15611 POST THIS CARD NEAR FRONT/OF BUILDING
PERMIT NUMBER
CITY OF CUPS" TINO 15611
INSPECTION RVVISION T hyQ>c
JOB INSPECTfON RECORD
/JI PERMIT EXPIRATION
JOB PDDR ESS � �Q Oi ET1 �'�L � UNIT _LOT#
/ I� /�-,-s - PERMIT EXPIRES IF WORK
OWNER V1/ESVf LL— /n/�- �cbXACTOa x.r-_ vc y t&f IS NOT STARTED WITHIN I
INSPECTION DM INSPECTOR INSPECTION RECORD IHODAYSORPERMITISSU-
ANCE OR 180 DAYS FROM
FOUNDATION I. NOTE: 1' '
LEER �0 ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION.
E ' PR EGUNITE ' TO'COMPLY WITH THE APPROVED PLANS AND CITY OF PLHMII VAIJDAIIDN
CUPERTINO STANDARDS.
GARAGE SLABS �Z - t
POUR NO CONCRETE UN IL ABOVE HAS BEEN SIGNED r
UNDERGROUND /SLAB - ' �DI
PLUMBING
ELECTRICAL -JL4--" C�L �� ISSUANCE DATE
MECHANICAL eLuc ELECT! PLG. MECR
(� �?'� .❑ El1 i 11El:
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED t A - nn BUILDING PERMIT
WOOD FLOOR '(1�U INFORMATION
7 VALUATION SIFT.
` PLUMBING - � m-4-B20k'�1}=QIATUl=1N
MECHANICAL' -C��T >IU�!"`.L CI SG� IL(\\ oe-0 iI
ELECTRICAL' - "�fZtiT�(E - Ob F"TO F PEI+n+IT To
FRAMING �F' - r\A�Y - � ,/L .`..'YJ fS=
INSULATIONSTORIES TYPECONSTI+.
-3- Ns, ra1i '1 ;") ,uZ
)I
UCC GROUP RES UNITS
" ZNSTi'E'-ib Q:'FL'01 Y4T 1;. E'}LIu9c� -
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED w _ _e9 c �
ROOF sO.Fr FLOOR PREP TOTAL ACREAGE
NOTE:NO FINAL INSP.SHALL BE MADE BEFORE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
BUILDING USE
ROOF SHEATHING 12..�}� •-�\ Oh,( �j�j. ��`�W.F, QC��`j3�G^� RES IND coN PB Olnr
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ El 17 El ❑ ❑
ROUGH SAN.H / ( _ sses IRS PARCEL NO
PLUMBING _ ELECT. ENERGY
TUBS&SHOWER PAN - PLUMBING ENERGY !r - NO. PAR CELNO
MECHANICAL ' - MECH.ENERGY
ELECTRICAL BUILDING ENERGY; , on Acc FILL•.NO
FRAMING j 1 ELECT.FINAL TES
INSULATION - PLUMBING _7Nc_SITE NO.
GASTEST _ O_{�f s\ GAS
MECHANICAL `'�'� - FI RE SPR INrc -ENERGY T 2
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ ° ❑ 'N❑
EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE A.Luc
INTERIOR SHEAR - FIRE DEPT. Y❑ No v ❑ N
' SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH BUILDING
ANTERIOR LATH TEMPORARY APPR ' AL BUILDING 143
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE_
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECT
t MICROFILM
LU ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
!• i_-.o
ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
(� PLEASE GIVE JOB ADDRESS WHEN PHONING.
z
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
IMPORTANT! CONST. AX
PLEASE READ REVERSE SIDE BEFORE TOTAL - / c�/ ` b
CALLING FOR FINAL INSPECTION.
