NO PERMIT NUMBER (3) 10615 John Way
NO. STREET c LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,140
DATE 12/15 19 77
Application is hereby made for a permit to 5—NHR Wood
Remodel Existing GarFrame
a 1 story,type
to be occupied only as Single Family -
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 9,000
FEE$ 48.00 PLAN CHECK$ 24.00
OWNER Roy Bollinger ADDRESS
PHONE 742-7304
King Const. Co. 701 Aldo Ave.--Santa
CONTR, ADDRESS
s
739-0937
PHONE STATE LICENSE 256-771
APPROVED James H. Sisk/m
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
J /
MOORE BUSINESS FORMS I NC.,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
W
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ID[oIS� \111 /J),, LOT NO.
NO. STREET
CITY OF CUPERTINO
6�Y"�Cu'"""%PPLICATION FOR ELECTRICAL PERMIT
nvPermit No.
Data / - -o4 -- 19-7 ? FeeIV IN I
f�` �
Application is h~ereby made to the 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 the provisions of the Electrical
Code of the
City of Cupertino,and all other laws applicable thereto.
� D 1 ti WcsItey
Use i Work To
rm
Premises Perform—
Use
erformn
Owner f. � Address fin/
Phone
By Address
i Contractor,Agent
Phone
Approved
A
State license PP d
(/Electr� I Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WOR`( EN'S
(`� COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
/D����. JDfln) tJ Day/ LOT NO.
NO STREET
CITY OF CUPERTINO
cirr, 0, U,,APRjICATION FOR PLUMBING PERMIT
J A5 21978 '
Sanitary No.
at ,19 Permit No.
F<a$
Application is FierebyVmade to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the"reverse side hereof, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino,and all other laws applicable thereto.
Useof Work 7o Be
Premises Performed
Owner Address ����lSJllr/r✓[C'�
Phone
BAddress /70/4o� G/�' •n/Ju, A
y
Cj ContractoSr,/�Agent �
Phone/ 37 7y7 7
State License R Z,771 Approved �—
Plambing Inspector
1 I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
IFf COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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CITY OF CUPERTINO
10300 Torre Avenue -4505
telephone 252
INSPECTION •
BUILDING DIVISION
Its DATE
TI
, NOTIbE VIOLATION
.DAILY;REPT ■ TION El
■ ■ 0 MECH. ■
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WEATHER
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S•�/.��! •tom. -
LOT NO. Q
cr,y`._,`STRE(ulO CITY OF CUPERTINO CAP. {(VAL.l�
6?
d TT 'L APWATION FOR BUILDING PERMIT l FEE
Z — LPL I. ,I„J
++ Z Buildin Per.No.
x 0 Date ,19 9
nn Sanitary Per.No.
3 V AF`plicAon1s h[reby made for aa�ppeermit toil
= WO a_/—story, Type,.r—~- /41M 0 p� Structure
,_ TT `)
WO W to be occupied only as,,.! —0461154,r� in accordance with
a
'Z ,i Plans,Specifications and Plot-Plan filed herewith.
a W
OP
F r Estimated Value of Improvements,8 C'y
- O O It is hereby agreed that the requirements of the �
> Cupertino Building and Zoning Ordinances and all Fee$
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$ 7 r�-
Z complied with.
30
OW E PHONE ADDRESS
� it.Cdb
CONTR.OR AGENT p S$
-4;7,7/
PHONE STATE LICENSE BUILDING INSPE
®1e
CITY OF'CUPERTINO
10300 Torre Avenue Telephone 252-4505
INSPECTION NOTICE
BUILDING DIVISION
:J• DATE� 2� Z�s77
ADDRESS j0k ikA/-�_.TIME ALC
DAILY REPORT, CORRECTION.NOTICE❑ VIOLATION El
TYPE.INSP.: BLDG. ❑ ELEC. ❑ PLBG. MECH. ❑
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WEATHER L [ INSP.