11811 POST THIS CARD NEAR FRONT OF BUILDING PC
CITY OF CUPERTINO RMITNUMBER
INSPECTION DIVISION 11811
JOB INSPECTION RECORD
7988 PUMPKIN DR PERMIT EXPIRATION
JOB ADDRESS UNIT# _LOT#
PERMIT EXPIRES IF WORK
• OWNER ' DAVID MCLANAHAN CONTRACTOR VALLEY HEATING IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
FOUNDATION LASTCALLED INSPECTION.
LIFER
PREGUNITE P`EER`^MIIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED J/yf 1
UNDERGROUND /SLAB \ : ! l
PLUMBING l
ELECTRICAL ISSUANCE DATE
MECHANICAL BLDG. ELECT. PLG. MECH,
1:1o ❑ a-
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR - VALUATION $/FT.
PLUMBING ,
l MECHANICAL
I
ELECTRICAL EPRMIT o
FRAMING v
cA
STORIES TrPECONSTR.
' I INSULATION
OCC.GROUP RES.UNITS
Y d .
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED �w
SO.FT.FLOOR AREA TOTAL ACREAGE
ROOF
DIAPHRAGM
BUILDING USE
J RF. IND CON PB OIEe,
S
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED 0 cl ❑ a ❑
ASSESSORS PARCEL NO,
ROUGH
PLUMBING
'
GAS TEST
TRACT NO, PARCEL NO.� �,
MECHANICAL Acc.DATE ACC.FILE No.
ELECTRICAL FINALS DATE INSP.
FRAMING SAN # ZONING ENG.SITE NO.
'•— INSULATION PLUMBING
GAS
FIRE SPRINK ENERGY T 24
MECHANICAL Y I] N� Y ❑ NE]
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
LATH—INTERIOR ELECTRICAL FLOOD ZONE A.L.u,C.
LATH—EXTERIOR FIRE DEPT. Y " Y IN
SHEETROCK - GRADE FEE SUMMARY
SHEAR 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
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTILBUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. 'MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL /
IMPORTANT! -
„,'aa CONST.TAX
',I
PLEASE READ REVERSE SIDE BEFORE 4
CALLING FOR FINAL INSPECTION. TOTAL
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
yam, 1,A BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
BUILDING APPLICATION & PERMIT
ADOREsrl s BUILDING-ELECTRICAL-PLUMBING-MECHANICAL 11811
OWNERS PLAN CHECK VALIDATION
"AME OTY. ELECTRIC PERMIT FEE
HONE
c CONTRACT as
NAME UTLETS-SWITCHES-RECEP 10.00/1.00
LIC.No. LIGHTING FIXTURES 10.00/1.00
XNTAR E' APPLIANCES-RESIDENTIAL 4.00
ADDRESS 1 /,,//v��1ry1._�/� CtC
• \ 11 \ PHONE_ • `•' PANELS 10.00 DATE OF APPLICATION
ACHITEcT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO,
OR
ENGINEER
LIC.No, SIGNS TRANS. 3.00
ADDRESS ENa. SPECIAL CIRCUIT 5.0Q PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20.00
APPLICArs ADDRESS MOTORS - SEE FEE SCH.
SERVICE CHANGE 20.00 /
w02 LICENSED CONTRACTORS DECLARATION
¢ u u I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE
wQ y (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. I PLG. MECH.
H N i Professions Code an license is in full to
io 0 m 0 License Class Lie.Numb
1:1 ❑ ❑ 'uJ
F m I- J Uate Contracto
¢ se¢¢ OWNER-BUILDER DECLARATION BUILDING PERMIT
E: ¢ w D INFORMATION
s 3 u y 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD
w u 0¢ Law forthe following reason.(Sec.7031,5,Business and Professions PERMIT ISSUANCE 10.00 VALUATION -$/FT,
0 Code:Anycity orcouny which requires a permit toconstruct,alter,
2 a Q o improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC.
