11339 (2) POST THIS CA NEAR FRONT OF BUILDING ; rERMITNUAIBER
CITY18F CUPERTINO
INSPECTION DIVISION 11339
' JOB INSPECTION RECORD
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� 13S3 hex f �Y UNIT# LOT# PERMIT EXPIRATION
JOB ADDRESS
"� ' PERMIT EXPIRES IF WORK
OWNER b y� + CONTRACTOR Sel� , - IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU.
FOUNDATION - ANCE OR 180 DAYS FROM
LIFER LASTCALLED INSPECTION.
PREGUNITE PERMIT VALIDATION ,
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB �L '
PLUMBING - J
ELECTRICAL ISSUANCE DATE
MECHANICAL - , BL'DG. ELECT, PLG. MECH.
./ ❑ ❑ ❑
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT
WOOD FLOOR INFORMATION
VALUATION S/FT,
PLUMBING
MECHANICAL (�
I
ELECTRICAL PERMIT TO
FRAMING
STORIES TYPE CONSTR.
INSULATION "
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
` ROOF SO.FT.FLOOR AREA TOTACACREAGE
DIAPHRAGM
^�+ BUILDING USE
RES IND CON PB all"
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ - ❑ ❑
ASSESSORS PARCEL NO.
' ROUGH
.PLUMBING - THACI NO. '-' PARCEL No.
GAS TEST
1 MECHANICAL
ELECTRICALACC.DATE Acc.FILE No.
FINALS DATE INSP.
FRAMING _( SAN #
INSULATION',- -- � �� PLUMBING / zorvlNc ENC.sIrE No.
L GAS
I FIRE SPRINK ENERGY T 2
MECHANICAL Y N12 Y ❑ N�
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING
LATH—INTERIOR ELECTRICAL F LOO ZONE A.L.U,C.
LATH—EXTERIOR FIRE DEPT. - v� N0 10 N❑
SHEETROCK _ GRADE' FEE SUMMARY
SHEAR INTERIOR BUILDING '� G BUILDING
SHEAR EXTERIOR TEMPORARY APPROVALS l
FIREWALLSELECTRIC PLAN CHECK •-"
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY ISEISMIC FEE !
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM
_ ARRANGE FOR INSPECTION'BY PHONING 252-4505, ELECTRIC
,•• LU DAY BEFORE REQUIRED INSPECTION. PLUMBING
0'� PLEASE GIVE JOB ADDRESS WHEN PHONING.
r Z MECHANICAL
_- - SEE PERMIT FOR EXPIRATION DATE MECHANICAL
FAN
IMPORTANT! '
PLEASE READ REVERSE SIDE BEFORE TOTAL "` 7
CALLING FOR FINAL INSPECTION.
__ OFFICE COPY