NO PERMIT NUMBER (2) P071 0 Sunrise Dr.
NO. STREET '— - - LOT NO.
.50
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO. I
FILE NO. 51.139 /
DATE 7/x/711 19_
Application is hereby made for a permit to
Reroof a 1 story,type
to be occupied only as_Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 1,200
FEE$ 12.00 PLAN CHECK$
OWNER M, MiliChevi Ch ADDRESS
PHONE 252-15711
CONTR, ADDRESS
PHONE STATE LICENSE
APPROVED J.A. Busto/h
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 9lI51XE55 rORMSING„Lq
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
-� 0cj /,fC >�� LOT NO.
Z 'STREET '• ., VAL/S V
O CU
CITY OF PEI INO,_ CAP*
y
z i L�4XITION FOR BUILDING PERMIT FEE •3
w s U Building Per.No.
Date ,19 .
O rU Sanitary Per.No.
3 u Apl otionNi herebXmade for a permit to LCE R J O P
= LLO a�-s}Tory, 1�pe Structure
O - to be occupie only as -Si A/GL E Fig r--1 r C ' s_A.OELI,n accordance with
a
Z a Plans,Specifications and Plot-Plan filed herewith.
Q u, ytt—
F x Estimated Value of Improvements,$ ,IV2 .d
PI Ck Fee$
_O O It is hereby agreed that the requirements of the
w Cupertino Building and Zoning Ordinances and all Fee$
O' a other laws applicable to the construction,location,and
Z - use of buildings within the City of Cupertino will be Total Fee$
ZO complied with.
3Q
w w OWNER PHONE ADDRESS
0 CONTR.OR AGENT
PHONE STATE LICENSE LUNG INSPECTOR /
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