51365 (4) 10381 S. De Anza Blvd. 201
NO. ST 40 LOT NO.
.50
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,365
DATE 11/29/76 19
Application is hereby made for a permit to
Construct Int. Imj)r. a 2 story,type V N. Hr.
to be occupied only as F-2 Offices
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 1,425
FEE$ 15.00 PLAN CHECK$ 9.75
OWNER Downey Savings ADDRESS
PHONE 2r,9=46v;i
CONTR, ADDRESS
PHONE STATE LICENSE
APPROVED J. Busto/h
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS EXT,
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
. DIAPHRAMS
MOORE BUSINCss rORME INC_L. 'i
low ELECTRI kL INSPFLTION 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 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS 8 INSULATION
UNDERGROUND ROUGH FLU OMB.AIR
PARTIAL ROUGH C DENSATE DRAINS
ROUGH COMPLETE FI AL PP CE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
LOT NO. nZU / Jy.
r.(OSTJ&
CIiY OF 1 , . IIN.; ce(vALi�—
d APPLICATION FOR BUILDING-PERMIT Sl FEE�'35 0
w Z C1Tl'0v Building Per.No. A7_&.<_
0 Date CUA-,i';-- , 19 .
O u -.,,.�. �Sa�ni7la-pry Per.N,.
3 V Application islhe�by�made for a perm t ` J7
= W a�story, TypeLL(/ $irutture
O /
O F to be occupied only as F in accordance with
a
Z w Plans,Specifications and Plot-Plan filed herewith.
a W
F x Estimated Value of Improvements,$ /� vi S 7 J^
a W PI Ck Fee$_
OP O O It is hereby agreed that the requirements of the Fee$ �r,�
w Cupertino Building and Zoning Ordinances and all
0 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.
a a "szss S<.rE
z O E ADDRESS
W W
K 6
�
O CO T .OR AGENT Aib
– V
PHONE STATE LICENSE BUILDING INSPECTOR