NO PERMIT NUMBER (6) 216250 Fitzgerald Drive
NO. STREET �. .., ,- . LOT NO.
.50
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
' SANITARY NO.
FILE NO. 91,187.1
�L
DATE-8/29/711 19_
Application is hereby made for a permit to
00115+r1C+ a 1 story,type_5. N. Hr.
to be occupied only as J - Pati n Cnvpr I I I x 40 t
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 400
FEE$ 5-()() PLAN CHECK$
OWNER Donald E Bidlack ADDRESS
PHONE 254-1478
CONTR. ADDRESS
PHONE STATE LICENSE
APPROVED J.A. Busto/h
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS- INT.B 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
�/¢ 60 tz creV�a/CA LOT NO, 73
NO. STH EE
w ¢ P C ON FOR BUILDING PERMIT
' o ITY OF CUPERTINO
K LL CM
Illddd999... Sanitary No.
a r 119
U /
i LL U;tte e 196 Permit No.
` ta
Cal �o p tlo CeRT or a permit to
a /
i N a I story,Type -570 rn n� �q e cy Building
aw j^
ato be occupied only as Rgo jCqgj:e in accordance with
a o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> m e J
Estimated Value of Improvements,$ iff Fee$ a 4-0
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
d O Cupertino wi I be complied with,—'
3
Owner l�/� . �'ru�',e�ir..) Address!ER//.-�i d
W a By 3Qvn P Address
ox
`� Phone :04; �— 3 G d 5 Approved G�
```d State License BUILDING INSPECTOR