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17581All POST THIS CARD NEAR FRONT OF BUILDING PERMITNUMBER - CITY OF •CUPERTINO 17581 INSPECTION DIVISION . JOB'INSPECTION RECORD � Q GrG,hfdcC �1�1 PERMIT EXPIRATION ,JOB ADDRESS' I� U NIT# _'LOT#' ` '• _ , PERMIT EXPIRES IF WORK owrvER ( ' CONTRACTOR 1 IS NOT STARTED WITHIN teD DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM ' INSPEC ON DATE INSPECTOR INSPECTION RECORD FOUNDATION 9- NOTE: - ' ALL GRADING AND DRAINAGE' SHALL'BEINSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERTINO STANDARDS. LASTCALLED INSPECTION: ,L', UFER 'PREGUNITE • PERMIT VALIDATION y I�I�i'f - IssuANce unre. GARAGE SLABS � � POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING - ELECTRICAL ° MECHANICAL - BLDG, ELECT. PLG. MecR. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT INFORMATION ' WOOD FLOOR VALUATION S/FT. PLUMBING MECHANICAL ELECTRICAL'I q APR + 0 198„ 'PERMnTTO ���' FRAMING INSULATION - pity V I y of cptl1M! sTUHIEs -TYPE CONSTR. - OCC. GROUP` -AREA RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID - •` sa, s T, FLOOR " TOTAL ACREAGE DIAPHRAGM. ROOF SHEATHING BUILDING USE RLS IND CON PB tT,'h",� ❑ ❑ ❑ ❑ ❑' APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. • - 'ROUGH sAN.n ' ASSE SSOHSPARCEL NO PLUMBING - ELECT. ENERGY TuBsaSHOwER PAN PLUMBING ENERGY TRACT No. - PARCEL No, MECHANICAL - MECH. ENERGY, ELECTRICAL � � � BUILDING'ENERGY ' - ACCDATE '. ACCFILE NO . FRAMING - ELECT. FINAL TEST-* - INSULATION - PLUMBING r ZONING ENG, •ITE NO. .�.' GAS TEST- GAS F.MECHANICAL � F IRE SPRINK ' ❑ "❑ ENE4,11-TQ4 ` ❑ "❑ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - EXTERIOR SHEAR � ELECTRICAL RELEASE FLOOD ZONE Y ❑ NO A, LU.C. . ❑ NEI INTERIOR SHEARFIRE DEPT. - SHEETROCK,. GRADE FEE SUMMARY EXTERIOR LATH BUILDING ` BUILDING INTERIOR LATH - .',TEMPORARY APPROVALS -• SCRATCH COAT - - ELECTRIC. — PLAN CHECK FEE' ' ' ,GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN.SIGNED OCCUPANCY ! SEISMIC FEE' OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINAL ISSIGNEDBY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC Z ;CIC w. H- ONE WORKING DAY BEFORE REQUIRED INSPECTION. '. O� PLEASE GIVE JOB ADDRESS;WHEN PHONING. Z PLUMBING.:. MECHANICAL , —SEE PERMIT FOR EXPIRATION DATE — - CONST. TAX IMPORTANT! PLEASE READ REVERSE -SIDE BEFORE" • TOTAL CALLING FOR FINAL INSPECTION. - OFFICE COPY ' P,C, (/ fi ELECTRIC SERVICE NOTICE a E. COPY { BUILDING INSPECTOR'S NOTICE CITY OF CUPERTINO r I 19 /T / +� To fiVoa are hereby oa horized to Connect electrical service for V i� Owner or Tenant At No. of Wires Size of Wires Size of Switch A94�7 i Mobr Load Voltage Phou Henning Load K. W. Voltage No. of Meters Gghi1110�_New Service y Reconnect Hwr 110ih.ee Wne More Service z No. of Add. Meiers l(I\ Power Three Ph.. Move Mere, i -- • O• ELECTRICAL INSPECTOR U v O Zz H 0 UJ ao UO U. V Ow }6 z Al I&I APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION - APPLICATION &PERMIT BUILDING -ELECTRICAL -PLUMBING -MECHANICAL PERMIT NUMBER, '*� , . 17581 BDIL INE ADDRESS - ' OWNER' NAME PHONE � OTY. ELECTRIC PERMIT FEE _ PLAN CHECK VALIDATION .. Nome A TOR OUTLETS - SWITCHES - RECEP 10.00/1.00 p. _ LIC. NO. ?- DATEOF APPLICATION s LIGHTING FIXTURES 10.00/1,00 n..a ssn off/s Ern ' Lt'S „)Ck%. 1 ONE C PPLIANCES- RESIDENTIAL 4.00 PANELS - 10.00 ARCHITECT - ENGINEER G LIC. No. PANELS (OVER 200 AMP) 20.00 PLAN CHECK EE .C. N0. SIGNS TRANS.' - 3.00 ARCH. OR END. ADDRESS SPECIALCIRCUIT 5.00 PERMIT VALIDATION EMP. METER OR -POLE INS. SU.00 10;00' . - zIP APPucalrrs ADDRESS MOTORS � SEE FEE SCR: SERVICE CHANGE 20,00 - LICENSED CONT RAC1'ORS DECLARATION I - I hereby aIflml that I am licensed under provisions of Ch.ple, 9 (commencing with Section 7000) of Division 3 of the Busimv and Professions Code, and my license is in full fora and effect Licenw Class Lie, Number Date' Contractor ISSUANCE DATE BLDG- ELECT. PLG. MECH. ❑ E]❑ UL 111'aill BUILDING PERMIT - INFORMATION • OWthaR-BUILDER DECLt tool RA'f10N I hcmhy infirm that I am exempt from the Contractor's Lice Law for the followingreason.