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14873 ,'.POST THIS CARD NEAR FRONT OF,,BU.I•LDING h PERMIT NUMHlSH . CtTY� OF CUPERTINO 14813 . INSPECTION DIVISION JOB'INSPECTION RECORD -• ri PERMIT EXPIRATION' •JOB ADDR ESS =2�.3a.J^' C1: � -T y_ UNIT' * - LOT#-V PERMIT. EXPIRES IF WORK i OWNERcS' il-<-KS'"0 CONTRACTOR IS NOT STARTED WITHIN t INSPECTION DATE'' INSPECTOR INSPECTION RECORD 18o'DAYS OFPERMIT ISSU- FOUNDATION NOTE: ANCE,OR 180 DAYS FROM " - c LIFER ALL GRADING AND DRAINAGE.SHALL•BE.INSTALLED. .LAST CALLED INSPECTION. PR EGUNITE`. TO COMPLY WITH THE APPROVED PLANS'AND CITY OF PFHMII VALIDATION CUPERTINO STANDARDS. GARAGE SLABS; POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED �yC ' :.'p?�} ''(r1=���Cp4,ce¢h,�1a� ' UNDERGROUND /SLAB r` PLUMBING: - - Y " ELECTRICAL - " - - 'ISSUANCE DATE ` MECHANICAL - - BLDG. .ELECT PLG. MECH. PAS . 0 ,Q . . © DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR.. - - INFORMATION r VAWATION $GFT. PLUMBING . qq /�r,o ` MECHANICAL. _' -• ®f yu ' .I ELECTRICAL' - PeHmITT FRAMING INSULATIONip STORIES T�YPE/CC(?YSTR. IT GROUP RES UNITS vh c4017p�r TOGO r PLACE NO SU BFLOOR UNTICAE1OVE HAS BEEN SIGNED -59--:1 --es'- SOII FLH [)OHAEA ITOIALFCREAfL - ROOF." T NOTE:NO FINAL INSP. HALL BE MADE BEFORE p . DIAPHRAGM'- THE CONSTRUCTION TAX IS PAID- • -BUILDING USE ROOF SHEATHING I I-'I k—` t . .. I . ' .f 1 1. , . I I HIS IND 60N PB O 'APPLY NO ROOFING UNTIL ABOVE HAS BEEN.SIGNED " FINALS t-DATE INSP. Kl- 0 0• E' ,El ASSESSORS PARCEL NOROUGH' SAN.p E RC- .PLUMBING - ELECT.EN RGY THACT'NO, PARCEL NO TUBS 8 SHOWER PA © 4 //�= ",//3 PLUMBING ENERGY ��` 0 MECHANICAL �- l" �`jMECH.ENERGYELECTRICALS - h7l�- _ 'BUILDING ENERGY - ACC.DATE ACC,FILe NO. "FRAMING - _ C' ELECT.FINAL TEST ZONING ENG.SITE No. ' INSULATION_. _l PLUMBING. ' GAS TEST GAS - .T - MECHANICAL , - FIRE.sPRwK ENERGY Taa COVER-NO WORK UNTIL'ABOVE HAS BEEN SIGNED HEATING ._ N y, - .NE] ROOD ZONE A.L.0 c. EXTERIOR SHEAR —j&—R9 ELECTRICAL RELEASE INTERIOR SHEAR _G6—g N FIRE DEPT. Y C, N0 Y ❑ NC r SHEETROCK - . - GRADE FEE SUMMARY EXTERIOR 'LATH '_ '„ .(O BUILDING A - . INTERIOR LATH ` 3a y]S , TEMPORARY APPROVALS BUILDING SCRATCH COAT ,^ ELECTRIC' _ :PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - sEISMIc FEE' OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM r} ARRANGE FOR INSPECTION BY PHONING;252-4505, ELEcrAlc H ONE WORKING DAY BEFORE REQUIRED INSPECTION. ` �1 ' PLUMBING` PLEASE GIVE JOB ADDRESS WHEN PHONING. ' Z MECHANICAL T —_SEE PERMIT FOR EXPIRATION DATE — . ` ' IMPORTANT! CONST:TAX' PLEASE READ REVERSE-SIDE.BEFORE 'CALLING FOR FINAL INSPECTION. - TOTAL - oZl s qZ OFFICE.COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES -'USE BALL POINT PEN ONLY BUILDING PROJECT I D'ENTI FI&ATION PERMIT NUMBER [ADDRESS DING . APPLICATION & PERMIT _ 1487 3°7BUILDING-ELECTRICAL-PLUMBING-MECHANICALcnv�G EH S .' jPLAN CHECK VALIDATION CrJ4'JQTY. ELECTRIC PERMIT ' FEEWOA 7#6 rife,- PHONE iT3- 9Y IL MrRacroR'a UTLETS-SWITCHES-RECEP 10.00/1.00 LIC,NO. LIGHTING FIXTURES 10.00/1.00 - - noo Ess coats APPLIANCES_RESIDENTIAL' 4.00 PHONE PANELS 10.00 DATE OF APPLICATION. ARCHITECT PLAN CHECK FEE P.C.NO. OR PANELS (OVER 200 AMP) 20.00 N INE R �_4-•ILJ/ "TNA 11- LIC,No. SIGNS TRANS. _ 3.00 A CX,OR ENG. ADDRESS - SPECIAL CIRCUIT,, 5.00 PERMIT VALIDATION y793 �o',CJ 41�5 /y zIP TEMP. METER OR POLE INS. 20.00 APPLICANTS - - MOTORS SEE FEE SCH. ADDRESS - . SERVICE CHANGE 20.00 w ¢i Foo LICENSED CON'T'RACTORS DECLARATION 'Q L,w Phereby affirm that 1 un licensed under provisions of Chapter 9 Z ISSUANCE GATE i m Q H (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. 'PLG. MECH. F H Z. Professions Code;and my license is in full force;mJ effect Z O m - License Class .Lie.Number - - o HwDate _ Cnnlmctor F , ¢ w OWNIi R-tl UILDEIi UBCLNiA"PION- r BUIL PERMIT ¢ X ; a y - 1 hereby affirms that I am exempt from the Contractors'License MISC. - REFER TO ORD TION F ,. pg Law for the following reason,(See 7031.5;Business and Professions PERMIT ISSUANCE "Ul.DO a_ v UATION S/FT. - ,mom Code:Any city or county which tequion a permit to construct,alteL. - �p TIO ¢ ¢ a O improve,demolish,Or repair any structure,prior In its issuance,also ELEC.CONTR. LIC.NO. ELEC. (y N iE DLL requires the applicant for such permit to file a signed statement(hat TOTAL a PER MIT T, - a w$ he is licensed pursuant to the provisions of(he Contractor's License FZQ Law(Chapter 9(commencing with Section 7000)ofUivision 3 oflhe 5 4 4 Business and Professions Code)or(ha( he is exempt therefrom and QTY. PLUMBING PERMIT- - FEE ¢ Fpm ' the basis for the alleged exemption.Any vioaf ionvf Scul ion 9031.5 STORIES ,yTYPE CONSTR. • a; by any applicant for it Permit subjects the applicant ton civil penalty "s of net more them,five hundred dollars(5500).): ALTER-DRAIN& VENT-WATER IEA.) 5.00 •SjI� ❑'.I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will do the work,and Ole structure is not intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOORROOFAREA,CON D. 5.00 -3 / Code: The Contractor's License Law docs not apply to of owner of , , - property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 sat Pr.FLOOR AREA TOTAL ACREacE himself or through his own employees.,provided that such improve- .. " mems are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1 INC.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 not build or int- GAS-EA.SYSTEM-OVER 4 (EA.) - 2.00 BUILDING USE - :age for purPoseof,HIC). INDUSTRIAL WASTE INTER. 30.00 RES IND. CON Pa- Oma, I,as owner of the property,am exclusively contracting with licensed comructors In conarucf the.project(Sec. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B.. 6.00 ASSESSORS PARCEL NO. and I'rofessions Code:The Contruelor's License Law does Bill 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 contolet.no licensed pursuant to fa the CmdUctor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ Tam exempt under Sec. ,B.&P.C.for this - WATER HEATER W/VENT , 6.00 ream )ate ACC.DATE ACC.FILE NO. Ow /- WATER SYSTEM 5.00 y. C-/woR1:13Rs' r Grvsn'f10N DECLARATION WATER TREATING EQUIP. 5.00 ' I hereby affirm than have o certificate ore n,am Io self innrre, or a certificate of Workers'Compensation Insurance,nr'a certified ZONING ENG.SITE NO, copy thereof(Sec.3800,Lib.CJ. " Policy No. Company'- ' .O ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T-24 ,,Z 1Z o Certified Copy is fled wi(Ir the city inspection division. - O Applicant MISC.- REFER TO ORD. v Q ' N[3 v N[_ .. y , CERTI PICA'I'Ii 01'I?ABMP'I'ION PROM WORKERS'. PERMIT ISSUANCE FLOOD ZONE a.L.U.C. LU > COMPENSATION INSURANCE PLG.CONTR.. LIC.ND. PLG. ,p ,� Q• O (This xitPm need not be completed if (Ile permit isafnr one. - TOTAL U !0 Y❑ N� Y N� D Z hundred dollars($100)or ICss.1 I - - -' ' U O I certify that in the performance of the work for which this per-' QTY. MECHANICAL PERMIT FEE FEESUMMARY ' LL U - fait is issued,I shall not employ any.person in;any manner so as to - becmou subject to the Workers'Compensation Laws of California. - EE 0Date ApplicantALTER OR ADD.TO MECH. 6.00fi5GO NOTICE TO APPLICANT: If,uftC,.m.king this Certificate of Ex- - emption,you should become subject to oae Workeri'Cmnpen,ation - APPLIANCE5.00 'provisions of file Labor Code, you must forthwith comply with such provisions or this permit shall be deermed revoked. 'AIR HANDLING UNIT PTO 10,QOD C.F.M.) = 4.00AIR HANDLING UNIT(OVER 10CONSTRUCTION LIiNDING AGENCY pODC.F.M.) 6.00 I hereby oIfion Thal finite is a construction lending agency far EXHAUST HOOD (WITH DUCT) '5.00 the performance of Etc work for which this permit is issued(Sec. ' 3097,Civ.C.). - - HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name - - HEATI NG UN IT 100,000 B.T.U.)9,50 Lender's Address ELECTRIC 1 ) t� Icerfify that l have read this application an, ,are that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county' - PLUMBING 9 ordinances and state laws relating to building construction, and t BOILER-COMP 13 H.P.or 100,006 B.T.U.) 6.00 1I alereby authorize roperty fatives ec this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL aerelay cntinnud property forinspection citymrp to (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, msls:rod expenses whichPERMIT ISSUANCE •-{e:BQ �J CONST.TAX may in any way accrue against said Cit in'conse ucmce of the Or this permit MECH.CONT. - LICA NO. , MECH.• TOTAL �9 8tl , TOTAL a Signa re of Applican or Uate/ ` OFFICE COPY ,