14999POST,THIS CARD NEAR;FRONT OF -BUILDING
CITY OF C.UPERTINO,-
INSPECTION DIVISION,
JOB INSPECTION RECORD
•'.�j //-'('} •' -., r �'1/_/\
JOB ADDRESS j-��U-I C!{`�/II VQ �i�%Ik.Y'rl II dIKE� r'v
'UNIT#(PERMIT
OWNER- 7 '9 coNTRncioR _ �. �} "„n
PF.RMIr NUMBER
14999
PERMIT EXPIRATION
r
EXPIRES IF WORK '
''IS NOT STARTED WITHIN ,
180 DAYS OF PERMIT ISSU-
'ANCE: OR 180 DAYS FROM
LASTCALLED INSPECTION.
INSPE TION DATE INSPECTOR
- INSPECTION/RECORD
FOUNDATION-
-
NOTE:, �. C•
ALL GRADING AND DRAINAGE SHALE -BE INSTALLED
TO COMPLY WITH THE APPROVED PLANS AND CITY OF
CUPERTINO STANDARDS.
UFER • .O
PR EGUNITE
'PERMIT VALIOAnON ,
,' '
;r
ry IATE '
_
GARAGE'SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
DEC 13' 88:' -
-
:'UNDERGROUND /SLAB,
PLUMBING - Z'
�,• ulty.oi CDpQItIRQ -
ELECTRICAL -
MECHANICAL -
6
PI�Lr.. MecH.
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED'
• - -
• - -
• BUILDING PERMIT
INFORMATION
WOOD FLOOR
VALUATION
SIFT.
PLUMBING
MECHANICAL281
ELECTRICAL':
-HMIL TU I
I
smImm rvh[ CON srIv. I
6CC.4HCUP
FRAMING
INSULATION
-
PLACE NO SUBFLOOR UNTIL. ABOVE HAS BEEN SIGNED
- - "ROOF,
NOTE: NO FINAL INSP. SHALL BE MADE BEFORE.
THE CONSTRUCTIONTAX,IS PAID -
--' .:.
.• ' ', -,;
SO, IT ILUVI,AREA
I()TAI:ACHEA(iL
- I
'
DIAPHRAGM -
'
LDI ON UsE -
NG
RES INo wry Pe om��
0 El ❑ ❑ E '
ROOFSHEATHING "30 �,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN'SIGNED
^' FINALS 'DATE INSP.
ASSESSORSPAHCELNO.
JG �-Gi
_.'HOUGH
SP.N.a
PLUMBING
ELECT. ENERGY'•
TRACT NO.
-
PARCEL NO.
Acc. FILE NO.. .•
.I
TUBS 8 SHOWER PAN ..
PLUMBING ENERGY
MECHANICAL• - —3—T.'-
MECH.ENERGY
ELECTRICAL
BUILDING ENERGY
FRAMING
ELECT. FINAL'TEST
ZONING
ENG SITE NO.
'
INSULATION - .c6 a
PLUMBING
GAS TEST - -
GAS
FIRE SPRINK
V N- El
ENERGY T.}G
N�
MECHANICAL'
COVER NO ORK UNTIL ABOVE HAS BEEN SIGNED
'HEATING • •
FLOOD ZONE
v ❑ No
- AL UL.
" ❑ N❑
EXTERIOR SHEAR - l)
ELECTRICAL. RELEASE
INTERIOR SHEARIn-)
FIRE DEPT.
SHEETROCK'
GRADE
FEESUMMARY
EXTERIOR LATH
BUILDING
BUILDING
INTERIOR LATjH — -. Q, -� ��
TEMPORARY APPROVALS
SCRATCH COAT -�
ELECTRIC
PLAN CHECK
FEE
O -
,. - .GAS
SEI 0
62.00
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY
OCCUPANCYOF-BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED'BY BUILDING INSPECTOR.
MICROFILM
'••53
LU ''ARRANGE FOR INSPECTION BY. PHONING 252-4505,
ONEVORKING DAY BEFORE REQUIRED INSPECTION.
o0. PLEASE GIVE JOB�ADDRESS WHEN PHONING.
='SEE 'PERMIT FOR EXPIRATION DATE —
ELECTRIC
PLUMBING
MECHANICAL
(CONST. TAX
76B-
- --
'IMPORTANT.!
•. PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION.
