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17296POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD / -/ JOB ADDRESS l /v' VV e�SI—UNIT# _LOT# OWNER V a-/ � P( r'— CONTRACTOR PERMIT NUMBER 7296 PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU- OR 180 DAYS FROM LAST CALLED INSPECTION. s INSPECTION DATE INSPECTOR INSPECTION RECORD FOUNDATIONANCE NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. UFER PREGUNITETO ' PEHNUT VALIDATION 'T ISSUANCE DATE GARAGE SLABS.1f POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED MAR 2. U 1z),• UNDERGROUND/SLAB PLUMBING city of CDpef o ELECTRICAL MECHANICAL �/; ' 3'� ol.� �J C�-.��EJ' k,943 3-30-89- nl.�--W/uFiL� BLDG rvv ELECT ❑ PEC, MEa+ . ❑ ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Qi 1}\ BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION SIFT. ° I,q oo,o V PLUMBING �/-L[ (i MECHANICAL ELECTRICAL PEHNm TO FRAMING INSULATIONy S> o \� STORILS 3 Y E CtNSTR nn OCC GHOUV RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID . SO IT FLooR AHCA TOTAL AcaencE DIAPHRAGM ROOF SHEATHING BUILDINGUSE HES IND 'ON PB El ❑ ❑ ❑ F-1 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO ROUGH _ SAN.# - PLUMBING ELECT. ENERGY rHna NO PnI+CEL NO TUBS 8 SHOWER PAN PLUMBING ENERGY MECHANICAL MECH. ENERGY ELECTRICAL . L(- BUILDING ENERGY ,- 9_ T ACC DATE ACC PILE NO FRAMING' 3-3p-- - ELECT. FINAL TEST ZONING ENG. SIIe NO. . INSULATION PLUMBING' GAS TEST - GAS FIRE SPRINK Y ❑ N❑ ENERGY h:< ❑ NE] MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD zorvE Y 0 No ALU c. I ❑ N❑ EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. SHEETROCK - GRADE FEE SUMMARY EXTERIOR LATH BUILDING BUILDING Z7-le0: INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC . PLAN CHECK FEE •�' GAS' SEISMIGFEEj, I N N NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED ICCCUPANCY OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR.s MICROFILM ..— ARRANGE FOR INSPECTION BY PHONING 252-4505, I_ ONE WORKING DAY BEFORE REQUIRED INSPECTION. o0 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 14-0 OFFICE COPY D.z FOO QUU yZw Qa Ln 0 0ow E a w u w3LL� H oa BE E.4E ca 6wm u r a, a siD pro El A !0 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY + n BUI WI NG PROJECT IDENTIFICATION `� /70 APPLICATION & PERMIT ILDING- ELECTRICAL- PLUMBING - MECHANICAL PERMIT NumeER (� [� J C7 BUILDING _ AD SE /Do�SC> U '�� i OWNER'S ,/f�D NAME , `AzIo/J�a' ,/ vRS /.7/(,1 PHONE QTY. ELECTRIC PERMIT FEE PLAN CHECK VALI AU0N rT1J lOh 7 \ ✓ i U NAM[RADTDRs UTLETS-SWITCHES -RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 LIC. NO. CONTRA ADDRESS OR's - PPLIANCES- RESIDENTIAL 4.00 PANELS 10.00 PHONE DATE OF APPLICATION t ARCHITECT OR ENGINEER Llc. NO. PANELS (OVER 200 AMP) 20,00 PLAN CHECK FEE P.C. NO. ISIGNS TRANS. 3.00 Doo ess EENG. em SPECIALCIRCUIT 5.00 PERMIT VALIDATION 3 -2D �(f/ �1 J u EMP. METER OR POLE INS. 20.00 APPLICANTS ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 LICENSED CONTRACTORS DECLARATION MAR 2 I hereby affirm that 1 tun licensed under provisions of Chapter 9 ISSUANCE DATE (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in Hdl (Urea and ,(feel. License Class Lie Number BLDG. ,r J, IY�L-TI- ELECT. ❑ PLG, MECH. ❑ ❑ Dalc Conlrucmr -Iw BUILDING PERMIT OWNER -BUILDER DECLARATION 1 hereby ,)Count that 1 am exempt from the Contractors License Professions Law [of the ity followingreason.whi((Sec. 7031.5. a permit Code: Any city or county wh ich requirese permit lo,onsuanc . also Or for su any rolllctufe, prior to Its issuance. t ISO improve. he1a applicant requires the dP ursu it for such permit to file a signet statement i that pursuanttothe withSectiof the Contractor's License haws (Chapter Law (Chapter 9 (commencing with Section is e0v of Division 3 of the Business and Cute) or that he is exempt therefrom and INFORMATION MISC.- REFER TO ORD VALUATION 10) MTS PERMIT ISSUANCE 10.00 ELE0. CONTE. LIC. NO. ELEG TOTAL PERMIT TO � 1 �� l.,E �� QTY. PLUMBING PERMIT FEE STORIES TYPE CONSTR. the basis for 01n ,)paged exemption. Any violation of Section the fie alleged malty by any applicant fora permit dollars S500).licam loacivil penalty of not mon than five hundred Collars (SS00).): ALTER -DRAIN -WATER IEA.) 5.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation. will do the work, and the structure is not BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 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 FIXTURES - PER TRAP 5.00 50. FT, FLOOR AREA TOTAL ACREAGE himself or through his own employees, provided that such improve- ments are not intended or offered lot sale, If, however. the building GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or Reprovement is sold within one year of completion, the owner- builder will have the harden of proving that Int did not build or un - prove for purpose of sale.). ❑ I, as owner of the property, am ,x Clusively Contracting with GAS - EA. SYSTEM -OVER 4 IEA.) 2.00 BUILDING USE RES IND CON vR Olbe, ❑ ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 A5545SURS PARCEL NO. licensed contract,),, In construct the project (Sec. 7044, Business and Professions Code :'1'he Conlruclors License Law does not apply to an owner of properly who builds or improves thereon, and who LAWN SPRINKLERS - OVER 5 (EA.) 1.00 contracts forsuch projects wilh a amtmctods) licemed pursuant to The Con tractor's License Law. SEWER-SANITAR V -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO. ❑ I oro exempt under See_. ,BAP. C. for fills reason WATER HEATER W/VENT 6.00 Owner al WATER SYSTEM 5.00 ACC.OATE ACC. FILE NO. Wo :25 CONIPIiNSATION DECLARA ,'Y67 . WATER TREATING EQUIP. 5.00 I hereby affirm that I have a senificaro of consent io set Ginsure• or a ceNifieme of Workers' Compensal ion Insurance. or a certified ZONING ENG. SITE NO. copy thereof (Sec. 3800, Lab.C.l. Policy No. Company FIRESPRINK ENERGY T-24 ❑ Certified copy is hereby furnished. ❑ CertiOed copy is filed with the city inspection division. Applicant Y ❑ N❑ Y ❑ N❑ MISC. - REFER TO ORD. CERTIFICATE OP r x E:N1PTION FRONI WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.UC. PLG. CONTE. LIC. NO.PLG. TOTAL COMPIlNSATION INSURANCE (This section need none mo be completed if the permit is for o Y❑ No YE]N❑ QTY. MECHANICAL PERMIT FEE FEE SUMMARY hundred dollars (S 1001 or Iess.) I certify it,., in the performance of the work for which this per- riot employ y Person in any Emmet"S' a m mil is issued, I shall nanma BUILDING 117 -00 become subject to the Workeri Compensation Laws of California. Date Applicant NOT'IC17 'ID AITLICAN'1': U. offer making this C,rtiOcat, of Ex - ALTER OR ADD TO MECH. 5.00 APPLIANCE 5.00 PLAN CHECK FEE emption you should become subject to the Workers'Compensation provisions of IIIc Labor Cod,. you must forthwith comply with such novi kn a or this permall it shbe deemed revoked. AIR HANDLING UNIT (TO 10)000C.F.M.) 4.00 AIR HANDLING UNIT(OVER IO)OODO.F.M.) 6.00 SEISMIC FEE I �. CONST RUCTION LENDING AGENCY I hereby ,)(Pion Dun there is a constroclion lending agency for the ,,rfonnanre of the work for which this permit is issued (Sec. , 3097, CivC. ). EXHAUST HOOD (WITH DUCT) 5.00 HEATING UNIT (TO 100,000 B.T.U.) 8.00 MICROFILM -- HEATING UNIT (OV ER 100,000 B.T.U.) 9.50 ELECTRIC Lender's Name Lender's Address I certify that l have read this application and state that the above information is correct. I agree to comply with all city and county ordinances cold ,)late laws relating to building Construction, and VENTILATION FAN (SINGLE) 4.00 PLUMBING BOILER -713 H.P. or 100,0008.T.U.) 6.00 BOILER -COMP (Over 100,000 BTU) SEE FEE SCH. MECHANICAL hereby authori a representatives of this city to enter upon Ih, abovomeninned property for inspect n per, MISC. - REFER TO ORD, (We) agree to Save, indemnify a t keep bloodless the City of upertin0 against liabilities, judgm t , costs and expenses which B ' way accrue against id fly in co equenPe of wile m 1 oflu mi ��/� / CONST. TAX PERMIT ISSUANCE 10.00 MECH. CONT. LIC. NO. MECH. TOTAL TOTAL Signature of licant/Contractor Dale OFFICE COPY