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15026Ly:}i POST THIS CARD NEAR FRONT OF BUILDINJ CITY OF "CUPERTINO INSPECTION DIVISION, JOB INSPECTION RECORD JOB ADDRESS 10070 Pasadena Avenue UNIT# _LOT# OWNER Bryan/Watkins CONTRACTOR rENMIT NUMBER 15026 PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU- , OR 180 DAYS FROM LASTCALLED INSPECTION., INSPECTION DATE INSPECTOR INSPECTION RECORD. FOUNDATIONANCE NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. UFER PREGUNITE PEHMIT VALIDATION DATE -7777 GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED _ UNDERGROUND/SLAB PLUMBING jj: 944 -ISSUANCE ELECTRICAL MECHANICAL PAID - ❑ 777T ® PLG, MECH 4 DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEDp Y 19S BUILDING PERMIT . INFORMATION WOOD FLOOR VALUATION SIFT, PLUMBING WV Df CUp6�1 W MECHANICAL ELECTRICAL 'Z d- PLNM1IIt i0 G' FRAMING sI DNIEs tvPE coNSTH INSULATION c<gi, L LI �D ocG criour RES uNlrs PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED _F0,FT 'FLOOR AREA TOTALACREAGE ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID DIAPHRAGM - BUILDING USE NES IND CON PB • 011„,1 SP 1:1 El ROOF SHEATHING APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. n55 ESSON$PANCEL NO - ROUGH SANA PLUMBING Qn.`` ELECT. ENERGY THncT No vnricEL No , TUBS &SHOWER PKNPLUMBING ENERGY MECHANICAL S - I MECH.ENERGY ACC DATE a ACC FN.E NO ELECTRICAL BUILDING ENERGY FRAMING ELECT. FINAL TEST ZONING ENG. SITE NO, INSULATION PLUMBING 8+ - GAS TEST GAS. �.f• ' FIRE SPFiINK [I NEI ENERGY 7 I [j NE] MECHANICAL loo COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ,5-� FL000 /ONE A u c r L, N� EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT.N� FEE SUMMARY SHEETROCK - GRADE EXTERIOR LATH BUILDING - BUILDING ' INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC -��.. PLAN CHECK FEE ' GAS SEISMIC FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDMG FINALISSIGNEDBY BUILDING INSPECTOR: MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, UJ ONE WORKING DAY BEFORE REQUIRED INSPECTION. O� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z - - SEE PERMIT FOR EXPIRATION DATE ELECTRIC PLUMBING MECHANICAL '�..- CONST: TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY N LL ED,I 0 Oa } rn F- A A APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY " BUILDING PROJECT IDENTIFICATION APPLICATION.& PERMIT BUILDING -ELECTRICAL- PLUMBING -MECHANICAL PERMIT NUMBER -- 150 BnEOING A DOS ESS ✓v ! OWNER'S NAME f3jrVANIWATKl n15 PHGN L� ` VC �o OTY. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION DATE OF APPLICATION CONTRACTOR Mgr, H I'/--LICN.5QZ9 55 UTLETS- SWITCHES -RECEP 10.00/1.00 6- eq ILIGHTING FIXTURES 10.00/1.00 (?to CONTRACTOR'S AODRESa� y/{" --'yl({ PRONE PPLIANCES- RESIDENTIAL 4.00 PANELS IO.00rC� ARCHITECT OR ENGINEER LIC. No, 3 PANELS (DYER 200 AMP) 20.00 S PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 noon ss END ESS SPECIAL CIRCUIT 5,Q0 PAI20.00 PERMIT VALIDATION EMP. METER OR POLE INS. zlv ( A Avv� rvT's !b 0¢7 SCF-= Ao t r- / <__L4 PjF1Z1JAJt)% Q MOTORS EE FE .200 SERVICE CHANGE MAq 0O LICENSED CONIRACTORS DECLARATION ��* I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 on the Business and I'rofessiuns C0 ' my license is in full forty nJ cf'e License ClassA Li C. Number SOZ IJatc 11 -Contrc/J ISSUANCE DATE BLDG. ❑ ELECT. PLG. MECH. BUILDING PERMIT OWNER -BUILDER Oh@LT'RATION I hereby uollo thus 1 ant uxee.7 031.5 I heinessad ors License Law for the following reason.fSec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, ACT, improve, denholish. of repair any Structure, prior to its isousnec, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9lcomn,encing with Section 70001..f Division 3 of the Business and Professlans Code) or that he is exunipl therefrom and INFORMATION MISC.- REFER TO ORD PERMIT ISSUANCE A"o .Z VALUATION $/FT. ELEC. COSTS. LIC. NO. ELEC�p TOTAL/'?/ ` TI PERMIT TO b /-''A� OTY. PLUMBING PERMIT FEE 1 STORIES TYPE CONSTR. the basis for the alleged exemption. Any violation of Section 7031.5 1 by any applicant for a peromlt subjects the applicant to a civil penalty of not more than five hundred dollars (S5001.): ALTER -DRAIN & VENT -WATER (EA.) 5.00 ❑ I, as owner of the property, or my employees with wages as Their sole compensation, will du the work, and the structure is not intended ur offered For ,dc IS". 7044, Business and Professions BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS Z DRAINS -FLOOR, ROOF, AREA, COND. 5.00 Code: The Contractor's License Law does not apply to all owner of property who builds or improves thereon, and who does such work FIXTURES - PER TRAP 5.00 SO. FT, FLOOR AREA TOTAL ACREAGE himself or through his own employees, provided that such uniono- ments are not intended or offered for sale. lC however, the building I GAS - EA. SYSTEM -11NC.40UTLETS 6.00 or improvement is sold within one year of completion, the owner- builder will have the burden of proving that h e did not huild or an prove for purpose ursine.). ❑ I, as owner of the property, am exclusively contracting with liaised contractors to construct the project (Sec.7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who GAS EASYSTEM -OVER 4 (EA.) 200 - . .. BUILDING USE RES IND CON PB Orae, ❑ ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 30.00 LAWN SPR INKLERS - 1 INC 5 V.B. 6.00 ILAWN SPRINKLERS - OVER 5 (EA.) 1.00 ASSESSORS PARCEL NO. contracts for such projects with a conlructorts) licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORME .200ft/10.00 TRACT NO. PARCEL NO. WATER HEATER W/ 6.00 ❑ I am exempt under Sec. .BAP.C. far this mason Owner Date SYSTEM 5.00 WATER ACC.DATE ACC. FILE NO. WORKERS'COMPENSAI ION DECLARATION WATER TREATI I 5.00 1 hereby alfrm that 1 Imve a certificate of Consent to self-innve, or a Certificate of Workers' Compensation Insurance, ..r a certified ZONING ENG. SITE NO. copy thenen'(Sec 3900, LSI,C.I. Policy N. ❑ Certified copy is hereby furnished yq Cc 'fc copy is tiled u), ills - y ins udiun division. App ica '-d- FIRE SPRINK Y N ❑ ❑ ENERGY T 24 V N ❑ ❑ MIS- f- REFER TO ORD. I FICA '1'F OF EXEh1PT10N FROM WO RK Ii RS' PE MIT ISSUANCE 10.00 FLOOD ZONE A.L.V.C. COMPENSATION INSUKANCE 1'I his section need not be completed if the permit is for one Y ❑ N❑ Y ❑ N❑ PLG. COSTS. LIC. NO. I.G.P TOTAL �` QTY. MECHANICAL PERMIT FEE FEE SUMMARY Imndred dollars IS 100) or less.) 1 certify that in the performance of the work for which this per- Mit is issued, I shall not employ any person in any manner so as to BUILDING become suhjuct to the Workers' Compensation Laws of Gdifornii. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 PLAN CHECK emption, you should become subject to the Workers Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this pcnnit shall be deemed revoked. FEE AIR HANDLING UNIT (TO CF. M,1 4.00 AIR HANDLING UNIT( C.EM.16.00 SEISMIC FEE ' CONS'I'R UCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for !S EXHAUST HOOD (WITH DUC 5.00 the pert...... race ..f the work far which this pern.it is issued (See 3097. Civ. C.1. Lender's Name S HEATING UNIT ( 0, O 6. .U.) 8.00 MICROFILM HEATING UNIT I R10 QQ 9.50 VENTILATION FA L 4.00 SM ELECTRIC Lender's Address 1 certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state I3WS relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. r PLUMBING BOILER -COMP (3 H.P. or 100,000 B.T.U.) 6.00 BOILER -COMP (Over 100,000BTU) SEE FEE SCH, ^ MECHANICAL ( G MISC. - REFER TO ORD. (We) agree to save, indemnify and keep hurndess the City of uPerlino_ against liabilities, judgments, costs and expenses which ay in any way accrue against said City in consequence of the CONST. TAX PERMIT ISSUANCE 10.00 �� MECH. CONT. LIC. NO. MECH. TOTAL 904 a TOTAL 33i SO ranting of Llus pc nut. m reol'Applicant/Contractor Late OFFICE COPY