FILE 51135NO. -ET • LOT NO.
s
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
i
FILE NO. 51,135
DATE Sej)t. 19 19 78 'y t
Application is hereby mode for a permit to ,
re—rnnf a l story,ype nnmpositinn nvpr
composition
to be occupied only as
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS .$ 1 , l on. on
FEE $ 11. 00 PLAN CHECK S
OWNERMr_ Rhnman ADDRESS 10415 nhprry Tree In _
PHONE_ 950—PiQ
CONTR. C k W COnstrLCtinn ADDRESS 670 Nuttms_n_ #109 _
PHONE 988-1361 STATE LICENSE P9784�
APPROVED
BUILDING INSPECTION RECORD
DATE I INSPECTOR I I DATE I INSPECTOR
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS - INT. 8 EXT.
FIREWALLS
11:101:
LA
INSPECTION
ELECTRICA[ INSPECTION RECORD
RESIDENTIAL DATE I INSPECTOR I COMMERCIAL DATE I INSPECTOR
UNDERGROUND ROUGH
ROUGH WIRING
FINISH WIRINGFINISH
WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
FINAL
INSPECTIONS
PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD_
DATE 1 INSPECTOR i I DATE I 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
FINAL GAS
FINAL PLUMBING
lU G--4— /L- LOT NO. SY✓
NO. STRF� f r '•
CITY OF C SPEQTINO
CA
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APPLICATION FOR BUILDING PERMIT
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Building Per. No.
Dote �' / / '19
Sa dory Per. No.
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Application is hereby made for a permit to
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a_�story, Type CV�•L�a-617io� 0%7.
QO Podi7 o.,)Structure
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p
to be occupied only as
in accordance with
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Plans, Specifications and Plot-Plan filed herewith.
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Estimated Value of Improvements, $ O— O
a w
7—
PI Ck Fee $
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It is hereby agreed that the requirements of the
p-I
n
Cupertino Building and Zoning Ordinances and all
Fee $
00 a
other laws applicable to the construction, location, and
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use of buildings within the City of Cupertino will be
Total Fee $
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complied with.
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OW ER A , PH
ADDRESS
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CON R. ORA ENT
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PHONF STATE
ADDR
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LICENSE
B GIPT
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JFICATE OF COMPLETION •
BUILDING INSPECTOR'S OFFICE
CITY OrCUPERTINO 2
DATE 2' 19J c_ BLDG. PERMIT NO. S J
THE BLDG, LOCATED AT r7 41 S C N E/Q P -,Y `i`r��= (/tf
OWNED BY ILA- P, 0 ty\l�-/ V
ICOMPLETEDI
HAS BEEN OR USE AS ! (EER, n C