24169 (3) POST THIS CARD NEAR FRONT OF BUILDING j;% 5 r rrxMIT N024169
. @ 1 6 9
CITY OF CUPERTINO !�
A A
IN
SPECTION DIVISION- JOB INSPECTION RECORD I
C3� ^ L
J06 ADDRESS UNIT## �J LOT
+# c CATEGORY CO OL p
OWNER CONTRACTOR I W UR �'F7•�.7� BUILDING PERMIT INFO
INSPECTION DATE INSPECTOR INSPECTION RECORD
FOUNDATION/PIERS NOTE:ALL GRADING ANEl
D DRAINAGE ? .
UFEIZ GROUND 'Z . SHALL BE INSTALLED TO COMPLY WITH 41 ESCIllPIION
PAD SETBACK-CERT ` THE APPROVED PLAN'S AND CITY OF
GARAGE SLABS PREGUNITE CUPERTINO STANDARDS,
FOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED.
UNDFRGROUND/SLAB INSPECTION DATE INSPECTOR
PLUMBING
ELECTRICAL
MECHANICAL
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
WOOD FLOOR
PLUMIIING
MECHANICAL
ELECTRICAL
FRAM INGI VENTS CLEAR
INSULATION
PLACE NO-SflQFLOOR UNTIL A➢OVE HAS BEE SIGNED
ROUGH
PLUMBING
TUBS&SHOWER PAN
MECHANICAL
ELECTRICAL/JACUZZI BOND p.
FRAMING STAIRS
1NSU LA TI ON/VENTILATION
EMERG.L'GRESS
SEWER WATER
COVER NO;WORK UNTIL ABOVE HAS BEEN SIGN
EXTGRIOR SHEAR HOLD DOWN
INTERIOR SHEAR/HOLD DOWN
SHEETROCK/SHEETROCK SHEAR
EXTERIOR LATH/W-SCREEN _
SHOWER LATH
SCRATCH COAT -
o
NO APE OR PLASTER UNTIL ABOVE HAS BEE S NED
NOTE:NO FINAL INSPECTION SHALL BE MADE EFORE
THE CONSTRUCTION TAX IS PAID
FINALS
SAN,# DATE INSPECTOR
ELECT.ENERGY
PLUMBING ENERGY
MECH.ENERGY
BUILDING ENERGY
ELECT.FINAL TEST
PLUMBING
GAS TEST
MECHANICAL
HEATING
ELECTRICAL RELEASE
FIRE DEPT.
GRADE
OCCUPANCY
TEMPORARY APPROVALS
ELECTRIC p ,
GAS
BUILDING
OCCUPANCY OF BUILDING IS NOT PERAII ED L ISSUANCE DATE
BUILDING FINAL IS SIGNED BY BUILDING INS
! ARRANGE FOR INSPECTION BY P ONING 252-4505 BET FEN
12:30 PM AND 4:30 PM MONDAY 1rR,0UGH FRIDAY,24 HOU
BEFORE REQUIRED INSPECTION. O RESS AND r
PERMIT # ARE NEEDED
IMPORTANT!
PLEASE READ REVERSE SIDE BEFORE CALLING FOR FINAL INSPECTION IS9U DBY:
APPLICANT'S POSTNO COPY
POST THIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO PERMIT NO. 24667
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BUILDING DIVISION BUILDING PROJECT IDENTDICATION 2 4 6 6 7
BUILDINQADPRESS: /� _ ^' �' „ ,.� SANITARY NO. APRICATIONSUBMRTI'ALDATE
ERS NA PHOI�'E _ CONTRACTOR'S NAM(?:. �y LIC NOay
'.-C "4/ :":'s'?i ��L ,!''e`/R"�-'J:r; "��' �1,� NIC CONTROL#
ICHI /J/ENGBJEER: i LIC NO: ✓ ADDRESS:
INSPECTIONS DATE INSPEC. INSPECTION RECORD EUILECT PEPLUNRNUT(aPo
¢LDG PlEcr n.uMm Teecll
FOUNDATION/PIERS/H.D.S. NOTE: ALL GRADING AND'DRAINAGE L, 14
UFERGROUND SHALL BE INSTALLED TO COMPLY WITH JOB DESCRUMON
THE APPROVED PLANS AND CITY OF - - --
PAD/SET BACK-CERT CUPERTINO STANDARDS.
GARAGE SLABS/PREGUNITE
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED INSPECTION SPECIAL INSPECTION DATE INSP.
UNDERGROUND/SLAB REQUIRED ❑
PLUMBING
ELECTRICAL
#ETI—
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
PLUMBING
MECHANICAL
ELECTRICAL
FRAMING VENTS
INSULATION
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF SHEATH/DIAPHRAM
PLUMBING
TUBS&SHOWER PAN
CIL MCAL
ECTRICAL/POOL BOND ,3-.f-vY
C FRAMING/STAIRS/E.EGRESS 3R? J
INSULATION/VENTH.ATION
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
EXTERIOR SHEARMOLD DOWN
INTERIOR SHEARIHOLD DOWN
SHEETROCK/SHEETROCK SHEAR
EXTERIORLATH/W-SCREEN
SHOWER LATH
NO TAPE OR PLASTER UNM ABOVE HAS BEEN SIGNED
SCRATCH COAT
SEWER/WATER
TEMPORARY APPROVALS
BUILDING
ELECTRICAL
GAS
FINALS
GAS TEST 1
GRADE ZAPROVtEDFOROR OCCUPANCY ❑FIREHANDICAP GE INSPECTION ISSUANCEDATE
ONS(12:30PM-4:00PM)ELECTRICAL/ENERGY -9 Y TO FRIDAY 24 HOURSUMBING/ENERGY INSPECTION. JOB AD- I" A#ARE NEEDED WHENtCHANICAL/ENERGY JAN 13BUILDING/ENERGY ^. ENTION CONTRACTORS:
ELECTRICAL FINAL TEST NO PERSON(S)SHALL PERFORM WORK ON
THIS JOB SITE WITHOUT WORKER'S
OCCUPANCY OF BUILDING IS NOT PERM*ED COMPENSATION
UNTIL BUILDING FINAL IS SIGNED BY BUILDING IMPORTANT! I
INSPECTOR. PLEASE READ REVERSE SIDE BEFORE Iss I
CALLING FOR FINAL INSPECTION sUEDBY:
POST THIS CARD NEAR FRONT OF BUILDING
CITY OF CUPERTINO PERMIT NO.
BUILDING DIVISION {V�
IRIII,IIING I'RI1J I[CI'II1P:N'ITFICA'I'ION
IIUILDING ADDRESS., SANITARY NO. APPLICATION SUBMITTAL DAT
Fs's -
OWNER'SNAM �Ii / w PHONE: - CONTRACTOR'SNAMB: LIC NO: ~
NIC CONTROL M
tCHITECT/ENGINEER: LIC NO: ADDRESS: ❑ i
BUILDING PERMIT INFO
INSPECTIONS DATE INSPEC. ❑ Consultant Fees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH
❑ ❑ ❑ ❑
FOUNDATION/PIERS/H.D.S. INSPECTION RECORD
!OB DESCRIPTION
UFERGROUND NOTE: ALL GRADING AND DRAINAGE RESIDENTIAL:
PAD/SETBACK-CERT SHALL BE INSTALLED TO COMPLY WITH 11SFDWL ❑KITCHEN REAODEL
THE APPROVED PLANS AND CITY OF ❑ADDITION [I PLUMBING RE-PIPE
GARAGE SLABS/PREGUNITE CUPERTINO STANDARDS. ❑MULTI-UNIT ❑STRUCTURAL
MODIFICATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED TO ARRANGE INSPECTION El INTERIOR C CHIMNEY,REPAIR
UNDERGROUND/SLAB CALL AFTERNOONS (12:3(1 PM - 4:00 PM) BATH
IMPROVEMENT
❑ ATH REMODEVREPAIR ❑DIiMDLITIGN
PLUMBING 777-3228 MONDAY TO FRIDAY 24 HOURS BE- COTHER
ELECTRICAL FORE REQUIRED INSPECTION. JOB ADDRESS
AND PERMIT#ARE NEEDED WHEN PHONING. E
DO NOT POUR FLOOR UNTIL A13OVE HAS BEEN SIGNED COMMERCIAL;
PLUMBING ATTENTION CONTRACTORS: El NEW BLDG/ADDITION [I DEMOLITION
MECHANICAL NO PERSON(S)S HALL PERFOR M WORK ON ❑TENANT ❑ D
FOOSERVICE
THIS JOE SITE WITHOUT BEING IN COM- : IMPROVEMENT
ELECTRICAL PLIANCE WITH WORK ERS'COM PENS ATION OTHER
FRAMING VENTS INSURANCE REQUIREMENTS.
