FILE 51,115 10605 ELrallone Drive
NO. STREET LOT NO.
M1 ti
CITY OF CUPERTINO'
APPLICATION FOR BUILDING PERMIT-
SANITARY NO.
FILE NO. 51,115
DATE August 24 19 77
Application is hereby made for a permit to
Re-Roof a 2 story,type Single Family
to be occupied only as Single FAmily Dwelliiag -
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 2.000.00
FEE$ 20.00 PLAN CHECK$
OWNER Geo. Younger ADDRESS 10605 Farallone Drive
PHONE
CONTR, Mid State Roofing CO. ADDRESS_ 2912 Daylight Way--SJ
PHONE 225-3398 STATE LICENSE 131676
APPROVED John Busto/m
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIE DO W NS -MISC-
DIAPHRAMS
MOORE BUSI NE 55 FORMS I NC.,LA
ELECTRICAL'INSFECTION 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
s O NO.
NO. STREET
CITY OF CUPERTINO {VAL.
_. ., CAP. � .
APPLICATION FOR BUILDING PERMIT l FEE
uZ, �ZBuilding Per.No.��—
yOLL "/•""°'C1 '$anitory Per.No.
O a Application is hereby made for a permit to �
LLO a�_story, Type�� /�1.e Structure
n1�
OO tolbe occup�d.Ionly as.lL. ��� in accordance with
a
i Z, Plans,Specifications and Plot-Plan filed herewith.
LU r Estimated Value of Improvements,$ Odd
PI Ck Fee$
00 It is hereby agreed that the requirements of the
va Cupertino Building and Zoning Ordinances and all Fee$ MOW
3other laws applicable to the construction,location,and
Z < use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
30
UJ w Q PHONE ADDRESS
W 6 I
CONTR.OR EN RE
_ U 2;Z a _L3r6 76
i� PHONE STATE LICENSE I I ECTOQ