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12635
XV?!,1CANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY ' �BWLDINGPROJE TIDENTIFICATIO - - -- PERMIT NUMBER aDILOINc N APPLICATION & PERMIT ArOvAW-AA.," BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 12635 OWNEWa PLAN CHECK VALIDATION • NAME �." I/ L- NI � q OP'. ELECTRIC PERMIT FEE CONTRACTOR'g 4 'rJ NAME .WAY '77�p•�/29 �0a 'rL� OUTLETS-SWITCHES-RECEP 10.0011.00163,,- CONTRACTOR'S 0.00/1.00 6y-- ., LIC.NO. 'Z-0 LIGHTING FIXTURES 10.00/1.00 t� ADDRESS TOR'S ADDRESS APPLIANCES-RESIDENTIAL 4.00 PHONE PANELS 10.00 ARCHITECT DATE OF APPLICATION OR PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. ENGINEER AENG. LIC,NO, SIGNS TRANS. 3.00 ADDDRESSDRESS r SPECIAL CIRCUIT 506 x7 PERMIT VALIDATION I ZIP- TEMP.METER OR POLE INS. 20.00 APPLICANTS ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 W o o LICENSED CONTRACTORS DECLARATION zW I hereby affirm that 1 am licensed under provisions of Chapter 9 ISSUANCE DATE 1 In q: 'Commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. , PLG. MECH. H D i Professions Code,and my license is in full force and effect. - 1 2 011 - License Class Lie.Number Z. H w Dale Contractor - 29 M u - OWNER-BUILDER DECLARATION , G7 BUILDING PERMIT u6Ki ;'r 1 hereby affirm That I am exempt from the Contractor's License MISC.- REFER TO iU] INFORMATION H u p d Law for the following reason.(Sec.7031.5,Business and Professions 0.00 - '}EVALUATION $/FT. � � Code:Any city or county which requires a permit to construct,alter, PERMIT ISSUANCE 1[ M <p improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. FLEC. U ✓ti i O u requires the applicant for such permit to file a signed statement that TOTAL w 2 m he is licensed pursuant to the provisions of the Contractor's License PERMIT TO / H i > Law(Chapter 9(commencing with Section 7000)of Division 3 of the 17-/1) 4 o Business and Professions Code)or that he is exempt therefrom and OT�V. PLUMBING PERMIT FEE 7�-/ n (Z 1- the basis forthealleged exemption.Any violation ofSection703L5 3 .STORIES TYPE CONSTR.by any applicant permit subjects the applicant to a civil penalty Of not more than livehundred dollars($500).): ALTER-DRAIN&VENT-WATER (EA.) 5.00 S� ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECTDEVICE 4.00 their sole compensation,will do the work,and the structure is no[ OCC.GROUP RES.UNITS intended or offered for sale (Sec. 70441 Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of Property who builds or improves thereon,and who docs such..,it FIXTURES-PER TRAP 5.00 O"" himself or through his own employees,provided that such improve- SQ FT.FLOOR AREA TOTAL ACREAGE ments are not intended or offered for sale.if,however,the building GAS-EA.SYSTEM-11NC.40UTLETS 6.00 /& 00 or improvement is sold within one year of completion,the owner- builder will have the burden of proving that he did not build or im- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE pr for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Omer 1,as owner of the property,am exclusively contracting with li sed contractors to construct the project(Sec. 7044,Bli,mess LAWN SPRINKLERS- 1 INC 5 V.B. ' 6.00 AESE$SORSPARCELNO. and Professions Code:The Contractor's License Law docs not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for Such projects with a Contra As)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10,00 TRACT NO. PARCEL NO. ❑ 1 am exempt un ea ,B.&P.C, or tl s 6.00 reason WATER HEATER W/VENT Owner C, Date _ WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSA ON DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of consent to scIl-rS e, or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(Sec.3800,Lah.C.). Policy No. Company 0 ❑ Certified Copy is hereby furnished. Z Z ❑ Certified copy is fled with the city inspection division. FIRE SPRINK ENERGY T-24'Applicant MISC.- REFER TO ORD, v E] N0 v [3 NE] ~ y PERMIT ISSUANCE 10.00 LU CERTIFICA COMPENSATION NEAEMPTINS FROM WORKERS' V �- FLOOD ZONE A.L.U.C. W � COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. / O (This section need not be complied if the permit is for one TOTAL V❑ V 0 NF U ZO hundred dollars IS 100)or less.) 1 certify that in the t employ an of tie work any this per- OTs MECHANICAL PERMIT FEE FEE SUMMARY LL U mit is issued,1 shall not empiny any person in any manner so as to Js O W become subject to[be Wnrkurs'Compensation Laws of Californhl. D. Darn ICAN r:nt ALTER OR ADD TO MECH. 5.00 BUILDING O30p } 2 NOTICE TO APPLICANT: If,after making this Certompe sa ion em vision you should become subject m the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions io the Labor Code, you must drevoke comply with FEE - 30 U such provisions or this permit shall be deemed revoked. _ AIR HANDLING UNIT(TO 10,000 C.F.M) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10,000C.F.M.) 6.00 SEISMIC FEE I hereby 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(Sec. MICROFILM 3097,CN.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Address HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC ��{' 0V I certify that I have read this application and stale that the above 2 VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the - abovomenliomd property for inspection purposes. BOI LER-COMP (Over IGD,000 BTU)SEE FEE SCH. MECHANICAL (We) agree to save, indemnify and keep armless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, cos and exp ses which CONST.TAX may in any way acct ag sl said City consequ nee the PERMIT ISSUANCE 10.00 p gmnlingoflhis 't. MECH.CONT. LIC.NO. MECH. 7 TOTAL �I, TOTAL 9 71 Signature of nl/Contractor Ua OFFICE COPY ..,,. POST THIS CARD NEAR FRONT OF BUILDING • .r -. - � PERMIT NUMBER ' 'CITY' OF CUPERTIN'O .,•• 12635 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION ' JOB ADDRESS •>20 00-/ G'i / u UNI T47 - _LOT# ' ' PERMIT EXPIRES IF WORK OWNER EL/ oR- CONTRACTOR IS'NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION tl- l"/ ANCE OR 180 DAYS FROM, LIFER ` LAST.CALLED INSPECTION. PREGUNITE PERMIT VALIDATION POUR 0 CONCRETE UNTIL ABOVE HAS BEE IGNED UNDERGROUND /SLAB PLUMBING ELECTRICAL - ISSUANCE OATE - MECHANICAL BLDG. ELECT." PLG. MECH, El El DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEDBUILDING PERMIT �,Q uQ(u�B INFORMATION WOOD FLOOR vnwnnoN s/FT. PLUMBING To - /lTao MECHANICAL •• '% ' - ELECTRICAL - PERMIT TO . - FRAMING i INSULATION _ STORIES.• TYPE CONSTR. OCC GROUP RES.UNITS ' PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED SO.FT.FLOOR AR EA TOTALACREAGE ROOF DIAPHRAGM BUILDING USE RES' INO CON PB O,he' APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ©, ❑ ❑ ❑• ❑ ROUGH _ /' ASSESSORS PARCEL NO. PLUMBING - I GAS TEST - TRACT NO, PARCEL NO. - MECHANICAL ' ELECTRICAL Lily-,. i FINALS DATE INSP. • ACC.DATE ACO.FILE NO, FRAMING SAN * ZONING ENG,SITE NO. INSULATION PLUMBING R2� •-�. GAS MECHANICAL c FIRE SPRINK, ENERGY T24 COVER NO WORK UNTIL D HEATING Y^❑ N ❑ N❑LATH—INTERIOR -� 2 ELECTRICAL FLOOD ZONE A.L.uc. LATH—EXTERIORFIRE DEPT. Y❑ N❑ Y ❑ N❑ SHEETROCK _ GRADE. FEE SUMMARY SHEAR INTERIOR != BUILDING SHEAR EXTERIOR TEMPORARY APPROVALS BUILDING - r (•: v FIREWALLS ELECTRIC PLAN CHECK ;r ? GAS - FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE r �; • OCCUPANCYOF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING PLEASE GIVE JOB WHEN PHONING.' Z - SEE.PERMIT FOR EXPIRATION'DATE _ MECHANICAL !, .. IMPORTANT! CONST.TAX PLEASE.READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. / r OFFICE COPY - HOSKINS ENGINEERS INC. 501 SOUTH BASCOM AVENUE SAN JOSE, CALIFORNIA 95128 [4087 971 -7600 May 15, 1989 Eli Porat 22001 Lindy Lane Cupertino, California 95014 In accordance with your request I made a site visit on December 19 and 23 , 1988 to the above referenced project to inspect the structural framing. The inspections included the general framing and modifying a .shearwall to accommodate an air conditioner and adding a window in another shearwall. The work appeared to be in general conformance with the building plans by Richard Haro, the structural calculations and supplemental structural calculations dated 12/19/88 by Hoskins Engineers Inc . and the engineering design intent. If you have any questions regarding the above, please do not hesitate to call. Y rsr truly ann�. as b rn v Engineer RLS/mk oQRpFESS10Nq 35 30 0 1t�'