17201 (2) POST THIS CARD NEAR FRONT OF BUILDING
PERMIT NUMBER
CITY OF CUPERTINO 17201
INSPECTION DIVISION
JOB INSPECTION RECORD
�t r/ ` P� /� PERMIT EXPIRATION
JOB ADDR ESS !C IV,� l/UNIT# __L/OT# PERM I�'E�E IF WORK
OWNER CONTRACTOR �A.l `O(,L NOT STARTED WITHIN
INSPECTION DATE INSPECTOR INSPECTION RECORD 180 DAYS OF PERMIT ISSU-
FOUNDATION ANCE OR 180 DAYS FROM
NOTE: LASTCALLED INSPECTION.
UFER ALL GRADING AND DRAINAGE SHALL BE INSTALLED
PREGUNITE TO COMPLY WITH THE APPROVED PLANS AND CITY OF PERMIT VALIDATION
CUPERTINO STANDARDS. I /
GARAGE SLABS 4 - /i/ -
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FEB 1 ? 1�,;; I ..
UNDERGROUND /SLAB /' /'j y_
PLUMBING Cllr of CD,,�,i, '1(, N la J of vC., /
ELECTRICAL Pe!uR0
ISSUANCE DATE
MECHANICAL , BLDG I ELECT I PLG. MECR
❑ K LFJ
00 NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT
WOOD FLOOR INFORMATION
VALUATION SIFT.
PLUMBING
MECHANICAL NifLA
ELECTRICAL PERMIT ro
FRAMING 2aq* PtAkt
INSULATION _ _ e ., Si OR,, TYPE CONSTRI
_ OCC GROUP RES UNITS
PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED wJAN 1 O 90o `
ROOF NOTE:NO FINAL INSP.SHALL BE MADPbEFORE SO.IT PLGDIIAREA TOTALACREAGE
\ DIAPHRAGM THE CONSTRUCTION TLAJhISP.AU)
ROOFSHEATHING _3i_ � � `Y OI l.1T�27t100 BwLDING USE
RCS IND CON PB Om.-
APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED FINALS DATE INSP. ❑ ❑ ❑ ❑ ❑
ROUGH SAN.# ASSESSORSPARCCI"NO.
PLUMBING Ufn V ELECT.ENERGY
TUBS BSHOWER PAN PLUMBING ENERGY TRACT NO PARCEL NO
MECHANICAL - - MECH.ENERGY
ELECTRICAL BUILDING ENERGY ACC DATE ACC.PILE NO
FRAMING �. ELECT.FINAL TEST
INSULATION PLUMBINGZONING,. ENG SITE NO,
6 -s!
GAS TEST GAS '
MECHANICAL FIRE SPR iNrc ENERGY 1.24
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING 9 Y ❑ NO -, ❑ N❑
EXTERIOR SHEAR ELECTRICAL RELEASE FLOODZONE ALuc.
INTERIOR SHEAR FIRE DEPT. Y❑ N❑ v ❑ N❑
SHEETROCK GRADE
EXTERIOR LATH � FEE SUMMARY
BUILDING . 5
INTERIOR LATH TEMPORARY APPROVAL BUILDING /
SCRATCH COAT JELFCTRIC PLAN CHECK
GAS FEE
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY ISEISMIC FEE b
OCCUPANCY OF BUILDING IS NOTPERMITTED UNTIL BUILDING FINAL ISSIGNED BY BUILDING INSPECTOR.
MICROFILM
ARRANGE FOR INSPECTION BY PHONING 252-4505, ELECTRIC „Gro
o� ONE WORKING DAY BEFORE REQUIRED INSPECTION. yr
PLUMBING L
Z PLEASE GIVE JOB ADDRESS WHEN PHONING.
- SEE PERMIT FOR EXPIRATION DATE - MECHANICAL O�
IMPORTANT! CONST. TAX
PLEASE READ REVERSE SIDE BEFORE TOTAL
CALLING FOR FINAL INSPECTION.
OFFICE COPY