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18812POSTTHIS CARD NEAR FRONT OF BUILDING ' - CITY 'OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD - /IJ, JOB ADDRESS _t C•O 3 L> -'re �L," ILLY L.✓ 1,/e-• UNIT# - LOT#- • GINNER Kv-e-Ars CONTRACTOR Se, \.'V--4 : PFRMITftUP1BER 8812 PERMIT EXPIRATION PERMIT EXPIRES IF WORK. IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM. 'LAST CALLED INSPECTION. - INSPECTION DATE I INSPECTOR INSPECTION RECORD - FOUNDATION - NOTE: ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVEDPLANS AND CITY OF CUPERTINO STANDARDS. _ UFER' + _ PREGUNITE PIMIRT VALIDATION ..a.. .. `��'• \rte i L.1 ISSUANCE unre GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED�•��"l; - UNDERGROUND/SLAB PLUMBING- ,JHIV � J w� ELECTRICAL MECHANICAL - Vlpl r'-• - BLOC. ELECT I PLG. MECH. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT INFORMATION . WOOD FLOOR VAwAiION SIFT. PLUMBING - MECHANICAL ELECTRICAL _ ,FRAMING INSULATION � � � � � � STORIES IVP CONSTR. . , - - - w OCC GROUP RES. UNITS . PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ROOF � NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTIONTAX IS PAID • 50, IT (ICON ANCA TOTAL ACRE AGE DIAPHRAGM ROOFSHEATHNG BUILDING USE RLS IND CON PE Oma ❑ ❑ ❑ ❑ ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. - ROUGH SAN.# ASSESSORS PARCEL NO - PLUMBING ELECT. ENERGY :. TUBS 8 SHOWER PAN PLUMBING ENERGY '.•' I RACT NO. PARCEL NO MECHANICAL MECH.ENERGY --' - ELECTRICAL•BUILDING ENERGY.. ACC.DATE ACC.FILE NO. FRAMING - ELECT. FINAL TEST ' INSULATION PLUMBING - + ZONING _ ENG. SITE NO. GAS TEST - .. GAS' " I MECHANICAL -'FINE SPRINK +' ❑ '"[D -ENERGv i.]G v ❑ "❑ .COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING 1 EXTERIOR SHEAR . ELECTRICAL RELEASE FLOOD ZONE "❑ A.L UC. °❑, ry❑' INTERIO R,SHEAR FIRE DEPT.❑ SHEEYROCK GRADE -FEE SUMMARY EXTERIOR LATH '• - BUILDING BUILDING r INTERIOR LATH ' - - TEMPORARY APPROVALS SCRATCH COAT 1 .ELECTRIC - PLAN CHECK FEE ' GAS _, NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY 4, - SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. 'MICROFILM uJ ARRANGE FOR'INSPECTION BY PHONING 252-4505, ;_ ONE WORKING DAY BEFORE REQUIRED INSPECTION. 0 PLEASE GIVE JOB ADDRESS WHEN'PHONING.' Z —.SEE PERMIT,FOR EXPIRATION DATE ELECTRIC ' PLUMBING MECHANICAL' covsT. TAX IMPORTANT! - PLEASE READ REVERSE SIDE BEFORE - CALLING FOR FINALINSPECTION. TOTAL • 1'�I OFFICE COPY - ' W Ul O Z F O rr LU _ C O Uo LL 1- 0' LU } a � 2 A APPLICANT TO FILL IN INFORMATION WITHIN,RED LINES - USE BALL POINT PEN ONLY. BU LDI NG PROJECT I DENTI FICATI ON - APPLICATION & PERMIT - BUILDING - ELECTRICAL- PLUMBING - MECHANICAL PERMIT HUMBER a n v, G aD,L ,NG ADORE � NER's "AME I�r G" - QTY. ELECTRIC PERMIT FEE PLAN CHECK VALIDATION PAID ��rl 3 �CJSU _ f6TTI of CIhI1tin0 D TE OF APPLICATION ' CONTR OR's NAME 'I sec. noQ yS UTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 f,ONTHAC OH's oDREss APPLIANCES 4.00 PANELS .10.00 . ARCHrtECTPLAN oR ENGINEER Luc. so, PANELS (OVER 200 AMP)' 20.00 CHECK FEE P.C. NO. SIGNS TRANS.3.00 ARC" OR ENG. - ZIP SPECIAL CIRCUIT $,DD - PERMIT VALIDATION ISSUANCE GATE EMP. METER OR POLE INS. 20.00 APPLIES "Ts ADDRESSMOTORS - ' SEE FEE SCH- SERVICE CHANGE 20.00 LICIiNSI!D CONTRACTORS DECLARATION I hereby affirm that I am lfcenwd-under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business, and Professions Code, and my license is in full 4ryf mEI ft , License Class Lic. NumberE+_'ro{ IV nate Contractor_(2y y jr OWNER -BUILDER DIi CLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason, (See. 7031.5, Businessxnd Prnfcssions Code. Any city or county whichrequiresa 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 Iiecused pursuant to the provisions of the Contmcmr's License Law (Chaptery(commencing with Section 7000) of Division 3 of the Business and Professions Cosec) or that he is exempt therefrom and the basis for the alleged exemplioa. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toes civil penalty of not more than five hundred dollars ($500h): ❑ I, 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 dos not apply to an owner of property who builds or improves thereon, and who docs such work himself or through his own employees, provided that such improve- nuents are not intended or offered for sale. If, however, the budding or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or int- prove for purpose of sale. ). ❑ 1, as towner of the property, am exclusively contracting with licensed contractors to construct the privies (Sec. 7044. Business and Professions Calc: The Contractors License Law does not apply to an owner of prolxny who builds or improves thereon, and who con tracts for such projects with a contnctons) licensed pursuant' to the Conlacturs License law. ❑ I am exempt under See.-, B.&P.C. for this mason ' _ BLDG. ❑ ELECT. I ❑ PLG. MECH. y-, ❑ I`�PA • / `' - BUILDING PERMIT INFORMATION MISC. - REFER TO ORD VALUATION S/FT. PERMIT ISSUANCE 10.00 - ELED CONTR. LIC. NO. • - - ELEC. TOTAL PERMIT T QTY- _ PLUMBING PERMIT FEE 1 5 ORIES TYPE CONSTR. ALTER -DRAIN &VENT -WATER (EA.) 5.00 BACK FLOW PROTECT. DEVICE 4.00 Occ. GROUP RES. UNITS . DRAINS -FLOOR, ROOF, AREA, COND. 5.00 FIXTURES - PER TRAP 5.00 SO. FT. FLOOR AREA TOTAL ACREAGE GAS-EA.SYSTEM=I INC.40UTLETS 6.00 GAS -'EA. SYSTEM -OVER 4 (EA.) 2.00 BUILDING USE RES IND CON PB inter ❑ 0' ❑ ❑ INDUSTRIAL WASTE INTER. 30.00 LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. r LAWN SPRINKLERS - OVER 5 (EA.) 1.00 SEWER -SANITARY -STORM EA. 200ft/10.00 TRACT NO. PARCEL NO, WATER HEATER W/VENT SAO Owner Date WORK ERS'COMPENSATION DECLARATION I hereby urimin that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or a ecrtifieJ copy Ih ereof(Sec 3800, Lub.C.L Policy No. Company WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO. WATER TREATING EQUIP. ! 5.00 - ZONING ENG. SITE NO. _ ❑ Cenrlled cup, is hereby lamuslied. ❑ Cenifrd copy is fled with the city inspection division. Applicant FIRE SPRINK (] N ZONE N Q ENERGY T 24 Y ❑ N� A1.UC. v N� MISC. - REFER TO ORD.A00 CERT11'ICA1'Ii 01'IiXI:MPT ION FROM WORKERS' COMPENSATION INSURANCE This section need not he completed if IIIc permit i I'or one hundred dollars ($100) or If. ) I certify that in the perlorllaoa, of the work for which this per -QTY. mit is issued, 1 shall.not employ any person in any manner so as to become suhject to the Workers' Compen al ion Laws of California. Wic ApplicantALTER NOTIC17 TO APPLICANT: If, after making this Ccrtillcatn of six caption, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such Provisions ser this pernit shall be deemed revoked. CONSI' RUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the pru.n once of the work or which this permit 6 issued (Sec. 3097, Civ.C.). PERMIT ISSUANCE 3080OOD PLG. CONTR. LIC. NO. pLG. TOTAL 'MECHANICAL PERMIT FEE , FEE SUMMARY BUILDING ' OR ADD TOIMECH. 5.00 _ APPLIANCE 5.00 PLAN CHECK FEE AIR HANDLING UNIT (TO 10=C.FJi 4.00 AIR HANDLING UNR(OVER 10.000C.F.M.) 6.00 SEISMIC FEE EXHAUST HOOD (WITH DUCT) 5.00 MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 Lender's hha Lender's Address I certify liar I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinal cs and state laws relating to building construction, and hereby authorise representatives of this city to enter upon the above-mentioned properly for inspection purposes. (We) agree to save, indemnify and keep hernlcss the,City of uperlino against liabilities, judgments, costs and expenses which ay in any way accrue against said City in consequence of the of of tis per '1./ %� HEATI NG UN IT (OV ER 1 DO,o0O B.T.U.) 9.50 ELECTRIC VENTILATION FAN (SINGLE) 4.00 - PLUMBING' BOILER -CONP(3 H.P. or 100,000 B.T.U.) 6.00 BOILER -COMP IOver loo,000 BTU) SEE FEE SCH. .MECHANICAL MISC. - - REFER TO ORD. CONST. TAX PERMIT,ISSUANCE 10,00 MECH. CONT. LIC. NO. - MECH. OTAL TOTAL I quatuamof Applicant/Comtr or Uete OFFICE COPY