15652 . ?DST THIS CARD NEAR.FRONT OF BUILDING
,► i. '! PERMIT NUMBER
r CITY:OFU.PERTINO ",.15652
INSPECTION-DIVISION
JOB INSPECTION RECORD
• '_ ' r/9& r PERM IT"EXPI RATION
JOB ADDRESS 10 ('23 "" �/tlC � D UNIT# '_LOT#
-f•
PERMIT, EXPIRES IF.WORK
n + ' '
'I dWNER+ O • �U Fr^ 017 •�''.0 7�GK:. corvrRncroR-.( 't� , RJB, _ '�.l:D,✓dIS,NOT (STARTED WITHIN + -
INSPECTION DATE INSPECTOR INSPECTION RECORD lUU DAYS OF PERMIT ISSU.
FOUNDATION ;ANCE OR ISO.-DAYS FROM
NOTE: LAST CALLED INSPECTION. (
UFER ' ALL GRADING;AND.DRAINAGE.SHALL,BE INSTALLED 'p
PR EGUNITE
TO COMPLY,WITH THE APPROVED PLANS AND CITY.OF PERMIT VALI Anory
GARAGE SLABS ': - �
'CA . .
UPERTINO STANDARDS „ "
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~
UNDERGROUND /SLAB ,. ;: •,,
f F'.
' PLUMBING
ELECTRICAL ' •• - ISSUANCE DATE
MECHANICAL - ,e}DG.' ECT. . PLG, MECH
:z ❑ _ El
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEDtt Bu G PERMIT
WOOD FLOOR ' 'FORMATION
PLUMBING G y•q �^.,�u � Slpr.
/d{/S
MECHANICAL - '
PERMIT T�/�
. ELECTRICAL
//.
FRAMING. ; -
INSULATION - - STORIES TYPE CONSTR.
• I
+• .. ,. , OCC.GROUP RES,UNITS
PLACE NO SUBFLOOR UNTIL'ABOVE HAS BEEN SIGNED
LLN ' :ROOF NOTE'NO FINAL INSP.SHALL BE MADE BEFORE sa.rTj FLOOR AREA TOTAL ncACAce
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
�.
BUILDING USE`- ROOFSHEATHING - - Res'. IND CON PB O,n,, ;
r' APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS. e DATE INSP. El El Il El 1:1' •,ASSESSORS PARCEL NO
ROUGH SAN.N'
PLUMBING ELECT.ENERGY. {•`� "`
4 TRACT NO, PARCEL NO
TUBS&SHOWER PAN - - PLUMBING ENERGY
' MECHANICAL MECH.ENERGY
ELECTRICAL BUILDING ENERGY } +•.,. acc.,DarE acc PILE No
FRAMING ELECT.FINAL TEST zONINO ENG.SITE NO.
INSULATION - PLUMBING- 6�
''
GASTEST - •` GAS f
-
MECHANICAL FIRESPRINK ENERGY T.za-•' '
+
COVER NO WORK UNTIL.ABOVE HAS BEEN SIGNED HEATING ❑ 'N ❑ "❑
-FLOOD ZONE A.L.U.c.-
EXTERIOR SHEAR. 'ELECTRICAL'RELEASE •• .1 1 - ' '.
INTERIOR SHEAR' FIRE DEPT. 'Y❑ N❑ v ❑,•'N❑,
SHEETROCK - GRADE FEE SUMMARY
EXTERIOR LATH BUILDING - +'•p .
I NTERI OR LATH ' , :' TEMPORARY APPROVAL - BUILDING a =
SCRATCH COAT ELECTRIC - PLAN CHECK !
GAS .1. ',. ,w FEE
.. NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY ' - SEISMIC FEE .
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAIIS SIGNE D BY BUILDING INSPECTOR. MICROFILM
w' ARRANGE FOR INSPECTI252-4505 ELECTRIC
ON BY PHONING-
. ' =
f- ONE WORKING'DAY BEFORE REQUIRED.INSPECTION PLUMBING
O� PLEASE GIVE JOB ADDRESS WHEN PHONING.- , I
Zf MECHANICAL
SEE PERMIT FOR EXPIRATION DATE
IMPORTANT! coysT TAX
PLEASE READ REVERSE SIDE BEFORE • . a
CALLING FOR FINAL'INSPECTION. :' TOTAL.`;
OFFICE COPY
APPLICANT TO GILL IN INFORMATION WITHIN RED LINES - USE BALI-,-P,OINT,PEN,ONLY
" BUI,j.DING.PROJECT,IDENTIFICATION - PERMIT NUMBER
BUILDING APPLICATION &•PERMIT\ 15652
0��3 •V I K�OL'FE [� BUILDING—ELECTRICAL—PLUMBING=MECHANICAL V
OWNER'Sc�A
Nn E , - dV Y PLAN CHECK VALIDATION
xJ)�/1 DTV. ELECTRIC PERMIT FEE \ O
( f'f
CONTE ACTOR'S -
NAME OUTLETS-SWITCHES-RECEP 10.00/1.00
Ic.N JU LIGHTING FIXTURES 10.00/1.00
CONTRACTOR
AREAS I ^- �3— APPLIANCES-RESIDENTIAL 4.00A05 S5 2- -•
o `'`{'A1"_`�('')
2-39-9097 PANELS 10.00 DATE OF APPLICATION'1
ARCHI T PLAN CHECK FEE P.C.NO.
OR - - PANELS (OVER 200 AMP) 20.00
ENG ER
LIC.No. 'A 3 SIGNS TRANS. ' 3.00 '
ADDRESS.
ID�DRESS.ENG. '/l I r7 SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
SL "), V IP M EMP.METER OR,POLE INS, 20.00
APPLICANTS MOTORS ..SEE FEE SCH. r, '
ADDRESS '
�JOS`S N SERVICE CHANGE 20.00
aI0 o LICENSED CONTRACTORS DECLARATION ' r -
a U w I hereby effort that I am licenxd under provisions of Chapter 9 p �� 'ISSUANCE DATE - ,
w a (commencing with Section 7000)of Division 3 of the Business and _ BLO ECT. - PL❑G. MECH.
r D i Professions CnduI�,,41-�T�—my license is in full farL'�•a d eft I -
Zp i f°a icc ! C,m Le.Number 2 ,
Dme Contractor - a r R
a y f LI - a� CupBy�(1DING RM PERMIT -
¢ o
OWNER-BUILDER DECLARATION t EIN FORMATION
wg N I herebyraffirm'that l am exempt froo'the Contractor's License MISC.'— REFER-TO ORD'
Euoa Law for the following..Sen. 7031.5,Busmessand Professions PERMIT ISSUANCE - - - 10.00 VALUATION $/FT...
w w Code:Any city or county which requiresa permit to construct,alter, _
QW Q,O improve,demolish,Or repair any structure,prior ID Its IssuanCC,aI50 ELEC.CONTR. LIC.NO. ELEC:,- " '
iCLL requires the applicant for such permit to file a signed statement that TOTAL I. PERMITTO
w$ he is licensed pursuant to the provisions of the Contractor'sI
License - ''�
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