FILE 51,114No.
Shower Pan
Lot No.
Street
CITY OF CUPERTINO •50
APPLICATION FOR BUILDING PERMIT
Sanitary No.
File No. 51,114
Data 11/1/73 19
Application is hereby made for a permit to
Replace a story, Type
to he occupied only as (Shower Pan) Residence
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements S 7l>
FEES 6'00 Plan Check $
Owner .Tpnkina Address
Contr. _ Virgil L. Higdon Address 801 Woodsi—e Rd. R.W.C.
Phone '2FiS-7711 State License 1721
Approved S.A. Busto/h
L.- _
APPLICATION FOR ELECTRICAL PERMIT
Date
19 FEES
Contr.
Address
Phone
State License
Approved
APPLICATION FOR PLUMBING 8, GAS PERMIT
Data
19 GAS FEE $
PLUMBING FEE S
Cont,.
Address
Phone
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
Date
19 FEES
Contr.
Address
Phone
State License
Approved
Applicants agree not
to violate any of the
Workmen's Compensation Latus of the
State of California
PD -1
PAD FINAL
FOUNDATION-
UNDERFLOOR
OUNDATION_UNDERFLOOR _
FRAME
LATH & PLASTER
GRADING FINAL_
FINAL BLDG._
UNDEF
ROUGI
FINISH
FU(TU
MOT 01
FINAL
RECORD OF INSPECTION APPROVALS
BUILDING
NSPECTOR MISC.
ELECTRICAL
DATE INSPECTOR MISC.
'.GROUND ROUGH -
I WIRING
ED WIRING
RES
t5
SANITARY NO.
UNDERGROUND ROUGH
PARTIAL ROUGH
ROUGH COMPLETE
MAIN DRAIN
FINAL PLBG.
FINAL GAS
FINAL APPLIANCE
PLUMBING, GAS ✓3< APPLIANCE
DATE INSPECTOR MISC.
LEA
No.
Street
Lot
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File No., 111
Sanitary No.
Do to / 196
A lice tion is hereby made for a permit to
a story, Type
to be occupied only as
FEES
Owner
Contr.
Phone
in accordance with Plot Plan, Plans and Specification filed herewith.
Estimated Value of Improvements S ^. Q d d,
4 9
IF s Plan Check $
J:llddress ZO&P61
Address
State Lic se
o {
Apprved
APPLICATION FOR ELECTRICAL PERMIT
gtda
Dare v- 196 � FEES
Contr.Address
z rd �""-c-✓�'��✓i /�
Phone �/ 7,:F— X14 G State License
Approved
APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196
Contr.
Phone
Date
Contr.
Phone
GAS FEE $ —
PLUMBING FEE S
Address
State License
Approved
APPLICATION FOR APPLIANCE PERMIT
196 FEEf
Applicants agree not to violate`any of the
Workman's Compensation Laws nf.the
State of California _
Address
State License
Approved
1
RECORD OF INSPECTION APPROVALS- , • _
FOUNDATIONS 6 BUILDING
UNDERFL OR
FRAME `�;�
Dote
AT & PLASTER
Dpte y
FINAL � '— 0
Do to
Ins oector
49.O
51 f IZER-�v
,OUTLETS
E RN'D%(oy
ROUGH W
SWITCHES
n ecfar
RECEPTACLES
a
FIXTURES
REGISTERS
N.P. CHARGE
Inspector
PERMIT FEE
TOTAL FEES
SIZE
Ins oector
49.O
51 f IZER-�v
FEE
E RN'D%(oy
ROUGH W
ate �.�
n ecfar
FINISH WIRING
a
Inspector
REGISTERS
Date
Inspector
FIXTURES
WATER SYSTEM
SIZE
Date
Inspector
Motors
TOTAL FIXTURES
2
Dat
—"
ns potter
FINAL —
'
FIXTURE FEE
Date Inspector
PLUMBING & GAS
MAIN DRAIN
SIZE
FEE
MATERIAL
UNITS
FEE
. CIRCULATING HEATERS
STORM DRAIN
SIZE
REGISTERS
MATERIAL
BLOWER FURNACES
WATER SYSTEM
SIZE
TERIAL
SUSPENDED UNIT
TOTAL FIXTURES
MISC
UNDERGROUND
GAS RANGE
'
FIXTURE FEE
MISC
PARTIAL ROUGH
GAS DRYER
MAIN DRAIN FEE
PERMIT FEE
ROUGH COMPLETE
Date
Inspector
STORM DRAIN FEE
MAIN DRAIN
Date
Inspector
WATER SYSTEM FEE
GAS PIPING
Date
Inspector
GAS PIPING FEE
FINAL
Date
Inspector
PERMIT FEE
MISC
Data
Inspector
TOTAL FEE
MISC
Data
Inspector
vmo n ayo..•m
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
/O.3 83 & &V Azee lin LOT NO. �[J
NO. STREET %�%
N Qrt/
w Z CITY OF CUPERTINO r
Yo cry APPLICATION FOR BUILDING PERMIT
LL
3 Q �V CUAGi Building Per. No.
W U Dete _ fiyT° 19_. Senitery Par. No.
o App )ication is hy�made for a permit to
LL W
D � a _ st6fy,�Type �—'Structure
Z ~ d`/dlh
to be occupie ly as in accordance with
ww
a F Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee $
J LL Q�
20 Estimated Value of Improvements, $ x §-74relp Fee $
o � Total Fee $
Z J It isherebyagreed that the requirements of the Cupertino Building and Zoning Ordinances
J2
J o and all other laws applicable to the construction, location, and use of buildings within
—9 the City of Cupertino will be complied with.
N
\'(
w m Owners � Q� Address ^
40 Addren
- U �-10
Cggt Bent.
Phone �� — Approved-
State
pprovetlState License :�4e / 2%21Z Building Inspector