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86094 POST THIS CARD NEAR FRONT J r CITY OF CUPERTINO INSPECTION DIVISIQN JOB INSPECTION PERMIT JOBApQRESS,!// `terJAqi,e OWNER CONTRACTOR OF BUILDING RECORD UNIT# LOT# o PERMIT NUMBER ss EXPIRATION PIlfEXPIRES IF WORK IS NrOT STARTED WITHIN 180 DAYS OF PERMIT ISSU- ANCE OR 180 PAYS FROM AST CALLED INSPECTIpN: PERMIT L,J•OATION ID s irk of Cupprilno ISSUANCE DATE INSPECTION Ur DATE INSPECTOR FNSPICTION RECORD UFERi PREGUNITEIV POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING _p ELECTRICAL MECHANICAL w nift. E T. L MEC 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED UI DING ERMIT INFORMATION WOOD FLOORW VALUATION I SIFT. PLUMBING MECHANICAL ELECTRICALRMIT TO STORIES TYPE CONSTR. J FRAMINGL INSULATION OCC. -GROUP RES, UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF SO. FT, FLOOR AREA I .*;- TOTAL ACREAGE DIAPHRAGM BUILDING USE RES, INO CON PS Oiher 1:1- El El El ElAPPLYNOROOFINGUNTILABOVEHASBEENSIGNEO ASSESSORS PARCEL NO ROUGH yy e..v., o 1Lfu.z PLUMBING % G GAS TEST TRACT NO. 7 Y/ PARCEL NO MECHANICAL D ELECTRICAL p_3- F! ALS DATE INSP. ACC. DATE ACC. FILE NO. FRAMING S+ # ZONING ENG. ,SITE NO. IN ULATION f (I PL l'—j/3 GAS FIRE SPH kNK N[ ENERGY T•24 y N MECHANICAL } n COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FL000 zDNE y NC) A. L.U.C. Y N LATH—INTERIOR ELECTRICAL q LATH -EXTERIOR FIRE DEPT, SHEETROCK ps GRADE .8 r' FEE SUMMARY SHEAR INTERIOR BUILDING BUILDING,' SHEAR EXTERIOR $ TEMPORARY APPROVALS FIREWALLS v ELECTRIC PLAN CHECK FEE GAS SEISMIC FEE y NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, o ONE WORKING DAY BEFORE REQUIRED INSPECTION, PLEASE GIVE JOB ADDRESS WHEN PHONING. Z o SEE PERMIT FOR EXPIRATION DATE - IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. ELECTRIC PLUMBING MECHANICAL.- CONST. TAX TOTAL r OFFICE COPY Z Z jr y ui > CL Z)Z Uo U O fuato I-- z U APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY B4I LDI NG PROJECT IDENTIFICATION APPLICATION & PERMIT -. 1 BUILDING -ELECTRICAL- PLUMBING - MEC>7' NICAL PERMIT NUMBER 8609 ooDING LOT 4 PLAN 1 NAMESDeAnza Croup, A Californi Ltd. Partnership P,,0NL415/571-14 TY. ELECTRIC PERMIT FEE 1 PLAN CHECK VALIDATION CONT CTOA'S NAMENAME OUTLETS -SWITCHES - RECEP 10,0011.00 The Alden Company LID,45640 LIGHTING FIXTURES 10.0011.00 DATE OF APPLICATION CONTRACTOR'S 411 Borel Ave Ste. 410 ADDRESS San Mateo,Ca.94402 PKON1415/571-14 APPLIANCES -RESIDENTIAL 4.00 1 1PANELS 10.00 ARCHITECTPANELS ORE"`L"Meron-Nakamura LID.Q1013712 OVER 200 AMP} 20,00 PLAN CHECK FEE P.C. NO, SIGNS TRANS. 3.00 ARCH. OR ENG. 2070 Business Ctr. #220 ADDRESS SPECIALCIRCUIT 5.00 PERM ION TEMP. METER OR POLE INS. 20.00Irvine, Ca, z1P 92715 JUL1_2 g 98 CRY of Cupertino APPLICANT'S 411 Borel te. 410 ADDRESS Ave,1 San Mateo, Ca. 94402 MOTORS SEE FEE SCH. SERVICE CHANGE 20,00 LICENSED CONTRACTORS DECLARATION TEMP. POLE 30.00 I hereby affirm that 1 am licensed under provisions of Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code, an* my license is in full for ( License C1ggss Lic. Number ISSUANCE DATE B ELECT. I PLG. I MECH. Date yContractor BUILDING PERMIT INFORMATIONOWNER -BUILDER DECLARATIO hereby affirm that I am exempt from the Contractor's License Law rot the following reason. (Sec- 703 1.5, Business and Professions Code: Any city or county which requires permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is d pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) ofDivision 3 of the Business and Professions Code) or