12479 POST THIS RD NEAR FRONT OF BUILDING .
PFRMIi NWU6EH
CI OF CUPERTINO 12479
INSPECTION DIVISION
.JOB INSPECTION RECORD
} PERMIT EXPIRATION
JOB ADDRESS 19624 RnmacEpad ROarl UNIT# _LOT#
' PERMIT EXPIRES IF WORK
OWNER Good Samariatan Church CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OR PERMIT ISSU-
FOUNDATION - ANCE OR 180 DAYS FROM
LIFER
LASTCALLED INSPECTION.`
PREGUNITE
PERMIT VALIDA�TION '
- ".
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB • epi c1 g7P'l�//�+
PLUMBING Jl: I
ELECTRICAL . 1IB$UANCE DATE
MECHANICAL BEY B' c1' ELECT. PLG. I MECH.
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED - BUILDING PERMIT
WOOD FLOOR INFORMATION
PLUMBING VALUATION $/FT"
MECHANICAL
ELECTRICAL
FRAMING - ��I� (�eG',;/U•f�
INSULATION STORIES TYPE CONSTR.
• OCC GROUP V RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF sD.FT FLOOR AREA TOTAL ACREAGE
DIAPHRAGM
BUILDING USE
- RES IND CON PH Om+r
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑
ROUGH
- ASSESSORS PARCEL NO,
PLUMBING 7
GAS TEST 111P7 TRACT NO. PARCEL NO.
MECHANICAL
ELECTRICAL FINALS DATE INSP. ACC.DATE Acc,FILE No.
FRAMING SAN #
INSULATION PLUMBING ZONING ENG,SITE NO.
GAS
MECHANICAL i FIRE SPRINK ENERGY T24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING i Y ❑ N❑ Y ❑ N❑
_ _
LATH—INTERIOR ELECTRICAL FLOOD ZONE A.L.U.C,
LATH—EXTERIOR FIRE DEPT. Y❑ N❑ Yo No
SHEETROCK - GRADE
FEE SUMMARY
SHEAR INTERIOR BUILDING — -
SHEAR EXTERIOR TEMPORARYAPPROVAL BUILDING ",
FIREWALLS ELECTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED 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