NO PERMIT NUMBER _ 10295 Vicksburg Dr. c.
NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO:
DATE 10/26 ig 77
Application is hereby made for a permit to
ii
Tnatall Shower Pan -a-story,type
to be occupied only as
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 500.00
FEE$ 5.00 PLAN CHECK$
OWNER Carl TPlnrk ADDRESS 10295 Vicksburg -
PHONE 257-2289
C & M Landmark 265 Carlton Ct.--Los
CONTR, ADDRESS
a os
PHONE 3 7 4-40 211 STATE LICENSE 317231
APPROVED John Busto/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
TIEDOWNS -MISC-
DIAPHRAMS
MOORE 0 USI NE 5 s fO.Y51XC.,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
7S
LOT NO.
NO. STREET
cry o-. T,-,<o CITY OF CUPERTINO (VAL.� �
_ CAP. tl
r ��PPUCATION FOR BUILDING PERMIT FEE
T J Building Per.No.
222 0 Da"Ie
Sanitary Per.No.
3 u A �li+ic is hereby made for a permit to / ties -7,9�-c� SS_-4 B2 'P9,')
= 0 a story, Type Structure
r
LLO < to be occupied only as in accordance with
i ,N Plans,Specifications and Plot-Plan filed herewith.
a W
W = Estimated Value of Improvements,$4--v0
W PI Ck Fee$
O_ O It is hereby agreed that the requirements of the
vt Cupertino Building and Zoning Ordinances and all Fee$ �J
p 3 other laws applicable to the construction,location,and
Z g use of buildings within the City of Cupertino will be Total Fee$
ZO complied with.
3 �
N _
nWNEct� PHONE DDRE
Q CONTR.OR AGENT
PHONE STATE LICENSE LDING INSPECTOR
O�.