The URL can be used to link to this page

15298 POST THIS CARD NEAR FRONT OF BUILDING ; PERMIT NI r" CITY OF CUPERTINO � SZ9� INSPECTION DIVISION , JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS Z7.3UNIT# _LOT#' - // . / ,.- PERMIT EXPIRES IF WORK .OWNER g'� cru '?��„' CONTRACTOR .�,!/��.(��y� ops-c,l IS NOT STARTED WITHIN ., INSPECTION DATE INSPECTOR . INSPECTION RECORD . 180DAY91OFPERMITISSU- FOUNDATION - ANCE OR 180 DAYS FROM NOTE LAST CALLED INSPECTION. UFER ALL GRADING'AND DRAINAGE SHALL BE INSTALLED ' PR EG UNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF - PERNUT VALIDATION _ CUPERTINO STANDARDS. .. GARAGE SLABS - - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED T - UNDERGROUND /SLAB PLUMBING 2 /_pp ' ELECTRICAL 'ISSUANCE DA'TE' MECHANICAL PLUG ELECT I PLCMECH P ❑ ❑ El ❑ ' DO NOT POUR FLOOR UNTIL ABOVE HAS-BEEN SIGNED " iZ, BUILDING PERMIT ,WOOD FLOOR ' „ ,y� INFORMATION PLUMBING ^, VALUATION S/FT. MECHANICAL r ELECTRICAL - - ,PERMIT TO .. FRAMING - �;•q,I INSULATION - S?ORIES TYPE CONSTR, OCC GROUP RES,UNITS _ PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ' FT FLOOR AREA TOTAL,ACREAGE ROOF NOTE'NO FINAL INSP.SHALL BE B DIAPHRAGM11, -THE CONSTRUCTION TAX IS,PAID BUILDING USE -. ROOF SHEATHING - " RES IND CON PP APPLY NO ROOFING-UNTIL ABOVE HAS BEEN SIGNED," FINALS DATE " INSP:T - ❑ Q ❑ ❑ ❑ ASSESSORS PARCEL NO ROUGH SAN.0 . PLUMBING ` ELECT.ENERGY . TUBS&SHOWER PAN -, - � � PLUMBING ENERGY TRACT N0PARCEL Nn MECHANICAL MECR ENERGY ELECTRICAL ', - BUILDING ENERGY Acc.pare Acc.FILE No FRAMING - ELECT.FINAL TEST ZONING ENG,SITE NO. - INSULATION PLUMBING - GAS TEST _ .� GAS FIRESPRINK ENERGY L2C MECHANICAL v N❑ f 1:1 , N[ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING . FLOOD ZONE A U C, EXTERIOR'SHEAR ' ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. - °❑ N❑ "' L ' ND SHEETgOCK - - - GRADE FEE SUMMARY EXTERIOR LATH - BUILDING ,INTERIOR LATH ' "TEMPORARY APPROVALS BUILDING_ SCRATCH COAT - ' ELECTRIC - PLAN CHECK FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE " - OCCOPANCYOF BUILDING ISNOT PERMITTED UNTIL BUILDINGFINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR'INSPECTI,ON BY PHONING 252-4505, ELECTRIC ~� i ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING O PLEASE GIVE JOB ADDRESS WHEN,PHONING. . . ' Z. - SEE PERMIT. FOR EXPIRATION DATE = MECHANICAL IMPORTANT! 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 BU I LDING PROJECT IDENTIFICATION -PERMIT NUMBER - I AOON . APPLICATION &PERMIT LEs . rCBUILDING - ELECTRICAL-PLUMBING-MECHANICAL ,,. 1 529 U OWNER'S PLAN CHECK VAL ATION ,1n NAME - DTV• ELECTRIC PERMIT FEE ) PHONE y 6- �Z CONTRACTORS ry E 77 OUTLETS-SWITCHES-RECEP 10.00/1.00 I r d LIC.NO. 9Cv LIGHTING FIXTURES 10.00/1.00 ADORES RRAcrons /,I� APPLIANCES-RESIDENTIAL 4.00 Da PNONE X*707V 70 O PANELS 10.00 - DATE OF APPLICATION . ORCHIi I,UI PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEEP.C.NO. ENGINEER UC.No. ISIGNS TRANS. 3.00 ' ADDRESS ENG' SPECIAL CIRCUIT 5.00 PERMIT VALIDATION BIP EMP:METER OR POLE INS. 20.00 APPucnrvrs MOTORS SEE FEE SCH. SS _ ADDRE SERVICE CHANGE 20.00 H O o LICENSED CON TRACT DECLARATION a U w I hereby affirm Daat I am licensed under provisions of Chap)cr 9 ISSUANCE DATE H a (commencing with Section 7000)of Division 3 of the Business anJ ec DG. ELECT. PLG. MECH. H N. Prnfessions Code,,'urd license is in full for ryryryttt,,,effe��cS,,,��L zi m o License Class ` ._ c.Numbs /�CY 0 H w H J Ualc p�Cnnl.actor ` . Y d4 BUILDING PERMIT Ix ¢ w OWNIi )HR DECLARATION DECLARATION - FORMATION K ;a r 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO OR _ LLoa Law for the following mason.(Sec.703 1.5,Business and Professions PERMIT ISSUANCE ATION (, SIFT. Code'.Any city or county which requires a permit to conslrucl,.Der, �Q 0 impmve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. O , mil aims the applicant for such permit to file u signed storenwnt that TOTAL Lam- PERMIT TO F $ he is licensed pursuant to the provisions of Ibe Contractor's License / HiQ Law(Chapter 9(commencing with Section 7000)of Division 3 of the S7�!1Y tiu'/�/�)OA(.