38563 7580 Lockford
NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO.
DATE 4-8 19 917) _
Application is hereby made for a permit to
reps jr a story,type
to be occupied only as tarmiro HAMA90
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS $ 18�8,90
FEES_10.00 PLAN CHECKS
OWNER MnrcjADDRESS
PHONE
CONTR,T.natarsa TFrmita fnnYrnl ADDRESS 1954 MiAd1®fiald 8d
M.V. 94043
PHONE 969-6943 STATE LICENSE 4F889
APPROVED AI Leber es
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOD IN .8 ARE%T. �—
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O. INSPECTION
FINAL BLDG.
UNDERFLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BUSI NE 55 FORMS INC..L.
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 p- FINAL APPLIANCE
ROOF DRAIN&LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
7✓ % [/ � lJ�f ( '-LOT NO.
NO STREET
CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
Sanitary No.
Date —19_,19Permit No.
Fee 5 S ��
O
Application is hereby made to the City of Cupertino for a permit to install plumbing
pipes and/or fixtures listed on the reverse side?hereof nd agrees to install said pipes
and/or fixtures in accordance with the pro'vi'sions of,t'e Plumbing Code of the.City of
Cupertino, and all other laws applicable IP;reto. L6 v.,
Use o1 Work To f!♦AvQ� �^^'�
Premises,{�� Performed/' ��� �'/L!7o��
Owner ] M,?CIA C Address � ��� Q..S HcyE
Phone
/ ,o /�,/�
By r<RV L T/s'�/vCAddress 5� D�� Mao/r-�Eo
Cont racto r/Agent��(/J
Phone ,ei;—oy��7
State License Approved—
Plumbing Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S /tt-
n COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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75/1 o ()..a a LOT NO. I .
NO. STREET CAP. { a•�
CITY OF CUPERTIhO' vAL./LNJO
a APPLICATION FOR BUILDING PERMIT t FEE S V
w Z� _ Q' Budding Per.No.
x0 Date a ' 19✓-"— SoniLary Per.No.
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0 u Application is hereby made for a permit to---4-P 41Q_�=-j
_ w 6 story, Type_ _ _ Q . . Structure
� O
O to be occupied only as in accordance with
a
i w Plans,Specifications and Plot-Plan filed herewith.
a W CP6 O
r Estimated Value of Improvements, $_AlIXI ,
Go'PI Ck Fee S
O O It is hereby agreed that the requirements of the
a Cupertino Building and Zoning Ordinances and,,all Cb Fee �0 G`'d
aother laws applicable to the construction,locationAnd
Z — use of buildings within the City of Cupertino will k9) Total.F.ee$
3 0Z complied with.
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�+ Z OWNER P E ADDR SS
u f ��� wG 9s Y yHs.tRat
a 0 CONTR.ORAGENTAD ES )•'MV..
_ U 469-695/3 f8�y Cc•T AtieA1�.�.
�Q PHONE STATE LICENSE 6F BUILDING INSPECTOR
,
C11M SAN JOSE 1664C64k-t -' ' - BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. Lot No. _C./. ..........
Date....1/7 _j1_0/__1_ ermilk No.:;�Itr4
....................1 19-------- P ----------------�1*1_1
Application is herebyrnade for a permit to 14_�Wbl�-------- - - --- ------ -------------
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a---------/--...storey, Type.��.. ------------------ ------- Building
at ----- J p /_o----------- ----4.4 -- .... Use Zone ----------------------
to be occupied only as ..... ----/-,7-,
15?_f'14a9rin�S eac- ......................
in accordance with Plans, Specifications and Plot-planerewifh.
11st 0
Estimated Value of Improvements, $_. --------------------------------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction location, and use of buildings within the City of San Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I I shall not employ any per-
son any men's compensation laws of California,
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A ......Address .11/
Form 280-1 IT,
RECORD OF INSPECTION
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