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15696I POST THIS CARD NEAR, FRONT OF BUILDING., ' � CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD • - JOB ADDRESS ��W 3 w�rM' "i VC YUN # LOT#' OWNER' '% CONTRACTOR -L GL - PERMIT NUMBER "I 15696 ' PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN - lUU DAYS OP PERMIT ISSU- PE FROM LAST AL 180 DAYS LASTCALLED INSPECTION. " INSPECTION DATE INSPECTOR SPECTION RECORD FOUNDATION .nRti ,7, L Qj'-� - NOTE: .- ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CIN OF CUPER71N0 STANDARDS. - UFER PREGUNITE 2 PI ; 'rm9rt vnLlDA nnN �'•( 4�G' ISSUANCE DATE ,GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB . PLUMBING - ELECTRICAL MECHANICAL ELECT ,PLG. WHICH YjDO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED •,�. Bu14 G PERMIT T kORMATION WOOD FLOOR.' - IUAT I ON $IPT. - PLUMBING - - - . MECHANICAL., ELECTRICAL - TERM II T /L4 'FRAMING INSULATION ' ,STORIES TYPE CONSTR, Ivr - , UCC CROUP HES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED" - ROOF - NOTE: NO FINAL INSP. SHALL BE MADE BEFORE THE CONSTRUCTION TAX IS PAID - - - SO f L FLOOR AREA TOTAL ACHE AGE DIAPHRAGM BUILDING USE ' RES END CON PB OLP" - El ❑ El El 1:1 ROOF SHEATHING - APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS - DATE INSP. ,ASSESSORS PARCEL NO " ROUGH SAN,# PLUMBING ELECT. ENERGY TUBS & SHOWER PAN PLUMBING ENERGY TRACT NO. PARCEL NO MECHANICAL = MECH. ENERGY - ELECTRICAL - BUILDING ENERGY ACC DATE - ACC. FILE NO FRAMING -. ELECT. FINAL TEST INSULATION PLUMBING �. ZONING ENG, SITE No. GASTESTGAS - / FIRE SPRINK v N[] ENERGY T-24 v ❑ N[] - - MECHANICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR - ELECTRICAL RELEASE FLOODZONE Y ❑ N� A.L U. C. Y L1 •N❑ INTERIOR SHEAR FIRE DEPT., SHEETROCK - GRADE '- - FEE SUMMARY EXTERIOR LATH BUILDING Do L- -Z F euILnlNc r?, INTERIOR LATH TEMPORARY APPROVALS SCRATCH COAT ELECTRIC - PLAN CHECK FEE GAS NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY- SEISMIC FEE 6� OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDI NG FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM LU ARRANGE FOR INSPECTION BY PHONING 2524505, o� ONE WORKING DAY BEFORE REQUIRED INSPECTION.' PLEASE GIVE JOB ADDRESS WHEN PHONING. z - SEE PERMIT FOR EXPIRATION DATE - ELECTRIC PLUMBING ��� MECHANICAL 3 CONST. TAX IMPORTANT! PLEASE,REAU REVERSE.SIDE BEFORE CALLING FOR FINAL INSPECTION. TOTAL 4 OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU I LDING PROJECT I DENTIFICATI ON - APPLICATION & PERMIT BUILDING -ELECTRICAL- PLUMBING -MECHANICAL -PERMITNUMBER ... 15696 [ J21s- msLEANG I ADOREL SALJvvv Nx OWNER'S "AME'r'pCTE 11n HONE E -c4-1 ' �c eAciORs - OTY. - ELECTRIC PERMIT FEE PLAN CHECK V DATION pd. �a G ., DATE OF APPLICATION . M ( uc. NO 1[7C V� 2 �1� WOJZ OUTLETS - SWITCHES - RECEP. '10.00/1.00' LIGHTING FIXTURES 10.00/1.00 CONTRAc R'sAPPLIANCES-RESIDENTIAL M& 11I 5000 �kCIW^,^J vHONE 4.00 PANELS10.00 ARCHITECTPLAN pq ENGINEER/f y '(� yy����QQ I- `- �`/�'•`� LIC. NO.��Q `�I PANELS (OVER 200 AMP) 20.00 CHECK FEE P.C: NO. .- SIGNS TRANS. 3.00 ADOhRESS ENG. �l rte,., -I-L L,Q�Yk-Qek) 'ZIP" k ��- SPECIALGIRCUIT 5.00 EMP. METER OR POLE INS.. 20.00 PERMIT VALIDATION -� APPucANr's- {`_t, nZLssUJr, MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 r•.r LICENSED CONTRACTORS DECLARATION E[.6z�- �r/R �p L ZjC I 1 hereby at that I um licensed under provisions of Chapter 9' (commencing with Section 7000) of Division oft smess mul prcuessims�qdL� d.nq�[illtse is in full to aaiaY�y,K�ti• License ClassC��f@UU�((�� Lia Numbe{{{��� --� Dame Contractor._V(�„1�!pp-p OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for city following reasonhi(Sec.retuoresa 1.5, Businessand Professions t u construct, alter, Code: Any city o' corn pair any structure, permit prior improve, de mulish, or repair any structure, prior t0 its issuance, also requires the applicant for such permit to life to signed statement i tut he is licensed purnmn[ to.the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and ISSUANCE DATE BLDG. ELECT. PLG. MECH. ,r� BUILDING PERMIT DRMATIGN V ON S/FT. /� , • PERMIT TO ({/ //y�l.