14364 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER
..CITY OF CUPERTINO 14364
INSPECTION DIVISION '
f, a JOB INSPECTION RECORD r.
PERMIT EXPIRATION
N �
JOB ADDRESS 10435 N. TANTAU AVE. UNITE# � Loi# 7 ` r
1 PERM ITEXPLRES.IF WORK
ONNER TANDEMCOMPUTERS • RUDLH &'SLETSNWaIIS"NOT STARTED,WITHIN
INSPECTION DATE JJNSPECTOR INSPECTION RECORD. 18olUAYS OF�PERMIT ISSU.
FOUNDATION ANIE OR 180 DAYS FROM
NOTE: LASTCALLED,INSPECTION.
UFER ALL GRADING-AND,DRAINAGE SHALL BE INSTALLED '.•i• - r I
'TO COMPLY WITH THE'APPROVEO PLANS AND CITY OF PLRMIT VAYIDH noN
PREGUN17E " ,CUPERTINO STANDARDS. , sI
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 2Zai 6)k
UNDERGROUND /SLAB 9'g5.y1loyn- Ist•r m-Cro,nevstr�,R(I �`' / '
PLUMBING 22/vb
ELECTRICAL - i }2/b'"/°!'.Z3'14'2Y'- �n'
1,.. .- .CI ..• . S yl.r n)'.I -ISSUANCE DATE
I ,- _ ^L I'oc odh 51, J ELEcr. iEc MECR,
MECHANICAL -
' 3jy�2j27128�1�si1��41'Tr15• �. .�1 ❑ ❑ ❑
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - <+y« foBUILDING PERMIT
WOOD)FLOOR/ ,"I .,1k,.12•LS1,1}2234 SoL,tF.�iQasi a,hl��RZ27 INFORMATION•
PLUMBING '• ;AwnoN As t.
3.,3� H ox
MECHANICAL' r`7•J .j'J ti ', .�.' !� ' .i.j 1.1 f 4-:SB/ h+r�K?_rooms,lh l(;,-yl 2i5; 1
ELECTRICAL' U`
PERMIT ro
Q c✓'r2 Q <
FRAMING L220y 5,1,�3� 225 1 q• Grl'CrU/r i �!"'�• 1C�t'.C.Lr'L.
INSULATION _5171 Pack 1"001%223_51 �J`J 2, sroR�Es rvPE coNsr R.
2z13�5�',12'�� ,3115v 1la�i
S 91 h�CCGNOUP• RES UNRS.
B T111421Tq 22391'2'S�r°oA' 23 Zoe) -
PLACE NOSUBFLOORUNTILABOVEHASBEENSIGNED c SD,rT,PLooRAREA TorALACBEncE
rr ROOF 1A NOTE:NO�FINALI SP..SHALL�BE'MAD BEFORE \`,.:. t G ' 1
DIAPHRAGM T E CONSTRUCTIO TAY I$PPrAID� l•).�1/
-Z1 a fit(' {i J�{'l I'(/•'• A. BUILDING USE 4t
° ROOF SHEATHING r' .RES IND CON PB CmIq '
❑ ❑ ❑ ❑ -El"
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. -• Nssessojrs;nRCEL No
�.•L:• ``h, .�, ..ROUGH "J, ..�. .s
�. ,PLUMBING - � p ,,. ELECT.ENERGY.' i
TUBS 8 SHOWER PAN �'�s PLUMBING ENERGY•s-' ' - .TRACI NO I,•6• P,RCErC.,NO
MECHANICAL _ MECH-ENERGYr, r , •, �'. r, -Acc.DATE .•Acc.FILE NO
ELECTRICAL - .BUILDING ENERGY '
FRAMING - ELECT.FINAL TEST '
ZONING "ENG.SITE NO.
INSULATION � � PLUMBING -1
GAS TEST - GAS
FIRE SPRINK ENERGv LIn
• MECHANICAL - '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING v "❑ ❑ No
EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD>olve A.L.D.c.
��' �
INTERIOR SHEAR FIRE.DEPT. ' y❑ N❑ L N❑
SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH - BUILDING'
INT IOP' LATH TEM ORARY APPROVALS BUILDING
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY ISEISMIC FEE
OCCUPANCY OF BUI LDINGISNOT PERMITTED UNTI L BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR, MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
LU
ly `` F� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
` O PLEASE GIVE JOB ADDRESS WHEN PHONING.
