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15322 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY 'OF CUPERTINO 15322 INSPECTION DIVISION JOB INSPECTION RECORD /,, / PERMIT EXPIRATION JOB ADDRESS � ' ""^w `) UNIT# _LOT# f / - ' PERMIT EXPIRES IF WORK OWNER ..[ CONTRACTOR VA L� 'per IS NOT STARTED WITHIN , INSPECTION DATE I INSPECTOR INSP CTION RECORD 1BB DAYS OF PERMIT ISSU- i .. FOUNDA,TION -• + - NOTE: '• - ANCE-OR 180 DAYS FROM UFER ALL GRADING AND'DRAINAGE SHALL BE INSTALLED LAST CALLED INSPECTION. PREGUNITE TO COMPLY WITH.THE APPROVED PIANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS - - - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING ELECTRICAL ISSUANCE DATE MECHANICAL BLDG. ELECT. PLG. MfE�CH, .. ❑I -❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT • INFORMATION s WOOD FLOOR' , VAI.UgnON STFr: PLUMBING •'++... ,nq, MECHANICAL ELECTRICAL - - PERF Tro ria FRAMING - Al 'B+rW INSULATION - STORIES TYPE CONSTH. mdl ` - OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ROOF NOTE:NO FINAL INSP.SHALL BE MAVE`BR—F. RE SIT FT ROOK AREA TOTAL ACREAee ••- DIAPHRAGM THE CONSTRUCTION TAX IS PAID , ° BUILDING USE ROOF SHEATHING a hb7 I IND' ;'CON 'PB APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATINSP. El 11 El ❑ I'' 1:1E e i'}13 ROUGH SANASSESSORS PARCEL NO ' .N � f CUQc" ' PLUMBING ELECT.ENERGY - TUBS'B SHOWER PAN PLUMBING ENERGY TRACT NO PARCEL'NO MECHANICAL MECH.ENERGY A .l ELECTRICAL' � - BUILDING ENERGY °¢ ;""IC'DATE ACC FILE NO., FRAMINGB ELECT.FINAL TET y-�� 1' ,ZONING ENG.SITE NO. INSULATION PLUMBING 'S �8 GAS TEST GAS - MECHANICAL �jf - ..11 ❑RE sPRINK ENERGY T 2 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ NY ❑ N❑ fLOOU)ONE A,L UC, EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. '' ❑ N❑ .v ❑ N❑ SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH - BUILDING INTERIOR LATH - - TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK • GAS FEE ' NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE- OCCUPANCYOFBUILDINGISNOT,PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM LU ARRANGE FOR INSPECTION BY PHONING�252-4505,' ELECTRIC 0 '. ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 0 PLEASE GIVE JOB ADDRESS WHEN PHONING. z MECHA ANICL (Ja' - SEE PERMIT FOR EXPIRATION DATE - - -IMPORTANT! ) CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY tY 'APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU I LDING PROJECT I DENT]FICATI ON .PERMITNUMBER I BOILDINc -�^'� q � ' APPLICATION & PERMIT C f� ADDRESS I2"""N� Ly-� BUILDING -ELECTRICAL-PLUMBING-MECHANICAL J G OWNER'S 1 , - PLAN CHECK VALIDATION AM Luuzz P-o. OTY. ELECTRIC PERMIT FEE CONTRACTORS UTLETS-SWITCHES-PIECED 10.00/1.00 uc.N LIGHTING FIXTURES 10,00/1A0 CONTRACTOR'SO Y'�, 1 APPLIANCES-RESIDENTIAL 4.00 ADO �J I 1 FRONa94 PANELS 10.00 DATE OF APPLICATION ,r OgcerrecT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.0 0. ENGINEER ARCH.OR LIC.No, SIGNS TRANS. 3.00 ADDRESS ENG. - $PECIALCIRCUIT 5.00 PERMIT VPLIDATION ZIP TEMP.METER OR POLE INS. 20.00 ' ARMOTORS SEE FEE SCH: ADDDDRESSESS •-�J SERVICE CHANGE 20.00 Foo LICENSED CONTRACTORS DECLARATION rtw y v G I hereby affirm Ilial I run licensed under provisions of Chapter 9 �n ISSUANCE DATE F- a n (commencing with Section 7000)of Division 3 of the Business and ' gyp" of - "BLDG. ELECT. PLC. MEGH. zr H z Professions Co L�a nse is in f all' •�� ❑ ❑ h'�T{vl o w - Liceas n Lic.Nunlbcr El a m r� Date Contractor ' a m 1 BUILDING PERMIT OWNER-BUILDER UIiCLAR o a tr INFORMATION w.; I- I hereby allirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD Loa Law for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10.001VALUATION w Code:Any City or county which requiresapermit toem,strue alter, SE ¢ Q D improve,demolish,or repair any structure,prior