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81234 & 9034411h1J� f "Al "' 66-w PATE APPLICATION FOR BUILDING PERMIT `'' SANTA CLARA COUNTY I r .� 'ter �� BUILDING INSPECTION OFFICE f 70 W- HEDDING ST., SAN JOSE, CA 95110 TEL 299-2351 LAND CIEVELOPME ANFNGEERING 8 SURVEYING 'JOB A ORES -•9, 15' 7� r'7 .1� � iG �,LEARED FOR ISSUANCE BY DATE 1; - •. r F.. � rah -tea - _ �^— .. •-•:9 �-� (., .-4. '�. �' �'.�.5_ � f'1 sTnel- r 'i k 'r �r_J;: ❑ COMPLETE PRIOR TO OCCUPANC , FOR INSPECTION CALL 299-2871 NEAREST cRoss ;,HEE �'.�__��.1 .�. .� J�...r ❑ RD CLEARED BY / IMP DATE i �.� ) f air , ..'I ? d• y •'S �'� f -"! ! ❑ DWY APPR CLEARED BV DATE -DST .°FILE ICiT1'- e:IG '•A ❑ 3 ,)` ii 5 ❑ CLEARED BY DATE FOR BUILDING INSPECTION CALL 299-2351 MINIMUM 24 HOURS NOTICE / t 7 1 INSPECTION RECORD FOUNDATION FORMS IJFI:R GROUNDING I ! _ _ I i FORMS — -� POUR NO CONCRETE UNTIL THE ABOVE HAS BEEN SIGNED —.I OOYNEP ��-" PHONE " �- ± J ° HEATING DUCTS MA,,NG TIROR AT ON AGENCY 4 COMFORT ADDRESS COOLING CLEARED FOR ISSUANCE BY DATE 5 GIRDERS ! a DNF. ARCHITECT - OR 4 ENGINEER ADDRESS D. CONTRACTOR l� SELF i=l IY^ I ❑ COMPLETE PRIOR ❑ RD IMP ❑ DWY APPR ❑ TO OCC FANCY, FOR INSPECTION CALL 299-2591 CLEARED S DATE CLEARED $3 DATE e ROUGH PLBG PARTIAL 7 BOND BEAMS r iCONC. BLKj MAILING ADDRESS LIC NO CLASS PHONE ENIVIRIOMMENTAL HEALTH B ROUGH PLBG COMPLETE 9 3r. t FL INi1PEG clTv LOT lJ r, TRACT ZIP BUILDING INSPECTION OFFICE ;\ PLAle Clj6C.L: D SANIT DIST NO y ' �r x•'� I I �l 'r CLEARED FOR ISSUANCE BY 5EP TK PERMIT NO FOR IN5PECTKIN CAI-L 299-6060 %7 Fes• DATE `-' Io GAS PRESSURE I 1 ROUGH FRAME FLUES / , 2,- �/2- BLOCK A P-N _: `C1 i' , i - Tr PE OF PAPRQVEMENT �'77%` (fJ {J `� T CLEARED FOR OCCUPANCY BY RS DATE FIRE MARSHAL 12 ROUGH ELEC WIRING J &UILl'A REiAMEL AlJO I 017PAPP DOVE CONVERT DEMOLISH FOR INSPECTION CALL 50 FT ) r No or rio of 299-2351 13 INSULATION SIZE C I•--j PERMIT SAI.IBER FAMILIES OF sTnucruRE � STORIES CLEARED FOR ISSUANCE BY DATE ..I 3 !"} 14 SHEET �y �.9( i 2 W `T_„j�,�,.�% _. CLEARED FOR OCCUPANCY BY DATE ROCK y _� — j� h , Ai r.1 I al 1 %�J��I--�� / '� �( �y� C.i C J s °... _ �j T •''f �� f I .) l' tP ' ' b, SE7 FRONT, BAI KS FEE7 t. �S VARIANCE OR SPEC RED PLANNING SIDE REAR L E I l _ r -� �_ -•�� , OEV REL• CESMI' 15OR L To WIRE I6 PLUMBING FINAL IFixturesl 17 GAS APPLIANCES F3fJ _ f ) Jr' 1 `�` _ - J ' ARCH SITE APPROVAL BY: FOR INSPECTION CALL 299-2521 18 ELECTRICAL FINAL IFixturesl 19.BUILDING CLEARED FOR ISSUANCE BY - - - DATE �'-', L COMPLETE ' CLEARED FOR OCCUPANCY BY DATE Ccw,L 144 + Ca[ 4k4ir anon - / .. Sin NOTE TOTAL FEES EXCkUtik APPLICABLE ELECTRICAL PLUMBING SEPTIC T.,.9K PEE IVALUffEON TO a. F ES AND MECHANICAL PERMIT FEES ` r OTHER INFORMATION ON BACK PAGE f I f FIRE PLAN CHECK FORM 37 10/86 PERMIT ; :. .r•I f-i INSULATION r' UNDERFLOON DO NOT COVER FLOORS UNTIL THE ABOVE HAS BEEN SIGNED POOL BONDING r _ NlATER SERVICE RnnF J fJ• . - TEAR OFF i5$RVICE .