NO PERMIT NUMBER Chprrvtrpp Innp 90
NO. STR ( LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
- FILE NO. 91_145
DATE .limp 75 197
Application is hereby made for a permit to
Repair Shower a story,type 5—NHR Wood Frame
to be occupied only as _Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS$ 332
FEE$—_5P00 PLAN CHECK$
OWNER Bradford ADDRESS
PHONE 257=1 S l n
CONTR. Sand Tile Service ADDRESS10084Adriana '
PHONE-253-0990 STATE LICENSE 305386
APPROVED John Busto
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARD -1N2/&EXT. (q
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BID@►
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE III SINES 5 FORM 5I NC..LR
ELECTRICAL INSPECTION RECORD -
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
i
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
/O ?< C�'� ✓r 7z G" LOT NO. 38
NO. STREP
nL
CITY OF CUPERTINO (((9qL.,
CAP. {
d APPLICATION FOR BUILDINGPERMITl'F�EE��
F Dale 19 L�GL. Building Per.No.brf/'�7U
0 San"ito�ry Per.
3 V Application is hereby made for a permit to— .�—Y�2rl���
= O astory, Type_fL7? _L�SCE(/ s�OG Structure
.I,fi�6'[C
to be occupied only as 45a.OaKG in accordance with
a
Z a Plans,Specifications and Plot-Plan filed herewith.
a ty +0
Estimated Value of Improvements,$ Z "UQCUF�0
u_ P1,51e$
O O It is hereby agreed that the requirements q( �h£r ' � � —�—
> w Cupertino Building and Zoning Ordinances a yy ll Fee$
0 3 other laws applicable to the construction,location,and D
Z 5 use of buildings within the City of Cupertino wilibeP.Tclali•ee$
z complied with.
3 a f o r o� Z 5�/S/O �O�fSCilCir
w w �y�NER PHON ADD E 5
pancl
Q j5 CONTR.OR AGENT q S
_ v 1740 -30t ?6 b
PHONE STATE LICENSE HUILDING INSPECTOR
V 0