C u requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO
E
R m he is licensed pursuant to the provisions of the Contractor's License
Fi> Law(Chapm,9(commencing with Section 7000)of Division3ofthe
4 o Business and Professions Code)or that he is exempt therefrom and OTY. PLUMBING PERMIT FEE
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 -WATER (EA.) 5.00
of not more than five hundred dollars($500).1:
Cl L as owner of the property,or-my employees with wages as BACK FLOW PROTECT.DEVICE 4.00
their sole compensation,will do the work,and the structure is not OCC.GROUP HES.UNITS
intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AR EA,COND. 5.00
Code:The Contractor's License Law does not apply to an owner of
property who builds or improves thereon,anti who does such work FIXTURES-PER TRAP 5.00 SO,FT.FLOOR AREA TOTAL ACREAGE
himself of through his own employees,provided that such improve- GAS-EA.SVSTEM-l 8,00
ments are not intended or offered for sale.If,however,the building
or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE
builder will have the burden of proving that he did not build or im- RES IND CON PB Omer
prove for purpose of sale.). INDUSTRIAL WASTE INTER. 30.00
❑ I,as owner of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑
licensed contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO.
and Professions Code:The Contractor's 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 a ContmClods)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00
the Contractor's License Law. TRACT NO. PARCEL NO.
O l am exempt under Sec.-,B.&P.C.for this WATER HEATER W/VENT 6.00
reason
Owner Dale WATER SYSTEM 5.00
ACC.GATE ACO.FILE NO,
WORK ERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00
I hereby Wfirm flint 1 have u certificate of consent to self-ireure, ZONING or a certificate of Workers'Compensation Insurance,or a certified ENG.SITE NO.
copy thcrZf(Sec tkl. yj..�
Policy
No. 9 ASn-Aon .,.
O ❑ Certified copy is hereby furBlShed. FIRE SPRINK ENERGY T24
Z Z DC Cerlifie py is Bled� �vifh,jh��c�ity�inspection division.
O Applicant��2J,� �iSy1O MISC.- REFER TO ORD. v ❑ N❑ v ❑ N❑
� N CERTIFICATE OF EXEMPTION FRO h ORK� PERMIT ISSUANCE 10.00 FLOODZONE A.L.U.C.
Lal COMPENSATION INSURANCE PLG.CONTE. LIC.NO. PLG.
CL Z (This section need not be completed if the permit is for one TOTAL Y[-] NE] Y[:] N❑
hundred dollars IS 100)or less.)
U O I certify that in the performance of the work for which this per- OTY. MECHANICAL PERMIT FEE FEE SUMMARY
LL F mit is issued,I shall not employ any person in any manner sons m
U become subject to the Workers'Compensation Laws of California.
0 y Dam ApplicantALTER OR ADO TO MECH. 5.00 BUILDING
} to NOTICE TO APPLICANT: If,after muking this Certificate of Ex.
1-' Z CHIP0011.you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK
provisions of the Labor Code, you must forthwith comply with FEE
U such provisions Ur this permit shall be decried revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER I0,000GEM.) 6.00 SEISMIC FEE
I hereby affirm that there is a construction leading 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 8v00
Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC
Lender's Address
!. I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00
information is correct. 1 agree to comply with all City and county PLUMBING
ordinances and state laws relating to building construction, and BOILER-COMPI3 H.P.or 100,000 B.T.U.) 6.00
hereby authorize representatives of this city m enter upon theO
above-mentioned property for inspection purposes. BOILER,COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL o
(We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD.
Cupertino against liabilities,judgments, costs and expenses which PERMIT ISSUANCE 10.00 /ryy�� CONST.TAX
may in any way accrue against said City in consequence of the Qvz4/
gran lin oI II permit MECH.CONT. LIC.NO. MECH.
�^ VALLE/� Fn �gs�
TOTAL �O TOTAL /8 CO
Signature of Applicanl/Contractor Date 4y--L V/-I w.f �',,WC
� p
OFFICE COPY