16949 (2) POST THIS CARD NEAR FRONT OF BUILDING PERMIT NUMBER
CITY OF CUPERTINO
16949
INSPECTION DIVISION
JOB INSPECTION RECORD
D PERMIT EXPIRATION
JOB ADDRESS / 37y r,1 V�ft—kP,<e. Vdy UNIT# - _LOT#
PERMIT EXPIRES IF WORK
OWNER (�C`\S 1 V. CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU- j
FOUNDATION IANCE OR 180 DAYS FROM
NOTE: LASTCALLED INSPECTION.
UFER- ALL GRADING AND DRAINAGE SHALL BE INSTALLED -
PREGUNI7E TO COMPLY WITH THE APPROVED PLANS AND CITY OF PEHMkT VALIDATION
CUPERTINO STANDARDS. -GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ^` L
UNDERGROUND /SLAB JAN 2 3 1989
PLUMBING I _ �+T vW'•�-C!�
ELECTRICAL City of CLI„ ISSUarvCE DATE
MECHANICAL G �FLEC❑r PLG ME H
❑ El � .
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
INFORMATION
WOOD FLOOR jy;; VALUATION- S/FT.
PLUMBING -
MECHANICAL 1
i
ELECTRICAL PERMITTO
FRAMING
INSULATION STORIES a rvPE comsTR. 1
OCC.GROUP .RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SO FT ELGGR ArIEA Tor AL ACREAGE
DIAPHRAGM THE CONSTRUCTION TAX IS PAID I
BUILDINUSE
ROOF SHEATHING RES IND CON
PB Do—
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ 0 ❑ ❑ ❑
ROUGH SAN.q ASSESSORS PARCEL NO
PLUMBING ELECT,ENERGY
TUBS&SHOWER PAN PLUMBING ENERGY TRACT NO PARCEL NO
MECHANICAL MECH.ENERGY '
, G
ELECTRICAL � BUILDING ENERGY ACCDATE ACFJLE NO
FRAMING ELECT.FINALTEST
,ZONING ENG.SITE NO,
INSULATION PLUMBING
GAS TEST - GAS
MECHANICAL EIRE SPRINK .ENERGY T.24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING ❑ N❑ Y ❑ N❑i
FI.00D ZONE ALUC
EXTERIOR SHEAR ELECTRICAL RELEASE
Y ❑' ❑ Y ❑
INTERIOR SHEAR FIRE DEPT. NN❑i
SHEETROCK. GRADE FEE SUMMARY
EXTERIOR LATH BUILDING
INTERIOR LATH
TEMPORARY APPROVALS BUILDING
SCRATCH COAT ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING ISNOTPERMITTEDUNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM
w ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
F ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
z°� PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL IU
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL �b
CALLING FOR FINAL INSPECTION.
OFFICE COPY
1
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BU I LDING PROJECT I DENTIFICATI ON PERMIT NUMBER
ButDING - APPLICATION 16949
ADDRESS /3 / ��
L-TJ �r/�YNBUILDING-ELECTRICAL-PLUMBING-MECHANICAL „,'
OWNER'S
PLAN CHECK VALIDATION
10 C4 Sy� PHorvE .ST
NAME OTV ELECTRIC PERMIT FEE
� 77
-
NOMERAcioRs LETS•SWITCHES-RECEP 10.00/1.00
Lie No �{(iSaLly LIGHrVG FIXTURES 10.00/1.00
nooaess roR's/•r PPLIAN S-RESIDENTIAL 4.00
/ Com" "C/LF�t� PHONE /-wisp PANELS. 10.00 DATE OF APPLICATION
ARCHITECTOR PANELS (OVE OO AMP) 2o.0O - PLAN CHECK FEE .c.No.
ENGINEER
LIC.NO. SIGNS TRANS. N, 3.00
ADDRESS Ervc. SPECIAL CIRCUIT 5.00 PERMIT VALIDATION
�-
ZIP TEMP.METER OR POLE 5. 20.00 •�
APPLICANT s MOTORS EE FEE SCH. I - 2-2 Z�y
SERVICE CHANGE 20.00
Oaz
H O o LICENSED CONTRACTORS DECLARATION
rt u w I hereby.(Finn that 1 am licensed under provisions of Clmpler 9 ISSUANCE GATE
N < (commencing wish Section 7000)of Division 3 of the Business and JAW
r m i Professions Codd��.. m n�license is in full fore an f G. ELT. P� TECH.
z O a - Licenu Clad$ hie.Number. �.- - T1 El 19
-
0 w F w Uale ( Contractor
E, City of Cup IIIc) BUILDING PERMIT
¢ m w< _ OWNER-BUILDER DECLARATION
x 3 o. a 1 herehy affirm that I am exempt from the Contractor's License
MISC.- REFER TO ORD INFORMATION
Fu Oj