NO PERMIT NUMBER (3) 10378 Kr.islta ;Court
NO. STREET :I •• 4 LOT NO.
1
CITY!OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
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JSANITARY NO.
..J
FILE NO.
DATE June 25 fq 79
Application is hereby made for a permit to
Construct a story,type I—Gunite (18103'
to be occupied only as Swim POOL
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ 13.000.00
FEE$ 64.00 PLAN CHECK$ 32.00
OWNER R. Bruckstien ADDRESS 10378 K ;s a QU
PHONE 725-0284
CONTR. Lifetime Pools ADDRESS 910 San Antonio Road
PHONE 494-7070 STATE LICENSE 220382
APPROVED Angelo Leber
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 I NC..L/.
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
MISCELLA US
_I63 1�Ir; c'Ty a_ ' I V LOT NO.
NO. STREET Et ((
CITY OF CUFti RYINO�' vAt/CAP ( C �
d PPLICATION FOR BUILDING PERMIT l FEE 7
w Z S 19 �p Building Per.No.
Ym Date f1L—
� Sanitary Per.N .
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O a Application is hereby made for a permit to C', 7
3 v a story TYpeef�/V"/ 74F ! (/, X .3 3�) Structure
r0
w to be occupied only as� 1' in accordance with
O a
Z Plans, Specifications and Plot-Plan filed herewith.
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F Estimated Value of Improvements,�✓ pyo
a LL PI Ck Fee$ ..3
p O It is hereby agreed that the requirements of the Po
vt Cupertino Building and Zoning Ordinances and all Fee $
3 other laws applicable to the construction,location,and GrU
Z < use of buildings within the City of Cupertino will be Total Fee$
L Zcomplied with.
3o Q (2 il0'37� {Crtt
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Q CONTR.OR AGENT
ol•70�0 22o-302
PHONE STATE LICENSE4UILZINNSP CTO
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T -z Ste+ LOT NO.
NO. STREET
CITY OF CUPERTINO
APPLICATION FOR ELECTRICAL PERMIT
��77G9� Permit No.
Date z , 19LL— Fee$�!!-C
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Application is hereby 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.
Use of Work To Be \' _
Premise Performed yd p�/._Jc.tJ ( (off
0,,,r.R' Address ���I� TNa'wcy'�- Q`l
Phan 5 02
By
Address
Contractor,Agent
Phone 4't*70 70
State License aaC�'-'5 as Approved
erical pedor
I AGREE I WILL NOT VIOLATE ANY OF WE ci
ORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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LOT NO.
NO STREET
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date 5 192 Permit No.
Fee b/
Application is hereby made 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 pipes
and/or.fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino, and all other laws applicable thereto.
Use of ork To Be
Premises WPerformed
Owner Gc. ci h Address ICS 7 q-S ^N"'S 's—
Phone ( —�'Z�
By L �r o0 $ — Address ��� ls�— � �c�rn"O�— t` Y1•D"
Contractor,Agent
Phone 494- X 70
State License a-'J.C7 3�r"� _ Approved
Plumbing Insplictor
y I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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ICS 37H KU CS 41 LOT NO.
NO STREET , , , .
CITY OF CUPERTINO
APPLICATION FOR APPLIANCE PERMIT
_ Permit No.
Date `5 ,19_ Fee S7 Ub
Application is hereby made to the City of Cupertino for a permit to install gas
appliances as listed on the reverse side hereof, and agrees to install said appliances in
accordance with the provisions of the Plumbing Code of the City of Cupertino, and all.
other laws applicable thereto.
Use of Work To Be
P
PremiseDp Performed
Owner^s^ DC s c 3 es L' Address
Phone \ 2- -C�•� Q
BY � . 2 wn-SL- aG }, Address l �C3
Contractor,Agent
Phone 4q4-7a 7 0
State License .3 0`2-- Approved
Plamhing Insp ctor
I AGREE I WILL NOT VIOLATE ANY O HE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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