NO PERMIT NUMBER 10316 Dennison Avenue
NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO.
DATE June 19 19 79
Application is hereby made for a permit to
Install
__ __a_story,type
to be occupied only as Spa
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 2,500,00
FEE$ 24.00 PLAN CHECK$ 12,00
Total
OWNER ADDRESS
PHONE
CONTR. ADDRESS
PHONE - STATE LICENSE
APPROVED
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
FINALjjMF.,,,r-
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..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
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING&A/C INSPECTION RECORD
DATE INSPECTOR 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 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
/ D 316 eZOV l 3 O,J A oL rr LOT NO.
/ �O. S�!TREET
CITY OF CUPERTSNO, a CAP (VAL.2�S�
z a eAPPLICATION FOR BUILDING PERMIT (l FEE ' S a
wz , 19 7 9 Building Per.No. l�///3
in
ale O" " ,�J Sanitary Per.No.
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SY�. AI`catlon i3,�ereby made for a permit to /�
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= O iWry, Type Structure
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0 toe occupied only as .SPA in accordance with
a
Z Plans, Specifications and Plot-Plan filed herewith. -
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Estimated Value of Improvements,$ ay to
o
LL PI Ck Fee$ - ret.
O O It is hereby agreed that the requirements of the Qy
3 Cupertino Building and Zoning Ordinances and all Fee$
p a other laws applicable to the construction, location,and 3 6
z use of buildings within the City of Cupertino will be Total Fee$
Z lied with.
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OWNER PHONE ADDRESS
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a'^ CONTR.OR AGENT R
PHONE STATE LICENSE BUILDING INSPECTOR
O�.
LOT NO.
NO. STREET
�t10
CITY OF CUPERTINO
�� 19Tg APPLICATION FOR ELECTRICAL PERMIT
\01
rs, 1 0 Permit No.
Date V ,19_ Fee$
Application is hereby made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto.
Use of Warts To Be
Pre ' erformed
Owner Address
Phone ✓6- `33!0
By Contractor,Agent Address
Phone
Statense Approved
Electrical lnspe
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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10216 eVe S d �. .'- LOT NO.
-`—`NO J- STREET
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No
Date /� 19� Permit No.
Fee S -7d d
Application is hereby made to the City of Cupertino for a permit to instaff'ISYumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said pipes
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino,and oil other laws applicable thereto:
Use of Work To Be
Premise "' �ertorated
e e
Ownoi-y—/—_— Address
Phone / ro � 1 y7
By - Address
Contractor,Agent
Phone _ -------
r >{'e
StLicense- Approved
\11'I1L Z::;? Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF HE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
4
Permit No.
Date —19— Fee$ Oro
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all
other laws applicable thereto.
Use of Work To Be
Premises Performed
Owner - Address
Phone rc �6 '3367
By Address
Contractor,Agent
Phone
State License Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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