FILE 51,385 20550 Homestead Road
NO. STREET - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
' SANITARY NO.
FILE NO. 51.-185
DATE April 25_19 77
Application is hereby made for a permit to 5 NHR (12' x 52' )
Tnctall a 1 story,type
to be occupied only as Temrnraro SAlpc Office
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 3-,000
FEE-$ P4-nn PLAN CHECK$ l 2-00
Cupertino Gardens- ..1361- S. Winchester SW115
OWNERTr HOmp Tlr irpl nz ey ADDRESS San -ince
PHONE
CONTIF'nrd Cnnctrnrti on ADDRESS 16480 Hill Ron A-Morgan
Hill
PHONE 7 o_SonA STATE LICENSE inn• 45
APPROVED .Tnmpc T4_ Si ck/m
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 BUSINESS FORMS INC.,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 8 A/C INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
BACK FLOW REQUIRED UNDERFLOOR S.M.
BACK FLOW INSTALLED DUCTS&INSULATION
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
I
LOT NO. C
NO. STR T - ((VALJ
CITYOFCUPERTINO CAP { :
e-APPLICATION FOR BUILDING PERMIT l FEE
w Z Building Per.No _
mDate
st O APR Z 5 1977 Sanitary Per.No.
O a Application is hereby made for a perm/it•ttoLo
3 u- a_�st ry, Type�� (tea ddL,
u. Structure
s0
0 . to be occupied only as� �� s in accordance with
a
Z N Plans,Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, S4-L �a p-rr
a 4 PI Ck Fee$
O O It is hereby agreed that the requirements of the
3Cupertino Building and Zoning Ordinances and all Fee $ z, z
other laws applicable to the construction,location,and 4�
$3 L
Z — use of buildings within the City of Cupertino will be
Z complied with.
3 0 burr >• ~� ( � �.> rear J--
. 7- OWNER PHONE ADDRESS
u � ��d c�•>'r ffru�.rf� ko ys'o .moi /tai ,s,�r
CONTR.OR GENT A RESS
a OU k 77i-s`voe - )<,M7vT tk
PHONE STATE LICENSE BUILDING INSPECTOR