4308 CELESTE CIR
4308
F
DE ANZA PROPERTIES
SCANNED BOX # 783
CITY 0I' CUPI:RTINO INSPECTI01; RECORD (Office Copy)
:4308 Celeste Circle
PI:Pd IIT MO. SANITARY DIST. 140. LOT 110• AUUI:I:SS
Swimming Pool DeAnza Properties
PROJECT OI.INER JOB SITE PHONE NO:
PER.*fIT ISSUED Date ELECTRICAL
Bu i I d inp Date Insp;.
E]ectrical Power pole
I'lunhinr Underground
1lcchanicalRoush 1•1irin
Tens. Cas/Licct. la s
Solar Ceiling
Fire Sprinkler rixtures Int/Ext
Sir.n Motors
Grounding
Misc. Temp. Power
Other
FINAL INSPECTIONS Not Approved
Date Insp.
r,vs _
Electric PLUMBING
Plumbing Backfloc: Date Insp.
Mechanical Underground _
Solar
Pool Underfloor ——
Crarlin Partial P..ou�fi _
Rough Complete _ _g
Fire re DD Solar Rough
Fe t. Ilater & Insulation
Health De t. 'lain Drain
Other in R/of/S Drain
Other Gas
Other
BUILDING Not Approved
Date Insp.
Pad Certification MECHANICAL
ECHANICAL
,V-rre-Gui Date Insp.
171—ab-Membrane Underfloor S.M.
Bond Bean Ducts & Insulation
Fire Danpers
Floor Steel
Underfloor Girders Fireplace
looGrease Duct & hood
Tiaphramdowns One Hour Shaft
Seismic Bracing Condensate Drain
Seismic etsEquipment Anchorage
halls-Panels hues & Comb. Air
Frame 0t Me—r
].nth Not
Wallboards Int/Ext. Approved
Firewalls
Other
Nox Arnroved
BUILDING
ELECTRICAL
PLUMING
s-
HECHANICAL
MISCELLANEOUS
LICANT TO FILL IN INFORMATIONWITHIN RED LINES - USE BALL POINT PEN ONLY
BUILD[NG'TROJECSI DENTI FICATION 'PERMIT.NUMBER
BUILDING[ APPLICATION & PERMIT ^�O
ADDRESS v
C�eLfzs7-& Ci�LC BUILDING ELECTRICAL-PLUMBING-MECHANICAL
M OWNEWS :PLAN CHECK VALIDATION --
P` NAME DTV. ELECTRIC'PERMIT FEE.
CONTRACTOR'S _ G • 0
NA/ye�� ^ OUTLETS-SWITCHES-FtECEP 5:00%1.00
tom/ J4(- 61t9� LIc:NO.1, LIGHTING,FIXTURES S.00I7.00 _
CONTRACTORS REAPPLIANCES-RESIDENTIAL 4:00 .
PHONE 2 -f PANELS 5.00 DATE OF•APPLICATION
ARCHIiecT cs/l1(1(� ��17A,e SIGNS: .6.00 PIAN CHECK FEE P.C:NO.
OR.
11ENGINE
/\ Lic.No. SIGNS TRANS. . 3.00
ARC".ORENG. LL /� -PERMIT VALIDATION.
�{ ADDRESS ,?611 C IY•(�:( 'A SPECIALCIRCUIT 5.00
/\ zIv EMP.METER OR POLE 1 15.00
APPLICANT'S� 1 1. MOTORS S
ADDRESS _ l
SERVICE CHANGE 10.00 -
w o o LICENSED CONTRACTORS DECLARATION ( 00
Q.0 u ne
1 hereby affirm [list I am licensed under provisions of Chapter 9 (�TC.7
.y'4 w (commencing with Section 7000)of Division 3 of the fluvmess and -BLDG. EL 'G. MECH.
I- D ProfasstonS C 46ag u is i II fore
z o m
LEE
en - 1 Lic. a beI -
O z.H Dal Co for `
a y:Z LLL��i I DI G PERMIT
oa
OWNER-BUIL AT - INFORMATION
LL I hereby affirm that I am ex mps from the ,ontractori oc. INIISC.- REFER TO ORD
r i`w et Low for the following reaso MSec..7031.5,Businessand Professions PERMIT ISSUANCE 6.00A
V /FT:
Code Any cityorcounty which reyumsa permit to Lonsllucl.alter, - ,
re Q'Q p improve.demolish.or repair any structure,prior to Its Issuances also ELEC:CONTR: - .LIC.NO. ELEC.-.o¢ requires the applicant for such permit to file a signed statement that TOTAL A
WomuPERMIT TO +`
fie rs licensed pursuant the provisions of the Contractor's License 1,
i
Law(Chapteo9(commenchis with Section 7000)of Division 3 ofthe SuJ�M J'Z�ti - C
a Business and Professions Code)or dew he is exempt therefrom Ind CITY. PLUMBING PERMIT FEE'. "*L-
m
L
Q:'F the basis for the alleged exemption Any violation of Section 7031.5 STORIES TYPE CONSTR.
;i; by any applicant for a permit subjects the applicant to a civil penally gLTER'DRAIN&VENT-WATER (EA.) 4.00
'
of not mole than five hundred dollars(5500).):
P. as owner of the property,or,my employees with wages as BACK FLOW PROTECT.DEVICE '2.00.
their dh ole compensation,:will do e work,and the structure Is not OCC.`GROUP RES.UNITS
Ib
intended''o ,offered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. �4t00. '
Code:The Contractor's License Law does not apply to an owner of
property who builds or'Improm,thereon,and who docs such work FIXTURES-PER TRAP 4,00 SO.FT.FLOOR AREA TOTAL ACREAGE
himself re through his awn employees,Provided thin such improve .
or imprverfu intended or within
offered for aro fe howeer,the building GAS-EA.SVSTEM-11NC.40UTLETS.4.00
or Imprwill ha c,t sold rden of r year that
he did ionnot the owner. GAS-EA.SYSTEM-OVER 4 IEA._)
builder will tiave:the,burden.of proving that he JlJ not buliJ trim- '1.00 BUILDING USE .
prove for purpose of 5alef. RES'. IND -CON - PB Othel
❑ 1,as owner of-the property. O
am exclusively contracting with INDUSTRIAL WASTE INTER. • 20.00 0
licensed contractors m construct the project(Sec.7044 Business. LAWN SPRINKLERS-,I INC,5 V.B: " 5.00 ASSESSORSPARCELNO:
and Professions Code:The Contractor's License L w do not apply -
to an owner of propertywho builds or Improves thereon.and who LAWN;SPRINKLERS-OVER 5•(EA.) 1.00
contracts for.such projects with it coutractor(sj'licensed local to
-the Contractor's:License Caw. SEWER-SANITARY=ST 200ft/8:00 TRACT;NO. PARCEL NO:.
am exe
❑ lmpt under Sec. ,B.&P.(:.Ino this
reason WATER HEATERW/VENT 4.00 '7.3
114
Date Owner WATER'.SYSTEM. Q .14.00 ACC,DATE I ACC.FILE NO.
WORK ERS'COMPENSAT10N DECLARATION WATER TREATIN IP. 4.00
1 hereby a l'fimi,that I hove u certificate of consent to self-insure,
oca ce,tificate of rs Compense lion'Insumnce,ar It crtiri,d ZONING ENG'.SITE NO:
copy thereof(Se .3R0 Lao.C.l: L�G
%PoIIcY No: mpany
Q' ❑ Ceni fi I he y(urn ish` -
Z ❑ Cef' c Y t. 1-ed wti lc.city spee'Iion'division. _ FIR E.SPR INK ENERGY T.24
r,.p Applicant MISC. REFER TO ORD. J rvF NC]
PERMIT ISSUANCE -�' FLOODZONE A'.L:u.c.
H CE IFICAT. XE 10 - KE . 6.00
LU COMPENSATIONINSURANCIi PLC.CON.R. LIC.NO. PLG -
fZ O (This sectiow need not be complet J if the permit is far one TOTAL e-�C/p - Y N Y 0 N�
�.Z '.hundred..dollars IS 100)'or kii,I
U O (certify that in the perromiance.Of the work forwhich this per. QTY. MECHANICAL PERMIT TEE SUMMARY
U. I•- mit is l shall not employ any.'permn in any.manner so'as toFEE -
O
O'w become subject to Elie Workers'Compensation taws oCCalirorniu:
Date.,, NOTICE
APPLICANT:
I ALTER OR ADD TO MECH. - '4:00 .BUILDING- /0$e
.Sa
}'w NOTICE TO APPLICANT: If,aftermaking this.0 Certificate of Ex-
F.? 'empfion,you should become subject to the Workers Compensation APPLIANCE 4:00 ,PLAN'CH CHECK
provisions'.of the.Labor Code:.you must forthwith comply with
U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT ITO 10,OW C.F.M.) 3.00 FEE
CONSTRUCTION LENDING.AGENCY AIR HANDLING UNIT(OVER 10p00 GEM.) 5:00 . .SEISMIC'FEE
I ahembp:affiR,ihat there is a construction lending agency for EXHAUST HOOD1WITH DUCT) 2.00
the performance of the work for which this.permit is issued(Sea MIC ROFILM
3097.Civ.C.L HEATING UN1T.ITO 100,000 B.T.U.) '4.00
Lenders Name
Lender's HEAT[NG UNIT(OVER 100,0008.T.U.)7.50- ELECTRIC 0 `_
I certify tha lamrcad. 's application and stat that the above VENTILATION FAN (SINGLE) 3.00 -
m(ormation . correct. I ogre ti comply with all ont and county BOILER- PLUMBING
ordinances postale laws sting to build Eriruclion. anJ COMP.I3 H.P.or 100,000 B.T.U.) 4.00
hertby a horize repro olives OPENS c'y w emdi upon tie BOILER-COMP IOwY 100,000 BTU[SEEP
above mlione erty for inspeLtionp tins EE$GH. MECHANICAL
(W o Sav moral and p harmless the City,of MISC.- REFER TO.ORD.
