51113 10435 LINDSAY AVE
51113
F
JOHN WILEY
SCANNED BOX # 709
L , ✓"'' / ed arl
1n4-35 Lindsay Ave? (R=Q0f)
NO. STREET LOT NO.
CITY OF CUPERTINO .50
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51 _113
DATE 611R/75 19_
Application is hereby made for a permit to Reroof with Asphalt Shingles
a story,type
to be occupied only as Residence
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS S 500
FEES 5.00 PLAN CHECK$
OWNER John Wiley ADDRESS
PHONE 255-2851
CONTR. ADDRESS
PHONE STATE LICENSE
APPROVED J.A. Busto/h
BUILDING INSPECTION RECORD
DATE INSPE(TOft DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME '
BOND BEAMS LATH
WALLBOARDS-INT.&EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOW NS -MISC-
DIAPHRAMS
WAICIAPe
MOORE BUSINESS FORMS I NC,.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
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
S�3S 'zi n SO.J LOT NO.
NO. STREET
CITY OF CUOERTINO' CAP. {
(((VAL S�O
d AeFCATION FOR BUILDING PERMIT l FEE • s-D
wL}, Building Per.No.1�
Date P• Q1 Y ,19 Q /: a QQ lonitory Per.No.
3 V Appjrsatio�r.is here
for a permit to R��U O.0
O a U� stor� Type Structure
F to be occupied only ass�Z�t/A Lc: =A.v.Cv�LU=CG.ciLm accordance with
a
'Z w Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$Sy d
PI Ck Fee$
O_ O It is hereby agreed that the requirements of the
yr Cupertino Building and Zoning Ordinances and all Fee $
aother laws applicable to the construction,location,and Total Fee$
Z — use of buildings within the City of Cupertino will be
ZO complied with.
3
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kVhrdMrS3b6,WiL�O � s�
w Z OWNER IHONE ADDRESS
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QO CONTR.OR AGENTADG
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/, PHONE STATE LICENSE BUILDING INSPECTOR