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14460 POST THIS CARD NEAR FRONT OF'BUILDING �� •� � P[HMIT NUMd[N CITY 0 'CUPERTINO INSPECTION'DIVISION 14460 JOB INSPECTION RECORD'. 7536 HOLLANDERRY PLACE' PERMIT EXPIRATION / JOB ADDRESS .LOT# CONTRACTOR - OWNER CHIANG A&H HEATING PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- ' FOUNDATION ANCE OR 180 DAYS FROM - LIFER NOTE: LAST CALLED INSPECTION. ' r. -ALL GRADING AND DRAINAGE SHALL-BE INSTALLED' PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CIN OF PERMIT VALIDATION GARAGESLABS CUPERTINO STANDARDS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB r PLUMBING ELECTRICAL - ISSUANCE DATE MECHANICAL BLDG ELECT. . PLG, mEcR El Cl DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BuaowG PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION WFT. '- MECHANICAL - ' 'ELECTRICAL - - I PERMIT Tp - FRAMING oO '.•Y: INSULATIONr7PE CoNsTR. OCG GROUP RES UNITS .� PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED - ' - ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE so'IT FL=I.rorAL ACTLACE r DIAPHRAGM THE CONSTRUCTION TAX IS PAID i ROOF SHEATHING BUILDING USE - Res IND CON PB owu•, APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE - INSP. ElEl El 1:1 . ❑ ROUGHSAN.a' ASSESSORS PARCEL NO , - , PLUMBING ELECT.ENERGY I TUBS&SHOWER PAN - PLUMBING ENERGY TRACT No. PARCEL NO MECHANICAL MECH.ENERGY -Y ELECTRICAL BUILDING ENERGY ACCDATE Acc.FILE NO I FRAMING - ELECT.FINAL TEST INSULATIONPLUMBING ZONING ENG.SITE NO. • GAS TEST - GAS - ' MECHANICAL PIKE sPRINI< ENERGIT'4< COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING -� °❑ N p ❑ NO EXTERIOR SHEARE LECTRICAL RELEASE - PLOOO ZONE n-Luc. 4 INTERIOR SHEAR - FIRE DEPT. - r E) N[3 v LlNE SHEETROCK GRADE - FEE SUMMARY EXTERIOR LATH BUILDING,�E,MKI 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 NOT PERMITTED UNI.I L BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICR ILM ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC �• o� ONE WORKING DAY BEFORE REQUIRED INSPECTION- PLUMBING PLEASE GIVE JOB ADDRESS WHEN PHONING. z SEE PERMIT FOR EXPIRATION DATE - MECHANICAL ,+•f'� a IMPORTANTI CONST.TAX 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 `AUILDING PROJECT IDENTIFICATION PERMIT NUNIGE R eulLOlrvG APPLICATION & PERMIT I g, O ' � LI © BUILDING -ELECTRICAL-PLUMBING-MECHANICAL b OWNER'S PLAN CHECK VALIDATION vNorvlf 1 �/]�- QTY. ELECTRIC PERMIT FEE h -- rCONTRACTOR j UTLETS-SWITCHES-RECEP 10.00/1.00 //'Tlc�•'II', F"�- uc.No. LIGHTING FIXTURES 10.00/1.00 CONTRA�jRTCTORS APPLIANCES - 4.00 PHONE /J PANELS 16,00 DATE OF APPLICATION ORROHrtscT PANELS (OVER 200 AMP) 20.06 PLAN CHECK FEE P.C.NO. ENGINEER LIC.NO, SIGNS TRANS. 3.00 ADDRESS ENG, SPECIAL'CIRCUIT 5.00 PERMIT VALIDATION ZIP EMP.METER OR POLE INS. 20.00 APPLICANT$ ADDRESS MOTORS SEE FEE SCH. 4 J ` SERVICECHANGE 20.00 A / PAD 02 LICI4NSED CONTRACTORS DECLARATION /�r a U U I hereby affirm that I am licensed under provisions of Chapter 9 VISSUANCE DATE w a w (commencing with Section 7000)of Division 3 of the Business and BL ELECT. PLG. MECH. D i Professions Cod an icense is in full fou n f f F A ❑ ❑ ❑ .z o w - License CI ss Lie.Numb . 9 m r Ua[e_ - Contractor CO of¢ at M INV W LDING PERMIT rc ¢ OWNER-BUILDER R-BUILUI>R DECLARATION c o a O INFORMATION K ;,� h I hereby affirm that I sm exempt from the Contractor's License MISC.- 'REFER TO ORD VALUATION $/FT. LL o¢' Law for the following reason.