02100014 CITY OF CUPERTINO
BUILDING DIVISION PERMIT 11.CONTRACTOR
IIUILDINC�trlgSi SCOFIELD DR WM H FRY CONSTRUCTION C(§fVRff`f021OOO14
OWNER'S WIV CHAMRAJ 10351 SAN FERNANDO AVE APPLICATI rd"I 8T1 2 0 0 2
HONE: 4086058913 CUPERTINO, CA 95014 SANITARY NO. CONTROL NO.
ARCHITECT'/ENGINEER: PHONEY: BUILDING PERMIT INFO
INTERIOR REMODEL & BLDG ELECT PLUMB MECH
TO ARRANGE INSPECTION JOB DESCRIPTION
CALL 777-3228 MONDAY-FRIDAY 24 HOURS
RESIDENTIAL,
BEFORE REQUIRED INSPECTION.JOB ADDRESS [3 SFDWL 0 KITCHEN REMODEL
OZ-,
r-H- FOUNDATION/PIERS/H.D.S. -CL, AND PERMrr#ARJ3 NEEDEDWHEN PHONING, Cl ADDITION C3 PLUMBING RE-PIPE
giEl JEER GROUND CI MULTI-UNIT 0 MODIFICATION
0 PAD/SFTBACK-CERTI-mRESIDENTIAL COMMERCIAL—OTHER— D INTERIOR 0 CHIMNEY REPAIR
�'2 GARAGE SLABS/PREGUNITF IMPROVEMENT 0 SWIMMING POOLS
HAZARDOUS FIRE ❑AREA 0 BATH REMODEL/REPAIR C3 DEMOLITION
BEEN IONED,�'_'
i ❑
C]YES If yes-I understand that a Class A roof assembly is raquired
UNDERGROUND/SLAB Cl OTHER
UNDERGROUND PLUMBING
-UNDERGROUND ELECTRICAL F ❑ NO initial I.C.13.0,4i
COMMERCIAL,
tbO�OT POOR FLOOR UNTILXPhlbVE�,14A'S�9 EES GN91TAN EXISTING ROOF COVERING [3 NEW BLDG/ADDITION 0 DEMOLITION
UNDERFLOOR PLUMBING I A 0 TENANT CI FOOD SERVICE
UNDERFLOOR MECHANICAL 04Z-OL 400 touter of existing coverings IMPROVEMENT
UNDERFLOOR ELECTRICAL T be unhaved To be retained D OTHER
UNDERFLOOR FRAMING fE-N'r,% ;T
UNDERFLOOR INSULATION___
TYPE OF ROOF COVERING
�REAWW<r FLOOR;UNTILASOVFHASBEENSII EXISTING' 0=1 Ih IsPROPOSED,
ROOF SHEATHIDIAPHRAGM
El Built-Up Roof ALIO®16J C1 Built-Up Roof
_F�
TUBS&SHOWER PAN ❑ AsphallShinglcs MAY 0 7 2003 0 Asphalt Shingles
MECHANICAL ❑ Wood Shakes 0 Wood Shakes
.7 r Shingles ELECTRICALJPOOL BOND 2___�W _I Wood Sh 1 0 Wood Shingles
RAMINGISTAIRS/E.EGRESS /;1- 0 Other(Specify) EJUIL.1plurz 0 Other(Specify)
NSUI ATIONNEWFILATION Provide I.C.B.O.Report No.
Provide Mfgr.Installation Specs.
EXTERIOR SHEAR/HOLD DOWN
INTERIOR SHEAR/HOLD DOWNAL -&Z-
SHE17TROCK/SHEETROCK SHEAR Q- INSPECTION SPECIAL INSPECTION REQUIRED Ej DATE INSP
SHOWER
EXTERIORLATHLATHJW-SCREED /-/%-- -
12 _/ -MO
INOTAP8,ORPL�k$TWNtrE-ABbvFHXSBEgN,.Sir
SCRATCH COAT
SEWERIWATER
TEMPORARY APPROVALS
OCCUPANCY
Z07 ffim'7' '
PLANNING 777-3308 — LQZF-(° d/e-- <Z.#--
GAS TEST C'
W M GRADE(P.W.777-3354)
Z FI R F�CA LL(408)37 8-4 0 10
U 0 HANDICAP
O U ELE.CTRICAL 7
0
F per, PLUMBING 7 -el-3
MECHANICAL
ENERGY
VISUAL FINAL ONLY
BUILDING
_614&'4 RUIT,BrNdlS'N 6fi iE&I 170"e-'
UNTIL 0L;II.6iN8'FINAL 1"S l'i"Y'Do 1"L'ARN'O
CERTIFICATE OF OCCUPANCY
El
%FPRE.iNsPFcTBDN PLYWOOD: IN-PROGRESS:
INSP. DATE INSP. DATE INSP. DATE
'PEAR OFF INSPECTION BATTENS: FINAL:
INSP. — DATE INSP. DATE INSP. DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTIO t