NO PERMIT NUMBER 10390 Farallone Dr. _
NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,038
DATE 10/28 19 77
Application is hereby made for a permit to 5—NHR
Const. Addition a 1 story,type (Wood Frame)
to be occupied only as I & J Single Family & Garage
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS S 8 B 000
FEE S 44'GG PLAN CHECK$
OWNER Frank Sullivan ADDRESS
PHONE 257-7198
CONTR, ADDRESS
PHONE STATE LICENSE
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE I IN ECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME —
BOND BEAMS LATH
WALLBOARDS<�P.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGF1. UNDERGROUND ROUGH
ROUGH WIRING UGH 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&INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
/ 7
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� NO. STREET -a,- . QtS..n6D
OP Cy=E.—M JY OF CUPERTINO (((VAL.
cr-lyCAP.
d GOB
A FOR UILDIN1G PERMIT l
w Z Date ""' V ,,q \ Building Per.No.
xz
O Sonitory PPer.No.
3 V Appl (p isArely rode
'for apermit to
�+ v_ o--/—/story, Typedlle A �� Structure
= O
O F to be occupied only as 2' Iip li .r/eYbf'�in accordance with
a
z w Plans,Specifications and Plot-Plan filed herewith.
a ,
m Estimated Value of Improvements,$ -
LL PI Ck Fee$
O O It is hereby agreed that the requirements of the
> w Cupertino Building and Zoning Ordinances and all Fee$
other laws applicable to the construction,location,and Total Fee$/
z a use of buildings within the City of Cupertino will be -
z complied with.
3 ZCt` R �HONEn—� ADDRESS
< £ 2S� 719
O CONTR.OR AGENT AJJD_RESS
_ U
PHONE STATE LICENSE BUILDING INSPECTOR /
`O �O L.