NO PERMIT NUMBER (2) 911157 Pacifica Drive
NO. STREET �,J LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
f
iSANITARY NO.
,j. FILE NO. 51,115
DATE Apr. 10 19-79—
Application is hereby made for a permit to ,
a 1 story,type
� t
to be occupied only as ene1o5ed'patio
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED.VALUE OF IMPROVEMENTS.$1,�00.
FEES 15.00 PLAN CHECK$ 7.50
s ! ,
OWNER Frank Ellis ADDRESS 20157 Pacifica Drive
e.
r
PHONE 955-5159, "
c:
q
CONTR. Screen—a—room ADDRESS 630 Reed St. S.C.
PHONE 296-7505 STATE LICENSE 304004
APPROVED
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
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BIISIHESS EORMSIHC..Lr
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
FINALMOTORS
FINAL
MISCELLANEOUS INSPECTIONS
PLUMBING INSPECTION RECORD HEATING 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS 81NSULATION
UNDERGROUND ROUGH FLUES 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
. )O/j57 CR 1- .y Vgt LOT NO.
NO. STREET - .
CITY OF CUP ERTINO CAP ( i
a APPLICATION FOR BUILDING PERMIT 1 EEE �
Building Per.No. S5-
Date
-"^ Sanitary Per.No.
'3 tai yApplccatiion is hereby made for.o permit.to
.''L 1,,
a�story, Type Structure
/� ..
a. topbe bccupied only as ,EiL)C.�aSfcD. DAn� in accordance with
Z' M Plans, Specifications and Plot-Plan filed herewith.
a u, x0.0
Estimated Value of Improvements,$ /,SDo
a u. PI Ck Fee$ _ 7,0
O O It is hereby agreed. that the requirements of the
v, Cupertino Building and Zoning Ordinances and all Fee$
6 a other laws applicable to the construction,location,and -�
Z use of buildings within the City of Cupertino will be Total Fee
OZ complied with.
3 N Fi1s «1ss-s/S/S
t' Sin FK.JER — �GOI'N PHONEy1-RAA
a O C9VTR.OR AGENT lenADDRESS
- L P�9.� X40 S�Loc�
C UILDING INSPECTOR ,jr<
O LA