13752 1 POST THIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO RMIT NUMBER
INSPECTION DIVISION 13752"'
52`
JOB INSPECTION RECORD
PERMIT EXPIRATION
JOB ADDRESSA� � k�A- •Piw/B—e UNIT# _LOT# PERMIT EXPIRES IF WORK
OWNER CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE I INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION - ANCE OR 180 DAYS FROM
LASTCALLED INSPECTION.
UFER V
PREGUNITE PERMIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED PAM
UNDERGROUND /SLAB
PLUMBING EC 3 01987
ELECTRICAL ISSUANCE DATE
MECHANICALylpC ):y T. PLO, MECH.
❑
rrLL'�'JJii YfLliiJiR ❑,
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR VALUATION SIFT.
PLUMBING
MECHANICAL $109.000.0
PERMIT TO
ELECTRICAL
FRAMING
STORIES TYPE CONSTR.
INSULATION
• 4
OCC GROUP RES UNITS
�
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
YO FFLOOR AREA TOTAL ACREAGE
ROOF
Dh4PkJHAGM BUILDING USE
L RES IND CON P9 Olney
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑
ASSESSORS PARCEL NO
ROUGH '
PLUMBING
GAS TEST TRACT NO. PARCEL NO
MECHANICAL i S'
ELECTRICAL .f{fry - FINALS DATE INSP. ACC.DATE ACC FILE No
SAN # 1300
FRAMING '1 PLUMBING ZONING ENG.SIrE NO.
INSULATION -�G " S
�, GAS
MECHANICAL
FIRE SPRINK ENERGY L24
F ,�� , -
COVER N RK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ "❑ ❑ "❑
LATH-INTERIOR ELECTRICAL FLOODZONE A.L.U.C.
LATH-EXTERIOR ,a,d' FIRE DEPT. Y❑ N❑ Y N❑
SHEETROCK -) kr GRADE FEE SUMMARY
SHEAR INTERIOR -'3- BUILDING
SHEAR EXTERIOR
TEMPORARY APPROVALS BUILDING 455.50
FIREWALLS ELECTRIC PLAN CHECK 2196.08
. . GAS FEE/energy 160.00
NO OFI PLASTER UNTIL ABOVE HAS BEEN SIGNED occuPgNcv SEISMIC FEE ;
OCCUPANCY OF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
' I
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
HONE WORKING DAY BEFORE REQUIRED INSPECTION. 1 PLUMBING
0� PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z MECHANICAL
' — SEE PERMIT FOR EXPIRATION DATE —
55 00
IMPORTANT! I CONST.TAX 202.68
PLEASE READ REVERSE SIDE BEFORE TOTAL $ 1►497.89
CALLING FOR FINAL INSPECTION.
OPFICE COPY\
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
' c BUI Lill NG PROJECT I DENTI FICATION PERMIT NUMBER
BUILDING LOT 41 PLAN 2B APPLICATION & PERMIT
ADDREa` BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 13752 '
11553 Mornin S rin Court
OWNER'a PLAN CHECK VALIDATION
NAME 415 QTY, ELECTRIC PERMIT FEE
GREGORY GROUP, INC.PHONE
CONTRACTORS
NAME 90 OUTLETS-SWITCHES-RECEP 10.00/1.00 90.00
Same LIC.NO, B-430097 20 LIGHTING FIXTURES 10.00/1.00 20.00
r.ONTRACTORs 220-0 Twin D01ph In Or. PPLIANCES-RESIDENTIAL 4.0012
'
ADDRESS
RWC. CA- 9406S 415 PHONE qq�_21
PANELS 10.00 1 DATE OF APPLICATION
ARCHITECTP K FEE P.C.NO.
ENGINEER ARAM BASSENIAN, AIA PANELS (OVER 200 AMP) 20.00
A ASSOCIATE uC.NO. 1 SIGNSTRANS. 3.00 Al I
aooA'EssE"° 3990 Westerly Place #170 SPECIAL CIRCUIT 5.00 E1, 3P� DnnON
zip EMP.METER OR POLE INS. 20.00 v J �1
APPNE nT's 220-C Twin-Dol hin Dr. MOTORS SEE FEE SCH. `'�(%�V )n�
AOOREss p7.00 /\
PWC CA q4nfis SERVICE CHANGE 20.00
Doo LICENSED CONTRACTORS DECLARATION
v I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE
zlu (commencing with Section 7000)of Division 3 of rhe Business and
m e. BLDG. ELECT. fP-L�G� MECH.
,mi Professions Cad_ u is in full force a ej(cL LJ
Z 0�, - License Class Lie,.Number �f
H r w Dam Contractor
ic BUILDING PERMIT
z X u yNER.BUILDER DEC TION
Q I- I hereby affirm that 1 am exempt from the Contrncror'a License MISC.- REFER TO ORD INFORMATION
"I u 0`� Law far the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.0010.00
VALUATION $/FT.
- u Code:Any city or county which requires a permit to construct,alter, 1 O•00
ELEC.CONTR. LIC.NO. $109.000.0
C ¢0 0 improve,demolish,or repair any structure,prior to its issuance,that ELEC,
c D a- requires the applicant for such permit to file a signed actor's Li that TOTAL 149.00
PERMIT TO
K he is licensed pursuant the provisions of the )of Division
License n�x Z_
t z i Law fess and
9(commencing Professions
ode)or Section is exempt theref o of and
V Yl
M i o Business and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE
w.H the basis for the alleged exemption.Any violation ttoa cion malty STORIES TYPE',C//ONSTR.
a 3 .. by my applicant fora permit subjects the appliwnttoacivilpenalty ALTER-DRAIN&VENT-WATER (EA.) 5.00 ]�• �N
of not mom than five hundred dollars(8500).):
❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00
their sole compensation,will do the work,and the structure is not OCC.GROUP RES.UNITS
intended or offered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,CON O. 5.00 �- 3
Code:The Contractor's License Law does not apply to an owner of
• property who builds or Improves themon,and who does such work F IXTUR ES-PER TRAP 5.00 ISO.FT.FLOOR AREA TOTAL ACREAGE
himself or through his own employees,provided that such improve- GAS-EA.SVSTEM-1 6.00
merits are not intended or offered for sale.If,however.the building
or improvement 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 he did not build or im- BUILDING USE
prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON Pe Omar
D 1,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑
licensed contractors to construct the project(See.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 /ASS SSORSPARCEL NqOO.'�
and Professions Code:The Contractor's License Law does not apply `66� �'-�/ S2,33to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 (EA.) 1.00 /
contracts for such projects with a contractors)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO.
the Contractors License Law. pq
tea❑on l am exempt under Sec..,B,&P.C.for this WATER HEATER W/VENT 6.00 ns 7ClQS/
Owner Dale WATER SYSTEM 5.00 Q I ACC.GATE ACL.FILE NO.
WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
I hereby affirm that I have a certificate ofconsem to selhinsure, 2ONwG
or a certificate of Workers'Compensation Insurance,or a certified ENG.SITE NO.
copy thereof(Sec.3800,Lab.0 I ��/ fig' 300
Policy No, Company-lIl1IITED-PACIFIC
O C1 Certified copy is hereby furnislicil. FIRESPRINK ENERGY T-24
Certified c is d cit inspection division.
Zp Applicant k R� MISC.- REFER TO ORD. y❑ N❑ Y ❑ No
Xy CF.RTIFICA EOF EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 10.0 FLOOD ZONE A.L.U.C.
LU COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG.
d (This section need not be completed if the permit is for one TOTAL 92.00 y❑ N❑ Y❑ N❑
7 Z hundred dollars IS 100)err less.)
U O 1 certify that in the performance of the work for which this per- QTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL F mit is issued,I shall not employ any person in any manner so as to
U became subject to the Workers'Compensmion Laws of California.
O i Date-Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 455.50
} N NOTICE TO APPLICANT: If,after making this Certificate of Ex.
)... ? son ion,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK 296.08
provisions of the Labor Code, you must forthwith Comply with FEE
U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10MCF.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10PWC.F.M.) 6.00 SEISMIC FEE 76,
1 hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00
the 9 performance of he work for which this permit is issued(Sec. HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM
0
Sacramento S&L
Lender's Name - HEATI NGUNIT(OVER 100,000 B.T.U.)9.50
Lender's Address L(�� f-s-0-L- ELECTRIC
1 certify that 1 hhaa e7d thi pl a I t d state that the above 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 (3 H.P.01'100,000 B.T.U.) 6.0092 00
hereby authorize representatives of this city to enter upon the BOILER-COMP IOvaf 100,000 BTU)SEE F EE SCH. MECHANICAL
above-mentioned property for inspection purposes.
