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16442 -POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMB FR , CITY OF • GUPERTINO ' = 16442 INSPECTION DIVISION JOB INSPECTION RECORD �y �7 _\ 'f-,P RMIT EXPIRATION.' JOB ADDRESS Z-18 / �v V�-a �C� UNIT# # I_.,.LOTIft- � �� f PERM IT'EXPrRES'I F+WORK OWNER 112r CONTRACTOR SS S'e 1- �IS•NOT• STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMI,T,,ISSU- . FOUNDATION' - - - ANCE OR 180.DAYS.FROM-'NOTE:' LAST CALLED INSPECTION. LIFER ALL GRADING.AND,DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS (')- POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED s It 0A . UNDERGROUND /SLAB - PLUMBING - ' ^. 1 'lty j� Ie / /.. /c•�/�/Lf,.l�.,{ ELECTRICAL If( B'M`yf'�'` .' `•�' VV ISSUANCE n"cE DUAA TE ' MECHANICAL - g VRZaw - ��uIIE-�o lcI. �E LE-CIT �PPE-G�. rnECR • - ,VJ RJ SLI \0 '. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT ' WOOD FLOOR - INFORMATION,PLUMBING VALUanoySIFT. - � -Z�,...� MECHANICAL a ELECTRICAL IPeTRr.+n ro f FRAMING - - „� 1A_C-(, P • UWRr Y � Ill .1� '- S �� STORIes - IYPE CONSTR. INSULATION �V�c /71/ -89 .TC_ CCC.GROUP RES UNITS /.'.. PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED • SO.1 T. l_t R ARIA -TCrAL ACRLAGE 1 ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE . DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING USE"- ROOF SHEATHING RES IND❑ ❑ ❑N ❑ F-1 pe OP­ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. nssessol+s PnRC1 No ROUGH ELECT. _ + � • PLUMBING -� ,j/j ELECT.ENERGY �✓ TRACT NO. PARCEL NO UB E PA PLUMBING ENERGY. =/- MECHANI AL - vj MECH.ENERGY - - ACC.DATE ACC FILE NO ELECTRICAL - BUILDING ENERGY FRAMING - - ELECT.FINAL TEST _ ZONING ' . ENG-SITE NO.. INSULATION PLUMBING -/_ r GASTESTGAS - FIRE SPRINK ENERGY T,24 MECHANICAL COVER NO WORK UNTIL ABOVE HAS BE SIGNED HEATING - ' Y ❑ "❑ ` ❑ "❑ F1OOD ZONE A,L"UIC. EXTERIOR,SH EAR _ ELECTRICAL RELEASE -/ INTERIOR SHEAR FIRE DEPT. Y ❑ N❑ ` ' v Lol N❑' SHEETROCK -. GRADE FEE SUMMARY . ' EXTERIOR LATH BUILDIN INTERIOR LATH T MPO ARY APPROVAL BUILDING SCRATCH COAT ELECTRIC - PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE Z,Y� OCCUPANCYOF BUILDING ISNOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECT OR. ICRD,FILM'. ELECTRIC ARRANGE FOR INSPECTION BY PHONING 252-4505; + - �- � ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING c z PLEASE GIVE JOB ADDRESS WHEN.PHONING. .MECHANICAL — SEE PERMIT FOR EXPIRATION DATE — . — i IMPORTANT! coNST.TaX 73 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', - .BIJI LDI NG PROJECT IDENTIFICATION - .PERMIT NUMBER - BUILDING . APPLICATION & PERMIT C�' ADDREss / U BUILDING- ELECTRICAL-PLUMBING-MECHANICAL OWNERS I PLAN CHECK VALIDATION NAME QTY. ELECTRIC PERMIT FEE 1/�l 1 ss / PLO iiii5�3 CONTRACTOR'S Cr � n AM -SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 'l r noGHess TOPSA AIAPPLIANCES'RESIDENTIAL 4.00 e . PNONE PANELS 10.00DATE OF APPLICATION I' ARCHITECT PLAN CHECK FEE P.C,,NO. OR PANELS (OVER 200 AMP) 20.00 i' ENGINEER ( LiC.NO. SIGNS TRANS. 3.00 nooaess ENGSPECIAL CIRCUIT 5.00 PERMIT VALIDATION zlP EMP.METER OR POLEINS. •; 20.00 AP ❑ PCANT9 MOTORS SEE FEE SCM. !! nooREssQ -/e� SERVICE CHANGE 20.00 O 0 z Foo LICENSED CONTRACTORS UECLARA'I'ION ^ < u w I hereby aflirn that I am licensed,order provisions of Chnipter'l I (f,Z 1 z S ISSUANCE GATE ,- H G m (commencing with Section 7000)of Division 3 f.the Business ap{I DG. ELECT. PLG. MECH. Pit ns,Cis CoJ,.jyfJ Iny license is in lull foreylylQ �3 . Li¢nx Class_/1 Lic.Numler '1 198' I(] o y F w Date Contractor 1 O L7B( a, ¢ a OWNER-BUILDER DECLARATION o JAN. BUILDING PERMIT E a" INFORMATION w ; LL Ii I hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD _ e_ o Lvw for the following Rerson.(sec.7031.5.ItuainessanJ Prolossians 2rOD VALUATION S/FT. - PERMIT ISSUANCE �� .Q D. Code:Any city or county which rcyuires a permit m construct,alter. QQ ¢ Improve,demolish,or repair any structure,prior to Its issuance,also ELEC.CONTR. LIC.NO. ELEC. r �"(r� 0 In requires the applicant for such permit to tilt a signed statement that TOTAL [d w$ m he is licenuyl pursuant to the provisions of the Contractor's License PERMIT TO rzr Law(Chupter9(commencing with Section 7000)of Division 3 oflhe i i o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE V� X s- $ the basis for the alleged exemption.Any vlo Ution of Section 7031.5 STORIES TYPE CONSTR. a ; - by any applicant for v permit subjects the