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13345 POST THIS CARD NEAR FRONT OF BUILDING PFRMIT NUMBER .t�a CITY 01 CUPERTINO = ` ' INSPECTION DIVISION 13345 , JOB'INSPECTION RECORD f , ^ PERMIT'EXPIRATION JOB.ADDRESS 10443 BANDLEYuNlTtk _LOT# PERMIT EXPIRES IF WORK - OWNER APPLE COMPUTER . CONTRACTOR WALSH BUILDING CONST IS NOT STARTED WITHIN INSPECTION DATE'-',INSPECTOR Z INSPECTIONRECORDI' 180'DAYS OFPERMIT ISSU- FOUNDATION 7x-F7 Ov'4 r✓.J6G 944 c7 - ANCE OR 180 DAYS FROM LIFER LASTCALLED INSPECTION. PREGUNITE - - PERMIT VAuonTION POUR NO CONCRETE UNTIL"ABOVE"HAS'BEEN SIGNEDr, UNDERGROUND /SLAB, PLUMBING ELECTRICAL "r - ISSUANCE DATE MECHANICALELEcr. PLG.__ MECR DO NOT POUR FLOOR UNTIL ABOVE HAS-BEEN'SIGNED " - BUILDING PERMIT WOOD - WOOD FLOOR INFORMATION PLUMBING VALUATION S/FT. " - MECHANICAL ' ELECTRICAL gl�P]ERR'MMIIT�TO FRAMING - - //v P v/V(B•e7E4.E INSULATION - STORIES TYPOCC.GROUP REPLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED . ROOF SQT.FLOOP AREP TOTA DIAPHRAGM -BUILDING USE RES IND, CON PB O'Fe' APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ . ❑ ❑ ❑ - Cl ASSESSORS PARCEL NO. ROUGH . PLUMBING TRACT NO., PARCEL NO ' GAS TEST � � � � �. , MECHANICAL - ELECTRICAL' - -b'') FINALS jDA,T INSP: ACC.DATE ACC,FILE NO. FRAMING ^Jd'•?9 SAN INSULATION PLUMBING ZONING ENG.SITE NO. u - 1 GAS / 7 'FIRE SPRINK ENERGY T-24 MECHANICAL Y( " NO v ❑ N❑COV NO:WOR LINT-- OVE HAS`BEEN SIGNED HEATING FLOODZONEA,L.U.C. LATH-INTERIOR ELECTRICAL LATH-EXTERIOR FIRE DEPT. - 'Y❑ N❑ Y N❑ SHEETROCK GRADE - FEE:SUMMARV � SHE AR INTERIOR BUILDING SHEAR EXTERIOR - . .TEMPORARY APPROVALS BUILDING, FIREWALLS ELECTRIC ' PLAN CHECK GAS .FEE NO TAPE OR.PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL'ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC ' ONE'WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING 0-0 PLEASE GIVE JOB ADDRESS WHEN PHONING. , ZMECHANICAL — SEE PERMIT FOR EXPIRATION DATE — IMPORTANT! CONST:TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. - ' OFFICE COPY, 3' , APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU LDI NG PROJECT 1 DENTI FICATION PERMIT NUMBER r-W" G I APPLICATION & PERMIT �,• ADDRESS - O ^ 1 BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 13345 '11J ; NWWNER'S a - PLAN CHECK VALIDATION j // QTY. ELECTRIC'PERMIT FEE •''-,�//� /3 '}�• (e PHONE -}y cN�Eox crofts OUTLETS-SWITCHES-RECEP 10.00!1.00 AI ( e.IC.NO, 17�00� LIGHTING FIXTURES 10.00/1.00 rorvrRa roR• APPLIANCES-RESIDENTIAL 4.00 55 1 Q' `j✓ Na I /�� CPH. `Y8-7�wD0 PANELS 10.00 �AJO�JOREDATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.NO. 9Q oft PANELS (OVER 200 AMPI ' •20,00 E eVErx IV � c.rvo. vUB�V SIGNS TRANS, 3.00 ARCH.OR ENG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION a o�REss �1!/s a , "J V dl +v 1J1�/ EMP.METER OR POLE INS: 20.00 APPLI E - MOTORS - SEE FEE SCH. ADDRESS ' SERVICE CHANGE 20.00 Ho O LICENSED CONTRACTORS DECLARATION a v'W I hereby aft lrm that I um licensed under provisions of Chapter 9 ISSUANCE DATE r a a (commencing with Section 7000)of Division 3 of the Business and n BLDG. ELECT. PLG. MECH. H h-a,, Professions Code,a y license is in full for f�cfr-D _ Z o Ie License Lic.Numb r - E O w Date Contractor Q IS E ¢ R w ¢ OWNER-BUILDER DECLARATION BUILDING PERMIT. o A U INFORMATION W.;.0 a. N I hereby affirm[hal I am exempt from the Contractor's License MISC.- REFER TO ORD aa u. o¢ Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE, VALUATION Code:Any city or county which requires a permit to construct,alter, 10.00 n 2 ut ELEC.CONTR. LIC.NO. ¢ ¢ p improve,demolish,or repair any structure,prior to its issuance,also ELEC. O u requires the applicant for such permit to file a signed Statement that TOTAL - PERMIT TO w m w he is licensed pursuant to the provisions of the Contractor's License r i s- Law(Chapter 9(commencing with Section 7000)o Division 3 ofthe /NZ�R«4'1 �'t ¢ Business and Professions Code)or that he is exempt therefrom and OTV. 1 . 