14695 POST. THIS CARD NEAR FRONT OF BUILDING
PERMIT NUMBER "I
CITY OF. CUPERTINO
�i ,i .: . � • ' - . �
INSPECTION DIVISION 1"4695 :
JOB INSP,ECTION'RECORD
;• _ PERMIT EXPIRATION
JOBADDRESS 6724 JOHN DRIVE —UNI T,44_' ' LOT# '• - ;:
- II PERMIT EXPIRES'IF:WORK l
OWNER ROGER SANTOS CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR' INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS'FROM
�'L•
FOUNDATION NOTE: " ASTCALLEDINSPECTION.
ALL GRADING AND DRAINAGE HALL BE
UFER GE S INSTALLED
5 LLED
.� COMPLY WITH THE APPROVED PLANS'AND CIN OF .: vegMlT VALIDATION- PR EGUNIT,ECU CUPERTINOSTANDARDS. - -
GARAGESLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - -
UNDERGROUND /SLAB- £~r•4J
PLUMBING
ELECTRICAL - ISSUANCE DATE -
' MECHANICAL " BLDG. ELLCT,I PLC. MECH.
.. I' ',iii• .. ,�K. -I� � c � I
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
:WOOD FLOOR. INFORMATION
PLUMBING - - - "V.LUA ION SIFT.
f
J
MECHANICAL
ELECTRICAL - PERM1IIT r�,
FRAMINGST
•� BTORIES TYPE CONBTN -
I;
OCC,GROUP HES;UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
SO'FT.FLOOR AREA TOTAL ACREAGE
' ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE
THE CONSTRUCTION TAX IS PAID
.1 DIAPHRAGM' ._
I ' ~BUILDING USE
ROOF SHEATHING RES IND CON PB
APPLY NO ROOFING,UNTIL ABOVE HAS BEEN SIGNED FINALS DATE 'INSP. ❑ ❑ ' El ❑ '
a ASSESSORS PAI-CLU NO.
ROUGH. SAN.a
.PLUMBING ELECT.ENERGY• _
TRACT NO. PARCEL NO.
TUBS 8 SHOWER PAN• - PLUMBING ENERGY A + _
_ MECHANICAL I MLUH:ENERGY.,
'ACC.DATE ACC.FILE NO
ELECTRICAL BUILDING ENERGY - -
FRAMING - ELECT.FINAL TEST '• ,,y; -
rPLUMBING •- ZONING ENG,SITE NO.
INSULATION � ._ -
GAS TEST GAS
MECHANICAL,_ ' - a,'„ .. .FIRE SPHINN ENERGY T.24 ,.
o . N❑ Y,o No
'COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING; '
EXTERIOR SHEAR. ELECTRICAL RELEASE - -FLOOD ZONE-• - A.L.U.0 I
r
INTERIOR SHEAR FIRE DEPT, _ y °
'❑ N❑ Y ❑ ' N❑
SHEETROCK . - - GRADE• - FEE SUMMARY -.
EXTERIOR LATH {I- BUILDING II
BUILDINGJ
' .INTERIOR -LATH i _'TEMPORARY APPROVALS"` e /7"{--'^
SCRATCH COAT I ' ELECTRIC - PLAN CHECK
GAS FEE �/ '7
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY -, �r SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL'BUILDING FINAL IS SIGNED BV BUI LDING`INSPECTOR'. MICROFILM.
ARRANGE FOR INSPECTION BY PRONING'.252.'45115, ELECTRIC.
�' ONE WORKING'DAY BEFORE REQUIRED INSPECTION PLUMBING'
I� 00 PLEASE GIVE JOB ADDRESSWHEN,PHOMNG:
z
- SEE PERMIT FOR EXPIRATION DATE - ,MECHANICA
-IMPORTANT'!
CONST.-TAX ".'.
