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14665POST THIS CARD NEAR FRONT OF BUILDING ' CITY OF CUPERTINO INSPECTION DIVISION w JOB INSPECTION RECORD • JOB ADDRESS '1120 1-70 jl'd� UNIT# _LOT# - OWNER U fKq-Te'C.,,$ .. CONTRACTOR - - PERMIT NUMBER 14665 EiI. PERMIT EXPIRATION PERMIT EXPIRES IF WORK -r IS NOT STARTED WITHIN 180 DAYS'OF PERMIT ISSU- ANCE OR 180 DAYS FROM LASTCALLEDINSPECTION. INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATION NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. LIFER PREGUNITE - - PERMIT VAuoAtION bl ��� IssUANCE DATE GARAGE SLABS I" POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED (a-a2 UNDERGROUND/SLAB PLUMBING - I `'_ �•-� ``lt �Q ELECTRICAL MECHANICAL - e Oc ELECT PLG. MECH. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED X BUILDING PERMIT INFORMATION ' WOOD FLOOR - PLUMBING � .. VALUATIONSIFT. MECHANICAL ELECTRICAL ... PeRMIT To ' ','x.,, •. rr+�T, ?:... „�.� FRAMING INSULATION STORIES "TYPE CONSTR. OCC CROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED- • ROOF- NOTE: NO FINAL INSP. SHALL BE'MADE BEFORE THE CONSTRUCTION TAX IS PAID - SO' `r `°oR AREA TOTAL, ncB EAce DIAPHRAGM - - ROOFSHEATHING BUILDING USE NES IND • CON PB urnr. ❑ [I El ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED1HENEROG FINALS DATE INSP. . ROUGH - - ASSESSORSPARCEL NO PLUMBING .'ENERGY rTUBS &SHOWER PAN � ING ENERGY' TRACT No. PARceL No MECHANICAL -- .ENERGYELECTRICAL ING ENERGY A". DATE .ACCFRAMING . FINAL TEST INSULATION ING - zoNlrvG ENC. sr re NO: GAS TEST -J NICAL FIRE SPRINK ❑ N'❑ ENeRGv r.7aCOVER 1❑N❑ NO WORK UNTIL ABOVE HAS BEEN SIGNED NG EXTERIOR SHEAR - RICAL RELEASE FLOOD ZONE v ❑ N❑ A.L UcINTERIOR 01 NEI SHEAR EPT. SHEETROCK - FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH'- - TEMPORARY APPROVAL BUILDING SCRATCH COAT• - - ELECTRIC. PLAN CHECK FEE ' ' GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE .�....- OCCUPANCY-OF BUILDING ISNOTPERMI TT EDUNTIL BUILDING FINAL ISSIGNED13Y BUILDING INSPECTOR. ARRANGE FOR INSPECTION BY PHONING 252-4505,: Z�. ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLEASE GIVE JOB ADDRESS WHEN PHONING.: -SEE PERMIT FOR EXPIRATION DATE'- ' MICROFILM ELECTRIC PLUMBING MECHANICAL IMPORTANT!, PLEASE'READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. CONST. TAX TOT AL OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY V BUILDING PROJECT IDENTIFICATION APPLICATION & PERMIT BUILDING -ELECTRICAL- PLUMBING - MECHANICAL PERMIT NUMBER //II�� 1 A^ 4 0 6 I Nc ROIL. /'� ((JOKES$_ (' OWNER'S N PH N 70 3 CITY. ELECTRIC PERMIT FEES PLAN CHECK VALI TION - iJ , DATE OF APPLICATION, mERAc.oas jj �I .�J j' LIC.No-I `xI 2-7 UTLETS -SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS ' ooRFss e{�/I t,� 1 HON' lDI26 PPLIANCES-RESIDENTIAL 4.00 PANELS 10.00 OR OR IJ�L GINEF Yj uC.77&4 PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P, C. NO. SIGNS TRANS. 3.00 ADDR, SS rvG. ADDRESS )}�,y� jr `T� - L &J, A,I rtX zI z3e SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ' -n .- / J/� /-'p{_p• ANCE DATE. • ( ' CT. PLG. MECH. dmgfl DING PERMIT INFORMATION TEMP. METER OR POLE INS. 20.00 APPLICANTS ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICIiNSISD CONTRACTORS DECLARATION 1 hereby affirm that 1 am licensid under Provisions of Chapter') (commencing with Sc tion 7 007 of Division 3 OC tlru Bu ire Professions C is in full force •iLfll License lass_ 4I broiler D. e� onlmclor OWN ;R DECL n I Irereby affirm that I am exempt from the Contractor's License Law for the following reason, (Ste, 7031.5, Rusinessand Professions Code: An cit or count Any y county icy requitusap tloconsuance.l4q also improve, demolish,Orrepairanyrmit to tile prior t0dsts iatement that for such revisit to file a signed actor's nl that requires the dp pursuant he is licensed pursuant RI the provisions of the Contractor's License Law (Chapter 9/cosions Codeng with that is 00) exempt therefion oofthe Business and Professions xemp) or that hu is tion of therefrom and by anyasis the foradexonPsion. Any violation o tell cion 703L$ pindrermil dollars tire applicant and IOaCMIpL'nally by a ny Do. Carl f five of not more thm�Nvc bawled dollars (S500).): ❑ 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 Contractors License Law does not apply to an owner of properly who builds Or improves thereon, and who does such work himself or through his own employees, provided that such improve- Dentsarenot intended or offered for Sala If. however, the building or improvement is sold within one year of consplelion, the owner- builder will have the burden of proving that he did not build or im- prove for purpose of sale.). ❑ I, as owner of the property, aesclmivcly c.ntniclin, with m licensed contractors to construfl 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 s with a contractors)ensed pursuant to the CmLaw. ❑ t Se' ,B.&P.C. for this reason contra4WORK9ERS' Owner Dane MPENSATION 1 hereby affirm thus 1 have a cendr,me of consent m lijjsts=insure. or o certificate je of W is lie nsyrq r c or a Cher b J. Policy Nq o Le ti ie col uhereb lu s';hcJ, ❑ Certif c t is fit the c y ins wIeCT t dNision. Applicant- CERTIFICA'I'F: OF EXEMPT ION FROM WORKERS' CO.MPENSATIONINSURANCE (Phis section sed not be completed if the permit is for one hundred dollars ($100) or leo, I I certify that in the performance of the work 1'or which this per. mit is issued, I shall not employ, any person in any manner so as b become subject to lire Workers Compensation Laws of California. Date ApplicantALTER - ,El MISC. - REFER TO ORD PERMIT ISSUANCE 10.00 VALUATION s(f O'B-O $/FT. ELEC.CONTR. LIC. NO. ELEQ TOTAL - PERMIT TO CITU. PLUMBING PERMIT FEE STORIES TYPE CONSTR. ALTER -DRAIN & VENT -WATER (EA.) 5.00 _ BACK F LOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 FIXTURES - PER TRAP 5.00 SQ FT. FLOOR AREA TOTAL ACREAGE GAS -EA. SYSTEM -11NC.40UTLETS 6.00 GAS - EA. SYSTEM - OVER 4 (EA.) . 2.00 BUILDING USE RES IND CON PB Omer El El ❑ 1:1 ❑ INDUSTRIAL WASTE INTER3000 . . ILAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. ' LAWN SPRINKLERS L OVER 5 (EA.) 1.00 SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. WATER HEATER W/VENT 6.00 WATER SYSTEM 5.00 ACC:DATE " ACC. FILE NO. WATER TREATING EQUIP. 5.00 ZONING ENG. SITE NO. FIRE SPRINK v N❑ ENERGY T44 Y 0 N� MISC. - REFER TO ORD. PERMIT ISSUANCE 10.00 FLOOD zoNE ' Y[] N ❑ 1 A.L. u.c. -Y[3 NE] PLG. CONTR, LIC. NO. PLG, TOTAL CITY MECHANICAL PERMIT - FEE FEE SUMMARY BUILDING a�9 BQ J OR ADD TO MECH. 5.00 M1'OTICn, ' 10 API'LICAN'1': It, after making This Certificate OI six- cmPtio, you should become subject to the Workers Compensation provisions of the Labor Code, yon most forlhwilh comply with such provisions or this permit shall be deemed revoked. CONST RUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency Iia the performance of the work for which this Permit is issued ISee 3097, Cu.C.). Lenders Name Lender's Address I certify that I have read this applifat ion and stale that tire above information is C. t. I cc to comply with all city and county ordinances and stole t s relating to building construction and hereb doors c rebs en lives of this city m enter upon the aro -mer Boned proper y r inspection Purposes. e) a ree tos e, n comely and keep harmless the City of er o gains) r bili[ , jml icf ts, cost and expenses which y n a way clue guinsf said Cit n Consequence of the g Ingo is Pe i Si e m of Ap ica c 0 Date APPLIANCE 5.00 PLAN CHECK FEE -- AIR HANDLING UNIT (TO 10=C.F.M.) 4.00 AIR HANDLING UNIT (OVER 10,000GEM.)6.00 SEISMIC FEE EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM ELECTRIC HEATING UNIT (TO 100,000 B.T.U.) 8.00 HEATI NG UN IT (OV ER 100,000 B.T.U.) 9.50 VENTILATION FAN (SINGLE) 4.00 PLUMBING BOILER- COMP H.P. or 100,000 B.T.U.) 6.00 801 LER-COMP Over 100,000 BTU) SEE FEE SCH. MECHANICAL MISC. - REFER TO ORD. s PERMIT ISSUANCE 10.00 - CONST. TAX MECH. CONT. LIC. NO. MECH. DTAL TOTAL �(P�° OFFICE COPY