NO PERMIT NUMBER 21075 Lauretta Dr-f e, 1
NO. STREET I �. `-N, - LOT NO.
CITY OF CUPERTINO,,
APPLI dATION FOR BUILDING PERMIT .
SANITARY NO.
FILE NO. 51,419
DATE March 21 19 79
Application is hereby made for a permit to
rnnctrnrt a story,type T— .mite J �XII
to be occupied only as swimming pool
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ BROOD
FEE$ 44-00 PLAN CHECK$ ?2.00
OWNER Wallace ADDRESS 21075 Lauretta Drive
PHONE 856-4128
CONTR. Lifetime Pools Inc. ADDRESS 910'.San Antonio Rd.
PHONE 494-7070 STATE LICENSE 220-382
APPROVED
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC_LN
ELECTRICAL INSPECTION RECORD
RESIDEN L -DATE TOR COMMERCIAL DATE INSPECTOR
WADERGROUND 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 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS 81NSULATION
UNDERGROUND ROUGH ES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
.'/079 L-AUFEIT-A Dg. - 1 �. LOT NO.
NO. STREET
CITYOFCUPERTINO
APPLICATION FOR APPLIANCE PERMIT
s 1 Permif No.
Date . IG/ 1 Fee$
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Applicationkis Ureby 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
By .. .Address��� }—sar7ss[
ontractor, ent
Phone �y � ��( �
iState License 7Cs — d t--Approved Plumbing Inspector
Iq I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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•,C+ trLOT NO.
.NO.•+v":. STREET '
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CITY OF.CUPERTINO
c1T'T
C,,iAPPLICATION FOR ELECTRICAL PERMIT.
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Nf aR 21 1979 Permit No. S`
o.o
Date' - ,19_
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Apphcahon izlheI by)rnade to the City of Cupertino for ermit,to install electrical
4 ..wiring and/or8xtures as listedonthe-reverse side hereof, a agree to install said ..
f v, .. i
wring and/or,fixtures.in-ac`cordonce,with the rovisions of he ectrical Code of'the _
v ;Cify" ertino,aud'.all other laws applic a thereto.
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Use of Work.io Be L M 4;44S
'*Premises Performed _
„•t,.
Owner - Add�es _ e
' t.
r" PI1000' l Yt
%y Addie�
! nt acust ,A
ent/'f
PhoneIL
State Licen' Approved '
Eleori I'Inspe tor' (�+•',
I AGREE IWILL NOT VIOLATE ANY.OF THE WORK ENS -j
�+^ ',COMPENSATION LAWSOF THE STATE OF CALIFO
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LOT NO. � Js i
NO. CT CSTREET7Tp CITY OF CUPERTINO vAL,� "
CAP.
APPRCATION FOR BUILDING PERMIT FEES
Building Per.No.(S2 /Im'
Y
Date-
0
19 .O Sanitary Per,No.
K P A
O a Application is hereby made for a permit to nod./ P'7AC,Crfl7
3 v a story, Type. I ' �TV ZE ���` ! `-3�'�� Structure
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v_ a, to be occupied only as dull tis tis ii✓Cr (/Z)04L in accordance with
OQ
Z , Plans,Specifications and Plot-Plan filed herewith.
as
F r Estimated Value of Improvements,$
a PI Ck Fee$
p O It is hereby agreed that the requirements of the a0
5 a Cupertino Building and Zoning Ordinances and all Fee
other laws applicable to the construction,location,and d�
O a Total Fee$ 6 �
Z use of buildings within the City of Cupertino will be
z complied with.
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U PHONE STATE LICENSE L ING INSPECTOR
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,-/07� 1.A✓ (ZE 77r;4 AQ • LOT NO.
NO STREET
CITY OF CUPERTINO
I ,
APPLICATION FOR PLUMBING PERMIT
77 O�vy�� Sanitary No.
Date fes!/l'1/19Z PermlNo.
Fee$
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 "
Work To Be
Premises_ Performed q P��•/Jy11t74
Owner �G.®Cr _ Addressy(���(J —
Phone _ L
By_ _ _ Add res / �►�7
o t o(y/�g SAA t
Phone
L--//--7Q� /v'
State Li<ense_��.y.f-fJ — t Approved /
t Z Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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