NO PERMIT NUMBER (2) 21105 Lauretta Drive _ V. 11
NO. .STREET m ,'`- LOT NO.
CITY OF CUPERTINO
APPLICATION POR BUILDING PERMIT
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SANITARY NO. 10073
FILE NO. 51,419
DATE 9/ 19 77 '
Application is hereby made for a permit to 5—NHR (2228 sq:ft.
Const. Plan #2-B a 1 storY,type liv.+504 sq.ft.gar)
to be occupied only,as I & J Single Family & Garage - „�-
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 75-000 .
FEE$ - 2.37.00 PLAN CHECK$
OWNER Dividend Development ADDRESS 3600 PrTn idge--Sw 340
.,Corp. SantarClara
PHONE 246 5001,
CONTR; -- Same ADDRESS
..,.... . T ,. ,_
.'"PHONE STATE LICENSE ,7 X275773
/21-,3/7'tt -` APPROVED, _
BUILDING INSPECTION RECORD V
DATE A4SPECTOR - DATE INSPECTOR
FOUNDATION to• �FbdFLOOR STEEL
PRE-GUNITE FRAME
BOND BEAfL15,, LATH Z 7
WALLBOARDS IN '&'EXT Z
FIREWALLS
MEMBRANE I LANDSCAPING
,_ ' -- '- F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR � Z,—_
TIEDOWNS -MISC.
DIAPHRAMS
MOORE BUSINESS FONMSINC„1P
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUG UNDERGROUND ROUGH
ROUGH WIRING RQUQH WIRING
FINISH WIRING ?,,,FINISH WIRING
FIXTURESIda-
NTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD `�. HEATING&A/C INSPECTION RECORD
DATE I INSPECTOR DAT INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION Z- 29764
UNDERGROUND ROUGH) FLUES&COMB.AIR S y
PARTIAL ROUGH 3 CONDENSATE DRAINS
ROUGH COMPLETE -7_7 g FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN a_ _78
FINAL GAS
FINAL PLUMBING 4,.,
MISCELLANEOUS
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NO. STREET '
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C7> – CITY OF CUPERTINO PP
APPLICATION FOR APPLIANCE PERMIT
0CT`1 g 197,7,
r Permit No.
Date I� - ,19 4_ Fee$ �/ y
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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 4�h
By 60ae7/�JG 2/1�— Address
Contractor,Agent
Phone
State LiceWgg C•za LIC. $179031 Approved
Plumbing Inspector
1 AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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APPLICATION FOR PLUMBING PERMIT
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a Applications-is hereby made to the City of Cupertino for a,permit to install plumbing
a N pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
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