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15363 APPLICANT TO FILL IN INFORMATION WITHIN RED '..INES - USE.BALL POINT PEN ONLY BUILDING PROJECT IDENTIFI ATION - PERMIT NUMBER BUILDING APPLICATION & PERMIT 'I ���� ADDRESS 10330 Tula Lane, Cup. BUILDING - ELECTRICAL-PLUMBING-MECHANICAL 0,. \, OWNER'S PLAN CHECK VAL ATION x "AME James C. Hoffman OTY. ELECTRIC PERMIT FEE G PHONE 252^6107 63, CONTRALTOR3 �- "A"'EKOH Atlas Corp. OUTLETS-SWITCHES-RECEP 10.00/1.00 _ .._ LIG.NO. 204564 LIGHTING FIXTURES 10.00/1.00 coNTHACT ADDRESS °�b480 Pacifica D o(s u PPLIANCES-RESIDENTIAL 4.00 }} }' Cupertino PHOSE4b"5155 PANELS 10.00 DATE OFAPPLICATION ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. O OR ENGINEER LIC.No. SIGNS TRANS. - 3.00 ARCH.OR ENO. - PERMIT VALIDATION X AppHE s SPECIAL CIRCUIT 5.00 ZIP TEMP.METER OR POLE INS: 20.00 APPucnrvr MOTORS SEE FEE SCH. (U/Jlb-t-/, ADDRESS X0260 Tula 'Lane, Cup. SERVICE CHANGE 20.00 - U -'02 LICENSED CONTRACTORS DECLARATION • u I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE Q 2 w (commencing with Section 7000)of Division 3 of the Business and ELECT. I PLG. MECH. yPmfnsiuns Code, J my license is in full fareyy,,,,y�y��gql!jj..rr�� , y a oO m - LicensyyC�ss ����yy++ _I-ic.Number LU_4JD4_ - Uatc_.2�J.5�88._Cmvrudor � u 1 \ ILDING.PERMIT OW i a NER-BUILDER DECLARATION Y� INFORMATION wr I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD a,o J Law for the following reason.(Sec.7031.5,Businessxnd Professions PERMIT ISSUANCE 44.-Go9ALUATION � - Crede:Any city or county which requiresa permit to construct,alter,IF _ 4 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. - u requires the applicant for such pemmit to file a signed statement that TOTAL/B PERMIT TO R $ he is licensed pursuant to the provisions of the Contractor's License H z i Law(Chapter 9(commencing with Section 7000)of Division 3 of the 0 Rosiness and Pro(cssions Cale)cur that he is exempt therefrom send DTV. PLUMBING PERMIT FEE at F$ the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONST u ; _ byany opplicent for a permit subjects the ajrplicant too civil penalty ALTER-DRAIN -WATER (EA.) 5.00 - of not more than fee hundred dollars(55001.): D 1,as owner of the property.or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS m _- their sole copensation,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 3 Code The Contractor's License Law does not apply to in owner of property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself or throughnet intended own employeeffccd for salsovlded ever.hat the improve- GAS-EA.SYSTEM-1 6.00 j rents are not intended or offend far sok.If,however,the budding or improvement is sold within one year of completion,the owner- GAS,-EA.SYSTEM-OVER 4 (EA.) 2.00 builder will,have the burden of proving that he did not build or am- BUILDING USE prove for purpose of sal,L INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Other ❑ 1,as owner of the properly,run exChelecly contracting wiW & ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec. 7044,Business ILAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Cole:The Contractor's License Law does not apply q g to as owner of properly who builds or improves thereon.and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 3s-/ �J -09 contracts for such projects with a contractor)sl licensed pursuant to the Contractor's License Law. SEWE R-SANITARY-STO RM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ lam exempt under Sea ,B.