51,386 10445.Orange-Avenue
NO. STREET - - LOT NO.
CITY OF CUkRTINO
'APPLICATION FOR BUILDING PERMIT 1
SANITARY NO.
FILE NO. 151,386
DATE July 27 19 77
Application is hereby made for a permit to
Repair Vehicle Damage 1 V
—0—story,type
to be occupied only as Single Family
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 2500.00
24.00
FEE$ PLAN CHECK$
M. Togami
OWNER ADDRESS
PHONE 253-7312
F. W. Raye & Co. , Inc. 370 Martin - Santa Clara
CONTR, ADDRESS
247-2381 261669B
PHONE STATE LICENSE
John Bustonm
APPROVED
BUILDING INSPECTION RECORD -
DATE INSPECTOR L DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING �-
F.M.O. INSPECTION
FINAL BLDG. -
UNDER-FLOOR -
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS rORMs INC..LR
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH I UNDERGROUND ROUGH
ROUGH WIRING - ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES - INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
FINAL
i I
MISCELLANEOUS INSPECTIONS
i
fl
PLUMBING INSPECTION RECORD I 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
I
I
LOT NO. I
NO. STREET -
.l CITY OF CUPERTINO CAP (vgLS
CiiY O'P _l:x.:T:O 1 Sl S�
Q �APPLI_CA`TJION FOR BUILDING PERMIT EEE
f eL /7 7 i��� / I,19 Building Per.No. _
$a5�nJi� Per.No.
3 O AFSslicat�'�O�iseby made for dpermit to
= O 0—story, Type Structure
O to be occupied only as - /A/// /ins/�s� in accordance with
a
'Z w Plans,Specifications and Plot-Plan filed herewith.
o
F x Estimated Value of Improvements, $ 25eV
LL PI Ck Fee$ `
0 It is hereby agreed that the requirements of the
a Cupertino Building and Zoning Ordinances and all Fee $C2 G�
p a other laws applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
O
OV�qER PHONE ADDR
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Q 0L�/���U�NTR.OR2 E�
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\ PHONE STATE LICENSE —BUILDING INSPECTOR