13249 ? POST THIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO RN,IT NUMBER
•� 13249
INSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
10500 N DEANZA BOULEVARD
i
JOB ADDRESS UNIT# LOT#
PERMIT EXPIRES IF WORK
OWNER APPLE COMPUTER CONTRACTOR HARTJE CONSTRUC IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION j �/ p✓Y 17 ANCE OR 180 DAYS FROM
UFER IT-41114* W4LL M LASTCALLEDINSPECTION.
d Y1A. PERMIT VALIDATION
PREGUNITE D '
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED J.
UNDERGROUND /SLAB h 9`11 $!//J/`/�
PLUMBING ,1 .E 7 O
ELECTRICAL Co Pit`Ino ISSUANCE DATE
MECHANICAL e O ELECT. vlc. MECR;
❑ ❑ ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR VALUATION S/FT.
PLUMBING ` 7 -&-o
MECHANICAL
PERMIT TO
ELECTRICALIAO' ,y-�„X
FRAMING �1'�F N —TYPE TYPE CONSTR.
INSULATION
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF SO,FT.FLOOR AREA TOTAL ACREAGE
DIAPHRAGM
BUILDING USE
IND ND CON PB oma•.,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑
ASSESSORS PARCEL NO.
ROUGH
PLUMBING
GAS TEST + /,�� p`�� vt PACT NO. PARCEL NO.
f'0
Y
MECHANICAL /�� '7A A. 9,114`7 e*07 Ava, r
ACC.DATE ACC.FILE N0.
ELECTRICAL PfP#ALS DATE INSP.
FRAMING SAN *
ZONING ENG.SITE NO.
INSULATION PLUMBING ��� BI
GAS
FIRE SPRINK ENERGY L14
MECHANIC L - /- , Y ❑ N Y [:] N�
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
LATH-INTERIOR ELECTRICA a-7 FLozoNE A.L.0 c.
LATH-EXTERIOR FIRE DEPT. `' ]� N� Yo N❑
SHEETROCK - GRADE FEE SUMMARY
SHEAR INTERIOR BUILDING
SHEAR EXTERIOR TEMPORARY APPROVALS
FIREWALLS - ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE /
UCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. 'MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
�4 'h H ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
;d o� PLEASE GIVE JOB ADDRESS WHEN PHONING.
{ Z — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL
CONST.TAX
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE TOTAL t .J
CALLING FOR FINAL INSPECTION.
OFFICE COPY - '
i-. AI<PLICANT TO FILL IN INFORMATION WITHIN'RED LINES - USE BALL POINT PEN ONLY
.BUI LDI NG PROJECT I DENTI FICATION - PERMIT NUMBER
BUILoING - APPLICATION & PERMIT A ^.�^
Ad]RES
BUILDII NG -ELECTRICAL-PLUMBING-MECHANICAL IG y
WMER'S PLAN CHECK VALIDATION
NAME � '
QTY. ELECTRIC PERMIT FEE
HONE
CONTRACTOR'S
N ME "Tti l�er '7 (_ OUTLETS-SWITCHES-RECEP 10.00/1.00 30 3
UC.NO. LIGHTING FIXTURES 10.00/1.00 -
aorveEss TORS APPLIANCES-RESIDENTIAL 4.00 '
1HONEd7J4H PANELS 10.00 DATE OF APPLICATION
ORRCHITEC PANELS (OVER 200 AMPI 20.00 - PLAN CHECK FEE P.C.NO.
I- a ENGINEER ' LIC NO. ISIGNS TRANS. 3.00
ADDRRESSs ErvG' SPECIAL CIRCUIT 5.00 AID PERMIT VALIDATION
ZIP EMP.METER OR POLE INS. 20.00 i"'
APPLICANTS MOTORS SEE FEE SCH. (� kaDDRESs 13
SERVICE CHANGE 20.00 t
H w o LICENSED CONTRACTORS DECLARATION - 01 CUQe'^ T/O
u v I hereby affirm that 1 am licensed under provisions of Chapter 9 ISSUANCE DATE
y<"' (commencing with Section 7000)of Division 3 of the Business and - BLOC. ELECT. PLG. MECH.
r m i Professions C nd my license is in full fo ff
z o u,- License Class._Lic.Number
o - Date Contractor
y i J
w u OWNER-BUILDER DECLARATION UILDING PERMIT
X R:LL N I hereby affirm that I am exempt from the Contractor's License MISC.- _ REFER TO ORD INFORMATION
r a,o J Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 VALUATION $/FT.