&P.C.lin Ibis WATER HEATER W/VENT 6.00 7u,77 reason Owner - Date WATER SYSTEM 5.00 ACC.OATE ACC.FILE NO. WORK ERS'COMPENSATIOS DECLARATION WATER TREATING EQUIP. 5.00 - I hereby affirm that I have a certificate of consent to selfinsure, or a certifiCule of Workers Compensation Insurance,or u ecrliticd ZONING- ENG.SITE NO. copy u,ereDf,see.3800.ub.c.)State Comp.Ins Policy No. Company 0 ❑ Certified copy is hereby furnished. O FIRE SPRINK ENERGY T 24 Z O El Cey{nificd copy is filed with the city inspection division. MISC.- REFER TO ORD. y[JN❑ v ❑ N❑ F IER�'3`$a PERMIT ISSUANCE -1600 Cc: T CERI'IPICA'IF,OF IiXIiNI"I'ION FROM WORKERS' - .a FLOOD ZONE A.L.u.C. W > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG.' /DO v❑ N❑ Y [:] N❑ CL 0 (Thu n section need not He completed it the permit for o TOTAL hundred dollars IS 100)or less.) 0 O 1 certify that in the performance of the work for which this per, QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H mil is issued. I xholl not W'employ any poem in any manner so as to U become subject to the orken'Compensation Laws of Calitinnia. BUILDING Ed Date Applicant ALTER OR ADD TO MECH. 5.00 } N NOTICE TO APPLICANT: If,oftcr making this Certificate of Ex__ �? emption,you should become Subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK prvisions provisions of the Tabor Code, you must forthwith comply with FEE U sucovisions or ThPermit This peit Shull he deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 :CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=12-EM.) 6.00 SEISMIC FEE As I 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 u issued tSee MICROFILM 3097,Civ.C.). ' ank-- HEATING UNIT(TO 100,000 B.T.U.) 8.00 LImd,,r'," `S2n) .Lt'Ste a_terfs-Cre HEATINGUNIT(OVER100,000B.T.U.)9.50 ELECTRIC /OOaS Len Jeri Address 000 t Sip evens-Cresk- I certify that I have read this application and Sara that the above VENTILATION FAN (SINGLE) 4.00 information is carnet. I agree to comply with all city and county PLUMBING 0 ordinances and state laws relating to building construction, and BOILER-COMP l3 H.P.or 100,000 B.T.U.1 6.00 hereby authorize reprarntatives of this.city to enter upon the BOILER-COMP (Oxer 100,000 BTU)SEE FEE SCH.ODO".5MECHANICAL dQ .7 S, above mentioned property for inspection purpaxes. (We) agree to save, indemnify and keep hem less the City of MISC.- REFER TO ORD. operon. against liabilities,judgments, costs and expenses which l CONST.TAX �� ey in any way accrue against said City in consequence of the PERMIT ISSUANCE 1690 p( i mingofthispermit. MECH.CONT. LIC.NO. MECH. i TOTAL 160 TOTAL Signature of Applicant/Contractor Date .3`+�3�' - OFFICE COPY , POST THIS CARD NEAR FRONT Of-BUILPING PERMIT NUMBER CITY OF CUPEBTINO 1536.3 INSPECTION DIVISION JOB INSPECTION RECORD E 'PERMIT EXPIRATION JOBADDRESS /0334 TUL'i zloq/Lr UNIT# _LOT# _ PERMIT EXPIRES IF WORK OWNER O�/G CONTRACTOR IS NOT STARTED,WITHIN` INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU ANCE OR 180 DAYS FROM FOUNDATION 2- NOTE: LAST CALLED INSPECTION. UFER -22- - ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PR EGUNITE CUPERTINO STANDARDS. GARAGE SLABS -2C{^�'. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED \)vftleR SCRU'iGt=2z_4C-?8Tc:; UNDERGROUND /SLAB ' PLUMBING ELECTRICAL ISSUANCE UAIE MECHANICAL - BLDG ELECT PI-p. MECR. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT n FORMATION WOOD FLOOR LUArION FFT. PLUMBING - MECHANICAL - _ Z� .mv y ELECTRICAL OR PC� HV r �✓�� L FRAMING -��f pp - INSULATION �'(7Z_C+C'7 srGHiEs TYPE coNsnH. OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SN.FT FLOOR AREA TOTAL ACREAGE I ? - ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONST RUCTION TAX IS PAID C 1. BUILDING USE ROOF,SHEATHING HES IND CON PB CRT- APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. [I E 1:1 `•O ASSESSORSPARCEI.NO. ROUGH SAN.k1 PLUMBING .3J /• ^1' 'l�, . `68 ELECT.ENERGY TRACT NO PARCEL NO TUBS B SHOWER PAN IC PLUMBING ENERGY MECHANICAL 12.- •'THC MECH.ENERGY �acc�re ACC.FILE No ELECTRICAL ' -�b CCS BUILDINGENERGY FRAMING 'Z` - L ELECT.FINAL TEST" ZONING ENG.SITE NO. INSULATION 'L_C 13 �' PLUMBING GAS TEST - 7--1 �4, GAS FIRE SPOINF ENERGY L]< MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING " •� 1:1 'Ell - NE] : A.L . EXTERIOR SHEAR �_b�_y$ GI FLOOD ZONfUC ELECTRICAL RELEASE YE] N� w ❑ N❑ INTERIOR,SHEAR FIRE.DEPT.' SHEETROCK GRADE FEESUMMARY EXTERIOR LATH -Ja - BUILDING INTERIOR LATH - TEMPORARY APPFYOVALS BUILDING 73 _ SCRATCH COAT ELECTRIC PLAN CHECK GAS . ' FEE .NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY' SEISMIC FEE OCCUPANCY OF BUILDING ISNOTPERMITTED UNTILBUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM /I �'U S ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC IMI- ONE WORKING DAY BEFORE•REQUIRED INSPECTION: PLUMBINGQQ v 0 PLEASE GIVE JOB ADDRESS WHEN PHONING. Z1 - SEE PERMIT FOR EXPIRATION DATE MECHANICAL �ChJ d S 'IMPORTANT! ' CONST.TAX / �/ a o° PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. ETOTAL OFFICE COPY POST THIS CAH6 %1EAR FR ,AOF BUILDING A�Y/f(�/(�(y� p %r CITY OF CUP TING wrvilHu�u}nr Al INSPECTION D �j 10N �� ��// n JOB ;NSPECTION RECORD IF JOB ADDRESSfO' 0 TUCTQ �" �;c• / PERMIT EXPI Ri _ UNIT I/__ _LOT# i PERMIT EXPIR:' ONNtR /t•n., :'j, l'J - - ."/Hn/ CONTHACTOA IS NOT STARI'E. �V INSPECTION - DATE INSPECTORINSPECTION RECORD 100 DAYS OF PERMIT . FOUNDATION ANCE OR 180 DAYS FH lJ ALL,� NOTE: LAST AND DRAINAGE SHALL BE INSTALLED LAST CALLED UFER j'j- PRFGUNITE TO COMPLY WITH THE APPROVED PLAN-AND CIT) OF Pi,¢+n VAuuAfI0N GARAGE SLAGS CUPER'RNO STANDARDS. - L �\ POUR I40 CGNCRETE UNTIL 14SUVE HAS BEEN SIGNED V� UNDERGROUND /SLAG PLUhd BIND ELECTRICAL _ ISSUANCE HATE _ _\y MECHANICAL WIn, ILECI P,.G ❑ ❑ ❑ i DO NOT POUR FLOOFi UNTIL ADOVF. HAS BEEN SIGNED BUILDING PLRMF� ( J _ WOOD FLOOR „ INFORMATION y� PLUM1IBING� ��--- Z7HA n. MECHANICAL -77 ELECTRICAL �--♦, - 1 PRnMING INSULATIONla- i 1 PLACE NO SOBFLOGG Ii PJ TIL ABOVE HAS BEEI'J SIGPJED -ROOF NOPE'NO FIIJAL INSi'.SFIALI.BE MADE DOFOHE DIAPHRAGM THE CONSTRUCTION TAX IS PAID ROOF SHEATH iP1G. APPLY Ni/ ROOFING UNTIL ABOVE HAS BEEN SiCNED e MALS DATE INSP. _ _ ROUGH PLUMBINDf .Z -�l,• ii ELF.CI. ENERGY iuB e SI+I:nvrai FArI ,_.