NO PERMIT NUMBER (2) 10741 Larry Way 68
1 NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO.
DATE July 17 19 79
Application is hereby made for a permit to
install a story,type (16' x 32)
to be occupied only as Portable pool
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ 1.800
FEE$ 18.00 PLAN CHECK$
OWNER George S. Paizis ADDRESS
PHONE , 252-4268
CONTR. ADDRESS
PHONE STATE LICENSE
APPROVED Angelo Leber Cz
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.B EXT.
FIREWALLS
MEMBRANE LANDSCAPING
#4,4eF.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS rORMS INC..IE
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&INSULATION
UNDERGROUND ROUGH FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
~ /0741 L nRo Y �.VA J LOT NO.
NO. STREET
CITY OF CUP ERTINO CAP. I yA�—�
d APPLICATION FOR BUILDING PERMIT l FEE `S-
w Z Building Per.No.
DateY , 19 .O Sanitary Per,No.
3 v Application is hereby made for a permit to—
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= O a story, Type Oil; r k 3 y, Structure
to be occupied only as
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-row 46( accordance with
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O It is hereby agreed that the requirements of the �
u, Cupertino Building and Zoning Ordinances aeall c` Fee S—/�—
3 other laws applicable to the construction, location,and 1-
Oz - use of buildings within the City of Cupertino will bei"'Total F.Be
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QO CONTR.OR AGENT DDRE 5
PHONE STATE LICENSE BUILDI G INSPECTOR / '
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APPLICATION FOR ELECTRICAL PERMIT
SCITY OF CUPFRTINO
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Date 79 — i'ennit No. —
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a Application is hereby made to the City of Cupertino for a permit to install electrical
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Cit}' of Cupertin all other law. ictblc thereto. \'l
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iSZ;APPLICATION FOR PLUMBING PERMIT
/ I p Sanitary No.
Date / _ '7 ��_—. 19...C1_� Permit No.
Fees !r. CD
Application is hereby made to the City of Cupertino for a permit to install plumbing
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 all other laws applicable thereto.
Use of ` Work To Be �s n
Premises t'`�1\ Performed / d� �z
Owner_��L"�'C�,/y( Address
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Phone,�-t—! , L):7
State License�CDyE/ 9 r Approved
c Plumbing Inspector
(� I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
'LT COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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—L=/=� T'`'4 y LOT NO.
NO STREET
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date ,19_ Pcr,nit No,
Fee E d—(j Q
Application is hereby made to the City of Cupertino for a permit to install plumbing
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 all other laws applicable thereto. d11' '`'
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Useof Work To Be J 1, -A
Premises_ Performed (%,
Owne Address
Pho� S� ^�1�J
By Address
Contractor,Agent
Phone
State License Approved_ +�V
Plumbing Inspector �[
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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