16477 r
"'POST THIS CARD NEAR FRONT OF. BUILDING PERMIT NUMBER
CITY OF 'CUPERTINO 1647?
1NSPECTION DIVISION '
• « JOB•INSPECTION'REC.ORD
PERMIT EXPIRATION
I t JOB ADOR ESS / 9 "a- /���SF� _ -✓A�NIT#1 _LOT#r
,r � PERMIT EXPIRES IF WORK.''
OWNER / Z2Q/4}- (,/,f0' -CONTRACTOR Ld y.a a✓ 'IS NOT STARTED WITHIN
INSPECTION DATE,,' INSPECTOR INSPECTION RECORD 180.DAYSOF'PERMITiSSU-:,
FOUNDATION' ANCE.OR 180 DAYS FROM
NOTE:. ' 'P'I. LAST CALLED INSPECTION.
U F,ER r ALL GRADING`AND DRAINAGE SHALL BE INSTALLED ' 1
PR EGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF 4 PERNUT VALIDATION
CUPERTINO STANDARDS
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-UNDERGROUND /SLAB.,
PLUMBING
ELECTRICAL', - ISSUANCE uniE
MECHANICAL - '' - Bcoc, -ELECT. ,PEG. mECR,
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED , : BUILDING PERMIT
;WOOD FLOOR
"•' ' •INFORMATION>+.
PLUMBING ,,+ - - VALUATION SIFT.
MECHANICAL„
ELECTRICAL - - ^PEHNIIT TO
.. FRAMING
STORIES TYPE CONSTR. 1
INSULATION
0
OCC.GROUP RES,UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
' , - 6R R FT.FLOOAREA TOTAL ACPEAGL
ROOFI
,•� NOTE:NO FINA INSP.SHALL BE MADE-BEFORE
• DIAPHRAGMTHE CONSTRUCTION'TAX ISPAID >, ,
< BUILDING USE
ROOF SHEATHING' _ - RES" IND CON PB Oro., t
T-APPLY NO-ROOFING,UNTILABOVE-HAS BEEN•SIGNED,, _ FINALS .Q��,.;•--,yrs. LLDATE�R d';t INSP.,;,� .-� -•� �
-ASSESSORSPARCELNO '.
ROUGH SAN.p
PLUMBING, - ELECT..ENERGY.-
PARCEL NO
TUBS 8 SHOWER PAN - PLUMBING ENERGY
MECHANICAL. ,• 11 MECH.ENERGY,,. -+ •*• +'
ELECTRICAL BUILDING ENERGY ACC.DATE ACC:FILE No'
s FRAMING .•r
- � � ELECT.FINAL TEST ', . -• �� '
ZONING ". ENG.SITE NO.
INSULATION ° PLUMBING _1J �•,'
_ GAS TEST fid, GAS.-..
MECHANICAL ••" FIRE SPRINK �ENERGVIL}G y
COVER NO WORK UNTIL ABOVE�HAS BEEN SIGNED HEATING - Y L "0 °"0 �"L
' FLOOD ZONE ,1, AAL 11,C: -
EXTERIOR SHEAR - ELECTRICAL RELEASE -
INTERIOR SHEAR ' 1.� " FIRE DEPT. - YL NL, = L F'N L, .
SHEETROCK,' GRADE - - FEE SUMMARY.
- .'
EXTERIOR-.LATH BUILDING, -
INTERIOR LATH >�' TEMPORARY APPROVALS 'BUILDING " I.
• ' SCRATCH COAT ELECTRIC 'PLAN CHECK
. GAS
. • NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY;, SEISMIC FEE
OC CU FANCY O F BUILDING IS NOTPERMITTE DUN TIL'BUILD I NGFINALISSIGNED.BYBUILDINGINSPECTOR. MICROFILM
1 "`ARRANGE FOR INSPECTION BY PHONING 252-"4505, ELECTRIC,
Hw- .. ONE WOR KI'NG•DAY BEFORE'REQUIRED�INSPECTION. .•PI.urYielrac ` Q'0 •
Z f PLEASE GIVE,JOB ADD RESS.WHEN,PHONING: .,
<; 'r • MECHANICAL - '
,r PERMIT FOR EXPI'RATION�'DATE —
IMPORTANT!' covsT'.TAx .
,PLEASE:READ REVERSE SIDE BEFORE •, TOTAL
CALLING'FOR FINAL INSPECTION:; .
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES — USE BALLPOINT . EN ONLY
i IPE RMITNUMBER •
BUILDING PROJECT - 4.t.APPLICATION & PERMIT
RIIIDDING - . 16477
RDDRE55 '
BUILDING-;ELECTRICAL—PLUMBING-NLECHANICAL
OWN RSH , . , µ, - r - ' PLAN CHECK VALIDATION
rvamE.s= QTY:' ELECTRIC PERMIT FEE
PHONE
L NTRaCTOR'S
' rvamE II�� n OUTLETS-SWITCHES-RECEP' 10.00/100
6'"'k /' ' LIc.No. L. LIGHTING FIXTURES 10.00/1.00
• CONTRACTOR'S . PPLIANCES-RESIDENTIAL "4.00
ADDRESS
` t PHONE _Q ,^
ARCHITECT . �" ,".'PLAN CHECK PANELS 10.00 DATE OF APPLICATION FEE P.C.ONO.
OR - PANELS IOVER.200 AMP) 20.00
ENGINEER
LIC.NO, SIGNS TRANS: ' ' 3._00
-' ARCH.OR ENG. , PERMIT-VALIDATION
ADDRESS SPECIAL CIRCUIT)'' I-. .,
ZIP EMP.METER OR POLE.INS.' - 20.00
APPLICANTS . - MOTORS SEE FEE SCH:
c
'
ADDRESS
_
SERVICECHANGE '2000
�00 2 LICLNSI U CON TRACIURS ULCLARA PION • r/ '!// ( ,�I
M
v w' I hereby affirm the[ I am licensed under provisions of Chapter') II ISSUANCE DATE
s- RYmvneneing with Sectanl 7000) of Division 3 of the Rosiness and - L z
y Q H , BLDG .ELECT. PLG MECH.t
r y z Professions CoJ a 1 I y liven a In full lira �y I. a''u y' r" ❑_ ❑ ❑• s
oi y o License Cluss �_LIc Number_ `( �� .. ,
m w Uulc�Zp._®.p._Contraumr,�/
_ BUILDING PERMIT
tL w 0 OWNER-BUILDER DFCLAItA'I'ION " `' • 'INFORMATION -
wg'LL Ihereby affirm that I am exempt from the Contractor's License - MISC.._ "' REFERTO ORD
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