NO PERMIT NUMBER 10991 De Anza Boulevard
NO. STREET - LOT NO.
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
SANITARY NO.
FILE NO.
DATE May 30 19, 79
Application is hereby made for a permit to
Construct Found. for Sign a story,type
to be occupied only as Ci gn
in accordance with plot plan,plans and specification filed herewith.
ESTIMATED VALUE OF IMPROVEMENTS.$ ono.on
FEE$ o nn PLAN CHECK$ 4.50
OWNER Tpxnrn ADDRESS
PHONE
CONTR.Winters Petroleum Serv. ADDRESS
Co. Inc.
PHONE 779-9970 STATE LICENSE 279004
APPROVED Angelo Leber
BUILDING INSPECTION RECORD
DATE INSPECTOR DATE INSPECTOR
FOUNDATION FLOOR STEEL
PRE-GUNITE FRAME
BOND BEAMS LATH
WALLBOARDS-INT.8 EXT.
FIREWALLS
MEMBRANE LANDSCAPING
F.M.O.INSPECTION
FINAL BLDG.
UNDER-FLOOR
TIEDOWNS -MISC-
DIAPHRAMS
MOORE BII SIN ESS FORMS INC,.LN
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 8 COMB.AIR
PARTIAL ROUGH CONDENSATE DRAINS
ROUGH COMPLETE FINAL APPLIANCE
ROOF DRAIN 8 LEADERS
MAIN DRAIN
FINAL GAS
FINAL PLUMBING
MISCELLANEOUS
/n,Fq/ AN,.Af'12f� R Li LOT NO.
NO. STREET . - u
CITY OF CUPERTINO VAL.
CAP. [l
d APPLICATION FOR BUILDING PERMIT FEE
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Dara � c� Building Per.No.
9 .
Sanitary Per.No.
3 u Application is hereby made for a permit to c'
= - a - story, Type 197-9 Structure
� O
O uu to be occupied only as S, F"z in accordance with
a
Z' a Plans,Specifications and Plot-Plan filed herewd .
a u,
F Estimated Value of Improvements,
v_ PI Ck Fee$_
O O It is hereby agreed that the requirements of the
3 Cupertino Building and Zoning Ordinances and all Fee $O �r-P—.
a other laws applicable to the construction,location,and t"a
Z use of buildings within the City of Cupertino will be Total Fee
ZO complied with.
30
57Y 8600
Z gQWNER // PHONE ADDRESS
SOLr J. � /dc. _
a O CONTR.OR AGENT AD RES
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A �4Pby
PHONE PILDING INSPECTOR
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✓ e LOT NO.
NO. STREET
CITY OF CUPERTINO
c,:.-zAPPLICATION FOR ELECTRICAL PERMIT
'Ij Ay °t0 19tq Permit No. [--
Date —19— Fee S, sa
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Application is`here y made to the City of Cupertino for a permit to install electrical
wiring and/or fixtures as listed on the reverse side hereof, and agrees to install said
;wiring and/or fixtures in accordance with the provisions of the Electrical Code of the
City of Cupertino,and all other laws applicable thereto.
Use of Work To Be
Premises Performed
Owner Y3r n Acidmsa
Phone
By rL+t n, Pr`re), .o!/Ja, Arm,ctAddrea�li �Itt,4(
Contraor,Agent
Phone � 7cf ALO _ D
State license 7900 y Approved ins t0 z �' )
Electrical Inspector
I AGREE I WILL NOT VIOLATE ANY OF THE WORKMEN'S
COMPENSATION LAWS OF THE STATE OF CALIFORNIA.
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