me gas st Ii iii fes,judlpncn osis a •xperi which
ma n Y ay c ag 'nst sa' ly in• equence of the PERMIT ISSUANCE 3.00 CONST.TAX
g- in ft p it. MECH.CONT. LIC.NO. MECH, - b
.D.A`. TOTAL S�
' gnat e.ol'A I nt ontractor Uate '
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY
BUI LDI NG PROJECT I DENTI FICATION PERMIT NUMBER
BUILDING APPLICATION &•PERMIT
ADO9E55
- (r-6d' e C BUIL4 ��
DING—ELECTRICAL—PLUMBING—MECHANICAL U 9
OWNER'SPLAN CHECK VALIDATION
Po
.! f - —' --'
NAME / QOL A61/'f.� Qtr, ELECTRIC PERMITFEE
PHONE PA;tp
CONTRACTORS
NAME p OTLETS-SWITCHES-RECEP .5.00/1.00
O� N tCU1(p Q¢.No. 2S6070 LIGHTING FIXTURES '5.00/1;00 JAN- 2 r 799
CONTRACTOR'S -
ADORESS I..�- APPLIANCES-RESIDENTIAL. 4.00 C /
c; 6o ,-Z/1pc I�H� LMPNE. �S�' (f PANELS 5.00 DATEIOF��Pril .
OR
SIGNS 6.00PLAN CHECK FEE P.C.No.
ENGINEER
,LIC.NO. SIGNS TRANS. 3:00
ADDRESS"s ENG' SPECIAL CIRCUIT. 5.00 PERMIT VALIDATION
-
APPLICANTZIP [TEMP.METER OR POLE INS. _15:00
ADDRESS .
DR .
ESS- AA - � MOTORS SEE F,EESCH. l,�I
SERVICE CHANGE 10.00 I
o¢ £
F O'O .LICENSED CONTRACTORS DECLARATION '
s U I hereby aftiltn that l an licensed under provisions of Chapter 9.
m,7.w (commencing with'Section 7000)of Division 3.of the Business...d' I AN U -
r y;2 professions Cod and Y Iicense is in full for' a !!``�c. SLOG. T. PLG. MECH.
o i x D Licemu ass Lie.,Number D'7
F yp.J Daie�Contractor � _
Y'a,a OWNER-BUILDER DECLARATION - _ BUILDIN PMM
IT
o d'U I INFOR ATION
x ; -,y i hereby affirm that I am.exempt from the Cont Lois License misc.'— REFER TO ORD
F- -a. Law par the following rcason.(Sec 7031.5,Businessand Fnamssions PERMIT ISSUANCE . - VALUATION $/FT.
7 w i Coder Any city or counly,whichrequiresa permit toconstruct,alter, 6.00 '
¢ Q <.O improve,demolish.ormpai[any'struct.m.prior to es issoance,also, ELEC.CONTR. LIC.NO. - ELEG,
wO u nquims the applicant for such permit to rile a signed statement.that _ TOTAL
eioy he is licensed pursuant to the provisions of the Contractor's License PERMIT TO
F•za Law(Chapter 9(commencing with Section 7000)of Division 3 of the
f 4 o Business and Professions Code)or.that he is exempt therefrom and QTY. PLUMBING PERMIT FEE
Be Hthe basis for the alleged exemption.Any violation of5ection 7031:5' - STORIES' T PE CONSTR.
i F.
