The URL can be used to link to this page

16323 POST THIS CARD NEAR FRONT OF BUILDING "' PERMITNUMBFR CITY OF CUPERTINO16 323 INSPECTION'DIVISION- 1 JOB INSPECTION RECORD j PERMIT EXPIRATION JOB ADDRESS 10'K-(l TU L,q- UNIT# LOT# '�--- / �-„ —1�{ - - PERMIT EXPIRES IF WORK OWNER UCJf CV / "_7�S CONTRACTOR D IS NOT STARTED WITHIN • INSPECTION DATE INSPECTOR INSPEC ION RECORD leo Dnvs of PERMIT issu FOUNDATION - .ANCE OR 180 DAYS.FROM NOTE: LAST CALLED INSPECTION. LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE - TO 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 UA1E ' BLDG ELECT PLG. MECH❑ MECHANICAL ❑ El ❑ .. 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - auaDwM PERMIT �'�_E INFORMATION - - WOOD FLOOR - VALUATION SIFT. PLUMBING MECHANICAL - Q min _ PERMI,I/� 'ELECTRICAL' Q�Q r10.'Fl 04ffY IF- N .. _ RIFs TYPE CONSTRp INSULATION Cti� 0 ` — pLV�'I�F� C GROUP RES.UNrts PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED #At - ' ! ROOF -NOTE:NO FINAL INSP.SHALL BE MADE BEFORE .FLOUn AREA TOTAL Acnsacc ',g DIAPHRAGM _ THE CONSTRUCTION.TAX IS PAID . BUILDING USE ROOF SHEATHING .' - - Hes IND CON ,PB_ Dw+• `APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. El ASSESSORS PARCEL NO ROUGH SAN.N - - PLUMBING f �- _ o _ - ELECT.ENERGY T14ACT NO. PARCEL NO TUBS B SHOWER PAN PLUMBING ENERGY + ' ' - • MECHANICAL MECH.ENERGY . ELECTRICAL - - ACC.DATE ACC FILE NO. BUILDING ENERGY FRAMING - ELECT.FINAL TEST ZONING ENG.SITE No. INSULATION PLUMBING .GAS TEST GAS FIRE SPRINK ENERGY LIG • MECHANICAL L N 0 1 Q NC' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - FLOOIJLONE 4.L.LLL. EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR.SHEAR - FIRE DEPT. - Y L N� Y L NQ SHEETROCK ` GRADE FEE SUMMARY EXTERI OR'LATH BUILDING BUILDING - -O INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT' , ELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - seisMlc FEE ,lQ_u OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR-INSPECTION BY PHONING 252-4505, ELECTRIC W Fw- I ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING " I 0 PLEASE GIVE JOB ADDRESS WHEN PHONING. Z — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL S OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY , SBU I LDING PROJECT IDENTIFICATION PERMIT NUMBER ss CUPE(tT/NO APPLICATION & PERMIT 16323 1ULA LAIBUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION NAME I, 9G6- 743 OTY. ELECTRIC PERMIT FEE +j�NA �• TFS PHONE CONTRACTORS 1AME 535A3.1, OUTLETS-SWITCHES-RECEP 10.00/1.00 ___ IN1APCGN uc.NO. LIGHTING FIXTURES 10.00/1.00 CONTRACTORS 6 PPLIANCES-RESIDENTIAL 4.00 ADOILISS I60 EE GaIPBEL_ PHONE PANELS 10.00 DATE OF APPLICATION ARCHITECTPLAN CHECK FEE ?_C.NO. on VIN C4 N_rY-014(a G1$t;I ANELS (OVER 200 AMP) 20.00 ENGINEER uc.NO SIGNS TRANS. 3.00 eooN OR ESS ENG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION 11W .PpN nvF p„wf-m �J� ZIP EMP.METER OR POLE INS. 20.00 APPLICANT SI't -6 Wf/�J£e OR MOTORS SEE FEE SCH. ADDRESS S-TguE 5&ILhVPpp(Z SS. Gl• 167a SERVICE CHANGE .20.00 G woo LICENSED CONTRACTORS DECLARATION a z w 1 hemby affmt that I am licensed under provisions of Chapter 9 ISSUANCE 41TE (commencing with Section 7100)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. mi Professions Ccd my license is in full fort an effe t. ❑ ❑ ❑ ❑ Z o m- License Class tnf_'Lie Number- 'S� . 0 Y ate Cnnlmemr OWNFR-BUILDER DECLARATION ,O BUILDING PERMIT a w u INFORMATION Le A. N 1 hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD OgyALUA.TION SIFT. to +. o J law for tire following reason.(Sec 703 1.5,Business and Professions PERMIT ISSUANCE 10.00 Code Any city or county which requires a pem+it to construct,alter,re f x a 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. UC.NO. ELEC. Ai -O u requires the applicant for such permit to Ole a signed statement that TOTAL PERMIT TO w he is licensed pursuant to the provisions of the Contractor's License H z i L.(chapter 9(commencing with Section 7000)of Division 3 ofthe - a Business and Professions Code)or that hu is exempt therefrom and GTY. PLUMBING PERMIT EE .W = $ the basis for the alleged exemption.Any violation of Section 703 LS STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollam(S500).): ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE .4.00 OCC.GROUP RES.UNITS ther sole compensation,will do the work,and the sIrL'ctr'c is ruo intended or offered for sale (Sea 7044, Bushiess and Professimu 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 SO.FT.FLOORAREA TOTALACREAGE himself or through his own employees-provided that such improve- nientsare let intended or offered.for sale.If,however,lire building GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00 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.r int- BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER.' 30,00 RES IND CON PB Omer f ❑ I,as owner of the property,am exclusively contracting with 13El El E] 1:1lic.nnd ...tractors of construct tum project(Sec 7044,Busine,as LAWN SPRINKLERS'-1 INC 5 V.B. 6.00 q5g SSORS PARCEL NO. and Profusions 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 Contracts for Such projects with a centractods)licensed pursuant to the Contractor's Liccnx Law. SEWER-SANITARY-STORM EA.2001t/10.00 TRACT NO. PARCEL NO. ❑ l um excmpl under Sea ,B.&P.C.tin this WATER HEATER W/VENT 6.00 ,uam Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'CONPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm tout I have a certificate.I consent m.vlf-iossoc. or a cert t- to of Workers'Co erratic.,Insurance,or certified. ZONING ENG.SITE N0, copy thereof(Sac.3800,Lab. .). ra�� I'nlicy Na. Comps _ • O ❑ Ceti died copy is Iter +n FIRE SPRINK ENERGY T 24 Z ❑ Certifcd copy ed I n •cion division. , Applicant MISC.- REFER TO ORD. Y❑ N❑ Y ❑ N❑ ~ m PERMIT ISSUANCE 10.00 FLOOOZONE A.L.U.C. LU CERTIFICI OFEXEMPTIFROM WORKERS' W CO � COMPENSATION INSURANCE PLG.CONTR. � LIC.NO. PLG. Z (This section need not be completed if lire permit is for one TOTAL Y[:] N❑ Y [:] N❑ hundred dollars IS 100)or kss.) U O 1 certify that in the performance of the work for which this per. CITY MECHANICAL PERMIT FEE FEE SUMMARY LL U unit Is issued,I shall not cntpiny any ry.mm in any manner so as I. become subject to the Workeri Contpensat ion Laws of Culif.rnia. LU nate ApplicantALTER OR ADD TO MECH. 5.00 BUILDING a } wNOTICE'f0 APPLICANT: If,after making this Certificate of Es- ♦- ? emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you.rust forthwith comply with FEE U such provisions or this permit shall be men+ed revoked AIR HANDLING UNIT(TO 10MOC.F.M.) 4.00 rf1 CONSTRUCTION LENDING ACE NCY AIR HANDLING UNIT(OVER 10=CF.M.) 6.00 SEISMIC FEE ,l7 �- 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 lire perfnmmuce of the work Nor which flik pend( is rssucd(SCC. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's No HEATING UNIT(OV ER 100,000 B.T.U.)9.50 Lenders Address HEATING I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 /t information is correct. 1 agree to comply with all city and countyPLUMBING rel ordinances and state laws ating to building construction, and BOILFA'-COMPI3 H.P.or 100,000 B.T.U.1 6.00 1s .. hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned pro ny for inspection purlwscs. (We,) Aw"Itcl- hurtnless the City of MISC.- REFER TO ORD. -Cu ts and expenses which CONST.TAX may in in consequence of the PERMIT ISSUANCE 10.00 Eran ting HE MECH.CONT. LIG NO. MECH. 9- TOTAL TOTAL �7.) �✓ u®la ore of App icanl tractor Date OFFICE COPY