that he is exempt therefrom and MISC. - REFER TO ORD VALUATION SIFT. X - PERMIT ISSUANCE 10.00 ELEC. CONTR. LIC. NO. ELEC, TOTAL PERMITTO 1 , lf'' 71W1 vQTY. PLUMBING PERMIT FEE the basis for the alleged exemption. Any violation ofSeetion 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penalty or not more than five hundred dollars (5500).): ALTER -DRAIN &VENT WATER (EA.) 5.00 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4.00 ticc. GROUP RES. UNITS 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 properly who builds or improves thereon, and who does such work himselr'or through his own employees, provided that such improve- ments are not intended or offered rot sale. If, however, the building FIXTURES - PER TRAP 5,00 SO. FT. FLOOR AREA TOTAL ACREAGE GAS- EA. SYSTEM -1 I NC. 4 OUTLETS 6.00 or improvement is sold within one year of completion, the.owner- builder will have the burden of proving that he did no build or im- prove for purpose of sale.). El 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who GAS EA. SYSTEM OVER 4 IEA.} 2.00 BUILDING USE R S IND CON PB Other INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS - i INC 5 V,B.. 6.00 ASSESSORS PARCEL NO. LAWN SPRIN KLERS - OVER 5 (EA.) 1.00 contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. SEWER SANITARYSTORM EA. 200ft110.00 TRACT NO. PARCEL NO. 1 am exempt under Sec. B.&P.C- for this reason WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM 5.00 A C. DATE ALC. FILE NO. WATER TREATING EQUIP. 5.00WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or a certified ZONING ENG. SITE NO. copy thereo ( e . 0 b.C.) Phe I On 4t--10 Policy No. I n A l ripnrnmpany-__r_ FIRE SPRINK Y N ENERGY T-24 Y N Certifiedc i hereb furnished. IX Crtified i d r the city inspection division. ant Applice MISC. - REFER 70 ORD. CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A-L.u,C. PLG. CONTR. LIC. NO. PLG, TOTAL COMPENSATION INSURANCE This sectidn need not be ,completed if the permit is for one Y N Y N QTY. MECHANICAL PERMIT FEE FEE SUMMARY hundred dollars(S100) or less.) I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so as to BUILDING become subject to the Workers' Compensation Laws of California. Date Applicant ALTER OR ADD TO MECH. 5.00 NOTICE TO APPLICANT: If, after making this Certificate of Ex- APPLIANCE 5.00 PLAN CHECKemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be.dcemed revoked. FEEAIRHANDLINGUNIT (TO 109MC.F.ML) 4.00 AIR HANDLING UNIT (OVER 10AMC.RM.) 6.00 SEISMIC FEECONSTRUCTIONLENDINGAGENCY I hereby affirm (hat 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. 3097,Civ.C.). Lender'sNamc Bank of America, P. 0. MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 HEATING UNIT (OVER 100,000B.T.U.)9.50 ELECTRICLender's Address 1certify that 1 have read this application and st94ai. above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county ordinances and'slate laws relating to building construction, and PLUMBING BOILER COMP (3 H.P. or 100;000 B,T,U.) 6.00 BOILER -COMP (Over 100,000 BTU) SEI: FEE SCH. MECHANICALherebyauthorizerepresentativesofthiscitytoenteruponthe above-mentioned properly for inspection purposes. MISC. - REFER TO ORD. CONST. TAX We) agre t save, indemnify and keep harmless the City of Cupertino a t biliti judgments, costs and expenses which may in any ccrue a ainst said City in consequence of the granting of i PERMIT ISSUANCE 10.00 MECH. CONT. LIC. NO. MECH. 5/31/85 TOTAL TOTAL Signature of Appli ant/Contractor Date OFFICE COPY