NO PERMIT NUMBER Lot No.
No. Street
APPLICATION{FOR BUILDING PERMIT
CITY OF CUPERTINO
File No/9Q
Sanitary No.
Date 196
Application is hereby made for a permit to
s --I qType
to be occupied only as U" AAA
in accordance with Plot Plan, Plans and Specification filed herewith
Value of Improvements $ r
• av
esss-
FEE$ Plan Cheek $
Owner Address
Contr. Address
Phone State Licadso y
Approved
APPLICATION FOR ELECTRICAL PERMIT O /
r -.,7 �_
Date 196 FEES
Contr. ���U��--i_ FA Address -IZ7.2-�
Phone �Z 7 State License
Approved �'�'l/ A•..7 L_„`-° _""�_�J i
,APPLICATION FOR PLUMBING & GAS PERMIT
Dote 196 GAS FEE $
PLUMBING FEE $
Contr. Address
Phone State License
Approved
APPLICATION FOR APPLIANCE PERMIT %V
Date FEE$ OS
i
Contr, hh ddross
Phone I.ME Sta_ to L'canse
t '
Approve
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
Dae . , Inspector
FRAME
to Inspector
LATH & PLA R
t Inspector
FINAL
D I fa
Ins De ctor
ELECTRICAL
,OUTLETS
SERVICE SIZE
SWITCHES UNDERGROUND
Date Inspector
RECEPTACLES ROUGH WIRING
Data Inspector
FIXTURES FINISH WIRING
Date s ctor
N.P. CHARGE � Oz FIXTURES
(�-{ ispoctor
PERMIT FEE � Motors Da
�p
TOTAL FEES '� FINAL tspactor
to Inspeltor
PLUMBINI6 8 GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE LIMTERIAL
WATER SYSTEM SIZE ITERIAL
TOTAL FIXTURES UNDERGROUND
FIXTURE FEE PARTIAL ROUGH '
Data Inspector
MAIN DRAIN FEE ROUGH COMPLETE
Date Inspector
STORM DRAIN FEE, MAIN DRAIN
Date Inspector
WATER SYSTEM FEE GAS PIPING
Date 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
17
GAS DRYER I PERMIT FE
FLOOR FURNACE TOTAL F
INSPECTED
/GG 5,/ I F-:,4,, gs I ag
OT NO.
NO. STREET
Y' W APPLI, ATION FOR BUILDING PERMIT
fo
ITY OF CUPF.RTINO
oSanitary No.
SV
iW DI C - 196_ ermit No. / 6 O / S
Fo Po r Application is hereby made for e 't to
a �iT�� �F �.� I Ir
a b}�-1--b>�iF�r Building
W
atube oaupied only as in accprdaocc with
0 o Plans, Specifications andPI Ian filed herewith p1 CIL Fee •�3�
Estimated Value of Improvements,$�P?095e) '� Fee$ q /
Oz J It is hereby agreed that the requirements of the Cupertino Building and oninp/,&
J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be omplied with.
3Q
Address
Wz
W W By T:I prso• /
W a Address /rrcP iw
0 7 Phonexi3 �/ — d8" q/
Approv
State License Z .Z z BUILDING INSPECTOR V
/0 C9-5-1 'C �.S'TA'T C A let ✓ r LOT NO.
NO. STREET VAL_6-?-u
CITYOFCUPERTINO CAP. I
d (APPLICATION FOR BUILDING PERMIT t FEE
Z ��'L:TClp Building Per.No. s�
w s Date 3— 1 ,19op!!..�. Sanitary Per.No.
0 H R." 2 19p
0 V Application Is hereby made for a permit to
' u- a story, Type, rr2 X / U�Structure
' O
W to be occupied only as ',FE A t ^TO /L in accordance with
OQ
i w Plans,Specifications and Plot-Plan filed herewith.
e, x Estimated Value of Improvements,$_�Pt,�
a PI Ck Fee$
0 O It is hereby agreed that the requirements of The Fee $ Oro
> v1 Cupertino Building and Zoning Ordinances and all `-�
8 3 other laws applicable to the construction,location,and
i < use of buildings within the City of Cupertino will be Total Fee$
z complied with.
30
j A K0� � -ALTe4, �53•'IG3 i
w Z 6 OWNER ^PH NE ADDRESS
O CONTR.OR AGENT ADDRE
° 777 3 37 2� 5;S/ 5
PHONE STATE LICENSE BUILDING INSPECTOR