NO PERMIT NUMBER NO. STREET _ _ LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,251.
DATE 4/7 7978
Application is hereby made for a permit to
Repair Water Damage 0-story,type
to be occupied only as
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 400.00
FEE$ 5.00 PLAN CHECK$
OWNER Sanfina J. Comnandafure ADDRESS
PHONE 996-1897
CONTR, Caslte Builders ADDRESS1456 Wolfe Road--Santa
ara
PHONE 735-1731 STATE LICENSE 302227
APPROVED John Busto/m
BUILDING INSPECTION RECORD
DATE INSPECTOR GATE INSPEC70R
FOUNDATION FLOOR STEEL
PRE.GUNITE FRAME
BOND BEAMS LATH _
WALLBOARDS/9).&EXT. - O'
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG. L/ -
UNDER-FLOOR -
TIEDOWNS -MISC.
DIAPHRAMS l5 L
MOORE BN SINESS FORMS INE..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
NO. STREET �G Li NO.
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CITY OF CUPERTINO
W Z w n+►�xn"RPPLICATION FOR APPLIANCE PERMIT
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< Date 19 Permit No. /
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o Application is hereby made to the City of Cupertino foraermit to
o a install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
„ i Code of the Cit of Cupertino, and all other laws applicable thereto.
► r Use of Premises
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> Owner L Address
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CONTRACTOR, AGENT
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CITY OF CUPERTINO vat.
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w air 19 Building Per.No.
O ^ Sanitary Per.No.
O a Pm�la�io�i1 Kereby made for a permit to FT ''t- I.IJATc'�
Structure
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LLO 0 to be occupied only as in accordance with
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Zvi Plans,Specifications and Plot-Plan filed herewith. -
� r Estimated Value of Improvements,$
a LL PI Ck Fee$
O O It is hereby agreed that the requirements of the
ur Cupertino Building and Zoning Ordinances and all Fee$
" 3 other laws applicable to the construction,location,and
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5 use of buildings within the City of Cupertino will be Total Fee$
z0 complied with. c�y6_1,?t9+'
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(7OWJR ' I PHONE _/ ADDRE SI
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_ PHONE :AA IICENSE BUILDING INSPECTOR
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