NO PERMIT NUMBER 10337 Miller Avenue 113 113
NO. STREET �\ LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT r
SANITARY NO.
FILE NO.
DATE 10/5 19 77
Application is hereby made for a permit to
Various repairs to bathroom a 2 story,type4 unit apartment
to be occupied only as
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 1,245
FEE$ 12.00 PLAN CHECK$
OWNER Gladys Langlois ADDRESS 20430 Town Center Lane
PHONE
CONTR, Able Exterminators, Inc.ADDRESS 2970 Winchester Blvd.
PHONE 378-7600 STATE LICENSE 257 263
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-QQ.&EXT. a—5
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG,
UNDER-FLOOR
TIEDOW NS -MISC-
DIAPHRAMS L p
MOORE BUSINESS FORMS INC.LA
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
10337 Miller Ave N3 ,z LOT NO!WJ
NO. STREET
kT.f OF CUPERTINO - CAP (VAL.
a APPLICATION FOR BUILDING PERMIT 1 FEE
Fz S
z Date 977 19 Building Per.No,s� O d 9
� �t r Sanitary Per.No.
-
0 a Application is hereh Ve fora permit to various repairs to hathroom
3 O r r T It
a2 5
Structure S ofy, fype 4 uniAPartment
1.0
U- .. to be occLpiedonly�asD in accordance with
a
> , Plans,Specifications and Plot-Plan filed herewith.
a:Wt,,t{ ,r
� �.>Estim'atedValueoflmprovements,$ 1245.00
PI Ck Fee$
O_ O It is hereby agreed that the requirements of the
a Cupertino Building and Zoning Ordinances and all Fee$-12.00
Q a other laws applicable to the construction,location,and 12.00
Z — use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
a," 'Glad�glois
N 20430 Town ('enter i.n-
,
.W Z ,
OWNER PHONE ADDRESS
Able Exterminators, Inc. 2970 Winchester Blvd-
CONTR.
a 0 378-7600 OR ZS7 263 A SS
- PHONE STATE LICENSE BUILDING INSPECTOR
C