__ _, 1'r l•'" PLUMBING ENGFlGY r.7 E.CHANICAI. MECI1.EIV[RGY S:__ — ELECTRICAL --____ �.,,. u.vr a..,: �D t` 1• t BUILDING ENERGY FRAMING 'L—� ` _ `✓� L 1"1L El CCT.FINAL TEST INSULATION . LUMBING I:N,1 S, GAS TESTGAS na ;PN,r;n ne,e' VER _ � MECHAfHCAL CONG WO1H-I..NTIL ABOVE HAS BEENSIGNED HEATING ° �� :;D Ej EXTERIOR SHEAR I C, pI. '�'•"�„uN� -, _ _ I a ,�i ELECTRICAL REILASE INTERIOR SHEAR FIRE DEPT. ❑ _"❑ SHEETRGCK f'�//-- — GRADE _---r— F:XTERIOH LAID - FEE SI1MMAflY IiUII_UINC NrtRIGR LATH TEMPORARY F,PPR0VALS Ru:LDwG SCRATCH GOAT ELECTRIC PLAN CHECK GAS FEE (JO TA9E OR PLASFE II UNTIL ABJVE IIFS REED SIGPJFf. 10 CUPANcv - SEISMIC: FEE OCCUPANCYOF BUILDING IS PI(,T PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM p,la ARANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC LU R �; ONE WORKING DAY BEFORE REQUIRED INSPECTION. 0z PLEASE GIVE JOB ADDRESS WHEN PHONING. r.; PLUMBING j – SEE PERMIT FOR c)(PIRATION DATE --- MECHANICA L IMPORTANT! CONST. TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. —)�- JIPPLICAMTf;PO7i ONIG COPY PG &E CITY OF CUPERTINO copy GAS SERVICE NOTICE 19 To You are hereby authorized to connect the GAS service for Owner or Tenant ' 1 At I New Service No. of Meters Reconnect Move Service No. of Add. Meters Move Meter PLUMBING INSPECTOR . .. cu"rnino Sonnory BUILDING INSPECTOR'S OFFICE a °°c°°° CITY OF CUPERTINO O Backflow Device �' S T7 Sanitary Permit No. I ^ O Sewer Connection Plumbing Permit No. I �� Lot No. '© Plumbing Final Owner or Tenant At— Tract t Tract f19_Dare Final 19 . Date Connected- - - N �" PLUMBING INSPE TOR CITY OF CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date .. .............. 19------------ Building Permit No. The Building Located at ....t..p r.Q� .q............................................. ........ Ownedby ......... ............................................................. Has Been Altered) For Use As: ......................................................... ( ................................................................................................................................................ --.......... ............... ................................................................................................................ ................... ............................................................................................................................ [)�s ........................................................................ PD-7 BUILDING INSPECTOR ELECTRIC SERVICE NOTICE OFFICE COPY BUILDING INSPECTORS NOTICE CITY OF CUPERTINO ,To* You are hereby authorized to Connect electrical service for Ovvne,or Tenant n- At— o No.of Wires Size of Wire, Size of Switch Motor Load Voltage Phase HeotingLood_ K.W. Voltage SFQ '>�' Lght-110 New Service No.of Meters Heat-120_Th,.Wire�More Service— No.of Add,Meters P'o,v.ir— Three Phone—Move Meter ELECTRICAL INSPECTOR