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14485 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY . OF CUPER TINO 14485 INSPECTION DIVISION JOB INSPECTION RECORD ®� PERMIT EXPIRATION JOB ADDRESS— -0�–`�� Vir Vim• UNIT# '.LOT#1. °pERM1T EXPIRES IF WORK ' CANER •2G3pU CONTRAETOR 2[Ld"C:7.Q,iL IS NOT; STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATIONANCE OR 180 DAYS FROM NOTE: ` LASTCALLED INSPECTION- ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE'APPROVED PLANS AND'CITY OF PERMIT VALIDATION GARAGE SLABS CUPERTINO STANDARDS. - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED PLUMBING UNDERGROUND /.SLAB J r ' 0 � °� /� � 4 ELECTRICAL QP, ISSUANCE DATE MECHANICAL Dc ELECT PLO. mECR. % ❑ ❑�' ' ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEDBUILDING PERMIT C+V INFORMATION WOOD FLOOR - � 1� VALUATIONslF r. PLUMBING - MECHANICAL - - ELECTRICAL' - REAMIT TO FRAMING ' INSULATION STORIESv,v�coNsrR - OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ' ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO.IT.FLOOR AREA TOTAL ACREAGE DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE ROOF SHEATHING RES IND ICON . PB 0"", APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. L 11 L L ASSESSORSEARCELNO. ROUGH SAN.a . PLUMBING - ELECT.ENERGY _ . TUBS 8 SHOWER PAN � � PLUMBING ENERGY TRACT NOPARCEL NO- MECHANICAL MECH.ENERGY - ' ELECTRICAL BUILDING ENERGY FCC,DATE ACC.FILE NO FRAMING ELECT.FINAL TEST ZONING ENG SITE NO. INSULATION � PLUMBING - _ - 'GAS TEST GAS f - MECHANICAL FIRE SPRINK ENERGY TQE • .. - F! COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING "� "� FLOOD LONE A.L U.C. EXTERIOR SHEAR -ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. - Y ❑ NE] Y L �`NQ' SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH - - TEMPO RA RY'APP ROYALS BUILDING SCRATCH COATELECTRIC PLAN CHECK ' GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED ELECTRIC SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL B UILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-450' ELECTRIC LU - ONE WORKING,DAY'BEFORE REQUIRED INSPECTION. PLUMBING. . Z PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL 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 BUILDING PROJECT IDENTIFICATION PERMIT NUMBER ADDRESS APPLICATION & PERMIT ATHIDIN 9i rO BUILDING—ELECTRICAL—PLUMBING—MECHANICAL 14485 OWNER 9 PLAN CHECK VALIDATION ,0 NAM a,r b PHONE a5 _ TV. ELECTRIC PERMIT FEE sane AcroRs UTLETS-SWITCHES-RECEP 10.00/1.00 LTC /r In.NO. A13LIGHTING FIXTURES 10.00/1.00 AooREss A 1111 TGRs 0OAm 6z.OL- APPLIANCES-RESIDENTIAL 4.00 ILL NC37ii PANELS 10.00 DATE OF APPLICATION ARCHiTCCT PLAN CHECK FEE P. .ND. OR ' ' PANELS (OVER 200 AMP) 20.00 ENGINEER TO NO. SIGNS TRANS. 3.00' AGGRESS ENG, PERMIT CIRCUIT 5.00 PERMIT VALIDATION- ZIP TEMP.METER OR POLE INS. 20.00 Tf�l noo ESS - MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 /�o o - LICENSED CONTRACTORS DECLARATION 1 hereby afliml that I am licensed under provisions of Chapter') ISSUANCE DATE (Commennng with Section 7000)of Division 3 of the Business and y°zN BLDG. ELECT. PLG. ME Professions Coda vnimy license is in full fore} kW MECH. ZO 0 m o Liensr lass ` VV Lia Number 7 H Detc_ = _0��-� Contractor jaiL ¢ or w OWNER-BUILDER DECLA AK f10\' BUILDING PERMIT w n ter I hereby affirm that I on exempt rmb tie Contractor's License MISC.— s REFER TO ORD INFORMATION u o¢ Law list the following o,ronT(Sec.703 t,5.Business and Profwions VALUATION d/FT. I- - PERMIT ISSUANCE Cale:Any City or county which requires a permit to construct,allet, ¢ ¢<0 improve,demolish,or repair any structure,prior to its issuance.also ELEC.CONTH. LIC.NO. LEC. ce O¢ requires the appliCanl for such permit to filo a signed statement lhvl g TOTAL S PERMIT TO u w m he is licensed Pursuant to the ptnvis uns of the Contractor's License 'O / HZ, Law(Chapter 9(commencing with Section 7000)Of Division 3 ofthe 4 o Business and Professions Code)or that he is exempt lherulrom and QTY. PLUMBING PERMIT FEE w r the basis for the alleged exemption.Any,violation,of Section 7031.5 _ I STORIES TYPE CONSTR. n; _ by any applicant far a permit sobjecLs the applicant to a civil penally ofnotmore than five hundred dollars(5500).1: ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ 1,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 structum is not intended or offered for see (Sea 7044, Business and Poi DRAINS-FLOOR,ROOF,AREACOND. 5.00 Code:,'rhe Contractor's License Law docs not apply to an owner of propety who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 se.FT,FLOOR AREA TOTALACREAGE . himselforthroughhis ownnemred for sale.11,ed That 1,owevsuen improve- GAS-EA.SYSTEM-1 6.00 cents vrc no[intended or offered est sales If,however,the budding or Ciplder ill hav is e b within one year of completion,the owner. m- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 / builder will nave the burden of proving that he did bol'build or im- BUILDINGN USE prove 1,aso nee of sale.). INDUSTRIAL WASTE INTER. 30.00 0RES IND 0 PR 0 ❑ L as owner of the onstruct,am sely Se contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project La 7044,Business LAWN SPRINKLERS-I INC 5 V.B: 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's o License Law does non apply to r owner of properly who builds tr improves m'e'an,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 the Cont for is projects with a contrucmrtsl 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 Dam WATER SYSTEM , 5.00 ACC.OATE ACC.FILE NO, WORKERS'COM VENSA'I'ION D17CLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that l have a certificate ofcansenl IT self-insure, or a certificate of Workers'Compenvfion Insurance,or a certified - ZONING ENG.SITE NO.. copy thereof(See.3900,Lab.CJ. Policy No. ' ' Company O ❑ fied copy is hereby famished FIRE SPRINK ENERGY T 34 Z Z O Applica:nerto MISC.- . REFER TO ORD. Y❑ N❑ Y ❑ No CC T CERTIFICATE 017 EXE)1PfION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. LL > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. ❑ fifties station Tired not be coeri it the peml it Is for oneTOTALY❑ N❑ V F] NE]hundred dollao(S 100)or less.) U O 1 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 Cmploy any person in any manner so as to O w become subject to the Workers'Compensation Laws of California. CL DateApplicant ALTER OR ADD TO MECH. 5.00 BUILDING } w NOTICE TO APPLICANT: IC alter making this Certificate of Ex- Z_ emplion,you should become subject to the Workers'Cam,penmlico APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code you must forthwith comply with FEE U such provisions or this pencil shall he dremad revoked. AIR HANDLING UNIT(TO 10=CF.M) 4.00 CONSTRUCT ION LENDINGAGE:NCY AIR HANDLING UNITIOVER 10=C.F.M06.00 SEISMIC FEE I hereby affirm that then is a curutruction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is jawed(Sec. MICROFILM 3097,Civ.C.), HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Add HEATING UNIT(OVER 100,000 B.T.U,19.50 �dY1 Lender'.Name ELECTRIC I certify that l haveread lhlsapighculiunandstme tbar the above VENTILATION FAN (SINGLE) 4.00 information is Correct, 1 agree to comply with all City and county PLUMBING ordinances and 'late laws relating o huildin, Co.,(notion, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby arthentioriec roperty Indies of this-city to 'nor upon the 801 LER-COMP IOxer 100,000 BTU)SEE FEE SCH. MECHANICAL hereby color',property lar inspection purposes. 0 agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. r a against liabilities,judgments, costs and expenses which CONST.TAX - 1 y in ny way - a against said City in consequence of the PERMIT ISSUANCE 1000 olid, I th' nrnr, ECM.CONT. LIC.NO. MECH. .^f � TOTAL TOTAL of Appnconl/Contractor Dale• •a OFFICE CCIPY