The URL can be used to link to this page

17147 ' POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 17147 ' INSPECTION DIVISION JOB INSPECTION RECORD '-1 ,� ,• - - - ;PERMIT EXPIRATION .JOB ADDRESS 7..070 S V W� Y (;JI eJ UNIT# / LOT,# - PERMIT EXPIRES IF WORK OWNER P► ��-• CONTRACTORIS NOT STARTED WITHIN INSPECTION 'DATE INSPECTOR INSPECTION RECORD. 180DAYS OF.PERMITIssu. . FOUNDATION ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION: UFER - -- ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITETO COMPLY WITH THE APPROVED PLANS AND CITY OF PovnaT VALIDATION I CUPERTINO STANDARDS. y"z GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - UNDERGROUND-/SLABD PLUMBING •- T ' ELECTRICAL ISSUANCE DATE MECHANICAL - - ,- BLDG F777-111, MECH. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED .. BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION SIFT. PLUMBING- _ MECHANICAL ' • ELECTRICAL PERAIIT TO '� •� � , FRAMING INSULATION STORIES TYPE CONSTR. .00C.GROUP, RES UNITS -- - 'PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF ' , - NOTE:NO FINAL INSP.SHALL BE MADE BEFORE'. -SO,PT.!'LDOR AREA TOTAL ACREACL DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDINGUSE ROOF SHEATHING I RES Irvo CON va 00R.•' APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED - FINALS DATE INSP: ❑. ❑ ❑. ❑ ❑ ASSESSORS PARCEL N_O. ROUGH SAN.# ' PLUMBING ELECT.ENERGY - TRACT NO PARCEL NO. TUBS 8 SHOWER PAN- PLUMBING ENERGY MECHANICAL MECH.ENERGY ACC,DATE ACC.FILE No. ELECTRICAL BUILDING ENERGY FRAMING . ELECT.FINALTEST ZONING - ENG.SITE No. JNSULATION PLUMBING - GASTEST* - GAS MECHANICAL FIHE'SPHINK '.ENERGY T.24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ ❑ N❑ ' - W ELaoD ZONE A.L.0 c. - EXTERIOR SHEAR - � - ELECTRICAL•RELEABE INTERIOR.SHEAR` - FIRE DEPT. Y❑ N Y ❑ N❑' SHEETROCK. GRADE -. FEE SUMMARY EXTERIOR LATH BUILDING ' .INTERIOR LATHTEMPORARY'APPROVALS•' BUILDING , SCRATCH COAT ELECTRIC PLAN CHECK . FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTI L BUILDING FINAL IS SIGNEDBY BUILDING INSPECTOR. "MICROFILM . ARRANGE FOR INSPECTION BY, PHONING 252-4505, ELECTRIC F 'ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 0- 'PLEASE GIVE JOB ADDRESS WHEN PHONING. Z - ' - SEE PERMIT FOR EXPIRATION DATE - " MECHANICAL IMPORTANT! . CONST.TAX PLEASE READ REVERSE SIDE BEFORE ' - TOTAL CALLING FOR FINAL INSPECTION. l` D OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY .BUILDING PROJECT IDENTIFICATION ` 4 PERMIT NUMBER BUILDING APPLICATION &'PERMIT 1 �1 ADDRESS I I o7oS VA�� Gn_F .) BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S " PLAN CHECK VALIDATION NAME OTY. ELECTRIC PERMIT - FEE ) CONTRACTORS 35 UTLETS-SWITCHES-RECEP 10.00/1.00 r SD uc.NO. 13 LIGHTING FIXTURES 10.00/1.00 y5•.! r.DNrRAcroRs PPLIANCES-RESIDENTIAL 4.00 AODRESs PHONE / //-/0op PANELS 10.00 1S0 'DATE OF APPLICATION r. RCHnECi PANELS (OVER 200 AMP) '20,00 s;OO PLAN CHECK FEE .GN . OO OR ENGINEER ' uc,NO SIGNS TRANS. 3.00 ARCH.OR ENG. PERMIT VALIDATION ADDRESS SPECIAL CIRCUIT 5.00 ZIP EMP.METER OR POLE INS. 20.00 APPLICANTS .), MOTORS (-/y SEE FEE SCH. ..2.00 ' ADDRESS SERVICE CHANGE 20.00 o0 0 Foo LICENSED CONTRACTORS DECLARATION < u U I hereby afline that 1 am licensed under provisions of Chapter 9 ISSUANCE DATE (Commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. - MECH. H H i Professions Cole,and my licenso is in full force and effect ❑ ❑ ❑ Z o v, - Licensee Cl ss- !�Lic.Number / I/[ 7 Z H.o Dated _ _Controad.,��d7 - c x f I �o<C BUILDING PERMIT re ¢ ¢ OWNER-BUILDER DECLARATION o a ca ' INFORMATION K ; LL _ I hereby,affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD LL_ oa Low for the following Rosim.(Sec.7031.5,Businesxund Profl.xiuns PERMIT ISSUANCE 90,00 VALUATIOry S/FT.