14617POST THIS CARD NEAR FRONT OF,BUILDING'
CITY OF CUPERTINO4617
INSPECTION DIVISION
JOB INSPECTION RECORD
•
JOB ADDRESS - 10594 FELTON WAY " UNIT# LOT#
OWNER VITOLSPERMIT
CONTRACTOR G & C "ENTERPRISES
PERMIT NUMBER
PERMIT EXPIRATION
-
EXPIRES IF WORK
IS NOT STARTED WITHIN
iao oAvs of PERMIT ISSu-
ANCE OR 180 DAYS FROM
LAST CALLED INSPECTION.
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.'
UFER
'PREGUNITE
PERMIT VALUATION
`•�//;i /
IssuarvcE DATE
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
" UNDERGROUND/SLAB
PLUMBING
ELECTRICAL.
MECHANICAL
-
G. ELECT I
El El
PLG. MECH
El El
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED-
-
- I
LDINGeERM1T
INFORMATION,
WOOD FLOOR
PLUMBING
R ON
w
VIFT, !
'
MECHANICAL
ELECTRICAL
- -
PERN11T TO
c?. .0 Z�::•-r.�
FRAMING 'rrQ
INSULATION
STORIES
TYPE CONSTR.
OCO.GHOUP
RES. UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF
NOTE: NO FINAL INSP. SHALL BE MADE BEFORE
THE. CONSTRUCTION TAX IS PAID
50 FT'FLOOR AREA
'
rOr AL,ACREAGE '
DIAPHRAGM
ROOFSHEATRING
BUILDING USE
RES IND CON vR bni.
❑' ❑ ❑ ❑ ❑
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED
FINALS DATE INSP.
_
ROUGH
SAN.p
ASSESSORS PARCEL NO. "
PLUMBING
ELECT. ENERGY
TUBS BSHOWER PAN -
PLUMBING ENERGY
TRACT N0
PARCEL NO
MECHANICAL ,.
'MECR ENERGY
ELECTRICAL
BUILDING ENERGY
ACC. DATE
ACC. FILE NO
i
"
FRAMING
ELECT. FINAL TEST '
INSULATION
PLUMBING i
"ZONING
ENG. SITE NO.
-
GAS TEST , / _ �. -
GAS
-
'
_
MECHANICAL
FIRESPH INK
v ❑ NF]
ENERGY T24
` E) N[]
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
HEATING
EXTERIOR SHEAR
ELECTRICAL RELEASE
.FLOOD ZONE
Y ❑ N
A, L. U. C.
❑ N❑
INTERIOR SHEAR
.FIRE DEPT.
SHEETROCK'E V
GRADE
FEE SUMMARY
EXTERIOR LATH
IBUILDING
_
BUILDING �✓ir
V
INTERIOR LATH
TEMPORARY �APPR VALS
SCRATCH COAT
ELECTRIC - -
PLAN CHECK
FEE
GAS.
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY -
SEISMIC FEE
4 -EO
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, -
�� ONE WORKING DAY BEFORE REQUIRED INSPECTION.
O PLEASE GIVE JOB ADDRESS WHEN PHONING.
z -
-SEE PERMIT FOR EXPIRATION, DATE -.
ELECTRIC
PLUMBING
Q
MECHANICAL
CONST. TAX
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION.
TOTAL
f
.c
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION
APPLICATION & PERMIT-
BUILDING - ELECTRICAL- PLUMBING -MECHANICAL
PERMIT NUMBER
11
-' 1461.7 7 '
run LEANG
AODREADDRESS
orad S
NAME
PHONE Z52: 13243
CITY. ELECTRIC PERMIT - FEE
PLAN CHECK VALIDATION
_
GATE OF APPLICATION
c^MTRAcroR's
Er�G �,uTe(�tises LID.ND.3 J
UTLETS-SWITCHES -RECEP 10.00/1.00
LIGHTING FIXTURES 10.00/1.00
co NTN ACTOR'S ,
ADDE55 p/
3f1i /� �
;a -1 7M e%l. �PHONE �p J
PPLIANCES- RESIDENTIAL 4.00
PANELS 1U.00
ARCHITECT
on
PANELS (OVER 200 AMP) 20.00
P HECK FEE P.C. NO.
ENGINEER
' Llc. NO.
1
SIGNS TRANS. 3.0
ARCRE N ENG.
SPECIAL CIRCUIT. 5.0
IT VALIDATION
EMP. METER OR POLE INS. - 20.00
40
' ZIP
/L "q'•'�
APPUCSANTS
S
AGGREss
MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that I ate licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and
Professions Calc my license is in full torp
License Classit Li, Number
MANCE DATE -
®®IL G. CCT. PLG. MECH.
Date Contractor
-ys2
ow 11 l?RI a. es' OticLARA'noN
I hereby afRrm that I am exempt Goin the Contructor s License
Law for the following reason. (See. 7031.5, Business and ProfessionspERM1T
Code:
CodAny city or county which requires a permit to construct, alter,
- GE7
-WILDING PERMIT
INFORMATION
MISC. - REFER TO ORD
ISSUANCE 1000
.
VALUATION
��
S/FT.
-
ELEC. CONTE. LIC. NO. ELEC,
- TOTAL -PE
QTY. PLUMBING PERMIT FEE
improve, demolish, or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that
he is licensed pursuant to the provisions of the Contractor's License
taw(Chapter 9(commencing with Section 7000)of0ivision 3 of the
Business and Professions Cod,) or that he is exempt therefrom and
A
T TO
_�R6 i= 'tel
the basis for thealleged exemption. Any violation of Scetion7031.5
by any applicant for u permit subjects the applicant to i civil penalty
of not more than five hundred dollars ($500t):
STORIES
TYPE CONSTR.