•
PLEASE READ REVERSE SIDE BEFORE'
CALLING FOR FINAL INSPECTION. TOTAL 'p --
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE_BALL POINT PEN ONLY ,
l - BUI IAI NG PROJECT I DENTI FICATION PERMITNUMBER
BUILDING / 70H•4, 1J2 APPLICATION &;PERMIT, ,,. 4695
AtiDREss v 9 J
.� 9..5�/ BUILDING — ELECTRICAL ' PLUMBING ' MECHANICAL - - A
OWNER t - PLAN CHECK VALIDATION
NaME OTY. ELECTRIC PERMIT FEE
ONE 7-%s73
I
NAMERacroRs OUTLETS SWITCHES-RECEP 10.00/1.00 ,
-
LICE NO. - - LIGHTING FIXTURES '10.00/1.00
'
CONTRACTOR'S - APPLIANCES-RESIDENTIAL 4.00 '
: AOGREiS. _ .
' PHONE f' PANELS - 10.00DATE OF APPLICATION '
ARCHITECT - - PLAN CHECK FEE P.C.NO.
OR _ PANELS (OVER 200AMP), " 20.00 . -
ENGINEERLIC, ,
- c.No. SIGNS TRANS. 3,00' '
AR CH.OR ENG. - - " " PERMIT VALIDATION'
ADDRESS SPECIALCIRCUIT 5.00
ZIP TEMP.METER OR POLE INS. 20,00 -
APPucaxrs
ABIDES - MOTORS SEE FEE SCH.
I' + SERVICE CHANGE . 20.00'('.
w'00 LICENSED CONI RACrORS DECLARATION W O
F i w ''1 hereby aflirm that Vam licensed under provinces ol'Chapter 9 ' ISSUANCE DATE'
lcommeocing with Section 7000)of Division 3 of the Business and
m< a - BLDG. ELECT. , PLG_ MECH.
H.7 iProfessions Code,anti my license is in full force and effect,
0 i W w t License Class Lic.Number p �(- �'
w H Date Contractor .
.. BUILDING PERMIT
¢ 0'� OWNI R-O DILDI:R IJPCLARA PION INFORMATION
w 0 H 1 hereby affirm that I am exempt from the Contractor's License MISC.'— REFER TO ORD
w V y�IAT
Law H IsJr r7k;
o J. efollowing
reason.(Svc.70315: ndrters PERMIT ISSUANCE . . " IO $/FT
Cod :Anycityorcounly whichregwresapermit toconstruct,alter,
..
V' SQA-O
2 2 ¢0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO:. ELEC. f a
i w m¢ requires the applicmR for such permit to file a signed nalemeet that :a., TOTAL C PERMITTO
he is licensed pursuant to the provisions of the Contractor's License - p�,�x11Q y�
Hit Law(Chapter 9(commencing with Section 7000)of Division 3ofthe E+H� A[GO 7w
a Business and professions Code)or that he is exempt therefrom and CITY. PLUMBING PERMIT WIN
¢ m the hasis for the alleged exemption.Any violation of Section 7031.5 I STORIES TYPE CONSTR.
by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN.&'.VENT-WATER (EA.) 5.00 +
of not'more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wugesas BACK FLOW PROTECT.DEVICE `, 4.00
their sole compensation,will do the work,anti the structure is not OCC.GROUP RES.UNITS
intended Or Offered for sate (Sea 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 R 5.00 SG.FT.FLOOR AREA TOTAL ACREAGE
hlmwlf or fir.ugl,Itis own employees,Provided'that.such improve—
mentsara net intended or offered for sale.If,howeveq the building GAS-EA.SYSTEMt1 INC.40UTLETS'+6.00
or improvement is sold within one year of completion, the owner- GAS-EA.SYSTEM-OVER 4 IEA.) . ,
builder will have ILe burden of proving that he did not build or im. .2.00 BUILDING USE -
prove for purposeofsale.l. ' - INDUSTRIAL WASTE INTER. 30.00 RES- IND CON PB . other
❑ I,as owner of the property,am exclusively'contracting with ❑ El ❑ ❑
licensed contractors to construct the project 1S&7044,Business LAWN SPRINKLERS-1 INC 5 V.B.- ' 6.00 ASSESSORS PARCEL No.
