17316 POST THIS CARD NEAR FRONT OF BUILDING
PERMIT umBER
CITY OF CUPERTINO •
1'7316
INSPECTION DIVISION •
JOB INSPECTION RECORD
' h PERMIT EXPIRATION
JOB ADDRESS .( D.� Z moi' �,� UNIT#. _LOT#
��[^�^ PERMIT EXPIRES IF WORK
OWNER G T • L V111740 CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMI7ISSU.
FOUNDATION - • - - ANCE OR.180 DAYS FROM
NOTE: LAST CALLED INSPECTION.
UFER - ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF RERMIT VALIDATION
CUPERTINO STANDARDS.
GARAGESLABS 1
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB FEB
' PLUMBING - - /p1�1 /�''�'�1�
ELECTRICAL - city of cupaw 5�ISSUANCE DATE
MECHANICAL - - - s c. EC PLO. mecR
o ❑ ❑
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT
INFORMATION
WOOD FLOOR - VALUATION - SIFT.
PLUMBING' ,
MECHANICAL + ' �
ELECTRICAL PERMIT TO
-
FRAMING - + +
SLORIES TYPE CONSTR.
INSULATION '
' OCC.GROUP RES UNITS
_ PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO.SIT FLOOR ARIA-TOTAL Ace EAee
> DIAPHRAGM THE CONSTRUCTION TAX IS PAID .
_ BUILDING USE
ROOF SHEATHING -HES IND CON PB Olney
1 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ASSESSORSPO,0 O. El
ROUGH SAN.# ,
PLUMBING _ ELECT.ENERGY
' ' TUBS&.SHOWER PAN PLUMBING ENERGY TRACT NO, PARCEL NO
MECHANICAL'' MECH.ENERGY
ELECTRICAL - - BUILDING ENERGY - ACC.DATE ACC FILE NO
FRAMING ELECT.FINAL TEST -
ZONING ENG.SITE NO.
INSULATION PLUMBING
GAS TEST GAS
FIRE SPRINK ENERGY T.IJ
MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING NEI "�
FLOOD ZONE ALU C.
EXTERIOR SHEAR - ELECTRICAL RELEASE Y NY ❑ N❑
INTERIOR SHEAR FIRE DEPT.
SHEETROCK GRADE FEE SUMMARY '
EXTERIOR LATH BUILDING
I .INTERIOR LATH TEMPORARY APPROVALS BUILDING
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY I I SEISMIC FEE
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. .MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
HW ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
z�. ., PLEASE GIVE JOB ADDRESS WHEN PHONING.
.. MECHANICAL
— SEE PERMIT FOR EXPIRATION DATE
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
+ BUILDING PROJECT IDENTIFICATION -.PERMIT NUMBER
BUILDING APPLICATION & PERMIT ' e� 1
AOORE6�Q '� t.7 I
BUILDING-ELECTRICAL-'PLUMBING-MECHANICAL
OWNER'SPLAN CHECK VALIDATION
NAM
OTV. ELECTRIC PERMIT FEE
CONTRACTORS /r a1I
INANE �eC+l' �O�CN UTLETS-SWITCHES•-RECEP. 10.00/1.00 V
Ic.rvo. `u LIGHTING FIXTURES: 10.00/1.00
ADRRACroR's PPLIANCES-RESIDENTIAL 4.00
PHONE q,7 PANELS 10.00 1293T DATE OF APPLICATION v -
ORRCHIT PANELS (OVER 200 AMP) - 20.00 PLAN CHECK FEE P.c.No.
ENGINEER
LIC.NO SIGNS TRANS. 3.00 '
ADDRESS G.ENCIRCUIT 5.00 PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20.00
PLICANT - MOTORS SEE FEE SCH: at. Pd
ADDRESS
SERVICE CHANGE - 20.00 "
o o LICENSED CONTRACTORS DECLARATION
a U U 1 hereby affirm that I am licensed under provisions of Chapter 9 e, ISSUANCE DATE -
n w (commencing with Section 7000)of Division 3 of the Business and -
¢ e. G. ELECT. PLG. MECH.
F i Professions CO
an icense is in full for �cYrPk 1
z o= License CI ss Lic.Number �V((ll M/s4 d p,�
r Ua[e Contractor - . city V1 W
¢ x - BUILDING PERMIT
¢ ¢a OWNER-BUILDER DECLARA'(ION
c it. U INFORMATION
w ; ,�H I.hereby affirm that 1 am exempt from the Contractor's License MISC.- REFER TO ORD
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