NO PERMIT NUMBER 18
22095 Dean Ct,
NO. STREET M LOT NO.
11' i
CITY OF CUPERTINO
APPLICATION FO"UILDING PERMIT
SANITARY NO.
FILE NO. 51,395
DATE 12/13/76 19_
Application is hereby made for a permit to
Const. a story,type Redwood
to be occupied only as Retaining Wall
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 250-00
FEE$ 5.00 PLAN CHECK$
OWNER May Invest. Co. ADDRESS
PHONE
CONTR, Ms.yCO Const. CO. ADDRESS 21060 Homestead Rd. C.
PHONE 733-9693 STATE LICENSE
APPROVEDLTames H. Sisk/C
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION . FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIE DOW NS -MISC-
DIAPHRAMS
MOORE BNSINE"FORMS IHC..LA
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
FINALMOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
UNDERGROUND ROUGH FLUES 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN aim
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
r:2•--j-C � sl De,;-,l c 7 s. $„ LOT NO.
NO. STREET i'
_TND CITY OF CUPERTINO CAP 1 VAL.-IL4
a OTr c: APPLICrATION FOR BUILDING PERMIT l FEE
W Datiir 1 2 976 19 Building Per.No.
s� 0 V t—v Sanitary Per.No.
3 u Application is hereby made for a permit to C�'N S7.P��%
_
= u_ a - story, Type ,LW O Jam] Structure
� O
u_ v, to be occupied only as L ).A LC— in accordance with
OQ
Z u, Plans,Specifications and Plot-Plan filed herewith.
a a,
F x Estimated Value of Improvements,
PI Ck Fee$
_O O It is hereby agreed that the requirements of the _'t-.a
a Cupertino Building and Zoning Ordinances and all Fee $ 0
O ¢ other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
Z complied withs�
_ a0
OWNER PHONE ADDRESS
OC 6
Q p CONTR.OR AGENT A
_ V
PHONE STATE LICENSE BUILDING INSPECT
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