NO PERMIT NUMBER (4) P 480 Walni . C rcle Nom,. (Remodel)
NO. STREET LOT NO.
CITY OF CUPERTINO .50
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51,o66
DATE 7/29/76 19
Application is hereby made for a permit to
Remodel Interior a 2 story,type 5 N. Hr.
to be occupied only as I Duplex
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 1,000
FEE$ 10.00 PLAN CHECK$ 5•00
OWNER Regina Yin ADDRESS
PHONE 941-6816
CONTR, ADDRESS
PHONE STATE LICENSE
APPROVED J. Busto/h
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
TIE DO W NS -MISC-
DIAPHRAMTS_
NOORE BUSINESS rORMSINC.,11
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE INSPECTOR COMMERCIAL DATE INSPECTOR
UNDERGROUND ROUGH UNDERGROUND ROUGH
ROUGH WIRING g• _J 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
CITY OF CUPERTINO
10300 Torre Avenue telepAone 252-4505
INSPECTION •
BUILDING DIVISION
Is DA
ADDRESS
DAILY REPORT ■ ■
INSP.: BLDG. ■ ELEC. ■ PL13G. MECH. ■
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NO. STREET -
ccc G. CITY OF CUPERTINO
411,6 11 �g 16APPLICATION FOR ELECTRICAL PERMIT
Permit No.
Date Fee S
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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 pertino,and all other laws applicable thereto.
Use of Werk To 'CKY
emism _ Performed 1`
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Owner� � Address
Phonec-��—
By .S 7 9 — Z /5 X
Y Address
Contractor,Agent ,
Phone
State license Approved_t/'�r'—=�
I Electrical Inspector
(,1 I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
l� COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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22f?V �/��£ LOT NO. 91
NO. STREET b
CITY OF.CUPERTINO ��. CAP. I vAL�
d APPLICATION FOR BUILDING PERMIT ' t FEE
w'Z C'iY C; C.•- 'Building Per.
Date 19 .
Sanitary Per.No.
3,o Appli�altion s HeF6by jnade for a permit tAlkaw
M.
O °-�i—�°rYq Tye Structure
O a to be occupied only as T . / E'er �j�►� in accordance with
'Z w Plans,Specifications and Plot-Plan filed herewith.
a a,
F Estimated Value of Improvements,$_
dp
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LL PI Ck Fee$ S�-
O O It is hereby agreed that the requirements of the
� vt Cupertino Building and Zoning Ordinances and all- Fee$4/16
p a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$_ _
ZO complied with. '
30
OWNER - PHONE ADDRESS
Q OO
F CNT .-OR AGENT ADD
PMONE STATE LICENSE Dl G IN
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