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15846 POST THIS CARD NEAR FRONT OF BUILDING PER ,ITNUMBER CITY OF CUPERTINO : 15846 INSPECTION DIVISION JOB INSPECTION RECORD ^ r - PERMIT EXPIRATION c i IJOB ADDRESS C--7.UNIT# LOT#30 PERMIT EXPIRES IF WORK OWNER CONTRACTOR — V IS NOT STARTED WITHIN T INSPECTION D E INSPECTOR- INSPECT NRECOR 180 DAYS OF PERMIT ISSU ANCE OR-180 DAYS FROM FOUNDATION �7•q NOTE: .. LAST CALLED INSPECTION UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. ' GARAGE SLABS - i POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED — ' - r UNDERGROUND /SLAB - �•'. •�� ' .. . PLUMBING 12 ELECTRICAL ISSUANCE DATE MECHANICAL - wm ELECT. PLG. MECH. Q IN DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - CVprBUILDING PERMIT r 1` INFORMATION WOOD FLOOR VALUAnoN sTFT. PLUMBING - - MECHANICAL PERMIT TO ELECTRICAL - FRAMING INSULATION SIO TYPECONSTR, - - OC ROUP UNITS -PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - - s0 LIJOR ARFA roTA ACREAGE ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE DIAPHRAGM - - THE CONSTRUCTION TAX IS PAID ROOF SHEATHING L�� 1.J - BUILDING USE R INU CON PB' APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. •D 0 ❑ ❑ E ASSESSORSPAR CEL NO ROUGHSAN.a 70Z 6-09-�313d PLUMBING Q. ELECT MRN GY TRACT NO, PARCEL NO. TUBS 8 SHOWER PAN 'j� PLUMBING ENERGY ' !/ MECHANICAL MECH.ENERGY - FO93 ELECTRICAL ACC.DATE ACC FILE NO BUILDING ENERGY FRAMING 2. ELECT.FINAL TEST ZONING ENG.SITE NO. INSULATION 6 J6W tyoS . PLUMBING GAS TEST 'Z GAS ,- FIRE SPR INK ENERGY L,U MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - Y N❑ ❑ ND EXTERIOR SHEAR - ELECTRICAL RELEASE FLOOU LONE 0.L.U.C. INTERIOR SHEAR _�,8 U.��1 FIRE DEPT: v 0 NEI v L N❑, SHEETROCK , GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH BUILDING `Z�j TEMPORA APPROVALS SCRATCH COAT ELECTRIC - PLAN CHECK FE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED DCCUPANCY SEISMIC FEE OCCUPANCY OF•BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING,INSPECTOR. MICROFILM - SEE ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC Fw- ONE WORKING DAY BEFORE REQUIRED INSPECTION. ,PLUMBING ' OPLEASE GIVE JOB ADDRESS WHEN PHONING. _ Z PER MIT.FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE: READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. ' OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY / 1 .. PERMIT NUMBER • - 'BUILOFNG PFI07ECT IDENTIFICATION APPLICATION & PERMIT, r n ^ Lot("11$02 Trinity Spring Court V5 I8 Vh ADDRESS r[�n BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'SInc• O ELECTRIC PERMIT FEE - �r�.21 C� PLAN CHECK VALIDATION • NAME rl ( ^yfs tl OTV , lDe 1 RONE415/;., CONTRACTORS NAME UTLETS-SWITCHES-RECEP 10.00/1.00 Inc. LIGND.B=430097 LIGHTING FIXTURES 10.00I1.00 CONTRACTOR'S ,� TiWn Do] ADDRESSpilin DR. PPLIANCES-RESIDENTIAL 4.00 �� /�[ RW 9`065 PHONE 415/595-2101 j PANELS 10.00 DATE OF APPLICATION OR RCHITwT SS2nlan, PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.No. ENGINEER NSSOCiatCJ LIC.No.!vT SIGNS TRANS., 3.00 ARCH.OR ENG. (x,�,��.,�.�f PERMIT VALIDATION ADDRESS 2031 VIUIDI.0 Dr., #100 SPECIALCIRCUIT 5.00 Santa Ana Its. CA P 92707 EMP.METER OR POLE INS. 20.00 APPLICANTS MOTORS SEE FEE SCH. ADD RE"S 220-C Twin Dolphin Dr. FK 94065 SERVICE CHANGE 20.00 / ,00 LICENSED CONTRACTORS DECLARATION J pp// a I hereby affirm that 1 am licensed under provisions of Chapter 9 • 'ISSUANCE DATE as< N (commencing with Section 7000)of Division 3 nf.lhe Bu.in.and B ELECT, PLG. MECH. H z I'rofessiunx Cala, d my licenx is re full lore t. Z o m - License aV1, Lia Number O w F Da lc .YrContnctor_ _ W QySJ �l ¢ ¢ ¢ OWNER-BUILDER DECLARATION CT' BUILDING PERMIT o a ° MISC.- REFER TO ORD INFORMATION X S u y I hereby al that I am exempt from the Contractor's License VALUATION S/FT. F LL o a Law for the following reason.