14797 POST THIS CARD NEARFRONT OF BUILDING ';' . =
C/.
t + PERMIT NUMBER
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:CITY OF CUPERTINO 14797
INSPECTION DIVISION
" JOB'INSPECTION RECORD
".
PERMIT EXPIRATION ,t -
�R" JOB ADDRESS �'� At—v _ ` •UNIT# `_LOT#
PERMIT EXPIRESAF WORK I
• - OWNER �eIkNTRACTCR' T m. 4 '��61♦;/ '• IS NOT, STARTED WITHIN '
INSPECTION ' DATE INSPECTOR INSPECTION RECORD IBB DAYS OF PERMIT ISSU.
. '- - ANCE OR 180 DA
FOUNDATION YS FROM.I
` i NOTE: * ' LAST CALLED INSPECTION.
UFER" s. ,. ALL GRADING`AND DRAINAGE SHALL' BE INSTALLED;
PREGUNITE' 'TO COMPLY WITH-THE APPROVED PLANS AND CITY OF PERMIT VALIDATION
a• ` - (UPERTINO STANDARDS.
GARAGE SLABS - f,, • "" �' _ /
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED . - /
UNDERGROUND /SLAB: - itiqi
` PLUMBING - {�
ELECTRICAL
' I S A NCE. )ATf
' B.0 I
MECHANICAL - BLDG' ELECT I PLG, MECH ,
a
• •_DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT ,
.WOOD FLOOR nII�. �• 89 -INFORMATION
PLUMBING
VALUATION S/FT,
- � C� � ,.
MECHANICAL �„ -
ELECTRICAL; - - ,IPIE�R�MIT
FRAMING 6 �i-r>'T tI�•JI" a
INSULATION - ST IUEs TYPE CON
OCC, 'ROUP RBS UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEENSIGNED -
- 50,FT.GL)OR AREn TOTAL ACREAGE '
ROOF N 0 INSP.SHALL BE MADE BEFORE'
DIAPHRAGM T E y CTION TAX IS PAID _
BUILDING USE
ROOF SHEATHING RES NO CON PB 0"', '
APPLY'NO ROOFING'UNTIL'ABOVEHAS BEEN`SIGNED`ti ^ ', -FINALS, "DATE'.' "'-'INSP.
A
ROUGH SAN.q'' ESBORS PARCEL NO,
' '
PLUMBING
ELECT.ENERGY '
1 _ TRAC N0. PARCEL NO,
TUBS&SHOWER PAN - PLUMBING ENERGY -
• MECHANICAL .. MECH.ENERGY -
ELECTRICAL' - - .Acc nre Acc.FILLING, ,
. _ BUILDING ENERGY '• -
'FRAMING,', - - ELECT.FINAL TEST
- INSULATION_ PLUMBING - INwc ENG SITE No.
GAS TEST GAS -
MECHANICALPIUE sRwrc ENERGY D24
N� .
- - •;. COVER NY 0,. NNE]_ 0 WORK UNTIL ABOVE HAS BEEN SIGNED HEATING .. � � .
EXTERIOR'SH EARFLOODZUNL A9'.V.L.,
. ELECTRICAL RELEASE
INTERIOR SHEAR. ' FIRE DEPT.. Y❑ N[ v ❑
SHEETROCK - GRADE - r' - - + FEE SUMMARY
•
_EXTERIOR LATH' BUILDING • -
INTERIOR LATH - - - . TEMPORARY APPROVALS: . Bui�oING -
SCRATCH COAT 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. MICROFILM
41 G
ARRANGE FOR INSPECTION BY'PHONING 252-4505" ' ELECTRIC*
F- ONEWORKING DAY:BEFORE REQUIRED INSPECTION.' PLUMBING
z PLEASE GIVEJOB.ADDRESS WHEN PHONING.
SEE PERMIT FOR EXPIRATION,DATE - MECHANICAL 02. OC
IMPORTANTI CONST.TAX
PLEASE READ REVERSE'SIDE BEFORE U TOTAL 4",.,w
CALLING FOR FINAL INSPECTION.
0FFICE COPY
7
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES -'USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION - - - PERMIT NUMBER -
aOILDING APPLICATION &'PERMIT. 14797 V
,r' opflsss ) BUILDING-.,ELECTRICAL-PLUMBING-MECHANICAL '
OWNER'S - -
."°• HA.E
QTY. ELECTRIC PERMIT 'FEE j PLAN CNECK.V ALIDATION
1 PHONE
CONTRACTOR UTLETS-SWITCHES.-RECEP^,10:00/1.00
4 aS
' h V ND. 3 LIGHTING FIXTURES - ".10.00/1.00 . - -
f-ONTRACTOR'S _ rAPPLIANCES-RESIDENTIAL: 4.00
ADDRESS J�1 Ave) oQ/g1 (�yq� -
I11I Aldo APHONE /vV�091b PANELS ' 10,00 ' .. 'DATE OF APPLICATION
ARCHITECT - PLAN CHECK FEE P.C.NO.
OR PANELS (OVER 200'AMPI- 20.00
ENGINEER '- -•
LIC.NO, SIGNS TRANS.:; 3.00 -
ADDRESs ENc. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
ZIP EMP.METER OR POLE INS. 20.00 '
APPucnrvrs MOTORS - - SEE FEE SCH. ��
O 4V v - r G1 P SERVICE CHANGE 20.00
.F o O LICENSED CONTRACTORS DIICLA RATION
a u w I herehy effrm that I am licensed under provisions of Chaptet 9 r./1/ ISSUANCE DATE
h a N (commencing with Seclinn 7000)of Division 3 of the Business and SLOG. ELECT. PLG: MECH..
H w z Professions Cotlyy and any I�'cenye iin full fam .111 IV
Z, O m - License ClassNY O Lies Number] U'
oN F Contractor-MaA I O5r. .. . . A W. _ ❑' ❑ ❑ ❑
BUILDING PERMIT
m rc w •OWNER-ItUI1.OER DECLARATION - INFORMATION
X
3 u H 1 hereby affirm that I am exempt from the Contractor's License MISC.- D
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