'PLUMBING PERMIT . FEE IZD w H.$ the basis for the alleged exemption.Any violation of Section 7031.5 r STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN -WATER IEA.) 5.00 of not more than five hundred dollars(5500).): ❑ Las owner at the property,or my employees with wages as BACK F LOW PROTECT.DEV ICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will property, the work,andemployees ye structure is sat intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND: 5.00 ,p 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 a0.FT.FLOOR AREA TOTAL ACREAGE nt himself or through his own employees,provided that such improve- mesara not intended or offered for sale.If,however,the building GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 Y " or improvement is sold within one ye:n of completion,tine owner- \¢J'"'ha•' builder will have the burden of proving that he did not build or im- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE Y3g prove for purpose of sale.). RES IND CON PB Olher ❑ I,as owner of the properly,am exclusively contracting with INDUSTRIAL WASTE INTER. 30.00 1:1 11 ❑ ❑ ❑ I' licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 600 ASSESSORS PARCEL NO. and Professions Code:The Contract.,',License Law does not apply . to an owner of property who builds or improves thereon.and who LAWN SPRINKLERS-OVER 6(EA.) 1,00 contracts for such projects with a cmdoct.os)licensed pursuant to SEWER-SANITARY-STORM EA.2001t/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. ❑ lam exempt under Sec.-.w&P.C.for this WATER HEATER W/VENT 6.00 reason Owner Dare WATER SYSTEM 5,00 ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate ofconsent to self-insure, /I or a certificate of Workers'Compensation Insurance,or cetlificd ZONING ENG.SITE NO. /f- copy thereof(Sec.3800,Lub.C.). /7 Policy No. Company�� O ❑ Certified copy is hereby furni,�ic FIRESPRINK ENERGY T-14 Z Z " Certifi dd copy Rled ityity inspection divisionR ityity inspection division. � � Applicant MISC.- ''REFER TO ORD. Y [], N❑ v ❑ N❑ N' PERMIT ISSUANCE 10.00 LU - CE II°KATEIIIATIOT INS PROMWDRKIiR$' FLOOD ZONE 'A.L.U.C. W - COMPIiNSATION INSURANCE - PLG.CONTR. LIC.NO. PLG. ' d O (This section need not be completed if the permit is for one TOTAL Y E:] N❑ Y❑ No � Z hundreddoll.,s($100) Ole".) U O 1 certify that in the performance of the work for which this per- QTY. * MECHANICAL PERMIT FEE FEE SUMMARY - IL F hilt is issued,I shall not employ any person in any manner so as to n' O w become subject to the Workers'Compensation Laws of California. p a D. Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING p 70 S } to NOTICE TO APPLICANT: If,after making this Certificate 07T,.- Z emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions .f lite Labor Code, you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10MOC.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.RM.) 6.00 SEISMIC FEE / �r I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5,00 - the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.) &. 11cretry ender's Address - ELECTRIC I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 information is correct. I agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00 authorize representatives of this city to enter upon the BOILER-COMP (Over IOO,000BTUISEE FEESCH. MECHANICAL above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep hunnless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expense's which PERMIT ISSUANCE 10.00 CONST.TAX may in any way accrue a ainst said City in consequence of the gr' ting of thi Boni[.¢ �� /� MECH.CONT. LIC.NO. MECH. / TOTAL TOTAL ��9 / nature of Ap cant/Contractor Dalc 1 OFFICECOPY y