ALTER -DRAIN & VENT -WATER (EA.), 5.00
❑ I, as owner of the property, or my employees with wages as
their sole compensation, will do the work: and the structure is not
BACK FLOW PROTECT. DEVICE 4.00
DEC. GROUP
RES. UNITS
DRAINS -FLOOR, ROOF, AR EA, COND. 5.00
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractor's License law does not apply to an owner of
•
'
_
FIXTURES - PER TRAP 5.00
GAS-EA.SYSTEM-11NC.40UTLETS 6.00
properly who builds or Improves thereon, and who docs such work
himself or through his own employees, provided that such improve-
mentsarenutintendedorofferedforsale. If, however, the building
50. FL FLOOR AREA
_
TOTAL ACREAGE
Or improvement is sold within one year of completion, the owner
builder will have the burden of proving that he did not build or im-
Prove for purpose of sale.).INDUSTRIACWASTE
m
❑ I, owner of the property, am exclusively.
contracting with
GAS - EA. SYSTEM: OVER 4 IEA.) 2.00
BUILDING USE
RES IND CON, PR Omer
❑ ❑ ❑ ❑• ❑
INTER. 3000
LAWN SPRINKLERS - 1 INC 5 V.B. 6.00
LAWN SPRINKLERS - OVER 5 (EA.) 1.00
licensed contractors to construct the project (Sec 7044, Business
and Professions Code: The Co.tr elm's License Law docs not apply
to an owner of Property who builds or improves thereon. and who
ASSESSORS PARCEL NO.
..
-
contracts for such projects with a contmctorfs) licensed pursuant to
theContracmr'sLicenseLaw.
SEWER -SANITARY -STORM EA. 2001t/10.00
TRACT No
PARCEL No.
❑ lam exempt under Sec. ,B.&P-C. for this
reason
WATER HEATER W/VENT 6.00
Owner Date
WATER SYSTEM 5.00
ACC.DATE
ACC. FILE NO,
WATER TREATING EQUIP. 5.00
WORK FRS'COMPENSATION DECLARATION
I hereby affirm that I have a Certificate of consent in sch-Insure-
or a certificate of Workers' Compensation Insurance, or a certified
'
ZONING
ENG. SITE NO.
copy thereof (Sec. 3800, Lab .C.I�r a
Policy No. Company/� ��
-
crt u
'❑ C,rtilicdc y d.
/i Ciao o th the city inspection division.
Applin -a c � a
FIRE SPRINK
,'Y Ell NEIY
ENERGY T-24
E] IN
MISC. - .. REFER TO ORD. -
C 1: 111 rI ATE.OF EXIi�51 PTION FROM WORKERS
PERMIT ISSUANCE 10.00 _ Q
FLOOD ZONE .
A. L.U.C.
COMPENSATION INSURANCE
(This section neeJ not be completed if the permit is fur G
Y [:] N ❑
Y E] N ❑
PLG. CONTE. LIC. NO.
PLG.
TOTAL '�"
hundreddollars(S100)orle,$) '
I earthy that in the performance of the work for which this fir-
emit is issued, I shall not employ any person in any manner so as m
GTY MECHANICAL PERMIT FEE
-
FEE SUMMARY
BUILDING
3,e2
become subject It, the Workers' Compensation Laws of Cilifornin,
Date Applicant
ALTER OR ADD TO MECH. 5.00
NOTICE TO APPLICAN'P. If, after making this Certificate .f Ex-
APPLIANCE 5.00
AIR HANDLING UNIT (TO 1O=CF.N4.00
PLAN CHECK
FEE
,L)
'
emption, you should become subject to the Workers' Compensation
provisions of the Whor Code, you Inmt forthwith comply with
such grunion... or this permit shall be deemed revoked.
AIR HANDLING UNIT (OVER 10=C-F.M.)6.00
SEISMIC FEE.
3-a
CONSTRUCT ION LENDING AGENCY,
I hereby alfnnn that mere is a com n.ctiun lending agency for
the performance of the work for which this permit is issued (See.
3097, C.C.),
EXHAUST HOOD (WITH DUCT) 5.00
-MICROFILM
HEATING UNIT (TO 100,000 B.T.U.) 8.00
Lender's Name
Lender. Address
HEATING UN IT (OVER 100,000 B.T.U.)9.50
ELECTRIC
I certify that I have read this application and state that the above
information is correct. I agree to comply with all city cad county
ordinances and stuQ laws relating to building construction, and
VENTILATION FAN (SINGLE) 4.00 '
BOILER (3 H.P. Or 100,000 6.00
PLUMBING
hereby Mo-menenthorlm representatives this city to enter upon the
u vtinned property for inspection purposes.
BOILER -COMP (Oxer 100,000 BTU) SEE FEE SCH. -
MECHANICAL
�� .
(We) agree to save, indemnify and keep hunnlcv the City of
MISC. - REFER TO ORD.
-penins against liabilities, judgments, costs and expenses which mayin an way a r -
y y agmnst said City m consequence of the
PERMIT ISSUANCE ' 10.00graV
CONST. TAX
n I per
ow
MECH.CONT. - LIC.NO.
MECH.
TOTAV
TOTAL
H
ignat Ap icaN/Contractor Date
OFFICE COPY