18292 POST THIS CARD NEAR FRONT OF BUILDING
PERMIT NUM1fAEH
CITY..OF CUPERTINO - 3' 18292
l INSPECTION DIVISION
I
JOB INSPECTION RECORD 7p
E� JOB ADDRESS / d //01
•� � I ' UNIT# _LOT# @R IIT�E%PIR TIt7N-
//�/)A f� /1/) PE %PIRES IF WORK
OW En V /T[�J�O V CONTRACTOR �U/L� IS NOT, STARTED WITHIN
" INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
NOTE: LAST CALLED INSPECTION.
UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITE" i TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION
CUPERTINO STANDARDS. - VIJ�
/IJ�C"Qi
GARAGE SLABS.; AA1701
' � C-
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB
PLUMBING
ELECTRICAL - ISSU;NCE DATE '
MECHANICAL - BLDG ELECT PIE MECH
'I El 11 ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR INFORMATION
VALUATION $IFT.
PLUMBING •
MECHANICAL
ELECTRICAL - PERMIT TO
FRAMING
STORIES TYPE CONSTR.
INSULATION _ ,
- OCC.GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED -
I ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE S° Fr `LOOK AREA TOTAL ACR EACE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
BUILDING USE
ROOFSHEATHING NES IND CON PB oo.,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 0 cl 0 0
ASSESSORS PARCEL NO
ROUGH SAN.#
PLUMBING ELECT.ENERGY
TRACT NO PARCEL NO
TUBS 8 SHOWER PAN PLUMBING ENERGY. '
MECHANICAL MECH.ENERGY
' ELECTRICALBUILDING ENERGY - ACC.DATE ACC.FILE NO
r FRAMING ELECT.FINAL TEST
2Uw NG ENG.SITE NO
' INSULATION � � PLUMBING -
GASTEST 9 GAS
MECHANICAL FIRE SPRINK ENERGY T24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING v •"� Y NC]
� -EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD ZONE A.L UC.
I J INTERIOR SHEAR FIRE DEPT. ° ❑ N❑ Yo No
SHEETROCK . GRADE - FEE SUMMARY
EXTERIOR LATH BUILDING
INTERIOR LATHTEMPORARY APPROVALS BUILDING
'SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPEOR PLASTER UNTIL ABOVE HAS B.EEN:SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL'ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC.'
F' ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
O� PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z - SEE PERMIT FOR EXPIRATION DATE -. MECHANICAL
IMPORTANT! CONST.TAX y'// µ,"Ot�s�
PLEASE READ REVERSE SIDE BEFORE. . ,TOTAL W
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLICANT TO FILL-IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PRUMACT IDENTIFICATION % l� - MIT NUMBER
BUILDING APPLICATION & PERMIT r�9 f�
ADDRESS G G
/0 X10 BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
.NER'S PLAN CHECK VALIDATION
NAME 2$7" OTY. ELECTRIC PERMIT FEE
p f
POSH GN PHONE Z pp
CONTRACTORS 3 3 3& t,9
NAME UTLETS-SWITCHES-RECEP 10.00/1.00
Ixp< PC;. LIG.No. LIGHTING FIXTURES 10.00/1.00
ADDREAciORs APPLIANCES-RESIDENTIAL 4.00 -
CDREss
1 S 901 n C ix. Z e, PHONE h2 j- PANELS 10.00 DATE OF APPLICATION '
ORRCHrtECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO.
ENGINEER ,
LIC.No. SIGNS TRANS. 3.00
AAmCK OR DDRESS ENG. SPECIALCIRCUIT 5.00 PERMIT VALIDATION
ASZIP EMP.METER OR POLE INS, 20.00 J
ADDRESS
n� u
DREBS MOTORS SEE FEE SCH. T
De w. S SERVICE CHANGE 20.00 Cl
o o LICENSED CONTRACTORS DECLARATION' (�
F i W I hereby affirm that I am licensed under provisions of Chlipter 9 - ISSUANCE DATE 'e
(commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH.
r y z I'rofessions Codp( ,and my license is in full foLcg;yl�ef ed� ❑ ❑ ❑
z o w- License Cless Kl-!'�9_Lie.Nomber jfJ i'
O u H w Dale01 Contractor (y}�
a se Se -+ r1p BUILDING PERMIT
0 w OWNER BUILDER DECLARATION INFORMATION
A o A MISC.- REFER TO ORD
X ; w I hereby collo that 1 am exempt from the Contractor's License
I� 0Q Law for the following reason(Sec.7031.5.BusinessanJ Professions PERMIT ISSUANCE 100 VALUATION S/FT.
r - Code:Anycity orcoumy which requires a permit to construct,alter,Q ie a p improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC.