' and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS--OVER 5(EAl)- 1.00
contracts fur such projects with lr contmetorts)licensed pursuant la -
theComracmr'sLicenseLaw. SEWER-SANITARY-STOR M EA.200ft110.00 TRACT NO. PARCEL NO.
❑;1 am exempt under Sec. r ,B.&P.C.for this WATER HEATER W/VENT 6;00
assn
Own Dmc WATER SYSTEM - 5.00
ACG DATE ACC.FILE N0.
'
W4RKERS,.erMPENSAfION DECLARATION WATER TREATING EQUIP. 5.00 , 1
I hereby affirm that I have a certificate of consent to self-insure, ZONING
f or a ecrtificate of Workers Coinpensation Insurance,or a certified ENG.SITE NO:
copy thereof(Sec.'3500,Lab.C,l. -
Policy No. Company
Q '. ❑ Certified copy is hereby fit rnislredl FIRE SPRINK ENERGY T-24
Z Z ❑ Certified copy'is Bled with tile city inspection.division.
0 Applicant MISC.- REFER TO ORD. y ❑ N❑ *Y 0 N
~ m PERMIT ISSUANCE. f' n 10,00
— CF:R'fIPICATIi H EXEMPTION INS PROM WORKERS' FLOOD ZONE A.LU.C.
L CON INSURANCE PLG.CONTE. LIC.NO. . PLG.'
CL 0 ('this suction need not be completed if the Permit if for one ' .TOTAL Y_❑ N , Y ❑ N❑.
� Z hundred della is IS 100)or co,) - -�
U O 1certify that in the performance of the work for which this per. OTY. MECHANICAL PERMIT FEE "FEE SUMMARY
L U mit is issued,I shall not employ any person in;mylnannef se as III - -
become subject to the Workers'Compensation Laws of Calit'ornia.'
U i. Date Applicant - ALTER OR ADD TO MECH. 5.00 BUILDING
} to NOTICE '1"0 APPLICAN'1 If,after mAiri this Certilicatc if
F ? emption,you should become subject to the Workers'Compensation APPLIANCE 1i 5.00 PLAN CHECK ] 7
provisions of the Labor Code, you must forthwith comply with FEEL-
U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C ' �.F.M.) 4.00 //. -
CONSTRUCTION-LENDING ACENCv AIR HANDLING UNIT(OVER 10=C.EM.) 6.00 SEISMIC FEE -
I'liereby'affirm 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 fSec. MICROFILM
3097,Civ.C.l: r HEATING UNIT(TO 100,000 B.T.U.) 8.00
Lender's Name H EATING UNIT(OVER 100,000 B.T.LE)9.50 t
Lender's AAAress ELECTRIC
'I certify that 1 have read this applicul ion and state that are above VENTILATION FAN (SINGLE) .. 4.00 -
information correct 1 relating
comply wM
with all city and county BOILER-COMP(3 H.P,or 100,000 B.T.U.) 6.00 PLU6ING
...dinances and state laws relng to building construction, and
hereby authorize representatives forms of this rp m enter upOm the BOILER-COMP love,100,000 BTU)SEE FEE SCH. MECHANICAL -
/
above mentioned property for inspection purposes. '
(We) agree to save, indemnify anti keep harmless the City of MISC.- REFER TO ORD. -
4ay
pertino against liabilities,judgments, costs and expenses which. PERMIT ISSUANCE 10.00 'CONST.TAX.in any way accre a Inst id City in consequence of thenClhis pert MECH.CONT. LIC.NO. MECH.
TOTAL TOTAL q37
me pphc' o frac - Data -9
OFFICE COPY