15581 (2) POST THIS CARD NEAR FRONT OF BUILDING
PERMIT NUMBER
CITY OF CUPERTINO . 15581
INSPECTION DIVISION
JOB INSPECTION RECORD
� yy ' / S'/ 1 /O PERMIT'6PI RATION
IISJOB ADDRESS/o/�'C� IOLV /'A-C7 _UNI T# LOT#
1 - PERMIT EXPIRES IF WORK
OWNER SG�c.NCC.`" CONTRnCTORb' y A (,/ N-L• IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTIO RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION - ANCE OR 180 DAYS FROM
NOTE:
LIFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED LAST CALLED INSPECTION.
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIOATION
CUPERTINO STANDARDS.
GARAGE SLABS
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - - Y`OC O CzcCe )
UNDERGROUND /SLAB �- ..�b Ql�(�
1
PLUMBING
ELECTRICAL ISSUANCE DATE
MECHANICAL BLDG ELECT PLG. MEGH
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR Q INFORMATION
LUATION $IFT.
PLUMBING
MECHANICAL
ELECTRICAL - _ n�SS I �T PERMIT �pQ
FRAMING
INSULATION
STORIES TYPE CONSTR, -
.
' - Occ.GROUP ,RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
SO.fT FLOOR AREA TOTAL ACREAGE
ROOF NOTE:NO FINAL INSP,SHALL BE MADE BEFORE
DIAPHRAGM - THE CONSTRUCTION TAX IS.PAID
BUILDING use
ROOF SHEATHING RLS IND CON PB ons.-,
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. . ❑ ❑ ❑ ❑ ❑
ASSESSORSPARCELNO
ROUGH SAN.#
PLUMBING ELECT.ENERGY
TRACT No. PARCEL No
TUBS&SHOWER PAN - PLUMBING ENERGY
MECHANICAL MECH.ENERGY
ELECTRICAL BUILDINGENERGY. ACC DATE Acte NO
ss
FRAMING -� ELECT.FINAL TEST
zONING ENG.SITE NO.
• INSULATION PLUMBING
GAS'TEST GAS
FIRE SPRINK ENERGY T-}<
MECHANICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ SE] ❑ N❑
fLCGD ZONE A.L.u.c,.
EXTERIOR SHEAR ELECTRICAL RELEASE
' ❑ ❑ I N�
INTERIOR SHEAR - FIRE DEPT. - - � YNYL�
SHEETROCK GRADE FEE SUMMARY
' EXTERIOR LATH - BUILDING
BUILDING �'S•„s
,INTERIOR LATH -TEMPORARYPPROVALS'!
SCRATCH COAT ELECTRIC PLAN CHECK
1. GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY 1 . SEISMIC FEE
OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
Z
PLEASE GIVE JOB ADDRESS WHEN PHONING.
I - SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY
( APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJECT IWWON ION PERMIT NUMBER
- BUILDING APPLICATION & PERMIT q [[Q�
ADDR s I J J v
D 3 N � R BUILDING-ELECTRICAL-PLUMBING -MECHANICAL - '"-
Ow SG/ ��• � PLAN CHECK VALIDATION
"A Vny y DTV. ELECTRIC PERMIT FEE
V 1 N) PHONE
CONTRACTORS,
y OUTLETS-SWITCHES-RECEP 10.00/1.00
�P_OU NO. 11 q LIGHTING FIXTURES 10.00/1.00
CONTRACTOR'S
ADDRESS /�) .p l}lyQgf� ��JJI/-a� APPLIANCES-RESIDENTIAL 4.00
y 41-uLt PHONE$7- _.3Y(2 PANELS - 10.00 DATE OF APPLICATION
ARCHITECT 'fJ{J�, PLAN CHECK FEE. �.C.NO.
-/ OR I,1 f.I" �M/' PANELS (OVER 200 AMP( 20.00 - _
T ENGINEER 57& LIC.NO. Cwmq4r,7,,, SIGNS TRANS. 3.00
ARCH.OR ENG. PERMIT VALIDATION
ADDRESS 1 SPECIAL CIRCUIT 5.00
i,P EMP.METER OR POLE INS. 20.00
ASMOTORS SEE FEE SCH.
ADDREDDRESSS '
SERVICE CHANGE 20.00 7
o O LICENSED CONTRACTORS DECLARATION - L_
a U U I hereby affirm that 1 um licensed under provisions of Chapter 9 ISSUANCE DATE
y<w (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH.
H w z I'mfessions Cod• nd y license is in full fore•and •f e. ❑ ❑ ❑ O
0 O m- License C(-�- Lic.Numbe, �
9 Date C _Comractor
E BUILDING PERMIT
Ko..
m I= a OWNER HUILUIiR DECLARATION
se a o D INFORMATION
w ;LL N I hereby afNrm [hat I am exempt frmn the Contractor's License MISC.- REFER TO ORD gLUATION
H LL 0 a Law for the folbwing reaxon.(Sec.7031.5,Business anA Professions PERMIT ISSUANCE 10.00 5/FT.
Code:Anycity orcounty whichrequircsapermil to construct,alter,
Q Q Q Improve,demolish,or repair any Structure,prior to Its Issuance,also ELEC.CONTE. LIC.NO. ELEC. •\.�
- 0 IS requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO
La ro he is licensed pursuant to the provisions of the Contractor's License
rZi