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15704 POST-THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY' OF CUPERTINO 1570C INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION . / JOB ADDRESS9 L�✓ _T G UNIT# LOT# `�•'`: � ' / PERMIT EXPIRES IF WORK OWNER L, , �Q /S,Ta�/ CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU. _ FOUNDATION ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED - PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS *mo-tc:) 1 p - _ I upws POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB . PLUMBING - _ ,' it , .JI✓,.;,, ;, . ELECTRICAL ISSUANCE DATE MECHANICAL BLuc ELECT PLG. MECH ® ❑' ❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR // V VALUATION $/FT. PLUMBING � / {-- C�• y� ' MECHANICAL ELECTRICAL PERM" T FRAMING PAID . ''oor-G, AgwIToiv �� 'STOHIF.S TYPE CONSTR. INSULATION n _ - NOV '41988' ' ' • OCCGROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED CRY Of CU(1Bff100 $O.IT FLOOR AREA TOTAL ACREAGE ROOF NOTE:NO FINAL INSP.SHALL BEMADE BEFORE -y DIAPHRAGM THE CONSTRUCTION TAXIS PAID 1 BUILDING-USE ROOF SHEATHING RES IND CON PB 0'. , APPLY NO ROOFINO UNTIL ABOVE HAS BEEN SIGNED FINAL DATE INSP. 0 ❑ '• ❑ ❑ '❑ N ASSESSORS PARCEL O. ROUGH SAN,# PLUMBING ELECT.E - TUBS&SHOWER PAN P 8 RGY TRACT NO. PARCEL NO. MECHANICAL MECH GY - ACC.DATE ACC.FILE NO. ELECTRICAL � BUI G EN R FRAMING FINA INSULATION - UNIBING ZONING ENG.SITE NO. GAS TEST AS FIRE SPRINK ENERGY T 2 MECH N AL Y ❑ N❑ v ❑ ! No COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEAT FLOOD ZONE A.L.0 C. . EXTERIOR SHEAR ELEC PT_ BELE � �' - INTERIOR SHEAR FIRE EPT.. °❑ N❑ v ❑ NQ $HEETROCK GRADE FEE SUMMARY EXTERIOR LATH, BUILDING BUILDING 'y �/ INTERIOR LATH TEMPORARY APPROVALS . + SCRATCH COAT ELECTRIC PLAN CHECK - GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BU I LDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM -ARRANGE FOR INSPECTION,BY PHONING 252-4505, ELECTRIC " F-ONE WORKING DAY BEFORE REQUIRED INSPECTION., PLUMBING O PLEASE GIVE JOB ADDRESS WHEN PHONING. MECHANICAL - SEE PERMIT FOR EXPIRATION'DATE - IMPORTANT! CONST,TAX PLEASE READ REVERSE SIDE BEFORE TOTAL J� CALLING FOR FINAL INSPECTION. E-� OFFICE COPY ANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY ILDING PROJECT I IDENTIFICATION - .PERMITNUMBER IG4.Z9 LBUILDING 14iF2Ty Cr APPLICATION & PERMIT SS. J 1 _ -.q 5704 -ELECTRICAL-PLUMBING-MECHANICAL - , s; OWNER's PLAN CHECK VALIDATION "AME QTY. ELECTRIC PERMIT FEE CONT AC O TOt F.VSTA PHONE' - Z , CONTRACTOR'S v (/ Q NAME - OUTLETS-SWITCHES-RECEP 10.00/1.00 «)/ T7 uc.no, LIGHTING FIXTURES 10.00/1.00 ADDRs - APPLIANCES RESIDENTIAL 4.00 - CONTRACTORS ADDRESS PHONE PANELS 10.00 DATE OF APPLICATION ARCHRECTPANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. 2 L O LSO E1NGINEER ' ' LIC Na 7 SIGNS TRANS, 3.00 ARCH.OR ENG PERMIT VALIDATION ADDRESSw '� SPECIALCIRCUIT _ 5.00 Gi P Z,60# EMP:METER OR POLE INS. 20,00 ADDRESNrs �� ( ./3 f)� J �� MOTORS SEE FEE SCH. L• r Q eV7 - SERVICE CHANGE 20.00 w O o LICENSED CONT RACTORS DECLARATION <O u I hereby affirm that I am licensed under provisions of Chapter') MID ISSUANCE DATE 1 z. $ (commencing with Section 7000)of Division 3 of the Business and n w z Professions Code,and my license is in full force and effect. BLDG. ELECT, I PIL MECH. o i m o License Class oNumber Date.Contractor ax - BUILDING PERMIT ¢ a OWNER-BUILDER DECLARATION a U MISC.