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15609 POST THIS CARD NEAR FRONT OF BUI LDI NU PERMIT NUMBER CITY. OF CUPERTINO 9 INSPECTION DIVISION �60� JOB INSPECTION RECORD - J r •.0 4 PERMIT E%RATION JOBADDRESS /-4/ �U�}-'�@-,./� UNIT# �' LOT# PERMIT EXPIRES IF WORK" OWNER L CONTRACTOR, /1✓ �Cp €�/ IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU FOUNDATION - ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED + PREGUNITE IU COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB " PLUMBING ELECTRICAL ISSUANCE OATS MECHANICAL ' - � e ELEcr. PLG. L+eq� O.Na ,0 DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED 8f(VADING PERMIT WOOD FLOOR CUD INFORMATION PLUMBING . VALUATION MECHANICAL jyj+-yy ELECTRICAL r PERMIT To FRAMING INSULATION _ (� - STORIES TYPE CONSTH OCC,GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ,- - K� 3 ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE sa.IT TuwI+AREA roTAi-ncR PACE DIAPHRAGM THE CONSTRUCTION TAX IS PAID + BUILDING USE ROOF SHEATHING RES IND• CON PB Om.• APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. (D ❑ ❑ - ❑ ❑ ASSESSORS PARCEL NO, _ ROUGH SAN:# - - . 2(��, PLUMBING ` . 2 j3s,/ %�3y070 O i ELECT.ENERGY TRACI NO. PARCEL NO. TUBS 8 SHOWER PAN . f - PLUMBING ENERGY MECHANICAL — -- MECH.ENERGY —jp-� . ,j ELECTRICAL .Jo - ZL_ BUILDING ENERGY Acc.OnrE ACC.FILE No. FRAMING ELECT.FINAL TEST - zoNlNc. ENG.SITENo.. INSULATION '7��t,� PLUMBING —�?p_ . GAS TEST - GAS 3J s— - MECHANICALTIRE SPRINK ENERGYT2a O Y ❑ N❑ Y ❑ N❑ . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR'SHEAR2 Cd; ELECTRICAL RELEASE FLOOD ZONE 'A.L.0 C. INTERIOR SHEAR �� 0E FIRE DEPT. E-1N❑ ❑ " NO SHEETROCK L.0 GRADE FEE SUMMARY EXTERIOR LATH BUILDING .INTERIOR LATH $23 .� TEMPORARY APPROVAL BUILDING 1 (' SCRATCH COAT ELECTRIC PLAN CHECK @ry GAS ' 'FEE NO TAPEORPLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE _ OCCUPANCY OF BUI LDI NG IS NOT PERM ITTED UNTI L BU I LDI NG F INAL IS SI GN ED BY BUI LDI NG INSPECTOR. •MICROFILM w ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING O PLEASE GIVE JOB ADDRESS WHEN PHONING. z - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL 3 IMPORTANT! CONST.TAX 7 A3 PLEASE READ-REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL 3�7�•. ' OFFICE,COPY - APPLICANT TO FILL IN INFORMATION WITHIN.RED.LINES -'USE BALLA INT PEN ONLY PERMIT-NUMBER i,, BUILDING PROJECT I DENTIFICATION APPLICATION & PERMIT ,,:. .. I - 15609 BUILDING DDRESS J ADDREss r p BUILDING--ELECTRICAL-PLUMBING-MECHANICAL �CILKOI TULt /�11JE UNIT I� POWNERA PLAN CHECK VALIDATION NAME (J -rV PHONE:g(a(v- �•�-�p' CITY. ELECTRIC PERMIT FEE 0/iy 7 ✓ 7 CONTRACTOR'S NAME OUTLETS-SWITCHES-RECEP 10.00/1.00 AADC019 DE✓aE.•' LIc.NO. OLIGHTING FIXTURES 10.00/1.00 CONTRACTORS PPLIANCES-RESIDENTIAL 4.00 ADDRESS ! yp[�I -4101• S��'��• 150 f. GIN1m(.L PHONE PANELS 10.00 DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P,C.NO. PANELS (OVER 200 AMP) 20.00 D ENR GINEER �IINCa4r` 1 � LIC,NO, SIGNS TRANS. 3.00 ARCH.OR E.G. PERMIT VALIDATION ADORESS 94'0 r�P� SPECIAL CIRCUIT 5.00 1'!10 04A WE . Lot A"01, ,P TEMP.METER OR POSE INS. . 20.00 C -^ APPLICANT s ADDRESS [�pfl�L{, 9 � MOTORS SEE FEE SCH. o 160 E. C.DP/Aau, &VV*J0 SERVICE CHANGE � 20. O o LICENSED CONTRACTORS DECLARATION �/ • - < o w 1 hereby af6mm that I am licensed under provisions of Chapter 9 ISSUANCE DATE 2 (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. )MECH. N z Professions Code and my license is in full force and effect. 2 0 P, iccnsc Class$ Lic.NumberJU-Ji-A(( n 4 H w Uare-a.�1�a�ContractorW00?FA9_ \�Q a y s C\ BUILDING PERMIT ¢ ¢ ua OWNER-BUILDER DECLA RATION INFORMATION o MISC.- REFER TO ORD w N I hereby aallo that I am exempt 31.5 the Contractor's License. VALUATION S/FT. F .. 6oj Law for the lbllowing reason.ISec.70715.BusinessunTProfessiuns PERMIT ISSUANCE 7 _ Code:Any city or county which requires a emin to construct,alter, rt W ¢ca. improve,demolish,or repair any structure.poor to its issuance,ads. ELEC.CONTR. LIC.N0._ ELEC. .P 9 121 D ¢ requires the applicant for such permit to file a signed statement that TOTAL (JL) PERMIT TO a w se he is licensed pursuant to the provisions of the Contractors License - zi Law(Chapter 9(conmmaming with Section 7000)of Division 3 of the - SIi=0 W� a Business and Professions Code)or That he is exempt therefrom and GTY. PLUMBING PERMIT FEE ¢ f D the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. In by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars(55000.): ❑ 1,as owner of the property,or my employees with wages is BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES UNITS their sole contpensalion,will do the work,and the strvcmre is not intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License law does not apply to an owner of property who builds or improves thereon,and who does such work. FIXTURES-PER TRAP 5.00 GO.