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15701 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 15701 INSPECTION DIVISION JOB INSPECTION RECORD ' / PERMIT EXPIRATION JOB;ADDRESS `E'� WDA—�,^W6-.Qo�/c. •CA/ UNIT# _LOT# .. PERMIT EXPIRES IF WORK OWNER wu"'fkdgr CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD .180 DAYS OF PERM]T ISSU. FOUNDATION - ANCE OR 180 DAYS FROM NOTE: LASTCALLED INSPECTION. UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALmATION CUPERTINO STANDARDS. GARAGE SLABS ----- FOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED �./y- ��Gv2y;' p UNDERGROUND /SLAB / 4 PLUMBING - 10 A • K r ELECTRICAL PISSUANCE DATE MECHANICALELECT PLG. MECH � �� ❑ El r❑ ❑ 00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED C 6BUILDING PERMIT INFORMATION PLUMBING WOOD FLOOR VALUATION - MECHANICAL ERMIr o ELECTRICAL � _ - � � �J C, Y FRAMING O STORIES TYPECONSTH. INSULATION , OCC.GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED t T� so.rT.FLooH AREA raraL acneace I y - ROOF NOTE:NO FINAL INSP.SHALL DE MADE BEFORE DIAPHRAGMI - THE CONSTRUCTION TAX IS PAID BUILDING USE N-` ROOF SHEATHING RES IND BON PB GO.... APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑ ASSESSORS PARCEL NO RCUGH SAN,# PLUMBING - ELECT.ENERGY TRACT NO. PARCEL NO TUBS B SHOWER PAN - PLUMBING ENERGY MECHANICAL. MECH.ENERGY ELECTRICAL i-/Z� ACC'DATE ACC.BUILDING ENERGY FILE NO FRAMING ELECT,FINAL TEST " INSULATION - PLUMBING ZONING ENG slrE No. . GAS TEST -- GAS MECHANICAL FIRE SPRINT: ENERGY T 2 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y a NE Y E NF] FLOOD LONE A.LUC. EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR'SHEAR FIRE DEPT. Y❑ N❑ Y ❑ No SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING .INTERIOR LATH _ TEMPORARY APP LS BUILDING ' SCRATCH COAT ELECTRIC PLAN CHECK TAS �� FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY d3 ISMIC FEE - OCCUP,ANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC I� I' F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z PLEASE GIVE JOB ADDRESS WHEN PHONING. ` - — SEE PERMIT FOR EXPIRATION DATE.— MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL' CALLING FOR FINAL INSPECTION. OFFICE COPY i APPLICANT TO FILL IN INFORMATION WITHIN RED LINES --USE BALL POINT PEN ONLY _ "'BUIL,p,ING PROJECT IDENTI FICATION PERMIT NUMBER -_l/'i OwN€R's • ' APPLICATION $ PERMITBUILDING aooREss�V,7 � ��a � vEL0BUILDING - ELECTRICAL-PLUMBING-MECHANICAL ah ' 57 01 - PLAN CHECK VALIDATION NA 4 2537 23 OTY. ELECTRIC PERMIT FEE t �� PHONECDN NAME row's OUTLETS-SWITCHES-RECEP 10.00/1.00 NA - LIC.NO. LIGHTING FIXTURES 10.00/1.00 - ACTORs ADDRESS PPLIANCES-RESIDENTIAL 4.00 ADORE PHONE PANELS 10.00 DATE OF APPLICATION OARCHITECT PANELS (OVER 200 AMP) 20.09 PLAN CHECK FEE P.C.NO. NGINEER ua NO, ISIGNS TRANS. 3.00 ADDRESS ENG: SPECIAL CIRCUIT "J'D9' 7 �� PERMIT VALIDATION ZIP TEMP. METER OR POLE INS. 20.00 ^ /) APPLICANTS MOTORS SEE FEE SCH. ( V/\f ,L•/,(/.C--�,-�D",',-,�•r-� ADDRESS SERVICE CHANGE 20.00 '02 0o LICENSED CONTRACTORS DECLARATION (/ a,u" 1 hereby affirm that I am licensed under provisions o"Chapter 9 ISSUANCE DATE y a m (commencing with Section 7000)of Division 3 of the Business and BLppppx� ELECT. PLG. MECH. r D Z Professions Code,and my license is in.full force and effect. ® 1:1Z O H License Class Lie.Number ur o Date Contractor a y a x s1ROILDING PERMIT a z w OWNER-BUILDER DECLARATION B INFORMATION X ; E. I hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD a_0 < Law for the following mason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE VALUATION S/FT. w0� Code:Any city