03080006 (3) CITY OF CUPERTINOrs ' � �g� a1 -
BUILDING DIVISION PERMIT .CQN RAQ-TOR IN, 'ORMA, ON:
Buaow�� ss:PARK VILLA CL P°`MITN8'3080006
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/WNER$ VKAI LIN Saye- 'ITUtS bl/2003
PHONE:4082537603 SANITARY NO. CONTROL N0,
ARCHITECIENOINEER: PHONE#: REPLACE ELECT PANEL BUILDING PERMIT INFO
�= BLDG ELECT PLUMB MECH
" - �f•+„•�,� r' vq sem „” �l TO ARRANGE INSPECTION TOE DESCRIPTION
rn�2a WSPEGTION$>kt .�.; „;,DATE ?!!`)SPEC' CALL 777.3228 MONDAY-FRIDAY 24 HOURS R - NTI I�
IDu�Y,awf .&es "` °') '� "`'�� BEFOREREQUIRED INSPECTION.JOB ADDRESS 0 SFDWL 0 KITCHEN REMODEL
5ga FOUNDATION/PIERS/H.D.S. AND PERMIT B ARE NEEDED WHEN PHONING. 0 ADDITION 0 PLUMBING RE-PIPE
W UFER GROUND 0 MULTI-UNR 0 STRUCTURAL
PAD/SETBACK-CERTCATION
MODIFRESIDENTIAL_COMMERCIAL_OTHER_ ❑ INTERIOR 0CHIMNEY REPAIR
-
LL`S^ GARAGE SLABS/PREGUNTTE IMPROVEMENT 0 SWIMMING POOLS
S '" -' -• HAZARDOUS FIRE AREA 0 BATH REMODELAEPAIR 0 DEMOLITION
co _l'pURtN9xGON�RETTi'UN'fIt,ABOVEIiA$vEEEN'SIGNE`D+r"s„"�:% 0OTHER
UNDERGROUND/SLAB DYES If yes-IuMeman4 dYls ClauA mof uscmdy is rtquinA
�o UNDERGROUND PLUMBING
UNDERGROUND ELECTRICAL 0N Initial LC.B.O.♦ COMMERCIl�I;
W NO POT7R'FLOQR`UNTB 'gBOVEiHAS BEEN'$1GN D - EXISTING•ROOF COVERING, ❑NEW BLDG/ADDITION ❑DEMOLITION
UNDERFLOOR PLUMBING []TENANT ❑ FOOD SERVICE
UNDERFLOOR MECHANICAL Number of existing covering IMPROVEMENT
UNDERFLOOR ELECTRICAL Toberemoved Tobemtimd ❑OTHER
UNDERFLOOR FRAMING VENTS
UNDERFLOOR INSULATION
'P a+ ,Np`$U&FLOQRCINT1LA130VE.I aAS>3, '„SIGNED" { TYPE OF ROOF COVERING
EXISTING: PROPOSED,
ROOF SHEATH/DIAPHRAGM Built-Up P Roof [2 Buil(-Up Roo!
PLUMBING
ElTUBS&SHOWER PAN Asphalt Shingles 0 Asphalt Shingles
MECHANICAL 0 Wood Shakes 0 Wood Shakes
LEC TRICALIPOOL BOND 0 Wood Shingles 0 Wood Shingles
FRAMING/STAIRS/E.EGRESS 0 Other(Spec!fy) 0 Other(Specify)
INSULATIONNENTILATION Provide I.C.B.O.Report No.
`sGOVER'NO,VlORK.UNTR" A'BOYE FIRS BERN SIGNEp"1kx•,'•. `,`
Provide Mfgr.installation Specs.
EXTERIOR SHEAR/HOLD DOWN -
INTERIOR SHEARIHOLD DOWN
SHEETROCK/SHEETROCK SHEAR INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSP
EXTERIOR LATH/IN-SCREED
SHOWER LATH
zOaTPP6;Ok'eI AS TIZ 1 NT(Lrp§GIVE liAsa,' ENsIwriEQ '
SCRATCH COAT
SE W ER/WATER
TEMPORARY APPROVALS
OCCUPANCY
^� ZO 'FINAL$ 'i.'" .`x'+~ �.
Z ► PLANNING 777.3308
> GAS TEST IMPORTANT
y CI GRADE(P.W.777-3354)
'= z FIRE-CALL(408)378-4010 When a permit has expired,a charge totaling one-half
4. � HANDICAP the fees to obtain a new permit must be paid to
N U ELECTRICAL reactivate the permit.
PLUMBING
J Z MECHANICAL
ENERGY If a permit has been expired for more than one year, a
VISUAL FINAL ONLY charge totaling the full fees to obtain a new permit
BUILDING must be paid to reactivate the permit.
aQccUe 'Nc,�Y.saF a�uILDIjFCL IS NOT7.ET r IrrEa �` .s ❑ Initials
tINTII."BUILDINC PINAL IS 5IGNED�EY(BU[LDING '
PNS EPEP CTO'R04 '""
ti,y s ,dR ' FAQ .,,• F,, .7n
x 'I
" CERTIFICATE OF OCCUPANCY C]
PRE-INSPECTION: PLYWOOD: IN-PROGRESS:
INSP. DATE INSP. DATE INSP. DATE
TEAR OFF INSPECTION: BATTENS: FINAL:
INSP. ,DATE INSP. DATE INSP. DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION