NO PERMIT NUMBER (3) Scenic Blvd. '
NO. STREET LOT NO.
CITY OF ChUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO.
DATE 9/14 19 77
Application is hereby made for a permit to
Construct a -- story,type Wood
to be occupied only as Retaining Wall
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 500
FEE$ 5.00 PLAN CHECK$
OWNER Saratoga Foothills ADDRESS 1.745 Saratoga Ave. - SJ
PHONE 253-7050
CONTR, ADDRESS
PHONE STATE LICENSE B1-233-800
APPROVED Travice Whitten/M
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
TIEDO W NS -MISC-
DIAPHRAMS
MOORE BUSINESS FORM51NC..1F
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
LOT NO. 3 Y
NO. STREET .
C:-, CT ._p;,, CITY OF CUPERTINO CAP. VAL.�
r� APPLkAilON FOR`BUOING PERMIT { FEE
.)EP 1 d 1977 Building Per.No.S/
Dale ,19 ..
W Sanitary Per.No.
3 V ApEWcaAn I hlecgby made for a permit to ca&f?',CUC7
_ a story, Tyype WQ6d Structure
to be occupied only as +Q�T4�rn_t/AJC &/A.f..L in accordance with
i Plans, Specifications and Plot-Plan filed herewith.
Q w
x Estimated Value of Improvements,$�
a- PI Ck Fee$
O O It is hereby agreed that the requirements of the
u, Cupertino Building and Zoning Ordinances and all Fee$
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
OZ complied with.
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PHONE ADDRESS/
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Q CON .OR AGENT a DRES
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dewc\ PHONE STATE LICENSE 8 E R
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