16828 POST THIS CARD NEAR FRONT OF BUILDING
PERMIT NUMBER
CITY OF CUPERTINO • " 16828
INSPECTION DIVISION
I . JOB INSPECTION RECORD ,
PERMIT EXPIRATION
JOB ADDRESS 1611;L3 woLAE �6UNIT# 'Q I - •+
f,F•�OrefsyELS o , //7� " PERMIT EXPIRES IF WORK j
owNER / C,1Pt.d -TKi 2 coNTRAcroR. J`0/3�.CT.J Iy�VS 7, - IS NOT STARTED'WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 1B0 DAYS OF PERMIT ISSU-.; -
FOUNDATION ANCE OR 180DAYS FROM.
NOTE: LAST CALLED INSPECTION.
UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITETO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION
CUPERTINO STANDARDS.
GARAGE SLABS _
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL • ISSUANCE DATE
MECHANICAL - BIUG. ELECT - PLG. MECH,•
❑ 0 ❑ ❑
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED r BUILDING PERMIT
INFORMATION
PLUMBING
WOOD FLOOR pP
VALUATION
- _ 6 _
MECHANICAL " - - .���� Iu '•
ELECTRICAL C B PERM T TO
FRAMING
''� Z`
INSULATION- STORM s TYPE CONSTR.:
OCG GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
• ROOF. NOTE:NO FINAL INSP.SHALL BE MADE BEFORE 5O fT "Loon AREA TorAL ACR EA°E
DIAPHRAGM THE CONSTRUCTION TAX IS PAID
BUILDING USE
ROOF SHEATHING RES IND' 'ON - PB 01111,APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. 0 ❑ ❑ ❑ 11
ASSESSORS PARCEL NO.
ROUGH, SAN.#
PLUMBING 'J ELECT.ENERGY .RACY No. PARCEL No
TUBS 8 SHOWER AN - PLUMBING ENERGY . -
MECHANICAL MECH.ENERGY
ELECTRICAL - BUILDING ENERGY ACC DATE ACC FILE,NO:•
FRAMING ELECT.FINAL TEST ZONING ENG.SITE No. '
INSULATION PLUMBING
GAS TEST GAS
MECHANICAL FIRE SPRINK ENERGY T.124
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING N ❑ NE]
FLCODZONE A.L U,C.
EXTERIOR SHEAR - ELECTRICAL RELEASE
INTERIOR SHEAR FIRE DEPT. Y ❑ N� YL�] .N❑
SHEETROCK GRADE FEE SUMMARY
EXTERIOR LATH BUILDING
INTERIOR LATH --
INTERIOR 'eulLnwG
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN'SIGNED OCCUPANCY SEISMIC FEE ,
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ELECTRIC a-I
ARRANGE FOR INSPECTION BY PHONING 252-4505, ' � '
• oLu . ONE WORKING DAY BEFORE REQUIRED INSPECTION. y. °. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING. n'
z '..,.
– SEE PERMIT FOR EXPIRATION DATE—' y MECHANICAL
i;.,' CONST.TAX
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR'FINAL INSPECTION.
OFFICE COPY
?PLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
-BUILDING PROJECT IDENTI FI ATION ' - ,PERMIT NUMBER
aG,LGI„G 07 r APPLICATION & PERMIT 16828
�. AOOREss
( Q �Q � (ivAl BUILDING—ELECTRICAL—PLUMBING—MECHANICAL
WNER'S I PLAN CHECK VALIDATION
"A Ci
Qd DTV. ELECTRIC PERMIT FEE
, a
CONTRACTORS
ry E ^ �� �• UTLETS-SWITCHES-RECEP 10,00/1,00
!C LIGHTING FIXTURES 10.00/1.00
coNTRncrpp�B's 5' APPLIANCES-RESIDENTIAL 4.00
AOOR Ess a (� rnQ l fit
y NO E / PANELS 10.00 DATE OF APPLICATION'
ARCHITECT PLAN CHECK FEE P.C.NO.
OR PANELS (OVER 200 AMP) 20.00
ENGINE �1 {� SIGNS TRANS. 3,00
tic.NO�
ARCH,OR ENG. fir) .p SPECIAL CIRCUIT 5.00 PERMIT VALIDATION ,
ADDRESS Y
EMP.METER OR POLE INS.
Avvuc _NTS
AMOTORS SEE FEE SCH.
DDRESS
O lc a (1/ SERVICE CHANGE 20.00 ((
DO 0 LICENSED CONTRACTORS DECLA O ///��/O O.
a U U I hereby effort that I am licensed under provisions of Chapter 9 ISSUANCE DATE
w a w (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH.
H 0'z Professions Code,and my license is in full force and effect. „g• ❑
OG m License Cl ss Lic.Number 4 M ❑.
2 N,_.0"MDate — Contractor
¢ m s d •, 1• _ BUILDING PERMIT
6 a, D OWNER-BUILDER DECLARATION INFORMATION
w 1 hereby affirm thal'I am exempt from the Contractor's License MISC.— REFER TO ORD
3 LL rA y p ^ _ VALUATION $/FT.
H U m j