Jam` Z
- SEE PERMIT FOR EXPIRATION DATE- : MECHANICAL
IMPORTANT! - CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTALd,
CALLING FOR FINAL INSPECTION. -
OFFICE COPY
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3= �1�=bio S1�ee� rockCayy�QQ 1227 �3L,3q,u.O)41)142 ,5o)SI12Z5B)IZ,13)o4j401�t
1 la�¢� i 2lBI 1�),Iq.�co5 ycavu doz 'Lao s�{
3-14-$'8 �lywooc� oNIcva(ls R'ooml'ZSO tC
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S1�a�f2Zoi /�orll �hct -T rock b<hiA4d,,ctcoljnr .t )bd-:f�.�'I'
wriQ "
p .�oair�
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u. �• by fa%s.Y,;c T�39�a: _ 1 ( yr . i� w AAL- �
. L! •28 •&£r s117' ll�0ll --�Z /�Ln'- Sbd�r �Lv,4GL , - - - v(/
5I vl � ,dG�C,4d�f�1� 4 Ax6r,A -ZOkl) zmz 70 7. �c
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
=dU1 LDING PROJECT IDENTIFICATION .PERMITNUMaER -
4 AUILowO, APPLICATION & PERMIT 14364
nooREss10143 T v_ A V6 BUILDING - ELECTRICAL-PLUMBING-MECHANICAL
.�;' OWNER'S 7 - PLAN CH ECK VALIDATION
"AMETAIJWQTY. ELECTRIC PERMIT FEE _ �J
r HONE /S r/ / /'1
CONTRACTORS / �f /2-,Q
7/r�\1y/
NA l/ OUTLETS-SWITCHES 10.00!1.00
LP4luC.No. O LIGHTING FIXTURES 10.00/1.00
CONTRACTORS PPLIANCES-RESIDENTIAL 4.00
PL"
L _7 PHONE Of�Zl PANELS 10.00 DATE OF APPLICATION
ARCHITECT PANELS
CHECK FEE .NO.
OR
rr PANELS (OVER 200 AMP) 20.00
T ENGINEER/
C o. SIGNS TRANS. 3.00
ARCH,OR ENG, PERMIT VALIDATION
A ,
ooREss � SPECIAL CIRCUIT 5.00 '
zIP EMP.METER OR POLE INS. 20.00
APPLICANT'S
ADDRESS
MOTORS SEE FEE SCH. `
_ . SERVICE CHANGE 20.00
0 o LICENSED CON TRACTORS DECLARATION
G o v I hereby affirm flo l I am licen.d under provisions of Chapter 9 ISSUANCE DATE,
H rt vI (commencing with Section 7000)of Division 3 of the Business and .RLpG. ELECT. PLG. MECH.
F o z Yrofessiuns C a d my license is ireful!force f e [ ❑ ❑ ❑
z o D - Livens(, ,C se i Number
9 a H- Dam Contractor
y s , ' _ BUILDING PERMIT
M w a OWNER-BUILDER DECLARATION
REFER TO ORD I ORMATION
w;LL y I hereby affirm that 1 am exempt from the Contractor's License. MISC.- fL N 5/PT.
r LLo4 Law for the following mason.IScc.7031.5,Businessand Professions PERMIT ISSUANCE10.00
mi
Code:Any city crcounty which requires a pert roomman .alter, 1�
2 cu 2O improve,demolish,or repair any zbustme,prior,to its issuance,aEo ELEC.CONTR. LIC.NO. ELEC.
