16801 POST THIS CARD NEAR FRONT OF BUILDING
PERMIT NUMBER
CITY OF CUPERTINO 16801
INSPECTION DIVISION
JOB INSPECTION RECORD ,
PERMIT EXPIRATION
JOB ADDRESS�U I�$_7- �OL/C� D� UNIT# _LOT# RMI/T ILE XPIRESrtF WORK
OWNER Y CONTRACTOR Q S M' IS NOT STARTED-WITHIN
INSPECTION D TE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU.
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 PERMIT VALIDATION
GARAGE SLABS
CUPERTINO STANDARDS.
•.q
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING "—
ELECTRICAL -
ISSUANCE UAIF.
MECHANICAL• BLDG. ELECT I PLG. MCCH.
F-1 ❑ . ❑ 9
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR INFORMATION
PLUMBING VALUATION SIFT.
MECHANICAL '
ELECTRICAL - - PMEi PERMIT TO
FRAMING
INSULATION - srORies TYPE CONSTR.
OCC.GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED • -
. 'ROOFNOTE:NO FINAL INSP.SHALL BE MADE BEFORE so.FT aooR AREA TOTAL ACREAGE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
ROOF SHEATHING - BUILDING USE
RES INU CON PB .11",
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑
ROUGH ASSESSORS PARCEL NO
SAN.Il
PLUMBING ELECT.ENERGY .
TUBS&SHOWER PAN PLUMBING ENERGY raacT No. PARCEL No
MECHANICAL MECH.ENERGY
ELECTRICAL BUILDING ENERGY ncc Unrz ncc.ELLE No
FRAMING ELECT,FINAL TEST
INSULATION PLUMBING ' � �_ zoNiNc ervG.slrE rvo.
GAS'TEST GAS
MECHANICAL EIRE SPRINK ENERGY r-za
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ °'❑ N❑
EXTERIOR SHEAR ELECTRICAL RELEASE , FLOOD ZONE ALUC.
INTERIOR SHEAR FIRE DEPT. `'❑ N❑ ❑ NO
SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH BUILDING
INTERIOR LATH .TEMPORARY APPROVALS BUILDING
SCRATCH COAT - ELECTRIC PLAN CHECK
" GAS FEE '
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILD ING 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 pD
IMPORTANTI CONST.TAX
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION. TOTAL
OFFICE COPY
APPLICANT TO FILL,IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
1 BUILDING -ELECTRICAL-PLUMBING-MCHANICABUILDING APPLICATION PERMIT
ADDRESS
,Iii 7L/_ CLLOWNE
O
VV
RS /\ / PLAN CHECK VALIDATION
OWNE
• QTY. ELECTRIC PERMIT FEE I
E
CONTRACTOR l..� '
NAM E1rOM,IiQ
N • UTLETS-SWITCHES-RECEP 10.0011.00
S�•x-/U
c.Na. SA4{007 LIGHTING FIXTURES 10.00/1.00
CONTRACTOR'S - u
ADDRESS p %. (V/t5) PPLIANCES-RESIDENTIAL 4.00
bHDNE-qyz' /�jgk4 PANELS 10.00 DATE OF APPLICATION
-�
ARCHITECTOR PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO.
ENGINEER
uc.NO. SIGNS TRANS. 3.00
ADDRESS ENG' SPECIALCIRCUIT 5.00 PERMIT VALIDATION
ZIP TEMP.METER OR POLE INS. 20.00
AvvucANrs
ADORE ss - MOTORS SEE FEE SCH.
SERVICE CHANGE 20.00
0 ¢z
FOO LICENSED CONTRACTORS DECLAKAI'ION PAID
< u I hereby affirm that I am licensed under provisions of Chapter 9
2 w -pr ISSUANCE DATE
H
(commencing with Section 7000)of Division 3 of the Business and SLOG. ELECT. PLG. MECH.
H H i Professions Cods, d y license is in full furpe/�ryl� &,7 t ❑ ❑ ❑ E�
z o w- Licence Class G�'� I.ic.Number�� Il1LA-
9 m E Date� ContructorR�y,2L
a y s LsQ4B7s�1 Rlls b BUILDING PERMIT
¢ ¢ w a OWNER-BUILDER UECLAKATIONCity Af
0 o D INFORMATION
w ;LL I hereby affirm ohm I am exempt from the Contrumoi s License MISC.- REFER TO ORD
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