26848 _ x
ST THIC,CARDr4EAR FRONT OF BUILDING
'ITY OF CUPERTINO
BUILDING DIVISION PERMff N0.
ESS:LN��`/ F' '1kCBUL1INGPAUJEC(ID6NTIFICATION;.IS '.:'�� : 2684X
SANITARY NO, AMJCATION SUBMRTAL DATE
co 'S NAME.._ --
LIC NO:
CIIITECgEtJGINEER: LIC NO: NIC
ADDRESS: COH'1'ROL,
( , INSPECTIONS T DATE 11.INSPECP -
' ` INSPECTION RECORD A ti°+ �t13 DING PER INFO
UNDATION/PIERSMNOTE: cr MB rri
O TE: ALL GRADING AND DRAINAGE ❑ ❑ ❑ _
FER GROUND SHALL BE INSTALLED TO COMPLY WITH
D/SETBACK-CERT THE APPROVED PLANS AND CITY OF oe,D'ecRl ons,.,-
RAGE SLABS/PREGUNITE CUPERTINO STANDARDS.
udNo"corrciti iBoirla naovBHasBBENSIG'E ;F INSPECTION SPECIAL INSPECTION
DERGROUND/SLAB REQUIRED ❑ DATE INSP. -
UMBING
ECTRICAL `e_
Ile
NOT,FOUR�FLOOR, -
_. - UNTII,F,BOVEHAS BEENSIGNFDA '
UMBING -,/>L 9
7CHANICAL }�
'ECTRICAL
AMING VENTS
>ULATION _
ICE NGSUBF'EO0R UNTB ABOVE HAS BEEN SIGNED
OF SHFATH/DIAPHRAM
.1MBING �
3S&SHOWER PAN
CHA'
:CT h -1POOL BOND
MING/STAIRS/E.EGRESS
LATIONNENTILATION
ER`NO;WORK'UN7'Iii*A$OVt.HpSjBEEN
ERIOR SHEAR/HOLD DOWN v
'RIOR SHEARMOLD DOWN "•)
'TROCK/SHEETROCK SHEAR
RIOR LATH/W-SCREEN
ER LATH
E OR F1:'ASTER,UNTBJABOVE HAS BEEN ": r
TCH COAT )k
4R/WATER
RARY_APPROVALS ��y�`�.� t �-�4iy,� H��
DING
TRICAL
EST
:r
E a
APPROVED FOR OCCUPANCY
[CAP TO ARRANGE INSPECTI
ISSUAN EDATg
RICAL/ENERGY CALL AFMONDOOI\'S(iWiDAM-4:00 1'M) ' __ 1, ��.��,�
252.4505 MONDAY TO FRIDAY 24 HOURS �'
IN r 'ROY BEFORE REQUIRED INSPECTION. JOB AD-
NI 7—/ENERGY DRESS AND PERMIT#ARE NEEDED WHEN
------- PHONING.
ING/ENERGY \T'I'ENTION CONTRA 'Q)RS: SEP 1 IJ
RICAL FINAL TEST NO PERSONS)SHALL PERFORM WORK ON
THIS JOB SITE WITHOUT WORKER'S '
PANCY'OF,BUILDING IS NOT PE ED
BUILDING FINAL IS SIGNED BY BUILDING I,M I'0K I'A',I'! ----- - - %rr
CTOR. PLFASF READ RFbVj p51'' Siwe
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO BUILDING,ELEC TRI,AL PERMIT NO.
APPLICATION/PERMIT PLUMBING-MECHANICAL
BUILDIr$G DIVISION BUILDING PROJECTIDE•NTIFICA'I BIN
UILDING ADDRESS: / SANITARY NO. APPLICATIONUB. IlkA
10670 UMH
UNIT# LOTst
O ry µ ppA JQ �JL�JA `ys.�P���� CO ACI'OR'SN - LIC NO:
(4rQnN<J IV\ /1 G.a/P'I
Ad
NIC ^^CONTR^OL#
HCfi1T1iCT/IiNGINEIiR: LIC NO: ADDRESS ❑ I�O/
CONTACT: nPHONE: QTY. ELECTRIC PERMIT FEE BUILDING PER INFO
L✓Jf� (nQ/�/S( V M�aK�Q7•+Jr BLI1C C PL � MECH
OPI?RMD'ISSUANCE �LT(� ��L75'` (]rLb7\
LICENSED CONTRAC'TOR'S DECLARATION APPLIANCES-RESIDEMf1A IQI3 I _RIP�ILOONj�/���{,�
p0L) Ihereby 7000)ofiwision that I 3o[icens Business
and isiomions Cidr.ccommencing with —
[c W 0 full far s and e f Division 3 of the Business and Professions Code.end my license is in SPAN
ZC W full farce and effect.
C, License Class Lie.It UP A
m<d Date—Container, 201-1 A P
[—n=sL ARCHITECTS DECLARATION OV PS SQ.FT.FLOUR AREA E/SQ.FT.
oz—m lundecstvndmypanssIl be used asputdieremuda
a I h S
OZh� SI SEL
LI¢n
2" sml Professional
r1 •,
y�< OWNIiR-BUILDEN DECLARATION SPECIAL CI CUIT/M ISC. /� �O / �A
xcwu 1 hereby affirm that 1 am exempt form the Commerce,License law for to 111"'
w3tL followingreamn.(Section7131.5,Business and Professions Code:Anycoymeamoty TEMP.METER OR POLE INST.
1—•' 4/,..
—i�;