The URL can be used to link to this page

13805 POST THIS CARD NEAR FRONT OF.BUIL ING PERMIT NUMBER CITY OF CUPERTINO 13805 f INSPECTION DIVISION , JOB INSPECTION RECORD (� PERMIT EXPIRATION JOB ADDRESS C'tl J'� Q ,l/ NIT# LOT# Qj PERMIT EXPIRES IF WORK OWNER" ,Q �jQ(7(� �� -CONTRACTOR IS NOT STARTED WITHIN INSPECTIO DATE INSPECTOR INSPECTION RECORD 180 DAYS,OF PERMIT ISSU- FOUNDATION _ - ANCE OR 180 DAYS FROM j LAST CALLED INSPECTION. UFER PREGUNITE PERMIT VALIDATION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 0 UNDERGROUND /SLAB rl �7M1 PLUMBING ELECTRICAL o NCE DATE MECHANICA - ELECT. PLG. ME H. a _ E ❑ ❑ ON, DO NOT POUR FLOOR:UNTIL ABOVE HAS BEEN SIGNED suILDING PERMIT INFORMATION - WOOD FLOOR PLUMBING VALUATION $/FT. - MECHANICAL '• _ a J ELECTRICAL PERMIT TO - i 4- FRAMING IN ULATION STORIES TYPE CONSTR. OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED r ROOF SO,FT FLOORAREA TOTAL ACREAGE DIAPHRAGM BUILDING USE Q• RES- IND CON PB O,he, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑ ASSESSORS PARCEL NO. ROUGH 0 PLUMBING ' GAS TESTTRACT NO. ,PARCEL NO. yy MECHANICAL ELECTRICAL FINALS DATE INSP. ACC.DATE ACC.FILE NO. FRAMING - SAN # c?d ZONING ENG.SITE NO. INSULATIONPLUMBING yy GAS MECHANICAL D,• FIRE SPRINK ENERGY T"2<, -/° Y❑ 'ED] Y ❑ N[:)COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE : HEATING LATH-INTERIOR ' ELECTRICAL FLOOD ZONE A.L.U.C. LATH-EXTERIOR - FIRE DEPT. 77 Y❑ N❑ Y ❑ N❑ SHEETROCK / GRADE FEESUMMARV SHEAR INTERIOR BUILDING SHEAR EXTERIOR - -$ TEMPORARY APPROVALS BUILDING FIREWALLS ELECTRIC - PLAN CHECK - GAS FEE 'NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR'. MICROFILM Lu ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL N CALLING FOR FINAL INSPECTION. OFFICE COPY _ APPLICANT TO FILL IN INFORMATION WITHIN RED LINEF UJE BALL POINT PEN ONLY ..,BUILDING PROJECT IDENTIFICATION PERMIT NUMBER 1 .,..DING APPLICATION & PERMIT 13805 ACIDNESS 11543 Country Spring Court BUILDING -ELECTRICAL-PLUMBING-MECHANICAL OWNER'S NAME . PLAN CHECK VALIDATION 'rnupDTV. ELECTRIC PERMIT FEE PHONE _ NAME Ac Rs - UTLETS-SWITCHES-RECEP 10.00/1.00 Gregory Group, Inc LID.NO. 430097 30 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR s220 Twin Dolphin Dr. , DCI' 3 PPLIANCES-RESIDENTIAL 4.00 AODREss Redwood citv. CA PHONE595- 1 PANELS - 10.00 DATE OF APPLICATION ' ARCHITECT PLAN CHECK FEE P.C.NO. DR Aram Bassenian, A. I.A PANELS (OVER 200AMP1 20.00 ENGINEER Associates 0C.NO. SIGNS TRANS. 3.00 ' ADD ES END (t90�Westerly Pl , 11170 SPECIAL CIRCUIT S.00 PERMIT VALIDATION ADD �JJD W Pr' . z,,92660 TEMP.METER OR POLE INS. 20,00 APPLICAN 'E 220 Twin Dol phi n Dr. , C AGGRESS II II MOTORS SEE FEE SCH. Redwood City- CA 94065 SERVICE CHANGE 20.00 woo LICENSED CONTRACTORS DECLARATION CI Ni c i w I hereby affinn that I am licensed under provisions of Chapter 9 I DATE (commencing with Section 7000)of Division 3 of the Business and i Professions Ca ,and my license is in full forcAayQ.e{(gdr PLG. MECH. O0 4 W License Class Lic,Number -JV V 7/ N f Date Contractor ¢ ¢ w a OWNER-BUILDER DECLARATION BUILDING PERMIT - D in " MISC.- REFER TO ORD INFORMATION .Axa ; ¢a I hereby affirm that 1 am exempt from the Contractor's License VALUATION g/FT. u O< Law for the following reason.(Sec.7031.5,Business and Professions T 10.00 E - m PERMIT ISSUANCE Code:Any city crucially which requires a permit to construct alter, al C G FO Improve,demolish,Dr repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC. y K e¢ requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO he is licensed pursuant to the provisions ol'the Contractor's License z Q Law.(Chapter 9(commencing with Section 7000)of Division 3 ofthe _ V Z i O Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant fora permit subjects the 0),): ant toacivil penalty ALTER-DRAIN 5.00 of not more than five hundred dollars(my em): � LS-i✓W101 ❑ 1,as owner at the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will(S the work,and the structure is not intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 3 Code:The Contractor's License Law does not apply to an owner of _ property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE 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-I INC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the owner- builder will have the burden of proving that be did not build or im- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 R IND CON PB Omer ❑ I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,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 SPR INKLERS-OVER 5 (EA.) 1.00 contracts for such projects with a contmc(ons)licensed pursuant to SEWER-SANITAR V-STORM EA.200ft/10.00 the Contractors License Law. TRACT NO. PARCEL NO. real❑son I am exempt under Sec. ,B.&P.C.for ibis WATER HEATERW/VENT 6.00 7ff3.� Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm .hut I have a certificate of consent to self-insure, or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof l Sec.3800,Lab.0 Policy No. Company O ni_tP_d__PPP.ac[Re-Banc 0 O Certified copy is eb fu hed. FIRESPRINK ENERGY T-24 Z Z Certified cop the cit ' spemion ivision. O Applicant misc.- REFER TO ORD. Y ❑ N Y [3 NE] rn PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. Ui CERT.FIC E E EXEMPTION PROM WORKERS' W � COMPENSATION INSURANCE PLC.CONTE. LIC.NO. PLG, CL CI (This section need not be completed if the permit is for one TOTAL ' Y❑ NC] Y❑ NE hundred dollars(5100)or less.) 0 O 1 certify that in the performance of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL U mit is issued,I shall not employ any person in any manner so as to 0 L) become subject to the Workers Compensation Laws of California. Date Applicant BUILDING 5-�C06 } 0 NOTICE TO APPLICAN"f: If,after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 ? emplion,you should become subject to the Workers'CompensationAPPLIANCE 5.00 PLAN CHECK 9 provisions of the Labor Code, you must forthwith comply with FEE C..1 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 I0,000GEM.) 6.00 SEISMIC FEE �Lr) aL 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,CN.c.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Security Pacifica Lender's AddressA HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC lk 60 -ziciii1 certify that I have read this application an°dstain that the above VENTILATION FAN (SINGLE), 4.00 information is correct. I agree to comply with all city and calmly PLUMBING ordinances and state laws relating to building construction, and BILER-COMP(3 H,P.Of 100,000 B.T.U.) 6.00 O hereby authorize representatives of this city Ic enter upon the BOI LER-COMP lover 100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. `` (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. CONST.TAX pp 60� Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 O may in any way accrue against said City in consequence of the •+( grantingsis pertni[. MECH.CONT. LIC.NO. MECH. �s TOTAL ✓ TOTAL Signs licant/Contractor are OFFICE COPY -