FILE 51248.1 22270 Homestead 'Ra. (Pati(Patio Cover) U
NO. STREET LOT NO.
.50
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. S1,248.1
DATE 6/25/75 19_
Application is hereby made for a permit to
r t.ru t. a l story,type S N_ 'Tlr.
to be occupied only as Pat7.0 Cover 8 t x 121-611)"
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 900
FEES 9,00 PLAN CHECK$ P-50
OWNER T113gaTr1 R Roar ADDRESS n
PHONE
CONTR, ADDRESS
PHONE STATE LICENSE
APPROVED T^MPG v Sick/h
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BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS- INT.B EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BU5INESS FORMS INC„LA
I
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 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
)` 2a 2,70 ilom FS T6/jO RFD, LOT NO, 3�r
NO. STREET -
`O CITY OF CUPERTINO CAP. J vAL a w
QUI Of �u7`�OPLICATION FOR BUILDING PERMIT 1 FEE - ra
w Z Building Per.No. y Z ��
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Sanitary Per.No.
O Q L(Application ieJtereby made for a permit toQ��C O,(,• S'T.Qu d_�
3 O �a, ,tory, TypeyJg (�� �Z��. ! Structure
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~ w to be occupied only.as �'`;7i" Ca ✓C-Z 4ftliIIII! in accordance with
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'Z Plans,Specifications and Plot-Plan filed herewith.
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x Estimated Value of Improvements, &z;?-
a 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 S�
O a PP Total Fee$ 7 —
Z — use of buildings within the City of Cupertino will be
Z complied with.
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3 a X 10616.140 6. PO/ k 735-y103 -
w Z OWNER PHONE ADDRESS
QORA NT }D_DRE55
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PHONE STATE LICENSE BUILDING INSPECTOR
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CITY OF CUPERTINO
10300 Torre Ave. Telephone 252-4505
INSPECTION NOTICE
BUILDING DIVISION
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EATH R
ADD _
DATC2S J1JSP' BLDG. ❑ ELEC. ❑PLBG.
❑ DAIW' REPORT CORRECTION NOTICE ❑ VIOLATION NOTICE
PD-6
No. j Street Lot No. /
CITY OF C-,WERTINO APPLICATION FOR ELECTRICAL PERMIT
WATER DEPT. CITY OF CUPERTINO
ro p PAN( 2 r,, 102 ' 196_ Permit No. .f /L Y, �
Y E Q Fee S
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3 � App cati n is hereby made to the City of Cupertino for a permit to install electrical wiring
z v 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
call other laws applicable thereto.
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Use of Premises
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'> Owner ^ ress
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3 ' Contractor,Agent
c Approved
EPhone X / � / Metrical Inspector
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