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13116.' Y li ' POST THIS CARD NEAR FRONT OF BUILDING CITY SOFTION CUPERTINO .. ,INDIVISION JOB INSPECTION RECORD >� 1064 WESTLYNN AVE JOB ADDR ESS UNIT# LOT OWNER CONTRACTOR CONDOR CONSTRUCTION PERMIT NUMBER 13116 .PERMIT EXPIRATION rA OK EXPIRESHAM. I Y STARTED] WIVTHR N 180 DAYS OF PERMIT ISSU- LANCE OR 180 DAYS FROM LAST CALLED INSPECT] ON. INSPECTION DATE INS ECTOR INSPECTION RECORD FOUNDATION rr[ p .'y4a GCS (i UFER E S _K -� _ �� r O - 11 PERMIT VALIDATION ti.� . IlUcl 7 t�) b l ' ISSUANCE DATE DA POUR NO CONCRETE UNTIL ABOVE HAS B SIGNED -UNDERGROUND/SLAB PLUMBING ELECTRICAL MECHANICAL ocOf �LEci. R PLG. MECH. IO DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION SIFT PLUMBING ,IT MECHANICAL- TOELECTRICAL.FRAMING P NSTR.INSULATION- •I,RES, •204cy UNITSPLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNEDROOF TOTAL ACREAGE DIAPHRAGM ' 1 BUILDING USE RES IND CON PB DIEL ❑ ❑ ❑ ❑ F-1 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ROUGH ASSESSUHS PARCEL NO. PLUMBING (� �'• GAS TEST MECHANICAL TRACT NO. PARCEL NO. ELECTRICAL - - O- FINALS DATE ]NSP. ACC, DATE - ACC FILE NO. FRAMING SAN n - INSULATION PLUMBING . Z OMNG ENG. SITE NO. GAS MECHANICAL , FIRE SPRINK Y ❑ NEJ ENERGY T24 Y ❑ NEI COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING LATH -INTERIOR ELECTRICAL FLOOD ZONE Y[-] NE] A.L.U.C. y N� LATH -EXTERIOR FIRE DEPT. SHEETROCK,I GRADE' FEE SUMMARY SHEAR INTERIOR O (.iL BUILDING - BUILDING �f'• •� SHEAR EXTERIOR TEMPORARY APPROVALS FIREWALLS ELECTRIC PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY I- SEISMIC FEE 1 OCCUPANCY OF BUILDING ISNOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. , MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, o�' ONE WORKING DAY BEFORE REQUIRED INSPECTION. Z PLEASE GIVE JOB ADDRESS WHEN PHONING. -SEE PERMIT FOR EXPIRATION DATE - ELECTRIC PLUMBING ' MECHANICAL CONST. TAX IMPORTANT! PLEASE READ REVERSE SIDE BEFORE CALLING FOR. FINAL INSPECTION. TOTAL OFFICE COPY 1 i r � 4 °f 10/20/93 PERMIT INSPECTION ACTIVITY FOR PERMIT Y 13116 R 1064 WESTLYNN LL 9L sL INSPECTION CATE60RY 311 4/03/90 SHEETROCY, WA P INSPECTION CATEGORY 313 .° 1/14/91 INT LATH Jd P ELECTRIC,SERVICE NOTICE P.G bE. COPY BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO To You ore hereby authorized to Connect electrical service for Owner or Tenant No. of Wires _ Size of Wires Size of Switch Motor Load I Voltage Phase Hearing Lood K. W. Voltage 5'12RViYq Light II0_New Service Reconnect No. of Meters Heat 120_ihree Wire More Service_ No. of Add. Meters Power ^ Three Phase Move Meter. �• ELECTRICAL INSPECTOR 4�/- '•�////17l/J^ APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT I IDENTIFICATION APPLICATION & PERMIT BUILDING ELECTRICAL- PERMIT NUMBER 13116 BUILDING ADDRESS A96lsr� N��k OWNERS NAM /� e��/ PHON DTV. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION DATE OF APPLICATION NAMrflacraRs NA 0.Y/ CCIVIAX LIC. NO.T/f� UTLETS-SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10,00/1.00 CONTRACTOR CONTRAS I' Jas �J/'/( HONE a»1-7 PPLIANCES- RESIDENTIAL 4.00 PANELS 10.00 ARCHITECT I- OR ENGINEER Llc. NO, PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 AHC" OR ENG, ADDRESS ZIP SPECIAL CIRCUIT 5,00 PERMIT VALIDATION e fl)LI r '�(},�%� ' ISSUANCE DATE EMP. METER OR POLE INS. 20.00 APPLICANT SN$ ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICENSED CONTRACTORSDECLARATI I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code d my license is in full fort e License Cla L Lie. Number' Dale- Contractor r OWNERI am exempt I hereby affirm that I am exempt from the Contractor's License from Cont Law for the following reason. (Sec. 7031.5, Businessand Professions Code: Any city or county which requires a permit to Construct, alter, improve, demolish, or repair any Structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant t0 the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (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 does such work himself or through his own employees, provided that such improve ments are not intended or Offered for sale. If, however, the building 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- prove for purpose of sale.).INDUSTRIAL ❑ 1, as owner of the property, am exclusively contracting with licensed 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 contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law. ❑ lam exempt under Sec.., BAP.C. for this reason e L CT. vI PLG. MECH. "'® ❑ BUILDING PERMIT INFORMATION MISC. - REFER TO ORD VALUATION 51 ePPIfY7 1-0 $/FT. PERMIT ISSUANCE 10.00 ELEC. CONTR. LIC. NO. ELEC. TOTALPERMIT DTV. PLUMBING PERMIT FEE TO STORIES JV TYPE CONSTR. ALTER -DRAIN & VENT -WATER (EA.) 5.00 BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AR EA, COND. 5.00 F IXTUR ES - PER TRAP 5.00 SO. FT. FLOOR AREA TOTAL ACREAGE GAS-EA.SVSTEM-11NC.40UTLETS 6.00 GAS - EA. SYSTEM -OVER 4 IEA.) 2.00 BUILDING USE RES IND CON PB Other,. ❑ ❑ ❑ ❑ ❑ WASTE INTER3000 . LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 LAWN SPRINKLERS - OVER 5 (EA.) 1.00 ASSESSORSPARCEL NO. SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO. WORK F.RS'COMPF.NSATION DECLARATION 1 hereby affirm that 1 have a certificate ofbunsenl to self -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab.C.I Policy No. Company WATER TREATING EQUIP. 5.00 ZONING ENG. SITE N0. Cl C�$$�'ffledmpyishtGbyfm5i,ded. �r aCCertified p y is Bled with re mspedo division. APPlicant MISC.- REFER TO ORD. FIRE SPRINK v ❑ N ❑ ENERGYTR4 Y ❑ N ❑ CE KATE OF EXEMPTION FROM wf9Kr,RS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less.) I certify that in the performance of the work for which this per. mit is issued, IShall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date ApplicantALTER NOTICE TO APPLICANT: If, after making this Certificate of EX. emption, you should become subject to the Workers' Conipensal ion provisions of the Labor Code, you must forthwith comply with such provisions or this Permit shalt be deemed revoked CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, CN.C.). Lender's Name PERMIT ISSUANCE 10,00 FLOOD ZONE Y ❑ Nol A.L.u.C. Y ❑ N❑ PLG. CONTR. LIC. NO. PLG, TOTAL OTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING eV OR ADD TO MECH. 5.00 APPLIANCE 5.00 PLAN CHECK FEE AIR HANDLING UNIT (TO 10MC.F.M.) 4.00 AIR HANDLING UNIT (OVER 10DWC.F.M.) 6.00 SEISMIC FEE -67` 19 EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 HEATI NG UNIT (OVER 100,000 B.T.U.) 9.50 ELECTRIC Lender's Address I certify that l have read this application and state that IIIc above information is correct. I agree to comply with all city and County ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City Of Cupertino against liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of the granting of this permit. VENTILATION FAN (SINGLE) 4.00 PLUMBING BOILER- COMP I3 H.P. or 100,000 B.T.U.1 6.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL MISC. - REFER TO ORD. CONST. TAX PERMIT ISSUANCE 10.00 MECH. CONT, LIC. NO. MECH. TOTAL TOTAL Signature of Applicant/Contractor Date OFFICE COPY