_ by any applicant for a permit subjects the applicant toa civil penally _
of not .as owner
five hundred dollen(my,employees
thanALTER-DRAIN& VENT-WATER (EA.) 4,00' UO :`--
❑ Las owner at th.will do
tI a work;and the
with wagesas
ed BACK FLOW PROTECT..DEVICE
intended' r offend
will(Sec. work;and'the structure is ons 2;00 OCC.GROUP AES:UNITS
Code: he offered dor sale(Sec. 7044, Rosiness and Professions DRAINS-FLOOR,ROOF,AREA,COND. 4.00
Code:The Contractor's License Law dots not apply to an owner of-
properlywhoouildsa'I'proves thereon.and who does such work FIXTURES-PER TRAP • 4.00 SO.FT.FLOORAREA TOTACACREAGE
himself or through his own employee< provided that such Improve=
i mends are not intended or offered for sale If;howeer the building GAS-EA.SYSTEM-1 INC.4 OUTLETS:'4.00 0
or Improvement is sold wilhin.on year of completion,the owner -
bullder will have the burden of proving that lie did not bwld o2 im. GAS,EA.SYSTEM-OVER 4(EA.) 1.00 BUIL IN USE.,
prove for purpuseof sale.). INDUSTRIAL WASTE' • AEg 'INA paa
, otn -
❑ 1,is owner of the properly em exclusively con trectmINTER20
g with .00 ❑ ,� ❑ , e
licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INGSV.B: 5:00 , gsgEggo PARCEL No.
and Professions Code:The Contractors License Law does not apply - .. - -
toanownerorpropertywhobuildsor'improves themon:and.who LAWN SPRINKLERS-OVER l5(EA.). 1.00
contracts for such projects with a contractor(s)licensed PaNUICIL to
the Contractor's'License Caw. - SEWER-SANITARY=STORM Ed.200ft/8.00 TRACT NO. PARCEL NO.
❑ tamexernplunder Sec. ,B.&P.C.for,this - :4;00
reason - - WATER HEATER W/VENT" -
DateOwner �� WATER SYSTEM 4-060 O
T- ACC.OATE ACQ FILENO,
WORKERS'COMPF:NSATION DECLARATION, - . .WATER TREATING'EQUIP. 4.00
I hereific.m m inset i have a cerci time Ima n ace.to self-insure.
-Cop certificate of Workers' .C.). sati%n'Insunna.or,a certifieJ ZONING ENG.SITE NO:.
Popsy No.thereof(See. i Conn00, eb.C.). r%1 At�7/}N
Policy No. ' Company /e
❑ Certified copy is, filed whined
'Z 2 �. anttifi'd'copy'is filed with the,oily inspection'division. c FIRE gPRINK - ENERGY 24
F p 'Applicant MISC.'- REFER TO ORD. Y El. N.13 Y [] NE]
fr.y CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE, 6.00 6-= FLOOD ZONE. 'A.L.U.C.
LU > COMPENSATION INSURANCE - FLG.CONTR: LIC_NO. PLG. O_o
j•0 (This section need not bellcomplrted if the permit is for mm TOTAL Y NE Y 11 NEI
U=O hundred doll..IS 100)or less.) -
P edify that in the performance of the work far which this per- Qtr MECHANICAL PERMIT FEE SUMMARY
LL F out Is issued,I shall'not employ any person in any manner was to FEE _
O W, becoyles c the Workers'(iorllpe - ioi .awspf Cali(omia.
W Dat ALTER`.OR ADD TO MECH: 400 BUICDING-
.y 2 NOTICE TO APPLICANT:'If;after mss Certificate o6hx-
f— — crolion,you should become sunJect to IBe Workers Comprnsaliori' APPLIANCE 4.00 ,PLAN CHECK-
. provisions bf,•enc labor'Code; you muR forthwtlh comply with
such provisions or this permit shall he deemed)evoked.• AIR HANDLING UNIT(TO'10=CF.M.1 3.00 ,FEE=
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.F.M.15;00 ' SEISMIC FEE
I hereby affirm,dai ithere is.a construction lending:agency,far EXHAUST HOOD(WITH DUCT) 2.06
the performanceofthe work I'or'which,this permit is issued'(See, - - - MICROFILM',
3097-Civ.C:); HEATING�UNIT(TO 100' B:T.U.)� .4.00
Lender's Name
Lender's Address HEATING'UN IT-(OVER 100,000 B.T.U.)7:50 ELECTRIC
I certify that 1.have read this application oil State that the above VENTILATION FAN (SINGLE) 3:00
information is correct 1 ugme Io comply with'ull city.and county BOILER PLUMBING 6(J
ordinances-and star laws relating to budding construction, and (3 H.P.or 100_,000 B.T:Ui) 4.00
hereby 3uthoriae representatives of This city to enter upon the -
above-mentioned property for mwectionpirposes. - BOILER-COMP IOvm 100,000 BTUI SEE.FEE SCH. MECHANICAL
(We) agree to save, indemnify..it keep harmless the City of MISC:- REFER TO ORD
Cupertino against :liabilities,judgments, and expenses witich
may in any way accrue against said City,in consequence of the PERMIT ISSUANCE 3:0.0 CONST.TAX
�raplipg of is per il: MECH.CONT. LIC.NO. MECH.
///X1///1{(\1 J. — ?-$`f TOTAL TOTAL
Signature of Apphcam/Contractor Date -
'OFFICE COPY
i