FILE 5140219770 Stevens Creek B1.
NO. STREET LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
i
SANITARY NO.
FILE NO. 51.402
!gin:
DATE_Anr. 17 1979
Application is hereby made for a permit to
rnnctrTnrt a tstory, type
to be occupied only as _ interior ad i .ion
in accordance with plot plan, plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS .$ % 000
FEE $ 36 - 00 PLAN CHECK $ 24. 40
OWNER PearhAc R ('.roam ADDRESS
PHONE
PHONE 3r.4-ti440 STATE LICENSE - l] 6695
APPROVED
BUILDING INSPECTION RECORD
DATE INSPECTOR I I DATE I INSPECTOR
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS - INT. 8 EXT.
4� FIREWALLS
F.M.O.
MISC-
DIAPHRAM
xusix css
ELECTRICAL INSPECTION RECORD
RESIDENTIAL DATE I INSPECTOR I COMMERCIAL DATE I INSPECTOR
ROUGH WIRING
ROUGH WIRING
FINISH WIRING
FINISH WIRING
FIXTURES
INTERIOR FIXTURES
MOTORS
EXTERIOR FIXTURES
FINAL
MOTORS
ROOF DRAIN & LEADERS
FINAL
MISCELLANEOUS
PLUMBING INSPECTION RECORD HEATING & A/C INSPECTION RECORD
DATE I INSPECTOR i I DATE I 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
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
30
I
LOT NO.
CITY OF CU?ERTINO. GAP. 1
(vAL.'o a——
APPLICATION FOR BUILDING PERMIT PEE ,
Building Per. No.
Date _e �� +n10 19.7
Sanitary Per. No.
CITI " n
Application is hereby aje for a permit to�--/Y0
R 1 7 15"i
a _pstory, Typ1e_�gt1�Lz%Iir� /i7%%/O� Structure
to be occup_tgd &Iy 8s D
Plans, Specifications and Plot -Plan filed herewith.
�
Estimated Value of Improvements, $ -'"-o
It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all
other laws applicable to the construction, location, and
use of buildings within the City of Cupertino will be
complied with.
�E9CNE,S E' � .FAs
OWNFR PHONE
,3_9'!L6 –Yn)ONTR. OR AGENT
PHONE 51911, LI
7'A `CENSE
in accordance with
PI Ck Fee $
Fee $
Total Fee $ o
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