13318:.POST THIS CARD NEAR FRONT OF BUILDING '
CI TY OF:'CUPERTIN0
PEANI T NUMBER
13318
'INSPECTION DIVISION
.
JOB INSPECTION RECORD
•'L 21799 ALMA DEN ''AVE.'
,UNIT# .r
PERMIT EXPIRATION
R 'LOT#
JOB ADO ESS
'
•
PERMIT EXPIRES IF WORK
OWNER''• - 'JOAN VASSALO &KARL COINRADTOR ; ,'
IS NOT STARTED WITHIN
ASS DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
LASTCALLED INSPECTION.
INSPECTION
DATE
I INSR TOR
ANSPECTION RECORD
FOUNDATION
S7[
'*
UF.ER�
PREGUNITE
- .. ..
y} PERMIT VALIDATION
IJ'ISSUANCE' DATE
P R NO NCRETE UNTIL ABOVE HAS BEEN
SIGNED
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL
MECHANICAL -
-
- ..
BLDG.
ELECT.
PLG. MECH.
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
'
- BUILDING PERMIT
INFORMATION-
WOOD FLOOR "i
VALUATION
S /FT:
PLUMBING'1
�
MECHANICAL
ELECTRICAL
PERMIG TO
FRAMING'
INSULATION
_
ST RIES
o
TYPE j`IS3)i
I
Q Y. L� Tj7e �k
6 e- V,
0CC. R UR,
"
REYUNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF
r A I�� t r._iw Q�
,O_ T><'y �V`•
&a Ir-dilit;j
O. FT FLOOR AREA
/., /_
l� �JBUILDING
,. TOTAL ACRE GE
DIAPHRAGM '
USE -,
,IND 'CON PB ON.�:'
°' 0 0 ❑_ 'E
APPLYAO ROOFING UNTIL ABOVE HAS BEEN SIGNED
' " , ..:' ,.
ROUGH
ASSESSORS PARCEL N0.'
3s7 , 1
PLUMBING'
GAS TEST -
- -
TRACT NO.
.PARCEL NO.
.ACC.
MECHANICAL
'ELECTRICAL
FINALS
DATE
INSP.
IACC. onrE
FILE rvo,
'
FRAMING
SAN #
INSULATION
LUMBING, -
3'�'
ZONING'
ENC. SITE NO.
AS
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- -'
r4CHANICAL
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F IRE SPRINK
ENERGY ?
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,
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Y NI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ,
H TING
3.//
LATH- INTERIOR
, /fir
EL TRICAL'
/�-
FLOOD ZONE
v "�
'. A,L.U, C.
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` Y NE],
LATH - EXTERIOR
FIRE EPT:,'
SHEETROCK
II-
GRAD
-
-.
FEE SUMMARY
SHEAR INTERIOR.
-
13UI LOIN
.3�
_BUILDING
'
"
SHEAR ExrER10R
_
TEMPOR RY APPROVALS
FIREWALLS
ELECTRIC
-
PLAN CHECK
FEE.
-
GAS
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY.
SEISMIC FEE_
OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR,
MICROFILM,. ,
ARRANGE FOR INSPECTION BY PHONING 252 -4505
+
ELECTRIC
.'ONE WORKING DAY BEFORE REQUIRED INSPECTION.
o
PLUMBING
PLEASE.GIVE JOB-:ADDRESS WHEN PHONING.
MECHANICAL
�S
Z =SEE PERMIT FOR EXPIRATION DATE =.
CONST. TAX
I i J 4
IMPORTANT!
TOTAL
,.
PLEASE READ REVERSE SIDE BEFORE +
CALLING FOR FINAL INSPECTION.
OFFICECOPY
=i APRLICANT TO FILL IN INFORMATION WITHIN RED, LINES - USE BALL POINT PEN ONLY
BUI LDI NG PROJECT I DENTI FICATION
BGILb"p'.
A.OF�.S ' ...:r_
-
APPLICATION & PERMIT
PERMIT NUMBER
..i�
v IN .
BUILDING - ELECTRICAL - PLUMBING - MECHANICAL
331 8
OWNER'S
r
` /
NAME SG A ii Va%S�Sa. 110
PLAN CHECK VALIDATION
IN q� Conra PRDNE`io8'9 %3'86
Tx/
ELECTRIC PERMIT
FEE
'
CONTRACTOR'S �
NAME -
�/Q
UTLETS - SWITCHES - RECEP 10.00/1.00
p
uc.NO. -
^�
LIGHTING FIXTURES 10.00/1.00
ADDRESS DRs -
PPLIANCES - RESIDENTIAL 4.00
t "
PHONE
PANELS r 10.0
ARCHITECT
DATE OF APPLICATION
OR
ENGINEER '
PANELS (OVER 200 AMP) 20.00:.
PLAN CHECK FEE P.C. NO.
SIGNS TRANS. 3.00
ARCH OR ENG. LIC. NO.
.
.
ADDRESS
SPECIALCIRCUIT 5'.00
.eE?Mly evP LIDATION
'
ZIP
EMP. METER OR POLE INS. 20.00
1r'P�4�LJ'
APPLICANT'S
ADDRESS 20Z,d0 U -G7 r, �t/!-
MOTORS SEE FEE SCH.
x,
Q er &r,12 61 _
" • /�- �:Q�- EC.•i.`J
SEflVICE CHANGE 20.00
H o o .
LICENSED CONTRACTORS DECLARATION
a u
a
I hereby affirm that I am IicenscA under provisions ol',Chapter9
(commencing
City of La aU''1I�
ISSUANCE GATE
fs 1' sA ^ .
J
y
H Nei'
with Section 70001 of Division 3 of the Business and
Professions Code, and my license is in fall force
`•
BLDG.
z o ,A -
2
4 y E °
and effect.
License Class Lic. Number
Dote Contractor.
_hsn0
ELECT.
PLG. MECH.
_
C1�Y
UCH
lA.
s w a
OWNER- BUILDER DECLARATION'
BUILDING PERMIT
`xa 3 LL
I hereby affirm thal I ain exempt from:tbe Contractor's License
INFORMATION
MISC..- - REFER TO ORD
Hu0j