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided That such improve- ments are nor intended oroffered lot sale.If,however,the building GAS-EA.SYSTEM-.11NC.40UTLETS 6.00 ?kyZQ or improvement 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 an- Prove forpurpose ofsale.). INDUSTRIAL WASTE INTER. 30.00 wD CON PB Oen' ❑ I,as owner of the properly,am exclusively conRE tracting with ❑ ❑ ❑ .❑ licensed contractors to construct the project(See. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Pmfassions Code:The Contractor's License Law Tests not apply to an owner of property who builds or imprm'es thereon.and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts Contractor', suchLicense Law. uconlraclor(s)licenscJ pursuant to - SEWER-SANITARY-STORM EA:200ft/10.00 TRACT NO. PARCEL NO. the Contractor's License Law. ❑ i am exempt under Sec. ,B.&P.C.Iia this WATER HEATER W/VENT 6.00 RJWI1 Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO, WORK ERS'COMPENSA'I'ION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that 1 have a certificate ofconsent to self-insure. or a certificate of Workers Compensation Insurance,or a cerldicd ZONING ENG.SITE NO. copy thereof(Sec 3800,Lm CA Policy No. Company AQp O ❑ Certifiedcopy'i Krchyf ishcl FIRE SPRINK ENERGY T-Za z o 1 OI1eJn'tili=d cop„ is file - n'division. MISC.- REFER TO ORD. y❑ N❑ y ❑ N❑ CC CHR'I'IF TE OF EXE. TION WORKERS' PERMIT ISSUANCE0'9 FLOOD ZONE A.L.u.c. LU > - COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. po d O :IThislsecliun need not be completed if the permit is for one TOTAL OC Y❑ N F] v ❑ IN Z hundicd dollars IS 100)or less.) U O I certify that in the performance of the work fur which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY IL F mit is issued,I shall not employ any person in any mancer so as to O W become subject to the Workers'Compensation Laws of California. d Dat° AppbcantALTER OR ADD TO MECH. 5.00 BUILDING /077 Qt7 } on NOTICE 'FO API'LICANF'. If,after Inakir,this Ccrlificntc ul'Ts- 2 c,hhption,you should cconw subject to the Workers Compemalion APPLIANCE 5.00 PLAN CHECK - ITTvisions of the Labor Code, you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=CF.M,) 4.00 CONSTRUCFION LENDING AGENCY AIR HANDLING UNIT(OVER 1Wp00CEM.) 6.00 SEISMIC FEE S? I hereby affirm tout there is u 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.). I HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's o Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC O� Lenders Address I certify Ihm I have read this applicmimm and ,are that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county PLUMBING es of this c - ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 p hereby authorize representativity to enter upon the BOILER-COMP Ons,DR,000 BTU)SEE FEE SCH. MECHANICAL e U abovmentioned property for inspection purposoe, u (We) eyrec to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against Babe' 'es,jud eat costs an nses which CONST.TAX �j may in any way is agar sal .ity ' quenca of the PERMIT ISSUANCE -10-W 03 ranliago'thlsper MECH.CONT. LIC.NO. MECH. / 1 I TOTAL 03 f , TOTAL igneture o ppGcent CoN r Date ' OFFICE COPY CITY OF CUPERTINO CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE Date ........7 19<S?.<? Building Permit No. The Building Located at ---- ........—ry ........ 0wneS- �y 7b -D1. ....... .. ............................................ ............ Has Been Comm letIteredFor Use As: ....;��FD..Vv ...... ............................. Cli -- ................................... . ......**-------- ........................................................................................................................................ .......................................... ... ... ...... . .... . .... ...... PD-7 BUILDING INSPECTOR