Loading...
18708 _ POST THIS CARD NEAR FRONT OF BUILDING 'PERMIT NUMBER ` CITY OF CUPERTINO '708 INSPECTION DIVISION JOBINSPECTION RECORD . T - PERMIT EXPIRATION JOB ADDRESS 3 ���� � NIT4 LOT# PERMIT EXPIRES IF WORK, OWNERle_%-�- v CONTRACTOR !' AS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM FOUNDATIONS NOTE: . � LASTCALLEDI NSPECTION. ; UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITU OF —PERMIT VALIDATION CUPERTINO STANDARDS. " GARAGE SLABS ' - 1 "" PAID 7—) •" Cr POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED _ PLUMBING - UNDERGROU - ND /SLAB ELECTRICAL rity ot CoDerfiRO ISSUANCE DATE MECHANICAL FLOG I ELECT PLG. MECH DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT WOOD FLOOR - INFORMATION VALUATION PLUMBING _ UU -- srEr. r% MECHANICAL ' -PEHMIT TO ELECTRICAL - � - '�J�J-(' FRAMING •' V CoV6—6— .STORIES TYPE CONSTH. INSULATION UCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED -. ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE so ETnoon AREA TOTAL ACREAGE . DIAPHRAGM' THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING , . . RES IND CON Pe oln" APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE I SP. El ❑ ❑ ❑ ASSESSORS PARCEL NO ' ROUGH SAN.k - PLUMBING ELECT.ENERGY TRACI NO. PARCEL NO TUBS BSHOWER PAN PLUMBING,ENERGY - MECHANICAL - MECH.ENERGY ' - ACC DATE ACC,FILE NO ELECTRICAL BUILDING ENERGY FRAMING ELECT.FINAL TEST ;ZONING ENG.SITE NO. INSULATION PLUMBING GAS TEST GAS FIRE SPRINK ENERGY T.ZE MECHANICAL � N� r E) ' N� COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING v FLooD zoNE aL Uc. EXTERIOR SHEAR ELECTRICAL RELEASE v� No Y 0 N❑ INTERIOR SHEAR FIRE DEPT. . SHEETROCK GRADE FEESUMMARY EXTERIOR LATH - - BUILDING - BUILDINGINTERIOR LATH TEMPORARY APPROVALS: SCRATCH COAT ELECTRIC - PLAN CHECK GAS FEE ' NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBU ILDING FINALISSIGNED 9YBUILDINGI ECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING OPLEASE GIVE JOB ADDRESS WHEN PHONING. z MECHANICAL - SEE PERMIT FOR EXPIRATION DATE —, IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY, .PERMIT NUMBER -" •' BUILDING PROJECT IDENTIFICATION APPLICATION $t PERMIT BUILDING •.- 1 8 7 0.8.. AUILDIN " 7OS ,3 �PO9R�� C�x BUILDING-ELECTRICAL-PLUMBING-MECHANICAL M_ O��WWq/yNNNER'S PLAN CHECK VALIDATION No P ,- N 2 �73.- 5'r QTY. ELECTRIC PERMIT FEE r PHONE NgMERACTOB's - UTLETS-SWITCHES-RECEP '10.00/1.00 _ ; -1e&C/LAJ=_) /5)09b".No. 9095' ` •.LIGHTING FIXTURES 10.00/1.00 CONTRACTORS ADDRESS DPPLIANCES-RESIDENTIAL 4.00 NTRAC ISa Ecu 6 PHON Alb W X695 PANELS 10.00 _ DATE OF APPLICATION ARCHITE v PLAN CHECK FEE P.C.NO. OR dJ l all�'� D PANELS (OVER 200 AMP) 20.00 ENGINEE ok uC.NO. SIGNS TRANS. 3,00 ' ARCH. oo OR ENG. SPECIALCIRCUIT 5,00 PERMIT VALIDATION ZIP EMP.METER OR POLE INS. 20.00 AvvucANrs MOTORS SEE FEE SCH. l AOORESs /o y S 3 cc-040'Wc LJ C SERVICE CHANGE 12A1W 20.00 f O�J ��/ -00 _ LCENSED CON TRACTORS UI:CLARATION �7• : 1 < IS U I hereby affirm that I am licensed under provisions of Chapter 9OL; -'ISSUANCE DATE N< % (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. Z,z O G Professions Co aez 1''ense is in full fort c(�' u erulaw ❑ ❑ ❑ o;A License Class Lic.Number 1 p 1' Uate Contractor 7 Y ¢ x f - - BUILDING PERMIT ¢ ¢ w 4 OWNIi R-BUILDER DECLARATION INFORMATION MISC- REFER TO ORD w;LL H 1 hereby affirm that 1 um exempt from the Contractor's License .VALUATION S/FT. H LL w j Law for the following mason. 7031.5,Business and Professions PERMIT ISSUANCE 10.00 Ew0P Code.Any city orcounty which requires a permit toConstruC ulter, /IQ•®D ¢ ¢ 4 O improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. r iQ i -O n requires the applicant for such permit 10 file a signed statement that TOTAL PERMIT T° F m he is licensed pursuant to the Provisions of the Contractor's License n 'n Hzr Law(Chapter 9(commencing with Section 7000)of Division 3ofthe V Cei VCl r` 4 Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT .FEE 1 IS F O the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. i ;$ by any applicant for a permit subjects the applicant toucivilpenally ,ALTER-DRAIN&VENT-WATER (EA.) 5.00 of not more than five hundred dollars(8500).): ❑ 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 the structure is not intended or offered for Sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,'COND. 5.00 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- ments arenot intended orOffered for sale.If,however,the building GAS-EA.SYSTEM-d INC.40UTLETS"6.00 or improvement is sold within one year of completion,the owner- GAS-EASYSTEM:OVER 4 IEA builder will have the burden of proving that h . .) 2.00 BUILDING USEe did not build or im- RES IND CON PB Orhh. prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ 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. unit Professions Code'.The Contractor's License Law does not 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 contractors)licensed Pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO.' PARCEL NO. ❑ lam exempt under Sec.-,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner= Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSA'FION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a cetlificale ofcoment to self-insure, ZONING ENG.SITE NO. or a Certificate of Workers'Comps ation Insurance,or a certified copy t e •of(Sec.3AQQ,Lob.C.). I Policy -iris f�feyty E (O• ' O ❑ Cernfie yis e y umis ed FIRESPRINK ENERGY T-24 Z Z ❑ Cerifi o i File It the city inspection division. MISC. REFER TO ORD. O PPIICunt Y [3N❑ Y 1:1 NEI ~ rn PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. Cr CE TIFICATE OI XEMPTION 17ROM WORKERS' W C04IiNBAT10N INSURANCIi PLG.CONTR. LIC.NO. PLG. CL O (This section need net he completed if the permit is for one TOTAL Y❑ N[3Y❑ NE] D Z hundred dollars(8100)or less.) U O 1 certify that in the performance of the work fur which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY W a I- mit is issued,I shall not employ any person in any mnner so as to 0 U become subject to the Workers'Compensation Laws of California. y DateApplicant5.00 BUILDING ALTER OR ADD TO MECH. } N NOTICE TO APPLICANT: It,after making this Certificate ofEx - F 2 emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK '�^ provisions of the Labor Code, you must forthwith comply with FEE •'�-,/ V such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10MC.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10 OOC.F.M.) 6.00 SEISMIC FEE 4 Ir, I hereby affirn 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. HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM 3097,Civ.C.). Lender's Name HEATING UNIT(OVER 100,00 19,5 Lender's Address ELECTRIC 1 certify that I have read this application and state that the above VENTILATION FAN (SINGLE 4.06 information is correct. I agree to comply with all city and county BOILER-CUMP(3 H.P.Or 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the BOILER-COMP IOver 100,000 BTU)SEE FEE BCH. 'MECHANICAL above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City ofMISC.-. REFER TO ORD upertis against liabilities,judgments, costs and expenses which F CONST.TAX ay 3yrafiy acerae a it t said City in conte of the PERMIT ISSUANCE 10.0 ray' fll pe Blt.� /o MECH.CONT. • - LIC.NO. MECH. _ ,• l u ..-- Q y 1 'OTAL TOTAL aur�f Applici /Contractor ate fL` OFFICE COPY '