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HomeMy WebLinkAbout14985 (2) POST THIS CARD NEAR FRONT OF BUILDII - PERMIT NUMBER CITY OF . CUPERTIN(Y- 14985 INSPECTION DIVISION . JOB INSPECTION RECORD ''// _ PERMIT EXPIRATION JOB ADDRESS /Z� 9T V�y'�6'eiy�d UNIT# LOT# .&0 ` ,,— GGn�i PERMIT EXPIRES IF WORK OWNER �Qe-(yDQ Chau CONTE STOP 6o-e �.�c0% IS NOT STARTED WITHIN INSPECTION D TE INSPECTOR INSP TION RECORD 18U DAYS OF PERMIT ISSU- FOUNDATION _I -ffi NANCE OR 180 DAYS FROM OTE: LASTCALLED INSPECTION. LIFER7— ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION PR EGUNITE CUPERTINO STANDARDS. GARAGESLABS " POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNEDf'��'��1� (oF- UNDERGROUND /SLAB PLUMBING ,'.�Z �v.6• ELECTRICAL ' ISSUANCE DATE MECHANICAL - BLDG ELECT I PLG. MEC. IINO N, al I DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED 1 UILDING PERMIT J INFORMATION WOOD FLOOR "'ON SFT. PLUMBING - �`•�U7 " MECHANICAL PERnilr rD ELECTRICAL FRAMING INSULATION _ STOHres TYPE CONSTH 4 —0 ffir& ro 57WV& .r OCL. ROUP• ,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIG IN FT FI.001i AREA TOTAL ACIikAGF�'.-: ROOF NOTE'NO FINAL INSP.SHALL BE MADE BEFORE .r_'r�c� DIAPHRAGM THE CONSTRUCTION TAX IS PAID :. BUILDING USE ' ROOF SHEATHING HES IND CON PB o...- APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ - ASSESSORSPARCELNO. ' ROUGH - SAN.q PLUMBING 7 j_' — ELECT.ENERGY. _ p10, ' THACI NO. PARCEL NO TUBS B SHOWER PAN 11-7- PLUMBING ENERGY U7 . MECHANICAL MECH.ENERGY - Q• ACC DATE ACC FILE No ELECTRICAL - BUILDING ENERGY FRAMING — — ` ELECT.FINAL TEST - • ZONING ENG slT'c.No. INSULATION _ �- ` _ PLUMBING - O, (^ ' GAS TEST GAS _rk In FIRE SPRINK ENERGY T 2 MECHANICAL - IF) NF] Y No COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING- , EXTERIOR SHEAR 10-1 Z-198 ELECTRICAL REL EASE FLOOD ZONE A.L U.C. INTERIOR SHEAR �0-1'Z_$� . �, FIRE DEPT. - Y NE L `•❑ N❑ SHEETROCK - GRADE. FEE SUMMARY EXTERIOR LATH BUILDING �� BUILDING INTERIOR LATH TEMPORARY APPROV LS SCRATCH COAT =-/f/• ELECTRIC PLAN CHECK 15.50 GAS 62.00 FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY - SEISMIC FE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM' ARRA NGE.FOR INSPECTION BY PHONING 252-4505 ELECTRIC 71-11 H ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING T3.13 O� PLEASE GIVE JOB ADDRESS WHEN PHONING. Z MECHANICAL — SEE PERMIT FOR EXPIRATION DATE — 4 IMPORTANT! coNST.TAX 288.24 PLEASE READ REVERSE,SIDE BEFORE TOTAL 1570.78 CALLING'FOR FINAL INSPECTION. OFFICE COPY CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE CITY OF CUPERTINO r r (], DATE I- I -� 1 1 q_ BLDG. PERMIT�NOO. I LI"q Cl S THF' LDG. LOCATED AT I I j L C c Q "l 1 m PO . ,, OWNGczE�o�v G eo�P ED HAS BEEN OMP�ETEDI FOR USE AS (ALTERED) Y " ©M BUILDING INSPECTOR APPLICANT TO FILL IN INFORMATION WLTHINJRED LINES - USE BALL POINT PEN ONLY 13U LDI NG PROJECT I DENTI FICATI ON PERMIT NUMBER - .I Bu'r7°'sG even rims rive APPLICATIONA PERMIT 1 /A1 Q AD L01. 120 Plan 4@ p 9 BUILDING -EI -f UMBING -MECHANICAL - 14985 O'wNER'S PLAN CHECK VALIDATION NAME �� GrOUp, Inc,,LVa QTY. ELECTRIC PERMIT FEE H 595 2 CONTRACTOR'S NAME regory /�� UTLETS-SWITCHES-RECEP 10.00/1.00 OIoIA Inc. LIC,NO. B-4309 LIGHTING FIXTURES 10.00/1.00 CONTRACTOR OR's 220 C Twin Dolphin Dr. M PPLIANCES-RESIDENTIAL 4.00 CONTRAS 94065 405-595,GIM PANELS 10.00 DATE OF APPLICATION' ARCHITECT PLAN CHECK FEE .NO. on ARM BASSQVIM, AIA & ASSOCIATES PANELS (OVER 200 AMP) 20.00 ENGINEER Llc.0 SIGNS TRANS. 3.00 ARCH,OF OOOI -chard Dr. #100 SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ADD.PSS L 31 VI l,l l 1 U UI / W Santa Ana (Its, CA. 92787 ZIP TEMP.METER OR POLE INS. 20.00 ADDRESS 220 C Twin Dolphin Dr. RWC MOTORS SEE FEE SCH. j' oDHPPLI CA 94065 SERVICE CHANGE 20.00 MjL o ¢ z !/ r 0 o LICENSED CONTRACTORS DECLARATION < =w 1 hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE H G N (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG.Gg� MECH. r y z professions Code,and ij�Y license is Is full force anJ cff d. ozmo Liccnw Class-b-Co.Number_ 7 Date- -BUILDER ate Contractor of V Ek LaL , a x -a BUILDING PERMIT ¢ ¢ a OWNERB UILDIiR DECLA TION o i INFORMATION E: ; LL 1 hereby al'firin that I am exempt Thin the Contra or's License MISC.- REFER TO ORD u0� Law forthe following reason.(See 7031.5.Busin•ssand Professions VALUATION 5/FT. I- - y g' PERMIT ISSUANCE 10.00 Cade:Any mol or county which structure permit mconstruct,,iteralso rt 4 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC, 195,000 0 ¢ aloins the applicant for such pennit to Idle a sigocJ sWtamcnt that TOTAL d w m,s he u licensed pursuant to the provisions of the Contractor's License - PERMIT TO F z a Law(Chapter 9(commenedngwith Section 7000)of Division 3 oflhe SF 4 o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE ¢ H the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant In a civil penalty of not more than five hundred dollars(S500)d: ALTER-DRAIN&VENT-WATER (EA.) 5.00 2 5IHR ❑ I,as owner of the properly,or my employees with wages as BACK F LOW PROTECT. DEV ICE 4.00 their sole compensation,will du the work,and the.strucluis not 'OCC.GROUP RES.UNITS re intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 R-3 l Code:The Contractor's License Law does nm apply to an owner of properly who builds m improves(hereon,and who lees meh work F IXTURES-PER TRAP 5.00 SO.FT,FLOOR AREA TOTAL ACREAGE himY,lf or through his own employees,provided that such improve- - meatsarenotintendedoroffered for sale.If,however,the building GAS-EA.SYSTEM-11NC.4OUTLETS 6.00 2445 . or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE budder will have the burden of proving that he did not build or inn- RES IND CON PB Omer ' prove for purpose of sale.l. INDUSTRIAL WASTE INTER. 30.00 E-] El El ' E]❑ I,as owner of the property,um exclusively contracting with licensed contractors to construct the project(Sec.7044.Business LAWN SPRINKLERS-I INC 5 V.B. 6.00 - ASSESSORS PARCEL NO. and Professions Code:The Contractors 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 for such projects with a runtracloc%)licensed pursuant to the Contmcmr',License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ lumexcmptunderS<c. .B.KP.C.fur��is WATER HEATERW/VENT 6.00 . 8067 assn Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate of con,h to elf-insure. ZONING ENG.SITE NO. or a certifirnlc of Workers'Comlrensatioo Insurance,or a certified copy thereof(Sec.3800,1ab.CJ.United Pacific Policy No. Company _ ❑ CcrtifieJ copy is hereby furnished. k FIRE SPRINK ENERGY T34 Z Z ❑ Certified copy I the city impaction division. - O Applicant � MISC.- REFER TO ORD. YE] N❑ Y ❑- .NO ~ res PERMIT ISSUANCE - 10.00 Lu - CERTIFICATE EXEMPTION PROM WORKERS' FLOOD ZONE A.L.U.C. W COA1PIiNSATION INSURANCI? PLG.CONTE. LIC.NO. PLG. Y❑ NEI Y❑ Z (This section need not be completed if the permit is for one TOTAL N hundred dollars IS 100)or 1.) U O I certify that in the perfomtance of lire work for which this per- QTYMECHANICAL PERMIT FEE FEE SUMMARY LL h- mit is issued, 1 shall not employ any pv,wc in any manner so as to 0 w become subject to the Workers'Compsat enion Laws of California. LU Dam Appbcart ALTER OR ADD TO MECH. 5.00 BUILDING 972.00 } m NOTICE TO APPLICANT': IL ith,making this Cert it icutc of Ex- � 2 amplion,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN�CHECK o provisions of the Ubor Code, you must forthwith comply with U such provisions or this per ,shall be deemed revoked. AIR HANDLING UNIT(TO 10PWC.F.M.) 4.00 " FEE /ever 62.00 CONS'(RUCHON LENDING AGENCY AIR HANDLING UNIT(OVER 10,000C.FM.) 6.00 SEISMIC FEE 13: 65 I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the pviformana (If the wgrk for which this permit is issued(Sec. MICROFILM 3097,CIv.C.). JeCUflt PdC1f1C _ HEATING UNIT(TO 100,000 B.T.U.)" 8.00 t .^ Lender's Name _ _ HEATING UNIT(OVER 100,000 B.T.U.)9.50 . 73.13 Lenders Addfess_ p7ro r ELECTRIC" eQ, I cerlify that l have rea t is apphca ion and state that the above VENTILATION FAN (SINGLE) 4.00 infornraliun is correct I agree to comply with allcity and county PLUMBING 73. 13 ordinances and state laws relating to building construction, and BOILER-ODMP(3 H.P.or 100,000 B.T.U.) 6.00 .) hereby aulhofiec retommatives of this city to enter upon the BOILER-COMP (Over)00,000BTU)SEE FEESCH. MECHANICAL 73.13 abovrmentioned properly for inspection purpuws. (We) agree to save, indemnify and keep hormle,, the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which - CONST.TAX 28824 in ay in ny arae agast said City in conwlucnce of the PERMIT ISSUANCE 10.00 .• sting MECH.CONT. LIC.NO. MECH. es -46- 8/ TOTAL TOTAL 1570.78 i eof Applicant/Contractor Dat OFFICE COPY