or county whichrequiresa permit to construct,alter, IS ¢ ¢ O improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. O LL requires the applicant for such permit to file a signed statement that TOTAL PERMIT T a w m he is licensed pursuant to the provisions of the Contractor's License r Law(Chapter 9(cummencingwith Section 7000)of Division 3 ofthe a Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE r X o the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. i ;m by any applicant fora permit subjects the applicant macivil penally ALTER-DRAIN -WATER (EA.) 5.00 of not more than five hundred dollars(5500).): ❑ I,as owner of the properly,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 RES.UNITS intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,GOND. 5.00 r� Code:The Contractor's License Law toms not apply to an owner of - _ property who builds or improves thereon,and who does such work FIXTURES-PER TRAP ,1JPBO 56 FT.FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided that such improve mems are not intended or offered for sale.If,however,the budding GAS-EA.SYSTEM-11NC.40UTLETS 6.00 or improvement is sold within one year of completion,the owner- builder will have the burden of proving Ihal he did not huild or im- IGAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE Pr v forpurpose of sale.). INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Other I,as owner of the property,am exclusively contracting with ❑ 0 O 0 ❑ he - d 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 docs 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 contractorts)licensed pursuant to - theContracmr'sLicenseLaw. SEWER-SANITARY-STORM EA.200tt/10.00 TRACT NO. PARCEL NO. ❑ I on exempt onder5 c._ ,BAP.C.for this WATER HEATER W/VENT 6.00 xt, reason Owner . Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. . WORKERS'COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that 1 have a certificate of consent to self-insure. or a certificate of Workers'Compensation Insurance,ora certified ZONING ENG.SITE NO, copy thereof(Sec 3800,Lub.C.). Policy No. Company 0 ❑ Certified copy isllereby furnished. FIRE$Pfl INK ENERGY T-Z4 Z Z ❑ Certified copy is filed with the city inspection division. 0 Applicant MISC.- REFER TO ORD. Y IN Y ❑ - N[ � y CERTIFICA"f F.of EXEMPTION FROM WORKERS' PERMIT ISSUANCE _ --16.60 19 - FLOOD ZONE A.L.U.C. W > COMI'F.NSATION'INSURANC17 PLG.CONTE. LIC.NO. PLG: - 0. Z (This section need not be completed if the permit is for one TOTAL �- Y❑ N[D Y [J IN h on dred dollars 1$100)or less.) U 0 1 certify that in the performance of the work for which HIS per. QTY. MECHANICAL PERMIT FEE FEE SUMMARY LL I- mil is issued,1 shall not employ any person in any manner so as m O U . become subject to the Workers'Compensation Lows of California. Date-Applicant TO MECH. 5.00 BUILDING a. >_ N NOTICE '1'O API'LICAN"I': If,alter making this Certificate of[is. ALTER OR ADD F Z emption,you Shedd become subject In the Workeri Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you most forthwith comply with FEE ' U such provisions or this permit shall he deemed revoked AIR HANDLING UNIT(TO 10=C.F.M.) 4,00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.P,M.) 6.00 SEISMIC FEE I hereby affirm that there is a Construction lending agency]or EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,CR,CJ. HEATING UNIT(TO 100,000 B.T.U.) 6.