NO PERMIT NUMBER 20599 Rodrigues Ave.
NO. STREET LOT NO.
i
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO.
DATE Aug. 11 ly 78
Application is hereby made for a permit to
re—roof a 1 story,type heavy shake over
wood shingles
to be occupied only as
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS$ 4,575
FEE$ 32.00 PLAN CHECK S
OWNER L.K. Phillips ADDRESS 2602 Mont-irr lln War
PHONE
CONTR. Dewey L. Phillips ADDRESS 489 S. Daniel
PHONE 243-3967 STATE LICENSE 288656
APPROVED
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.B EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS I NC..L1
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
FINALMOTORS
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 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
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Lor No. t g
NO.STR� VAL.
CITY OF CUPERTINO CAP I
PLICATION FOR BUILDIW'PERMIT l FEE S
w Z Building Per.No.
p (9-to Wwri 119 Sanita Par.No.
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O a Applicotion,i.�Fi63eby made for a permit to ��
3 U �1'V ! . .t.
a j story,nType—cC1>r�� Truclu e�
x0 M -
.. w tope occupied only as in accordance with
OQ
Z' Plans,Specifications and Plot-Plan filed herewith.
L, /
w Estimated Value of Improvements,$ T S 2
a PI Ck Fee$
q O It is hereby agreed that the requirements of the Fee$
w Cupertino Building and Zoning Ordinances and all
3 other laws applicable to the construction,location,and Total Fee$
z use of buildings within the City of Cupertino will be
Z
O complied with.
Z OWNER HONE fIRE
O c�e
CONTR.OR A ENT A RES
PHONE STATE LICENSE 67^ ILDI IN R
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