12662 POST THIS CARD NEAR FRONT,& UILDIkG it,
IFRMIT NUMB03
CITY OF CUPERTI'N1� .. �, .... 12662
INSPECTION DIVISION
JOB INSPECTION RECORD,
N/-� � PERMIT EXPIRATION
JOB ADDRESS (� . IY// L^L—�1 �UNIT# - LOT# PERMIT-EXPIRE S IF WORK .
OWNER' C// CONTRACTOR C�/� IS NOT STARTED WITHIN
INSPECTION bATE INSPECTOR INSPECTION RE ORD 180 GAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
FOUNDATION' G'I 'LASTCALLEDINSPECTION.-
UFER 2 - '
PREGUNITE - PERMIT VALIDATION
G— S 1-1
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED r ='
UNDERGROUND /SLAB
PLUMBING J !I F ��'�J!-1 ..I z•--
ELECTRICAL ` - - . I SUANEDA
MECHANICAL. CI y 0'I Vgoq IVEECT. PLG. MECH,
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
_ INFORMATION
- WOOD FLOOR VALUATION SIFT.
_ PLUMBING „ - - ry•y
MECHANICAL I� CI
PERMIT TO'
ELECTRICAL
FRAMING - G• ?J F —
INS ATON Q • , - STORIES ccTYPE CONSTR,
.. Q -Pn r ✓ � '
/0-9 ni , .00C.GHOUv RFS.UNITS
7
IP.L'ACE NO UBFLO 0 R UNTIL A VE'HAS BEEN SIGNED I - a
ROOF - so.Fra.P�� oroH�Ac
AREA roTavncncar
DIAPHRAGM
t ' BUILDING USE
i
T RES IND . CON PIP. 00",
"APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED _ ❑ ' ❑ ❑ . ❑ ❑
ROUGH ASSESSORS PARCEL NO.
PLUMBING_ -T.pour ,,. 3`5 7-
GAS TEST' ;� }9 " TRACT No. PARCEL NO.
MECHANICAL Vit! I r•
FINALS' ACC.DATE ACC.FILE NO.
ELECTRICAL.` _ y 7 DATE INSP.
'FRAMING '�.,d G SAN # /a�(0� d - _
INSULATION
-� PLUMBING' r ZONING ENG.SITE NO.
9- Gns -
- MECHANICAL FIRE SPRINK ENERGY T 14
�CO,VER NO WORK UNTIL ABOVE HAS BEEN SIGNED. HEATING _�7_8 Y❑ "❑ ° ❑ "❑_
LATH-INTERIOR Di
ELECTRICAL `FL000 ZONE A.L.u.c.
LATH-EXTERIOR - FIRE DEPT. Y❑ N❑ v ❑ "❑
SHEETROCK -I GRADE FEE SUMMARY
SHEAR INTERIOR . - 8 U I LDING - -
/ `J
- SHEAR ExTERIORj.� TEMPORARY APPROVALS BUILDING (rJ '
FIREWALLS - ' ELECTRIC `�', - PLAN CHECK
GASi .a�� FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE j�y
OCCUPANCYOF BUILDING ISNOTPERMITTED UNTILBUILDING FINALISSIGNED By BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION'BY PHONING 252.4505, Fo
_ ELECTRIC
Wk , i
F ONE WORKING DAY BEFORE REQUIRED INSPECTION. y PLUMBING
0. PLEASE GIVE'JOB ADDRESS WHEN PHONING. � >F
Z1 - MECHANICAL
SEE PERMIT FOR EXPIRATION DATE — O✓ '
IMPORTANT! �' CONST.TAX
4 PLEASEREAD REVERSE SIDE BEFORE
-' INSPECTION!
TOTAL
CALLING FOR FINAL INSPECTI
.. OFFICECOPY ...j
,APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALL POINT PEN ONLY .
BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
DLLDWG APPLICATION
A _ ._ 12662
O°RE55 '
BUILDING-ELECTRICAL-PLUMBING-.MECHANICAL
ER PLAN CHECK VALIDATION
1 A E DTV. ELECTRIC PERMIT FEE
446-1913
NAMERAcroR's qq UTLETS-SWITCHES-RECEP 10.00/1.00
Debcor Corporation 385712 LIGHTING FIXTURES 10.00/1.00 - - +
CONTRATOR' a 21625 Steveri8 Creek Blvd PPLIANCES-RESIDENTIAL 4.00
t9 14 1-446-1913 PANELS 10.00 DATE OF APPLICATION
Seals & Assoc c-15162
ARC RECT PANELS 200 AMP) 20.00 . PLAN CHECK FEE - P.C.NO.
ORr ' -
ENGINEER
St6Qhpn Clark uc.N SIGNS TRANS. 3.00 -
RESS
ADDENG. Seals, Oakland,CA - SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
Clark Saratocia, CA EMP. METER OR POLE INS. 20.00
APPLICANTS tv
�I+f-
ADDRESS -. MOTORS SEE FEE SCH. 7 J
_ �/l 25 Stevens Creek Blvd. Cupt SERVICE CHANGE -..1 20.00 r 4-(IVA"
l��'
woo LICENSED CONTRACTORS DECLARATION /
< u w . I hereby affirm that I um licensed under provisions of Chapter 9 U-_ •J -Z ISSUa EDA E
vv,, < A. (commencing with Section 7000)of Division 3 of the Business and - 1BLDG; E•ECrT' PLG: MECH.
H z Professions COIL,and my license is in full foreS, I (y¢j. ('y} t't Q
O z 2 G Datc,G,Cias tSs,-__,,,� Lic,Number D.S �y91LLC.Or,O_ Ity ® opertmo
m H w Date 4-10 o f Cnntruct°r a .L
¢ m f _
¢ ¢ w a OWNfiR-O UILDER DECLARATION BUILDING PERMIT
INFORMATION
F
3:LL r hereby affirm that I am exempt from the Contractor's License MISC.- REFER T ORD ''
w o¢ Law for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10.00 ALUATION $/FT.
- 0 Code:Anycity orcounty whichreyuimsapenn ttocon.inner,alter, G
QQ ¢0 Improve,demolish,or repair any structure,prior t°its issuance,also ELEG.CONTR. LIC.NO. ELEC. 1 r
O ¢ requires the applicant for such permit m file a signed stalmnenl that - TOTAL ERMIT TO
w m a.
he is licensed pursuant to the provisions of the Contractor's License
iii