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10007s
POST THIS C R NEAR FRONT OF BU DING
r CITMF CUPERT14
INSPECTION DIVISION
JOB INSPECTION RECORD
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JOB ADDRESS /e,14E&9-L /),pUfy LOT 4*
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OWNER �41/ (24-L CONT RACTOR
PERMITNUMBER
PERMIT EXPIRATION
PERMIT EXPIRES IF WORK
IS NOT STARTED WITHIN
180 DAYS OF,PERMITISSU.
ANCE OR 180 DAYS FROM
T LED INSPECTION.
INSPECTION DATE INSPECTOR
SPECT ON RE_ CORD
FOUNDATIONZ 1,
LIFER z-
PREGUNITE VP_RykilTVALiDATION
A
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i7j�IRIU ��
IssunN DATE
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POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND /SLAB
PLUMBING
ELECTRICAL
MECHANICAL
BLDG.
LECT
PLC. IUECR,
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
- -
00INFORMATION
BUILDING PERMIT
WOOD F
PLUMBING T
' VALUATION SIFT.
MECHANICAL
ELECTRICAL
FRAMING
INSULATION _ ` �6
- 41
'
5 DRIES
TYPE CONSTR.
6N W
O .GIIOUP
RES. UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNI
ROOF
Fi. FLOOR AREA
- -
TOTALACREAGE
'
DIAPHRAGM _
BUILDING USE
RES IND CON PB all"
0 0 0 0
ASSESSORS PARCEL NO.
-
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED
ROUGH -
.J
U<-Oa.
PLUMBING ?1 1171"�3'i
GAS TEST (o
MECHANICAL _�
TRACT NO.
t
PARCEL No.
ELECTRICAL - -
FINALS DATE INSP.
.
ACCDATE
ACC FILE NO.
FRAMING _
SAN A
INSULATION o_' d•
PLUMBING
ZONING
ENG. SITE NO.
GAS
FIRE SPR INK
Y 0 N❑
ENERGY T-24MECHANICAL
r 0 N]
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
HEATING
LATH -INTERIOR
ELECTRICAL •5-_��
FLOODZONE
Y ] IN
A.L.U.c
Y [ N]
LATH -EXTERIOR
FIRE DEPT.
SHEETROCK
GRADE
FEE SUMMARY
SHEAR INTERIOR 2
BUILDING j,
BUILDING
SHEAR EXTERIOR i2 - c
TEMPORARY APPROVALS
FIREWALLS
ELECTRIC
PLAN CHECK'S
FEE
GAS
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY
SEISMIC FEE
,
OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR.
MICROFILM
LUARRANGE FOR INSPECTION BY PHONING 252-4505,
� ONE WORKING DAY BEFORE REQUIRED INSPECTION.'
Z PLEASE GIVE JOB ADDRESS WHEN PHONING.
—SEE PERMIT FOR EXPIRATION DATE —
ELECTRIC
PLUMBING
MECHANICAL
CONST. TAX
'
IMPORTANT!
PLEASE READ'REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION.
TOTAL
OFFICE COPY
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY
BUILDING PROJE EN7I FICA A'
A
APPLICObN & PER&
PERMIT NUMBER
BUILDING - ELECTRICAL -PLUMBING -MECHANICAL
10007
00I.NERS
N
IAM
P�Cok-
CITY. ELECTRIC PERMIT FEE
PLAN CHECK VALIDATION
PHONE
DATE OF APPLICATION
CONTRACTORS /OUTLETS
%
FINAL GRADE
0 ROUTE SLIP
CITY OF CUPERTINO aCOPY
_ GAS SERVICE NOTICE
To
You are hereby authorized to connect the GAS service for
/r
Owner or Tenant - �r 1 ? p —
At
No. of
I
New Servi
/ Reconnect
19
No.'of Add. Meters Move Service '
Move Meter -
PLUMBING INSPECTOR
BUILDING INSPECTOR'S OFFICE Bldg. Dept
CITY OF CUPERTINO Office Copy
❑ Backflow Device
'ED' Sewer Connection
\©, Plumbing Final
Owner or Tenant_
0
T
Sanitary Permit No.
Plumbing Permit No.
Lot No.
f
Date Connected 19,P� Date Final .19��
///X- X �
�l ©" -- PLUMBING INSPECTOR —
J
`
ELECTRIC SERVICE NOTICE
OFFICE COPY
s
BUILDING INSPECTOR'S NOTICE
CITY OF CUPERTINO19
t
To
e
n >�
You are hereby authorized
to Connect electrical service far
(�
'Owner or Tenant
SF.
75gI
At
_Size
No. of Wires
Size of Wlres
of Switch.
Motor Load
Voltage
--Phase
-
Heating Load
K. W.
Voltage
t
Light I10_—New
Service
'Reconnect
No. of Meters
Meat Ito_—Three
Wire
More Service
No. of Add, Meters
Power
Three Phase
Move meter—
&•
To,
ELECTRICAL INSPEC/�
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
DATE 1D 19 BLDG. PERMIT NO. (�� �� O 7
THE BLDG. LOCATED AT z CY Y 14430,)
OWNED BY�_�
it HAS BEEN I�FnP ED.� 1 FOR USE AS C` !// �Al