- ORD INFORMATION X R. w 1 hereby affirm that I am exempt from the Contractor's License u o ¢ Law for the following reason VALUATION f/FT. (Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 •0(1 fw> f Code:Any city or county which requires permit to construct,alter, 2 to ¢ O improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTH. LIC.N0. ELEC. i K m LL requires the applicant for such permit to file a signed statement that TOTAL w he is licensed pursuant to the provisions of the Contractor's License Law(Chn ter 9(commencin with Section 7000)of Division 3 oflhe E i o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE 20o IA& M r-$ the basis for the alleged exemption.Any violation of$ection 7031.5 STORIES TYPE CONSTR. by any applicant fora permit subjects the applicant toacivilpenalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 / of ntit more than five hundred dollars(5500).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 structure is not 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 x property who builds or Improves hereon,and who does such work FIXTURES-PER TRAP 5.06 SO.fT.FLOOR AREA TOTAL ACREAGE menta are not hrough ownemployees,for sale. If,ho ever,hat the improve- GAS-EA.SYSTEM,-11NC.40UTLETS,6.00 79 -. mems are not intended or offered for sate.If,however,the building or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) X2.00 BUILDING USE builder will have the burden of proving that he did not build or im- -RE IND CON PB Omer prove for purpose of sale.). INDUSTRIAL WASTEINTER. 30.00 '^" O I,as owner of the property,am exclusively contracting with ❑' ❑ ❑ ❑ licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law dues not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts fursuch projects with a contractors)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. 1 reason PARCEL NO. ❑ lam mot under Sec. ,BB .& C.for lis WATER HEATER W/VENT 6.00 Ownc Du WATER SYSTEM 5.00 ACC.GATE ACC.FILE NO. WORK F,RS'COMPEN ATION DECLARATI WATER TREATING EQUIP. 5.00 ' I hereby affirm that I have a Certificate Of consent to sclEinsure, ZONING Or a certificate of Workers'Compensation Insurance,or a certifird ENG:SITE NO. copy thereof(Sec.3800,Lab.C.). - Policy No. Company O ❑ Certified copy ishereby furnished. FIRE BPRINK ENERGY T-Z4 Z 2 ❑ Certified copy is filed with the city inspection division. MISC.- REFER TO ORD. O Applicant Y❑ N❑ V ❑ N❑ FyPROM WORKERS; PERMIT ISSUANCE 10,00 FLOOD ZONE A.L.U.C. LU CERTII4CATF-OP EXEMPTION W COh1P1iNSAT'ION INSURANCE PLG.CONTR. LIC.N0. PLG. ❑ O [:] ❑. �. ll (This Section need not be completed if the peril is for one TOTAL V N VN D Zundred dollcs($100)or less.) U O I certify that in the performance of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued,I shall not employ any person in any runners as to O W ,beco -ubj ll�jo the Worker npenm� l Calif niu. Ex- C Datc ['�Appfice ALTER OR ADC)TO MECH. 5.00 BUILDING 0 D - y ) NOT I' T APPLICANT: IL alter making Ili- Certificate of Ex- '- H ? emotion,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK' provisions of the Labor Code, you must forthwith com0ly with FEE-' U Such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10000CF.NL) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNITIOVER 10=C.F.M.) 6.00 SEISMIC FEE EL3 0 I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work I'or which this permit is issued(Sec. HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM 3097,Ci, Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC /syr Lender's Address I certify that I have read thisapplicalion and state that the above V ENTILATION FAN (SINGLE) 4.00 - into is correct.1 agree to comply with all city and county -- - PLUMBING . ordinances and stale laws relating to building construction, and BOILER-COMPI3 H.P.or 100,000 B.T.U.) 6.00 hereby authorise representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against liabilities,judgments; costs and expenses which CONST.TAX ay i any way accrue against said City in consequence of the .PERMIT ISSUANCE .10.00 'n of this per 't. MECH.CONT. - LIC.NO. MECH. - . /I� , TOTAL TOTAL 9�•� 6 �. Signature of Applicant/ tractor Dare OFFICE COPY