In its issuance,also ELEC.CONTR. LIC.N0. - ELEC. D LL requires islicensed the applicant t t the permit to of to Signed statement Li nse TOTAL pE{�tA1]TO n w m he is liconsed pursuant to the provisions of the Contractor's License / F z r Law(Chapter 9(commencing with Section 7000)n1'Division 3 of the 4 o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE ¢ I- $ the basis for IIIc alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. T. by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN& VENT-WATER'(EA.) 5.00 of not mom than five hundred dollars(5500),1: ❑ 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,CON D. 5.00 Code:The Contractor's License Law does not apply to an owner oI' property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00S Q.FT.FLOOR AREA TOTAL ACREAGE Himself or through his own employees,provided that such inmrovo � • mems are not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-11 NC.4 OUTLETS 6.00 - or improvement is sold within one year of completion,the owner builder will have the burden of proving that he did not build or Hit- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Omar C) 1,as owner of the property,ani exclusively contracting with C1 ❑ D ❑ ❑ licensed Contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. _ unit Professions Code:l'he Contractor's License Law does 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 cnntmmorts)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT N0. PARCEL N0. ❑ I am exempt under Sec. ,B.&P.C.for this WATER HEATER W/VENT 6.00 reason Owner Date WATER SYSTEM 5.00 ACC:DATE ACC.FILE NO. WORKERS'COMPF-NSATION D['CLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate ofconsent to self-insure. I,,a certificate of Workers'Compensation In runfff(((�� or a seri if I ZONING -ENG.SITE NO. 4bpY t rnnCy rAcp O •rlifeit on ¢hereby funds ted. FIRE SPRINK ENERGY T-24 Z Z Certif•d -�•� Oled\wy y In ecuon division. MISC.- REFER TO ORD. F O Applicant U �l - y � -N� y � N� fLy CER'I'I FICATEO�IiMMION PROM WO KFRS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. LU J COMPIiNSATION INSURANCE PLG.CONTR. LIC.NO. PLG. 0.Z (This section need not be completed if the permit is for one TOTAL Y N�, Y E] NC] hundred dollars($100)or Iess.) U O 1 certify that in the performance of the work for which this per- DTV. MECHANICAL PERMIT FEE FEE SUMMARY LL F- mit is issued, I shall not employ any person in any manner so as to Ubecome subject to the Workers'Compensat ion Laws ol'Calil'omiu. a Date Applicant - BUILDING >_ W NOTICE TO APPLICANT: If,after making this Certificate of lix- ALTER OR ADD TO MECH. 5.00 ♦- Z emption,you should become subject to the Workers'Coinpensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, You must forthwith comply with FEE CJ such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 ' CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.EM.) 6.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 (he performance Iif the work for which (his permit Is issued(Sec. MICROFILM 3097,Civ CA HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address NELECTRIC I certify[hat I have read this application and slate that the above VENTILATION FAN (SINGLE) 4.00 informat• ordinances n suit,t I agree to comply with .ccity and County BOILER-COMP(3 H.P.Of 100,000 B.T.U.) 6.001PLUMBING ordinances and stain laws relating to buwith cons ruction, and hereby mentioned o ed representatives of this city es enter upon theabove BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL hereby propertyforinsp of this purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX ay in any way accrue against said City in con ponce of(be F of this pernit �x g ECH.CONT. LIC,N0. MECH. V( �LI J TDIAL /g0p TOTAL` St n I co Applicant/Confrnctor D to O OFFICE COOV