B0484 (2) POST THIS CARD NEAR FRONT OF BUILDING _
CITY OF CUPERTINO •„ PEgp IT No
-
BUILDING DIVISION ,�/-�/
BUWDINO PROJELT IDF.NI'IFICA. '
BUILDING. t ESS' SANITARY NO, APPLICATION SUIIMI'ITAI.DAT
r w j L/ --/"'
NER'?tiA�:, •L `Y%.� L)`/ ;I PIIONE: CONTRACTOR'S NAME LIC NO: NIC CONTROL#
RCHITF.CT/ 61NEER: LIC NO: ADDRESSrj
❑ -/ -„ )' '�
/' 1 q!° >•, •'i"t'J#i: 'L4; r:':r,:eU1LDWG PERMIT INFO
JINSPECTIONS :_ DATE INSPECT ❑ COnsUltanl Fees Paid by Applicant(Initial) .BLDG ELECTPfUMB X11
ED El
FOUNDATION/PIERS/JLD.S, INSPECTION RECORD
JOB DESCRIPTION
UFER GROUND NOTE: ALL GRADING AND DRAINAGE uFsmFNT1AI,
PAD/SETBACK-CERT SHALL BE INSTALLED TO COMPLY WITH ❑SFDWL DKITCIIEN REMODEL
THE APPROVED PLANS AND CITY OF ❑ADDITION C1 PLUMBING RE-PIPE
GARAGE SLABS/PREGUNITE CUPERTINO STANDARDS. ❑MULTI,UNIT C1 STRUCTURAL
POUR NO CONCRETE UNT112ABOV6 HAS.BEEN SIGNED MODU9CAI ION
TO ARRANGE INSPECTION ❑INTERIOR QCHIMNEYREPAIR
MPRUNDERGROUND/SLAB CALL AFTERNOONS (1:00 PM - 4:30 PM) BATH EM' OE' DDEMO INGPOULS
❑BATH RCMODEIJREPAIk ❑DIiMG1.ITIGN
PLUMBING 777-3225 MONDAY TO FRIDAY 24 HOURS BE- OTHER
ELECTRICAL FORE REQUIRED INSPECTION, JOB ADDRESS
AND PERMIT k ARE NEEDED WHEN EDPHONING.
DO NOT POUR FLOOR UNTIL ABOVE HAS-BEEN,SIGN . COMMERCIAL'
PLUMBING L t ATTENTION CONTRACTORS: ❑NEW BLDG/ADDITION ❑DEMOLITION
MECHANICAL ev- NO PERSON(S)SHALL PERFORM WORK ON TENANT El
�POOD SERVICE
ELECTRICAL THIS JOB SITE WITHOUT BEING IN COM- �IMPkO
PLIANCE WITH WORKERS'COMPENSATION
FRAMING VENTS L'rf INSURANCE REQUIREMENTS.
INSULATION INSPECTION SPECIAL INSPECTION-REQUIRED ❑ DATE INSP.
PLACE NO SUBFLOOR UNTIL'ABOVE HAS BEEN SIGNED.1
ROOF SHEATH/DIAPHRAM
PLUMBING
TUBS&SHOWER PAN
ECHANICAL
ELECTRICAL/POOL BOND
FRAMING/STAIRS/E.EGRESS
INS U LATI ONNENTILATION
COVER NO:WORK'UNTILIABOVE'HAS'BEEN.SIGNED'�n,''k;
EXTERIAL SHEAR/HOLD DOWN
INTERIOR SHEARMOLD DOWN Qlj
SREETWROCK/SHEETROCK SHE
EXTERIOR LATH/W-SCREED (�
SHOWER LATH'
NO:TAPE.OR'PI:ASTER'V,NTILAB_ E'HAS'BEEN'SIGNED'
SCRATCH.COAT
SEWER/WATER
TEMPORARY,APPROVALS
1 ' y
OCCUPANCY
ELECTRICAL I 1
GAS N 1
.T nl hf l}?T
GAS TEST
GRADE Z -d0 Im
FIRE
HANDICAP
ELECTRICAL
PLUMBING
MECHANICAL
ENERGY
VISUAL FINAL ONLY �✓/CERTIFICATE OF OCCUPAN �.�.y7
.'
BUILDING IMPORTANT: ISSU NCE D�{y,
SOCCUPANCY�OFBUILDLNGISNOTPERMITTEA; 1i? PLEASE READ REVERSE SIDE BEFORE VIJI
=UNTiL�EUICDING PINd4IS 91GNED�BYJBUILDING�j CALLING FOR FINAL INSPECTION_ !! ...,.) C
ISSUED BY,
APPLICANT'S POSTING COPY
Lor 3 -12- .