(Sec.7031.5.Busines and Professions PERMIT ISSUANCE '10.00 Code:Any city or County which requiresa lnrmil to mt,rud,aReq p y� CEQ ¢ 0 improve, or repair any structure,prior to its issuance,also ELEC.CONTR. LIG NO. ELEC. 130306 O¢ requires the applicant for such Purred to file a signed statement that TOTAL PERMITTO o. w m m he is licensed pursuant to lire provisions of the C'ontractor's License _ ri> Law(Chapter 9(commencing with Section 7000)ofDivision 3 critic ¢ Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE SFDUIL- ¢ r $the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. dbyany rhfor upermitsubjects the applicant toacivilpenalty .ALTER-DRAIN -WATER (EA) 500 of not more than fun hundred dollen(5500).1', . . 2 5(" ❑ 1,as owner of the property,or my cmployms with wages as BACK FLOW PROTECT. DEVICE 4.00 DCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not intended or offered for sale (Sec 7044, Business and professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor License Law docs not apply to an owner of R-3 1 property who builds or improve,0mrcoe,and who docs such work FIXTURES-PER TRAP 5.00 SO.Fr.FLOOR AREA TOTAL ACREAGE himself or through hia own employees,provided that such improve- men"are not intended or offered for sale.IC however,the building GAS-EA.SYSTEM-1'1 NC.4 OUTLETS 6.00 2161 or improvement is sold within one year of completion,the owner- GAS EASYSTEM OVER 4 (EA.) 200 builder will have tire - . - . . e burden of proving that he did not build or im- BUILDING USE prove for purpose of sale.). RE IND CON, PB Other ❑ 1,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ ❑ ❑ 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 an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 3� "69_3/ 3 ,colors"for suds projects with v amlradmisl licensed pursuant to the Contractor's License Law, SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. O lam exempt under Sea ,B.&P.C.fur thereas on WATER HEATER W/VENT 6.00 Owner Dale WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COIAPEN'SAT ION D17CLARATION - WATER TREATING EQUIP. 5.00 I herebyaffirm that I have a certificele.f comand to ell-inmrt. ZONING ENG.SITE N0. coa certificate of Workers Compensation Insurance,or a certified py thereof(Sec,3800,Lab.C.)' Lh1tEd Pacific Policy No. Company _ . O v❑ Ccrtili copy fish reby lu fished: FIRESPRINK ENERGY T 24 Z 2 y�Cerf y 1 lil.d with the city inspection Division. MISC.- REFER TO ORD. Q AtTP Cet Y N� Y N� CCy CIiR'I'IPICA'I E OF EXE MPTION FROM WORKERS' 'PERMIT ISSUANCE 10.00 - FLOOD ZONE A.L.u.C. LU > CONI'IiNSATION INSURANCE PLG.CONTR. LIC.NO. PLO. CL Z (This action need not be completed if the permit is for one - TOTAL YE] N 0 ' r i� N E] hundred dollars(S 100)or I.,) U O 1 cmtdy that in the pmformancc ,t the work for which this per- CITY MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued,1 shall not employ any pers.n in any mann..so as t0 , U become subject to the Workers Comprusatiun Laws of California. ale cant to DAppliBUILDING $ ' Q' } H NOTICE TO APPLICANT: If,after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 776.0�YW0ry F'- ? .mplion,you should becomesubject to the Workers'Compenvlion APPLIANCE 5.00 PLAN CHECK proviso.... of the Labor Code, you nail forthwith comply with U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,000GF.M.) 4.00 FEE Energy NA CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER IOAOOO.F.M.) 6.00 SEISMIC FEE 1 hereby affirm (hut there is a construction lendl.g agency for EXHAUST HOOD(WITH DUCT) 5.00 lire perlomlxne of the work for which this Permit is isvmd(Sec. MICROFILM 3197,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 - Lender'sName SeCUri. Pacifi�ct-�' HEATING UNIT DOVER 100,000 B.T.U.19.50 ELECTRIC *$297.OM'3 Lenders Address -IJ-.-.Jr 7'f 1 I certify that l have read this application and slate that the above VENTILATION FAN (SINGLE) 4.00 in formation is correct. I agree m comply with all city and county PLUMBING ordinances and slate laws relating to building construction, .,M BOILER-CDMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 11X),000 RTU)SEE FEE SCH. MECHANICAL '9~ above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep haeme. the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and-expenses which PERMIT ISSUANCE 10.00 CONST.TAX may in any way accrue against said City in consequence of the this pe nit. MECH.CONT. LIC.N0. MECH. ' TOTAL TOTAL Signa are of App tram ntracmr. ale $1326.76 OFFICE COPY