RE-ROOF10165 Vicksburg Drive
NO. • STREET - ' -- • LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO
FILE
DATE Sept. l9 19 78
Application is hereby made for a permit to
rP—rnnP raci aPn rP a l story, type t9.r G gravel
to be occupied only
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 2, (100
FEE $ Po- on PLAN CHECK $
OWNER Np�, 9nhmg ADDRESS l ni Fi5 Vi rkchnrg T)r _
PHONE
CONTR. Salinas Roofing ADDRESS 10121 Tyndale Ave. S. J.
PHONE 259-2600 STATE LICENSE 2811258
BUILDING INSPECTION
DATE I INSPECTOR I I DATE I INSPECTOR
FOUNDATION I I I FLOOR STEEL I
BOND BEAMS LATH
WALLBOARDS - INT. & EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
_ FINAL BLDG. REROOP —t R_7B /,, /I _..
S
i NC.. LA
-MISC-
RESIDENTIAL DATE I INSPECTOR COMMERCIAL DATE. I INSPECTOR
"UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING ROUGH WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL MOTORS
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD
DATE INSPECTOR
BACK FLOW REQUIRED
BACK FLOW INSTALLED
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR
UNDERFLOOR S.M.
DUCTS & INSULATION
FLUES & COMB. AIR
CONDENSATE DRAINS
FINAL APPLIANCE
MISCELLANEOUS
CERTI CATE QF -COMPLETION
BWING INSPECTOR'S OFFICE •
CITY OF CUPERTINO
DATE I .19-7-6BLDG. PERMIT NO.
THE BLDG. LOCATED AT I/ I C,/L/ i'<; PCU^
OWNED BY Nnf-Z/y\A � N''\/\S
OMPLETED
HAS BEEN CFOR USE AS Q 0 C) ("
STY E fi
OM
bUILUING INSPECTOR' r