(Sec 7031.5,Business Professions av - PERMIT ISSUANCE 10.00 i m>f Code:Any my or county which requi(esa permit to construct.alter, Se ¢ ¢O improve,demolish,or repair any structum,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. wO LL requires the applicant for such permit to file a signed statement that TOTAL PEflMIT T m he is licensed pursuant to the provisions of the Contractor's License - ^ rir Law(Chapter 9(commencingwilh Section7000)ofDivision3 ofthe F 4 o Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE ¢ r 0 the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant to a civil penalty ALTER-DRAIN of IEA.) 5.00 of not more than five hundred dollars(3500).): ❑ 1,as owner of the property,or my employees with wages as BACK F LOW PROTECT.DEVICE 4.00 OCC.GROUP RES.UNITS their sole compensation,will do the work,and the structure is not intended or offered for sale(Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves(hereon,End who does such work FIXTURES-PER TRAP 5.66 SO.FT.FLOOR AREA TOTALACREAGE himself or through his own employees,provided that suchimprove- mentsarenotintendedorofferedforsale.If,however,thebciting GAS-EA.SYSTEM-11 NC.4 OUTLETS 6.00 or-improvement is sold within one year of Completion,the owner- I- builder will have the burden of proving that he did not build or im- IGAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE prove for purpose of sale). INDUSTRIAL WASTE INTER3000 RES IND CON PB Other ❑ I,as owner of the property,am exclusively contracting with . . 13 El ❑ licensed contractors to construct tire project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORSPARCEL NO. and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for such projects with ii contractors)licensed pursuant to SEWER-SANITARYV-STORM EA.200f1/10.00 . the Contractors License Law., TRACT NO. PARCEL NO. rL❑ml l um exempt under Sec. ' ,B.&P.C.for this WATER HEATER W/VENT 6.001'1 Owner Dale WATER SYSTEM5.00 t ACC.DATE ACC.FILE NO. WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of Consent to self-insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a certified c¢pF.tyegtilied gJQI Lab.Q� P ompemy ' ❑ ertil'ied o I e furnished. Z Z -ertlfl c B It the city inspection d Islodn FIRE SPRINK ENERGY RIO O plcaol MISC.- REFER TO ORD. Y❑ N❑ Y ❑ N❑ ~ itn- CERTI FICAT'E OF EION PROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.LU.C. W COMPENSATION INSURANCE I PLG.CONTR. LIC.No. PLG. Y❑ N❑ v❑ N❑ 0 Z hundred section need not be completed if the permit is for one TOTAL hu1 cert dollars in the percc,formance LL O 1 certify that h the performance of tire work for which this s to QTY. MECHANICAL PERMIT FEE FEE SUMMARY 0 L) mit is issued,1 shall not employ any person in any manner so is lu O W become subject to the Workers'Compensation Laws of California. , Date Applicant - BUILDING Is. ALTER OR ADD TO MECH. 5.00 } N NOTICE TO APPLICANT: If,after making this Cenincmc of Ex- F E emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Cade, you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked - AIR HANDLING UNIT(TO 10=C.F.M0 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10p0011F.M.) 6.00 SEISMIC FEE I hereby ufUnn that there'i, a construction lending agency for EXHAUST HOOD'(W ITH DUCT) 5.00 the performance-of.the work for which this permit is issued(Sea MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name H EATI N G UN IT(OV ER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address I certify that 1,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-COMP13 H.P.Dr 100,000 B.T.U.) 6.00 herebyauthorize representatives of this city to enter upon the above-mentioned property for inspection purposes. 801 LER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL / (We) agree to save, indemnify and keep hamlless the City of MISC.- REFER TO ORD. upertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 CONST.TAX ay, n any way acv .I against said City in consequence of the - ' ! Or ngofthispermil MECH.CONT2' `- ' LIC.�NO.,'/ META e� fjOratureof Applicant/Can or Uate� ��..� `� TOTAL 0FFICE COPY