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15865 POST'THIS CARD NAR FRONT OF BUILDING PERMIT.NUMBER - CITY OF CUPERTINO INSPECTION DIVISION . JOB.I NSP ECT I ON,RECORD PERMIT EXPIRATION JOB ADDRESS l ! 1 "` �`- TPA-6-h l I. UNIT# LOT it - PERMIT EXPIRES IF WORK OWNERC_ ONTRACTOR IS NOT STARTED WITHIN Ii INSPECTION DATE INSPECTOR INSPECTION RECORD ' 180 DAYS OF PERMIT ISSU- FOUNDATIONANCE OR 180 DAYS FROM NOTE: - L'ASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE.INSTALLED PREGUNITE CU COMPLY WITH THE APPROVED PLANS AND CITY OF TO OMIN H THEA. 462ATIUN GARAGE SLABS ' POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - UNDERGROUND /SLAB - s0pf(�) PLUMBING; ELECTRICAL �I ISSUANCE DATE _ \, BL (N Eleci; PLG. MecH, MECHANICAL oti ,© xO ' [2 DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED , . BuaowG PERMIT INFORMATION WOOD FLOOR VAwATION $TFT. . PLUMBING '- MECHANICAL ' PEH1.111-TO ELECTRICAL - r FRAMING - Cal tj STORI S TYPECONSiR- INSULATION ., OCC.GHOUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ,• - soFr.F1.004mI ARCA TOTALACREACE . ROOF - NOTE NO FINAL INSP.SHALL BE MADE BEFORE . DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING - REQS IND CON- PB, 011-1APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. �u ' //ASSESSORS PAHCfiI�N�O RCUGH SAN.# O 3 10-O9-c3I, 3-3 PLUMBING ELECT.ENERGY TUBS&SHOWE PAN PLUMBING ENERGY TRAn Nq. PARCEL No MECHANICAL! MECH.ENERGY UAC C.DATE ACC FILE NO ELECTRICAL: BUILDING ENERGYFRAMING ELECT.FINAL TEST ONING ENG.SITE NO. INSULATION PLUMBING GAS TESTC GASE SPRINK ENERGY i'2< MECHANICAL ❑ NE] E] N[] COVER NO WORK UNTIL ABOVE HAS BEENSIGNED HEATINGEXTERIOR SHEAR -1 ELECTRICAL RELEASE - ooD ZONE n.ElINTERIOR SHEAR - FIRE DEPT. ❑ N� I ❑ N❑ SHEETROCK �( 'I GRADE FEE SUMMARY EXTERIOR LATH' ( BUILDING BUILDING ,INTERIOR LATH ' _ TEMPORARY APPROVALS SCRATCH COAT ELECTRIC FEEN CHECK GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE. OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC. .35 Iw ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 90.35 z� PLEASE GIVE JOB ADDRESS WHEN PHONING. MECHANICAL — SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! CONST.TAX M PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. ' OFFICE COPY I CITY OF CUPERTINO, CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date ...2)............................... ...... 19............ Building Permit No. Ur� 8.6..T 2......... The Building Located at ...1.1-- 7.G'?L... .. . ......... ..... ..j., Ownedby ......& j .......w—.o--P............................... .... .............................. m let For Use As: ...S.F�,D-W�...................................................... Has Been (Altered) ................................I.................................................. ............................................................ ................................................................................ ....................................................... .................... ...................................................... ... ........ ....... ............................ .... PD-7 BUILDING INSPECTOR APP' CANT TO FILL IN INFORMATICr�WITHIN RED LINES - USE BALL POINT PEN,ONLY ' 'e1 B LDING PROJECT IDENTIFICATION '� PERMIT NUMBER 6UILD1PLO APPLIL'ATION & PERMIT 1 [Q L+. I AODRESL 11762 Trinity,/Spring Ccort nt '4f 3A BUILDING -ELECTRICAL-PLUMBING-MECHANICAL I J Q U 5 OwNER9 PLAN CHECK VALIDATION NAME Q'1c(]cQ'Y alol Inc. & OTY. ELECTRIC PERMIT FEE phreniDP PHONE 415/595-21 NAME Across UTLETS-SWITCHES-RECEP 10.00/1.00 QW, Inc. Lac,NO. B-430097 LIGHTING FIXTURES 10.00/1.00 NTRAF^1 CONTRACTORS ADDRESS 220-C Twin Dolphin Dr. PPLIANCES-RESIDENTIAL 4.00 RV RIIC 9iU5 PHONE415595-21 PANELS 10.00 DATE OF APPLICATI ON ARCHITECT Arm Bassenian, AIA & PANELS IOV ER 200 AMN 20,00 PLAN CHECK EE . .C.NO. OR fY A ENGINEER ASsaclhtes uc.NO C-63,IS' SIGNS TRANS. 3.00 ' ARCH.OR ENG. M1 Drchard Dr., /100 PERMIT VALIDATION ADDRESS SPECIALCIRCUIT 5.00 z1P 92707 TEMP.METER OR POLE INS. 20.00 AESRrs ADDRESS MOTORS SEE FEE SCH. 220-0 Twin Dolphin Dr. M 94065 SERVICE CHANGE 20. 1 oo LICENSED CONTRACTORS DECLARATION UPetU�o/� / Q U u I hereby'affirm that I am licensed under provisions of ChaRcr 9 o ISSUANCE DATE Z, w (commencing with Section 7000)of Division 3 of the Business and Q w - BkDG, ELECT. PLG. MECH. F z Pwfcssions Codc.and license is in full furc4 t 1 Ij10.YI( z o"� - OLD, Clpz Lic.Number 0 z r Dute_TP-I Contractor_�jm _ `a Y BUILDING PERMIT o o OWNFR-BUILDERDECLARATION INFORMATION wB:u. y I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD _ u. og Law for the followingreason.