applicant to a civil penalty , of not more than five hundred dollan(S500t): ALTER-DRAIN -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 Jo the work,and the structure is not intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,CON D- 5.00 Code The h Contractor's or Lisnx 1.nw Joel not who to an owner of property r through builds or improves employees, pr and who does such work FIXTURES PER TRAP 5.00 - SOL.FT FLOOR AREA rout ACREAGE; himself re n t into de own employees,provided that such improve- or nts unprreniend is sold or witium ion yearor of lcompletion theohe nee- GAS-EA.SYSTEM-11NC.4OUTLETS 6.00 or impmvemem is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 _ builder will have the burden of proving that Int did not build ur iin- BUILDING USE prove for Purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON - P9 Orher ❑ 1,as owner of the property,am exclusively contracting with 0 ❑ ❑ ❑ ❑ licensed contractors to construct the pmjccl IS,, 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Cole:property Contractor's License law Jos not apply �� -2 toan trowner rfhprojywho builds trimproves ensthereon. pursuant aannotto LAWN SPRINKLERS-OVER 5(EA.) 1.00 tine Contractor's for such projects with a contractor(s)licensed pursuant m the Corrtmeor's Lmense Law. SEWER-SAN TR Y-STORM EA.200ft/10.00 6.00 - TRACT NO. PARCEL NO. p .. ❑ lum,exomu pt nder Sec. ,b.&P.C.lin this WATERHEATERWNENT Own, Owner Dutu WATER SYSTEM 5,00 ACC:DATE ACC.FILE NO. WORK ERS'COMPEN'SA'I ION DECLARATION WATER TREATING EQUIP. 5.00 1 herchy infirm that I have a certificate of consent triself-insure or a certificate of Worker,'Cur e)satirn Imurare ar a -entified �0 a ZONING ENG.SITENOT y... - copy thereof IS 3800.Lnb.C.) xA Policy h'r, ompuny� ❑ C rtil ci co a hereby(((um Tal( FIRE SPRINK ~ENERGY T.24 zrti py Is filed wl the city ins cYo division. MISC.- REFER TO OR D'. H O Applicant_ �, _ Y [] NE] YE] NE] rn I'IIICA'1'Ii 01'EXEMPI'lON FROM WORKERS' PERMIT ISSUANCE .310.00 12. OD FLOOD ZONE 'A.L.U.C. L COAIPUNSATION IN'SURAN'CE - PLG.CONTR. LIC.NO. PLG. p Z ('this section need not be completed if the permit is for one -'TOTAL O v N Y 0 N❑ hundred dollars IS 100)or less.) U O I eerily that in the performance of the work for which this per- QTY. MECHANICAL PERMIT . FEE FEE SUMMARY U_ U mit u IssucJ.I shall not employ any person in any manner sr as to become subject to the Workers'Compcnnution Laws rf Califomia. U a Date Applicant BUILDING T^O6 } W NOTICE TO APPLICANT: If,after making this Ceridicate of Ex- ALTER OR ADD TO MECH. . 5.00 J ' F ? eruption,you should become subject to(lie Workers'Compenewtoo APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE U such Provisions ur this permit shall he JcemuJ revoked. AIR HANDLING UNIT(TO 10,OODOF.M) 4.00 �l CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE I hereby of Orm 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. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's barn Add H EATI NG U N IT(O V E R 100,000 B.T.U.)9.50 Q' Lender's Add ELECTRIC a .t 47 1 certify that 1 have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I utoec to comply with all city and county BOILER-OOfeP 13 H.P.or 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws relating to building constriction, and hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 11X],000 TUI SEE FEE SCH. above-mentioned Property for inspection Purposes. MECHANICAL o (We) agree to save, indemnify and keep harmless the City of MISC. t 02� �7 EFER TO OR open' ainst liabilities,judgments, costs and expenses which CONST.TAX 7 7 ay ace - gainst said City in consequence of the PERMIT ISSUANCE 10.00 /.2,0p /e J oti ow , flhispermi MECH.CONT. LIC.NO. MECH. TOTAL / q, x TOTAL ign a of Applicant on[ractar Date 6� OFFICE COPY FINAL CRADF _ ROUTE SLIP File No. Dat Locatio � d (O Sub Approved fDae ❑spector v CITY OF CUPERTINO �- —`�'� PG,a E CPY GAS SERVICE NOTICE 19 To You are hereby authorized to connect the GAS service for Owner or Tenant IJy S i i% —. At New Service No. of Meters Reconnect No. of Add. Meters Move Service _ Move Meter PLUMBING INSPECTOR _�/[=/212 `> 141t�a.n .,,� OP 0 BUILDING INSPECTOR'S OFFICE ° ` os oA CITY OF CUPERTINO ©Backflow Device Sanitary Permit No. N7L`L/ 6�� H] Sewer Connection Plumbing Permit No. /6 L/ L/.Z Plumbing Final Lor No. Owner or Tenant tP CJ C r r- At T / S</ 7 6 /cam n 4 n 4 Tract Dote Connected —19—Dote Final 5- /-s;-C1 79 PLUMBING INSPECTOR