NO PERMIT NUMBER (2) 21163-65 Gardena Dr.
NO. STREET LOT NO.
t ,
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE No. 51,175
DATE 10-29 1979
Application is hereby made for a permit to
repair a story,type
to be occupied only as Water damage repair
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 340
FEE$ 5.00 PLAN CHECK$
OWNER Jerry Choi ADDRESS1262 Chateau Dr.
PHONE
t
CONTR, Gen Termite & Peat ADDRESS 1715 Little Orchard
PHONE 292=9316 STATE LICENSE PR35748
1
APPROVED Angelo Leber CZ
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIE DOW NS -MISC-
DIAPHRAMS
MOOPE BIl51N E55 i0 PM$INC,LP
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMEROAI 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
,2Z f73 —G lyl�p71/� ,✓� /J%� • _. LOT NO. ✓
NO. STREET
CITY.OF CUPERTINO CAP. {VAL.'Z- SGp
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a
APPLICATION FOR BUILDING PERMIT t FEE
BuildingPer.NS /
DateCYl� 19
� 0.
O Sanitary Per.No.
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' I �Ol'C 7Rc PA/2 LC/,}7C^C
3 Application s hereby made for a permit to
U
v Structure= u_ a story,RTypy
O � �� " in accordance with
F "to be occupied only as
a
Z Plans,Specifications and Plot-Plan filed herewith.
< w0
w � Estimated Value of Improvements,$3
a PI Ck Fee$
O O It is hereby agreed that the requirements of the �d
> ut Cupertino Building and Zoning Ordinances and all Fee$
other laws applicable to the construction,location,and
O < Total Fee$
Z use of buildings within the City of Cupertino will be
0 complied with.
3 12jz � rrks .���.ly eh al 1,26'2 ell "I f,c
w Z OWNER �PMOlIE ADDRESS
�Pr7 OW
is �/ i ns. �o•J /� L�iiLe pr -fir,
O CONTR.OR AG NT A RESS
`_ ° 292'9316 ;��357'f�' i
PHONE STATE LICENSE ILDIN INS