Code:Any city or county which requires a permit m construct alter, O 7
I[ ca Q O rmpmve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.N0. ELEC. O
y w m u requires the applicant for such permit to file a signed statement that TOTAL - PERMIT TO
he is licensed pursuant to the provisions of the Contractor's License
R z a - 4aw(Chapter 9(commencing with Section 7000)of Division 3 ofthe /NT'rGx�dR-- l+
E i o Business and Professions Code)or that he is exempt fl erefrom'and DTV. PLUMBING PERMIT FEE
W r- $ the basis for the alleged exemption.Any violation ofSection 7031.5 STORIES TYPECONSTR.
3 - by any applicant for a permit subjects the applicant to a civil penalty
Otani more than fivehundied dollar,($500).): ALTER-DRAIN -WATER (EA.) 5.00
❑. I,as owner of the property,or my employees with wages as BACK F LOW PROTECT, DEVICE 4.00 -
their sole compensation,will do the work,and the strucline is not OCC,CROUP RES.UNITS
intended or offered for sale (Sec. 7044, Business and Professions - DRAINS-FLOOR,ROOF,AREA,COND. 5.00
Code:The Contractor's License Law does not apply to an owner of
property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SD.FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve-
ments are not intended Oroflared for sale.If,however,the building GAS-EA.SYSTEM-l1NC.40UTLETS '6.00
Or improvement is sold within one year of completion,the owner-
builder will have the burden of proving that he did act build or im- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE
prove for purpose of sale.). ' REB IND CON PB Omer
❑ 1,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00
licensed contractors to construct the project(Sec.7044,BusinessLAWN SPRINKLERS- 1 INC 5 VB ' 600 - AssEB50R$PARCEL NO,
and Professions Code:The Contractor's License Law does not apply V.8. .
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 contractor(s)licensed pursuant to
the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
❑ lam exempt under See_, for Ods
reason WATER HEATER W/VENT 6.00
'
Owner Date WATER SYSTEM 5.00 ACG DATE ACC.FILE NO.
WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate of consent to sell'-insure.
or,a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO.
copy thereof(Sec 3504 Lab.CaLA ,/n.2
Policy No. Company( Yw
' Q ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T 26
Z Z ❑ Cedric o y led with the city inspection division,
F O Applicant MISC.- REFER TO ORD. Y ❑ NE] Y ❑ N❑
CCL' - CERTIFICATE OF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C.
LU > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG.
CL O (This Section need not be completed if the permit is for one - TOTAL Y[:] N� Y ❑ NO
:) Z hundred dollars(S 100)Or less.) li
U O 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
Iy P mit is issued;I shall not employ any person in any manner so as to
O W become subject to lite Workers'Compensation Laws of California
Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 9
} rail NOTICE TO APPLICANT: If,after making this Certificate of Ex.
FZ emplion,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK
provisions Of the Labor Code, you must forthwith comply with FEE
C..) such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=CF.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10))MC.EM.) 6.00 SEISMIC FEE 09'
I hereby affirm that there is a construction Ierhing agency for EXHAUST HOOD(WITH DUCT) 5.00
the performance of the work for which this permit is issued(Sec. MICROFILM
3097,Civ.C.). - - HEATING,UNIT(TO 100,000 B.t.U.) 8.00
Lender's Name H EATING UNIT(OVER 100,000 B.T.U.)9.50
Lender's Address ELECTRIC
I certify that I have read this application and stale that the above VENTILATION FAN (SINGLE) 4.00
information is Correct. 1 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 this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL
above-mentioned prop ly forinspeclion purposes.
(We).agree to save indemnify and keep harmless the City of MISC. REFER TO ORD.
Cupertino a, Inst liab'ities,judgments, casts and expenses which CONST.TAX
may i y y ac a air t said City in consequence of the PERMIT ISSUANCE 10.00
gr MECH.CONT. LIC.NO. MECH. Q
�� TOTAL TOTAL DO
- S' na fe ol'A ant/CO clor Date
OFFICE COPY -