NO PERMIT NUMBER (2) 1158 Elmsford Dr. � ��_., 1�--�+.�-�^+� S�
NO. STREET �� ��,., - LOTNO.
I � , _. ��
CIT�Y OF CUPERTINO �
APPLICATION FOR BUILDING PERMIT
� SANITARY NO.
FILE NO.
DATE 8-15 19 79 �
qpplication is hareby mada for a parmit to
� conStrUCt a story,type
to be occupied only os POOL
in a<cordance with plot plan,plans and specificotion filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS S
FEE$ P�AN CHECK$
OWNER ADDRE55 '
PHONE
CONTR. ADDRESS
PHONE STATE LICENSE
APPROVED �Belo Leber
BUILDING INSPECTION RECORD
DATE INSPECTOR DAiE INSPECiOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS- INT.B EX7.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION �
FINAL BIDG.
UNDER-FLOOR
TIEDOWNS -MISC- ' . .
DIAPHRAMS
MOOREBIISIMESSfORy51NC,.LI.
EIECiRICAL INSPECTION RECORD
RESIDENTIAI DAiE INSPECiOR COMMERCIAI DATE INSPEQOR
UNDERGROUNDROUGH UNDERGROUNDROUGH
ROUGH WIRING ROUGN WIRING
FINISH WIRING FINISH WIRING
FIXTURES INTERIOR FIXTURES
MOTORS EXTERIOR FIXTURES
FINAL f0 MOTORS � '
FINAL
MISCELLANEOUS INSPECTIONS
PIUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DAiE INSPECTOR ' DAiE INSPECiOR
BACK FLOW REOUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS 8 INSULATION
UNDERGROUND ROUGH 'FLUES 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS �
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
fINAL PLUMBING
MISCELLANEOUS
1 �
' rlSB �'l�ns��ds ��2 �oTNa.
�� NO. STREET • �
; , � � CITYOFCUPERTINO ,
APPLICATION FOR ELECTRICAI PERMIT
�F/�� Permit No.�_
Date ��'_v'' '�''�,' ' : .19�� Fae S �/6• � `S
Applicqtion is hereby mada to ihe City of Cupertino for a permit to install electrical
wiring and/or.fixtures as listed on the reverse side hereof, and agrees to install said
wiring and/or fixtures in accordance with ihe provisions of the Elecirical Code of ihe
City of Cupertino,and ail other Inws applicable ihereto.
Use af -' Work To Ba
Premisee � �/'',([ Performed �--p /`
Owner ��:��:'t'o"°�/Se�/�' Addross ��J O ��S CYO(2�S ��
4''
, . � /'QQ�/ /�
eyone..6G(.S� ��.,. ( V'✓ilt L.lY. � qdilren 4(JC.�`7 ldZr/l��/�P � �'S',�.
'/C�ontmctor,Agen/t17\yv' �
Phona �b8^3��`-� '�
[. 1~
$tote licanse -�/ O Approved ��
Eloctricallnspector �/ p(
- I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
� COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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