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86070 z ZZ P: y LL1 > CL 0 Z Vo LL U 0 Wa Z V NT TO FILL IN INFORMATION WITHIN RED LINES -USE BALL POINT PEN ONLY OFFICE COPY PERMITNUMBER 11 LDI NG PROJECT IDENTIFICATION APPLICATION &PERMIT ELECTRICAL- PLUMBING -MECHANICAL8607 UILDIn LOT 64JILDING OWNER's NAME DeAnza Group, A Calif. Ltd. Partnership PRONL 415,/1 ELECTRIC PERMIT FEE PLAN CHECK VALIDATION DATE OF APPLICATION CONTRACTOR'S NAME - The Alden Company LIa.NO. 465640 UTLETS-SWITCHES -RECEP 10.0011.00 LIGHTING FIXTURES 10.0011.00 CONTRACTOR'S ADDRESS 411 Borel Ave, Ste. 410 San Mateo, Ca.944021ONA15/571-1481 APPLIANCES -RESIDENTIAL 4.00 PANELS 10.00 ARCHITECT OR ENGINEValderon-Nakamur@,e,NO, C013712 PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ARCHEORENG 2070 Business Ctr. #220 Irvine, Ca. Z,, 92715 SPECIAL CIRCUIT 5,00 PERMIT VALIDATION Q p UD - c Sly TEMP. METER OR POLE INS. 20.00 nooLiessTS 411 Borel Ave, Ste. 10 San Mateo, Ca. 94402 MOTORS SEE FEE SCH, SERVICE CHANGE 20.003% i J LICENSED CONTRACTORS DECLARATIONTEMP. I hereby affirm that I am licensed underrovisions of Chapter 9//N tpjjQP POLE 30,00 commencing with Section 7000) of Division 3 of the Business and Professions Code, d my license is in full force P,L License Clg)ssr3 i> Lic. Number Date Contractor L ELECT. PLG. MECH. BUILDING PERMIT INFORMATIONOWNER -BUILDER DECLARA 10 I hereby affirm that l am exempt from the Contractor's License Law for the following reason. (Sec. 7031.5, Business and Professions Code: Any city or county which requires a 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 licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and MISC. - REFER TO ORD VALUATION 51t=T. PERMIT ISSUANCE 10.00 ELEC, CONTR. LIC. NO, ELEC. TOTAL PERMITTO J lam' OTY. PLUMBING PERMIT FEE the basis for the alleged exemption. Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).): ALTER-DRAIN&VENT-WATER(EA,) 5.OD 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (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 does such work himself or through his own employees, provided that such improve- mentsarenotintendedoroffcredforsale.If, however, the building BACKFLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 F IXTUR ES - PER TRAP 5.00 so. FT. FLOOR AREA 7 TOTAL ACREAGE GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of completion, the owner builder will have the burden of proving that he did not build or im- Prove for purpose of sale.). 1711, 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 {EA.) 2,00 BUILDING USE q IND CDN PB Other INDUSTRIALWASTE INTER. 30,00 LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. LAWN SPRINKLERS - OVER 5 (EA.) 1.00 contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law. SEWER -SANITARY -STORM EA. 200ft110.00 TRACTNO. PARCEL NO, 0 1 am exempt under Sec. B.&P.C. for this reason WATER HEATER W1V ENT 6.00 Owner Date WATER SYSTEM 5.00 ACC.DATE ACC. FILE NO, WATER TREATING EQUIP, 5.00WORKERS'COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to sclf-insure. or a certificate or Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800 Lab.0.). Policy No.i f y Certified copy is'h furni d.. XICertified copy s fi 1 he city inspection division. Applicant ZONING ENG. SITE NO. S&^/ (o JZ FiRESPRINK Y N ENERGYT•24 Y N MISC. - REFER TO ORD. CERTIFICATE OF XEMPTION FROM WORKERS' PERMIT ISSUANCE 14.00 FLOOp ZONE A.L. D.C. PLG. CONTR. LIC, NO. PLG, TOTAL I COMPENSATION INSURANCE This section need not be completed if the permit is for one Y N Y N QTY. MECHANICAL PERMIT FEE FEE.SUMMARY hundred dollars (S 100) or less.) I certify that in the performance. of the work for which this per- mit is issued, 1 shall not employ any person in any manner so as to BUILDING 00becamesubjecttotheWorkers' Campensation Laws or California. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Ex- I ALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 PLAN CHECK FEE emption, you should become subject to the Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall he deemed revoked. AIR HANDLING UNIT (TO 10JX10 C.F.M.) 4.00 AIR HANDLING UNIT (OVER 10=C.F.M.) 6.00 SEISMIC FEECONSTRUCTIONLENDINGAGENCY 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. 3097,Civ.C.). Bank Of America, P.O. Lender's Name Lender's Address MICROFILM HEATING UNIT (TO 100,000 B.T.U.) B4O0 HEATING UNIT(OV ER100,000B,T.U,)9.50 ELECTRIC I certify that 1 have read this application and state.that the above information is correct, 1 agree to comply with all city and county ordinances and state laws relating to building construction, and VENTILATION FAN (SINGLE) 4.00 PLUMBING BOILER-COMP(3 H.P. or 100,000B,T.U.) 6.00 801 LER-COMP IOver 700,000 BTUI SEE FEE St 3f. MECHANICALherebyauthorizerepresentativesofthiscitytoenteruponthe above-mentioned property for inspection purposes, MISC. - REFER TO ORD. CONST. TAX Wc) agree to av indemnify and keep harmless the City of Cupertino ag ' s lilies, 'udgments, costs and expenses which may in any a e ag st said City in consequence of the granting of s e 5/31/8 PERMIT ISSUANCE 10.00 MECH. CONT. LIC. NO. MECH. TOTAL TOTAL 0 SignatureafApplicanE/COniracor Date OFFICE COPY POST THIS CARD NEAR FRONT CITY OF CUPERTINOF INSPECTION DIVISION JOB INSPECTION JOB ADDRESS / OWNER 45 CONTRACTOR OF BUILDING RECORD UNIT# LOT# PERMIT NUMBER 0 17 s PERMIT EXPIRATION 0ERl r -:'r' XPIRFS IF WORK IS NOT STARTED WITHIN DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM LASTCALLED INSPECTION. INSPECTIO RTE INSPECTOR I S CT[ON RECORD180 FOUNDATION 4Sl UFER - c j0-$'T PR EGUNITE 1 1c - PERMIT VALIDATION ISSUANCE DATE POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING ELECTRICAL MECHANICAL SLD _ E T PL M 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDiN ERMI INFORMATION WOOD FLOOR VALUATION $/FT. PLUMBING MECHANICAL ELECTRICAL 9 MI7 TD kIL" STORIES TYPE CONSTR. FRAMING INSULATION OCC. GROUP r RES.UNITS, ' PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF S0. FT. FLOOR AREA TOTAL ACREAGE DIAPHRAGM BUILDING USE RES IND CON PB Ocher APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ASSESSORS PARCEL NO. ROUGH PLUMBING t GAS TEST TRACT NO. PARCEL N0. MECHANICAL a_ _ ELECTRICAL FINALSJ DATE INSP. ACC. DATE ACC. FILE NO. FRAMING SAN # f IN ULATION d_ _ !j PLUMBING ZONING I'— ENG. SITE NO. c G FIRE SFRINK Y N ENERGY T-24 Y N p, ANICA / .2 p 7 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED NG —r;' j FLOOD ZONE Y N A.L.U.C. Y 1] N LATH—INTERIOR RI L yERRLATH—EXTERIOR T. SHEETROCK p. E FEE SUMMARY SHEAR INTERIOR ,a Z BUILDING IL BUILDING 1SHEAREXTERIORTEMPORARYAPPROVALS FIREWALLS ELECTRIC PLAN CHECK FEE GAS SEISMIC FEENOTAPEORPLASTERUNTILABOVEHASBEENSIGNEDJOCCUPANCY OCCUPANCYOF BUILDING IS NOT PERMITTED UNTILBUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, 0 w ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLEASE GIVE JOB ADDRESS WHEN PHONING. z SEE PERMIT FOR EXPIRATION DATE — ELECTRIC PLUMBING MECHANICAL CONST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY