11541I'.
POST THISLARD NEAR FRONT OF BUILDING
CITVOF CUPERTINO '
INSPECTION DIVISION
JOB INSPECTION RECORD,
�0-RO -n lms Ave,
JOB ADDRESS U UNIT# LOT#-
OWNER CONTRACTOR e
LIRA9IT NU
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PERMIT EXPIRATION
PERMIT EXPIRES IF WORK
IS NOT- STARTED WITHIN
180 DAYS OF PERMIT ISSU-
ANCE OR 180 DAYS FROM
LASTCALLED INSPECTION.
INSPECTION DATE INSPECTOR
INSPECTION RECORD
FOUNDATION
-
LIFER
PREGUNITE
PERMIT VALIDATION
,
ISSUANCE DATE
FoLcf-
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND/SLAB
PLUMBING
-
-
ELECTRICAL
MECHANICAL
-
BLDO.
a
ELECT.
❑
PLG. MECH.
❑ 1 ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
- -
BUILowG PERMIT
INFORMATIONS '
WOOD FLOOR
VALUATION
$/FT .
PLUMBING
MECHANICAL
ELECTRICAL
PERMIT TO
or
•do?
FRAMING
INSULATION
STORIES
TYPE CONSTN,
OCC.GROUP
RES, UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF
SO, FT, FLOOR AREA
-
TOTAL ACREAGE
DIAPHRAGM
'
OUILDING USE
NES IRO CON PB Omer
❑ ❑ ❑ ❑ ❑
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED
ROUGH
ASSESSORS PARCEL NO.
PLUMBING
GAS TEST
TRACT NO.
PARCEL No.
MECHANICAL
ELECTRICAL
FINALS DATE INSP.
ACC. DATE.
ACG FILE NO.
FRAMING
SAN #
INSULATION'. -
PLUMBING
ZONING
-
ENG SITE NO.
GAS
MECHANICAL
FIRE SPRINK
Y ❑ NE]
ENERGY) 24
Y [:] N❑
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
HEATING
LATH -INTERIOR
ELECTRICAL
FLOOU ZONE
P ❑ N❑
A.L.U.C.
Y ❑ N❑
LATH -EXTERIOR ` - -
FIRE DEPT.
SHEETROCK
6RfeBE•
FEE SUMMARY
SHEAR INTERIOR
BUILDING.
BUILDING
SHEAR EXTERIOR
TEMPORARY APPROVALS
FIREWALLS.
ELECTRIC
PLAN CHECK
FEE
--•
GAS -
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY
SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTE D UNTI L BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505,
o�- ONE WORKING DAY BEFORE REQUIRED INSPECTION.
Z PLEASE GIVE JOB ADDRESS WHEN.PHONING.
-SEE PERMIT FOR EXPIRATION DATE -
ELECTRIC
PLUMBING '
MECHANICAL
CONST. TAX .
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION.
TOTAL
% r
OFFICECOPY