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19476 - PERh9T NO. POST THIS CARD NEAR FRONT OF BUILDING 19 476 CITY OF CUPERTINO /INSPECTION DIVISION�-�JOB INSPECTION RECORD • JOB ADDRESS___1 Dvv J� f N 1 f'T\l UNIT # {LOOT## CAhYARY / colnxa.._ OWNER 1 S.Q�k�. CONTRACTOR Ll Qofb'F— -� • BUILDING PERMIT INFO INSPECTION DATE INSPECTO INSPECTION RECORD FOUNDATION PIERS NOTE ALLGRADDING AND DRAINAGE ❑ AI UFERGROUND SHALL BE WrALLED TO COMPLY WITH )OB DESCREMON PAD/SETBACK-CERT THE APPROVEDP NB AND CITY OF CUPLRTINOSiANDARD5. GARAGE SLABS PREGUNITE G �, POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND SLAB INSPECTION DATE INSPECTOR PLUMBING ELECTRICAL ,//Po / uG Sys'#' ,Z�/-w MECHANICAL -/ tGN om 4 se -v f O �0 - DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED WOOD FLOOR h a ( T 2-/.- PLUMBING _ MECHANICAL ELECTRICAL FRAMING VFNTS CLEAR INSULATION PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGH PLUMBING TUBS&SHOWER PAN MECHANICAL ELECTRICAL ACUZZI BOND FRAMING STAIRS INSULATION/VENTILATION EMERG.EGRESS eSEWER WATER COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED EXTERIOR SHEAR HOLD DOWN - INTERIOR SHEAR/HOLD DOWN SI IEETROCK/SHEETROCK SHEAR - EXTERIOR TH/W-SCREEN SHOWER LATH SCRATCH COAT NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED ' NOTE:NO FINAL INSPECTION SHALL BE MADE BEFORE - THE CONSTRUCTION TAX IS PAID FINALS DATE INSPECTOR SAN.# ELECT.ENERGY ' PLUMBING ENERGY MECH.ENERGY BUILDING ENERGY ELECT.FINAL TEST PLUMBING - GAS TEST - MECHANICAL HEATING ELECTRICAL RELEASE - FIREDEPT. GRADE OCCUPANCY TEMPORARY APPROVALS ' ELECTRIC GAS BUILDING OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL I DATE BUILDING. FINAL IS SIGNED BY BUILDING INSPECTOR ARRANGE FOR INSPECTION BY PHONING 252-4505 BETWEEN )AN 0 9 1990 12:30 PM AND 4:30 PM MONDAY THROUGH FRIDAY,24 HOURS BEFORE REQUIRED INSPECTION. JOB ADDRESS AND �,,Dnr il}If PERMIT# ARE NEEDED WHEN PHONING. . IMPORTANT! fi SOF PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION 'k;lw _— OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY Building Peel M ldemiflutim PFR.WTNO. Building Address P . �Iu Av, c u 19476 e .sell ` me: `�a M 'J CITY OF CUPERTINO-BUILDING DIVISION _ (70 • CeN1 Al) I 1 lV APPLICATION /PERMIT I7 l0 BI RAINC—MECIWCAL PLUMBINGU MhM IACAL CATEGORY CONTROL Y A ect No at QTY ELECPRICPERMIT FEE BUILDING PERMITINFO I PLUMB MELD Add. ��,1?.�( UK ILs—Jjk PERM TISSUANCE ❑ ❑ ❑ LICEN ED CONTRACT R5 0EC1.ARAT19N I hereby aff mtlutlamllcenaeduMe pr wmsot Chapler9(mmmenc APPLIANCES-RESIDENTIAL )0B DESCRIPTION Ingwlth Section 700Wof Divlem3ofthe Buslrmvand ProfwlonsCode,and my hmeseb ie full form and a feci. �/a� /�� PANELS License Clam--Lie.A_ Date Comranor ARCHITECT'S DECLARATION M- WWW'Z I understand my pla e.hall be used u public Micmrda OVER 1000 AMPS SQ.FT.FLOOR AREA 5/h1Z.17.�j Licensed Professional S)GNSFT TRICAL {{{{���� OWNER-BUILDER DECLARATION SPECIALCIRCUIT/MISC X 7� w 1herebyafflrmthat I am exempt fmomthe Cam actorb Lieeae Law for the po ❑ following rean.(Sealm 70315,Businrm and Professions;Code:Any city or FZ wntywhkhrequi apertNttownrt malWr,lmpm ,dennlbh,ormpar TEMP.METER OR RALE INST. anyatmc mprkrm,tat, aaq.borequl theappll«ntfwsueh permit to POWER DEVICES rNL fon a asignedetor3 statement that he b IlceaedeneingPursuant it the lon 70oa of the Contactors Litems Law(Chrssion(commencian he h Sectbn70R0 of arol SWIMMING POO ELECTRIC OR ebn3ofthe Business and PmofubaCnde)orthe hebexemptheretromand VAWATION the W.l.for the allegM....Vier. My violation of Seddon 70315 by any OII7LEISSN7.I.CHESFlX[.URES fn appBant fora permit subjects the appheant to a civil pevHy of not mom than live hundred dmllam(SHOW. NEW R©'mQJ77AL ELECIR SQFT. STORIES TYPE CONSTRUCTION �n ❑I,as owner of the property,or my employees with wages u their sole mmpcesadoe,wW Bothe work,and thestructum is not Wended or offered for cep sak(Sm 70K Busbmassndl'mo(mloa Code.The Comrseor.License law j cs� don not apply to an owner of property who builds or Improves thercoR and OCCGROIIP RES UNITS duessuch work hime df or through les own employees,pmwlded that such Improvements moot Intended oroHered forsale.If,however,the WIMLng« TOTAL: Improvement bemld whhinoayearo(canplctbn,theowner-buRdewlR have t"rdenof proving that he did eel bund or improve for purpose ofsaie.). QTY. PLUMBING PERMIT FEE FLOOD ZONE APN LUJ 1 owner of the property,am evclusl,eety mntraNng with Ibcrs d PERMIT ISSUANCE rentreemrs to contact the project(See 7014,Business and Professions Code: The Comrsctors License Law don not apply to an owner of property who ALS-DRAIN&VEN'T-WATER(tiV Wilds or Imrove pthemon,and who mmrsm f«such pTjecv with a FEE SUMMARY OTT, Banti pureusel to the Contractor'.Limas Law. BACK FLOW PROTECT.DEVICE L_f I am exempt under See. B&P C for this reaon s Ou ES DRAINS FLOOR ROOF,AREA,ODND. SANITARY Y N_ Owner Dee RFLOPI'Y WORKMAN COMPENSATION DECLARATION H)CRURFS PER TRV' SCII00LTAX Y_ N ❑1 hereby orkers IfIrm this I bsve o Imm.e of eon.em to oe8-bwrt,(Se. RECEIPT Y 3800,ab C.) rkers'Compenutlonlaur.na«s certBleA copy thereof(gee GAS PA.SYSTEM-1 ING4 OUTLETS PARK FETE Y N 3800,lab Cd RECEIPT M Policy a GAS EA.SYSTEM-0VFR 4(E M) Com ny BUILDING DIVISION FEES entified copy is hereby furnished. - CREASE/INDUSIRL WASTE INTERCEPTOR PLANCI IECK FEE ertified ropy is filed with the city iropeetlem divlalon. CERTIFICATE OF EXEMPTION FROM WORKERS CREASE TRAP PAID COMPENSATION INSURANCE SEWER SAMTARY STORM FA k�T' Date Recd t# (TNa seabn need not be eompleted B the permit b f ore hundred dollars moW«less) yth I artWATER HEATER W/VENT./ELEM ENERGY FEE Y- -N-I shall not employ any person b any manner oto as to become subject to the WATER SYSTEM(/TRFATING Workers'CompessebnlawsofC df«nb z Z Applicant NEW RESIDENTIAL PLMB. SQFT. Date Reoei t# Z O NOTICE TO APPLICANT:lf,cher making this Certificate of Ewmplbn,you should become subject to the Workers'Compeaatlon provblom of the Labor TOTAL: N Code,you most forthwith amply with such pmW.ba or this permit shallb - RE ITT 171717 - W ] dnrtad revoked. CONSTRUCTION TENDING AGENCY SEISMIC FEE CL I hemby atRrenthat there Is.roatanlon leMingageq for the perform- - TOTAL.: ELECTRIC FEE M Z anon of the work for which this permit b Issued(Se.3091,CIV,C) () O Lender.Name PLUMBING FEE LL F fender.Add. QrY. MECHANICAL PERMIT FEE MECHANICAL FEE W laaLfythelheveresdth .ppB tbnads tet Athaabovalnformadm O bm.tect.Iagmeto comply wkh,R cty.nd countyordbuncn and state laws I PERMIT ISSUANCE PAID: >- 1 relaling to building coatructlon,and hereby aiothoreur representatNn of this— ;t—' t: 'z city to enter u Pon the abm cm nib N property fee inspetlbnpuryome. ALTERORADDMI TOFCII Rete t# Me agree to save,IndemNfy an d Peep harmless the Cityof Cupetlro V agalat IabWt�,N mrcn malszpemmes which may in any wayacmme AIR IiANDLING UNIT(TO 10,000 CFM) SUBTOTAL: �L�L a t acxym Qnr w.pem�_I AIR FIANDLING UNIT tnv 1 cmcl>hn CONSTRUCTIONTAX Sig lure of AppB UCm r. H� IDOy WfAU5'r HOOD(W/DLC 6 CONSTRUCTION TAX PAID: HAlAR US MATERIALS DISCLOSURE Will the applicant or future building oceepant more or haMk harardoua HEATING UNIT(TO 10DA BTU) Date Recel t# materials,defined by the Cupertino Municipal Code,Chapter 9.17,and the HEATING UnTT(OVER 100,000 BM Health W Safety Cade Scalon 755n(A)t TOTAL: EYn No VQNflIATIONFAN(SINGLERESID) hdrb em t ipplkam« tontans ding«cupant!bythe ay Area Air a, ISSUANCE DATE ATE which emit hagnnent ab contamlant,u deRr i bytM Bay Arca Air • Quality hUagcmentENot OIL 100,0(0OMPOb'OA 1(p,OBTU) ❑ Y. No have read the ealth&rdo�matee Sect 25505,75533 mun3andChapter 25534. 15 of BOILER COMP(OVER 100,000 Af11) JAN 09 1990 the Gltandt Hefth&Sdf Cade,not have and7S534. I understand that if the building does mut currently have.tenant,that ltbmy NEW RESIDENTIAL MECH. SQ.FT. mspoaibilty to notify the«mpam of the milodmments whkh num be rrct — 00 prl«tobmmeceaacertBlateofO�wmy. t��L_ s_�' �_ _ .3 city (I rlumt_flq ,\� Owner or authorlad agent Date O- ISSUED BY-. TOTAL U OFFICE COPY