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13751 POST THIS CARD NEAR FRONT OF BUILDING t' CITY OF CUPERTINO PERMIT NUMBER INSPECTION DIVISION 751 JOB INSPECTION RECORD PERMIT EXPIRATION JOB A DOR ESS 'o PA" .��P..✓g. e� UNIT# LOT# PERMIT EXPIRES IF WORK OWNER �� ep 0 G.Q. V/gn CONTRACTOR IS NOT STARTED WITHIN INSPECTION -DATE INSPECTOR INSPECTION R CORD 180 DAYS OF PERMIT ISSU- FOUNDATION ^% ANCE OR 180 DAYS FROM UFER sw I C� IASTCALLED INSPECTIONI PREGUNITE PERMIT VALIDATION PAID POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB DEC 3`01987 PLUMBING ELECTRICAL CI MECHANICAL BLDG. ELEC . MECH. ❑' ❑ ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION VALUATION $/FT. PLUMBING MECHANICAL $ $97f000.00 PERMIT TO ELECTRICAL , . FRAMING INSULATION STORIES TYPE CONSTR. V •�• •� Dy OCC GROUP RES,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED 4LhuAl 0 , ROOF SO,PT FLOOR AREA TOTAL ACREAGE DI APHRASM BUILDING USE RES IND CON PB Olhrr APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑ ASSESSORS PARCEL ROUGH NO.- _ PLUMBING TRACT NO. PARCEL NO GAS TEST MECHANICAL IIA6 ' =SAN-* ACC.DATE ACC.FILE NO ELECTRICAL INSP. FRAMIN F I 'J INSULATIO ga ZONING ENG.SITE NO. FIRESPRINK ENERGY T 2A COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ❑ "❑ ❑ "❑ ELECTRICAL FLOOOZONE A.L.0 C. LATH-INTERIOR 3 LATH-EXTERIOR FIRE DEPT. Y❑ N❑ Y❑ N❑ SHEETROCK _ GRADE FEE SUMMARY SHEAR INTERIOR BUILDING SHEAR EXTERIOR TEMPORARY APPROVALS BUILDING 424.00 FIREWALLS ELECTRIC FEEPLAN 9HICK GAS ROO NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE 6.79 OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC 14kitIO LU� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 92.00 O PLEASE GIVE JOB ADDRESS WHEN PHONING. Z - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL 51.00 IMPORTANT! CONST.TAX 282.68 PLEASE READ REVERSE SIDE BEFORE TOTAL 1 434.0 CALLING FOR FINAL INSPECTION. OFFICC COPY CD N I P.G.&E, Lr) CITY OF CUPERTINO COPY GAS SERVICE NOTICE E � 9 E ' LL To I You are hereby authorized to connect the GAS service for Owner or Tenant At-1161a� - C / Cr GT LwT © xU GLS o New Service 8 No. of Meters Reconnect N Move Service No. of Add. Meters A e Meter v � PLUMBING INSPECTOR CA ©» APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER • BUILDING LOT# 42 • B APPLICATION & PERMIT 13751 A11ncRi563 MorningS rim Court BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S5 PLAN CHECK VALIDATION M • NAME GREGORY GROUP, INC. -2100 OTY. ELECTRIC PERMIT FEE PHONE CONTRACTORS 86 OUTLETS-SWITCHES•RECEP70,0011,00 B6.0 NAME B-430097 Same LIC,NO. LIGHTING FIXTURES 10.00/1.00 CONTRACTOR s220-C Twin Dolphin Dr. 3 PPLIANCES-RESIDENTIAL 4.00 1 ADDRESS CA 94065 415 PHONE 595-2100 PANELS 10.00 DATE OF APPLICATION ARCHITECTARAM BASSENIAN, AIA PANELS (OVER 200 AMP) 20.00 PLAN-CHECK P.C.NO. OR ENGINEER & ASSOCIATES LIC.NO. { SIGNS TRANS. 