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15180 POST THIS CARDNEAR FRONT OF BUILDING PERMIT NUMBER CITY OF CUPERTINO 15180 INSPECTION DIVISION JOB INSPECTION RECORD11110— 4 10101 North Wolfe Road PERMIT EXPIRATION JOB ADDRESS UNIT# _LOT# ' PERMIT EXPIRES IF WORK OWNER Sears Financial CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE I INSPECTOR INSPECTION RECORD 160 DAYS OF PERMIT ISSU- ANCE OR 180 DAYS FROM FOUNDATION NOTE: LAST CALLED INSPECTION. LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION CUPERTINO STANDARDS. GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB PLUMBING t `t ELECTRICAL ISSUANICE DA IF. MECHANICAL VOW BLDG. ELECT PLG. wCD 8 ❑ El ❑ DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEDMA BUILDING PERMIT INFORMATION WOOD FLOOR 1��I VALUATION SIFT. PLUMBING C1�7 .�. MECHANICAL V PERMIT 10 C � ELECTRICAL -2•L-�$ a-�� Se.�V,�,UL FRAMING - STORIES TYPE CONS"' INSULATION OCC GROUP RES UNITS PLACE NO'SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED sn.FT TLOuu A"LA TOTAL ACREAGE ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE DIAPHRAGM THE CONSTRUCTION TAX IS PAID BUILDING use ROOF SHEATHING Res IND CON Pe on APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 13 El El E) E-1ASSESSORS PARCEL NO ROUGH SAN.# / PLUMBING ELECT.ENERGY TUBS&SHOWER PAN PLUMBING ENERGY TRACT NO. PARCEL No MECHANICAL MECR ENERGY ELECTRICAL BUILDING ENERGY ACC DATE Acc.FILE NO FRAMING - ELECT.FINAL TEST ZONING ENG SIre NO, INSULATION PLUMBING GAS TEST GAS FIRE SPRINK ENERGY I 2 MECHANICAL N� ❑ N[] COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING FLOOD/ONE ALUC. - EXTERIOR SHEAR ELECTRICAL RELEASE INTERIOR SHEAR FIRE DEPT. `"� N� � ❑ N� SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING INTERIOR LATH TEMPORARY AP R L BUILDING SCRATCH COAT ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCv SEISMIC FEE ) OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC /} U.1 ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z0� 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 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU LDING PROJECT IDENTIFICATION :PERMIT NUMBER 8u XING APPLICATION & PERMIT 1518 0 `. 4oG Ess O Iy�IdLhE BUILDING-ELECTRICAL-PLUMBING -MECHANICAL I CAI � • OWNER'$ PLAN CHECK VALI TION "AME DTV. ELECTRIC PERMIT FEE corvrRACTORs ///�� OUTLETS-SWITCHES-RECEP 10.00/1.00 NAME �� LIC.... LIGHTING FIXTURES 10.00/1.00 CONTRACTORSPPLIANCES-RESIDENTIAL 4.00 ADDRESS_ /,I Q'R, . ,, PHONE'-/ PANELS 10.00 DATE OF APPLICATION ARCHTECT t PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. OR ENGINEER LIC.No, SIGNS TRANS. 3.00 AARCH.OR DDRESS ENG. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 ^ APPucANrs MOTORS SEE FEE SCH. (\(]/ AooRess dG" SERVICE CHANGE 20.00 �,/ 0 Do LICENS I'.D T CONRACTORS DEC LA R A'I'ION ( O U rt u 1 hereby affirm that I um licensed under provisions of Chapter 9 ISSUANCE DATE man (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. F D z Professions Cod nd my license is in full fort ' ❑ Z o m License as, Lic.Nwnber ❑ ❑ a Y o' Ualc-`�CouruUur c 4 a E�BUILDING PERMIT IS m w u OWNER-BUILDER UECLARA'I'DON Or7 INFORMATION aoa MISC.- REFER TO ORD u w I hereby a0inn that I am exempt from the Contractor's License VALUATION S/FT. LL o¢ Law for the following reason.(Sec.7031.5„Business and Professions PERMIT ISSUANCE 10.00 � - Code:Any city or county which requiresa permit to construct,alter. ea IS Q 0 improve,demolish.or repair any structure.prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. IS requires the applicant for such permit to file a signed statement that TOTAL PERMITs� n w m he is licensed PURTIBI l to the provisions Of the COIRTuctor's License Fzi Law(Chopter 9(conmmmeing with Section 7000)of Division 3 o fill, a Business and Professions Code)or thus he is exempt therefrom and QTY. PLUMBING PERMIT FEE r o the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR, n ;m 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(5500).): ❑ I,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 f heir sole connpensation,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,COND. 5.00 Code:The Contractors License Law docs not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 So.FT.FLOOR AREA TOTAL ACREAGE himself or through his own employes.provided that such improve-building mHRIS mselfo throughnot his or employeeffered lot sale.lf,ed that ruche building GAS-EA.SYSTEM-1INC.4OUTLETS 6.00 or improvement is sold within one year of completion,the owner- ' GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 BUILDING USE 00 builder will have the hurdrn of proving that he diJ not build or int- RES IND CON PB Other prove for purpose al'sale.). INDUSTRIAL WASTE INTER. 30.00 ❑ I,as owner ,of the property,am exclusively contracting with ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sea.7044,Business LAWN SPRINKLERS- 1 INC 5 V.B. 6.00 ASSESSORS PARCEL NO. and Professions Code:'I'he 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 ontmets for such projects with a con tmetor(s)l eenscd pursuant ,, the Contractor's License Low, SEWER-SAN ITARV-STORM EA.2008/10.00 TRACT NO, PARCEL NO. ❑ tum exempt under Sec. ,B.&P.C.In,Ibis WATER HEATER W/VENT 6.00 max Owner [)ate WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COM PENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby aff nut that I have a ec,thicate of consent to self-insure, ZONING ENG.SITE NO. or a curtilicam of Workers Compensation Insurance,or a certified ropy thereof(Sec.3800,Lab.C.). Policy No. Company Q ❑ CeHifed ropy is hereby furnis ed. FIRE SPRINK ENERGYT-24 , Z Z^ L ❑ Cer d cop�yI,�Isis fled n Ute ext 'yn�sp_ecI diJ MISC.- REFER TO ORD. Y [:] N❑ Y ❑ No �7 Almuc:mt E4-7�C�4, w 'yo-e'"-< CERTIPICA'I'H OF IiXIS PIION FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOOZONE A.L.U.C. LU >_ COMPFNSATION INSURANCE PLG.CONTR. LIC.NO, PLG. Y❑ N❑ v ❑ N❑ (LO I'I'his section need not be completed if the permit is for one TOTAL 0 Z hundred dollars IS 100)or less.) U O I certify that in the perfonmunce or the work for which this per. OTV MECHANICAL PERMIT FEE FEE SUMMARY UE I- mit is issued.I shall nut employ any perste in any manner so m to U became subject to the Workers'Conpen.vation Laws ofCalifornia BO O LU Date-Applicant ALTER OR ADD TO MECH. 5.00 BUILDING /�7 } h NOTICE TO APPLICANT: If,after making this Certificate of Ex. Z eruption,you should become subject to the Workers Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Lobar Code, you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,000CF.M.) 4.00 CONS1'RUCTIONLENDINGAGENCY AIR HANDLING UNIT(OVER IQOOOC.F.M.) 6.00 SEISMIC FEE 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. HEATING UNIT(TO 100,000 B.T.U.) 8.00 MICROFILM 3097,Civ.CJ. Lenders Name HEATING UN IT(OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address I certify that I have read this application and stat,that the above VENTILATION FAN (SINGLE) 4.00 Inh rnation is correct.I agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3H.P.or1OO,000B.T.U.) 6.00 hereby authorize representatives of this city to enter upon the BOILER-COMP (Over 100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property I'or inspection purposes. (We) agree to save, indemnify and keep harnle'v the City of MISC.- REFER TO ORD. uperfino uglu hubilites,judglnen s, costs and expenses which CONST.TAX any wa accrue against S City in consequence of the PERMIT ISSUANCE 10.00 nzr gofl s enniL 1 .CONT. LIC.NO. MECH. C, f TOTAL TOTAL 7Q Signature of Applicant/Contr for Dal it r OFFICE COPY S'