14459 POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER
CITY OF CUPERTINO 14459
INSPECTION DIVISION ,
JOB INSPECTION RECORD
P.ERMIT,EXPI RATION
JOBADDRESS 7634 HOLLANDERRY -PL. UNIT# _LOT#
PERMIT EXPIRES IF WORK
OWNER
LEROY WILKONSON CONTRACTOR GOOD NEWS CONST. IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION. ANCE OR 180 DAYS FROM
NOTE: "LASTCALLED INSPECTION.
LIFER - ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERIA T VALIDATION_
OUPERTINO STANDARDS. .
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS•BEEN SIGNED - �•� .
!A '
UNDERGROUND /SLAB Pa� .,t (.•"
PLUMBING _
ELECTRICAL &19AATE
d G
MECHANICAL n
ELECT,. PLG. MECR.
C� ntc k
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD'FLOOR _ VALUATION $(FT.
PLUMBING
MECHANICAL
PERMIT TO
ELECTRICAL
FRAMING ^
STORIES TYPE CONSTR
INSULATION -
OCC.GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED q - -
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE m.FT FT.00R nRPA TOTAL ACREAGE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
BUILDING USE
ROOF SHEATHING RES IND, CON PB O' .,❑ El El 11 APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ASSESSORS PARCEL NO.
ROUGH SAN.N _
"PLUMBING ELECT.ENERGY
TRACT NO. PARCELNO.
Q ` - TUBS 85HOWER PAN PLUMBING ENERGY
MECHANICAL MECR.ENERGY q^ILL-$$ Xc
ELECTRICAL BUILDING ENERGY q� l.8 ACC.DATE ACC.FILE No
FRAMING ELECT.FINAL TEST ^ILl� gg zoNlNa ENG,SITE No.
INSULATION PLUMBING
GAS TEST GAS -
FIRESPRINK ENERGY T-]<
MECHANICAL -11 '
'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING - ° E] N❑ ❑ N❑.
`I
EXTERIOR SHEAR ELECTRICAL RELEASE - FLOOOZONE A.L.0 C.
INTERIOR SHEAR - FIRE DEPT, v ❑ NoY ❑ N❑
SHEETROCK GRADE FEE SUMMARY
:_.EXTERIOR LATH BUILDING
INTERIOR LATH • TEMPORARY APPROVALS BUILDING
SCRATCH COAT ELECTRIC PLAN CHECK ,
GAB FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE C1
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTI L BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELecrRlc
ONE WORKING DAY BEFORE REQUIRED INSPECTION.
~O� PLEASE GIVE JOB ADDRESS WHEN PHONING. PLUMBING
Z MECHANICAL
- SEE PERMIT FOR EXPIRATION DATE —
- IMPORTANT! COAST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL ✓
CALLING FOR FINAL INSPECTION.
�� OFFICE COPY
• APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT I DENTI FICATI ON PERMIT NUMBER
BUILDING APPLICATION & PERMIT 14459
'' •1 ADOREss
6 -- BUILDING- ELECTRICAL-PLUMBING-MECHANICAL ,
ILIA
OWNER'6
NAME
ONE . PLAN CHECKDATION
\,kpdV,SCyJ ,%L-4641 QTY, ELECTRIC PERMIT FEE
`
CONTRACTORS
C V ��
NAME � UTLETS-SWITCHES-RECEP 10,00/1.00
CChVX&44r LIC.NO. ni_14rS1 ILIGHTING FIXTURES 10.00/1.00
CNTRADDRESS offs
APPLIANCES-RESIDENTIAL 4.00
.0
1,�1 ` PHONE 7� PANELS 10.00 DATE OF APPLICATION
t.ORRcmrECT PANELS
200 AMP) 20.00 PLAN CHECK FTC----
OR
EE
NGLO
LIC.NO. SIGNS TRANS. 3.00
ARCH.OR ING. PERMIT VALIDATION
ADDRESS SPECIALCIRCUIT 5.00 ,
ZIP TEMP.METER OR POLE INS. 20.00
APPLICANT'S ' MOTORS SEE FEE SCH.
ADDRESS I�r//'tC•�'L�
SERVICE CHANGE 20.00 '].t
woo' • LICENSED CONTRACTORS DECLARATION
<u(Ha I hereby affirm that I am licensed under provisions of Chapter 9 ainISSUANCE DATE -
v,¢y (commencing with Section 7000)of Division 3 of the Business and B ELECT. PLG. MECH.
r m Z Professions Code_iind my license is in full farce and effect ❑ ❑
o i m o Licen ICI` Lica Number�iL��
a L 2 j Date ConlraclorS3£�_U�e�S��xr v 1
M ac w a OWNER-BUILDER DECLARATION JA UILDINGAT ONIT
MISC.- REFER TO ORD w; n H I hereby affirm that I am exempt from the Contractor's License _
u O a Law for the following reason.(Sec.7031.5,Businessand Professions /FT.
N 0< PERMIT ISSUANCE 10.00 .�sS
Code:Any city orcounty which requires a permit to construct,alter,
TC
S Q p Improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. �y
A w
-DLL requires the applicant for such permit to file a signed statement that TOTAL-pts PEHMIT TO
mh
e is licensed pursuant to the provisions of the Contractor's License
Fzi