(We) agree to Save, indemnify and keep harmless the City of MISC.- REFER TO ORD. 55.00
Cupertino against Baailities,judgments, costs and expenses which CONST.TAX
may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 1n nn 282.68
grantingo mit. MECH.CONT. LIG.NO. MECH.
TOTAL TOTAL $ 1 ,497.89
Signatur pplic ontmcto� atm 55.00
OFFICE COPY
P Z /• PERMIT EXPIRATION ,
ISI
LOT# PERMIT EXPIRES IF WORK
5 IS NOT STARTED WITHIN
(� + 180 DAYS OF PERMIT ISSU•
CONTRACTOR
—� INSPECTION RECORD ANCE OR 180 DAYS FROM
✓ATE INSPECTOR LAST CALLED INSPECTION.
�, INSPECTION �. NOTE: "IomTVAuuA,iON
FOUNDATION _ �, ALL GRADING AND DRAINAGE SHALL BE INSTALLED
TO COMPLY WITH THE.APPROVED PLANS AND CITY OF
LIFER CUPERTINO STANDARDS.
PREGUNITE
GARAGESLASS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED P
UNDERGROUND FLAB Q ISSUANCE UI?LG MECK
a c, ❑
PLUMBIN ``w`
ELECTRICAL V\`
MECHANICAL DING PERMIT
_ tCuQ INFORMATION
G`W
DO NOT POUR FLOOR UNTIL GORE HAS BEEN SIGNED
�7 VALUhIION
155 coo
"RAW„o
PLUMBING
MECHANICAL STORIES TYPE CONS,R
ELECTRICAL 2 - aJft
FRAMINGRES UNITS
UCC.GHOuv
INSULATION _ r%3 1
�7 1, I �� I E SO.IT.G LOOK AHE A TOTAL ACREAGL
Lb.-Y Sk
PLACE NO SUBFLOORUNTILABOVEHASBEENSI N D NOTE:NOFINALINSRSHALLBEMADEBEFORE 2445
ROOF THE CONSTRUCTION TAX IS PAID RUILD.NG N 05EPR oI
HES IND COE] . O
DIAPHRAGM > C ')f� DATE INSP. ASSSEESSOH PARCEL NO
F SHEATHINGt FINALS
PPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED SAN.a ` i L PARCEL NO
ROUGH _ TIT Aa NO.
ELECT.ENERGY c^,cj .v1
PLUMBING PLUMBING ENERGY - ACC DATE ACC FILE NO
TUBS&SHOWER PAN MECH.ENERGY
T
MECHANICAL BUILDING ENERGY _ - y ' �'
ZONING ENG SITE NO.
ELECTRICAL ELECT.FINAL TEST '
FRAMING _ PLUMBING �` I��' ENERpv r pA
GAS GIHESPRINK O O
INSULATION r-1 r N
Y N❑
GAS TEST MECHANICAL
• a000 zoNL
S
HEATINGN❑.. Y❑ Y
COVER NO WORK UNTIL ABOVE NAL N�
SEEN`I QED ELECTRICAL RELEASE
EXTERIOR SHEAR c,4- - L µ; FIRE DEPT. FEE SUMMARY,
INTERIOR SHEAR G /( ' -L` ' GRADE
BUILDING 972.00
SHEETROCK BUILDING
EXTERIOR LATH TEMPORARY APPROVALS PLAN CHECK 15.5
INTERIOR LATH ELECTRIC FEE 0i1rg
SCRATCH COAT GAS SEISMIC FEE IS 65
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY
BUILDING INSPECTOR MICROFILM
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING F I NA LIS SIGNED BY ELECTRIC 73.13
ARRANGE FOR INSPECTION BY PHONING 73,13
I" Y BEFORE REQUIRED INSPECTION. PLUMBING 73.13
ON. MECHANICAL
po PLEASE GIVE JOB ONE WORKING DAADDRESS WHEN PHONING.ION DATE coPST.TAX 28024
Z = SEE PERMIT FOR EXPIRAT —
IMPORTANT! TOTAL 1570.78
PLEASE READ REVERSE SIDE BEFORE `
CALLING FOR FINAL IN'L CANTS POSTING COPY _