NO PERMIT NUMBER (2) 10873 & 83 Canyon Vista Ar:, a=(: 20 & 21
NO. STREET • LOT NO.
I i J
CIT,1( F CUPERTINO .'
APPLICATION'FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,322
DATE March 29 19 77
Application is hereby made for a permit to
Const. S--Wood (155 linft
a story,type 3 jigh _
to be occupied only as Retaining Wall
in accordance with plot plan,plans and specification filed herewith.
400.00
ESTIMATED VALUE OF IMPROVEMENTS S
FEE$ 5.00 PLAN CHECK$
OWNER Gateway Const. ADDRESS
PHONE
CONTR, Gateway Const. ADDRESS
PHONE STATE LICENSE
APPROVED James H. Sisk/M
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC.,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
J "W 7L P3 �IlN � .j LOT NCj&4 Vii% is4R
NO. STREET (VAL
CITY OF CUPERTINO CAP {
d APPLICATION FOR BUILDING PERMIT ( FEE
w Building Per.No. Szi 3
O Data 4 ;'' a , 19 .. Sanimry Per.No.
3 v Application is he!eby made for a per tom
r I
a�r�st rryy, Type � �4K� �/111111wAIP)Structure
to be occupieonly cQ dQ� Ad"Lo in accordance with
a
Z u Plans, Specifications and Plot-Plan filed herewith.
aw
x Estimated Value of Improvements,E
a u_ PI Ck Fee S
_O O It is hereby agreed that the requirements of the Fee $�
> 3 Cupertino Building and Zoning Ordinances and all
p a other laws applicable to the construction,location,and Total Fee$
Z use of buildings within the City of Cupertino will be
ZO complied with.
_ a
Z O RR PHO ADDRESS
CONTR.O GENT wA� 55
_ U �
PHONE STATE LICENSEBUILDING INSPECTOR
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