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18013 (2) POST THIS CARD NEAR FRONT OF BUILDING
Y ,�, • 'i -
PERM ITNUMBER
-
CITY OF CUPERTINO 18013
INSPECTION DIVISION
JOB INSPECTION RECORD i
UNIT# _LOT/ �� {r .��OG r� 's©• " # PERMIT EXPIRATION
i JOB ADDR ESS �J �Y !- -
L/ }�7 PERMIT^EXPIRES IF WORK
owNEp . - �✓,✓.S / S SS CON'TRACTOR LJG�I�oC� — [in h/ +' IS ,NOT 'STARTED WITHIN
✓'Y
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION NOTE: ANCE OR 180 DAYS FROM'
LAST;CALLED INSPECTION. .
LIFERALL GRADING'AND DRAINAGE SHALL'BE INSTALLED -
PREGUNITE- - TO COMPLY WITH THE APPROVED PLANS AND CITY OF - Peq VALIDATION
CUPERTINO STANDARDS.. �'
GARAGE SLABS .
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED �' a
UNDERGROUND /SLAB i
PLUMBING ,
ELECTRICAL - PAID" - -
ISSUANCE DATE
MECHANICAL - - 1ggppee BLDG. ELECT... PL¢_ MECR„
• DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED WI p BUILDING
PERMIT
E M T
WOOD FLOOR `
PLUMBING • Q VALUAATI,OON $iFT. -
MECHANICAL
ELECTRICAL.:.. .PERMIT TO
FRAMING -s>-�✓T• ;�rh�✓177V' '
INSULATION - sroRlEs TYPE CONSTR
OCC'-GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF NOTE:NO FINAL INSP.SHALL BE MADE BEFORE SV,FT FLOOR AREA TOTAL ACREA CE- - � •
DIAPHRAGM - THE CONSTRUCTION TAX IS PAID '•
ROOF SHEATHINGRes ,Np ICON LDINNG,USEPB 011—'-
APPLY NO ROOFING UNTIL ABOVE HAS BEEN'SIGNED FINALS DATE INSP. 10 ❑ ❑ . ❑ F-1ROUGH
A SSESSORS PARCEL NO.
SAN.N.
PLUMBING ELECT..ENERGY..
TRACT NO.. PARCEL NO,
TUBS 8 SHOWER PAN PLUMBING ENERGY
. MECHANICAL MECH.ENERGY
- ACC,DATE ACL FILE NO.
` ELECTRICAL BUILDING ENERGY
FRAMING" - - ELECT.FINAL TEST
INSULATION' PLUMBING ZONING ENG.SITE NOY
GAS TEST - - GAS
MECHANICAL' - ' FIRE SPRINK' ENERGY T 24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ I ` ❑ N❑ -:
. .
EXTERIOR SHEAR - -� � ELECTRICAL RELEASE -
FLOOD ZONE ALU.C.
INTERIOR SHEAR FIRE DEPT. "Y,❑ -N❑ Y ❑ N❑
SHEETROCK GRADE �. FEE SUMMARY.
' EXTERIOR LATH BUILDING -
NTERIDR LATH TEMPORARY APPROVALS , ? BUILDING
SCRATCH COAT F - ELECTRICPLAN CHECK
. GAS. - .FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY SEISMIC FEE -:11 •JL/
OCCUPANCVOF BUILDING IS NOTPERMITTED UNTIL BUILDING FINALISSIGNEDBY BUILDING INSPECTOR. MICROFILM �>!
' ARRANGE FOR INSPECTION BY PHONING 252-4505,
ELECTRIC ,✓
_ 1�-� ONE WORKING DAY
'BEFORE REQUIRED INSPECTION. PLUMBING fr
z PLEASE GIVE JOB ADDRESS WHEN PHONING. ,
- SEE PERMIT FOR EXPIRATION DATE' MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE.SIDE BEFORER :' ccpQ
CALLING FOR FINAL INSPECTION. TOTAL e Pr'fv
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES ='USE BALL POINT PEN ONLY
BUILDING PROJECT IDENTIFICATION aERMIr NUMBER
BDILDING �.�,/ APPLICATION & PERMIT 1
ADDRESS 1' tL�Gtl 2a ~w0� d. 4'oZI/S BUILDING - ELECTRICAL-,PLUMBING-MECHANICAL tC 18013. -
/p0 PLANy HECK ALIOATION
NAME' OTY. ELECTRIC PERMIT FEE
s � .
PHDNE
CONTRACTO S UTLETS-SWITCHES-RECEP 10,00/1.00 ,/1l
NAME �I I I ,O
F^ C b,V..f% LIC.N LIGHTING FIXTURES 10.00/1.00
CONTRACTOR'S - APPLIANCES-RESIDENTIAL 4.00
ADD-ESs �y/ t
S O L^ �J� PHONE �• d�tl PANELS 10.06 . DATE OF APPLICATION
ARCHrtECT PLAN CHECK FEE P.C.NO.
OR PANELS (OVER 200 AMP) 20.00
E WEER,.r{� "..4L SIGNS TRANS. 3.00
�'C/ � •G}IC.NO. j]d PE IT VALIDATION
ARCH.OR ENG, f�C /� Vd FI SPECIALCIRCUIT 5.00
ADDRESS f/r
1441 Q /b/. zIP►gr0{ EMP.METER OR POLE INS. 20.00
APPLICANTS MOTORS SEE FEE SCH.
ADDRESS
7S_46 's", r01/ S 9 'JIB SERVICE CHANGE 20.00.
w o o LICENSED CONTRACTORS DECLARATION -
a u u I hereby affirm that I am licensed under provisions of Chapter 9 - _ DANCE DATE
H rt y (commencing with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG. MECH.
H w i Professions CDdell��ryJl oy license is in tall for��yly{��('{yy� El
❑
z o m - License Class_/�J_Lic.Number-a7_l�7L� C . J s El
o H w Data Comrumor - BUILDING PERMIT
Qy3
x w u OWNER-BUILDER DECLARATION - INFORMATION
w2 LL I- I hereby affirm that I am exempt from the Contractor's License MISC.- VALUATION S/pT:
.. o¢ Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00
N J Code Any city or county which requiresa permit to construct,alter. MCI
R ac Q 0O improve,demolish,or repair any structure,prior to its Issuance,also ELEC.CONTR. LIC'NO. ELEC.
o u requires the applicant for such permit to file a signed statement that TOTAL ERMIT TO
u w m he is licensed pursuant to the provisions of the Contractor's License / �"� , ��'�prm
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