NO PERMIT NUMBER 91820 Terrace Drive
NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,097
DATE Jan. 9 19_CL
Application is hereby made for a permit to
nonctrnrt 0 1 story,type 5 N. Hr.
to be occupied only as sna gardenroom addition
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ 15,000
FEE$ 84-no PLAN;CHECK$
OWNER_Kon+ 4n ArPc T ADDRESS 21890 Terrace Dr.
PHONE 257-5268
CONTR. Ross Keiser ADDRESS
PHONE _ 446-4372 STATE LICENSE' 304973
APPROVED
' BUILDING INSPECTION RECORD
DATE I PECTOR DATE lt4SPECTOR
— FLOOR STEEL
IT FRAME
O D AMS LATH
WALLBOARDS'INT.8 EXT.
FIREWALLS
ME BRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
^ 6i —
A
MGORE BOSIXESS fORM51NC..LP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
I
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 I INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED V DUCTS&INSULATION
UNDERGROUND ROUGH UES 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS y
FINAL PLUMBING
MISCELLANEOU
Z l g° J L 2 224 ��J t LOT NO. /
NO. :p,' STREET
CITY OF CUPERT�INO
APPLICATION FOR ELECTRICAL PERMIT / o
PerNo.
Date - D` -, 19 Fee$
Application is herebymade to the.`City of Cupertino forTu permit to.install electrical
1: wiring.and/or fixtures as listed ron;the�reverse side he and agrees To-installFiaid -
t ,.wiring,and/or_ fixtvres;in accordance.,'with 'the provisions of the Electrical Code of the -`
.Ci upeetino,ondyall other laws applicable thereto,
'Use of r Work To Be
Premises' ts`` Ptirfor ed�"�C t I t✓ V t I L ON
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wner 'ti S > ACdr L R t 2S A . ,
Phon
ByT':. _ 7 S S �� Address
Contractor gent'
Phone' .. �j �7 �/ 7 ,• _,
State Licensey-/ 1r6�>'fJ 7 $ / 3,gPproved
-EI ricol nspector
I AGREE I WILL NOTr,YIOLATE' NY OF THE R N'S
COMPENSATION. LAWS OF'-THE STATE OF ORNIA.
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a 9`3 O .fevut,Cp LOT NO.
NO STREET
CITYOFCUPERTINO
T APPLICATION FOR PLUMBING PERMIT
/r `
' Sanitary No.
E.
Date - 19_ Permit No. . i7 A Fee 37G
eoa
_ Applicationis;he
made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side hereof, and agrees to install said pipes
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use o1 Work To Be jam 'r
Premises �,/ Performed
Owner Address
Phone
s
BY / 6 S S %-�f'e Address
C n'tr/act r,Agent '7
Phone �r ��'7�
State License RAS 0 7 / / Approved
luno ng Inspector
!� I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
l COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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212636 T2-.&xAG6 LOT NO. JI Z
NO. STREET VAL k UYY
CITY OF CUPERTINO �� CAP. ( � Z6
d APPLICATION FOR BUILDING PERMIT (l FEE/_
1Z — 1 9 -gyp Building Per,No.
Data LtL
>< 19 Sanitary Per.No.
3 V Application is hereby made for a permit to
�_ �' .J,
a
F storyp Type y` Structure
c to be occupied odly'a� 92Q'gld� in accordance with
Z v` Plans,Specifications and.P-tt-Plan filed herewith.
as
? Estimated Value of Improvements, S z a,
au
PI Ck Fee$
O O It is hereby agreed that the requirements of the
.n Cupertino Building and Zoning Ordinances and all Fee $
O a other laws applicable to the construction,location,and
z — use of buildings within the City of Cupertino will be Total Fee$
zz complied with.
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PHONE LICENSE UILDINGINSPECTOR
tY�73 . AA w�_ a tLV LOT NO. /
NO. STREET
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
Permit No. J m 3
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Dabeta ' �19Fee$
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Application iso h re eby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse 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 Be
Premises_ r Performed �A
Owner ti �y gddress
Phone �y �',�—
By S T`�"/ Address
Contractor,A ent
Phone
State License 48
] —3 0 7' / Approved
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
t', COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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