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CITY OF CUPERTINO � QINSPECTION'DIVISION
JOB INSPECTION RECORD
/�-J� PERMIT EXPIRATION
13 ADDRESS /OS�� l/�/�.'CY�L����J 61l_UNIT# LOT#
PERMIT EXPIRES IF WORK
OWNER CONTRACTOR —� IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
LASTCALLED INSPECTION.
UFER _
- PERMIT VALIDATION
PREGUNITE
PO R NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL ISSUANCE DATE
BLDG. E 3. PL A4ECH
MECHANICAL
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOORINFORMATION
VALUATION SIFT.
PLUMBING
MECHANICAL
PERMIT TO
ELECTRICAL
FRAMING
STORIES TYPECONSTR.
INSULATION
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
50 FT.FLOOR AREA . TOTAL ACREAGE
ROOF
,.
DIa&8RAGM BUILDING USE
BES IND CONPB DNF.:
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ El ❑ ❑ ❑
ASSESSORS PARCEL NO.
ROUGH
PLUMBING
TRACT NO. PARCELNO,
GAS TEST
MECHANICAL
ACC.DATE ACC.FILE NO,
ELECTRICAL FINALS DATE INSP:
FRAMING SAN p
ZONING ENG.SITE NO.
INSULATION PLUMBING .f �
GAS
FIRE SPRINK ENERGY T 24
MECHANICAL Pj' Y ❑. No Y ❑ N❑
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
'FLOOD ZONE A,LU.C.
LATH—INTERIOR ELECTRICAL
Y❑ N❑ Y❑ No
LATH—EXTERIOR FIRE DEPT.
SHEETROCK GRADE Ott SUMMARY
SHEAR INTERIOR BUILDING .BUILDING
SHEAR EXTERIOR TEMPORARY APPROVALS
FIREWALLS 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 IS SIGNED BY BUILDING INSPECTOR. MICROFILM
Uj ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
CONST.TAX
IMPORTANTI
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY