NO PERMIT NUMBER (3) e.
10903 Canyon Vista Drive F 26
NO. STREET f uM LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,322
DATE August 15 19 7
Application is hereby made for a permit to
Const. 95 lin. ft- a --- story,type I Concrete Block
to be occupied only as Retaining Wall
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ is 300.00
FEE S _ 13.00 PLAN CHECK S 6.50
OWNER rflt. wAV Cnnst- ADDRESS 1085.0 Stevens Canyon Rd.
PHONE P57_P57P
CONTR, GatBwgy Const. ADDRESS 10850 Stevens Canyon Rd.
PHONE P5.7-P5.7P STATE LICENSE
APPROVED John Busto/m
BUILDING INSPECTION RECORD
DATE INSPECTOR DA INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG. --7
UNDER-FLOOR
TIE DOW NS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..LE
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
i�:/ Q c//N! eNy s r� DYE.. G NO.
•NO:` `� -S7REFT
CITY cW CUPERTINOVAL.�3 e o
AUQ1 j }n " CAP. {
a APPLICATION FOR BUILDING PERMIT FEE S"D
ua ay�Dat ,19 Building Per.No. a5—/ 3 2-Z
0T' Sonitor Per.No.
3 u Application is hereby made for a permit to ��1T �6 LiYR�r
_ a � story, TypeX7 gkw Structure
O to be occupied only as MOWA&W in accordance with
a
Z , Plans,Specifications and Plot-Plan filed herewith.
a W
F r Estimated Value of Improvements,
g v PI Ck Fee S 6
_O O It is hereby agreed that the requirements of the pq
w Cupertino Building and Zoning Ordinances and all Fee S
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
Z
complied with.
3 C x ZFL"�xu uc� �k /D�fod �G✓e�G"d�.c h�/
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E HONE ADDR S
ool a .GG C' K-Lr�D
QOF CONT .OR AGENT
H;O ,r /
PHONE STATE LICENSE ING INSPECTO