10890 PIS THICA kN RD NEAR FRONT OF BUI G / PFRM,T;JUMBER
r CIN OF CUPERTINO 10690
INSPECTION DIVISION
JOB INSPECTION RECORD
�. UNIT# LOT#
JOB ADDRESS I 1041 w I' �� I_ IVU II (lr PERMIT EXPIRATION
PERMIT EXPIRES IF WORK
OWNER CONTRACTOR IS NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RE ORD 180 DAYS OF PERMIT ISSU-
FOUNDATION ANCE OR 180 DAYS FROM
_ LASTCALLED INSPECTION. ,;I
LIFER
PREGUNITE y - PERMI N
POUR NO ONCRE E UNTIL ABOVESBS BE N SIGNED QUN 4- 198 i
UNDERGROUND /SLAB rj(�p) �IioErtiRQ
PLUMBING
ELECTRICAL ISSUANCE DATE
MECHANICAL
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED IBUILDING PERMIY
INFORMATION
WOOD FLOOR VALUATION SIFT.
PLUMBING i b .1�
MECHANICAL
�PER�M`IT TO
ELECTRICAL F✓,1 I I, 1.� -
FRAMING - �j
STORIES TYPE CONSTR,
INSULATION y�^..h,jFfrF l�
(y
OCC GRO/yP RES,WITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED / /F ( /
ROOF SO FT,FLOOR
-AREA TOTAL ACREAGE
DIAPHRAGM P
P / BUILDING USE
H 5 IND CON PB Olnx
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNEDA
I' I✓i CK f¢ Q A$$ES$OR$PARCEL NO
ROUGH
PLUMBING p'
GAS TEST II 3 1RACT N?.f_ PARCEL No.
MECHANICAL
ELECTRICAL FINALS DATE _NS-P. ;C.DATE - ACC FILE NO,
FRAMING SAN #
INSULATION PLUMBING ZONING ENG.SITE NO.
*GASFIRE$PRINK ENERGY LZq
a-a�-87COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED NE V ❑ "�
FLOOD ZONE A.L.U.C.
LATH-INTERIOR ru� Y ❑ N❑
LATH-EXTERIOR �p SHEETROCK i FEE SUMMARY
SHEAR INTERIOR -
SHEAR EXTERIOR i TEMPORARY APPROVALS 6uILDING 71
FIREWALLS ELECTRIC PLAN CHECK
GAS FEE
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
Y -
ARRANGE FOR INSPECTION BY PHONING 252.4505E ELECTRIC
0� ONE WORKING DAY BEFORE REQUIRED INSPECTION. PLUMBING
Z PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL
CONST.TAX /
IMPORTANTI
PLEASE READ REVERSE SIDE BEFORE . TOTAL r
CALLING FOR FINAL INSPECTION. '
LSE OFFICE COPY