17844 POST•THIS CARD-NEAR FRONT'OF BUILDING
,.l PERMIT NUMBER
CITY ,OF CUPERTINO ' 1 �'8�4
INSPECTION DIVISION
JOB INSPECTION RECORD
' - (' PERMIT.EXPIRi10f/.��"
JOB ADDRESS-I b �( 7' iJ `P "UNIT# LOT •!n _ -/ 1/ '
•R 1 E RI!S I RK
OWNER C(fk&K CONTRACTOR IS NOT STARTED-WITHIN
INS ON ATE INSPECTOR INSPECTION RECORD ' 180 DAYS 00 PERMITIssu=
FOUNDATION - ANCE OR 180 DAYS FROM
NOTE '
LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED LASTCALLED INSPECTION.
PREGUNITE - _ TO COMPLY WITH THE APPROVED PLANS AND CITY OF PFLMIT VALOATION
CUPERTINO STANDARDS. PAID
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNEDS~. '
UNDERGROUND /SLAB'. - MAY I-V 1989 � � � IrC` '
PLUMBING - - - - J. N Y
of.Cuperfin0 ISSUANCE UAiE� ,
ELECTRICAL City,
, �
MECHANICALFtz
- B De ELelT PLG. MECH.
5-z3-B4 rviAacls 92oo1y, a p,`' 0
set'j. 6F:-
DO NOT POUR FLOOR UNTIL ABOVE HAS'BEEN SIGNED," C Iq7% i2rXp'Y!+/-L7ob2 c 1+MoD�I BUILDING PERMIT
• - WOOD FLOOR - -+', INFORMATION
r^q TU ` .y. VALUATION /'{ $/FT.
PLUMBING - 'E�Q'gC T�/`/0 q'Il_q� Foalinl 5 (7G -
MECHANICAL Q. T ,G lr-c �e
ELECTRICAL PERMIT
FRAMING _ 3 K WA �I� �•V'K,I�Q
INSULATION STOHILs . TYPE CONSTR,
OCC.GHOUP RES.UNITS ,
r'- PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
asn ROOF NOTE'NO FINAL INSP.SHALL BE MADE BEFORE so.r T.aoor REA• TOTAL ACREAGE. .
0 DIAPHRAGM THE CONSTRUCTION TAX IS'PAID " -
"� ROOF SHEATHING, Hes tND CON usEPB OU.
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS;. DATE .INSP; ❑ ❑ ❑ ❑
ASSLBSORS PARC
. ROUGH. SAN.a EL NO.
PLUMBING - ELECT..ENERGY
' TUBS 8 SHOWER PAN PLUMBING ENERGY. .-
TRACT NO. PARCEL NO
MECHANICAL MECH.ENERGY.
ELECTRICALBUILDING ENERGY -ACC.DATE . ACC.FILENO
FRAMING' ELECT.FINAL.TEST
INSULATION PLUMBING ZONING ENG.SITE NO.
• GAS TEST GAS
MECHANFIRESPRINK ENERGY T 24
ICAL -'fq�✓
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ ".�_:_— ❑ - N❑
EXTERIOR SHEAR ELECTRICAL RELEASE �- - p FLOODZONE 7L .0
INTERIOR SHEAR - FIRE DEPT. Y❑ N❑ Y ❑ NE]
SHEETROCK GRADE . FEE SUMMARY
EXTERIOR LATH., BUILDING -2p -qD
INTERIOR LATH .TEMPORARY APOVALS BUILDING
PRp`a
SCRATCH COAT' • • . ELECTRIC PLAN CHECK
GAS - FEE >t�
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
- OCCUPANCY•OF BUILDING IS NOT PERMITTEDUNTI L BUILDING FINAL.IS SIGNED BY BUI LDING INSPECTOR. MICROFILM -
_ARRANGE FOR INSPECTION BY PHONING252-4505,' ELECTRIC
o'� ONE WORKING DAY BEFORE REQUIRED INSPECTION. ' PLUMBING
Z PLEASE GIVE JOB ADDRESS WHEN,PHONING.
—' SEE PERMIT FOR•EXPIRATION DATE"—
MECHANICAL
- IMPORTANT'. CONST.TnX
PLEASE READ REVERSE SI DE BEFORE . JJ
CALLING FOR-FINAL'INSPECTION. TOTAL
OFFICE COPY .
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
i. BURDI NG PROJECT IDENTIFICATION - - PERMIT NUMBER -
t APPLICATION & PERMIT`
BDDLE _ 1'7.844
SDD E�q7s
BUILDING-ELECTRICAL-'PLUMBING-,MECHANICAL
OWNER'S �;' PLAN CHECK VALIDATION
N E OTY. ELECTRIC PERMIT FEE
• PHONE ,
CONTRACTORS
OUTLETS' SWITCHES-RECEP 10.00/1-.00 ��
LID.No10.00/1.00.� LIGHTING FIXTURES L"
CONTRACTOR'S - APPLIANCES•RESIDENTIAL 4.00 -
�PHONEq PANELS 10.00 DATE OF APPLICATION
pgCMIE PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO,
ENGINEER
LIC.NO. SIGNSTRANS. 3.00
ARCH.OR Eno. qc•1� `IRCUIT 5.00 PERMIT VALIDATION
SPECIAL C
zIPEMP.METER OR.POLE INS: 20,00 . �J(A •_��j
APPu N 'sqM" MOTORS •SEE FEE SCH. -
AooR
SERVICE CHANGE 20.00 `'
w'o o LICENSED CONTRACTORS DECLARATION \ ' t'} 1 U V C
U v I hereby affirm that I'am licensed under provisions of Chapter 9 ISSUANCE DATE
(commencing with Scelion 7000)of Division 3 of the Business goal
y BLDG. ELECT. PLO. MECH.
H z Professions CodueQQ�,n�dp y license is in full fofy nn t// "_ 1989
❑ ❑. ❑
DaIenu Class-.(L--_Com NumberI •�Vl� .
0 y g iu Ou[e Contractor_ .,S-7fS[',
a, w a OWNER-BUILDER DECLARATION BUILDING PERMIT
'
D INFORMATION.
xa ;a- - 1 hereby affirm that I am exempt from the Contracmrs License MISC.- REFER TO ORD
VALUATION
r LL o j