14167 POST THIS CARD NEAR FRONT OF BUILDING
PERMIT NUMBER
CITY OF CUPERTINO 14167
INSPECTION DIVISION.
JOB INSPECTION RECORD
PERMIT EXPIRATION
JOB ADDRESS 7842 BELKNAP UNIT# LOT# 6
PERMIT EXPIRES IF WORK
OWNER ZANKICH CONTRACTOR ISTRA ELEC IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION ANCE OR 180 DAYS FROM
LASTCALLED INSPECTION.
UFER
PREGUNITE PERMIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING Am110
-
ELECTRICAL ISSUANCE DATE
MECHANICAL BLDG. ELECT, PLG. MECR.
1
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED r BUILDING PERMIT
WOOD FLOOR I INFORMATION
SIFT.
VALUATION .
PLUMBING
4 r
MECHANICAL
ELECTRICAL PERMIT To
FRAMING
INSULATION STORIES TYPE CONSTR.
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF •SO.FT,F LOORAREA TOTAL ACREAGE
DIAPHRAGM
BUILDING USE
' RES IND CON PB Olney
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑
ASSESSORS PARCEL NO
ROUGH
PLUMBING /-�w
GAS TEST TRACT NO, PARCEL NO.
MECHANICAL
ELECTRICAL FINALS DATE INSP. ACC.DATE ACC.FILE NO.
FRAMING SAN #
INSULATION PLUMBING ZONING ENG.SITE NO.
GAS
MECHANICAL FIRE SPRINK ENERGY FZC
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ No Y ❑ No
LATH—INTERIOR ELECTRICAL FLOOD20NE -A.L.U.C,
LATH—EXTERIOR FIRE DEPT. Y❑ No Y 0 N❑
SHEETROCK GRADE - FEE SUMMARY
SHEAR INTERIOR BUILDING
SHEAR EXTERIOR TEMPORARY APPROVALS BUILDING
FIREWALLS - ELECTRIC PLAN CHECK
GAS L FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY 1 , SEISMIC FEE
OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
"J ONE WORKING DAY BEFORE REQUIRED INSPECTION.
0' PLEASE GIVE JOB ADDRESS WHEN PHONING. PLurinBlNc
_ '^r z — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BU LDI NG PROJECT I DENTI FICATION PERMIT NUMBER
9UIL ING APPLICATION & PERMIT 1416 7
ADDRESS
2 OiL d BUILDING - ELECTRICAL-PLUMBING-MECHANICAL
OwNER'S Df5 / 1 PLAN CHECK VALIDATION
NAME w , ( OTY. ELECTRIC PERMIT FEE
�IC_Irt J7fWONE
croRs
NAME .UTLETS-SWITCHES-RECEP 10.00/1.00 -0
NAME
"TApl ( ?LIG.ND S( LIGHTING FIXTURES 10.00/1.00 O
rr ri. a
ro TRAcrOR's Z PPLIANCES-RESIDENTIAL 4.00
Es
AD
PER
r PHONE , I ( PANELS 10.00 Q DATE OF APPLICATION
ARCHITECT NELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.N0.
OR
ENGINEER
LIC.NO ISIGNS TRANS. 3.00
ARCH.OR ENG. SPECIALCIRCUIT 5,00 PERMIT VALIDATION
ADDRESS
ZIP EMP.METER OR POLE INS. 20.00
APPLICANT s 7, MOTORS SEE FEE SCH. ;I-'-' •/��J /L-®Lf/�itJ
ADDRESDOREss
SERVICE CHANGE 20.00
o o LICENSED CONTRACTORS DECLARATION
¢U w I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE DATE
¢
vHi m (commencing with Section]0001 of Division 3 Of the Business and BLDG. ELECT. PLG. MECH.
H N z Professions Code, ry license is in full force c�/ E] ❑
Z o m- License Class Lie.Number 1:19 r Date_-,l-9-07 Contractor
"" / �'/ Pty^,v'E„t0 BUILDINGPERMIT
rt w a OWNERBUILDER DECLARAT O INFORMATION
woWO MISC.- +' REFERTOORD
3 LL r I hereby affirm that 1 am exempt from the Contractor's License VALUATION $/FT.
LLoa Law for the followingreason.(Sec.7031.5,Businessind Professions PERM IT ISSUANCE - 10.00 U�
P ICode:Any City or county which requiresa permit to construct,alter,
rt ¢ Q improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. Grna U-1
ab
-D¢ requires the applicant for such permit to file a signed statement that TOTAL (( PERMIT TO
K a.al
is licensed pursuant to the provisions of the Contractor's License - eL - 7
Fii