INSULATION INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSP.
PLACE NO SUBFLOOR UNTILABOVE HAS BEEN SIGNED
ROOF SHEATH/DIAPHRAM
PLUMBING
TUBS&SHOWER PAN
MECHANICAL Ga � F
` .LECTRICAL/POOL BOND
FRAMING/STAIRS/E.EGRESS
INSULATION/VENTILATION
COVER NO WORK UNTILABOVE HAS BEEN SIGNED
EXTERIAL SHEARMOLD DOWN
INTERIOR SHEAR/HOLD DOWN
SHEETWROCK/SHEETROCK SHEAR
EXTERIOR LATH/W-SCREED
SHOWER LATH
NO TAPE OR PLASTER UMTILABOVE HAS BEEN SIGNED
SCRATCH COAT
SEWER/WATER
TEMPORARY APPROVALS
OCCUPANCY
ELECTRICAL.
GAS
FINALS
GAS TEST
GRADE
FIRE
t ':Y
HANDICAP t. r�
ELECTRICAL
PLUMBING DEC 14 Mb
PLUMBING
CfI'Y vI- �,UFtH(NO
ENERGY CERTIFICATE OF OCCUPANCY ❑
VISUAL FINAL ONLY
BUILDING IMPORTANT: ISSUANCE:DATE
OCCUPANCY OF BUILDING IS NOT PERMITTED PLEASE READ REVERSE SIDE BEFORE
UNTIL BUILDING FINAL.IS SIGNED BY BUILDING - CALLING FOR FINAL INSPECTION!!
INSPECTOR. ISSUED BY: -
APPI I(:ANT'S POCTI N(; r.nPV
CITY OF CUPERTINO CONTRACTOR INFORMATION:
BUILDING DIVISION PERMIT
BUILDING ADIJItL�� • PERMIT N0.
OWNERS NANEnih';. 1{1111 Et I APPLICATIONSM \'n f i •:.5
HONE r 1,11)FJI>)IY PCIRT (.).1• I I)I'I0 ANN I•, SANITARY NO,'1(':: iJ•'J COI,{91(Lffi71�.
ARCHITECT/ENGINEER: PHONE# BUILDING PERMIT INFO
BLDGF-LECT PLUMB MECII
• I__I L_.I LJ I_..
o c TO ARRANGE INSPECTION JOB DESCRIPTION
.n C INSPECTIONS DATE INSPEC.
a u V CALL 777-3228MONDAY-FRIDAY 24 HOURS RESIDENTIAL
a d BEFORE REQUIRED INSPECTION.JOB ADDRESS D SFDWL ❑ KITCHEN REMODEL
z I
FOUNDATON/PIFRS/H.D,S.
