NO PERMIT NUMBER _ 10698. ' Randv Lane ;
NO. . STREET �— l - LOT NO.
I
CITY.OF CUPERTINO
APPLICATION FUR BUILDING PERMIT
SANITARY NO. 9158
FILE NO.
DATE 11/21/74 19
Application is hereby made for a permit to
Install - a story,type
to be occupied only as Sewer Only
yin accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $
FEE$ 8.00 PLAN CHECK$
OWNER R[Am Harri ngtnn ADDRESS
PHONE
CONTR, Allen Wong ADDRESS 541 Davenport Dr. S.J.
PHONE 959-11491 STATE LICENSE_2449'79
APPROVED J.A. Busto/h
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`0R.5 MC..LR
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 •7.1^
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
I•. �. ;Bldg.,Dept.
Office Copy
CITY OF CUPERTINO
SEWER-PLUMBING NOTICE
x
wer Connection Sanitary Permit No. .... t.:...................
u
F-1 Plumbing Fina Plumbing Permit No. ....t:1.. �.4........ -
Owner or Tenant - 7v- «h!>ti... "t Lnt..Nsia �........./ (� --:
At .....�
Tract _ ! •�.,." -- �,
Date Connected ............................................................... :'j- _......................... . .--------....- 9--;---....-
Date Final .................. , Z Q'..
..
PLUMBING N ECTp
V
7y6?a ha`1LDy LaNs = LOT NO.
NO STRE T
ary of aLP.^TNO CITY OF CUPERTINO,
140V 2 2 ,APPLICATION FOR PLUMBING PERMIT
rre�ss
^ Sanitary No.
Date P I I V ,19 Permit No.
Fee E
Applicatiohereby made to the City of Cupertino for a permit
n is
to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices
and/or fixtures 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 jl 1 �
Promisesn / II Performed t W
Owner )ZM 'T) rQh�y�`TTB+U _ Address
Phone �,� y-� p
By/171'11C'- N " s — Address��"/ /.yf✓E/✓�3Rr �,f'. �H»� 013 C'Y /.��Lr
Contractor,Aged
Phone ZS 9' 43 L/
State Lice n a 9 7 Approved Plumbing inspector
' I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
r COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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