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18013 POST THIS CARD NEAR FRONT OF BUILDING Y ,�, • 'i - PERM ITNUMBER - CITY OF CUPERTINO 18013 INSPECTION DIVISION JOB INSPECTION RECORD i UNIT# _LOT/ �� {r .��OG r� 's©• " # PERMIT EXPIRATION i JOB ADDR ESS �J �Y !- - L/ }�7 PERMIT^EXPIRES IF WORK owNEp . - �✓,✓.S / S SS CON'TRACTOR LJG�I�oC� — [in h/ +' IS ,NOT 'STARTED WITHIN ✓'Y INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- FOUNDATION NOTE: ANCE OR 180 DAYS FROM' LAST;CALLED INSPECTION. . LIFERALL GRADING'AND DRAINAGE SHALL'BE INSTALLED - PREGUNITE- - TO COMPLY WITH THE APPROVED PLANS AND CITY OF - Peq VALIDATION CUPERTINO STANDARDS.. �' GARAGE SLABS . POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED �' a UNDERGROUND /SLAB i PLUMBING , ELECTRICAL - PAID" - - ISSUANCE DATE MECHANICAL - - 1ggppee BLDG. ELECT... PL¢_ MECR„ • DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED WI p BUILDING PERMIT E M T WOOD FLOOR ` PLUMBING • Q VALUAATI,OON $iFT. - MECHANICAL ELECTRICAL.:.. .PERMIT TO FRAMING -s>-�✓T• ;�rh�✓177V' ' INSULATION - sroRlEs TYPE CONSTR OCC'-GROUP RES UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SV,FT FLOOR AREA TOTAL ACREA CE- - � • DIAPHRAGM - THE CONSTRUCTION TAX IS PAID '• ROOF SHEATHINGRes ,Np ICON LDINNG,USEPB 011—'- APPLY NO ROOFING UNTIL ABOVE HAS BEEN'SIGNED FINALS DATE INSP. 10 ❑ ❑ . ❑ F-1ROUGH A SSESSORS PARCEL NO. SAN.N. PLUMBING ELECT..ENERGY.. TRACT NO.. PARCEL NO, TUBS 8 SHOWER PAN PLUMBING ENERGY . MECHANICAL MECH.ENERGY - ACC,DATE ACL FILE NO. ` ELECTRICAL BUILDING ENERGY FRAMING" - - ELECT.FINAL TEST INSULATION' PLUMBING ZONING ENG.SITE NOY GAS TEST - - GAS MECHANICAL' - ' FIRE SPRINK' ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ I ` ❑ N❑ -: . . EXTERIOR SHEAR - -� � ELECTRICAL RELEASE - FLOOD ZONE ALU.C. INTERIOR SHEAR FIRE DEPT. "Y,❑ -N❑ Y ❑ N❑ SHEETROCK GRADE �. FEE SUMMARY. ' EXTERIOR LATH BUILDING - NTERIDR LATH TEMPORARY APPROVALS , ? BUILDING SCRATCH COAT F - ELECTRICPLAN CHECK . GAS. - .FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE -:11 •JL/ OCCUPANCVOF BUILDING IS NOTPERMITTED UNTIL BUILDING FINALISSIGNEDBY BUILDING INSPECTOR. MICROFILM �>! ' ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC ,✓ _ 1�-� ONE WORKING DAY 'BEFORE REQUIRED INSPECTION. PLUMBING fr z PLEASE GIVE JOB ADDRESS WHEN PHONING. , - SEE PERMIT FOR EXPIRATION DATE­' MECHANICAL IMPORTANT! CONST.TAX PLEASE READ REVERSE.SIDE BEFORER :' ccpQ CALLING FOR FINAL INSPECTION. TOTAL e Pr'fv OFFICE COPY APPLICANT TO FILL IN INFORMATION WITHIN RED LINES ='USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION aERMIr NUMBER BDILDING �.�,/ APPLICATION & PERMIT 1 ADDRESS 1' tL�Gtl 2a ~w0� d. 4'oZI/S BUILDING - ELECTRICAL-,PLUMBING-MECHANICAL tC 18013. - /p0 PLANy HECK ALIOATION NAME' OTY. ELECTRIC PERMIT FEE s � . PHDNE CONTRACTO S UTLETS-SWITCHES-RECEP 10,00/1.00 ,/1l NAME �I I I ,O F^ C b,V..f% LIC.N LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S - APPLIANCES-RESIDENTIAL 4.00 ADD-ESs �y/ t S O L^ �J� PHONE �• d�tl PANELS 10.06 . DATE OF APPLICATION ARCHrtECT PLAN CHECK FEE P.C.NO. OR PANELS (OVER 200 AMP) 20.00 E WEER,.r{� "..4L SIGNS TRANS. 3.00 �'C/ � •G}IC.NO. j]d PE IT VALIDATION ARCH.OR ENG, f�C /� Vd FI SPECIALCIRCUIT 5.00 ADDRESS f/r 1441 Q /b/. zIP►gr0{ EMP.METER OR POLE INS. 20.00 APPLICANTS MOTORS SEE FEE SCH. ADDRESS 7S_46 's", r01/ S 9 'JIB SERVICE CHANGE 20.00. w o o LICENSED CONTRACTORS DECLARATION - a u u I hereby affirm that I am licensed under provisions of Chapter 9 - _ DANCE DATE H rt y (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH. H w i Professions CDdell��ryJl oy license is in tall for��yly{��('{yy� El ❑ z o m - License Class_/�J_Lic.Number-a7_l�7L� C . J s El o H w Data Comrumor - BUILDING PERMIT Qy3 x w u OWNER-BUILDER DECLARATION - INFORMATION w2 LL I- I hereby affirm that I am exempt from the Contractor's License MISC.- VALUATION S/pT: .. o¢ Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 N J Code Any city or county which requiresa permit to construct,alter. MCI R ac Q 0O improve,demolish,or repair any structure,prior to its Issuance,also ELEC.CONTR. LIC'NO. ELEC. o u requires the applicant for such permit to file a signed statement that TOTAL ERMIT TO u w m he is licensed pursuant to the provisions of the Contractor's License / �"� , ��'�prm Hzi