TOTAL
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
RU1 LDI NG PROJECT I DENTI FICATION
APPLfICATION & PERMIT'
B
PERMIT NUMBER
I nA
a999
G
ADDRESS 1169M]ive Spring Crt
ouUILDING_ELECTRICAL-PLUMBING-MECHANICAL
NAmE Gregory Group, Inc. .&
Ahmanson Dev. 4115ar595 2100
OTV. ELECTRIC PERMIT FEE
PLAN, CHECK VALIDATION
/
DATE OF APPLICATION
CONTRACTORS -
NAME
Gregory Group, INP4D B-430097
UTLETS- SWITCHES -RECEP 10.00/1.00
• LIGHTING FIXTURES 10.00/1.00'
CONTRACTOR'S
ADDRESS 22 - Twin .D0l phln Dr.
RWC 94065 415,6a95-2100
APPLIANCES -RESIDENTIAL 4.00
PANELS 10.00
ARCHITECT ,Aram Ba SSenlan, AIA' &Assoc.
OR
NGINEER
- sec. No C-8395{
PANELS (OVER 200 AMP) -20.00
PLAN CHECK FEE P.C. NO.
'
SIGNS TRANS. - 3.00
ARCH. OR ENG. 2031 Orchard Dr.#10D
POOR ESS 1 ll / 1
$PEOIAL CIRCUIT 5.00
PERMIT VALIDATION'."
EMP: METER OR POLE INS. 20.00
Santa Ana Hts. CA'.. 92797
A
ADDRESS DRE55220- C Twin`DolphinDr:RWC
n
MOTORS SEE FES SCH.
SERVICECHANGE 20.00
LICENSED CON'TRACI'ORS DECLARATION,' -UNA
DEG
I hereby al'linn that 1 am licensed under provisions of Chapter 9
11 •uo
'
ISSUANCE DATE
(commencing with Section 7000) of Division 3 of the Nosiness and.
I'rol'essions Code -and iw license is in full force, yy(( Class DLie
License _ . Number_ y.
_
BLDG.
®
ELECT.-
- PLC. MECH.
® fi
2
fine
Date :Contractor _• /
BUILDING PERMIT
e ,..
OWNER -BUILDER DECLARATION
rMISC.
affirm thxl I an c empt Imm, the Contract ori License
I herebythe
Law for the following reason. (Sec. 7031.5. Businessurid Prbl'essions
Code: Any city or county which Raluiresa permit to construct, alter,
improve, demolish, or repair any structure, prior to its issuance, also
,coons the applicant lo, such permit to file a signed slatentent that
he is licensed pursuant to the provisions of the Contractor's License_
INFORMATION
- REFER TO ORD
VALUATION
17B 281
S/FT.
PERMIT ISSUANCE I -••10.00
ELEC. CONTR. LIC. NO.
•
ELEC.
TOTAL
PERMIT TO
-
QTY. PLUMBING PERMIT FEE
Law(Chapter 9'(commencing with Section 7000) o1' Division 3 ofthe
Business and Professions Code) or that he is exempt therefrum and
'SF'DI1 _
STORIES
TYPE CONSTR.
the basis for the alleged exemption. Any violation nl'Sedion 7031.5
by any applicant for a permit subjects the applicant to a civil Penalty
of not more than Ove hundred dollars (5500).1:
) 5
ALTER -DRAIN &VENT -WATER (EA..00
2
XXXXX %HR
❑ I, as owner uf,the property, or my employees with wages as
their sole C.mpeneuion, will do the work. and the structure is not
BACK FLOW PROTECT. DEVICE 4.00
OCC. GROUP
RES. UNITS
DRAINS -FLOOR, ROOF, AREA,COND. 5.00
for tided or offered for sale (Sec. 7044. Business and Professions
Code: The Contractor's License Law does not apply to an owner of
property who builds or 011PROV0 thereon, and who docs such work
R-3
1
FIXTURES - PER TRAP 5.00 -
so. FT. FLOOR AREA
TOTAL ACREAGE
himself or through his own employees, provided that such improve-
ments are not intended or offered for sale, If, however, the building
2726
GAS-EA.SVSTEM-11NC.40UTLETS 6.00 .
or improvement is sold within one year of courpletion, the owner-
builder will marc lire burden of proving that he did not build or int-
prove for purpose of sale). �-
❑ I, as ownersoI the properly. .,,I exclusively contracting with
licenud contractors to Construct the project (Sec. 7044, Business
and Professions Code: The Can tractor's License Law does not apply
fo an owner of property who builds or improves thereun, and who
GAS- EA. SYSTEM - OVER 4 (EA.). 2.00
BUILDING USE
RES IND CON PB Other
la ❑, ❑ ❑ ❑
INDUSTRIAL WASTE INTER. 30.00ray
LAWN SPRINKLERS- 1 INC 5 V.B. 6.00
ASSESSORS PARCEL NO.
� 1
_
LAWN SPRINKLERS'- OVER 5 (EA.) 1.00
Eonlmels for such projects with u contractors) licensed pLrorant to
the Contractors License Law.
SEWER -SANITARY -STORM EA. 200tt/10.00
TRACT NO.
PARCEL NO.
WATER HEATER WIVENT - 6.00
❑ I am exempt under Sec. B.&P.C: lie this
r.,un
BW 809
Owner - Dam
WATER SYSTEM - 5.00
ACC. DATE
ACC. FILE N0,
WO RKERS'COMPI?NSA'1'ION DECLARATION
WATER TREATING EQUIP. 5.00
•• I' liereby affirm that I have a certificate of consent to selGinxure,
or a certificate of Workers' Compensation Insurance, n certified
J
ZONING
ENG. SITE NO.
• -
Copy thereof (Sec. 3800, Lab.C.
Policy No. Company United Pacific
,
-
FIRE SPRINK
V N
❑ ❑
ENERGY T 24
V . N
❑ ❑
:❑ Certified copy is hereby furnished
'7l Certified copy is lite it+ H city inspection division.
A�p1�Cant
MISC.-'. .. REFER TO ORD.
. PERMIT ISSUANCE 10.00
FLOOD ZONE
A.L.U.C.
,
CER'fIFICA'I'E OI' I:XEMPI'ION PROM WORKERS'
PLG. CONTR., ❑C. NO.
PLG.
TOTAL
- COMPENSATION INSURANCE: sr
('This section need not be 'coif the permit is for one
V ❑ �N ❑
Y ❑ N ❑
,•
DTV. MECHANICAL PERMIT FEE
'
-
FEE SUMMARY
hundred dollars IS 100) or ICSQ .'
1 certify that in the performance of the work for which this per-
mit is issued, I shall nor employ any person in any manner so as to
becolnc subject to file Workers' Compensation Laws of California.
Dare Applicant
NOl'ICE '1'0 APPLICANT: If, after making this Certificate nLEx-
emption, you should become subject to the Workers' Compensation
provisions of the, Labor Core, you must forthwithcomply with'
tldm
such provisions., s permit shall he deemed revoked.
BUILDING
PLAN CHECK `'
FEE /energy
916.00
15.50
62.00
ALTER OR ADD TO MECH. 5.00
APPLIANCE - 5.00 -
AIR HANDLING UNIT ITO IQOCF:NL) 4.00
OO
AIR HANDLING UNIT (OVER 10A000.EM.) 6.00
SEISMIC FEE
.12,53
CONSTRUCTION LENDING AGENCY,
EXHAUST HOOD (WITH DUCT) 5.00
-
MICROFILM
1 heieby affirm that there is a construction lending agency ti+r
the perlornl ancc I 'floc wluyy lie which,1his permiUis issued fSee
3097, Civ.C.).. eC 1L Pd 1T IC
HEATING UNIT (TO 100,000 B.T.U.) 8.00
HEATING UNIT (OVER 100,000 B:T.U.)9.50
- - -
ELECTRIC
68.58
-�
Lender's Name- : e-0-4 1-f1T:
Lender's Address_
1 certify that I have read this application and state tllat the above
HlmRRlion is Correct. 1 egrcC 1. ,imply with all city'and county
ordinances and stale laws relating to building construction. and
V ENTILATION FAN (SINGLE) . 4.00
PLUMBING
O
68.58
BOILER- COMP(3H.P.or100,000B.T.U.) 6.00
BOI LER-COMP. (Over 100,000 BTU) SEE FEESCH.
MECHANICAL
68.58
hereby authonic representatives of this city, to enter upon the
above ntentioned property for inspection purposes.' "
_
MISC. - REFER TO ORD.
'
CONST. TAX
�•
(We) ago"'Lo save, indemnify and keep harries, the City of
upertino against liabilities, judgments, costs dad expenses which
ay in any way -accrue wain I said City in cense seen of the
PERMIT ISSUANCE 10.00
MECH. CONT. LIC. NO. r
MECH.
TOTAL
TOTAL
> Sm9
ranting of this permit, - /J '
Signature of Applicant/C tr'ur le
OFFICE COPY