(Sec.7031.5,Busimesaand Professions PERMIT ISSUANCE 1000 - `/ALUATION f/FT. - CodC',Any city or county which requiresa Permit toconstrct.alter, C' '7� rt S Q 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. - LIC.NO. ELEC 152,727 La o ac requires the applicant for such permit to File a signed statement that TOTAL PERMIT TO F 9 he is licensed pursuam to the provisions of the Contractor's License. r z r Law(Chapter 9(commencing with Section 7700)of Division 3 ufthe - er Business and Professions Code)or that he is exempt therefrom and GTY. PLUMBING PERMIT FEE SFCIUL F the basis for the alleged exemption.Any violation ofSection 7031.5 STORIES TYPE CONSTR., a 3 - by any applicant lot u permit subjects the applicant loaeivil penally - ofnotmore than five hundred dollars(351X)).1: ALTER-DRAIN&,VENT-WATER (EA.) 5.00 2 5M-R ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 oee.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not intended or offered for sale (See. 7144, Fusin.and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law docs not apply to an owner of R-3 1 • ,... L,ly who huilds or improves lhereoo,and who docs such work FIXTURES,PER TRAP - - 5.00 so.IT.FLDOH AREA TOTAL ACREAGE himwlf or through his own employees,provided that suchilopmVe- mentsare notimemledoroffered for Sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 2349 or improveme I is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA.). 2.00 BUILDING USE builder will have the burden of proving that he did not build or im- RES IND CON PB Omer prove for purpose ors(heJ' INDUSTRIAL WASTE INTER. 30.00 0 D ❑ ❑ ❑ d as owner of the property,he exclusively contracting with licensed contractorsnsCod m e Coma the project(Scc. does Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Cotte:The who o improv law does not apply 9 to anownerfor ouch projects with ba contrimrts)li rased pursuant who LAWN SPRINKLERS-OVER 5(EA.) 1.00 -2/ 3e)-33 contracts for such projects with a conlracmrts]licensed pursuant to 11 the Contractor's Liccnw few. - SEWER-SANITARY-STORM EA.200f1/10.00 TRACT No. "PARCEL NO. ❑ l On,cxmnpI under Scc. ,B.&P.C.hi this WATER HEATER W/VENT 6.00 reason Owner lyase I WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. ' WORK ERS'CO.MPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby Otimt th t I have a certificate of consent to w1&insure ZONING or a certificate of Workers'Conrpeow tion Insurance.or a certbiLd ENG.SITE NO. copy Wemof(See.3800,LaRC.). United Pacific Policy No. Company Q ❑ Certified copy is hereby furnished. FIRESPRINK ENERGYT-20 Z 2 .d�'Certif uG d wit the city inspccnon division. O Applicant__ _ _ _ MISC.- REFER TO ORD. Y ❑ N❑ I Y ❑ NE] ~ PERMIT ISSUANCE - 10.00 f= - CIiRI'1IsICATIi E EXEMI'rIFROM WORKERS' FLOOD ZONE A.L.U.C. CL COMPIiNSATION INSURANCE URANCE PLG.CONTR. LIC.NO. PLD, V N Y [] N❑ Z (Thu section need not he completed if the permit is for one TOTAL hundred dollars(S 100)or IC.,) U O 1 certify that in the performance of the work for which this per- QTY MECHANICAL PERMIT FEE FEE SUMMARY LL F mit is issued,I shall ,or employ any person in any ntannCr ut as to Uw become subject to the Worker ''Compensation Lows of California. .y Date-Applicant ALTER OR ADD TO MECH. 5.00 BUILDING CDoc w N'OT'ICE'f0 APPLICANT: If,after making this Certificate of Fax- $R-�'r -00 F Z emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with U such provisions or this permit shell be de®ned revoked AIR HANDLING UNIT(TO 10J100CF.M.) 4.00 FEE CONS'rRUCflON LENDING AGENCY AIRHANDLING UNMOVER 10=C.F.M.) 6.00 SEISMIC FEE 10.71 1 hereby affirm that there 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.C.) Security Pacific H EATING UN IT(70100,000 B.T.U.) 8.00 Leander;Name_ 1,,,d,,',Address 1_�m_ 4jf_Fl _ HEATING UNITIOVER 100,000B.T.UJ9.50 ELECTRIC , $60.35 1 mrtify that I have read this application and scum that the above VENTILATION FAN (SINGLE) .4.00 1 information is correct. I agree to comply,with all city and county PLUMBING ordinances and state laws relating to building construction. and BOILER-COMPO(3 H.P.or 100,000 B.T.U.) 6.00 $60.35 li• hereby authorue representatives of this city to enter uptm the BOILER-COMP(Over 100,1X10 BTU)SEE FEE SCH. MECHANICAL shove-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City or MISC.- _REFER TO ORD. kSi,i'1(Aeof tino against liabilities,judgments, costs and expenses which - CONST.TAX n any way accrue against said City in consequentt of the PERMIT ISSUANCE 10.00 097.03 his pc mit MECH.CONT. LIC.NO. MECH. �ll1GYi TOTAL TOTAL Appli• t/Contractor 1 tc �� b- 1341.29 OFFICE COPY