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18363
, . POSTTHISCAkO.NEAR�FRONT'OFBLIIL=='_DING` , PERMIT NUMBER' .` CITY . Of CUPERTINO 18363. INSPECTION DIVISION JOB INSPECTION.RECORD. ,, • - PERMITEXPIRATION ^1 ! ' - 6• t * ' ;PERMIT,EXPIRES IF WORK JOB,ADDR ESS C (/p^'}�� UNIT# t_ 'LOT# OWNER' .4 IJV � , <f �l ]'CO ITRACTOR-,©�, �\ 'IS NOT STARTED WITHIN INS ECTION .DATE INSPECTOR INSPECTION RECORD •iso DAYS OF FERMIT Issu. OR'180 DAYS FROM FOUNDATION + NOTE: •..:•f L AST CAL L E D I NSPECTI ON. UFER' - ALL GRADING AND DRAINAGE SHALL BE INSTALLED " 'PR EGUNITE 'TO;COMPLY WITH THE APPROVED PLANS AND,CITY OF - PERMIT VALIDATION , CUPERTINO STANDARDS •` GARAGE SLABS - POUR NO CONCRETE UNTILABOVE HAS BEEN SIGNED - '6 ,. �S F "UNDERGROUND /SLAB^ ., PLUMBING +. ELECTRICAL ' �± '", .ISSUANCE'UHTF: MECHANICAL w'. .: �' ,.. RLDG. ELECr, c, MECR. o. . , PL❑ . ❑ . 00 NOT POUR FLOOR UNTIL ABOVE'HAS"BEEN SIGNED - BUILDING PBaMl7_ INFORMATION e - •WOOD FLOOR, '. VALUATION SiFT- PLUMBING` n. r . MECHANICAL ELECTRICAL ` - ,F• - - PERMIT To FRAMING. INSULATION ,i ! STORIES f_f r6Te'CONSTR. `d. - - . . . .. " OCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED + • - -j r � 50,FT.,FLOOP PH[A iOiAL ACPEAGE• • 'ROOF C'" ' NOTE:NO FINAL INSP..SHALL BE MADE BEFORE ' - DIAPHRAGM :1; s." - THE CONSTRUCTION TAXIS PAID' • ,., _ , �. uILoFNcusE ROOF, It RES .IND ❑ PIT 'Utl ., APPLYNOFROOFINGUNTILABOVEHASBEEN'SIGNEDFINALSDATE" ' INSP A SSESSUHSPARCI,L NO ROUGH ' SANA , ' PLUMBINGG • ! ,?„ ELECT,ENERGY Nr . TUBS 8 SHOWER PAN - PLUMBINGIRGY -rRAcr o 'PARCEL No MECHANICAL • MECH.ENEl.' ( - Acc.PILE No: ELECTRICAL F i - BUILDING FRAMING' ..:" - t aELECT.FINAL TEST •zo - ENc,SITE No. INSULATION PLUMBING, ' I, GAS TEST GAS • ' ' 24 MECHANICAL FIR sPRINx ENERGY r N " `COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING . •• V �N� r ❑ • EXTERIOR SHEAR ELECTRICAL RELEASE 'FLOOD ZONE A,l 11.10' ❑ N❑ INTERIOR SHEAR ' FIRE DEPT.. Y El ' SHEETROCK GRADE ' .'FEE SUMMARY ` EXTERIOR LATH - BUILDING " BUILDING . .INTERIOR.LATH , TEMPORARY APPROVALS SCRATCH COAT ELECTRIC -. - PLAN CHECK .. ' GAS FEE . NO TAPE OR'PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY. . SEISMIC FEE OCCUPANCY OF-BUILDING ISNOTPERMITTEDUNTILBUILDI NG FINAL ISSIGNED BY,BU IL DING'INSPECTOR. MICROFILMT. ` " ARRANGE.FOR INSPECTION BY PHONING"252-4505, ELECTRIC H"�'' "'2 . ONE WORKING DAY BEFORE'REQUIRED INSPECTION PLUMewG 'PLEASE GIVE JOBADDRESS WHEN P,HONING'. Z j •:y` - w MECHANICAL'. — SEEP PERMIT'FOR.EXPI,RATION DATE ::IMPORTANT! CONST.TAX e PLEASE READ REVERSE SIDE BEFORE ' -. TOTAL - ' CALLING FOR'FINAL INSPECTION., - •SO : 4 i• - OFFICE COPY', aPFLICANT TO FILL INFORMATION WITHIN RED'L'INES - USE BALL POINT PEN,ONLY BUI LD1 NG PROJECT IDENTIFICATION - '. - - PERMIT NUMBER BUILDING 13/v� :APPLICATION'& PERMIT . . ADDRESS . :1. 83,63 O �S U Y' BUILDING- ELECTRICAL PLUMBING -MECHANICAL - ' Oes ... .. y!� • PLAN CHECK VALIDATION NAMEy •� QQ]] OTV: ELECTRIC PERMIT ': - 'FEE - I ` CONTRACTORS ' _ IsAME i- yif?2& - OUT LETS-SWITCHES-RECEP 10.00/100 / i LIGHTING FIXTURES 10.00/1.00 ADDess TORS APPLIANCES 4.00 . r VRONE G7 PANELS 10.00 ' DATE OF APPLICATION 'ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE v.C.NO:- OR ENGINEER uG,No, SIGNS TRANS. 