11057M1�
POST THIS C� NEAR FRONT OR BUILDING
PERMIT NUMBER
CITY OF CUPERTINO ",
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11057
INSPECTION DIVISION
• JOB INSPECTION RECORD -
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PERMIT EXPIRATION
JOB ADDR ESS UNIT# COT It
- - . . -
PERMIT EXPIRES IF WORK -
OWNER I � CONTRACTOR � � •
IS`NOT STARTED WITHIN
180 DAYS OF PERMIT ISSU-
_ ANCE OR 180 DAYS FROM
LAST CALLED INSPECTION.,
INSPECTION
DATE
I INSPECTOR
:.INSPECTION RECORD
FOUNDATION
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PREGUNITE
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PERMIT VALIDATION
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POUR NO CONCRETE UNTIL ABOVE HAS BEEN
SIGNED
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UNDERGROUND /SLAB
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PLUMBING
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ISSUANCE DATE
ELECTRICAL'
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'DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
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BUILDING•PERMIT
INFORMATION
' WOOD FLOOR
VALUATION_
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TOTAL ACREAGE
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USE
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MECHANICAL
ELECTRICAL •
FINALS
DATE
INSP.
ACC.DATE
ACC. FILE NO.
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INSULATION-
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ENG. SITE NO.
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FIRE SPRINK
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FEE SUMMARY
SHEAR INTERIOR -
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yr ;
SHEAR EXTERIOR
TEMP RARY APPROVALS . .
'FIREWAL'LS
ELECTRIC'
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FEE
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NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED JOCCUPANCY
SEISMIC FEE
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OCCUPANCVOF BUILDING •ISNOTPERMITTEDVNTILBUILDING F INALIS SIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE, FOR INSPECTIONBY'P.HONING 252 -4505,
ELECTRIC '.
F_ ONE WORKING DAY.BEF,ORE REQUIRED INSPECTION.
PLUMBING
z� PLEASE GIVE JOB ADDRESS WHEN PHONING." '.
-'SEE PERMIT FOR EXPIRATION'DATE:- i.
•
MECHANICAL.
CONST. TAX • -
-
• I. IMPORTANT! .
PLEASE READ'REVERSE SIDE BEFORE.''•
TOTAL
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CALLING FOR "FINAL INSPECTION.
OFFICE COPY