The URL can be used to link to this page

16033 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 16033 INSPECTION DIVISION JOB INSPECTION RECORD ; /O\oj to A. PERMIT EXPIRATION ESS ` JOBADDR /y/a3 �/ H/dc '/otvJJ ✓' UNIT#/ _LOT# I ��'' � ��/,..,, � PERMIT EXPIRES IF WORK OWNER " p$Q - VGWG LCl�� , coNTRAcToR g L� IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION - - "ANCE OR 180 DAYS'FROM NOTE: LASTCALLED INSPECTION. ; LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CIN OF PERMIT VALIDATION PREGUNITE •CUPERTINO STANDARDS. GARAGE-SLABS - � POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - UNDERGROUND /SLAB r f r PLUMBING - - �„.' �o ELECTRICAL ISSUANCE DATE MECHANICAL BLDG ELECT, PLG. MECH.. � - - o : El RI o . DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - - BUILDING PERMIT INFORMATION WOOD FLOOR 1ALUATIDN SIFT. PLUMBING MECHANICAL ' PERMIT TU ELECTRICAL FRAMING . INSULATION S* RIE, TYPE CONSTR OCC.GROUP RES.UNITS w r n PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED G� .SO.FT.FLOOR AREA TOTAL ACREAGE . ROOF NOTE:NO FINAL INSP.SHALLEMADa DIAPHRAGM THE CONSTRUCTION?AXIS,PAly v�� BUILDING USE ROOF.SHEATHING RES' IND CON PB OUw, El El ] El APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNEDP., FINALS DATE INS ”P EL ASSESSORS El NO ROUGH SAN.k f PLUMBING' ` - ELECT.ENERGY TRACT NO. PARCEL.NO TUBS-&SHOWER PAN PLUMBING ENERGY ;r MECHANICAL MECH.ENERGY ACC.DATE Acc.FILE NO, ELECTRICAL BUILDING ENERGY FRAMING'" .. ELECT.FINAL TEST zowrvc ENG.SITE No. INSULATION PLUMBING GAS TEST GAS - MECHANICAL FIRE SPRINK -ENERGY T.,}4 Y ❑ N COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ [-] 'N�, FLOOD ZONE A-LUG. ` EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR. ' FIRE DEPT. v NE] w ❑' NEI 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 OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F ONE WORKING DAY,BEFORE REQUIRED INSPECTION. PLUMBING O PLEASE GIVE JOB ADDRESS WHEN PHONING: ". Z MECHANICAL SEE PERMIT FOR EXPIRATION DATE — IMPORTANT[ CONST.rax PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. OFFICE COPY APPLICANT'TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU I LDING PROJECT IDENTIFICATION PERMIT NUMBER,} BUILDING APPLICATION &PERMIT 1603 ADD 655 BUILDING - ELECTRICAL-PLUMBING-MECHANICAL OWN'H'B N OTY- ELECTRIC PERMIT FEE PLAN CHECK VALIDATION ONE ,. RACiOR 9 " E � UTLETS-SWITCHES-RECEP 10.00/1.00 C NT ACTOR LIC.No. LIGHTING FIXTURES 10.00/1.00 aoDR6 APPLIANCES-RESIDENTIAL 4.00 PHONE_ PANELS 10.00 RCHITECT DATE OF APPLICATION ENGINEER GR PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P,C.NO. uc,rvD. SIGNS TRANS. 3.00 ARCH,OR ENG. aDORF55 SPECIAL CIRCUIT - 5.00 PERMIT VALIDATION APPLICANT'S zIP TEMP.METER OR POLE INS. 20.00 ADDRESS MOTORS - SEE FEE SCH. SERVICE CHANGE 20.00 w¢z QO Foo LICENSED CONTRACTORS DECLARATION <v I hereby affirm that I um licensed underoiofC�h ter 9(commencing with Section 7000)of Divi'' e and ISSUANCE DATE 7 a Pmlessions C d my license is infol BLDG. ELECT. PLG. MECH. z o f,1 LicenseSlaS LicNumber _ ❑ ❑ ❑ yF Date Yi..I Contract _ 4 yfJ CCVr� rt ¢ w u OWNER-BUILDER DECLARATION BUILDING PERMIT w0 u y' I hereby affirm that I :un exempt from the Contractor's License MISC.- REFER TO ORD INFORMATION F u o 4 Law for the following reason(Sec.7031.5,Business and Professions PERMIT ISSUANCE VALUATION $/FT. Code:Any city or count which requires a 10.00 i � Y 9 permit ¢ 4 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.N0. ELEC. D ¢ requires tate applicant for such permit to file a signed statement that TOTAL. X m" he is licensed pursuant to the provisions of the Contractor's License PERMIT TO rz ¢ Law(Chapter 9(cnn.menti,,with Section 7000)of Division 3 of the E 4 o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE ¢F m the basis for the alleged exemption.Any violation of Section 7031.5 . ; by any applicant Ibr a permit subjects the applicant too civil penalty STORIES TYPE CONSTR, of not more than five hundred dollars($500y). ALTER-DRAIN&VENT-WATER (EA.) 5.00 ❑ I,as owner the property,or my employees with wages as BACK FLOW PROTECT their sole compensation, .DEVICE 4.00 ion,will do the work,and the structure is not OCC.GROUP RES.UNITb intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND._640 Code:The Contractor's License Law does not apply to an owner oI' property who builds or improves thereon,and who does such work IXTUR ES-PER TRAP 5.00 himself Of through his Own employees,provided that such Improve- 50.FT.FLOOR AREA TOTAL ACREAGE ments are not intended ornffered for sale.If,however,the building GAS-EA.SYSTEM-1INC.4 OUTLETS 6.00 oI improvement is said within are year of completion,the owner- builder will have the burden of proving that he did not build or on. GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE Prove for purpose ofsale.l. INDUSTRIALWASTE INRES IND CON PB Dmer ❑ 1,as owner of the property,am exclusively contracting with TER. 3 ❑ liccnlicensed �.,I-1 d contractors to construct the project ISeC. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ,' LJ and Professions Code:The Contractors License Law does not apply ASSESSORS PARCEL NO. to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1. :n contracts for such projects with a contractorts)licensed pursuant to \ the Contractor's License Law. - SEWER-SANITARY-STORM EA.200ft/ T0RACT NO, PARCEL NO. ❑ lam exempt under Sec. ,B.&P,C.for this reason WATER HEATER W/VENT 6, Owner Date WATER SYSTEM 5.0 ACC.DATE ACC.FILENO. WORKF.RS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate ofcunsent to self-insure, or a certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE NO. copy thereof(Se 00,Lab,C.). Policy N6,CAIj`Cr�,f`1,' ol ry Q ❑ y¢ cyurnished. FIRE SPRINK ENERGY TR4 Ce ¢ d with the city inspectiou division.OA pliclrpMISC.- REFER TO ORD. Y❑ No Y C3 No C ' I' MPTION FROM WORKERS' PERMIT ISSUANCE o2 FLooD zoNE A.L.U.C. LU - COMPENSATION INSURANCE P ,CONTrI. LIC NO. PLG. G DCL 0 This section need nal be complelcA it the permit is for one I TOTAL Q ` V[:] N V [:1N� Z hundred dollars IS 100)or IessJ U O I certify that in the performance of the work for which this per. LL U snit is issued,I shall not employ any person in any manner so as to OTY' MECHANICAL PERMIT FEE FEE SUMMARY O Ou become subject to the Workers'Compensation Laws of Calil'orniu. Q_ Date APPLICANT': ALTER OR ADD TO MECH. 5.00 BUILDING } rn D.te TO APPLICANT: If,uUer making this Certificate of lix- ? emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with V such provisions or this permit shall he deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 FEE CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER t0,000GEMJ 6.00 SEISMIC FEE I hereby affirm that there is a construction leading agency far EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). HEATING UNIT(TO 700,000 B.T.U.) 8.00 MICROFILM Lender's Name Lender's Address HEATI NG UNIT(OVER 100,000 B.T.U.)9,50 ELECTRIC I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 �O information n correct 1 agree to comply with all city and county PLUMBING 4 r/ ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the above-mentinne openy for inspection purposes. 801 LER-COMP Over 100,000 BTU)SEE FEE SCH. MECHANICAL g sove, nify and keep harmless the City of MISC.- REFER TO ORD. C' li' ities, "udgments. costs and expenses which CONST.TAX in true a nst said City in consequence of the PERMIT ISSUANCE 10.00 nit. . . r MECH,CONT. - LIC.NO. MECH. TOTAL TOTAL icant)Contractor -` tc OFFICE COPY