3.00 ARCH.OR ENG, r0 99(Ilio Westerly Place #170 SPECIALCIRCUIT 5,00 LIGATION 3 AOOR ESS ZIP EMP.METER OR POLE INS. 20.00 /�^� EEyy ADDRESS S C Twin 1phin Dr. MOTORS SEE FEE SCH. 6.DD DE�yf0UT� AODREss �Q CA 9455 SERVICE CHANGE 20.00 /,,t\ w M O Vr LICENSED CONTRACTORS DECLARATION City CU�IBIIIOO a v u I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE z w (commencing with Section 7000)of Division 3 of the Business and z i Professions Code, d my license is in full force and effect. BLDG. ELELT. PLG. MECH. Z O',3 - License Class_ Lic.Number �-. o y H w Date�A 2 - Contractor e7Or- BUILDINGPERMIT ¢ ¢i OWNER-BUILD ER DECLA TION X H I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD INFORMATION �Lo¢ Law forthe following reason,(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 0.00 VALUATION S/FT. � N0 Code:Any city orcounty which requires a permit to construct,alter, 2 a ¢ O improve,demolish,or repair any structure,prior to its issuance,aim ELEC.CONTR. LIC.NO. ELEC. $$97,00 0.00•DD y S O u requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO w m w he is licensed pursuant to the provisions of the Contractor's License Hi> Law(Chapter 9(commencingwith Section 7000)of Division 3 ofthe (, jvL 4 o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE IS r$ the basis for the alleged exemption.Any violation of5e<tian 7031.5 STORIES TYPE'CONSTR. i ; - by any applicant for a permit subjects the applicant o a civil penalty ALTER-DRAIN -WATER (EA.) 5.00 SN of not more than five hundred dollars($500).1: ❑ 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 REQ.UNITS intended or offered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00 �j 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 5.E0-5570 S0.FT.FLOOR AREA TOTAL ACR EAGE himself or through his own employees,provided that such improve- mentsare not intended or offered for Sale.If,however,the building GAS-EA.SVSTEM-1 6.00 6,0 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM•OVER 4 (EA.) 2.00 BUILDING USE builder will have the burden of proving that he did not build or im- prove for purpose ofsale.). INDUSTRIAL WASTE INTER. 30.00 RES Ovh ESS IND CON PB er ❑ 1,as owner of the property,am exclusively contracting with I , E] ❑ E] ❑ licensed contractors to constructthe project(Sec. 7044,Business LAWN SPR IN K LERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law does not apply c to an owner of properly who builds or improves thereon,and who LAWN SPRINKLERS•OVER 5(EA.) 1.00 �' 6•-/" .3,1 3d- 3 contracts for such projects with a contractors)licensed pursuant to l SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. / the Contractor's License Law. PARCEL NO. ❑ lam exempt under Sec. ,B.&P,C.for this 1 WATER HEATER W/VENT 6.00 6.0 -7 reason Owner Dale 1 WATER SYSTEM 5.00 on ACC.DATE ACC.FILE NO. WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that 1 have a certificate of consent to self-insure, or a certificate of Workers Compensation Insurance.or a certified ZONING ENG.SITE NO. copy thereof(See.3800,Lab C.I Policy No._Company-United_PaC.1.-f-1-C- 0 ❑ Certified copy is hereby furnished FIRE SPRINK ENERGY T-Z4 Z� )P Certified W1. led will city inspection division. MISC.• REFER TO ORD. APplteam Y❑ N[3 v ❑ No h CERTII71 E01:EXEMPTION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. LU �_ COMPENSATION INSURANCE PLG.CONTR, LIC.NO. PLG. CL (This section need not be completed if the permit is for one TOTAL 92.00 Y❑ N❑ Y❑ N❑ 02 hundred dollars IS 100)or less.) U O 1 certify that in the performance of the work for which this per. DTV. MECHANICAL PERMIT FEE FEE SUMMARY LL H mil is issued.I shall not employ any person in any manner so as to V become subject to the Workers'Compensation Laws of California. Q y Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 424.00 } Us NOTICE TO APPLICANT: If,after making this Certificate of Ex- F z emption,you should become subject to the Workers'Compensmion APPLIANCE 5.00 20.00 PLAN CHECK Q7�j•00(0 provisions of the Labor Code, you must forthwith comply with U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,00DQF.M.) 4.00 FEE /P_ner r60 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=0C.