NO PERMIT NUMBER 10430 0akvi11p
NO. STREET , - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO. 51 ,113
DATE J,ma 2nR 1918_
r.
Application is hereby made for a permit to
Structurial Repair o story;type Termite Damage
to be occupied only as Single Family Dwelling
in accordance with plot plan,plans and specification filed herewith.
,
ESTIMATED VALUE OF IMPROVEMENTS.$ 4 003
FEE$ 9R00 - PLAN CHECK$
OWNER Rodrigues ADDRESS
PHONE
CONTR. The 1W I y Tesmi t® ADDRESS_1096 W Maude 11302
PHONE 734-2603 STATE LICENSE 4851 �1
APPROVED Angelo Leber
BUILDING INSPECTION RECORD
DATE INSPECTOR I DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.80NT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BIl51N ES5 EONMS INC..L1 '
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
LOT NO.
N STREET
C}7T 6F C`+r=T1t30 CITY OF CUPERTINO
APPLICATION FOR PLUMBING PERMIT
JUN 2�
A D Sanitary No.
Data " '
'19 Permit No.
Fee E // O'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, and agrees to install said prices
and/or fixtures in accordance with the provisions of the Plumbing Code of the City of
Cupertino,and all other laws applicable thereto.
Use of Work To Be
Premises Peufarmed /f n
Owner Address
Phone—
BY
hone By
Contractor,Agent
Phone a4`'
State License x Approved
Plumbing Inspector
I I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
lj COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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LOT NO.
NO. STREET
cr. ,r ` .,_,T11,OCITY OF CUPERTINO CAP. JVAL.
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a APPLICA7TpIION FOR BUILDING PERMIT PEE, -S
f Data '9!4-2:171(7 Buil ding Per.No.
O - ,19. Sanitary Per.No. e_
O a Applicptioryis helrekornade for a permit t L �
3 v ra e.� (��g ra : r � � cZ
O astory, Type—51�y sE' r1_fly))_�N VLo k'1�4� � Structure
O - to be occupied only as Sr'IG�9� in accordance with
a
i ,� Plans,Specifications and Plot-Plan filed herewith.
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Estimated Value of Improvements,$ C?(9:?�
LL PI Ck Fee$
_O O It is hereby agreed that the requirements of the
> 3 Cupertino Building and Zoning Ordinances and all Fee$a'�
O a other laws applicable to the construction,location,and
Z — use of buildings within the City of Cupertino will be Total Fee$
Zcomplied with.
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PHONE ADpRES- S —+ --
QO73R.ORA � v/ r A RES
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PHONE STATE LICENSE aBUILDING INSPECTOR