE READ REVERSE SIDE-BEFORE CALLING FOR FINAL INSPECTION. 'TOTAL OFFICE COPY a - - - APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU LDI W PROJECT I DENTI FICATI ON PERMIT NUMBER Bi,ILD.v -aT APPLICATION & PERMIT 18605 _ �/Jq,� � •T �� ' BUILDING -f,LECTRICAL-PLUMBING-MECHANICAL NAM�EV/R"SLo 1 // T PLAN CHECK VALIDATION • NAME � n { CITY. ELECTRIC PERMIT FEE ' n e 1b fou` E ^' O CONTRACTORS NAME UTLETS-SWITCHES-RECEP 10.00/1.00 16 _,C.NO, LIGHTING FIXTURES 10.00/1.00 CONTRACTOR .8 ADDRESS PPLIANCES-RESIDENTIAL 4.00 .ON PANELS 10.00 DATE OF APPLICATION PANELS ICV ER 200 AMP) 20,00 PLAN CHECK FEE C.NO. ENGINEERCV .No SIGNS TRANS. 3.00 ARCH,OR ENG. PERMIT VALIDATION . ADOREss � 't CO SPECIAL CIRCUIT 5.00 �y zIP EMP. METER OR POLE INS. 20.00 TZ APPLICANT MOTORS SEE FEE SCH. (` r�sAdi ADDRE .- SERVICE CHANGE 20.00 w 0 O LICENSED CONTRACTORS Uli TION 6 K/ a v u I mmbylffirm thus I am licensed under provi,r nsof Chapmr9 A), UANCE DATE n (commencing with Section 7000)of Division 3 of the Businessand ¢ •v V�r pp BLDG. LECT. PLG. MECH. so F m i Professions Code,and my license is in full force and effect. e) Q�'9 El El _❑ Z o m License Class Lie Number - v4 9 x r w Date Contractor ¢ x f a!�(spss BUILDING PERMIT ¢ ¢ w a •OWNER-BUILDER DECLARATION INFORMATION O e. " MISC.- REFER TO ORD E: 3 w H hereby affirm that I ant exempt from the Cnntmmor i License VALUATION f/FT. HLLO J Law for the following reason.(Sec.7031.5,-Business and Professions PERMIT ISSUANCE 10.00 �& Code:Any city or county which req uires a Permil to construct,ager, (/y/•�/�� Qrt < 0O improve,demolish,or repair any structure,prior to its issuan e,also ELEC.CONTE. LIC.NO. ELEC. -`-'V - 0, requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO w$ he is licensed pursuant to the provisions of the Contractor's License T p ar z i Law(Chapter 9(commencing with Section 71X70)of Division 3 of the I �UQ✓T �/7Jy - a Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT' FEE ¢ r O the basis for the alleged exemption.Any violation of Seaton 7031.5 STORIES TYPE CONSTR. by any applicant fora permit s,,bjcets Be applicant to acted penalty ALTER-DRAIN& VENT-WATER (EA.) 5.00 of not more than five hundred dollars($5000: O 1,as owner of the property,or my employees with wages as - BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sole compenvdion,will do the work.and the structure is not Intended or offered for ole ISec.,7044, Business and Poifeetion DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an osmcr of pruperlY who builds or iniprovcs thereon,and who docs such work FIXTURES-PER TRAP5.00 So.FT.FLOOR AREA TOTAL ACREAGE hiniself or through his own employees,provided that such improve merits am not intended oroffemd forsak.If,however,the building - GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA:SYSTEM-OVER 4 (EA.) '2.00 builder will Imve the bunlen of proving that he did not build or in I- BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Gum, _ 0 1,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to con,nnmt the power(Sec. 7044.Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Cade:The Contractor's License Law docs not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 Contracts forsuch projects with a contractons)licensed pursuant to _ SEWER-SANITAR V'STORM EA.200ft/10.00 Be Contractor s License Law. TRACT NO. PARCEL NO. ❑ I ani exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 mason 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 consent to vmlf-insure, ZONING ENG.SITE NO. or a certificate o1'Workers'Compensation Insurance,or a certified copy thereof(See.3800,Iah.C.). Policy No.-Company ,O ❑ Cenif ied•copy is herchy furnished FIRE SPRINK ENERGY T-94 ZO ,Ydc,n'tifedl lco�py1l i�sflfled with the city inspection diviaon. MISC.- REFER TO ORD. Y❑ N❑ Y ❑ N❑ rn - T CER'fIFIc,CIF(71' NEa le PROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.0 C. W 7 - COMPEN ATIONINSURA NCI: PLG.CONTE. LIC.NO. PLG. CL Z I' fhis Fc clion need not be completed If the permit is fur one TOTAL Y❑ N❑ V [:] N❑ hundred dollars(S 100)or less.) U O 1 certify that in the pcdrma ance of the work for which this per- OTV MECHANICAL PERMIT FEE FEE SUMMARY 1 mit is issued, I shall not employ any perxm in any munnerso as in hecome subject to the Workers'Compensation Laws of Culitorn W. Uatn A licant BUILDING U a PP ALTER OR ADD TO MECH. 5.00 g7�•J } W N'OT'ICE 'f0 APPLICANT: If,after making this Certificate of lis.. F2 elnption,you should become subject to the Workers'Comlumsmion APPLIANCE 5.00 PLAN CHECK provisions of the labor Code. you must forthwith comply with FEE U such provisions or this permit shall be deetned revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCT ION LENDING AGENCY AIR HANDLING UNIT(OVER 10OMQEM) 6.00 - SEISMIC FEE X 17 010 I hereby affirm that them'is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance (it the work for which this permit is issued(Sec.. MICROFILM 3097.Civ.C.). /..�� HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Naili>w•-`.1V Leader',Addressm',t � Fn HEATINGUNIT OVER 100,ODOB.T.U.)9.50 ELECTRIC ( certify Ilia,I huvcmad t his 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 slate paws relating to building cunstnmtion, and BOILER-DOW 13 H.P.Or 100,000 B.T.U) 6.00 hereby cutlorize representatives of this city to enter upon the BOILER-COMP (DR,IOOpOO BTU)SEE FEE SCH. MECHANICAL ahove-mentioned property for inspection purposes. -(We) agiec to save. indemnify and keep harmless the City of MISC._ REFER TO ORD. upertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10,00 CONST.TAX ay in any way accrue against said City in con quence of the In ofO spe IL MECH.CONT. LIC.NO. MECH. �' TOTAL TOTAL CIG•S Si re of pplic O rector ale - OFFICE COPY