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POST THIS CARD NEAR FRONT OF BUILDING
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CITY OF CUPERTINO
INSPECTION DIVISION
JOB INSPECTION RECORD
JOB ADDRw✓�� 0 LOT#
OWNER 091 1 CONTRACTOR
PFFIn1F1 NUMBER
12768
i
PERMIT EXPIRATION
PERMIT EXPIRES IF WORK
IS NOT STARTED WITHIN
160 DAYS OF PERMIT ISSU-
ANCE ORS FROM
LAS'�CALLED CTION.
ATION
T uyn1,98
rs8r
�r. ISSUINCE DATE
IN "v DATE=- INSPECTOR
" IN C 1151CORD
FOUNDATION
' �4 T �K
UFER
PREGUNITE
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND/SLAB
PLUMBING
ELECTRICAL
MECHANICAL
R[RG EL�-E(I5T
PLO. M R
lOO:NOT,POUR.FLOOR UNTIL'ABOVE HAS BEEN SIGNEDBUILDING
PERMIT,
-u;riw;! INFORMATION, f.,, .-
WOOD FLOOR
vgwgnoN
siFr.
PLUMBING
MECHANICAL
ELECTRICAL
PERMIT TO
//n n�0
FRAMING
INSULATION
STORIES
'TYPE CONSTR.
OCc. GROUP
RES, UNITS
0LACE'NO11,111F.LOOR UNTIVABOVEMAS:BEEN SIGNED"
ROOF
O FL FLOOR ARE
TOTAL ACREAGE
DIAPHRAGM
BUILDING USE
RES IND CON PBOlnnr
❑ ❑ ❑ ❑ ❑
72'APPLY NO ROOFING UNTICABOVE'HAS BEEN SIGNEDU
ASSESSORS PARCEL NO,
ROUGH
PLUMBING
TRgCI NO.
PARCEL NO.
GAS TEST
MECHANICAL
ELECTRICAL
�j;�5�•rFINALS`k�;='.''�.%� DATE��¢ �@`INSP.T:.
ACC, DATE
ACG FILE NO,
FRAMING
SAN tt
zowrrc
ENG. SITE NO.
INSULATION
PLUMBING
GAS
FIRE SPRINK
Y ❑ N❑
ENERGY 1 20
Y ❑ No
MECHANICAL
i?� ,COVER NOIMORKUNTIVABOVE HAS.BEEN SIGNEO;,t,-
HEATING
EL000 ZONE
Y
aL. u.c.
Yo NEI
LATH—INTERIOR
ELECTRICAL
LATH—EXTERIOR
FIRE DEPT, Z
SHEETROCK
GRADE
FEE SUMMARY �-
SHEAR INTERIOR
BUILDING O•
BUILDING
SHEAR EXTERIOR
TEMPORARY APPROVAL
FIREWALLS
ELECTRIC
PLAN CHECK
FEE
GAS
SEISMIC FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
OCCUPANCY
OCCUPANCVOF BUILDING ISNOTPERMITTED UNTILBUILDING FINAL ISSIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505,
o�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 REAP REVERSE SIDE BEFORE
CALLING FOR FINAL INSPECTION: ,,;w •-..,r
TOTAL
Ir/
OFFICE COPY