13740 POST THIS CARD NEAR FRONT OF BUILDING RN NUMBER
CITY OF CUPERTINO 13740
I 0.NSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
7JOB ADDRi.5 �N/6' qq �P/a(/G �-L UNIT# SLOT# PERMIT EXPIRES IF WORK
OWNER CONTRACTOR IS NOT STARTED WITHIN
INSPECTIO DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION p-jlo- (JAs 41�(`S ear CE OR 180 DAYS FROM
11
UFER CALLED INSPECTION.
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PREGUNITE - PERMIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED PAID -
UNDERGROUND /SLAB
PLUMBING DEC 3 01981
ELECTRICAL
ISSUANCE DATE
MECHANICAL! T PLG. MECH.
n Intl 13
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR INFORMATION
PLUMBING
VALUATION .' $/FT.
� I
MECHANICAL - $123x000.00
ELECTRICAL I PERMIT TO
I
FRAMING >✓
INSULATION
STORIES TYPE CONSTR, f
OCC.GROUP RES.UNITS �
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED '
ROOF JSO.FT FLOOR AREA TOTAL ACREAGE
DIAPHRAGM n
BUILDING USE
1 R[5 IND CON PR Oinrzr
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑
ASSESSORS PA RCEL NO,
ROUGH
PLUMBING
GAS TEST y' TRACT NO. PARCEL NO.
S
MECHANICAL
ELECTRICAL NAPPROVALL
ACC.DATE ACC.FILENO.
•/ FINALS
FRAMING - SAN #
INSULATION -/�, PLUMB NG sITENO;� GAS
MECHANICALFIRE SPRINK ENERGY T.pc
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATINGY ❑ N❑ Y ❑ N❑LATH—INTERIOR ELECTRICAL FLDOOZONE A.L.u.c.
LATH—EXTERIOR FIRE DEPT. Y❑ N❑ Y ❑ N❑
SHEETROCK GRADESHEARINTERIOR FEE SUMMARY
BUILDING SHEAR EXTERIOR TEMPORARYBUILDING
don rn
FIREWALLS ELECTRIC PLAN CHECK
_5' A GAS FEE 318.83
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.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
o� ONE WORKING DAY BEFORE REQUIRED INSPECTION.' PLUMBING
Z PLEASE GIVE JOB ADDRESS WHEN PHONING. 97.00
- SEE PERMIT.FOR EXPIRATION DATE - MECHANICAL
IMPORTANT! Q
CONST.TAX -282 98
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION. TOTAL ����•�
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
r •
BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
EDILDING APPLICATION & PERMIT 13740
rtlr ADDRESS LOT 453 PLAN. 3A BUILDING -ELECTRICAL-PLUMBING-MECHANICAL
na- cwt
OWNER'S PLAN CHECK VALIDATION
NAME 415- OTY. ELECTRIC PERMIT FEE
GREGORY UP> I NI nn
ANTRAcroRs
NAME 99 UTLETS-SWITCHES-RECEP 10.00/1.0099.00
N
Same
LIE.No B-430097 01 ILIGHTING FIXTURES 10.00/1.00 21 00
ADNRRAcrDR'
ADDRESS
a 220-C Twin Dolphin Dr. APPLIANCES-RESIDENTIAL 4.00
RWC CA 4065 41)5PHON695-2100 PANELS 10.0010 0 DATE OF APPLICATION
ARCHITECT PLAN CHECK FEE P.C.NO.
DR ARAM BASSENIAN> AIA PANELS (OVER 200 AMP) 20.00
E IN gSOCIATES
LIC.NO. SIGNS TRANS. 3.00
ARCH,OR ENG. PERMIT VALIDATION
ADDRESS 1J9([j0 Westerly Pl ace 7 SPECIAL CIRCUIT s.00
Newpor OCI I CA ZIP g 6665 TEMP.METER OR POLE INS. 20.00
ADDRESS MOTORS SEE FEE SCH. `�
ADDRESS 220-C Twin Dolphin Dr. (f,,\
i RWE CA 94065 SERVICE CHANGE 20.00 a
0 0 0 LICENSED CONJRACTORS DECLARATION
a i w 1 hereby affirm that I ant licensed under provisions of Chapter 9 1 NCE DATE
a w (commencing with Section 7000)of Division 3 of the Business and D T. PLG. MECH.
y z Professions Code,t d my license is in full for
Z 0 A - License Class_ LIC.Numb 4649
//11���,,aa
g m L w Date Contrac VIaJ -
a m ¢ a OWNER-BUILDER DECLARATION BUILDING PERMIT
o a. O INFORMATION
X ;LL y 1 hereby affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD
u o. Law for the following reason.(Sec.7031.5,Businessand Professions VALUATION S/FT.
_ < PERMIT ISSUANCE 10.00 1 p.pp
Code:Any city orcounly which requires a permit to construct,alter, ELEC.CONTE. LIG NO. $123 000.00
SE ¢ ¢ o improve,demolish,or repair any structure,prior to its issuance,also ELEC. >
A - D M0 requires the applicant for such permit to file a signed statement that TOTAL
w m he is licensed pursuant to the provisions of the Contractor's License PERMIT TO
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