.I:NSTALLATION CERTIFICATE (page 1 of 4) — CF-6R
•e A cess ermlt Number
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required;however,use of this form to provide the information is optional.) After
completion of final inspection, a copy must be provided to the building department(upon request)and the building owner at
occupancy,per Section 10-103(b).
EVAC SYSTEMS:
Heating Equipment '
Equip. a of Efficiency Duct Duct or Heating Heating `
Type(pkg. CEC Certified MGName Identical (AFUE,elo.)t Location Piping Load Capacity
heal um and Model Number Systems 2CFdRvelue attic etc. R-veiva (Btu/hr) Btulhr
:7 t , .r acaaalvrAk�CP6 r
Ja a s�&RAU09e-JA . Z 1
Cooling Equipment
Equip. CEC Certified Compressor I of Efficiency Duct Cooling Cooling
Type(pkg Unit MilrName and Identical (SEER cm)l Location Duct Load Capacity
heal um Model Number System 2CF-IR value (attic,etc. Rvalue (Btu/hr) tullu
Vib 38GICG0-90 —.1 lJ rfrG �, 1 42L=n
1. >_reads greater than or equal to.
1, the undersigned,verify that equipment listed above Is: 1) is the actual equipment installed,2) equivalent to or more
efficient than that specified in the certificate of compliance (Form CF-IR) submitted for compliance with the Energy
Efficiency Standards for residential buildings,and 3)equipment that meets or exceeds the appropriate requirements for
• manufactured devices(from the Appliance Efficiency Regulations or Part.6),where applicable.
Signature Date Installing Subcontractor(Co.Name)
OR General Contractor(Co.Name)OR Owner
WATER HEATING SYST M&
Distribution IlRecir. 0 of Rated' TWO; Ertl- ExternalPr
�7
Hearer CEC Certified Mfr Type(Sid, wlalion, Identical Input(kW Volume eiencyStandby' lasuladon
Type Name&Model Number Point•of--Use) Control Type Systems or BtwV) (gallons) (EF,RE) Lou(Yv) IL-value
2 For small gas storage(rated Input of las than or equal to 75,000 Btu/hr),electric resistance and heat pump nater heaters,list Energy Factor.
For large gas storage water heaters(rated Input of greater than 75,000 Btuthr),list Recovery Efficiency,Standby Lou and Rated Input.
For instantaneous gas water heaters,list Recovery Efficiency and Rated Input
Faucets&Shower Heads:
All faucets and showcrheads installed are certified to the Commission,pursuant to Title 24,Part 6, Subchapter 2,Section
Ill.
1, the undersigned, verify that equipment listed above my signature: l) is the actual equipment installed;2)is equivalent
to or more efficient than that specified in the certificate of compliance (Form CF-IR)submitted for compliance with the
Energy Efficiency Standards for residential buildings;and 3)the equipment meets or exceeds the appropriate requirements
for manufactured devices(from the Appliance Efficiency Regulations or Part 6),where applicable. ;
• Signature, Date Installing Subcontractor(Co.Name)OR
General Contractor(Co.Name)OR Owner
COPY TO: Building Department
Building Owner at Occupancy
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FRCr1 : rRM:..71 "PK. hid. xa. 17 _0007 11:3341 F3
00111 nercial Roof Alan,gemeht San ,losr, fuc.
k''esidendal Pool Systen, lnspacaion Repn�;
Projeet: lSnK" ((cL Inspection Date: 5 GAJ
Address: MAS K Lt Ci City: Cu e
Client ' h O'"r'on 'rou
Contact; Pat B__ _ ,rk, !�
Roofing Contractor:SID- r
CRM Inspaotor: AX" C �rS r�FF 'i
Lot Number:
d00000004000dd0
Type Foit Final / �_'
Underla
Type rla Raaf: Shingle a rlie Other
yment: Sht Metal
• Skylig;ttg' _ Attachments: _Flashing: Gutters:
Valieyr; Ridges.- - Vents a Pipes:
Eaves:
00v td00O+►b.p00Pp
Comments/Observatlons:
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I/AU! -(5 , Pt PE r�ENE7K ii"FaN r i� S�YNt:�S ?ac-tAGT w? FL 51i�1(CS STC', t/ �r
N i.q-r,
3� ,ACL GE3Z5t SL' r�r/�j,rl"L E7c:, ✓�En Zb 8� 'L-✓bl3ilu3 f 'kine
oo: Rid-Out Roofing