NO PERMIT NUMBER Lot No.
No. Street
APP (CATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No: 5i�35
�� Sanitary No.
Date _�{L/J__ 196 ,
Application is hereby made fora permit to
r
s
a story, Ty
to be occupied only.as
i occordance with Plot Plan, Plans and Specification filed herewith.
i
Estimated Value of Improvements $
00
FEES Plan Check $
Owner Address^y
Conti. Addrae.
Phone 0 State Li
Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
APPLICATION FOR PLUMBING 6 GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
-Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 196 FEES
Contr. Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of Colifnrnia
RECORD OF INSPECTION APPROVALS
FOUNDATION BUILDING'
Date Inspector
UNDERFLOOR
Dora Ina pe ctor
FRAME
Dote Inspector
LATH 8 PLASTER
Inspector
FINAL
Date Insoector
ELECTRI AL
,OUTLETS
SERVICE SIZE
,SWITCHES UNDERGROUND
Data Inspector
RECEPTACLES' ROUGH WIRING
Data Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE ::H FIXTURES
Date Inspector
PERMIT FEE Motors
Date Inspector
TOTAL FEES FINAL
Data Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I IMMIL4TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN.DRAIN FEE ROUGH COMPLETE
Data Inspector
STORM.DRAIN FEE MAIN DRAIN
Date Inspector
WATER.SYSTEM FEE GASPIFG
Date Inspector
GAS PIPING FEE FINAL
Date Inspector
PERMIT FEE MISC
• Date napector
TOTAL FEE MISC
' Data Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE TOTAL FEE
.INSPECTED
Date inspector '
/03 v I; I �LR.: �"�-�e�.�/ Lot No.
No. Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
/f File No. l/--//JX
Sanitary No.
Date Z � 196
A ppli cation is hereby made for h p�
a ryj Type
to be occupied only as
in accordance with plot Plan, Plans and Sp' ication filed herewith„
Estimated Value of Improvements s
vd
FEES Plan Check $"
Owner Address'
Contr. e� Address --�� M,--z Ak,T
Ph ohne 7 -�37 S State License
` • 4W 4Y4.&, Approved
APPLICATION FOR ELECTRICAL PERMIT
Date 196 FEES
Contr, Address
Phone State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Date 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date 1% FEES
Contr, Address
Phone State License
Approved
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
BUILDING
FOUNDATION
Date Inspector
UNDERFLOOR
Date Inspector
FRAME
Dote Inspector
LATH 8 PLASTER
Date Inspector
FINAL
Date Insoecter
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Date Inspector
FIXTURES FINISH WIRING
Date Inspector
H.P. CHARGE FIXTURES—
Data Inspector
PERMIT FEE Motors
Data Inspector
TOTAL FEES FINAL
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE I I MATERIAL
STORM DRAIN I SIZE I L.46TERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH
Date Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Data Inspector
GAS PIPING FEE FINAL
Data Inspector
PERMIT FEE MISC -
Date Inspector
TOTAL FEE, MISC
Date Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC
GAS DRYER PERMIT FEE
FLOOR FURNACE v TOTAL FEE
INSPECTED ,
I Date Inspector