11765•
•
POST THIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTIIVO
INSPECTION DIVISION
IL 'JOB INSPECTION RECORD
JOB ADDRESS, �CfO(/l _
UNIT# LOT#
OWNER CONTRACTOR
PERMIT NU
11765
PERMIT EXPIRATION'
PERMIT EXPIRES IF WORK
IS NOT STARTED WITHIN
180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
LAST CALLED INSPECTION.
INSPECtION DATE INSPECTOR
INSPECTION RECORD
FOUNDATION
LIFER
PREGUNITE
PERMIT VALIDATION
'
VNNCE
ISs DATE.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBINGELECTRICAL
MECHANICAL
SLOG.
ELECT.
PLG. MECH,
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
BUILDING PERMIT
INFORMATION
WOOD FLOOR
• VALUATION �
$/FT.
PLUMBING
MECHANICAL
ELECTRICAL -
_. PERMIT ro
FRAMING
INSULATION'
STOR $
TYPE CONSTR.
OCC. GROUP
RESIUNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF
SO. FT. FLOOR AREA
TOTAL,ACREAGE
DIAPHRAGM
'
BUILDING USE
RES IND CON P9 0I11e1
El I] ❑ ❑ Q
APPLY NO ROOFING UNTIL ABOVE HAS-BEEN SIGNED
ASSESSORS PARCEL NO
ROUGH
PLUMBING
GAS TEST ,-�
TRACT NO,
PARCEL NO.
MECHANICAL
ELECTRICAL
FINALS DATE INSP.
ACC, DATE
ACC. FILE NO.
FRAMING
SAN #
ZONING
ENG. SITE NO.
INSULATION
PLUMBING'
GAS
FIRE SPRINK
Y ❑ N❑
ENERGY T 24
Y (:] NC]
MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
HEATING
FLOOD ZONE
YC] N[]
A. L.U.C.
Yo N[]
LATH -INTERIOR '
ELECTRICAL
LATH -EXTERIOR
FIRE DEPT.
SHEETROCK
GRADE - -
FEESUMMARY
SHEAR INTERIOR
BUILDING
BUILDING
SHEAR EXTERIOR '-
TEMPORARY APPROVALS
FIREWALLS -
ELECTRIC -
PLAN CHECK
FEE
GAS
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY
SEISMIC FEE
J
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR.
MICROFILM
LU ARRANGE FOR INSPECTION BY PHONING 252-4505,
ONE WORKING DAY BEFORE 0� PLEASE GIVE JOB ADDRESS WHEN PHONINGIRED .
Z
-SEE PERMIT FOR EXPIRATION DATE -
ELECTRIC
PLUMBING
MECHANICAL
.,_.
coNsr. TAX
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION.
TOTAL
/ • f �'
OFFICE COPY