3.00 ARCH,OR ENO. PERMIT VALIDATION ADDRESS " T' SPECIALCIRCUIT 5.00 1,21 S-0 III Ipi,,37 TEMP.METER OR POLE INS. 20.00 APPLICANTS 4 41 4/ MOTORS SEE FEE SCH. ' ADDRESS/ SERVICE CHANGE 20.00 o D LICENSED CONTRACT ORS DECLARATION ca U I hernhy uffinu that I am licensed under provisions of Chapter 9 / ISSUANCE DATE (commencing with Section 7000)of Division 3 of the Businns and - _ - BLDG. , ELECT. PLG. MECH.. - F 0 z Professions Code,and my license is in full force and effect. ❑ i :❑ '- ❑ z o m- License Class Lie Number ' o z F o Date Contractor _ Y s .BUILDING PERMIT rt w OWNIi R-BUILDER DECLARA'T'ION, INFORMATION w ;u N I hereby alfrm that I am exempt from the Contractors License MISC.- REFER TO ORD _ - u• oa Law for the following reason.(Sec.7031.5,Business and Professions PERMIT.ISSUANCE 10:00 „ :.?LUATION $/FT. - 't - w Code:Any city or county which requires a pernit to construct,alter, T � - '¢ ¢¢ 0 improve,demolish;or repair any structure,prior to its issuance,also ELEC.CONTR. LIQ NO. - ELECT rn - - O M requites the applicant for inch permit to file a signed statement that TOTAL tv�? l/ PERMIT TO ' a w-m he is licensed peremant to the provisions of the Contrnctnr's License ._ •' rQ..° Law(Clapter'9fmmmemingwith$c�ti�n90001ofDivlsion3of the ' '�1•-t Q' Lk Fi o Business and Professions Code)or that he is exempt therefrom and CITY: • 'PLUMBING.PERMIT• '" .L FEE •{ 0-•r R ✓� the basis for the alleged exemption.Any violmion ofSeclion 7031.5 - _ • l �"-. 1 STORIES ! TYPE CONSTR. c- by any applicant for a permit subjects theapplicant tea civil penalty ALTER-DRAIN, -WATER (EA.)' 5.00 " of not more than five hundred dollars 155001.)'. - - . . I ❑ 1,as owner of the properly,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 - - - intendedor offered for sale(Sec. 7044, Business and Professions DRAINS-FLOROOF,AREA,COND. 5.00 f ` Code:'fhe Contractor's OR,r's License Law does not apply to an owner of propetty who builds or reproses thereon,and who doeS such work FIXTURES-PER TRA_P ,"•, 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE hmUCIf;or through his own employees.provided flout such improve+ mems are not intended or Offered for side.If,however,the budding GAS-EA.SYSTEM.-I INC.40UTLETS.'6.00 or improvement ,'sold within o ie year of completion,the owner- s iI p. GAS-EA.'SYSTEM-OVER 4 (EA.),'. 2.00 BUILDING USE s prover th burden of.pn b that he did noPbuild or Im t prove forr purpose of sale) INDUSTRIAL WASTE INTER. 30.00 RES, IND1. o PB ,. other O d as owner oI the olosim ry,and rojec iv Se .7044, ins with - - . ❑ •❑� • ❑ ❑ - . licensed contractors : construct the project(Sec:does,of apply LAWN SPR INKLERS-1,INC 5 V.B. 6.00 ASSESSOR PARCEL NO. y' and Professions Code:The who builds o License s thereon, docs not apply to an owner of property who builds tr improves thcleom and who LAWN SPRINKLERS-OV ER 5(EA.) 1.00 ' centrad,for is License L with a contractor(sl licensed pursuant to , the Contractor's License Luw. SEWER-SAN.ITARY=STORM EA.200ft/10.00 TRACT No. - 'PARCEL NO. '❑ lam exempt under Sec'. ,B.&P.C.for this MATER HEATER W/VENT .6.00 is To Owner Dale WATER-SYSTEM . 5.00 -ACC.DATE ACC.FILE NO. • '.WORK ERS'COMPENSATION DECLARATION WATER TREATING.EQUIP. '- '+' '5.00 .t Thereby affirm that I have u ecrtifmale of consent lir self-'msure; I 20ING or a certificate ofWorkers' N s''Compensation Insurance,or a certified ENG:SITE NO. u7any—��fJFa/lI Q Certified copy is hereby furnished. FIREBPRWK ENERGY T 2 Z ❑ Certified copy is filed with the city inspection division. MISC.- REFER TO ORD. { O Applicant •. ' Y ❑ N❑� Y ❑ N❑ I— L2 " "" PERMIT ISSUANCE= • 10.00 FLOOD zONE, ' +A.L.U.C. ' r Cf:RTII'ICA Ili OP fiXEMPI'ION PROM WOR KIiRS' LU �' COMPENSATION INSURANCIi PLG.CONTR.- LIB.NO. PLG. CL D (This section,recd not be complcled if the permit is for one - _ TOTAL - 4 Y'❑ N❑ Y O N❑ Z hundred dollars 1S 100)or - ?:`•V OJ, =.'1 cerlify that in the Poi-Onernce of tie work for which this per- QTY.,' a .,MECHANICAL"PERMIT � FEE FEE SUMMARY f- ' rail Is Issued;I shall not employ any person In any ma rnerso as to - U he Lome subject In the Workers C ml ns lion Law,of California. '� w DateApplicant -5.00 BUILDING it, oak:Ig this Certificate Px- .' r ALTER ORADDTOMECH. NOrICL' TO APPLICANT w v ? emption,You should become subject to the Workcrs'Compens Yon ' APPLIANCE 5.00 PLAN CHECK provisions of the LaluO Code, you must,forthwith cmply.wlth FEE - C.� such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10/)00 C.F.M.). 4.00 CONS'PRUCION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C+F.M.) 6:00 ' SEISMIC FEE I hereby affirm that there is a construction lending agency for. EXHAUST HOOD (WITH DUCT) 5.00 t the performarice of the work for which this permit is issued(Sec. - - MICROFILM 3097,civ.c.).'- HEATING UNIT (TO 100,000 B.T.U.1' 8.00 _ Lender's Name _ Lender's ndpre:, HEATING UNIT,IOVER 100,000 B.T.U.19.50 - ELECTRIC 'ZLrj� I arwy Beat I he ad Ihlsappllulron and state that tile`hove VENTILATION FAN (SINGLE) 4.00 Information,is err U.'1 agree to umrply with all City end county PLUMBING onluieneox and slate laws rclating to building con,truclmn, and BOILER-COMPI3H.P.Dr100',000B.T.U:) 6.00 - hereby authorize representatives OI ths:Llty tO enter ikon the I BOILER-COMP'Iove:100,000 BTU)SEE FEE SCH: ;MECHANICAL above-mentioned property for Inspection purposes., (We :agree to save, indemnify and keep harmless the'Cily of MISC.-- REFER TO ORD. Cupertino against liabilities,judgments,'costs and expenseswhich' CONST.TAX - may in any way accrue against said City in conuquence,of the PERMIT ISSUANCE" 4 10.00 ranYeg f this permit r MECH.CONT. - LID,NO. - NEC I - TOTAL 7 C TOTAL b Z Nfi p ' alar plicant/Contr ctor [).to ' OFFICE'COPY,` 'L s . f .'r, . .,. .. I I, • 3� ,t, �. i a ,� :` '�a -� 7 t r .•.�ix�',i UO YN _ RESTAURANT 8 CAFE THE G RR-RRSTAURANRI INC. aED0RIY.ERA oPERATIIJNS • I9930 sre.cn, MUM ELIEW Mors mfnEn MUM HLW HULA upertino, Crcck14 I11v0. CCA v50 (408)973-1466 Oe ��f� 1 : 1 . . ,; .. �r••1�%�A>ffa�": .J1`+Ji�+�.�3�,�aJw;^�-i,V�,'�� .,