��yv�r MISC. - REFER TO ORD PERMIT ISSUANCE 1&00. ELEC. CONTR. LIC NO. ELTA �CP TOTAL 1%04 OTY. PLUMBING PERMIT FEE STORIES TYPE CONSTR. the basis for the alleged exemption, Any violation of Section 703 L5 by any applicant for a Permit subjects the applicam ma civil papally of not more than five hundred dollars (S500).1: ispN'/ % O ALTER -DRAIN -WATER IEA.) 5.00 ❑ I, 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 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF; AREA, COND. _5DO - intended or Offered for sale (See. 7044, Business and Professions �ode: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such work • nbnself or through his own employees, provided that such improve- ments are not intended or offered For sale, If, however, the building FIXTURES - PER TRAP 6.00 SO, FT, FLOOR AREA TOTAL ACREAGE GAS=EA.SVSTEM-11NC.40UTLETS 690 or improvement is sold within one year of completion, the owner builder will Imvo the burden of proving that he did not built) or im- Prove for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 IEA.) 2.00 - BUILDING uSE - RES INP. CON PB Omer ❑ ❑ ❑ ❑ ❑ INDUSTRIAL WASTE INTER. 30.00 licensed contractors to construct the project (Sea 7044, Business and Professions Code: The Contractors License Law docs not apply to an owner of property who builds or improves thereon, :cod who ILAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ' LAWN SPRINKLERS - OVER 5 (EA.) 1.00 ASSESSORS PARCEL NO. - Contracts for such projects with a conlractoft5) licensed pursu n1 to the Contractor's License Law. � SEWER -SAN V -STORM EA. 200th/10.00 TRACT NO. PARCEL NO, ❑ l um cxempl under Sec.-, R&P,C. for this reason WATER HEATER W/VENT 6.00 Owner Date WATER SYSTEM 5.00 -ACC.DATE ACC. FILE NO. WATER TREATING EQUIP. 5.00 WORKERS'COMPI:NSA'f]ON DECLARATION 1 hereby affirm that I have a ecrtifieate ofconsunt to self -insure, or cer i 1, m.1�W'��or qqs' Compensation Insurance. or a certified I Ih', p'$-cinquany i ZONING ENG. SITE NO. amn lli ❑fertiPedy is hereby furor`(. ,.e, CertificJ py is RI),.it wi01,/'t(vlte ity inspection division. Applicant FIRE SPHINK Y ❑ N❑ ENERGY T 24 Y ❑ N❑ MISC- REFER TO ORD. CERTIr;CATE AO EXEMPTION FROM WORKERS' PERMIT ISSUANCE q 3.00 12-- FLOOD ZONE A.L.U.C. PLG. CONTR. . LIC. NO., PLG. TOTAL COMPENSATION INSURANCE (This section need not be completed it the permit is for one Y ❑ N E] Y ❑ N ❑ - hundred dollars (S IOD) or less I I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so as to - OTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING �- becomesubjecttolheWorkers'Compensal ion Laws of California. Date ApplicantALTER OR ADD TO MECH. 5.00 NOTICE TO APPLICANT: If, after mu king this Cerlificate of fix- emption, ycii should become subject In the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of tire Labor Code, you•must forthwith comply with such provisions or this permit shalf be deemed RIAIR FEE HANDLING UNIT (TO 10J100C.F.M.) 4.00 AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE t�s' CONSTRUCTION LENDING AGENCY I Thereby affirm that there is a'construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 tire 3097, performance of the work for which this permit is issued (Sec MICROFILM' _ HEATING UNIT (TO 100,000 B.T.U.1 8.00 Lender's Name HEATING UNIT (OVER 100,000 B.T.U.19.50 ELECTRIC � I: Limner's Address end ,: I certify that I have read this application and slate that the above Information n correct. I s relati comply with al oast and county and ordinances and irate laws ativesno t0 building construction, and herchy uutia, igd representatives of this city to enter upon the abov Icntioned property for inspection purpous. VENTILATION FAN (SINGLE) 4.00 PLUMBING BOILER-COMP(3 H.P. Dr 100,000 B.T.U.) 6.00 BOILER -COMP (Over 100, 000 BTU) SEE FEE SCH. MECHANICAL MISC. - REFER TO ORD. - CONST. TAX �( C) agree to sav demail'y and keel) harmless the City of Cup 'tin against Iia flit' , Jud •mints; Costs and expenses which' Da y in w y.ac no •most aid City in consequence of the Jm g 1 e'mt PERMIT ISSUANCE 15:8[T ot- MECH: CONT. LIC. NO. MECH11, . -M W 9 j TOTAL � ' TOTAL 0 Signator o 'Applicant o racfnr � Uate „ OFFICE COPY