NO PERMIT NUMBER 22444 mona Cour
NO. tJREET'°' J 'jr �:' _ - LOT NO.
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CITY OF CUPERTINO
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APPLICATION FOR BUILDING PERMIT '
SANITARY NO.
FILE NO. 51,332
DATE 10/18 1977
Application is hereby made for a permit to I, Gunite
Constructa -- story,type (T8'6" x 34,t,)
.—
to be occupied only as Swim Pool & Spa (Private)
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 91000
FEE$ 48.00 PLAN CHECK$ 24.00
OWNER Don Jacklin ADDRESS-
PHONE 446-1373
CONTR, T & F Construction ADDRESS 535 N. 7th
PHONE 295-7657 STATE LICENSE L53153343
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE RAME _
BOND BEAMS LATH
WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE I LANDSCAPING
TM.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC.
DIAPHRAMS
MOORE BUSINE 55 FORMS NC_LA
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE PECi . 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 ROU-G-H-fl FLUES&COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
' .
INSPECTION10300 Torre Avenue TdIephone
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13 NG DIVISION
JOB
1 * 7 . a DATE.
6-
DAILY
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■ 'CORRECTION NOTICE G VIOLATION ■
TYPE INSP.: BLDG. ELEC., ■ PLEIG. MECH. ■
AOL
11 ,
-Z,z 4 4,P 7zhrM1b tji�lLOT NO.
NO. STREET
CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
C—t PermitNO.
�
Data r r F,19— Fee S
Application is herebmane to the City of Cupertino for a permit to in tall electrical
wiring and/orrfixt#eL lis sted on the reverse side hereof, and agrees to install said
wiring and/or Cfixtures in accordance with the provisions of the Electrical Code of the
City o ertino,and all other laws ak To Be jlle•Tllpreto. a
Use of \ Work To BewJ/YIW.t
Premises Performed
Owner t7A/ Address
Phone�X NY 6 ( 7
gym �A' F Address
Contrac/t�or,_Agent
Phone �v r 5 7 W.5
State Licen>V` C'3r 3'�S' Y ;' Approved
Eledr al spacror
1 AGREE I WILL NOT VIOLATE ANY OF THE WOR EN
�- COMPENSATION LAWS OF THE STATE OF CALIF N .
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1CJ9 LOT NO,
NO STREET
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
G: CUpE1;fIN0 Sanitary No.
Date - Lam,19__ Permit
Fee$ ! ✓
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Applico ii0is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixt jTs �stJ'dlon the reverse side hereof, and agrees to install said prices
and/or fixturl in accordance with the provisions of the Plumbing Code of the City of
Cupertino,an all other laws applicable thereto.
Use of Work To Be
Premises Performed t 1 oo-c
Owner ct r u Address
PhoneY+yi. 1373 �J
By l ' (CTi-(/ Address ��l— c=�
Con(tpractor,Agent
Phone � ! 5- -7(-S-2
State License Approved----------1�=
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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LC-/-riae*-G's^-dl LOT NO.
NO. STREET -
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
CIgY C; CU?C..tINO Permit No. S3Uj2--
Date -' -19 Fee$
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on�thed red jrse 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 Be7L—
Premises Performed r w"
Owner CJ Va Ck , .`�� Address
Phone � I to ! 3 7
By T—& r— Address
Contractor,Agent
Phone � / Sl 7&-C7
State Licenser� 3�S'3� Approved O
PI�in�pector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
tr-- COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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LOT NO.
NO. STR T
CITY OF CUPEKINO (((VAL. —
CAP. {.
W a APPLICATION FOR BUILDING PERMIT. ` PEE '
Zr Z+" .771Np 19 .. Building Per.No.
y
O Dab Sonitary Per.No.
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0 — Applicatiorfs`h;rej_:i&�¢f"or a permit to
= v_ a stotys T e � p� te " A Jf/ Structure
O p p � YII �diOP ��
O to be occu ied onl as Le. accordance with
a
'Z Plans,Specifications and Plot-Pion filed herewith.
aW
W Estimated Value of Improvements,$_. --
'- PI Ck Fee$ ®R
pO It is hereby agreed that the requirements of the
3 Cupertino Building and Zoning Ordinances and all Fee$ —
Q other laws applicable to the construction,location,and Total Fee$ z_
Z g use of buildings within the City of Cupertino will be
ZO complied with. 1373
3 Y U C {F� ti �FG7
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OWNER PHONE ADDRESS
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O E CONTR.OR AGENT ADDRE
aOu n2 `�S 7657 wLc�is?)yy
PHONE STATE LIC
NSE
BUILDING INSPECTOR
._..,ITY OF CUPERTINO
ENCROACHMENT PERMIT
N2 0886
Date.........�/..�5..' ......_.....:......./ .......... 19.. ..7- h
' Bond Deposit '$o��?.�.D-D.'-----
PERMISSION IS HEREBY GRANTED TO OPEN "' Fee $.... _............
e
Street-...... Sidewalk_... .... Driveway Appr�oaach............
Applicant r. ........:............:_.....'.........
..............._.._.
Location ...
Contractor .................
Conditions: .
PERMIT EXPIRES 12 MONTHS CITE' Of
FROM DATE OF ISSUR�fEErTOr Or P ', d_".0 !.^ORkS
NOTICE REQUIRED 24 HOUAO:_300y'I= AVCHI; urL
PRIOR TO Il4brECI'ION CUPERTIIIO, CA. 9S'014. '
252-45Q5