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11538 POST THIS CARD NEAR FRONT OF BUILDING CITY OF CUPERTINO PFRCIIT NUMBER INSPECTION DIVISION 11538 JOB INSPECTION RECORD JOB ADDRESS Sa I✓el/Ct�ks �� PERMIT EXPIRATION UNIT# _LOT# PERMIT EXPIRES IF WORK F OWNER CONTRACTOR IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR I INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION ANCE OR 180 DAYS FROM UFER LASTCALLED INSPECTION. PREGUNITE PERMIT VALIDATION POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED' UNDERGROUND /SLAB ;~• PLUMBING ELECTRICAL ISSUANCE DATE MECHANICAL BLDG. ELECT, I PLG. MECH. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT WOOD FLOOR INFORMATION PLUMBING VALUATION yS/FT. J MECHANICAL ELECTRICAL APERMIr o FRAMING -6.- �V E-'^`• 6 pAe INSULATION STORIES TYPE CONSTR. OCC.GROUP RES.UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF SO.FT FLOOR AREA TOTAL ACREAGE J DIAPHRAGM s IND USE RES IND CONON PB Olnm APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑ ROUGH ASSESSORS PARCEL NO. PLUMBING GAS TEST TRACT NO. PARCEL NO. MECHANICAL ELECTRICAL FINALS DATE INSP. ACCDATE ACC.FILE NO. FRAMING SAN u INSULATION PLUMBING ZONING ENc.sIrE No. GAS MECHANICAL FIRE SPRINK ENERGY T.24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I HEATING Y ❑ N❑ Y ❑ 1 N❑ LATH—INTERIOR ELECTRICAL FLOOD ZONE A.L.U.C. LATH—EXTERIOR FIRE DEPT. Y❑ N❑ Y ClN❑ SHEETROCK GRADE , - - FEE SUMMARY SHEAR INTERIOR BUILDING SHEAR EXTERIOR ITEMPORARY APPROVALS BUILDING FIREWALLS ELECTRIC PLAN CHECK GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING z� PLEASE GIVE JOB ADDRESS WHEN PHONING. - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE SIDE BEFORE TOTAL CALLING FOR FINAL INSPECTION. r OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY ' BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDINGAPPLICATION & PERMIT T ADORE522472 9 ;1Verd )AI BUILDING — ELECTRICAL—PLUMBING—MECHANICAL 11538 OWNER'S PLAN CHECK VALIDATION • NAME q / k OTY. ELECTRIC PERMIT FEE PJTdL N PHONE NANrancroR's I Q NAME O. OUTLETS-SWITCHES-RECEP 10.00/1.00 I T LDYIS+ /ER. �'oN LIC NO. 7/07 LIGHTING FIXTURES 10.00/1.00 CONTRACToas 79T G� d Pf1'p(APPL IANCES-RESIDENTIAL 4.00 1. NTRAs iJ©, Box N27 PHONE��.f� -// / PANELS 10.00 DATE OF APPLICATION AARRCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO. O ENGINEER LIC.No. ISIGNS TRANS. 3.00 ADDRESS ENG, PERMIT CIRCUIT 5,00 PERMIT VALIDATION ZIP TEMP.METER OR POLE INS. 20.00 APPLICANTS ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 P D oo LICENSED CON TRACTORS DECLARATION a L,u I hereby affirm that I am licensed under provisions of Chapter 9 11 z w (commencing with Section 7000)of Division 3 of the Business and uA CE DATE Ni Professions Co I d ty license is in full Ibry�� el' et LD E PLG. MECH. License I-Ss Lic.Number�l ❑ o z — Dnte Contractor x „ w CI - EJ w OWNISR-BUILDER DECLARATIONL PERMIT w5 e I-1 hereby affirm that I am exempt from the Contractor's License MISC.— REFER TO ORD INFORMATION u0j