11125 POST THIS CARD NEAR FRONT OF BUILDING
PFHMIT NUMBER
CITY OF CUPERTINO
INSPECTION DIVISION 11125
Falk JOB INSPECTION RECORD
( v Jap PERMIT EXPIRATION
JOB ADDRESS 12 3!5q'
5 \\q ✓en er AJe' UNIT# LOT# _
II r _ PERMIT EXPIRES IF WORK
OWNER Ql, n CONTRACTOR e, "11' - IS NOT STARTED WITHIN
INSPECXION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION ANCE OR 180 DAYS FROM
LIFER'
LASTCALLED INSPECTION.
PERMIT VALIDATION
PREGUNITE -
JKf5 d' ST/z1, -'( -�
r POUR NO CONCRETE UNTIL ABOVE HAS BEEA&&NED _
UNDERGROUND /SLAB '
PLUMBING
ELECTRICAL - ISSUANCE DATE
MECHANICAL BLDG. ELECT, PLO. MFCH.
El 0, a, ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR - - VALUATION SIFT.
PLUMBING
MECHANICAL
ELECTRICAL PERMIT TO
FRAMING �)
INSULATION - STORIES TYPE CONSTR.
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF . SO.CT.FLOOR RHEA TOTAL ACREAGE
DIAPHRAGM
BUTDI OUSE
RES INO CDN PB Ome,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED E:] ❑ ❑ ` ❑ ❑
ASSES OHS PARCEL NO,
ROUGH
PLUMBING
GAS TEST
- I'kACT'tlO, PARCEL NO.
MECHANICAL F
ELECTRICAL --.30- ACC.� �' FINALS DATE INSP. i DATE ACC.FILE NO.
FRAMING . �' J� SAN #
Z NING ENG.SITE NO. -
INSULATION _ PLUMBING E' ._Z�_� -
GAS
MECHANICAL FIRESPRINK ENERGY T"24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING v El "❑ v ❑ N[:]
' LATH-INTERIOR ,/ ELECTRICAL FLOOD ZONE 0.LU C.
-
LATH-EXTERIOR - 6 FIRE DEPT. Y❑ NO , Y ❑ NEI
SHEETROCK L<M GRADE FEE SUMMARY
SHEAR INTERIOR / BUILDING
SHEAR EXTERIOR TEMPORARY APPROVALS BUILDING /
FIREWALLS ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR'. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505; ' ELECTRIC
FW- ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING }
0 PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z — SEE PERMIT FOR EXPIRATION DATE — MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY