NO PERMIT NUMBER (3) 21727 McClellan Rd. 20
NO. STREET LOT NO.
CITY OF CUPERTINO •50
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,344
DATE 9/26/75 19
Application is hereby made for a permit to
Construct o story,type Timber
to be occupied only as Retaining Wall
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS s 550
FEE$ 6.00 PLAN CHECK$ 3.90
OWNER POnderOSa Homes ADDRESS
PHONE
C. VTR. Birnie Lumber & Fence CO-ADDRESS 701-84A Kings Row, S.J.
FAONE STATE LICENSE
+. APPROVED J.A. BuSto/h
I .1 srMVl'.a.p'na,
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.
UNDERFLOOR
TI E DO W NS -MISC-
DIAPHRAMS
MOORC OU51NE55 FORMS INC„L4
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
Z1/7Z7 AA CArf,(.A1.A 170AO LOT NO.
NO. - STREET
CITY OF CUPERTINO (((VAL.
a CITY oA6PLIdi CAP. {
ION FOR BUILDING PERMIT l EEE ' S�
w ZC,.-P I9;A,— � 19 � S Wilding Per.No.
Y Q Sanitary Per.No.
r _
3 V Application A is f�eremade e forapermit to Uw STd JGT /1
= 0 a story, Type Structure
r O
to be occupied only as in accordance with
01a
i ut Plans,Specifications and Plot-Plan filed herewith.
a wSSO"
r Estimated Value of Improvements,$ cj V
a LL PI Ck Fee$
O O It is hereby agreed that the requirements of the p-O
> w Cupertino Building and Zoning Ordinances and all Fee $ (P
p a other laws applicable to the construction,location,and Total Fee$ 9 Po
Z — use of buildings within the City of Cupertino will be
-'• Z complied with.
SO ON atT z0.5A //JM/t5 ADDRE
w Z OWNER .�P HONE
aCONTR.OR AGENT
PHONE STATE LICENSE BUILDINQ INSPECTOR
LA