11651 POST THI• ARD NEAR FRONT OF BUILDING
CIf( OF CUPERTINO PFR
MITNUA,BER
INSPECTION DIVISION
11651
JOB INSPECTION RECORD
PERMIT EXPIRATION
JOB ADDRESS I C- T# LOT#
PERMIT EXPIRES IF WORK
OWNER )fAj
CONTRACTORAopwiIS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECO40 180 DAYS OF PERMIT ISSU.
FOUNDATION Q, acrHy ANCE OR 180 DAYS FROM
UFER
ll C / LAST CALLED INSPECTION.y,
PREGUNITE /2.-yea- auy dcr PERMIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 61
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL ISSUANCE DATE
MECHANICAL
BLO . ELECT. PLG. MECH.
❑ ❑ ❑ ❑�
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
' WOOD FLOOR '
INFORMATION
VALUATION $IFT.
PLUMBING
MECHANICAL 1(J J
ELECTRICAL PERMIT TO
FRAMING ' ' /`1
INSULATION STORIES TYPE CONSTR.
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF SO FT.FLOOHAREA TOTALACHEAGE
DIAPHRAGM
HUILUING USE
HES IND CON PB OHrr
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑
ROUGH ASSESSORS PARCEL NO.
PLUMBING SAM
GAS TEST
.TRACT NO. PARCEL N0.
MECHANICAL 11-TP(
ELECTRrCAL • FINALS DATE INSP. ^cc.DATE ACC FILE NO
FRAMING ,`j,-� �b541 SAN #
INSULATION Z-{ PLUMBING ZONING ENG.SITE NO.
GAS
MECHANICAL FIRE SPRINK ENERGY TZa
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y❑ N❑ V ❑ N❑
LATH-INTERIOR ELECTRICAL _ FLOOD ZONE A.L.U.C.
LATH-EXTERIOR -ori FIRE DEPT. lvv Y(_1N❑ Y ❑ NE]
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 OCCUPANCv SEISMIC FEE
OCCUPANCYOF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
Z. PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY