NO PERMIT NUMBER (3) 20425 Silverado
NO. STREET - - LOT NO.
CITY OF CUPERTINO
. APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,119
DATE July 15 Iq 77
Application is hereby made for a permit to 5—NHR
1
Const. I
a 1 story,type 1 pe (4 x 10 )
to be occupied only as J Garage Addition
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 300.00
FEE$ 5.00 PLAN CHECK$
OWNER John Mann ADDRESS
PHONE 255-5740
CONTR, ADDRESS
PHONE STATE LICENSE
APPROVED James H. Sisk/m
BUILDING INSPECTION RECORD -
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME _T _
BOND BEAMS LATH
WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSINESS FORMS INC..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
LOT NO.
NO. STREET 'Y
CITY OF CUPERIINO (((vAL.
CAP. j
d arr APPTLI�ATION FOR BUILDING PERMIT ` FEE
::Ez Date' K 1Q77 19-. Building Per.No. II
0 J U ChoSanitary Per.No.
3 V Application is♦teTeby made for
aa�permit to
_ O 2Astory, Type �y 7 Structure
O w to be occupied only asr —44.,,W /6i~ in accordance with
a
'Z �i Plans,Specifications and Plot-Plan filed herewith.
a w �p
x Estimated Value of Improvements,$JOD f'
v_ PI Ck Fee$
O O It is hereby agreed that the requirements of the tO0
w Cupertino Building and Zoning Ordinances and all Fee$ •7 �
a other laws applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total Fee$
Oz co ied with.
3
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w w OWNER PHONE ADDRESS
z
Q,U0 CONTR.OR AGENT AD
KII
I PHONE STATE LICENSE BUILDING INSPECTOR