-O u requires the applicant for such permit to file a si,med statement that TOTAL PERMIT T
he n licensed pursuant to the provisions of the Commeror's License �a
Hir Law(Chapter 9( mmcncingwi t h Section 7000)of Di vision 3 of t he
- 4 Busico
ness and Profciaions Code)or that he is exempt therefrom and QTY.GAS-EA.SYSTEM-11NC.40UTLET56.00 PLUMBING PERMIT FEE
er I $ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
a , by any applicant for a permit subjects the applicant Loa civil penally ALTER-DRAIN& VENT-WATER (EA.) 5.00
of not mom than five hundred dollars(5500.)y
❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GHOUP RES.UNITS
their sole compensdion,will do the work,and the.strucmre E not
intended or offered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00
Code:'rhe Contractor's License Law dues Out apply to an owner of
property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SG.FT,FLOOR AREA TOTAL ACREAGE
himself or Through his own employees,provided that such improve--
Firms are not.intended oroffcred for sale.If,however,the building
or TOR round is sold within one year of complm ion,fire owner- - GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE
y builder will have the.burden of proving that he did not build or ire- RES IND CON PR One,
prove for purpose of vie.). INDUSTRIAL WASTE INTER. 30.00
❑ 1,as Owner of the properly,am exclusively contracting with
licensed contractors to construct the project(Sec 7044.Business LAWN SPRINKLERS-I INC 5 V.B. 6.00 ASSESSORS PARCEL NO.
and Professions Code:'1'be 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
ronlracls lox such projects with a contructorls)licensed pursuant to SEWER-SAN EA.200tt/10.00
the Contractors License Law. TRACT NO. PARCEL NO.
❑ I um exempt under Sec. .B.&BC.for this WATER HEATER W/VENT 6.00
mown
Owner Date WATER SYSTEM 5.00
- ACC.DATE ACG FILE NO.
WORK IiRS'COMPENSATIO N DECLARATION WATER TREATING EQUIP. '5.00
I hereby airing that I have a certificate of consent to self-insure. ZONING
or a certificate of Workers'Compensation Insurance,or a certified ENG.SITE NO.
ropy thereof(Sec.3800,Lab.C./. • .�� �n�
�n Policy No. Company a1(Me>C x
Q ❑ Ceti
Cop 'thereby furnished.. FIRE SPRINK ENERGY T 24
z Z ❑ Cerlifie n y filed with the city inspection division.
MISC.- REFER TO ORD.
FQ1 AppliCanl_ Y� No Y0 N�
y 1` CERTIFICATEOF ILCENPT1ON FRU1/WORKERS' PERMIT ISSUANCE 10.00 FLOODZONE A.L.U.C.
LU COMPILNSATION INSURANCE: PLG.CONTR. LIC.NO. - PLG.
Z 1'I'his section need not he Completed if the permit is for one TOTAL Y[:] NEJ Y F] NE]
hundred dollars 1S 100)or v.)
U O 1 certify diad in the performance of the work for which this per- QTY MECHANICAL PERMIT FEE FEE SUMMARY
LL F memploy, w
Fail is issued,1 shall not eploany p,.0 in any manner as to
U become subject to the Workeri Compensation Laws of California. q p q
a Dam Applicant OR ADD TO MECH. 5.00 BUILDING 3 / J
} N NOTICE TO AI-PLICAN1': If,all,,making this Cerlificate of 1 _
cmption,you Nlmdd become,subject to The Workcrs'.COmpcoodion APPLIANCE 5.00 PLAN CHECK
provisions Of Iho,lahnr, Code,you ,,List forthwith comply with FEE
U such provisions or this pernnil shall he deemed revoked. AIR HANDLING UNIT(TO 10X0C.F.M.) 4.00
CONSTRUCT ION LENDING AGENCY AIR HANDLING UNITIOVER 10PWC.F.M.) 6.00 SEISMIC FEE
I hereby aflimt that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00
30 I Cis Crance of the work for which the permit is issued(Sec. MICROFILM
97HEATING UNIT(TO 100,000 B.T.U.1 8.00
Lender's Name
Lenders Address HEATING UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC
g Q 1 certify that I have read this application and state that lire above VENTILATION FAN (SINGLE) 4.00
information
rdina is correct I agree to comply with all city and county PLUMBING
ordinances
and state laws relating to building construction, and BOILER-CONP(3 H.P.or 100,000 B.T.U.) 6.00
1 hereby andborita representatives of the city to enter upon the BOILER-COMP (Over 1GE,IXKI BTU)SEE FEE SCH. MECHANICAL
above-mentioned property for inspection purposes.
(We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD.
ape 'no against liabilities,judgments, costs and expenses which PERMIT ISSUANCE' 10.00 CONST.TAX
ay t any way acA a sins 'd Cily re conseque a of the
Y O!Thu MECH.CONT. LIC.NO. MECH.VTOTALTOTAL .267&zl
Si lure of Applicaontractor Date/ - /
OFFICE COPY