1 OFFICE,COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION PERMIT APPLICATION & PERMIT 561 1
\/ ADDRESS /ro�"���, ,
T IV/ BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 1NUMBER
BUILDING
wq,;•-
S OwNER' PLAN CHECK VALIDATION
NAME -" '�SIf••�C' II OTV ELECTRIC PERMIT FEE
W��7 a� Y4 a
I CONTRACTORS
NAME OUTLETS-SWITCHES-RECEP 10.00/1.00
1.0 TRACTORS
u
c.No. LIGHTING FIXTURES 10.00/1.00
X ADDRESS /I• PPLIANCES-RESIDENTIAL 4.00
e�AN AU PHONE D �Z PANELS 10.00 DATE OF APPLICATION
e OpCHITEtTep- w/1 d' .`' PANELS 200 AMP) 2Q,QQ PLAN CHECK FEE P.C.NO.
ENGINEER 'Y
LIC.ND. -� SIGNS TRANS. 3.00
ARC"DDRESS ENG/-��� �i SPECIAL CIRCUIT 5.0Q PERMIT VALIDATION
ADDRESS J ,I
"MIL,it, TEV,1P.METER OR POLE INS. 20.00
APPLICANTS
ADDRESS MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
o O LICENSED CONTRACTORS DECLARATION
a D I hereby affirm Ornt I am licensed under Provisions of Chapter 9 U
w z w ISSUANCE DATE
¢ (commencing with Section 700e)i i Unrsion 3 of the Business and BLDG. ELECT. PLG. MECH.
r H i Professions Code and my license is on full fore��,,y�n��iLL� Z h
z o Pr - DaI lasv._ �__Loc.Number�47_L , El ❑
g-�_ Dam��=,.A Contractor r.
Q IC f J
¢ IC.w a OWNER-BUILDER DECLARATION DING PERMIT
- o'o - MISC.- REFER TO ORD • C'sMFORMATION
S.
; LL heieby atl'irm thin I um exempt from the Con U'vetoi s License
ac o j Law for the following reason.(Sec.7031.5,Business and Professions VALUATI N S/FT.
- PERMIT ISSUANCE
as c< Code:Any city or county which structure permit prior
t o construct,alter.
also 10.00 /d+ti' 10-d0
re ¢ o improve,demolish,ut repair any stnmture,prior to its issuance,also ELEC.CONTR. LIG NO. )
DLL requires the applicant for such permit to file a signed statement that ELEC. p\t
M w m he is licensed pursuant to the provisions of the Contractor''Licence TOTAL G y PERMIT TO
r z i
Law(Chapter 9(commencingwith Section 7000)of Division 3 oftht �
i o Business and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE RE?741 L/��--Jp
4§�
¢ I- $ the basis for the alleged exemption.Any violation of$ection 7031.5 STORIES TYPE CONSTR.
e. 3 by any applicant for a permit subjects tire applicant loo civil penalty ALTER-DRAIN -WATER IEA.) 5.00
of not mon than five hundred dollars($500).):
❑ I,as owner of the Property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00
their sole compensation,will do the work,and the structure is not OCC.GROUP REB.UNRS
intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00
s. �. Code:The Contractor's license Law does not apply to an owner of
'( s 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 oroffcnd for sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00
or improvement is sold within one year of completion,lire owner-
builder will[have the burden of proving that he did not build or im- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE
prove for purpose f,ale.). INDUSTRIAL WASTE INTER. , 30.00 RES IND CON PB Othet
❑ 1,as owner of the property,aan exclusively Contracting with
licensed contractor, to construct the project(Sec.7044,BusinessLAWN SPRINKLERS-1 INC 5 V,B. 6.00 ASSESSORS PARCEL NO.
and Professions Code:The Contractor's License does not apply
to an owner of property who builds or improves thereon.and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 /O ��
contracts for such projects will,a co mourns hansed pursuant to
the Contractors License Law. SEWER-SANITARY-STORM EA.200ft/10.00 , TRACT NO. PARCEL O.