•+ E 4 p Business and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE M a-o the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR, u ;`? by any applicant for a permit subjects the applicant to a civilpenalty of not more than live hundred doll...($5000: ALTER-DRAIN&VENT-WATER (EA.) 5.00 6-I-)t Al I_r1Z ❑ I,as owner of the property,or my employees with wages as BACK FLOW 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 thereon,and who does such work FIXTURES-PER-TRAP 5.00 SD.FT.FLOOR AREA TOTALACREAGE himself or through his own employes,provided thit such impmvm s meets are not intended or offered for sale.If,however,the building / GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 or improvement is sold within one year of completion,the nwncr- GAS EASYSTEM-OVER 4 (EA) 200 builder will have the burden of proving that h - . . . e did not build or im- BUILDING USE prove for purpose ofsale.). INDUSTRIAL WASTE INTER30.00 RES IND CON PB O1mo . ❑ I,as owner of the properly,am exclusively contracting with _ ❑ ❑ ❑ ❑ Elro licensed contractors to construct the project(Seo.7044, Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORS FARDEL NO. and Professions Code:The Contruetor'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 contractons)licensed pummel to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. ❑ I am exempt under Sec.—,H&P.C.fix this WATER HEATER W/VENT 6.00 ' reason Owner Date WATER SYSTEM 5.00 ADD.DATE ACC.FILE NO. WORK HRS'COMPBNSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to self-insure,or.Certificate of Workers I Compensation murance,or a certified ZONING ENG�SITE NO.144a/' copy fbereof( ec.3 Son,Lab.C.). Policy No. Company 0 ❑ Certified copy is hereby furnished. FIRESPRINK ENERGYT24 Z 2—A pp JQ Certified c o Is fit• iDartbe city inspection division. MISC- REFER TO ORD. Q ant Y ❑ N❑ Y ❑ IN D:. W CbR JCA'ION FROM WORKERS, PERMIT ISSUANCE .-M1A.AB Y� FLOOD ZONE A.L.U.C. W 5 COMPFNSA'1'ION INSURANCE PLG.CONTR. LIC.NO. I.G.Pr _ C 0 ('Phis section need not be completed if the permit is for one TOTAL Q Y❑ IN F] Y❑ N❑ ::) 2 hundred dollars(S 100)or less) - U O I certify that in the performance of the work for which this per- CITY. MECHANICAL PERMIT FEE FEE SUMMARY LL H nail is issued, I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Luws Of California U0-Dale - Applicant BUILDING p�Q } m , NOTICE,TO APPLICANT. If,after making this Certificate of F.- ALTER OR ADD TO MECH. 5.00 ? emotion,you should become subject to the Workers'Conipensution APPLIANCE 5.00EFEE provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall he deemed revoked AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.001 hereby affirm that there is a construction lending agency lx EXHAUST HOOD(WITH DUCT) 5.00 te performance of the work for which this permit is issued(Sec.3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00Lender's NamHEATING UNIT(OVER 100,000 B.T.U.)5.50Lender's Address 1 certify that I have read this aopllcation and atule that tbu above VENTILATION FAN (SINGLE) 4.00 . information is correct. I agree to comply with all city and county gGILER-CCNv1P(3 H.P,of 100,000 B.T.U.) 6.00 PLUMBING ordinances and state laws relating to building construction, and Sb hereby authorize representatives ins of this city to enter upon the gGILER-COMP(Over 100,000 BTU)SEE FEE SCH. MECHANICAL ` herebabove-mentioned property for inspection purpoms. (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 �0Q pl CONST.TAX may in any way uccme against said City in consequence of the voting oft "pennil' i MECH.CONT. LIC.NO. MECH. TOTAL „Z�SZ TOTAL Ill ofA it/Contractor Date 11Y�� OFFICE COPY