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14690 (2)L wl tya 417 r 7 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-, USE BALL POINT PEN ONLY . BUI LDI NG PROJE T 1 DENTI FIC TION APPLICATION & PERMIT BUILDING -ELECTRICAL -PLUMBING -MECHANICAL .PERMIT NUMBER - - A O [} BUILDING ADDRESS Q Q ( ��at.J SCG OWNS , "A A✓ p� L �i}r✓ ONE Q7V. ELECTRIC PERMIT' FEE - PLAN CHECK VALIDATION DATE OF APPLICATION . c TRA 0 s / (p/ Q uc.A-7 UTLETS-SWITCHES-RECEP 10.00/1.00 LIGHTING FIXTURES 10.00/1.00 C,ONTRACTORsORE55 "',e (J �(/JIi PHON Z%A/� PPLIANCES-RESIDENTIAL 4.00 PANELS 10.00 ARCHITECT on ENGINEER uc. NO. PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C. NO. SIGNS TRANS. 3.00 ARC H. OR ENG, SPECIAL CIRCUIT 5.00 PERMIT VALIDATION TEMP. METER OR POLE INS. 20.00 ZIP APPLICANTSMOTORS ADDDREDRESSS/\ SEE FEE SCH. SERVICE CHANGE 20.00 - LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co - %d'),flincese is in fill] fi h t.f(e�Y� License ass, ✓✓yfvs Lic. Number J) TT �� ii 66 Commctor ISSUANCE DATE BLDG. ❑ ELECT. ❑ PLG. MECH. ❑ ' BUILDING PERMIT INFORMATION OWNER -BUILDER DECLARATION I hereby III'fnn that I nm exempt from the Contrumoi s License Law for the following reason. (Sec. 7031.5, Businessand ProfessionspERMIT Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any stmeturc, prior to its issuance, also requires the applicant for such permit to file a signed statement that lie Is licensed pursuant to the provisions DI the Contractor's License�f Law (Chapter 9(commencing with Suction 7000) of Division 3 oflhc Business and Professions Code) or that he is exempt therefrom and MISC.- REFER TO ORD ISSUANCE 10.00 VALUATION S/FT. ELEC. CONTR. LIC. NO. ELEC. TOTAL PERMIT TO .{�/ { / QTY. PLUMBING PERMIT FEE STORIES TYPE CONSTR. the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500b.): ALTER-DRAIN&VENT-WATER IEA.) 5.00 O ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work; and the structure is not BACK FLOW PROTECT. DEVICE 4.00 OCC. GROUP RES. UNITS DRAINS -FLOOR, ROOF, AREA, COND. 5.00 intended or offered for sale IScc. 7044, Business and PHAEslone Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improve. ments are not intended or offered for sale. If, however, the building FIXTURES - PER TRAP 5.00 2S SD, FT. FLOOR AREA TOTAL ACREAGE GAS-EA.SVSTEM-11NC.40UTLETS 6.00 Or improvcntum is sold within one year bf completion, the owner- builder will have the burden of proving that he did not build or int- provel'orPurpowo'side.). ❑ I, as owner of tire properly, am exclusively contracting with GAS - EA. SYSTEM -OVER 4 ( 2.00 BUILDING USE RES Irvo CON PB omar 11 ❑ ❑ ❑ INDUSTRIAL WASTE INTE 30.00 licensed contractors to construct the Prujecl (See. 7044, Business and Professions Code: Tie Contractors License Law does not apply to an owner of property who builds or improves thereon, and who LAWN SPRINKLERS- 1 INC 5 ABcq i0d - LAWN SPRINKLERS - O (LVA.) 1.00 ASSESSORS PARCEL NO. , contracts for such projects with a contract ... (H licensed pursuant to the Contractor's License Law. I SEWER -SAN ITARV-STORM EA.Ntem TRACT NO, PARCEL NO. ❑ [am exempt under Sec.-, B.&P.C. for this fea9o11 WATER HEATER W/VENT % 6.00 Owner Date WATER SYSTEM 5.00 ACC. DATE ACC. FILE NO. WATER TREATIN EO141P. 5,00 WORKERS'COMPENSA"PION DECLARATION 1 hereby affirm that I have a ceHificatu of consent to self -inure., or a certificate of Workers' Compensation Insurance, or a cortilicd l '%% N ha ;L) ZONING ENG. SITE NO. copy Policy No. _Comp _LL FIRE SPRINK v 0 rv❑ ENERGY T 24 v ❑ N� ❑ C��tiliod py ish 1 lumish �Certi A�opYj with city inspection division. pplicant .MISC. - REFER TO ORD. CE RTI FICAT F -OF p B M PTI ON FROM WORKERS' PERMIT ISSUANCE 10.00 FLOOD ZONE A.L.U.C. COMPENSATION INSURANCE (This section need not he completed if the permit is for one Y N Y N� PLG.CONTR.- ❑C. NO.PLG. r TOTAL 5..7 hundred dollars IS 100) orlesaA 1 certify that in the performance of the work for which this Per- IMI is issued, [ shut] not employ any person in any marineso as to QTY. MECHANICAL PERMIT FEE FEE SUMMARY BUILDING become subject to the Workers'Compensat ion Laws of California. Date ApplicantALTER OR ADD TO MECH. 5.00 NOTICE T'O APPLICAN'T: IL after making this Certificate of lix- mention, you should become subject to the Workers'Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLIANCE 5.00 PLAN CHECK FEE AIR HANDLING UNIT (TO 10=C.F.M.) 4.00 AIR HANDLING UNIT (OVER 10=CF.M.) 6.00 SEISMIC FEE CONSTRUCTION LENDING AGENCY 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 (Sec. 3097, Civ.C.). MICROFILM HEATING UNIT (TO 100,000 B.T.U.) 8.00 Lender's Name H EATING UNIT (OVER 100,000 B.T.U.) 9.50 ELECTRIC Lender's Address I certily)that I have rea.d this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and VENTILATION FAN (SINGLE) 4,00 PLUMBING KY BOILER- COMP (3 H.P. or 100,000 B.T.U.) 6.00 BOILER -COMP (Over 100,000, BTU) SEE FEE SCH. MECHANICAL herebyabove- authorize representatives ins ec this city Ba enter upon the above-mentioned property for inspection this purposes to (We) rce to pave, indemnify a d keep harmless the City of Coperti against liabi' ies, judgn Is, costs and expenses which may i any way a again id City in consequence of the I g of Ildpt.• 1 p .71 �&- / v MISC.- REFER TO ORD. CONST. TAX PERMIT ISSUANCE 10.00 - MECH. CONT. LIG NO. - MECH. TOTAL . .. I I TOTAL ' gnatere of ro Date Applicant/Con c OFFICE COPY -- —ChY-Cir CUPERTINO OFFICE copyI 4" GAS SERVICE NOTICE ,19C To fYp u are hereby authorized to connect the GAS service for Owner or Tenant G��' 9 n !�. .• ^,,;,.; At/ � t e New Service " No. of Meters t� f`=" Reconnect t No. of Add. Meters Move Service Move Meter - PLUMBING INSPECTOR ;7 , POST THIS CARD NEAR FRONT OF BUILDING. ti CITY OF CUPERTINO INSPECTION DIVISION JOB INSPECTION RECORD • - - JOB.ADDRESS 20401 STEVENS CREEK BLVD. UNIT# _LOT# • OWNER Apple Computer CONTRACTOR Ledbelter Plbg PERMIT NUMBER 14690 - PERMIT EXPIRATION PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT IS SU- ANCE OR 180 DAYS FROM LAST CALLED INSPECTION. INSPECTION DATE I INSPECTOR INSPECTION RECORD FOUNDATION NOTE: , .ALL GRADING AND DRAINAGE SHALL BE INSTALLED TO COMPLY WITH THE APPROVED PLANS AND CITY OF CUPERDNO STANDARDS. - LIFER'- ` PREGUNITE ' - PERMIT VnuoanON. "� •7. ,,y. ISSUANCE DATE GARAGE SLABS POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND/SLAB PLUMBING- - - .. ELECTRICAL MECHANICAL - - BLDG. ELECT I E3 El Pu:. ALCIAs El OO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED P BUILDING PERMIT INFORMATION WOOD FLOOR VALUATION ,nr, +'I $TET. PLUMBING' - MECHANICAL ELECTRICAL• - - - Cn PERmn ro ino• ;:. _ yTYPE FRAMING INSULATION - - STORIES CONSTR. I - - OCC GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ' ROOF - NOTE: NO FINAL INSP. SHALL BE MADE BEFORE I! THE CONSTRUCTION TAXIS PAID SO rI rLool+ AREA rorAl. ncRl:Aca i DIAPHRAGM ROOF SHEATHING REs IBUII.DING USE NO CDN PB Om., ❑ ❑ ❑ ❑ ❑ APPLY NO ROOFINRUNTIL ABOVE HAS BEEN SIGNED ,FINALS -, DATE INSP. ROUGH SAN.# ASSESSORS PARCEL NO. PLUMBING ELECT. ENERGY' TUBSBSHOWERPAN PLUMBING ENERGY TRACT NO, 1 PARCEL NO, I MECHANICAL - MECH. ENERGY ELECTRICAL - ,BUILDING ENERGY ACC, DATE e, ACC FILE NO FRAMING ELECT. FINAL TEST - INSULATION .� PLUMBING .�6 ZONING ENG. SITE NO. GAS TEST GAS , MECHANICAL FIRE SPRINK ❑ " ENERGY T2 ❑ N[] COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING EXTERIOR SHEAR ELECTRICAL RELEASE FLooD zoNE v ❑ "❑ aL.0 c. v ❑ "❑ INTERIOR SHEAR FIRE DEPT. SHEETROCK GRADE FEE SUMMARY EXTERIOR LATH •BUILDING BUILDING INTERIOR LATH - TEMPORARY APPROVALS� SCRATCH COAT - ELECTRIC E PLAN CHECK FEE 'GAS - NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY I SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. ARRANGE FOR INSPECTION BY PHONING 252-4505, I.- WORKING DAY,BEFORE REQUIRED INSPECTION. Z; ' PLEASE GIVE JOB ADDRESS WHEN PHONING. — SEE'PERMIT FOR EXPIRATION, DATE — i MICROFILM ' ELECTRICLU PLUMBING MECHANICAL CONST. TAX IMPORTANT! . PLEASE READ'REVERSE SIDE.EfEFORE CALLING FOR FINAL INSPECTION. TOTAL OFFICE COPY