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15814 (2) POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER CITY ' OF CUPERTINO 15814' INSPECTION DIVISION JOB INSPECTION RECORD p PERMIT EXPIRATION. JOB ADDRES Ilea ��kG l].D Q/NG C—ZUNIT# _LOT# O _ � ��U � - PERMIT EXPIRES IF WORK , OWNER -CONTE CTOR. E'6'�R CS' p (J IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTI N RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 160 DAYS FROM S * NOTE: LASTCALLED INSPECTION. UFER 3— ALL GRADING AND DRAINAGE SHALL BE INSTALLED 'PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VAuonnCN GARAGE SLABS - CUPERTINO STANDARDS. - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - UNDERGROUND /SLAB ` PLUMBING - ,p8 (.,. , 9,.•r _ ELECTRICAL ISSUANCE DATE. MECHANICAL SLOGELECT, PLG _MtGN. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR - RINFORMATION PLUMBING - - .1Q VALUATION SIFT. MECHANICAL 1 0 `+�� 178,281 ELECTRICAL - PERMIT TO FRAMING - - Of INSULATION _ - srORles ry PE CONSTR OCC GROUP E .0 ITs PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ACREAGE sa IT rLDORAREA IRTcfiEAce ROOF- NOTE:NO FINAL INSP:SHALL BE MADE BEFORE 2726 DIAPHRAGM - THE CONSTRUCTION•TAX IS PAID BUILDING USE ROOF SHEATHING RES IND LN ❑ APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE' INSP. ASsessO&RCELNPB O. ROUGH SAN.N PLUMBING ELECT.ENERGY �Gj� -t'J ( TRACT NQ. PARCEL NO TUBS B SHOWER PAN - , PLUMBING ENERGY .. MECHANICAL _ CZ MECH.ENERGY ELECTRICAL - pj. BUILDING ENERGY - ACC.DATE ACC FILE NO. FRAMING ELECT.FINAL TEST INSULATION - - PLUMBING ZONING ,ENG.SITE NO jjj� GAS TEST - - GAS - I1 MECHANICAL - FIRE SPRINK ENERGY T 2 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ` ❑ 'N y No EXTERIOR SHEAR ELECTRICAL RELEASE ' FLCGDZONE AL UC.E INTERIOR SHEAR' `7y a FIRE DEPT. '"' YE] NE] YL .NL SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH BUILDING - — - INTERIOR LATH TEMPORARYAPPROVALS BUILDING SCRATCH COAT ELECTRIC PLAN CHECK 15.50 GAS . FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY. SEISMIC FEE OCCUPANCYOF BUILDING IS NOMPERMITTEO UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM LU ARRANGE FOR INSPECTION BY PHONING.252-4505, ELECTRIC 6$.511 I—� ONE WORKING-DAY BEFORE REQUIRED INSPECTION. PLUMBING . 6$.5$ 0 PLEASE GIVE JOB ADDRESS WHEN PHONING. I' Z = SEE PERMIT FOR EXPIRATION DATE - MECHANICAL 68.S6 IMPORTANT! coNST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR.FINAL INSPECTION: OFFICE COPY /S Ok 4fP APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUI LDI NG PROJECT IDENTIFICATION PERMIT NUMBER .OILGING o an APPLICATION & PERMIT 15814 1128 Birch Spring Court BUILDING-ELECTRICAL-PLUMBING-MECHANICAL OWNER'S PLAN CHECK VALIDATION NAME Gregory Group,1nC. Q7y, ELECTRIC PERMIT FEE Ahmanson Dev. 41,5,z5595-21005-2100 CONTRACTORS UTLETS-SWITCHES-RECEP 10.00/1.00 Gregory Group, Inc. LIG NO -430097 LIGHTING FIXTURES 10.00/1.00 CONTRACTORS _' win �39�3n2 rOb PPLIANCES-RESIDENTIAL 4.00 - [IrIpHW�IS 944 PHONE PANELS 10.00 DATE OF APPLICATION ARCHITECT PLAN CHECK FEE P.C.NO. OR Aram Bassenian, A1A&Assoc. PANELS (OVER 200 AMP) 20.06 NO ENGINEER C-8395 SIGNS TRANS.. 3.00 ARCH,OR ENG PERMIT VALIDATION ADnREas 2031 Orchard Dr. #100 SPECIAL CIRCUIT 6.00 EMP.METER OR POLE INS. 20.00 APPLICANT MOTORS SEE FEE SCH. AOGRE 2280-C Twin Dolphin Dr. RWC 9406 SERVICE CHANGE 20.00' / wo o LICENSED CONTRACTORS DECLARATION /(Gd� < �U I hereby affirm that I am licensed under provisions of Clsapter 9 ISSUANCE DATE H 4% (Commencing with Section 7000)of Division 3 of the Business and FAIBLDG. ELECT. PLG. MECH. H N i Professions Code,: dty my license is in full forcp;ylArjt 0 o m - License Class_U C....Number-4,311114/ O �� 9 r O Date .: L'onlruclm Y NOV 1 BUILDING PERMIT ¢ la:w OWNER-BUILDER DECLARATION INFORMATION w ;u w I hereby affirm that I am exempt from the Contractor's License MISC.- REFER T -n u0¢ Law for the following reason.(Sec,7031,5,Businessand Professions VALUATION S/FT. - PERMIT ISSUANCE178 281 avo- w Coda: e,y mulish coin my whiny structur e p riot t o is issuance, also ut � a, M ¢ 0 improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC:NO. TE LEC. f u m m LL requires tire applicant for such permit to file a signed statement that - TOTAL PERMIT TO he is licensed pursuant to the provisions of the Contractor's License 11 H z a Law(Chapter 9(commencing with Section 7000)ofDivision3ofthe SFDIUL 4 O Business and Professions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE F e the basis for the alleged exemption.Any violation of Section 7031.5 STORIES TYPE CONSTR. by any applicant for a permit subjects the applicant toa Civil penalty ALTER-DRAIN (EA.) 5.00 of not more than five hundred dollars(S500Lh 2 5NHR ❑ 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 Cade:The Contractor's License Law does not apply to an owner of R-3 I property who builds or improves tbemon,and who does such work FIXTURES-PER TRAP _ 5.00 SO,FT,FLOOR AREA TOTALACREAGE himself re through his own em Ptd for s,Provided that such Inhprave- orimprovnotemennlendedor withinroneyearloIcompletion the theo nor- GAS-EA.SYSTEM-1INC.4OUTLETS 6.00 2726 or improvement is sold within one year of lie completion,build owner- builder will have the burden of proving tum he did not build ur im- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE Ty prove for purpose of sale.). 7 INDUSTRIAL WASTE INTER. 30.00 RES IND El PB Omer ❑ L as owner of the properly,he exclusively contracting with ❑ ❑ ❑ ❑ licensed contractors In The ntrathe project(See. does Business LAWN SPR INKLER$-1 INC5 V.B. 6.00 g55E55oR5 PARCEL NO. and Professions or Codi The Contractor's s License Law does Irl apply to tr owner of properly who builds tr improves thereon,and who LAWN SPRINKLER$-OVER 5 IEA.) r 1.00 3(fo/ contacts for such projects with a contranortsl licensed pursumu to v 1 tire Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 TRACT NO. PARCEL NO. ❑ 1 m usempt tinder Sec. ,B.&P.C.for this reason WATER HEATER W/VENT' 6.00 8098 Owner Date WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. WORK ERS'COMI'ENSATION DECLARATION WATER TREATING EQUIP. 5.00 I hereby affirm that I have a cerlificute of consent to self-insure. or a certificate of Workers'Compensation Insurance,cr a etnified ZONING ENG.SITE NO. eopylhereoc(See.3800,Lab.C.Bnited Pacific Policy No. Company O ❑ Certified copy is hereby burnished. FIRE SPRINK ENERGY T-24 Z 2 Certified copy is filed with the city inspection division. MISC.- REFER TO ORD. ❑ ❑ ❑ ❑ � p App icant V N Y N T CERTIFICATE OF EXEMPTION PROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.I.M.C. LU > COMPENSATION INSURANCE PLG.CONTR. ❑c.No. PLG. IL Z (This section need not be completed if the permit is for'one TOTAL v❑ N E] Y E) NEI hundred dollar,IS 100)or less.) L) O 1 certify that in the performance of the work for which this per- QT,. MECHANICAL PERMIT FEE FEE SUMMARY- LL F mit is issued,I shall not tnmloy any person in any manner sit as to U become subject to the Workers'Compensation laws of Culflorma. 0. Dole Applicant ALTER OR ADD TO MECH. 5.00 BUILDING 916.00 >_ N NOTICE TO APPLICANT: If,after making this Certificate of Ex- F ? implicit,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK 15.50 provisions of the Labor Code, you most forthwith comply with V such provisions or this permit shall he deemed revoked AIR HANDLING UNIT(TO 10,000C.F.M.) 4.00 FEE e CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE 12.53 I 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(See. MICROFILM 3097,Cie.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name SecurityPa 'f_ic Lender's Address d 4th--f l-r HEATING UNIT(OVER 100,000 B.T.U.)9,50 ELECTRIC 68.58 I certify that I have read thisN d:MA s clic ate(hat ti County VENTILATION FAN (SINGLE) 4.00 information n correct I agree to comply with all city and county PLUMBING 68.58 ordinances and ,air: laws relating to building construction, and BOILER-COMP(3 H.P.or 100,0006.T.U.) 6.00 hereby authorize representatives of this city to enter upon fhe BOILER-COMP 8 MECHANICAL 6000 BTU)SEE FEE SCH. p O v, above-mentioned property for inspection purposes. (Over 100, 68.58 (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 10.00 CONST.TAX _282,Qii may in any way accrue ago' st said fly in consequence of the 03 ranting Of this perm MECH.CONT. LIC.NO. MECH. TOTAL TOTAL Signature ofAPrrLj0ofC.nDruto, Date - OFFICE COPY /Sd