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's Address ELECTRIC 1 certify that I have read this application and slaw that the above VENTILATION FAN (SINGLE) 4,00 information is correct. I agree to comply With all city and county PLUMBING �•l« ordinances and slate laws relatingtG'building crnslrucl ion, anJ BOILER-COMP(3H.P.Of100,000B.T,U.) 6.00 1 I ,r hereby authorize representatives of this city to enter upon the BOILER-COMP Over 100,000 BTU)SEE FEE SCH. MECHANICAL ` above-mentioned property for inspection purpauue. (We) agree to save, indemnify :rad keep hnrndcss the Cily of MISC.- REFER TO ORD. 'upertinu against liabilities,judgments, costs and expenses which CONST.TAX may in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 are g 0 this p mit. MECHH. .CONT. LIC.N0. MEC � '5 l �� TOTAL TOTAL 3f Snmature ofAl Date OFFICE COPY Cz CITY OF CUPERTINO BUILDING DIVISION 10300 TORRE AVE. CUPERTINO, CA 95014 RE: PERMIT -- ADDRESS: � PERMIT ISSUED: �G^��r)j,y Dear Applicant: You are hereby placed on notice that your permit has expired:;",'¢jr Due to the requirements of Section 303D of the Building Code, a buildino permit shall become null and void if work on the project has not commenced • within 180 days from the date the permit was issued. Our records-ind'ic'ate that the above permit has gone at least 180 days without work comment ng. r.g{ You may arrange a building inspection within 30 days from the daty ' !! this letter in order to keep your permit active. If we do not reoe'iveiftl a response from you reactivating your permit within 30 days, your ;, ,,�jtp#f. permit will become null and void. Please contact the Building Divisionilliv at 252-4505 if you have any questions and/or to arrange an inspection,,N :gN� Joe Antonucci n Building Official 0 1. 7� POST THIS CARD NEAR FRONT OF BUILDING RnlnNumu[u CITY OF CUPERTINO 15701 INSPECTION DIVISION JOB INSPECTION RECORD PERMIT EXPIRATION JOB ADDRESS _UNIT 1# _LOT t7 PERMIT EXPIRES IF WORK OWNER CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION NOTE: ANCE OR 180 DAYS FROM LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION, PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF 141WIT vauon TION GARAGE SLABS f,UPERTINO STANDARDS. POUR NO CONCRETE UNTIL ABOVE NAS BEEN SIGNED -/�'.• /IC-o'iZi ✓�'' �� UNDERGROUND /SLAB PLUMBING .,,, ELECTRICAL F1�O ISSUANCE GATE MECHANICAL c ELECT Eu;. mrc1l El 1:1 DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED C Q BUILDING PERMIT WOOD FLOOR �;�� Of INFORMATION PLUMBING ` VALUATroN $(FT. MECHANICAL ELECTRICAL rERnur, o FRAMING 7 INSULATION 9UIOL5 TYNE CONSOf (ICC (11011 RLS UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED •' ROOF NOTE: IT IIIIU"A"1A IOTAI ACNFNIII NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM' THE CONSTRUCTION TAX IS PAID IRIOOFATHING Ruu.owr,usE HL$ INC CON YR Om.. NO ROOFING UNTIL A80VE HAS BEEN SIGNED FINALS DATE INSP. ❑ROUGH SAN.HG u ELECT.ENERGY OWER PAN PLUMBING ENERGYICAL MCAL /'L- BUILDING ENERGY ncc )nrF ncc w1.F No FRAMING ,., ELECT.FI NAL TEST INSULATION PLUMBING ZONING' ENG SOL NO GAS TEST GAS MECHANICAL FIRF SIa11NK ENFRGY T.)a "'"COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ Y ❑ N❑ EXTERIOR SHEAR ELECTRICAL RELEASE FLOOD/UNE ALUC INTERIOR SHEAR FIRE DEPT. Y ❑ N❑ Y ❑ No SHEETROCK, GRADE EXTERIOR LATHFEE SUMMARY BUILDING INTERIOR LATIi TEMPORARY APPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING ISNOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. ' MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, �" ELECTRIC d b o� ,ONE WORKING DAY BEFORE REQUIRED INSPECTION. pLUMBINc Uu ,• Z '.PLEASE GIVE JOB ADDRESS WHEN PHONING. .:.' ; ,. - SEE PERMIT FOR EXPIRATION DATE - q1' MECHANICAL IMPORTANT ! CONST. TAX PLEASE READ REVLF-SE SIDE BEFORE I jl IE'T, j TOTAL i a CALLING FOR FINAL. INSPECTION. �.. OFFICE COPY