AND PERMIT BARE NEEDED N'HF.N PHONING. p ADDITION L3 PLUMBING RE-PIPE
:z t u UFER GROUND y� � p MULTI-UNIT ❑STRUCTURAL.
PAD/SET I3ACK-CERT RESIDEN"PIAL_COMMERCIAL_OTHER MODIFICATION
j 3 a N GARAGE SLABS/PREGUNITE UNTIL,AHOVIi IAS BEEN SIGNI?U TE.1 IIAZARDOUS FII2 JL AREA ❑ INTERIOR ❑CHIMNEY I28PAIR
IMPROVEMENT 0 SWIMMING POOLS
POUR NO CONCRE
?13 ❑ YES If I undonumd Ihnt o(:Dana A mrd nvymnhl ❑ BATH REMODEL/REPAIR❑ DEMOI_I'PION
aa F o o L1NDF.RGI20UND/SLAB y�+- yi.<reyui�er. p OTHER
PLUMBING
Z ❑ NO Initial LGB.O.N
ELECTRICAL
Co MERCIAL;
DO NGTPOIJ It 110012 GN'I'I I.AItOVE HAS Ill?EN SIGNED EXISTING I200R COVERING ❑ NEW BLDG/ADDITION ❑ DIiMOLI'I'ION
PLUMBING p TENANT 1-1FOOD SFRVICE
MECHANICAL. Nmnlw'r of existing low,infix IMPROVEMENT
ELECTRICAL To he removed To be retnined L1 OTHER
FRAMING VEN'T'S
INSULATION
PLACE NO SUBFLOOR UN I'll,AI3OVE HAS BEEN SIGNED TYPE OF ROOF COVERING
ROOF SHEATH/DIAPHRAM EXISTING: PROPOSED;
PLUMBING p Built-Up Rnnf El Built-Up Roof
TUBS&SHOWER PAN p Asphall Shingles ❑ Asphalt Shingles
MECHANICAL F) Wood Shakes El Wood Shakes
EI.ECI'RICAIJPOOI,BOND ❑ Wood Shingles ❑ Wood Shingles
FRAMING/S'T'AIRS/E.EGRESS ❑Other(Specily) ❑ Other(Specify)
( INSULATION/VENTILATION Provide LC.B.O,Report No.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED Provide Mfgr.Imtallation Specs.
EX'I'ERIAL SHEAR/HOLD DOWN
INTERIOR SHEAR/HOLD DOWN
SHEETROCK/SHEETROCK SHEAR INSPECTION SPECIAL INSPECTION REQUIRED ❑ DA'L'E INSP
EXTERIOR LATH/W-SCREED
SHOWER LATH
NO TAPE OR PLAS'1'BR UNI 11.ABOVE IIAS BE-FN SIGNED
SCRATCH COAT
SEWER/WATFR
TEMPORARY APPROVALS
OCCUPANCY
FINALS
PLANNING 777-3308
0 O GAS TEST
�
GRADE(P.W.777-3354)
FIRE
a Q HANDICAP
U 0 ELECPRICAL
0 F PLUMBING
W MECHANICAL
E" p" ENERGY
. rn
U Z. VISUAL FINAL ONLY
BUILDING
OCCUPANCY 01:BUILDING IS NOT PERMITTED
UNTIL BUILDING FINAL IS SIGNED BY BUILDING
INSPECTOR. CERTIFICATE OF OCCUPANCY❑
PRE-INSPECTION: PLYWOOD IN.PROGRESS
J�fyL
INSP. I DATE INSP. UA'I'(S� 'N+�/1NSI'. DATE ,
9'EAROFP NSPIiCFINAL
NAL:
rIlIII ��
-r� �11 tehi
INSP.�`0}�,�`. DA'Pli '� Ilt F DATE r— INSP• l_..--� DATE V r,
NOTE: OSHA APPROVED ACCESS TOxROOF SHALL BE PROVIDED FOR INSPECTION
APPLICANT'S POSTING COPY