- Code:Any city or county which requires a permit to construct,alteq (�•O SE <Q improve,demolish,or repair any structure,prior to its nominee,also ELEC.CONTR. LIC.NO. ELEC. _ o LL requires the applicant for such permit to file a signed statement thatFALTER-DRAIN TOTA /s fOhe u licensed pursuant to the provisions of the Contractor's License PERMIT TO Law(Chapter9(commencing with Section 7000)of Division 3 of the a Business and Profesdoms Code)or that he is exempt therefrom and UMBING PERMIT FEE ¢ H the basis for the alleged exemption.Anyviolation ofSection7031.$ STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penalty &.VENT-WATER (EA.) 5.00 ofnot more than rive hundred dollars(5500).): ❑ I,as owner of the proNrty,or my employeCs with wages asROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their Sole compensation,will do the work,and the structure is not intended or offered for sake (Sec.7044. Business and ProfessionsR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law don not apply to an owner ofproperty who builds or improves thereon,and who Jars such workR TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE himself rethroughointended his own employes,provided thus such improve- ments himseare Chis or offered employees, or palled that however.thebuilding IGAS-EA.SYSTEM-1INC.4OUTLETS 6.00 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 pov ring that he did not build or in, RES IND CON PB CO., as prove of sole.). INDUSTRIAL WASTE INTER. 30.00 1:1 -. El El 11 1:1❑ I,as ownerweer of the property,am exclusively contracting with •. licensed contractors to construct the project(Sec. 7014,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 - contmcls foesuch projects with a contructmis)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA,200ft/10.00 TRACT NO. PARCEL No. ❑ lam csempt under Sec. ,tl.&PC.fnr this WATER HEATER W/VENT 6.00 mason owner. Uwe WATER SYSTEM (1Y� 5.00ACC.DATE ACC.FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I harp a certificate of consent to self-insure. ZONING ENG.SITE NO. certificate of Workers'Compensation Insumnce,or u eerlified JAN Pith m sy'do6Too,Lab dy , QFPvAteC - Policy No. nmpany /L(p ❑ Certified Copy is hereby h t furnished. ' FIRE SPRINK ENERGY T-24Z Z � Certified o yy m�s fifiledwith t c city inspection Division. O n(.plicwv_Gt �.CTiniP_- GE:CTPTr MISC.- REFE -TO ORD. Y ❑ N❑ -Y ❑' No ~ va - PERMIT ISSUANCE 10.00 LU - CERTIFICATE OP I AX IMPT M FROM WORKERS' FLOOD ZONE A.LU.C. W COMPEKSATION INSURANCI[ PLG.CONTR. LIC.rv0. PLG, d (This wetion need not.he iompletnl it the Permit is lir, one TOTAL v❑ N❑ Y❑ N❑ 0'Z hundred dollars(S100)or les.) U O 1 certify that in the performance of the work for which this pe;- OTV MECHANICAL PERMIT FEE FEE SUMMARY' LL U mil is isned,1 shall not employ any person in any manner so as to become subject to the Worken'Comperlaution Lows of California. U a Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING } w NOTICE TO APPLICANT: IC alter making this Certificate of lix- F-. emption,you should become subject to the Workers Compensation APPLIANCE 5.00 PLAN CHECK provisions 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=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER IOAOOC.F.M.) 6.00 SEISMIC FEE ' 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 is issued(Sec. MICROFILM 3097,Civ C.), HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's No. Lender's Address HEATING UNIT(OV ER 100,000 B.T.U.)9.50 - ELECTRIC .Patty that hrct read this application and latethatatd above VENTILATION FAN (SINGLE) 4.00 information cel. I , bel to comply with ell city and county PLUMBING ordinances and slate laws relating It, building constmet ion, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby xulhoiize representatives of this city to enter upon the BOILER-COMP (Omer IOOLGOO BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. r (We ) agree to save, indemnify and keep hann4xs the City of - MISC.- -REFER TO ORD. ape ino against liabilities,judgements, co Is an expenses which PERMIT ISSUANCE 10.00 CONST.TAX m wy way ackme against said C' c uence of[he reaesti Of this permit. MECH.CONT. LIC.NO, MECH. / TOTAL TOTAL elure of Applicant/Contractor Uatc ' OFFICE COPY