12291OFFICE COPY
POST THI,�,�A�RD NEAR.FRONT OF BUILDING'•
PERMIT NUMBER
OF CUPERTINO
�,_•
4.CIIT�
INSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
JOB ADDRE S UNIT -LOT#
ftT.
PERMIT EXPIRES IF WORK
OWNER
IS.NOT STARTED WITHIN
180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
LAST CALLED INSPECTION..
INS E TI N ATE I INSPECTOR I CTION RECORD
FOUNDAT N -
-
..
UFER "'+-.;. -•1.
PREGUNIT a�
PERMIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND/SLAB
'/ 1
PLUMBING
ELECTRICAL '
ISSUANCE DATE `
MECHANICAL -
BLUG.'
❑
ELECT.
❑
PIG.
❑
MECH.
-
❑1
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
-BUILDING PERMIT ..
INFORMATION
- WOOD FLOOR - -
'VALUATION
L
SIFT.
PLUMBING
-
MECHANICAL 1" • I
CERMITTO
ELECTRICAL - �•!•' -
FRAMING
STORIES,
TYPE CONSTR.
INSULATION ' ' T --2 41,7- -
OCC. GROUP
RES. UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
•
ROOF
SO. FT. FLOOR AREA
TOTAL ACREAGE
DIAPHRAGM
BUILDING USE
RES, IND CON PB OO,ee
APPLYNO ROOFING UNTIL ABOVE HAS BEEN SIGNED !•
❑ '❑' ❑ •❑ ❑
ROUGH Z'� I
ASSESSORS PARCEL NO.
PLUMBING
GAS TEST' 1. (
TRACT NO.
PARCEL NO. -.
MECHANICAL. WC, oZ(-,♦.T(pQ
'
ELECTRICAL � _ _ .,FINALS DATE INSP..
'•Acc,DAT E
ACC. FILE NO.
.
FRAMING KN.b, �( SAN #
INSULATION -210 -7 PLUMBING
ZONING
ENG, SITE No. '
..-. _ GAS
• MECHANICAL
FIRE SPRINK
❑ N�
ENERGY T 24
Y ❑ N❑
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING _�_g 7
LATH-INTERIOR ELECTRICAL -
FLOOD ZONE
' -Y❑ N
.A.L.0 C.
Y❑ N❑
LATH-EXTERIOR- FIRE DEPT., -
SHEETROCK - ,2 -N-0 GRADE
FEE SUMMARY
SHEAR INTERIOR _ - ,t. • BUILDING
'
SHEAR EXTERIOR 1 TEMPORARY APPROVALS-� s
,BUILDING`
ap
FIREWALLS ,.. - ELECTRIC
.PLAN CHECK:
FEE
GAS •
NO,TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JUCCUPANCY
SEISMIC FEE
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR.
'MICROFILM
I
FOR INSPECTION BY PHON ING 252-4505,
ELECTRIC
ARRANGE
BEFORE REQUIRED INSPECTION. '
ONE WORKING DAY
0� PLEASE GIVE JOB ADDRESS WHEN PHONING.'
PLUMBING
t
Z -
' -SEE PERMIT FOR EXPIRATION DATE -
MECHANICAL
MECHA-
coNsr. TAX
IMPORTANT!.
TOTAL
ry1 % tJ
' PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION.
f
OFFICE COPY