❑ 1 am exempt under Sec ,B.&P.C.for this 6.00
reason WATER HEATER W/VENT
Owner Dale - WATER SYSTEM 5.00
ACC.GATE ACC.FILE N0.
woRAERS'coMPliNsnTION DEcI.nRn7loN WATER TREATING EQUIP. 5.00
I hereby affirm that 1 have a certificate ol'co nt to self-a,ure.
or a certiflxam of Workers'Compensation Ins nee,or a certified ZONING ENG.SITE NO.
copy thereof fScc.3800 oh.C.l.
Policy No, any
__
O ❑ Celt icd cop hereby turosm
Z Z Certified c is fI'J with 1 e lion division. FIRE SPRINK ENERGYT-24 .
F O Applicant_ /(_ MISC.- REFER TO ORD. v N� v N�
CC rn CERTI FICA/OF'EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00
LU _ FLOOD ZONE A,L.U.C.
CL O, COMPIiNSA'I'ION INSURANCE: PLG.CONTR. LIC.NO. PLG.
Z (This dollars need not be completed it the permit is IiX one TOTAL Y E] N� Y ry�
hundred dollars(5100)or be
'
U O I certify that in the perfurn,ance of the work for which this per- QTV MECHANICAL PERMIT FEE FEE SUMMARY
LL U mil is issued, I shall not employ any person in any manner so as to
U w become subject to the Workers'Compensation Laws of California.
D, Duro Applicant ALTER OR ADD TO MECH. BUILDING 3 ,
_
JJ Z NOTICE '1'O APPLICANT: If,alter making this Certificate of Ex- 5.00
emption,you should become subject to the Workers'Compensation APPLIANCE -5.00 PLAN CHECK
U euchlprovismu,or flns of the aS pernibor oi1hall be deemeou must d mvoked hwith comply with AIR HANDLING UNIT(TO 10=C.F.IVt) 4.00 FEE
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.EM.) 6.00 SEISMIC FEE �Q
I hereby affirm that there is a conOrimtion lending agency for EXHAUST HOOD(WITH DUCT) 5.00
the pertunnann., of the work for which this permit is issued(Sec.
3097,Cm(].).
.C.). HEATING UNIT(TO 100,000 B.T,U.) 8.00 MICROFILM
Lender's Name
Lender's Address - HEATI NG UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC
I certify that l have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00
information is correct. I agree to comply with all cosy and county
ordinances Bad 'late laws relating to building construction, and BOILER-CDMP(3H.P.or100,000B.T.U.) 6.00 PLUMBING
-� 'Itchyauth.riec representatives of this city to enter upon the
above-mentionedproperty for inspection purposes. BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL
(We) agree to Save, indemnify and keep harmless the City of MISC.- REFER TO ORD.
Cupertino agai liabilities,)ad ents, costs and expenses which ECONST.TAXay onany y accost again race Coly in consequence of the PERMIT ISSUANCE 10.00•ranting of sPermifMECH.CONT. LIC NO. MECH.76-Sf' TDTAL
Signa ore o pplicam/Contractor Ualc
OFFICE COPY
Cit4 of Cuperti»o
10300 Torre Avenue P.O. Box 580
Cupertino, California 95014 Cupertino,California 95015
Telephone: (408) 252-4505
DEPARTMENT OF PLANNING AND DEVELOPMENT
November 18, 1991
TO WHOM IT MAY CONCERN, AND AS murm OF RECORD:
Cupertino City Building Permit(s) 14223, and 15611, issued April 12 and
September 26, 1988, respectively, have not been finaled as of this
date. The last inspection of record took place on October 5, 1990.
These permits cannot be finaled because of an existing gas pipe problem.
The entire P.W. Supermarket complex has gas pipes which are too small for
the medium pressure necessary.
I
This gas pipe problem has not been addressed, therefore, the project
cannot be finaled.
Joe Antonucci
BUILDING OFFICIAL, CITY OF ammINO
NOFINAL(BLDG2)
r