14309 POST THIS CARD NEAR FRONT OF BUILDING "I 11\IIT NUA'Rf 11
CITY OF CUPERTINO 14309
INSPECTION DIVISION
JOB INSPECTION RECORD
`i PERMIT EXPIRATION
JOB ADDRESS _-2-c, STt'y.�.�i W-�LK � {t _LOT tt PERMIT EXPIRES IF WORK
OWNER LQOTRACTOM /t L �� IS NOTSTARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU
FOUNDATION ANCE OR 180 DAYS FROM
NOTE: LAST CALLED INSPECTION.
LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED H
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF "I'...I v^'IIIA I I—
CUPERTINO STANDARDS.
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND/SLAB
PLUMBING
i
ELECTRICAL IesuANc{uAr{
MECHANICAL PIN-
1
x11I. 1111.1
P ❑ ❑ ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED SUILDIbIG PERMIT
WOOD FLOOR � nV LINFORMATION
IUAIIUN SIV I
PLUMBING C\�
MECHANICAL
Y{{1A'Il U
ELECTRICAL E�•��
FRAMING
sIu'ms r.vf ans n.
INSULATION
u1.L 1dumY 1.]1 u.IL
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED .1.1.111. r ,ALA 111A..1
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE 11
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
�-•' xU1L NING US!
ROOF SHEATHING of s Nu wN ve
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ El O
ASST S$IjH5 VA{1Cf L N11
ROUGH SAN#
PLUMBING ELECT.ENERGY
.1-1 h0 VANCf—L%
TUBS d SHOWER PAN PLUMBING ENERGY
MECHANICAL MECH.ENERGY
Al, IIAIf ACC f1L1 ht.
ELECTRICAL / p BUILDING ENERGY
FRAMING ELECT.FINAL TEST
LNG Slit hu
INSULATION PLUMBING luNlNc
GAS TEST GAS
11111 SVR INR [Nl NUv 1.A
MECHANICAL El N❑
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
El El
EXTERIOR SHEAR ELECTRICAL RELEASE lulu.J.Nt AL—
INTERIOR SHEAR -1FIRE DEPT. '❑ N� r h❑
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
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC G;
F- ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
O PLEASE GIVE JOB ADDRESS WHEN PHONING.
z
—SEE PERMIT FOR EXPIRATION DATE— ? MECHANICAL
IMPORTANT! CONST.TAX
PLEASE HEAD REVERSE SIDE BEFORE ` - TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY
* - APPLICANT TO FILL IN INFO)iMA IION WITHIN REO LINES USI I vLL I,uIN I PE N I,.,LY
BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
^-iD L APPLICATION&PERMIT 14309
W OY
S��uCn Cr, (]'V BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
MNiQ i U PLAN CHECK VALIDATION
lln9 OTJ OTY. ELECTRIC PERMIT FEE
.A., oro"° I c r UTLETS•SWITCHES•RECEP VEOO/1.00 S-
SIJ r VS G L LIGHTING FIXTURES 10.00/1.00 U/SL
coi+iuraH■ e
APPLIANCES-RESIDENTIAL 4.00
)"0710 I (, rHONf�JJ /SOS PANELS 10.00 DATE OF APPLICATION
wncnrtfcrge5-5 PANELS COVER 200 AMP) HIS:OG,.Z, PLAN CH CK E .NO
oR
1NG,NfER vy-Oh L+C.No SIGNS TRANS. 3.00
�cH..CNG '?�p SPECIAL CIRCUIT 5,00 PEHMIT VALIDATION
oaRu% 1L
5,n V a r err EMP.METER OR POLE INS. 20.00
nKANn MOTORS f1f SEE FEE SCH. J
uonus
Oa O I SERVICE CHANGE ' /
_ l 04744
aD,
09 LICENSED CON IRACIORS DECLARATION
z u I hereby affirm Thar 1 am licensed units,p'.."..s of eh.pler 9 ISSUANCE GATE
V (commencing with Se,ton 7000)of Division d of the thiumessioul
Gni PrefeuwnsC �,y•IRenw it Nfull fu /y..(�•� (� ,1ByDL ElEtr. PLG. MECH
>•o - Liecnw(7.s l Lic.Nwnlwr _70.]_SLJ.--1- �`V ((1y1�}-�,fJ al-L�n ❑ ❑
=r eOr Ual<ffr ��_Cunlnclul Wr mtr'Y-T
Y s 1 _T C��y 0` BUILDING PERMIT
5 a ec S OWNER-IIUILUER DECLARATION C/ee. INFORMATION
`x 2 e,. I herby a1Nm that'll a n ea,mpl from the('urrtfaclor:L,cenre MISC.- REFER TO ORD
wP..0. Law
for the following rcawn.l Sec.7031,5.Busmna miN.des...s PERMIT ISSUANCE d, VALUATION S/FT.