0 LL requires the applicant for such permit to file a signed statement that TOTAL n PERMIT TO
w w he is licensed pursuant to the provisions of the Contractor's License
FZ> Law(Chapter 9(commencingwith Section 7000)of Division 3 of the
H i o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE
M r m the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR.
u -; moi by any applicant for apermit subjects the applicant tuacivil penalty ALTER-DRAIN&VENT-WATER (EA.) 5.00a OO
of not more than five hundred dollars(5500).):
❑ 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 Professimis 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 are not intended or offered for sale.l f,however,the building GAS-EA.SYSTEM-I INC.4 OUTLETS 6.00
or improvement is sold within one year of completion,the owner r
builder will have the burden of proving that he did not build or im- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE
RES IND CON P8 Other
prove 1.as ownerose
of the p INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ , ❑ ❑ ❑
❑ L 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.
Contractor's
and Professions Code:The Contractor's License Law does not apply
to anowner ofproperty who buildss
r improvethereon,and to LAWN SPRINKLERS-OV OVER 5IEA.1 1.00
contracts for such projects with a contdm raortsl licensed pursuant to
the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
❑ lam exempt under Sec.-,BAP.C.for this WATER HEATER W/VENT 6.00
reason
Owner Date WATER SYSTEM 5.00
ACC.DATE ACC`FILE NO.
WORK F-RS'COMPENSA'TION DECLARATION WATER TREATING EQUIP. 5.00 -
1 hereby affirm that 1 have a certificate of consent tomlf-insure, ZONING
or a certificate of Workers'Compensation Insurance,or a certified ENG.SITE NO.
copy thereof(Sec.3800,Lab.C.).
Policy No. Company
❑ Certified copy is hereby furnished FIRE SPRINK ENERGY T-24
Z Z ❑ Certified copy is filed with the city inspection division. REFER TO ORD
S
MIC.- .
O Applicant _ Y❑ N❑ Y ❑ N❑
~ rn • PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C.
cc CERTIFICATE Of EXEMPTION FROM WORKERS'
LUQ COMPENSATION INSURANCE PLG.CONTR. LIC.NO. TaT.AL x/,r /y.•/A Y❑ N❑ Y ❑ N❑
CL Z (This section need not be Completed if the permit is for one 41 V V
hundred dollars IS 100)or less.)
L) 0a I certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL 1- mit is issued,I shall not employ any person in any manner so as to
U becomrsubJ'ectJo the Workers'Compensation Lawso olifor ia.
i Date_'.�Apphcant-/�7L4 t�t� _tee}�x ALTER OR ADD TO MECH. 5.00 BUILDING
} rn NOTICE TO APPLICANT If,attar mukfng this Certificate of
F ? cmption,you should become subject In the Workers Compemmtiui APPLIANCE 5.00 PLAN CHECK'
provisions of the Labor Code, you must forthwith comply with FEE
CJ such provisions or this permit shall be deemed revoked, AIR HANDLING UNIT(TO J0XMC.F.NL) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10,0MC.F.M.) 6.00 SEISMIC FEE
1 hereby affirm.that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00
the 3097, MICROFILM
Ci,Canto of the work for which this Permit is Issued(Sec. HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name
Lender's Address HEAT]NG UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC
I Certify that l have read this application and state that the above VENTILATION FAN (SINGLE) 4.00
information is correct. I agree to comply with all city and county -PLUMBING
ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00
hereby authorize representatives of (his city to enter upon the BOILER-COMP Over 100,0008TU)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.
upertino against liabilities,judgments, costs and expenses which CONST.TAX ,
may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00
ramingofthls permit MECH.CONT. LIC.NO. MECH. '
� _�3TOTAL TOTAL
Signature of Applicant/Contractor Uate
OFFICE COPY
CITY OF CUPIERTINO
10300 Torre Avenue Telephone 252-4505
INSPECTION NOTICE
�( BUILDING DIVISION _
JOB V)\'MW DATE �q`
ADDRESS V TIME
DAILY REPORT ❑ CORRECTION NOTICE VIOLATION❑
TYPE INSP.: BLDG. ELEC. ❑ PLBG-.q-/ MECH. ❑
� A �
est U,-)- s V� o Mal
y �
WEATHER v 1 INSP. y\
I `
I
i
POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER
r CITY OF CUPERTINO S� 1 $292
INSPECTION DIVISION 3p -�P''
JOB INSPECTION RECORD
PERMIT
ER!MI�TEXPIRATION
104/'07 ( „eZ.R
JOB ADDRESS � UNIT# LOT# PER PIPES .
IF WORK
t OWNER O/I/ CONTRACTOR `If NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
ANCE OR ABO DAYS FROM
NOTE: LAST CALLED INSPECTION.
UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION
GARAGE SLABS
CUPERTINO STANDARDS. �.�}, yy
{
.POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
S UNDERGROUND /SLAB
PLUMBING
ELECTRICAL ISSUANCE DATE
MECHANICAL Bloc ELECT PEG. SIEGEL
l ❑ ❑ ❑
DO NOT POUR FLOOR UNTIL>ABOVVHAS BEEN SIGNED BUILDING PERMIT
INFORMATION
! WOOD FLOOR
VALUATION $If T.
PLUMBING '
MECHANICAL '
ELECTRICAL. :PERMIT TO
FRAMING
STORIES TYPE CONSTR.