-, BOtaDING�`��_+ DO NOT INSULATE UNTIL ABOVE HAS BEEN SI0M1IED WALE - CEILING i 20 BUILDING - COMPLElc NO UTILITIES WILL BE CLEARED UNTIL -BUILDING COMPLETE HAS BEEN SIGNED PERMIT EXPIRATION PERMIT EXPIRES IF WORM, IS NOT STARTED WITHIN 180 a: DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST SIGNED INSPECTION. J' PERMIT NUMHE.R l5SUf0a,, . i BUILDING PERMIT SANTA XARA COUNTY BUILDING INSPECTION OFFICE . 70 W. HEDDING Si., SAN JOSE, CA 95110 TEL 299-2351 LAND DEVELOPMENT ENGINEERING & SURVEYING JOB ADDRES I rCLEARED FOP ISSUANCE BY DATE STREET yUh�aER COUNTY GEOLOGIST y�' .ER FOR ISSUANCE BY DATE NEAREST CRCSS STREET 50 (L \ ❑ COMPLETE PRIOR TO OCCUPANCY, FOR INSPECTION CALL 299 287'I Pt}S] OFFICE ICITYI ZIP ❑ RD IMP CLEARED BY DATE OWNER - • PHONE ❑ IVY APPR CLEARED BY GATE S❑ CLEARED BY T MAILING lf! ❑ ADDRESS _ tl ...... CLEARED FOR ISSUANCE BY ARCHITECT OR ENGINEER ADDRESS LIC. NO ❑ COMP! ETE PRIOR TO OCCUPANCY, �— COx7RACTOR BELF ❑ RD IMP CLEARED BY LIC hL� CL A3!I ❑ DWY Ai'PR CLEAREDB hMILIfJG PHO"` hPURESS I ❑ CITY ZIP ENVIRO EN iAKli p1$I NO SER LkI,A NO Lor TRACT pLAN�OI�Ck 7:4r I { 3I L7GN '" P °p CLEARED FOR ISSUANCE BV - TYPE OF 'IMPROVEMENT - BUILD kiamoua ADD TG. REWFI _ 14N6 CONVERT Off"018H CLEARED FOR OCCUPANCY By c =- 1". nI No of Imo- DATE PECTION CALL 299-2591 DATE - LATE TAL HEALTH i.QR INSPECTION GALL 299-6060 V,S DATE _ RS DATE size FAvolEs STl IF11E_, FIRE MARSHAL ?FR%fl! `i U/ EF USE OE STRU'�TURE 90 'v 4 CLEARED FOR I CLEARED FOR BACK$ FEel - � I 7rf.C. 1 aIe Nt.P I � '� iASEES "t; LLU[ r gFcLICA� LE ELECTRIC r'_ .�LUh IIiJ': Fi.l-A f':IGA.L ✓F'=VII FEFj COMPLETE BACK OF FIRST PAGE - - ,j 10,17 ORM 37 'I^/56 DATE BY _ DATE PLANNING VRti:I RF AI7 ZONE VARIANCE 3R SPEC REF; ARCH SITE APPROVAL BY CLEARED FOR ISSUANCE BY CLEARED FOR 017CUPANW_v BY r 9E': qFO COvP DATE DATE kilns .s PLAN CHECK PERMIT 1 FOUNDATION FORTIS FORMS FOR BUILDING INSPECTION CALL 299-2351 MINIMUM 24 HOURS NOTICE INSPECTION RECORD i GROUNDING I POUR NO CONCRETE UNTIL THE ABOVE HAS BEEN qIGNEO 3 HEATING DUCTS J COMFORT COOLING 5 GIRDERS 6 ROUGH PLBG PARTIAI 7 BOND BEAMS IC0W. BILK I a ROUGN PLBG .OMPI El F ' 9 SFWEF INSPECT TiJ GAS PRESSURE 11 HOUGH FRAME FLUES 1?.Rn LIGH FLFC 'NIRINf_-, EGF I!J$PECTION CALL Li INSIL ATION 299-3805 14 SHEET ROCK STI ICCO 011Rr OF LATH -- -- -�- - - 16 PLLIMRINC FINAL :F..I.,,$) 17 LEAS APLIANCES .l ELFI:fRICA, FINAL IFIx1uIe=I FOR �NScr CTI�_In ' .r5-> 19 BUILDING ETE 299-'2g ull"iP. INSULATION UNDERFLOOR DO NOT COVER FLOORS UNTIL THE ABOVE HAS BEEN SIGNED POOL BONDING I ROOF F +r ITFAF SEWCE Df. NO, N.SUL ATE UNII', ABOVE HAS BEEN; SIGNED INALL CEILING. BONDING NO UTILITIES AMLL BE CLEARED UNDL BUILDiN1G COMPLETE HAS BEEN �A6NiED I PERMIT EXPIRATION J PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST SIGNET) INSPECTION.