(See. 7031.5. Businessand Pro(xsum, Code: Any city or County which requires a permit to construct,alter, - - MISC. - REFER TO ORD VALUATION , -$/FT. PERMIT ISSUANCE 12 Q9:00 Z, 0o ELEC. CONTR. LIC. NO. ELEC. i 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 licensed puu rsant to the provisions offlue i s ba ContmctoLicunsc TOTAL (� �' PER TO Low (Chapter 9 (commencing with Section 7000) of Division 3 of theO Business and Professions Codcl or hat he is exempt therefrom and OTY. PLUMBING PERMIT FEE W the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the appbcant to civil penally ofnol more than live buttered dollar(550(1.): - STORIES TYPE CONSTR. ALTER -DRAIN & VENT -WATER (EA.) 5.00 ❑ 1, 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 OCG GROUP RES. UNITS DRAINS -FLOOR, -ROOF, AREA, COND. 5.00 intended or offemd for sale (Sea 7044, Rosiness and Professions Code The Contractor's License Law does not apply to an owner of FIXTURES - PER TRAP 5.00 GAS - EA.SYSTEM - I INC.4 OUTLETS 6.00 SOL FT, FLOOR AREA TOTAL ACREAGE prol+erty w)o.bullds or improves hereon, and who does such work himself or through his own employees, provided that such improve. ments are not intended or offered far sale. if, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that lie did not build (IF int. - . - . .00 GAS EASYSTEM OVER 4 IEA) 2 BUILDING USE prove for purpose ofude.). ❑ I, as owner of the properly, am us,hrivcly Contracting with RES IND CON P8 Odur 11 El El 1:1 ❑ INDUSTRIAL WASTE INTER. 30.00 licensed contractors m construct the project (Sec. 7044, Business and Profcsuons Code: The Comruclor's License, Lew does not apply to an owner of property who builds or improves thereon, and who LAWN SPRINKLERS - 1 INC 5 V.B. 6.00 ASSESSORS PARCEL N0: LAWN SPRINKLERS - OVER 5 (EA.) 1.00 contracts for such projects with it contraclons) licensed pursuant to the Contractors License Law. O tum exempt under Sec.., B.&P.C. lin this on gEWERSANITAR V -STORM EA, 200ft/10.00 i TRACTNO. PARCEL NO. WATER HEATER W/VENT 6.00 Ower Date WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO. WORKERS'CO.MPENSA'I'[ON DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have u le'lificute of convent to self -inulin, ZONING ENG. SITE N0. or a certificate n� jlev Co. ). <I_ surylCe, a lifted copy here 1I& ld uh.C.l. /l/ L, Policy No. Company - FIRE SPRINK - v ❑ NE ENERGYT ]a Y ❑ N❑ ❑ Ccrtilicd copy) hemby l urniehud' ryCert it ted edy(�[l yC{�,he c' y inspection division. Applicam r MISC. - REFER TO ORD. CIiRTIP lei 'NPT 10 PROMWOR PERMIT ISSUANCE 10.00 FLOOD ZONE A. L. U.C: ATI YI'liis section Fared e lot be complON eted lit, he pennit is for one Y ❑ N ❑ Y ❑ N ❑ PLG. CONTR. LIC. NO. TOTAL hundred dollars IS 100) or to.,) I Cerlity that in the perlomm rce of the work for which this PenQom. mit is issued, I shall not employ any perum in any mann,, so as to MECHANICAL PERMIT FEE FEE SUMMARY - become subject to the Workers' Compensation Laws of Calilornia. ALTER OR ADD TO MECH. 500 5.DO Dare Applicant NOTICE 'f0 APPLICANT: IC after making this Certificate of Ex- BUILDING APPLIANCE 5.00 AIR HANDLING UNIT (TO 10MC.F.M.) 4.00 PLAN CHECK FEE ' you should become subject to the Workers'Compenmlion provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - AIR HANDLING UNITIGVER 10,000GEN1) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work fat which this permit is issued (Sec 3097; Cile.Cf. MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 Lender's Name. Lender's Address HEATING UNIT (OVER 100,000 B.T.U.)9.50 ELECTRIC 'Z `� CVC VENTILATION FAN (SINGLE) 4.00 I c,rtily that l hovcread thisapPlication and slate that the above information is correct. 1 agree to comply with all city and county ordinances and stale laws relating to building construction, and PLUMBING _ BOILER-ODMPI3H.P.or100,000B.T.U.) 6.00 hereby amhrriz, rep clan itwe-s of this city to enter upon -the atwvomannlioned property formspection purpoxs. -BOILER-COMP IOse. 100,000 BTU) SEE FEE SCM. MECHANICAL o o ave, indemnify and keep hapol,, the City of MISC. - REFER TO ORD. lubililies, jud is, costs and expenses which we acugu' ist� >.id Ci y in consequence of the erini L.f CONST. TAX PERMIT ISSUANCE 10.00 MECH. CONT. LIC. NO. - MECH. TOTAL TOTAL 2`Z:(� pI n /Contra tor' Uutc OFFICE COPY .