INSULATION
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
SO IT AREA TOTAL ACREAGE
' ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
BUILDING USE
ROOF SHEATHING
RES IND CON PB 00”,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑
ASSESSORS PARCEL NO .. -
ROUGH SAN.#
PLUMBING ELECT.ENERGY
TRACT NO PARCEL No
TUBS&SHOWER PAN PLUMBING ENERGY.
MECHANICAL MECH.ENERGY -
ELECTRICALBUILDING ENERGY ACC.DATE ACC.FILE NO
FRAMING ELECT.FINAL TEST
ZONING ENG.SITE NO.
INSULATION PLUMBING -
GAS TEST GAS
FIRE SPRINK ENERGY T 24
MECHANICAL YE] NF] Y ❑ NE]
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
FLOOD zorvE A.L.u.c..
EXTERIOR SHEAR ELECTRICAL RELEASE
INTERIOR SHEAR FIRE DEPT. Y❑ NE] Y 0 N❑
SHEETROCK GRADE FEESUMMARY
EXTERIOR LATH BUILDING
BUILDING
INTERIOR LATH TEMPORARY APPROVALS
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
TUPANCYOF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
Lj ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
' II-_- ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING GY�
O PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z MECHANICAL
- SEE PERMIT FOR EXPIRATION DATE -
IMPORTANT! co NST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
APPLICANTS POSTING COPY
- YJ
f�
CitM of Cwperti"o
10300 Torre Avenue P.O. Boz 580
Cupertino,California 9SO14 Cupertino.California 95015
Telephone: I408) 252•4SOS
DEPARTMENT OE PLANNING AND DEVELOPMENT
APPLICATION FOR USE OF ALTERNATE MATERIAL,
METHOD OF CONSTRUCTION OR MODIFICATION OF CODE
Address of where work will be done:
. The undersigned hereby requests the following:
Use of alt
_ ornate material
• Use of alternate method of construction
Modification of Code
(See UHC Section 105, 106 and 107; UFC 2.301)
Codes affected:
Building Electrical
_ Mechanical Fire
Other
A of specific section involved:
Brief description of request
Applicant ' s Name: 611,661 Eft,6EI
�j Address: logo, cot-►3K +V
.,;W .... ZIP gsor�
p
Telephone: (A/C
}
•
The Building and Fire Official must evaluate information that the
material, method of work and/or modification is equal to the Code
in strength, effect, fire-resistance, durability, safety, etc.
Please supply such information to support your request. Use
additional paper if necessary.
1. Suitability
2. Strength
3. Effectiveness
4. Fire resistance
5. Durability
6. Safety
Additional evidence or proof:
Date: Signature
+ a + + a a r r + a • • • • a a • + + a + a + • • w + a + + +
I ,
The above application and material has been reviewed ands
ACCEPTS r4WRC RD
1>
Fire Marshal: Date
• DateBuilding Official :�. 1"" '
w *.a y cot4 aAA :
4r t4 T,�, e, _Q feu Tie., ` u, bkgrzoanv �outr
a&t y X�. , a , v�y �Cftx�. a� "o co Wj A�Fa
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1
SUN RESTORATION
1597 DE ANZA WAY
SAN JOSE, CA 95125
JULY 18 1989 (408) 723-7615
------------------------------------------------------------------------
CUSTOMER:PAULSEN This contract may be
ADDRESS : 16467 COLE+Y AVE withdrawn by us if not
CITY& ST:4Wj7w CA. accepted within;.......days.
PHONE 0 :257 2689 '
------------------------------------------------------------------------
DESCRIPTION QUANITY RATE 'TOTAL
------------------------------------------------------------------------
THE FOLLOWING IS A BRIEF SUMMARY OF THE STEPS WE TOOT+, TO INSTALL
THE TILE OVER THE TUB AREA.
HALL BATH ROOM
INSTALL NEW WATER RESISTANCE AROUND TUB AREA. ( GREEN BOARD ) NAILED
ON 6" CENTER ON EACH STUD.
• INSTALL 15 POUND" FELT PAPER , 8" HORIZONTAL NAILED ON 6" CENTERS
INSTALL LATH WITH A 6" OVER LAP NAILED WITH 1 '3/4 FURING NAILS &
NAILED ON 6" CENTERS ON EACH STUDS.
INSTALLED MORTAR 1/2 THICK OVER LATH & THEN TILE ON TOP OF THAT.
THIS BRIEF SUMMARY IS HOW WE COMPLETED WORK ON TUB AREA.
------------------------------------------------------------------
PLEASE CALL US IF THERE ARE ANY QUESTIONS ABOUT OUR INSTALLATION OF
TILE.
ON BEHALF OF SUN RESTORATION WE WOULD LIKE TO THANK YOU FOR THE
CONSIDERATION YOU HAVE GIVEN US ON THIS MATTER.
ti
ACCEPTANCE OF PROPOSAL:The above prices, specifications acrd c•anditions
are satisfactory and are hereby accepted. Yam are authorized to do the
work as specified. Payment will be made as outlined Above.
DATE OF ACCEPTANCE: . SIGNATURE:
j