51385 No. De Anza Blvd. & Homestead Rd. _ SOUI'� �/I/4_1 ( \
NO. STREET - - LOT NO. -
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
4
SANITARY NO.
FILE NO. 51,385
DATE July 12 I977
Application is hereby made for a permit to
Install 1419 sg.ft.
0-story,type I-Concrete & Steel
8' high
to be occupied only as Sound Wall
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 30 8000.00
FEE$ 127.00 PLAN CHECK$ 82.55
OWNER Southern Counties MP'm4DDRESS
PHONE
CONTR, Sierra PrecaseB Inc. ADDRESS
PHONE . 293-7721 STATE LICENSE 165475
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
k'Q
PRE-GUNITE FRAME
BOND BEAMS LATH
f - 1e- '] WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORM 5 1 NC,.LE
r
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
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS 8 INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
4# Afij 1A �L/b �►il1 LI� LOT NO. ab
NO. STREET.
CI-911 CITY bF CUPBBTINO jVAL.
�-
CAP. Sl
i < ��LI P,�PI.jg}kTION FOR BUILDING PERMIT FEE-2
w ` Building Per.No—T4.��
Date 9_.
O y] D� Sanitary Per.No.
u AppliFation�is Lreb'y made for a permit to /�. tt�L AAill
�y�
w a story, Type .oro dAN&W Structure
=
r O /�
to be occupied only as A(I,It12&JACO in accordance with
a
vii Plans,Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ Q00 �� S
5 LL PI Ck Fee$
O O It is hereby agreed that the requirements of the a�
3 Cupertino Building and Zoning Ordinances and. all Fee$ Jaz
0a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$2,
G z complied with.
3
O f M�� �F
W z OWNE ADDRESS
CONTR.0 IV ADDR SS
PHONE ATE LICE SE BUILDING INSPECTOR
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