12125 POST THISNEAR FRONT OF BUILDING'
CIT F CUPERTINO PFRMITNDMRER
_ INSPECTION DIVISION12125
JOB INSPECTION RECORD
�• I /� �j,, _ - PERMIT EXPIRATION
JOB ADDR LOT# pERM1T EXPIRES IF WORK
OWNER /21 lbldt� ' CONTRACTOR IS NOT STARTED WITHIN
INSPECITION DATE INSPECTOR INVECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION' ANCE OR 180 DAYS FROM
"
LIFER - � I
L.�S@MD INSPECTION.
PR EGUNITE. PERMIT VALIDATION
, - � � � r/7 Qp
POUR,NQ,CONCRETE UNTIL ABOVE°.HAS BEEN SIGNED,,; �..y
UNDERGROUND /SLAB IS�MI�D
PLUMBING - -
ELECTRICAL y -ISSUANCE DATE
MECHANICAL a ELECT, PLG. NECK
❑ ❑ ❑'
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED' BUILDING PERMIT
INFORMATION
WOOD.FLOOR'. VALUATION $/FT.
' ,.PLUMBING � - � � ,
• MECHANICAL
ELECTRICAL - - PERMIT To_
FRAMING '
TO S rYPE CONSTR.
INSULATION
OCC.GROUP RES,UNITS
PLACE NO'SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF
" - 50.F',FLOOR AREA TOTALACREAGE
DIAPHRAGM
BUILDING USE.
RES IND 0 PB ,ONn
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED " ' I ❑• El , 1:1
ASSESSO SPARCEL NO.
ROUGH
PLUMBING
TRACT NO, PARCEL NO.
GAS TEST
MECHANICAL • °:<
• DATE WCC.FILE N0.
ELECTRICAL FINALS DATE ,NSP. ACC. �
FRAMING' . SAN # -
ZONING ENG.SITE NO.
INSULATION � PLUMBING � .
GAS
FIRE SPRINK ENERGY T 24
• MECHANICAL v -N❑ -v ❑ N[]
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
.LATH—INTERIOR ELECTRICAL - FLOOD ZONE AL.UC"
'
LATH=EXTERIOR FIRE DEPT. - y NE Y'0 NEl
SHEETROCK GRADE FEE SUMMARY
SHEAR INTERIOR' - BUILDIN •.y —
SHEAR EXTERIOR - - TEMPORARY APPROVAL BUILDING ± ,
FIREWALLS. - ELECTRIC . .PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED.UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICR
ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC.
o� . ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
Z 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' - . ,
ASBESTEST, INC. 3747259 P. 01
�o8 -2R4. 3zz� 'Zb
ASBESTEST, INC. :�)3 OL
1350 Dell Avenue,Suite G Campbell,CA 95008(408)374-3362 Fax(408)374-7269
CKS GROUP, INC. 7 November, 1997
10441 BANDLEY DRIVE Job No. A-18540-97
CUPERTINO, CA 95014
PROJECT: 10381 BANDLEY DRIVE
ASBESTOS IDENTIFICATION BY
Rqj.ARIZED LIGHT MICROSCOPY
Non-Fibrous
Fibrous Asbestos Other Fibrous Materials or
Sample Identification Miner las % Materials, % Minerals %
1 JOINT COMPOUND NONE NONE SAND, BINDER,
DETECTED
2 FLOORING, BREAK NONE ORGANIC BINDER, 85%
ROOM DETECTED FIBERS, 15%
3 2' X 2' CEILING TILE NONE FIBERGLAS, MISCELLANEOUS
DETECTED ORGANIC PARTICLES,
FIBERS, 65% BINDER, 35%
This test report relates only to the items tested. The materials were examined by
polarized light microscopy according to Environmental Protection Agency methods.
Reported asbestos percentages w be stored foe estimater six months and then properly dispobased on comparison to test sed
es
provided by the EPA, Samples p
unless prior arrangements have been made.
Respectfully submitted,
ASBESTEST, INCORPORATED O
JUN
Robert M. Kumagai BO 11 jgg9
Microscopist �' GC SPEClojv
FAUC AR
F E
,RT/Np NT