@M.) 6.00 SEISMIC FEE 6.79 1 hereby affirm that there is a construction lending agency for 1 EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec, HEATING UNIT(TO 100,000 B.T.U.) 6.00 MICROFILM 3097,Civ.CA 1 Lender's Name Sacramento S&L HEATING UNIT(OVER 100,000 B.T.U.19,50 Lender's Address f _p�t�S�� " l.o-1- ELECTRIC 142.00 1 certify that I epd oppl �jW[LsAI state that the above 2 VENTILATION FAN (SINGLE) 4.00 g nn information is correct. I agree to comply with all city and CountyPLUMBING 92,00 ordinances and slate laws relating to building construction, and BOILER•CONIP(3H.P.or100,000B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP(Over 100,0008TU)SEE FEESCH. MECHANICAL above-mentioned properly for inspection purposes. 51 .00 (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE CONST.TAX 282.68 may in any way accrue against said City in consequence of the 10.00 10.D0 granting of this ermtl MECH.CONT. LIC.NO. MECH. TOTAL 51 .00 TOTAL signature ant/Contractor Date $ 1 ,434.0 OFFICE COPY g r I SPC6TIory Blur Boa r SECTIO Jo / •,; ,-NSP ON'RECORD7„��„a.; c .+' B ADDRESS � • �o ��UNIi$k .,/1 1 PERMIT INSPECTION lLOTyf ^T�CJ ERPIRATIONtI�'' 4u!” FOUNDATION DATE CONTggCTOq INSPECTOR PERMIT EXPIRES IF UFER - - INSPECTION IS NOT START WORK PREGUNITE •;3� RECORD ED WITHIN 180 DAYS OF PERMIT ISSU. ANCE OR 180 DAYS FROM LAST CALLED INSPE POUR NO CONCRETE UNTIL ABOVE CTION- HAS BEEN SIGNED PERMIT VALIOATION PLUMBING UNDERGROUND /SLAB p ELECTRICAL "7��a/rrj PAID MECHANICAL DEC 3 01907 DO NOT POUR FLOOR UNTIL ABOVE H eTuc ` T i WOOD F AS BEEN SIGNED ❑ M PLUMIOOR ECNBING ❑ ❑ ❑ MECHANICAL i B IU LDING PEpjHji ELECTRICAL INFORMATION FRAMING VALUATION INSULATION �✓ RL 7Y .�J _ L PERMIT ip ' PLACE NO SUBFLOOR UNTIL / 6 .6 s.oales TYPE CONS IR ABOVE HAS BEEN SIGNED OIAPRRAGM ROOF :OCC.cgpuP AES UNITS AP J K sD FT FLOOR AREA NO ROOFIN NG G UNTIL ABOVE HAS BEEN SIGNTOTAL ACgEAOE LU ED ROUG qF1)1NG USE AS TEST -•�j IND❑ CDN " Dm., ECHANICAL / ASSESSOR�gCEaO .ECTRICAL AMING - T .,''� L I, nvACT No. iULA710N �I'!1_d�" FINALS PARCEL NO i _ �l• SAN u - DATE INSP• ACC DATE ACC FILE NO PLUMBING /q� GAS /3�� ZONING I IN RI WORK UNTIL ABOV MECHANICALENG.SI TE NO. i—INTERIOR E HAS BEEN SIGNED I 1-EXT '�' -S• HEATING - FIRE SPgINA ENERGY TRO '- _SET ELECTRICAL i r❑ N[I Y N O'CL(' T F R IN ERIOR:?LNwpIuM ^7_Z, T FIRE DEPT, LOOD ZONE a � c i 3 EXTERIOR w h -J _s-.'• '\a.`C GRADE I •0 No rA 'ALES -� Si� BUILDING N❑ .i r •� .LC TEMPSUMMARY (�_ FEE SUMM T L� f, ORARY 0 ELECTRIC PPRDVq Igv� eUILDING PE 0 p-"I tH UNTI ABOVE HAS BEEN SIGNED �NCY OF BUILDING IS NOT PE GAS - - •gin �„'!' RMITTED OCCUPANCY PLAN HECK OCCUP FEE IiH!:I•(•� UNTIL QUILDINC FINAL I. II L IS SIGNED BY BUILDING INSPECTOR, SEISMIC FEE ARRANGE FOR INSPECTION BY P I�.( ONE WORKING D HONING MICROFILM PLEASE GIVE JOB Y BEFORE REQUIRED INSPE 505 ADDRESS WHEN PHONING CTION. ELECTRIC ; _ — SEE PER FORE , � I EXPIRATION PLUMBING ,L F.AptC: N DATE — IMPORTANTI - MECHANICAL IF ,(I!I PLEA CALLING FpREVERSE RE RFINSIDEBEFO CONST. TAX k.,,f,T, AL INSPECTION " 'fa APPLICANTS POSTING COPY TOTAI I J