12760 RD
AR FRONT OF
_ POST CIA OFECUPERTINO DING � � PERMIT NUMBER
INSPECTION DIVISION 12760
JOB II/N[LS�-PECT.ION RECORD
(552ny�' 77 1
PERMIT EXPIRATION
I
JOB ADDRESS � IT _LOT# PERMIT EXPIRES IF WORK
OWNER wkC 4A IS NOT STARTED WITHIN
P TION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATIO 2-10-2f`7 p� /f z ti ANCE OR 180 DAYS FROM
UFER x LASTCALLED INSPECTION.
PREGUNITE PERMIT VALIDATION1 POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL
ISSUANCE DATE
'MECHANICAL BLDG. ELECT. I PLG. MECH.
El KI ❑ ❑ '
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR INFORMATION
PLUMBING
VALUATION S/FT.
'
MECHANICAL ,1 �v
ELECTRICAL - PERMIT To
FRAMING
INSULATION STORIES TYPE CONSTR.
OCC.GROUP RES.UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED
ROOF SO FT,FLOOR AREA TOTAL ACREAGE
DIAPHRAGM '
BUILDINGUSE
RES IND CON PB Omer
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑
ROUGH r 2�F C+CL ASSESSORS PARCEL NO.
I J'Y -C ) '�o_ e
PLUMBING
GAS TEST b C �-c TRACT No. PARCEL NO.
MECHANICAL .
ELECTRICAL FINALS DATE INSP. ACC.DATE ACC.FILE NO.
FRAMING p2--/C,-39 SAN #
INSULATION PLUMBING - zoNlNc ENc.SITE No.
GAS ' _
MECHANICAL FIRE SPRINK ENERGY Loa
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ N❑ V ❑ No
LATH-INTERIOR ELECTRICAL FLOOD ZONE A.L.0 c.
LATH-EXTERIOR FIRE DEPT. Y❑ N❑ Y N❑
SHEETROCK GRADE - --SHEAR INTERIOR FEE SUMMARY
BUILDING -
SHEAR EXTERIOR - - TEMPOR , RY APPROVAL BUILDING
FIREWALLS ELECTRIC PLAN CHECK
' GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE 1
OCCUPANCY OF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR.
T MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC
o� . ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE.- MECHANICAL
IMPORTANT! CONST.TAX
PLEASE READ REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION. TOTAL /
OFFICE COPV - 1