13012 (2) POST THIS CARD NEAR FRONT OF BUILDING
FFR`.:IT%UUBER
CITY OF CUPERTINO 13012
INSPECTION DIVISION
JOB INSPECTION RECORD
I.I �j PERMIT EXPIRATION
JOBADDRESS 21/50 Ai(1L✓ 7)F-) UNIT# _LOT#
PERMIT EXPIRES IF WORK
OWNER f c ox L CONTRACTOR i � ��J/I�S j� IS NOT STARTED WITHIN
INSPECT14ONDATE INSPECTOR - INSPECTION RECORD " ' 180 DAYS OF PERMIT ISSU-
FOUNDATION ANCE OR 180 DAYS FROM
LAST CALLED INSPECTION.
UFER
PREGUNITE PERMIT VALIDATION
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB wy
PLUMBING
ELECTRICAL ISSUANCE DATE
MECHANICAL BLDG. ELECT. PLG. MECH,
Secue F 70 YeT [:] ❑ ❑
DO NOT POUR.FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING P RMIT
WOOD FLOOR
,INFORMATION ?.(I•I,
«. VALUATION I$/FT.
PLUMBING
MECHANICAL
ELECTRICAL P RMIT To
FRAMING ^
STORIES TYPE CONSTR.
INSULATION
c
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
• ROOF SD,FT.FLOOR AREA TOTAL ACREAGE
auaom USE
DIAPHRAGM
RFB IND CON PB ome,
'vAPPLYAOAOOFING UNTIVABOVE HAS BEEN SIGNED:# �' ❑ ❑ ❑ ❑ ❑
ASSESSORS PARCEL NO.
ROUGH !1
PLUMBING gN -a0- 1,'
I,nAY A 1.�=1
TRACT NO. PARCEL NO.
GAS TEST
MECHANICAL Cit;✓ of Cupertino
ELECTRICAL . I ACC.DATE ACF FILE NO.
^ tiFINALSa4v.fd DATE?'*; "INSP..',
FRAMING SAN #
ZONING ENG.SITE NO.
INSULATION PLUMBING
GAS
MECHANICAL Q
FIRE SPRINK ENERGY TA
I
%•"COVER NO WORK UNTIVABOVE HAS BEEN SIGNEO'�V HEATING Y ❑ NE] V ❑ N❑
FLOOD ZONE A,L.U.C.
LATH—INTERIOR ELECTRICAL
LATH—EXTERIOR FIRE DEPT. v rv� v 0 N❑
SHEETROCK GRADET".FEE SUMMARY
SHEAR INTERIOR IBUILDING
SHEAR EXTERIOR TEMPORARY APPROVALS BUILDING
FIREWALLS ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCYOF BUILDING ISNOT PERMITTED UNTIL BUILDING FINALISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252.4505, ELECTRIC
. o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
z PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY