12506 (2) POST THIS CARD NEAR FRONT OF BUILDING
PrRMIT NUMBER -
CITYIOF CUPERTINO 12506
INSPECTION DIVISION
JOB INSPECTION RECORD
PERMIT EXPIRATION
JOBADDRESS 77.23 Seeber Court UNIT# _LOT# 3
. PERMIT EXPIRES IF WORK
OWNER J011yman Assoc.II CONTRACTOR Brian Kelly IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-,
ANCE OR 180 DAYS FROM
FOUNDATION - LASTCALLED INSPECTION.
LIFER
PREGUNITE PERMIT VALIDATION
'
w ___(. PAID
POUR NO CONCRETE UNTIL ABOVE HAS BEEIMIGNED
UNDERGROUND /SLAB JUN ' 1137
/I
PLUMBING . - n pp
,
ELECTRICAL Jdt Ails _IRO
MECHANICAL - BLOC. ELECT- PLG. MECH.
E3El El
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WINFORMATION
WOOD FLOOR
VAWATION ( SJFT.
PLUMBING v ,�
MECHANICAL
PERMIT TO
ELECTRICAL' . •Y �--
FRAMING _2
STORIES TYPE CONSTR.
' INSULATION
OCC.GROUP RES.UNITS
I-ow
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
e�u
- SO FT.FL.00Ii AHF,p. TOiATOTALACFEAGE
ROOF
1 l
DIAPHRAGM
BUILDING USE
HFrS IND CON PB OiM1er
El Ej1-1
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED �`� ❑
ASSESSORS PARCEL NO,
ROUGH
PLUMBING
o 9-/P-IF7 MA
-
zz f.
GAS TEST - OK rvper No. PARCEL NO.
MECHANICAL -/ ACC DATE ACF FILE NO,
ELECTRICAL FINALS DATE INSP.
FRAMING {tea. Q"Id b SAN # -
INSULATION PLUMBING ZONING ENG.SITE NO.
J GAS
FIRE SPR INK ENERGY TPA
MECHANICAL 1:1N0 v E) NQ
COVER NO WORK UNTIL ABOVE'HAS BEEN SIGNED , HEATING
LATH-INTERIOR ELECTRICAL FLOOD ZONE A.L.U.C.
LATH-EXTERIOR FIRE DEPT. v[:j N0 Y ❑ NF]
SHEETROCK o-. 52 GRADE FEE SUMMARY
SHEAR INTERIOR - LDING a - BUILDING
SHEAR EXTERIOR TE PORARY P ROYAL 1
FIREWALLS ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE ..
OCCUPANCY OF BUILDING ISNOT PERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
w� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
0 PLEASE GIVE JOB ADDRESS WHEN PHONING.
Z MECHANICAL
— SEE PERMIT FOR EXPIRATION DATE .=
IMPORTANT!
CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL v'
CALLING FOR FINAL INSPECTION.
OFFICE COPY _
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
• BUILDING PROJECT IDENTIFICATION PERMIT NUMBER
9UIL ING APPLICATION & PERMIT
`7 AooREss �JUc'�� t,7-3 12506
3 ` BUILDING-ELECTRICAL-PLUMBING-MECHANICAL
Oin ER's PLAN CHECK VALIDATION
• "A E / / / OTY. ELECTRIC PERMIT FEET
kf ry fJ', .L7 PHONE -S �J
.ONTR TORS �7- OUTLETS-SWITCHES-RECEP 10,00/1.00
lD ll//2s6/
C/ i;/;4wc.lo. 3/��I' LIGHTING FIXTURES 10.00/1.00
CONTRACTORS \ APPLIANCES-RESIDENTIAL 4.00
/ AOORE55 //��
712;/J9dnr sdP.O Hla41�NE '�.$�S9 PANELS 10.00 DATE OF APPLICATION
ARCHITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.NO.
NGINE
SrrnS Ll�/PfQ2 sec.No. ` Z SIGNS TRANS. 3.00
ARCH.OR ENG. PERMIT VALIDATION
Ap DREsa �1 SPECIAL CIRCUIT 5.00
.S T,P fsf2 EMP.METER OR POLE INS. 20.00 P� Dw
APPLICANTS MOTORS SEE FEE SCH. (�[/0_]4/'t4���1
ADDflE
l��'t-�-�' SERVICECHANGE 20.00
'0o LICENSED CONTRACTORS DECLARATION
a i W I hereby affirm that I am licensed under provisions of Chapter 9 C g XI1 -nu
rt u (Comore 0 mg wnh coon 7000)of Division 1/1 the BItS s'ns1 BLDG. ELECT. I.G.PMECH.
Y o i Professions COVb my license Is in full I'urC WI
flet ❑ -❑ ❑
z o R - Li<e nu CIa Lie.Number
o z r D Detc Contractor
a m EBUILDING PERMIT
Ix w u - ow ER-BUILDER DECLARATION INFORMATION
wo A MISC.- REFER TO.ORD
; LL m I hereby affirm that Iain exempt from the Contractor's License VALUATION $/FT.
Hu0J Law for the following reason.(Sec.7031.5,Businessand Professions PERMIT ISSUANCE 10.00
Code:Any city or county which requires a permit to construct,alter,
ec au ¢ improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTE. LIC.NO. ELEC.ar
K m u he cense
requires the applicant for such permit to file a signet)statement that TOTAL PE MIT TO
w is lid pursuant to the provisions of the Contractor's License ��
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