Code:Any city or county which requiin a permit Iu connrua.,Ilsr,
G<p Implore,d,mohA,of repair any sutselum,prior to its tsw,nas,alio ELEC.CONTII LIC.NOELI
/
tu
O 4 titurr 11.applicant fur wch permit to file a signed sulemenl III,t TOTAL V PERMIT TO
m$ Le u IirenteJ purwam lar the p...i....al'Ili,(...... hrr.L,«nse
i i Law(Chapter 9lcemmerwing with S,ntun 7000).M.-Ion J of the
BuNncu..it Plofnswm Code)or that hr n eaanpl Ihen•Irum and DTV. PLUMBING PERMIT FEE
is the haus for the alkgrd earn+pNen.Any Hul,twn of S,clwn 7Ud l.5 SrOHIES TYPE CONSTII
by any appbcant fm,pemm subjcCIIII. phc,nnci acrutt"""y ALTER-DRAIN&VENT-WATER(EA.) 5.00
el not to
Chan fmc hundred della.($S011)_I
O I,M owner
.fit"prciperly.m my rmploys wall w,gn,a BACK FLOW PROTECT.DEV ICE 4.00 CaCC GROUP RES.UNITS
then wk compenulwn,will Ju rhe work.ami Ilse 0l 1.urr R riot
intendeJ or offered for ulc(Sec.7044,tlunnr.s and Pralnawna DRAINS-FLOOR,ROOF,AREA COND. 5.00
Cods:The Conlrulor s License Law don not apply to an ciw'wr of
properly who build,or imp,.,.lhemun.and who dm such work FIXTURES-PER TRAP 5.00 f0.s r.1 LOOR AREA TOTAL ACHEACE
n;mw0 or through hi,own employ..,pr nb d ulM Moa,in+prove• GAS•EA.SYSTEM-1 INCA OUTLETS 8.00
mints are not intended w offend for Mk.If.however.Ne hinkling
or trip.....,.(Is sold wohm cine year of ccunpWios,the owns, GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE
budder will have the burden of proving that he did not build at tin- RES INo CON PB 0
p
prove for purpose of uk.I I NDUSTR IA L W ASTE INTER. 30.00
❑ I,a owner of Ih<properly,em rsdwively eunlrxbna with ❑ ❑ ❑ ❑ El
Lnnuaclors m construct the pro)rcl(See.7044,Be,,.- LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSORSPARCEL NO.
it Professions Code:Th,Conlraclor,Li«m,law docs wt,pply
loan owner of property who builds or improves h......and who LAWN SPRINKLERS•OVER 5(EA.) 1.00
Lonna.for such protects.,it,a Cumnclu to licensed Punuanl w
Ill,contractor;License Law. SEWER-SANITARY-STORM EA.2WIt/10.00 TRACT NO. PARCEL NO
0 I,mcaemptunJ,r Sic. ,B6PC.f-this WATER HEATER W/VENT 6.00
Otr
meD,I. WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO
WORK ERS'COMPI.NSATION DECLARATION WATER TREATING EQUIP, 5.00
1 hereby affem that 1 bare a eenifc�am of consent Io wllinwre.
q a«nnc�Me (wwt,ri('ompe hon Inwnnrr•,of,...1,14 ZONING ENG.SITE NO.
'opy N.. (*. p,.('.1. .7 A
Poo No. ('ompmy J-rl
O O CefNf JCopY la h<r,hy furniMleJ. FIRE SPRINK ENERGYT24
_Z 2 ,]rCe T h fklW dpwiDl Ili•silk v_y'y1pe.lion dI•saio MISC- REFER TO ORD.
G Applicant �s ,c- j-r- -Wv'(�y •-� Y❑ No
Y❑ N❑
1"h PERMIT ISSUANCE 10.00 FLOOD 20NE A.L.0 c.
UJ CERTIFICATEONSATIOfINSUROk1 WORKERS'
W> COMPENSATION INSURANCE PLc.coNTR. arc.No. PLL.
n'o (This section need not be-ripleled If the permit Is for urre TOTAL V❑ N❑ V❑ N❑
2 hundred dollen l f 1001 ork.11
U O I.r,oly uuI 1,we perlum..nce of the work ter whwh it per. CITY. MECHANICAL PERMIT FEE FEE SUMMARY
kE.. 'I is.sued.1%hall nut,nlpluy any Perum in any Runner was lar
LL U become subject to 1t,,Workers Cumpenwiten Law..,f Cat,fwnu.
0 Us Dae Appl.arltALTER OR ADD TO MECH. 500 BUILDING
rA NOTICE TO APPLICANT:If,after mtis aking iCerlifi.iv of La*
.
? mrplum.you Yluuw hemme subitel to the woMers'Comlwnaatwn APPLIANCE 5.00 PLAN CHECK
V puAprovisionsouns for li ILabor s cute.you mut forthwith comply wilA FEE
permit shAl be deemed feroked. AIR HANDLING UNIT(TO 10A00C.F.M) 4.00
CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER IODMICEM)6.00 SEISMIC FEE
I hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) 5.00
tea»c.i,ne,of the work for whkb this permit h awed tsee. HEATING UNIT CTO 100,000 B.T.U.1 8.00 MICROFILM
bode";Name HEATI NG UN IT COV E R 100,000 B.T.U.)9.50 ELECTRIC
Isnsler',Add..
I«rtify that l herr m J lhi.applkariun and stale that Glr,bare VENTILATION FAN(SINGLE) 4.00
infmmalion i corms.I Ayre m comply..it,.0 try and countyBOILER-COMPO H.P.or 100,000 AT.U.1 6.00 PLUMBING
m
omances and nate Iowa lating to budcding irucrion.and
hereby authorize represemAtrres of this city to enter upon tire BOILER-COMP(over 100.000 BTUI SEE FEE SCH. MECHANICAL
abu.-menlioned property for InspeCllon purposes.
(WO yrw to save.indemnify and keep Charmless the City of MISC.- REFER TO ORD.
Upenina aPinst liabilities,judgment$,rusts and expenses which CONST.TAX
y M any way,revue,•ainsI said city I.conmyuencr of the PERMIT ISSUANCE 10.00
olio/ fib.per I MECN.CONT. LIC.NO. MECH.
Jtir6�y TOTAL
m. o Applicant antfx'tar Uale